Drunk at dawn, but the ethanol level is zero. pH seven-zero-five, anion gap twenty-eight, osmolal gap over thirty. One enzyme made both poisons — and one decision stops them. This Atlas edition walks the whole emergency: the parents and where they hide, the latent clock where the osmolal gap falls as the anion gap climbs, ADH to formate and oxalate (the eye and the kidney), GOLD MARK and the fooling lactate analyser, fomepizole fifteen milligrams per kilogram versus ethanol, EXTRIP dialysis thresholds, and the mortality numbers that justify early treatment. Grounded in EXTRIP workgroup guida…
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