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

2013; BMJ; Volume: 160; Issue: 3 Linguagem: Inglês

10.1136/jramc-2013-000117

2052-0468

E. E. P. Barnard, S Baladurai, T Badh, Edward Nicol,

Drug-Induced Hepatotoxicity and Protection

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.