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

J R Army Med Corps. 2014 Sep;160(3):245-50. doi: 10.1136/jramc-2013-000117. Epub 2013 Jul 2.

Abstract

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.

Keywords: Accident & Emergency medicine; Toxicology.

Publication types

  • Case Reports

MeSH terms

  • Acidosis / diagnosis
  • Acidosis / etiology*
  • Acidosis / therapy
  • Adult
  • Afghanistan
  • Breath Tests
  • Developing Countries*
  • Drug Labeling
  • Humans
  • Male
  • Methanol / poisoning*
  • Solvents / poisoning*

Substances

  • Solvents
  • Methanol