**9. Protocol**

To standardize the care given to an intoxicated adolescent, a program was developed in the Reinier de Graaf Hospital, Delft, The Netherlands to follow up on patients with alcohol intoxication. The objective of the program is to structurally intervene in the growing problem of adolescents with alcohol intoxication. Four main goals were identified:


Consecutively, more insight is obtained into the epidemiology, social environment and psychological and cognitive functioning of these patients.

Based on the short-term and long-term complications mentioned above, the protocol is divided into different stages.

The amount of alcohol consumed can be estimated by using the formula, based on the Widmark equation, in figure 2 (39). This can be of use in conversations with parents and

In general, acute medical complications are serious but mild. The complications seen most frequently are reduced consciousness (45%) and hypothermia (43.1%). Electrolyte disturbances are most often hypercloremia (31.1%) and low bicarbonate (22%), but hypokalemia (11.9%) and hypernatremia (7.7%) are also seen. Hypoglycaemia is not often reported, however hyperglycaemia can be seen in some patients (13.6%). Mild acidosis,

A = Amount of alcohol containing product consumed (in ml)

V = Volume of distribution (in L/kg) for a child: 0,7 L/kg

After admittance patients are directly monitored. Treatment mostly consists of administering intravenous fluids to rehydrate. Metabolic acidosis, hypoglycaemia and hypothermia are corrected. Gastric lavage and activated charcoal are not recommended since they are ineffective due to the rapid resorption of ethanol and because they possibly

To standardize the care given to an intoxicated adolescent, a program was developed in the Reinier de Graaf Hospital, Delft, The Netherlands to follow up on patients with alcohol intoxication. The objective of the program is to structurally intervene in the growing

Consecutively, more insight is obtained into the epidemiology, social environment and

Based on the short-term and long-term complications mentioned above, the protocol is

problem of adolescents with alcohol intoxication. Four main goals were identified:

more often metabolic but also respiratory, was observed in 28.8% of patients (2).

patients about alcohol consumption.

enhance the risk of aspiration.



divided into different stages.


psychological and cognitive functioning of these patients.

**9. Protocol** 

Fig. 2. Formula to calculate amount of alcohol consumed

Lg = Body weight (in kg)

0,08 = Relative density of ethanol

Cethanol = Ethanol concentration (in g/L or o/oo)

P = Alcohol concentration in product (in %)

NSCK: Dutch Pediatric Surveillance System

CBCL: Child Behaviour Checklist

TRF: Teacher Report Form

YSR: Youth Self Report

Fig. 3. Flowchart alcohol treatment policlinic alcohol and youth
