Alcohol Related Emergencies:

Alcohol is one of  the most serious health problems. Alcoholism is defined as a primary or chronic disease with genetic, psychological and environmental factors influencing development and manifestation. The disease is often progressive and fatal and  is characterized by  impaired control over drinking, preoccupation with the alcohol despite adverse consequences and distortion in thinking most notable denial. 

1) Alcohol 

Idiosyncratic Intoxication It occurs when a person who consumes only a small amount of  alcohol, presents as  if  she has consumed more alcohol.  It is  treated with Benzodiazepine Ih4  or orally. 

2) Management 

The priorities are  to protect  the acutely intoxicated person from self harm and from doing violence to others and  to identify medi'cal problems that require immediate attention. Use  restraints if  required. If  required, small dose of benzodiazepines like diazepam, lorazepam etc. or paraldehyde are recommended. 

3)  Alcohol Withdrawal Delirium

Individuals with severe alcoholism experience withdrawal syndrome when  their serum ethanol drops below  the patient's normal level. Symptoms may be mild during early hours of  withdrawal and can progress to full blown delirium tremors within days. It  is important to note that symptoms occur when  there is a drop below  the person's normal level, not necessarily when  there is no alcohol in  the person's system.