This can happen even if someone is unconscious. [drinkwise.org.au]

An unconscious body will still try to expel the poison by vomiting, and you could choke on the vomit and end up in a coma or even die. [uleth.ca]

A person who consumes a fatal dose of alcohol may stop breathing or choke on their vomit while unconscious. As alcohol levels continue to rise in the body, a person who looks asleep may very well be unconscious.” [futurity.org]

If the person aspirates, or inhales, the vomit while unconscious, they could stop breathing. [sunrisehouse.com]

This occurs when the person is unconscious from excessive alcohol intake vomits and then chokes. [alcoholanswers.org]

Patients presenting at hospitals are not properly diagnosed Deaths are attributed to an effect of alcohol poisoning, such as choking, falling or respiratory distress Medical causes of death do not include alcohol poisoning in the statistics of some countries [safeproof.org]

Eliminate distractions – loud music, etc. Be clear and direct with all of your requests. Try to find someone who is sober and can answer questions about the individual. Do not leave the person alone. [studentaffairs.lehigh.edu]

He said many road deaths are linked to alcohol, as are many deaths caused by heart and strokes. [bbc.com]

For example, hypoglycemia (low blood sugar), a stroke, or a seizure can cause problems with speech and level of consciousness that may be confused with alcohol consumption. [verywellhealth.com]

Thiamine 100 mg daily for a minimum of 3 days should be given to all patients hospitalized with alcohol withdrawal. 9 Thiamine deficiency may lead to Wernicke-Korsakoff syndrome, characterized by paralysis of certain eye muscles, an abnormal gait, and [uspharmacist.com]