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Related Experiment Video

Updated: Feb 7, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
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[Alcohol and emergencies].

Georges Brousse1, Julie Geneste-Saelens2, Julien Cabe1

  • 1Université Clermont Auvergne 1, UFR médecine, EA7280, 63001 Clermont-Ferrand, France; CHU Clermont-Ferrand, psychiatrie addictologie B, 63003 Clermont-Ferrand, France.

Presse Medicale (Paris, France : 1983)
|August 5, 2018
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Summary

Emergency departments see many alcohol misuse admissions. Implementing validated care protocols and interventions like motivational interviews is crucial for preventing alcohol withdrawal syndrome and optimizing patient care pathways.

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Area of Science:

  • Emergency Medicine
  • Addictology
  • Public Health

Background:

  • Alcohol misuse accounts for 30% of emergency department admissions.
  • Eighty percent of acute intoxications involve patients with alcohol addiction.
  • Standardized care protocols are needed to manage alcohol-related emergencies and prevent withdrawal syndrome.

Purpose of the Study:

  • To highlight the necessity of validated care protocols for alcohol misuse in emergency departments.
  • To outline intervention strategies based on the severity of alcohol use disorders.
  • To emphasize the importance of addressing comorbidities and interdepartmental coordination.

Main Methods:

  • Review of current practices in emergency departments concerning alcohol misuse.
  • Categorization of interventions based on alcohol use disorder severity (risky use, abuse, dependence).
  • Emphasis on systematic screening for addictive and psychiatric comorbidities.

Main Results:

  • Different levels of alcohol use disorders require tailored interventions: ultra-brief for risky use, brief for abuse, and motivational interviews for dependence.
  • Empathy is identified as a critical element in emergency alcohol interventions.
  • Systematic screening for comorbidities like tobacco, cannabis, depression, and suicidal risk is essential.

Conclusions:

  • Validated care protocols and tailored interventions are necessary for effective management of alcohol misuse in emergency settings.
  • Coordination between emergency departments and addiction services is vital for optimizing patient care pathways.
  • Addressing comorbidities and employing empathetic approaches enhance patient outcomes in alcohol-related emergencies.