REBEL Cast

REBEL Core Cast 128.0 – Toxic Alcohols

Listen Later

Take Home Points

  1. Toxic alcohols generally refer to methanol and ethylene glycol as these substances pose significant metabolic derangement and end-organ damage.
  2. Patient who present shortly after ingestion will simply look inebriated – no different than ethanol intoxication. At this point, patients will have an elevated osmolar gap and little to no anion gap.
  3. Patient who presents in a delayed fashion after ingestion may have a normal osmolar gap however will manifest the signs of end-organ damage: anion gap metabolic acidosis, visual impairment, or renal dysfunction.
  4. The osmolar gap is poorly sensitive, specific surrogate measure that is used to detect the presence of toxic alcohols. A normal osm gap does not rule out a toxic alcohol ingestion.
  5. Management includes fomepizole, hemodialysis, and vitamin supplementation.

    6.  

    REBEL Core Cast 128.0 – Toxic Alcohols

    Click here for Direct Download of the Podcast.

    Reference: Wiener SW. Chapter 106. Toxic Alcohols. In: Nelson LS, Howland MA, Lewin NA, Smith SW, Goldfrank LR, Hoffman RS, , Flomenbaum NE. eds. Goldfrank’s Toxicologic Emergencies, 11e New York, NY: McGraw-Hill; 2019. Accessed October 2, 2024.

    Guest Expert: Dr. Sanjay Mohan, MD (Link)

    Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter/X: @srrezaie)

    The post REBEL Core Cast 128.0 – Toxic Alcohols appeared first on REBEL EM - Emergency Medicine Blog.

    ...more
    View all episodesView all episodes
    Download on the App Store
    REBEL CastBy Salim R. Rezaie, MD
    • 4.8
    • 4.8
    • 4.8
    • 4.8
    • 4.8

    4.8

    159 ratings

    More shows like REBEL Cast

    View all
    EMCrit FOAM Feed by Scott D. Weingart, MD FCCM

    EMCrit FOAM Feed

    1,871 Listeners

    Emergency Medicine Cases by Dr. Anton Helman

    Emergency Medicine Cases

    534 Listeners

    The Skeptics Guide to Emergency Medicine by Dr. Ken Milne

    The Skeptics Guide to Emergency Medicine

    119 Listeners

    FOAMcast - An Emergency Medicine Podcast by FOAMcast

    FOAMcast - An Emergency Medicine Podcast

    277 Listeners

    Core EM - Emergency Medicine Podcast by Core EM

    Core EM - Emergency Medicine Podcast

    248 Listeners

    JAMA Clinical Reviews by JAMA Network

    JAMA Clinical Reviews

    489 Listeners

    The Resus Room by Simon Laing, Rob Fenwick & James Yates

    The Resus Room

    99 Listeners

    EM Clerkship by Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD

    EM Clerkship

    809 Listeners

    Emergency Medical Minute by Emergency Medical Minute

    Emergency Medical Minute

    257 Listeners

    Heavy Lies the Helmet by Mike Boone, Dan Rauh, & Dr. Amanda Humphries

    Heavy Lies the Helmet

    261 Listeners

    The Internet Book of Critical Care Podcast by Adam Thomas & Josh Farkas

    The Internet Book of Critical Care Podcast

    713 Listeners

    Critical Care Scenarios by Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM

    Critical Care Scenarios

    250 Listeners

    emDOCs.net Emergency Medicine (EM) Podcast by emDOCs.net EM Crew

    emDOCs.net Emergency Medicine (EM) Podcast

    20 Listeners

    Critical Care Time by Critical Care Time Podcast

    Critical Care Time

    238 Listeners