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jueves, 31 de agosto de 2017

Alcohol Intoxication Mimics

emDocs - August 30, 2017 - Authors: Bennett J and Fairbrother H
Edited by: Koyfman A and Long B
"Take Home Points
  • Keep a broad differential in mind for any patient with AMS, even if the patient smells like alcohol and intoxication seems likely
  • Check a POC blood glucose level on arrival
  • Undress patients suspected of alcohol intoxication and fully examine
  • Re-assess every 1-2 hours. If your patient doesn’t improve as expected, reexamine and broaden the differential
  • Don’t ignore abnormal vitals
  • Get a head CT if you see or suspect head trauma in the intoxicated patient
  • Consider checking an alcohol level if you’re unsure. If negative, investigate further. However, remember that a positive EtOH level does not preclude other problems also being present and should not be falsely reassuring."