Alcohol is the most commonly abused recreational agent among emergency department patients
Alcohol is frequently associated with traumatic injuries
CNS effects occur on a spectrum:
May also cause GI upset
Administer benzodiazepines for seizures
Give naloxone, oxygen, and dextrose for comatose individuals
Intubate as necessary for airway protection to prevent aspiration
Inability to control seizures or withdrawal symptoms with oral medications
Hepatic failure, infection, dehydration, malnutrition, cardiovascular collapse, cardiac...
Failure to appreciate AMS due to nonalcoholic causes in chronic alcoholics:
Serum levels should drop by 15–40 mg/dL/hr
If mental status not improving (or worsening) need to investiga...
D’Onofrio G, Degutis LC. Preventive care in the emergency department: Screening and brief intervention for alcohol problems in the emergency department: A systematic review. Acad ...
303.00 Acute alcoholic intoxication in alcoholism, unspecified
305.00 Alcohol abuse, unspecified
980.0 Toxic effect of ethyl alcohol
T51.0X1A Toxic effect of ethanol, accidental (unintenti...
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