Core EM - Emergency Medicine Podcast

Episode 114.0 – Evaluation of the Alcohol Intoxicated Patient

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This week we discuss the initial approach to assessment of the alcohol intoxicated patient.

https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_114_0_Final_Cut.m4a
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Tags: Alcohol Intoxication, Chronic Alcoholism, Wernicke's Encephalopathy
Show Notes

Take Home Points

  • Chronic drinkers and even just acutely intoxicated patients are at risk of many medical emergencies including life threatening trauma, infections, metabolic derangements and tox exposures.  Don’t dismiss them as “just drunk”
  • Undress these patients and perform a thorough head to toe examination, focusing on looking for e/o trauma and infection.  Get as much history as you can and be sure to ask about their drinking habits and etoh w/d hx to risk stratify them in your brain
  • Always check FS glucose and replete glucose as needed. 
  • Consider giving your chronic intoxicated patients thiamine injections semi-regularly to prevent WE, and look for e/o the triad in your patients as it can be easily overlooked and deadly if missed!

    • Read More

    EM Docs: EM@3AM Alcohol Intoxication

    EM Updates: Emergency Management of the Agitated Patient

    Life in the Fastlane: Ethanol Intoxication, Abuse and Dependence


    Read More
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    Core EM - Emergency Medicine PodcastBy Core EM
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