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The Royal College of Physicians report on alcohol: guidelines for managing Wernicke's encephalopathy in the accident and Emergency Department.

Abstract

The Royal College of Physicians (London) recently published its latest report on alcohol misuse entitled 'Alcohol - Can the NHS Afford It?'. Part of this document, encompassing our views, has made specific recommendations for the management of patients in the Accident and Emergency (A&E) Department who may possibly have, or are at risk of developing, Wernicke's encephalopathy. Patients showing evidence of chronic alcohol misuse and suspected of having a poor diet should be treated at the outset with B vitamins intravenously or intramuscularly, especially when the clinical signs are initially masked by drunkenness at presentation to the A&E Department. This commentary offers a review of the scientific foundations on which these recommendations have been made.

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  • Authors+Show Affiliations

    ,

    Kent Institute of Medicine and Health Sciences, University of Kent at Canterbury, Canterbury, Kent CT2 7RN, UK.

    , , ,

    Source

    MeSH

    Alcoholism
    Diagnosis, Differential
    Emergency Service, Hospital
    Humans
    Thiamine
    United Kingdom
    Wernicke Encephalopathy

    Pub Type(s)

    Guideline
    Journal Article
    Practice Guideline
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    12414541

    Citation

    Thomson, Allan D., et al. "The Royal College of Physicians Report On Alcohol: Guidelines for Managing Wernicke's Encephalopathy in the Accident and Emergency Department." Alcohol and Alcoholism (Oxford, Oxfordshire), vol. 37, no. 6, 2002, pp. 513-21.
    Thomson AD, Cook CC, Touquet R, et al. The Royal College of Physicians report on alcohol: guidelines for managing Wernicke's encephalopathy in the accident and Emergency Department. Alcohol Alcohol. 2002;37(6):513-21.
    Thomson, A. D., Cook, C. C., Touquet, R., & Henry, J. A. (2002). The Royal College of Physicians report on alcohol: guidelines for managing Wernicke's encephalopathy in the accident and Emergency Department. Alcohol and Alcoholism (Oxford, Oxfordshire), 37(6), pp. 513-21.
    Thomson AD, et al. The Royal College of Physicians Report On Alcohol: Guidelines for Managing Wernicke's Encephalopathy in the Accident and Emergency Department. Alcohol Alcohol. 2002;37(6):513-21. PubMed PMID: 12414541.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - The Royal College of Physicians report on alcohol: guidelines for managing Wernicke's encephalopathy in the accident and Emergency Department. AU - Thomson,Allan D, AU - Cook,Christopher C H, AU - Touquet,Robin, AU - Henry,John A, AU - ,, PY - 2002/11/5/pubmed PY - 2003/3/19/medline PY - 2002/11/5/entrez SP - 513 EP - 21 JF - Alcohol and alcoholism (Oxford, Oxfordshire) JO - Alcohol Alcohol. VL - 37 IS - 6 N2 - The Royal College of Physicians (London) recently published its latest report on alcohol misuse entitled 'Alcohol - Can the NHS Afford It?'. Part of this document, encompassing our views, has made specific recommendations for the management of patients in the Accident and Emergency (A&E) Department who may possibly have, or are at risk of developing, Wernicke's encephalopathy. Patients showing evidence of chronic alcohol misuse and suspected of having a poor diet should be treated at the outset with B vitamins intravenously or intramuscularly, especially when the clinical signs are initially masked by drunkenness at presentation to the A&E Department. This commentary offers a review of the scientific foundations on which these recommendations have been made. SN - 0735-0414 UR - https://www.unboundmedicine.com/medline/citation/12414541/full_citation L2 - https://academic.oup.com/alcalc/article-lookup/doi/10.1093/alcalc/37.6.513 DB - PRIME DP - Unbound Medicine ER -