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39 Binge Drinking: Not an Innocent Problem
  1. J De Dooy1,
  2. G Van Hal2,
  3. G Van Laecke3,
  4. J Ramet4
  1. 1Paediatric Intensive Care, University of Antwerp, Antwerp University Hospital, Edegem
  2. 2Epidemiology and Social Medicine
  3. 3Faculty of Medicine, University of Antwerp, Antwerpen
  4. 4Paediatrics, University of Antwerp, Antwerp University Hospital, Edegem, Belgium

Abstract

More and more paediatricians are confronted with teen drinking and the problems that result from it. A new trend is the so called “binge-drinking”. This means consumption of excessive amounts of alcohol in a very short period of time with the goal of getting drunk as fast as possible.

Within 1 hour after ingestion, alcohol is absorbed in the stomach and small intestine. Toxic effects of alcohol can occur from a plasma concentration of 0.5–1‰ (= 500–1000 mg/l) or an intake of 600 mg/kg alcohol. This is equal to ingestion of 120 ml liquor (alcohol concentration 30%) in an adolescent of 40kg. The effects are caused by a suppression of the central nervous system and they occur faster in younger people than in adults due to less extracellular volume. Also individual factors like gender, use of other medications or drugs and drinking habits play a role. All this factors can result in a broad spectrum of symptoms (relaxation, altered perception of the environment, prolonged reaction time, amnesia, nausea, vomiting and in more severe cases respiratory depression, coma and death).

When a child with possible alcohol intoxication is admitted to the emergency department, general “APLS” guidelines (Advanced Pediatric Life Support) should be followed.

After the “acute” event of the alcohol intoxication, multidisciplinary follow-up of the patient is very important.

In Belgium, no objective data exist on the problem of binge drinking whilst among paediatricians there is great concern about it. Therefore, we will conduct a national survey on this topic.

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