This will happen at an essential ambulance, although there are a number of circumstances that require such processing is performed in a hospital such as:

* No responsible person who controls the whole process.
* Co-existence of an organic illness or severe psychiatric affected person.
* Personal history of seizures or delirium by alcohol dependence.
* Multiple failures in previous attempts at outpatient detoxification.
* Presence of a significant withdrawal despite all the means employed to prevent their occurrence.

To do this detox the patient will need help, which consist of:

* Contribution of liquid fills the absence of alcohol, which will supplement with B vitamins, and this can go if there is a shortfall of those with folic acid and iron.
* Treatment of withdrawal symptoms by drug therapy, which has a calming effect on the patient and selective, for it is a large battery of drugs among which:
* Clomethiazole. Binds to its soothing action, an anticonvulsant action.
* Tetrabamate. Safer and does not potentiate the effects of alcohol.
* Other compounds. Among them Clorazepate dipotassium, diazepam, lorazepam and Tiapride.

The recreational use of alcohol has spread through all areas of society and is accepted in many cultures as an inclusive and festive custom. But with the increase of this consumption has also emerged a complex public health problem: dependence and addiction to alcohol (alcoholism), a disease with serious health consequences of the addict and to his family and social environment.

According to the World Health Organization (WHO), between 40 and 60 per cent of deaths from injuries in Europe are related to alcohol (alcoholism).

Addiction to alcohol, although still considered wrong as a matter of lack of will or character, is a disease entity that escapes the control of the patient and requires treatment to stop drinking and compulsive consumption of this substance.

The treatment of alcoholism, under this view, faces major obstacles to the recovery of the patient withdrawal.

The alcohol withdrawal symptoms (abstinence syndrome) occur because once in the brain, alcohol affects chemicals called neurotransmitters that control the flow of information between brain cells called neurons, linked by synapses, and that for this pathological neuroadaptation caused by alcohol, end up affecting the behavior, thoughts and feelings of people.

With chronic alcohol consumption, these neurotransmitters are affected and the brain undergoes a change in its structure and functions, so that can only operate “normally” with the presence of alcohol.

The person whose brain is accustomed to alcohol needs to increase more and more consumption (tolerance) for the purposes of the first times I drank, with the result that to abruptly stop drinking, brain disorders caused crop for consumption and that were hidden by the apparent “normality”. These disorders, which cause withdrawal symptoms decrease or disappear only when drinking alcohol again.

For this reason it is difficult for an addict to stop drinking alcohol when they know that finding relief for withdrawal due to alcohol consumption.

Sex and age

Many people who watch a doctor had a drinking problem at some point. Most are men, but the incidence of alcoholism in women has been increasing over the past 30 years.

For men, the overall risk for developing alcoholism is a 3% to 5%, and for women the risk is 1%. Women tend to become alcoholic later in life than men, but the medical problems that develop because of the disorder occur in the same age as in men, suggesting that women are more susceptible to physical toxicity of alcohol.

Although alcoholism usually develops in early adulthood, the elderly are not exempt. Moreover, some 3 million Americans over age 60 are alcoholics or have a drinking problem.

Alcohol affects the older body differently, and people who hold the same drinking patterns as they age can easily develop alcohol dependency without realizing it.

Family history and personality traits

The risk for alcoholism among children of alcoholic parents is 25%. The family link is weaker for women, but genetic factors contribute to this disease in both genders.

A family and a stable mental health are not protective in people with a genetic risk. Unfortunately, no way to predict which members of alcoholic families are at higher risk of alcoholism. In studies, young men with alcoholic parents responded to alcohol differently than people without a family history, showed fewer signs of intoxication and had lower levels of stress hormones. In other words, they held their liquor better. Experts suggest that such people can inherit a lack of those warning signs that make other people stop drinking.

It was once thought that a family history associated with a passive personality and abnormal dependency needs increased the risk, but studies have not supported this theory. It is important to note, however, that inherited or not, people with alcoholism are still legally responsible for their own actions.

Drinking in adolescence

People with a family history of alcoholism are more likely to start drinking before age 19 and become alcoholics. But anyone who start drinking in adolescence is at increased risk for alcoholism.

Early drinking increases the risk for drug abuse.

Ethnicity and social condotions

Ethnic differences affect the sensitivity. Although the biological reasons for the altered risk are not known, people in certain groups may be at less risk due to the way they metabolize alcohol. Some Asians have a dormant gene for alcohol dehydrogenase chemistry.

This chemical is used by the body to metabolize the alcohol, and in his absence, toxic substances accumulate causing flushing, dizziness and nausea. People with this genetic defect, then, are likely to experience adverse reactions to alcohol. This defect is not completely protective against drinking, however, particularly if there is social pressure added, as among the group members house on campus.

The risks for alcoholism are higher among people with lower educational levels and people who were unemployed.