Toxic Alcohol Ingestion: Prompt Recognition And Management In The Emergency Department (Critical Care Topic)
×
EMPOWERING PHYSICIANS WITH EVIDENCE-BASED CONTENT
 

Home > EB Store > Toxic Alcohol Ingestion: Prompt Recognition And Management In The Emergency Department (Critical Care Topic)

Toxic Alcohol Ingestion: Prompt Recognition And Management In The Emergency Department (Critical Care Topic)
Enlarge Image
Delivery Method:

Toxic Alcohol Ingestion: Prompt Recognition And Management In The Emergency Department (Critical Care Topic) - $39.00

Publication Date: September 2016 (Volume 18, Number 9)

CME: This issue includes 4 AMA PRA Category 1 Credits™; 4 ACEP Category I credits; 4 AAFP Prescribed credits; and 4 AOA Category 2 A or 2B CME credits.

Authors
 
Gillian A. Beauchamp, MD
Adjunct Instructor, Oregon Health & Science University, Department of Emergency Medicine; Toxicology Fellow, Oregon and Alaska Poison Centers, Portland, OR
 
Matthew Valento, MD
Acting Assistant Professor, Division of Emergency Medicine, University of Washington; Interim Medical Director, Washington Poison Center, Seattle, WA
 
Peer Reviewers
 
Theodore C. Bania, MD, MS
Director of Research and Toxicology, Department of Emergency Medicine, Mount Sinai Roosevelt-Mount Sinai St. Luke’s Hospital; Assistant Professor of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY
 
Ruben E. Olmedo, MD
Director, Division of Toxicology, Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY
 
Abstract
 
Identifying patients with potential toxic alcohol exposure and initiating appropriate management is critical to avoid significant patient morbidity. Sources of toxic alcohol exposure include ethylene glycol, methanol, diethylene glycol, propylene glycol, and isopropanol. Treatment considerations include the antidotes fomepizole and ethanol, and hemodialysis for removal of the parent compound and its toxic metabolites. Additional interventions include adjunctive therapies that may improve acidosis and enhance clearance of the toxic alcohol or metabolites. This issue reviews common sources of alcohol exposure, basic mechanisms of toxicity, physical examination and laboratory findings that may guide rapid assessment and management, and indications for treatment.
 

Excerpt From This Issue

A 27-year-old man with a history of depression presents after a reported ingestion of “about 8 ounces” of a workplace industrial solvent that has been identified by a shift supervisor as diethylene glycol. You are familiar with ethylene glycol and wonder if diethylene glycol poisoning results in similar toxicity. The patient has normal vital signs and a normal examination. What laboratory testing is warranted in this patient? Is it possible to obtain a diethylene glycol level? Based on this reported ingestion, what treatment is warranted?

 

Product Reviews
Francisco Gonzalez-Rosales, MD - 08/10/2017
Very good presentation and practical.
Kimber Ward, MD - 07/06/2017
After this course, I will have better evaluation and management of toxic alcohol ingestion.

100% Money-Back Gurantee

 
About EB Medicine:
Products:
Accredited By:
ACCME ACCME
AMA AMA
ACEP ACEP
AAFP AAFP
AOA AOA
AAP AAP
Endorsed By:
AEMAA AEMAA
HONcode HONcode
STM STM

 

Last Modified: 12/18/2018
© EB Medicine