Most snowglobes are just made of water, but some can contain ethylene glycol. Most of those usually don't contain enough ethylene glycol to cause damage, but keep the word "usually" in mind. A homemade snowglobe can contain concentrations of anything, which is what happened in this case. Ethylene glycol will cause a profound high anion gap metabolic acidosis. Generation of additional anions will cause a decrease in bicarbonate, causing the acidosis. But once this course runs out, it becomes harder to diagnose ethylene glycol ingestion, and histories for these patients are notoriously inaccurate. These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet, see your own physician in person for that.