Challenges of managing toxic alcohol poisoning in a resource-limited setting

被引:9
作者
Barnard, Ed [1 ]
Baladurai, S. [2 ]
Badh, T. [3 ]
Nicol, E. [2 ]
机构
[1] Derriford Hosp, Emergency Dept, Plymouth PL6 8DH, Devon, England
[2] Royal Ctr Def Med, Dept Mil Med, Birmingham, W Midlands, England
[3] Royal Ctr Def Med, Dept Mil Anaesthesia & Crit Care, Birmingham, W Midlands, England
关键词
ETHYLENE-GLYCOL; METHANOL; DIAGNOSIS; ETHANOL;
D O I
10.1136/jramc-2013-000117
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We present a series of patients with profound metabolic acidosis admitted to the Role 3 Medical Treatment Facility, Camp Bastion, Afghanistan, in 2012. A police service breath alcohol analyser, calculation of the osmolar gap and urine microscopy assisted in diagnosing methanol poisoning. The challenge of diagnosing and managing toxic alcohol poisoning in this resource-limited setting is discussed. We believe this is the first description of using a breath alcohol analyser to assist a diagnosis of methanol poisoning.
引用
收藏
页码:245 / 250
页数:6
相关论文
共 24 条
  • [1] [Anonymous], 2008, JOINT DEFENCE PUBLIC
  • [2] Barceloux DG, 2002, J TOXICOL-CLIN TOXIC, V40, P415
  • [3] Fomepizole for the treatment of methanol poisoning
    Brent, J
    McMartin, K
    Phillips, S
    Aaron, C
    Kulig, K
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2001, 344 (06) : 424 - 429
  • [4] Breath Alcohol Analyzer Mistakes Methanol Poisoning for Alcohol Intoxication
    Caravati, E. Martin
    Anderson, Kathleen T.
    [J]. ANNALS OF EMERGENCY MEDICINE, 2010, 55 (02) : 198 - 200
  • [5] Differential diagnosis of metabolic acidosis
    Casaletto, JJ
    [J]. EMERGENCY MEDICINE CLINICS OF NORTH AMERICA, 2005, 23 (03) : 771 - +
  • [6] Cooper B R, 2007, J R Army Med Corps, V153, P314
  • [7] Garcia C, 2009, CLIN TOXICOL, V47, P739
  • [8] Hodgetts TJ, 2000, J ROY ARMY MED CORPS, V146, P134, DOI DOI 10.1136/JRAMC-146-02-04
  • [9] Hovda KE, 2002, J INTERN MED
  • [10] JACOBSEN D, 1982, ACTA MED SCAND, V212, P17