Role of first aid in the management of acute alcohol intoxication: a narrative review.

摘要: OBJECTIVE Acute alcohol intoxication is actually a common admission cause in the Emergency Department and represents an increasing public health burden, particular among adolescents. It involves possible significant illness injury, which can quickly get worse may need to be managed emergency room. MATERIALS AND METHODS We conducted narrative review of literature regarding effectiveness first aid role setting. RESULTS This included eighteen studies about management Department; most all highlights emerging phenomenon Europe around world acute aid. The treatment depends on general clinical conditions patient, vital signs, hemodynamic stability, cognitive state, alcohol-related complications, are closely related blood concentration. At same time, symptoms could extremely variable due individual differences metabolism. In case mild-moderate (blood concentration 1 g/L), it necessary support with intravenous fluids, treat hypoglycemia, hypotension, hypothermia electrolyte imbalance, administer complex B C vitamins accelerate elimination from metadoxine. Unlike adults, adolescents more exposed toxic effect (because their immature hepatic dehydrogenase activity), then, complications frequent dangerous young people than adult population. many cases, patients affected by referring have transitory that do not require use drugs; they benefit observation, course often completed within 24 hours favorable outcome. Clinical observation signs control also evaluate development withdrawal syndrome (that specific treatment) pathological organism, above liver damage. CONCLUSIONS Patients best candidates apply rules Temporary Observation Unit Department, because hours, outcome without for hospitalization. hospitalization necessary, but patient Alcohol Use Disorder must referred Addiction follow-up, reduce risk relapse abuse, financial costs