Hey, better a "shot"q6hr than withdrawl. Withdrawl can get really ugly and Depending on the patients age and severity of his medical problems it could be fatal.
We have several frequent flyer alcoholics that come into the ED for various reasons. Well our standard of care states that no one can leave the ER with a Blood Etoh of >100 unless a "responsible"adult comes to sign the patient out. On several of our "older"alcoholics who routinely show up with Blood Etoh's of <500, the Er doctors write specific orders to discharge patient when he can state his social security number backwards. We don't do repeat ETOH levels on them for fear that if we actually kept them until their Etoh level was >100, they'd start seeing pink elephants, and then we'd all be in trouble.
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