Continuing on the theme of Toxic Alcohols (osmolal gap, ethylene glycol), this Paucis Verbis card focuses on methanol toxicity. Useful are the American Academy of Clinical Toxicologists recommendations on when to administer an antidote (fomipezole) and when to perform hemodialysis. I redrew the flowchart based on what's relevant to the ED in the initial stages (I used Google Docs' Drawing feature).
Note that these are merely guidelines and you should tailor management plans with your toxicologist and nephrologist.
Feel free to download this card and print on a 4'' x 6'' index card.
See other Paucis Verbis cards.
Kraut JA, Kurtz I. Toxic alcohol ingestions: Clinical features, diagnosis, and management. Clin J Am Soc Nephrol. 2008;3:208-225. Pubmed .
Jammalamadaka D, Raissi S. Ethylene glycol, methanol, and isopropyl alcohol intoxication. Am J Med Sci. 2010;339(3):276-281. Pubmed .
Marraffa JM, Cohen V, Howland MA. Antidotes for toxicological emergencies: a practical review. Am J Health-Syst Pharm. 2012;69:199-212. Pubmed .
Barceloux DG, Bond GR, Krenzelok EP, Cooper H, Vale JA; American Academy of Clinical Toxicology Ad Hoc Committee on the Treatment Guidelines for Methanol Poisoning. American Academy of Clinical Toxicology practice guidelines on the treatment of methanol poisoning. J Toxicol Clin Toxicol. 2002;40(4):415-46. Pubmed .
