Ethanol intoxication in children: Clinical features, evaluation, and management
- Carl R Baum, MD, FAAP, FACMT
Carl R Baum, MD, FAAP, FACMT
- Associate Professor of Pediatrics
- Yale University School of Medicine
- Section Editor
- Michele M Burns, MD, MPH
Michele M Burns, MD, MPH
- Section Editor — Pediatric Toxicology
- Assistant Professor of Pediatrics
- Harvard Medical School
- Deputy Editor
- James F Wiley, II, MD, MPH
James F Wiley, II, MD, MPH
- Senior Deputy Editor — Adult and Pediatric Emergency Medicine
- Senior Deputy Editor — Primary Care Sports Medicine (Adolescents and Adults)
- Clinical Professor of Pediatrics and Emergency Medicine/Traumatology
- University of Connecticut School of Medicine
The evaluation and management of ethanol intoxication in children is discussed here.
Epidemiology, pharmacokinetics, estimation of toxicity, and toxic effects seen in pediatric ethanol exposure are discussed separately. (See "Ethanol intoxication in children: Epidemiology, estimation of toxicity, and toxic effects".)
A rapid overview provides an approach to ethanol intoxication in children (table 1).
History — It is important to rapidly determine if the "alcohol" ingestion is ethanol or one of the toxic alcohols (eg, methanol, ethylene glycol). (See "Methanol and ethylene glycol poisoning".)
Infants or young children who have ingested enough ethanol to cause a peak serum level ≥50 mg/dL (11 mmol/L) are at risk for profound hypoglycemia and require emergent evaluation. (See "Ethanol intoxication in children: Epidemiology, estimation of toxicity, and toxic effects", section on 'Estimation of serum ethanol'.)
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- CLINICAL FEATURES
- Physical examination
- DIFFERENTIAL DIAGNOSIS
- Blood glucose
- Ethanol level
- Other studies
- Supportive care
- Gastrointestinal decontamination
- Extracorporeal removal
- Child protection
- - Symptomatic patients
- - Asymptomatic patients
- - Suicidal overdose
- ADDITIONAL RESOURCES
- SUMMARY AND RECOMMENDATIONS
- Clinical features