Snyder H, Williams D, Zink B, Reilly K
Department of Emergency Medicine, Albany Medical College, New York 12208.
J Emerg Med. 1992 Mar-Apr;10(2):129-33. doi: 10.1016/0736-4679(92)90205-8.
A retrospective review of 81 emergency department patients was performed to determine the accuracy of blood ethanol levels (BEL) calculated from serum osmolality. The osmolar gap (measured-calculated serum osmolality) was used to determine the calculated BEL. The mean difference between calculated and measured BEL was 49.2 mg/dL. Calculated BEL overestimated measured BEL in 83% of patients. Adding a correction factor for unmeasured osmoles to the equation for calculated serum osmolality will reduce this error.