TY - JOUR PY - 2016// TI - Alcoholic patients as risk patients. What needs to be considered by the emergency physician? JO - Notfall + Rettungsmedizin A1 - Rauscher, S. A1 - Lomberg, L. A1 - Schilling, T. SP - 28 EP - 32 VL - 19 IS - 1 N2 - Background. Emergency physicians are often faced with acute or long-term consequences of alcoholic intoxication and harmful use of alcohol. Recognition, differential diagnosis, and initial treatment of alcohol-related disorders are among the core competencies of all emergency physicians. We discuss the emergency aspects of alcohol-related disorders.

METHOD. Research and analysis of current literature.

RESULTS and conclusion. In acute alcohol intoxication, suspected intracranial injury or bleeding must be excluded by performing a CT scan. Hyponatremia and hypoglycemia as alcohol-independent causes for somnolence or unconsciousness should also be excluded. Hypothermia is often a side effect of alcoholic intoxication and should not be missed. In chronic alcohol abuse, there is increased suicidality. Because violence occurs more frequently in intoxicated patients, it is very important that emergency staff is well trained and emergency rooms are structurally equipped to be able to safely treat these complex and potentially aggressive patients. © Springer-Verlag Berlin Heidelberg 2015.

Language: de

LA - de SN - 1434-6222 UR - http://dx.doi.org/10.1007/s10049-015-0120-y ID - ref1 ER -