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One group that deserves special mention comprises those AMS patients who are diagnosed as being “just drunk.” EMS personnel, including field physicians, often focus on the presumption of alcohol intoxication without considering other potential conditions causing AMS in the patient who abuses alcohol. The alcoholic is also prone to myriad medical and traumatic problems, including liver disease, diabetes, hypoglycemia, electrolyte imbalances, and an increased propensity for intracranial hemorrhage (Box 15.2). The intoxicated patient should always have a rapid, but thorough, evaluation for trauma and other acute conditions.