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Emergency
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Alcohol Withdrawal
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Benzodiazepines first-line; CIWA-guided.
Decision
Outcome
Decision
Suspected alcohol withdrawal. First-line treatment?
✓
Benzodiazepines (lorazepam or diazepam) guided by CIWA
✗
β-blockers
✗
Antipsychotic alone
Decision
Additional supportive measures?
✓
Thiamine BEFORE glucose, multivitamin, magnesium, treat hypovolemia, monitor for DTs
✗
Glucose first
Outcome
Delirium tremens: ICU-level care, escalating benzos or propofol
DTs typically 48–96 h after last drink; mortality ~5%.