Methanol toxicity: the gaps are clues, not answers
Educational use only. Not clinically reviewed45-year-old man for source, visual, acid-base, complementary-gap, antidote-intent, extracorporeal-escalation, reassessment, and handoff practice. About 6 simulated minutes.
What you will practise
- Reconcile source, clock, vision, acid-base, gaps, and whole-patient findings.
- Recognize the coupled methanol pattern without source-, vision-, anion-gap-, osmolar-gap-, or level-only closure.
- Activate resuscitation, airway, antidote, extracorporeal, toxicology, laboratory, and vision ownership.
- Review supplied acid-base, osmolar, electrolyte, renal, visual, coingestion, and differential evidence.
- Record bounded qualified source, antidote, cofactor, acid-base, extracorporeal, surveillance, and airway intent, then review a strict later report.
- Hand off rebound acidosis, visual, neurologic, airway, renal, electrolyte, coingestion, and active risk.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Roberts DM, et al. EXTRIP recommendations for acute methanol poisoning. Crit Care Med. 2015;43(2):461-472. PMID 25493973.
- DailyMed. Fomepizole injection prescribing information. Set ID 911312e2-3a7c-4c97-88a8-b8d92cd12923.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.