Ethanol toxicity can present with a variety of symptoms depending on the amount consumed. A history of alcohol ingestion and the presence of ethanol-containing substances in the home are important to identify. Common symptoms include confusion, vomiting, seizures, slow or irregular breathing, low body temperature, and loss of consciousness. Mild symptoms like warmth and impaired judgment occur at lower levels, while dangerous effects like coma and respiratory depression present at very high levels. Identifying the source and amount of alcohol is crucial for determining appropriate treatment.

1. Ethanol
Toxicity Clinical
Presentation
Amr Flifel*
Andro Amgad*
Islam Mansy*
Mahmoud Abd-Elraouf*
Mahmoud Elshahat Tiesto*
* Medical Cadets of Armed Forces College Of Medicine (AFCM), Fourth year students.

3. History
 The history itself can mostly point to a diagnosis of ethanol intoxication.
 A history of inebriation .
 Was an open alcoholic drink left out after a party?
 Is the alcohol in the house locked up? Are alcoholic beverages in a place that the child can
easily reach?
 Is the child taking any over-the-counter medications that might contain alcohol, such as
cough and cold medications?
 Could older siblings in the house have given the child alcohol?
 Did the parents give the child an alcohol bath?
 Ethanol-containing substance (eg, perfume, cleaning fluids).


4. Ethanol-containing substance
 Liquid cold remedies, 2-25%.
 Mouthwashes, 7-27%.
 Rubbing alcohol, usually 70% (although most commonly, rubbing alcohol
contains isopropanol).
 Aftershave lotions, 15-80%.
 Perfumes and colognes, 25-95%.
 Whiskey, 40-60%.
 Liqueurs, 22-50%.
 Wine, 8-16%.
 Beer, 3-7%.

5. Symptoms
 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.

6. Level-Based Symptoms
 Levels less than 25 mg/dL are associated with a sense of
warmth and well-being.
 Euphoria and decreased judgment occur at levels between 25-
50 mg/dL.
 Incoordination, decreased reaction time/reflexes, and ataxia
occur at levels of 50-100 mg/dL.
 Cerebellar dysfunction (ie, ataxia, slurred speech, nystagmus)
are common at levels of 100-250 mg/dL.
 Coma can occur at levels of greater than 250 mg/dL.
 Respiratory depression, loss of protective reflexes, and death
occur at levels greater than 400 mg/dL.

8.  Thank you very much indeed 