Which of the following is indicative of Stage 4 of alcohol withdrawal?

Stage 4 of alcohol withdrawal is commonly associated with seizures, which is a critical and potentially life-threatening symptom. In the context of alcohol withdrawal, seizures typically occur within 6 to 48 hours after the last drink and are a classic sign that indicates the severity of withdrawal. This stage can include symptoms such as tonic-clonic seizures, which can manifest as uncontrollable shaking and loss of consciousness.

While visual hallucinations, tremors, and anxiety are also symptoms related to alcohol withdrawal, they manifest in earlier stages. Visual hallucinations generally occur during Stage 2 or 3, tremors can appear in Stage 1, and anxiety can be present from the onset of withdrawal. Recognizing seizures as indicative of Stage 4 is crucial in managing alcohol withdrawal effectively, as they require immediate medical attention to prevent complications, including status epilepticus, which is a medical emergency.