Y90.8

Clinical Causes: Excessive consumption of alcoholic beverages in a short period Binge drinking episodes leading to rapid elevation of BAC Intentional or unintentional overconsumption of alcohol Co-occurrence with other substances that may potentiate intoxication Lack of awareness or disregard for personal alcohol tolerance limits

Key Symptoms: Impaired coordination and balance Slurred speech Confusion or disorientation Drowsiness or lethargy Nausea and vomiting Dizziness Decreased alertness Potential loss of consciousness Altered perception of surroundings Breathing difficulties in severe cases

Diagnosis Path: Diagnosis of a BAC of 240 mg/100 ml or above involves blood testing, typically through a blood sample analyzed in a laboratory. Healthcare professionals may also assess physical and neurological signs of intoxication. In emergency settings, breathalyzer tests could provide quick estimates, but blood tests confirm precise BAC levels. Medical history and observed behavior help support diagnosis and guide management decisions.

Treatment Protocols: Management of high BAC levels focuses on ensuring safety and preventing complications. This includes monitoring vital signs, providing supportive care, and addressing any injuries or medical issues arising from intoxication. In cases of severe intoxication or loss of consciousness, hospitalization may be necessary. Interventions may include intravenous fluids, airway management, and close observation until alcohol metabolization reduces BAC to safer levels. Importantly, there is no specific antidote for alcohol; treatment primarily involves supportive care and harm reduction.