Highest blood alcohol level you have seen?

[TRAMD]

Had a guy the other day with 646. He survived. Never had to intubate.

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[TRAMD]

Ok, so I looked and found this from Guinness book of Records:

Highest blood alcohol level The University of California Medical School, Los Angeles, USA, reported in December, 1982 the case of a confused but conscious 24-year-old female who was shown to have a blood alcohol level of 1,510 mg per 100 ml of blood. This is triple the normal lethal limit. The US driving limit is 0.08% of alcohol per 100 ml of blood.

. . . DANG! That is more than twice my dude!

 

[USAF MD '05]

730- walkie/talkie, albeit unsteady/slurred.

 

[Blade28]

Once saw a guy in the 800s - had to intubate him for combativeness though.

 

[Puffle]

646 and acting like she had only had one too many at a cocktail party. I get consulted for her detox and she mentions she's allergic to Librium. Well, you know how everyone's "allergic" even if they just got a headache these days, so I ask what happened.... "Well, I was a kid, but my face and swelled up and I couldn't, like breathe. So they took me into the ER and I got a shot in my butt and was fine." That was fun to figure out with the pharmD at 4am. For future reference, depakote, phenobarb, and a few others work in a pinch.😀

 

[angel80]

Mine was in the low 700s in a tiny 100 lb woman. She was slurring her speech a little, but otherwise she was fine. She was on a progressive care unit, but probably would have been fine on a regular medical floor.

 

[RxnMan]

I humbly submit this thread for your consideration.

 

[Tigerz_Fan]

Highest Isaw was 746 on admission to detox. Had to have that last drink!!

 

[anonodoc]

Not the highest I've seen, but I had a patient in the 300s WITHDRAWING.

 

[cabinbuilder]

Try dealing with the chronic drunk Natives in Fairbanks, AK. You see 700+ regularly, almost daily. The police/ hospital has a chronic inebriate list where those guys don't even get sent to the ER anymore if they are not showing signs of being compromised. Different world at the 66 parallel. I think the saddest thing I've seen is a newborn with a 200+ blood alcohol level, obvious FAS.