Alcohol Poisoning

what is the primary cause of death due to acute over ingestion of ethanol?

Respiratory and central nervous system depression.

what blood ethanol levels are usually associated with fatal toxicity?

400-500 mg% of ethanol in the blood.

Can death occur at lower ethanol concentrations in some individuals?

Yes, in non-tolerant or novice individuals, death can occur at 200–300 mg% or even lower.

What effect does combining ethanol with opioids or other respiratory depressants have?

It can cause death even at lower ethanol concentrations.

Why might recorded blood ethanol levels not reflect peak levels achieved before death?

Because the individual may have metabolised some ethanol while in a comatose state before dying.

How can alcohol indirectly lead to death via trauma?

Through aggressive behavior leading to homicide, falls, and vehicular accidents.

: How can alcohol intoxication lead to death from fire or burns?

: A drunken person may ignite bedclothes while smoking or knock over a stove/heater, causing a fire.

What is the mechanism behind drowning-related deaths in intoxicated individuals?

: Sudden vagal cardiac arrest due to cold water shock, not true drowning, possibly worsened by alcohol-induced vasodilatation.

: How can intoxicated individuals accidentally cause gas poisoning or electrocution?

They may forget to light gas burners or mishandle electrical plugs/circuits.

What are the risks of combining alcohol with other substances?

Death can result from additive or synergistic effects, or from adulterated drinks.

How can alcohol be used to mask homicidal poisoning?

It may be used as a vehicle to hide the taste/smell of poisons like organophosphates.

What is one method of homicide involving alcohol?

Making the victim unconscious or semiconscious by giving alcohol, then inflicting injury or drowning