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Ethanol poisoning

  • Definition
    • Ethanol poisoning is caused by drinking too much alcohol.

      This article is for information only. Do NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call your local emergency number (such as 911), or your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.

  • Poisonous Ingredient
    • Ethanol

  • Where Found
    • Alcoholic beverages, including:

      • Beer
      • Gin
      • Vodka
      • Wine
      • Whiskey
  • Symptoms
    • Symptoms may include:

      • Abdominal pain
      • Coma
      • Confusion
      • Internal (stomach and intestinal) bleeding
      • Slowed breathing
      • Slurred speech
      • Stupor (decreased level of alertness)
      • Unsteady walking
      • Vomiting, sometimes bloody
      • Chronic alcohol overuse can lead to additional symptoms and multiple organ failure.
  • Home Care
    • If you can wake an adult who has drunk too much alcohol, move the person to a comfortable place to sleep off the effects. Make sure the person will not fall or get hurt.

      Place the person on their side in case they throw up (vomit). DO NOT make the person throw up unless told to do so by a health care professional or Poison Control.

      Check the person frequently to make sure their condition does not get worse.

      If the person is not alert (unconscious) or only somewhat alert (semi-conscious), emergency assistance may be needed. When in doubt, call for medical help.

  • Before Calling Emergency
    • The following information is helpful for emergency assistance:

      • Person's age, weight, and condition
      • Name of the drinks consumed (ingredients and strengths if known)
      • Time it was swallowed
      • Amount swallowed

      However, DO NOT delay calling for help if this information is not immediately available.

  • Poison Control
    • Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. This hotline number will let you talk to experts in poisoning. They will give you further instructions.

      This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. You can call 24 hours a day, 7 days a week.

  • What to Expect at the Emergency Room
    • The health care provider will measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure. The person may receive:

      • Airway support, including oxygen, breathing tube through the mouth (intubation),and ventilator (breathing machine)
      • Blood and urine tests
      • Chest x-ray
      • CT (computerized tomography, or advanced imaging) scan
      • EKG (electrocardiogram, or heart tracing)
      • Fluids through the vein (intravenous or IV)
      • Medicines to treat symptoms
  • Outlook (Prognosis)
    • Survival over 24 hours past the drinking binge usually means the person will recover.

  • References
    • Goldfrank LR, ed. Goldfrank's Toxicologic Emergencies. 9th ed. New York, NY: McGraw Hill; 2011.

      White, SR. Toxic alcohols. In: Marx JA, Hockberger RS, Walls RM, et al., eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 8th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 155.