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A point\u2010of\u2010care lactate above 31\u2009mmol\/L with a laboratory lactate of 0.8\u2009mmol\/L revealed a lactate gap, diagnosing ethylene glycol poisoning despite a near\u2010normal osmolar gap. High\u2010dose continuous renal replacement therapy corrected the acidosis; he survived.<\/jats:p>","DOI":"10.1002\/ccr3.73698","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T05:53:00Z","timestamp":1791352380000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Ethylene Glycol Poisoning Without Fomepizole in a Regional Australian Intensive Care Unit: The Lactate Gap as the Diagnostic Key and the Consequences of Nasogastric Ethanol Therapy"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-0384-2700","authenticated-orcid":false,"given":"Jacob","family":"Athans","sequence":"first","affiliation":[{"name":"Department of Intensive Care Medicine Hervey Bay Hospital  Hervey Bay Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2663-1256","authenticated-orcid":false,"given":"Prashant","family":"Maan","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine Hervey Bay Hospital  Hervey Bay Queensland Australia"},{"name":"University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,6]]},"reference":[{"issue":"5","key":"e_1_2_14_2_1","first-page":"537","article-title":"American Academy of Clinical Toxicology Practice Guidelines on the Treatment of Ethylene Glycol Poisoning","volume":"37","author":"Barceloux D. 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