Intoxications are very frequent in urgencies. Their gravity must be considered. Mild cases must be observed. In serious intoxications, despite the basic measures of support, complementary examinations must be realized to reject complications.To unify criteria about general management of alcohol intoxications in urgencies. To propose a guideline that allows taking suitable decisions.Despite the treatment is individualized, we present some recommendations of action in alcohol poisoning.Clinical examination and vital signs (blood pressure, temperature, pulse and breathing rates, O2 sat levels, capillary glycemia). In moderate or severe ones: hemogram, biochemistry, coagulation, acid-base and electrolyte status, electrocardiogram, chest X-ray, urine tox. Initial treatment of basic support (ABC) and complications control. Psychiatric evaluation is necessary when suicidal thoughts are present. Alcohol abuse produces lack of inhibition and common sense, more aggressiveness and impusivity, and even an increased risk of suicide.These patients are often hostile with health personnel, but when blood alcohol level diminishes, they improve their attitude and they show hopelessness, guilty and self-hate feelings. It is necessary that emergency staff to become aware of the importance of suitable psychiatric evaluation. Psychopathological exploration must be as wide as possible; the patient must be re-evaluated when the poisoning has reverted. These patients are not self-critical and they have reduced their cognitive capacities; some of them have behavioral disturbances that usually disappear when the poisoning is in remission.