Alcohol Poisoning: Symptoms, Emergency Response & Prevention

Alcohol poisoning is a life-threatening emergency from rapid, excessive alcohol consumption overwhelming the body's ability to metabolize it. Blood alcohol concentration (BAC) typically >0.30%, but varies.

Critical Signs (Call 911 Immediately)

  • Unconsciousness, cannot be roused
  • Slow/irregular breathing (<8 breaths/min or >10 sec pauses)
  • Cold, clammy, pale or bluish skin (lips, fingertips)
  • Vomiting while unconscious (aspiration risk)
  • Seizures
  • Profound confusion, stupor
  • Slow heart rate, hypotension

Do NOT

  • Leave them alone
  • Give food, water, coffee, or "sober up" remedies
  • Induce vomiting (choking hazard)
  • Put in cold shower (shock risk)
  • Let them "sleep it off"

Do

  • Call emergency services
  • Roll onto side (recovery position) to prevent aspiration
  • Monitor breathing; begin CPR if stops
  • Keep warm
  • Tell paramedics what/when they drank

Prevention

Pace drinks, alternate with water, eat before/during, know limits, avoid binge drinking (>4F/5M drinks in 2 hrs). Never mix with opioids/benzos.

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