Alcohol Withdrawal Syndrome
Medgeeks with Andrew Reid
Medgeeks
4.8 • 997 Ratings
🗓️ 26 July 2018
⏱️ 11 minutes
🧾️ Download transcript
Summary
Today, we're going to talk about the patient, who makes you want to go home and have your own drink.
You get a page from the ER about a new admission. It's a 35 year old male patient with a past medical history of heavy alcohol abuse - he presents to the hospital asking for detox.
For every ETOH patient that walks through the door, Zach normally has a set of questions he likes to ask, depending on the patient's cooperation...
1. How long have you been drinking for?
2. How much do you drink on a daily basis? Is it daily or do you take breaks?
3. What is your drink of choice?
4. When was your last drink?
5. Have you ever been hospitalized for drinking?
6. Have you ever had ETOH withdrawal, seizures, or delirium tremens?
7. Have you ever been intubated in the ER due to alcohol abuse?
8. Is there any other drug use?
9. Why did you decide to come in today?
These questions will help you triage the patient to see what level of care they will require.
Today, you'll learn all about alcohol withdrawal syndrome.
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Transcript
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| 0:00.0 | Team, Zach here from med geeks. Before I start, med geeks is looking for a new team member. |
| 0:08.0 | We're looking for an interested PA, NP, or physician, preferably someone who works in the ER, although all are welcome to help with some |
| 0:16.1 | new exciting work that we have planned. If you're interested, please email team at med geeks. |
| 0:24.3 | That's Team at medgeeks. |
| 0:28.4 | Go. |
| 0:29.5 | Send a quick intro and a CV or your resume and we'll get back to you. So without further ado, today we're going to talk about the patient who makes you want to go home at the end of your shift and have your own drink, the alcohol withdrawal patient. |
| 0:45.0 | So you get a page from the ER about a new admission and it's a 35 year old male with a past medical history of heavy ETOH abuse who presents to the hospital asking for detox. |
| 0:57.3 | So for every ETOH patient that walks through the door, I normally have a set of questions I like |
| 1:02.2 | to ask in my interview, depending on the patient's cooperation. |
| 1:06.0 | 1. How long have you been drinking for? 2. How much do you drink daily and is it every day or do you take breaks? |
| 1:15.0 | 3. What is your drink of choice? 4. When was their last drink? |
| 1:22.0 | 5. Have they ever been hospitalized for their drinking? |
| 1:26.0 | Because this can tell you how severe this admission may be. |
| 1:30.0 | 6. Have they ever had E.T.O. H. Seizures or E.T.O. H. Dallerium Tremons. |
| 1:38.6 | 7. Have they ever been intubated in the ICU due to their alcohol use? |
| 1:44.0 | 8. Any other drug use like IV drugs, opiates, any other type of pills or intranasal use or IV use? |
| 1:52.0 | 8. Why did they choose? or IV use? Eight. |
| 1:54.2 | Why did they choose to come in today, |
| 1:56.7 | instead of tomorrow or yesterday? |
| 1:59.2 | What symptoms do they feel right now? |
| 2:01.6 | And if history of withdrawal, where do they feel they are on the spectrum right now? |
| 2:07.2 | So these questions really help me triage the patient on which level of care is appropriate for them, |
... |
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