REBEL Core Cast 128.0 – Toxic Alcohols
REBEL Cast
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Risk Stratification and Management of Toxic Alcohol Ingestion
This chapter examines the critical factors in diagnosing and managing patients suspected of toxic alcohol ingestion, highlighting key symptoms like tachypnea and visual deficits. It also covers treatment strategies, particularly the use of fomepazole in cases of significant acidemia.
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Take Home Points Toxic alcohols generally refer to methanol and ethylene glycol as these substances pose significant metabolic derangement and end-organ damage. 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. Patient ... 
