Alcoholic metabolic emergencies

Michael G Allison; Michael T McCurdy

doi:10.1016/j.emc.2013.12.002

Alcoholic metabolic emergencies

Emerg Med Clin North Am. 2014 May;32(2):293-301. doi: 10.1016/j.emc.2013.12.002. Epub 2014 Feb 19.

Authors

Michael G Allison¹, Michael T McCurdy²

Affiliations

¹ Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Maryland School of Medicine, 110 South Paca Street, 2nd Floor, Baltimore, MD, USA; Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Baltimore, MD 21201, USA.
² Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Maryland School of Medicine, 110 South Paca Street, 2nd Floor, Baltimore, MD, USA; Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Baltimore, MD 21201, USA. Electronic address: drmccurdy@gmail.com.

PMID: 24766933
DOI: 10.1016/j.emc.2013.12.002

Abstract

Ethanol intoxication and ethanol use are associated with a variety of metabolic derangements encountered in the Emergency Department. In this article, the authors discuss alcohol intoxication and its treatment, dispel the myth that alcohol intoxication is associated with hypoglycemia, comment on electrolyte derangements and their management, review alcoholic ketoacidosis, and end with a section on alcoholic encephalopathy.

Keywords: Alcohol encephalopathy; Alcoholic ketoacidosis; Beer potomania; Ethanol intoxication; Korsakoff syndrome; Wernicke encephalopathy.

Publication types

Review

MeSH terms

Acidosis / epidemiology
Acidosis / etiology*
Acidosis / therapy
Alcohol Amnestic Disorder / epidemiology
Alcohol Amnestic Disorder / etiology
Alcohol Amnestic Disorder / metabolism
Alcoholic Intoxication* / complications
Alcoholic Intoxication* / epidemiology
Alcoholic Intoxication* / metabolism
Emergencies*
Global Health
Humans
Hypoglycemia / epidemiology
Hypoglycemia / etiology*
Hypoglycemia / therapy
Incidence
Risk Factors
Survival Rate / trends

Supplementary concepts

Alcohol induced encephalopathy