The University of Texas at Austin - What Starts Here Changes The World H1N1 (swine flu) and seasonal flu - what you should know
healthyhorns.utexas.edu
Home General Medical Care Urgent Care Women's Health Sports Medicine Allergy and Immunization pharmacy
Health Topics Classes and Workshops Mental Health Nutrition Alcohol and Drugs Healthy Sexuality Safety Guest Speakers
Nurse Advice Line Your Feedback Campus Health My UHS AlcoholEdu Contact UHS
University Health Services Division of Student Affairs

Appointments 512-471-4955

Medical Emergencies

Hours of Operation

UHS Staff

Eligibility to Use UHS

Charges

Health Insurance

Incoming Students

Information for Parents

Travel Health

Patient Rights and Privacy

Medical and Immunization Records

Medical Withdrawals and
Course Load Reductions


Health Promotion Resource Center

Center for Students in Recovery

Lending Library

Physical Therapy

Laboratory

Radiology

Parking

About UHS

Job Opportunities

Volunteer Opportunities

UHS Staff Intranet

Alcohol Overdose
A Medical Emergency

As a central nervous system depressant, alcohol can kill just as easily as narcotics (e.g. heroin), barbiturates (downers), or other sedatives.

Too many college students say they wish they had sought medical treatment for a friend who died of acute alcohol intoxication and alcohol overdose. Many friends end up feeling responsible for alcohol-related tragedies that could have easily been prevented.

Common myths about sobering up include drinking black coffee, taking a cold bath or shower, sleeping it off, or walking it off. They don't work. Only time reverses the effects of alcohol - something you may not have if you or someone else has alcohol poisoning. Many factors affect an individual's level of intoxication, so it can be difficult to gauge exactly how much is too much.

What Happens When You Get An Alcohol Overdose?

When the concentration of alcohol in the brain becomes high enough to depress the areas of the brain responsible for consciousness and respiration, the drinker can lapse into a coma, stop breathing, and die.

Alcohol also depresses nerves that control involuntary actions such as the gag reflex, which prevents choking. Since alcohol irritates the stomach, people who drink an excessive amount often vomit. Without a properly functioning gag reflex, they could choke on vomit, which could kill an unconscious person.

A person's blood alcohol concentration (BAC) can continue to rise even while passed out as alcohol in the stomach and intestine continues to enter the bloodstream. Assuming the person will "sleep it off" is dangerous.



What You Should Do
The Bacchus Maneuver

Programs and Classes

Individual Consultations
The Adult Children of Alcoholics (ACOA) Group
e-TOKE Marijuana Self Assessment
Choices Class
Alcohol Education Program for Minors (AEPM)
Quitters - Smoking Cessation Classes
Center for Students in Recovery
Safe Ride Program
Alcohol Medical Emergency Call for Help
21st Birthday Card
Peer Education Program
Workshops
Lending Library

What should you do if you suspect someone has had an Alcohol Overdose?

If they are conscious and responsive:

  • Stay with them. Check often to make sure they are still conscious and responsive.
  • If they are lying down, make certain that they stay on their side, not their back. (See The Bacchus Maneuver, below.)
  • Before you touch them, tell them exactly what you are going to do. Be aware of any signs of aggression. Do not ridicule, judge, threaten, or try to counsel them.
  • Remain calm & be firm. Avoid communicating feelings of anxiety or anger.
  • Keep them quiet and comfortable. If they are in the sun, move them to the shade. If cold, move them to a warm place and offer a blanket.
  • Don't give them food, drink, or medication of any kind.
  • Remember that only time will sober up a drunk person. Walking, showering, or drinking coffee will not help and may actually harm.

If they are unconscious, semi-conscious, or unresponsive, check for these symptoms of alcohol poisoning or drug overdose:

  • They cannot be roused and are unresponsive to your voice, shaking, or pinching their skin.
  • Their skin is cold, clammy, pale, bluish, and/or blotchy.
  • Their breathing is slow - eight or fewer breaths per minute.
  • They experience lapses in breathing - more than 10 seconds between breaths.
  • They exhibit mental confusion, stupor, or coma.
  • They have seizures, convulsions, or rigid spasms.
  • They vomit while asleep or unconscious and do not awaken.

If any of these symptoms of alcohol poisoning exist, call 911 for help, and while waiting for emergency personnel:

  • Gently turn them onto his/her side and into the Bacchus Maneuver position.
  • Don't leave them alone at any time.
  • Be prepared to administer CPR.
  • Remember that a person who has passed out may die.

What can happen if an alcohol overdose goes untreated?

  • Choking on their vomit.
  • Breathing may slow down, become irregular, and stop.
  • Heart may beat irregularly and stop.
  • Hypothermia (low body temperature).
  • Hypoglycemia (low blood sugar), which can lead to seizures.
  • Severe dehydration from vomiting, which can cause seizures, permanent brain damage, or death.

Even if the victim lives, an alcohol overdose can cause irreversible brain damage. Rapid binge drinking is especially dangerous because the victim can ingest a fatal dose before passing out.

Don't be afraid to seek medical help for a friend who has had too much to drink. Don't worry that your friend may become angry or embarrassed. It's better to have them alive and angry than dead.

The Bacchus Maneuver

If someone passes out from drinking too much, you can help by positioning them so they won't choke if they vomit. If you are worried about them, get medical attention, especially if you can't awaken them to the point that they can talk to you.

The Bacchus Maneuver:

  1. Raise the arm that is closest to you above their head. Prepare to roll them towards you.

  2. Bacchus Maneuver
  3. Gently roll them toward you, guarding their head from hitting the floor. The head should rest in front of the arm, not on it.

  4. Bacchus
  5. Tilt the head up to maintain airway. Tuck their nearest hand under the cheek to help maintain head tilt and raise the face off the floor.

  6. Bacchus
  7. Check on them often.


back to top

Home Appointments General Medical Care Nurse Advice Line Hours Contact UHS
Copyright © 2009 The University of Texas at Austin University Health Services, All Rights Reserved
UT Emergency Information Donate to UHS Copyright Accessibility Webmaster