Alcohol and Alcoholism Vol. 37, No. 6, pp. 513-521, 2002
© 2002 Medical Council on Alcohol
INVITED SPECIAL ARTICLE
THE ROYAL COLLEGE OF PHYSICIANS REPORT ON ALCOHOL: GUIDELINES FOR MANAGING WERNICKE’S ENCEPHALOPATHY IN THE ACCIDENT AND EMERGENCY DEPARTMENT
Kent Institute of Medicine and Health Sciences, University of Kent at Canterbury, Canterbury, Kent CT2 7RN and
1 Academic Department of Accident & Emergency Medicine, St Mary’s Hospital, London W2 1NY, UK
Received 7 February 2002; first review notified 1 May 2002;
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.
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  D. Ward, N. Murch, G. Agarwal, and D. Bell A multi-centre survey of inpatient pharmacological management strategies for alcohol withdrawal QJM, November 1, 2009; 102(11): 773 - 780. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Touquet and A. Brown PAT (2009)--Revisions to the Paddington Alcohol Test for Early Identification of Alcohol Misuse and Brief Advice to Reduce Emergency Department Re-attendance Alcohol Alcohol., May 1, 2009; 44(3): 284 - 286. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Lemyze, R. Favory, I. Alves, and D. Mathieu Acute delirium in a critically ill patient may be a wolf in sheep's clothing BMJ Case Reports, April 28, 2009; 2009(apr23_1): bcr1020081096 - bcr1020081096. [Abstract] [Full Text]
|
|
|
|
|
|
E. V. Sullivan and A. Pfefferbaum Neuroimaging of the Wernicke-Korsakoff Syndrome Alcohol Alcohol., March 1, 2009; 44(2): 155 - 165. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Harper The Neuropathology of Alcohol-Related Brain Damage Alcohol Alcohol., March 1, 2009; 44(2): 136 - 140. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Kim, J. Ku, K. Namkoong, W. Lee, K. S. Lee, J.-Y. Park, S. Y. Lee, J.-J. Kim, S. I. Kim, and Y.-C. Jung Mammillothalamic functional connectivity and memory function in Wernicke's encephalopathy Brain, February 1, 2009; 132(2): 369 - 376. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A McKeon, M A Frye, and N. Delanty The alcohol withdrawal syndrome J. Neurol. Neurosurg. Psychiatry, August 1, 2008; 79(8): 854 - 862. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
O. YALDIZLI, F. M. WURST, S. EULER, B. WILLI, and G. WIESBECK MULTIPLE CEREBRAL METASTASES MIMICKING WERNICKE'S ENCEPHALOPATHY IN A CHRONIC ALCOHOLIC Alcohol Alcohol., November 1, 2006; 41(6): 678 - 680. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. D. THOMSON and E. J. MARSHALL THE NATURAL HISTORY AND PATHOPHYSIOLOGY OF WERNICKE'S ENCEPHALOPATHY AND KORSAKOFF'S PSYCHOSIS Alcohol Alcohol., March 1, 2006; 41(2): 151 - 158. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. D. THOMSON and E. J. MARSHALL THE TREATMENT OF PATIENTS AT RISK OF DEVELOPING WERNICKE'S ENCEPHALOPATHY IN THE COMMUNITY Alcohol Alcohol., March 1, 2006; 41(2): 159 - 167. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. AGABIO THIAMINE ADMINISTRATION IN ALCOHOL-DEPENDENT PATIENTS Alcohol Alcohol., March 1, 2005; 40(2): 155 - 156. [Full Text] [PDF]
|
|
|
|
 |
|
 A. R. Lingford-Hughes, S. Welch, and D. J. Nutt Evidence-Based Guidelines for the Pharmacological Management of Substance Misuse, Addiction and Comorbidity: Recommendations from the British Association for Psychopharmacology J Psychopharmacol, September 1, 2004; 18(3): 293 - 335. [PDF]
|
|
|
|
|
|
X. Sgouros, M. Baines, R. N. Bloor, R. McAuley, L. O. Ogundipe, and S. Willmott EVALUATION OF A CLINICAL SCREENING INSTRUMENT TO IDENTIFY STATES OF THIAMINE DEFICIENCY IN INPATIENTS WITH SEVERE ALCOHOL DEPENDENCE SYNDROME Alcohol Alcohol., May 1, 2004; 39(3): 227 - 232. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Management of alcoholic hepatitis DTB, July 1, 2003; 41(7): 49 - 52. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 BMJ, April 12, 2003; (2003) 3030008. [Full Text] [PDF]
|
|
|
|
 |
|
 J. Wyatt and W. Alsalim JournalScan Emerg. Med. J., March 1, 2003; 20(2): 176 - 177. [Full Text] [PDF]
|
|
|
|
|
|
Minerva BMJ, January 4, 2003; 326(7379): 60 - 60. [Full Text] [PDF]
|
|