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Severe ethanol intoxication in an adolescent

D L Morgan1, M H Durso, B K Rich

  • 1Division of Emergency Medicine, University of Texas Southwestern Medical School, Dallas 75235-8579, USA.

The American Journal of Emergency Medicine
|July 1, 1995
PubMed
Summary
This summary is machine-generated.

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A 15-year-old boy survived an extreme blood ethanol concentration of 757 mg/dL, requiring intensive medical intervention. Hemodialysis accelerated ethanol elimination but did not demonstrably improve his clinical outcome.

Area of Science:

  • Pediatrics
  • Toxicology
  • Emergency Medicine

Background:

  • Pediatric alcohol intoxication can lead to severe medical emergencies.
  • Status epilepticus is a critical neurological condition requiring immediate management.

Observation:

  • A 15-year-old male presented with status epilepticus and a record-high blood ethanol concentration (757 mg/dL).
  • Treatment involved mechanical ventilation and significant benzodiazepine administration.
  • The patient developed aspiration pneumonia but avoided hypoglycemia.

Findings:

  • Hemodialysis was administered for 2.8 hours, effectively increasing the rate of ethanol elimination.
  • Despite accelerated elimination, hemodialysis did not show a clear improvement in the patient's clinical outcome.

Related Experiment Videos

  • This case represents the highest reported blood ethanol level in a surviving child or adolescent.

    • Implications:

    • This case highlights the critical care challenges associated with extreme pediatric alcohol poisoning.
    • It underscores the need for further research into the efficacy of interventions like hemodialysis in severe ethanol toxicity.
    • The case emphasizes the potential for survival even with exceptionally high blood alcohol levels in adolescents.