Alcohol poisoning


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Symptoms

By Mayo Clinic staff

Alcohol poisoning signs and symptoms include:

  • Confusion
  • Vomiting
  • Seizures
  • Slow breathing (less than eight breaths a minute)
  • Irregular breathing (a gap of more than 10 seconds between breaths)
  • Blue-tinged skin or pale skin
  • Low body temperature (hypothermia)
  • Passing out (unconsciousness) and can't be awakened

It's not necessary to have all these signs and symptoms before you seek help. A person who is unconscious or can't be awakened is at risk of dying.

When to see a doctor
If you suspect that someone has alcohol poisoning — even if you don't see the classic signs and symptoms — seek immediate medical care.

Alcohol poisoning is an emergency
If you're with someone who has been drinking a lot of alcohol and you see any of the signs or symptoms above, here's what to do:

  • Call 911 or your local emergency number immediately. Never assume that a person will sleep off alcohol poisoning.
  • Be prepared to provide information. If you know, be sure to tell hospital or emergency personnel the kind and amount of alcohol the person drank, and when.
  • Don't leave an unconscious person alone. Because alcohol poisoning affects the way your gag reflex works, someone with alcohol poisoning may choke on his or her own vomit and not be able to breathe. While waiting for help, don't try to make the person vomit because he or she could choke.
  • Help a person who is vomiting. Try to keep him or her sitting up. If the person must lie down, make sure to turn his or her head to the side — this helps prevent choking. Try to keep the person awake to prevent loss of consciousness.

Don't be afraid to get help
It can be difficult to decide if you think someone is drunk enough to warrant medical intervention, but it's best to err on the side of caution. You may worry about the consequences for yourself or your friend or loved one, particularly if you're underage. But the consequences of not getting the right help in time can be far more serious.

References
  1. Vacca VM, et al. Alcohol poisoning. Nursing. 2013;43:14.
  2. Tonisson M, et al. Acute alcohol intoxication characteristics in children. Alcohol and Alcoholism. 2013;48:390.
  3. Langhan ML. Acute alcohol intoxication in adolescents: Frequency of respiratory depression. Journal of Emergency Medicine. 2013;44:1063.
  4. Van Zanten E, et al. Gender, age and educational level attribute to blood alcohol concentration in hospitalized intoxicated adolescents: A cohort study. Alcoholism: Clinical and Experimental Research. In press. Accessed June 18, 2013.
  5. Alcohol. The Merck Manuals: The Merck Manual for Health Care Professionals. http://www.merckmanuals.com/professional/special_subjects/drug_use_and_dependence/alcohol.html. Accessed June 18, 2013.
  6. Alcohol. American Diabetes Association. http://www.diabetes.org/food-and-fitness/food/what-can-i-eat/alcohol.html. Accessed June 18, 2013.
  7. Alcohol overdose: The dangers of drinking too much. National Institute on Alcohol Abuse and Alcoholism. http://pubs.niaaa.nih.gov/publications/AlcoholOverdoseFactsheet/Overdosefact.htm. Accessed June 18, 2013.
  8. A word about alcohol poisoning. National Institute on Alcohol Abuse and Alcoholism. http://www.niaaa.nih.gov/alcohol-poisoning. Accessed June 18, 2013.
  9. Cowan E, et al. Ethanol intoxication in adults. http://www.uptodate.com/home. Accessed June 18, 2013.
  10. Baum CR. Ethanol intoxication in children: Epidemiology, estimation of toxicity and toxic effects. http://www.uptodate.com/home. Accessed June 18, 2013.
  11. Loukianova LL (expert opinion). Mayo Clinic, Rochester, Minn. July 8, 2013.
  12. Hall-Flavin DK (expert opinion). Mayo Clinic, Rochester, Minn. July 10, 2013.
DS00861 July 23, 2013

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