When is it considered alcohol poisoning?
Alcohol poisoning occurs when the body can no longer effectively break down the amount of alcohol consumed. The liver, which is responsible for metabolizing alcohol, processes it at a rate of about 0.1 to 0.15 per mille per hour. However, if you consume more alcohol than the liver can process, your blood alcohol level rises and accumulates, which can eventually lead to poisoning. Alcohol poisoning is defined as a blood alcohol level of 1.5 per mille or higher. However, individual factors are crucial: body weight, gender, health status, and overall alcohol tolerance all influence how quickly poisoning can occur. For people who rarely drink, alcohol poisoning can happen at lower blood alcohol levels, while regular drinkers may have a higher tolerance threshold. It is important to watch for warning signs such as nausea, slurred speech, confusion, or loss of balance and to intervene early to prevent serious health consequences.

At what point do you have alcohol poisoning?
Alcohol poisoning is not a fixed threshold; it varies greatly from person to person. Generally, alcohol poisoning occurs when the amount of alcohol consumed exceeds the body's ability to process it. At a blood alcohol level of about 2.0 to 3.0 per mille, severe symptoms of poisoning typically appear. These include unconsciousness, difficulty breathing, feeling cold due to lowered body temperature, and in the worst case, seizures. These symptoms occur because alcohol affects the central nervous system and can impair control over vital functions such as breathing and heartbeat. If the blood alcohol content exceeds 4.0 per mille, there is an immediate risk to life, and medical assistance must be sought without delay. However, even at lower blood alcohol levels, dangerous situations can arise, especially if the person is taking medication or has underlying health problems.
At what point does alcohol poisoning become fatal?
Alcohol poisoning becomes especially dangerous when the blood alcohol level exceeds 4.0 to 5.0 per mille. At this stage, the body's functions are so severely impaired that breathing may stop, cardiac arrest can occur, or the person may fall into a coma. Alcohol acts as a powerful neurotoxin that paralyzes the brain's control over vital processes. Even levels around 3.0 per mille can be critical for many people, especially for adolescents or individuals with pre-existing conditions. There are also cases where people with very low alcohol tolerance or those who consume extreme amounts of alcohol in a short period are at risk of life-threatening conditions even at lower levels. The exact thresholds for fatal alcohol poisoning are therefore highly individual. It is crucial that family and friends call emergency services immediately at the first signs of severe poisoning—such as unconsciousness, shallow breathing, or bluish discoloration of the skin.

Alcohol poisoning: When to go to the hospital?
The question "When should you go to the hospital?" should always be taken seriously in cases of alcohol poisoning. If symptoms such as severe confusion, vomiting, loss of balance, unconsciousness, or shallow breathing occur, you should call emergency services immediately. If the affected person is unresponsive or has a seizure, rapid assistance is vital. Alcohol poisoning can cause a person to choke on their vomit or experience respiratory arrest. Early treatment in the hospital can prevent more serious consequences. Doctors can lower blood alcohol levels and monitor vital functions. Alcohol poisoning is especially dangerous for adolescents, as their bodies are less able to metabolize alcohol and the risk of long-term damage is higher.
At what point does one die from alcohol poisoning?
The risk of dying from alcohol poisoning is very high at a blood alcohol level of 4.0 to 5.0 per mille. At this level, the body can no longer break down the alcohol, which can cause vital functions such as breathing or heartbeat to stop. Such a high blood alcohol concentration often leads to unconsciousness, respiratory paralysis, or cardiac arrest. However, alcohol poisoning can also be fatal at lower levels, especially if additional factors such as hypothermia or aspiration of vomit are involved. Every body has its own limits, and there are reports of people who have died at blood alcohol levels around 3.0. That is why it is essential to act immediately at any sign of severe alcohol poisoning and call emergency services.