

Massive ingestions can result in coma with cardiopulmonary collapse. Clinical featuresĪll alcohols, including toxic alcohols, can result in inebriation, gastroenteritis, and CNS depression. The term ‘toxic alcohols’ is misleading since all require in vivo metabolism via alcohol dehydrogenase (ADH) to produce toxic metabolites. Sources include de-icing and windshield-washer fluids (MetOH), automotive antifreeze (EG), and rubbing alcohol (IPA). “Toxic alcohols” refers to ethylene glycol (EG), methanol (MetOH) and isopropanol (IPA). A ‘drink’ can be a “shot” of 40% liquor, a glass of 12% wine, or a bottle of 5% beer. Each ‘drink’ contains approximately 15 grams of ethanol. Ethanol content is typically described in terms of ethanol per volume, with 50% being equal to 100 proof. Description of the problem What every clinician needs to knowĮthanol is the active ingredient in ‘spirited’ or alcoholic beverages.
