Delirium Tremens (DTs)

Delirium tremens (DTs) is the most severe form of alcohol withdrawal, occurring 48–96 hours after the last drink in dependent drinkers. It causes severe confusion, hallucinations, and autonomic instability and is life-threatening.

Table of Contents

Quick Facts

  • ICD-10: F10.231
  • Severity: Life-threatening

Emergency

Severe agitation, confusion, hallucinations, fever, fast heart rate, or seizures during alcohol withdrawal needs emergency care immediately. Anyone with a history of heavy drinking should not stop suddenly without medical supervision.

Features

  • Profound confusion
  • Visual or tactile hallucinations
  • Severe tremor
  • Sweating, fast heart rate, high blood pressure
  • Fever
  • Seizures

Treatment

  • Hospitalization, often ICU
  • Benzodiazepines (mainstay)
  • Thiamine before glucose
  • Fluid and electrolyte management
  • Monitoring for and treating arrhythmias, infections

Related Conditions

Alcoholism

Underlying condition

 Alcohol Poisoning

Different emergency

 Substance Use Disorder

Broader topic
Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.

References

  • NIAAA. Alcohol Withdrawal Resources.