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"Breath Alcohol" AND "Emergency"

Thomas M Piasecki
The current article critically reviews three methodological options for assessing drinking episodes in the natural environment. Ecological momentary assessment (EMA) typically involves using mobile devices to collect self-report data from participants in daily life. This technique is now widely used in alcohol research, but investigators have implemented diverse assessment strategies. This article focuses on 'high resolution' EMA protocols that oversample experiences and behaviors within individual drinking episodes...
February 12, 2019: Alcoholism, Clinical and Experimental Research
Ashwini Kumar, Travis Holloway, Stephen M Cohn, Gregory Goodwiler, John R Admire
BACKGROUND: Discharging patients from emergency centers based on the clinical features of intoxication alone may be dangerous, as these may poorly correlate with ethanol measurements. OBJECTIVE: We determined the feasibility of utilizing a hand-held breath alcohol analyzer to aid in the disposition of intoxicated trauma patients by comparing serial breathalyzer (Intoximeter, Alco-Sensor FST, St. Louis, Missouri, USA] data with clinical assessments in determining the readiness of trauma patients for discharge...
February 14, 2018: Curēus
Bridget Kool, Sarah Buller, Ron Kuriyan, Charlotte M Jones-Todd, David Newcombe, Peter Jones
INTRODUCTION: We present a study that provides a contemporary view of alcohol-related injury prevalence amongst patients presenting to a New Zealand (NZ) emergency department (ED). METHODS: Adult injury patients presenting to Auckland City Hospital ED within 6 h of injury were invited to participate during three recruitment periods (2015-2016). An interviewer-administered questionnaire obtained information on demographic, injury, general health, and lifestyle factors...
April 2018: Injury
Dary D Fiorentino
BACKGROUND: Two of the 3 standardized field sobriety tests that U.S. law enforcement uses at roadside checks have a postural equilibrium component to them. Those tests have been validated to detect impairment caused by blood alcohol concentrations (BACs) of 0.08 g/dL or above. Many medical and traffic safety associations support a lower limit, and one state, Utah, has passed a law to lower the limit to 0.05 g/dL. Many studies have examined the effects of alcohol on postural control (of which postural equilibrium is a component), with a consensus emerging that impairment is usually found at BACs greater than 0...
May 19, 2018: Traffic Injury Prevention
Lauren R Klein, Jon B Cole, Brian E Driver, Christopher Battista, Ryan Jelinek, Marc L Martel
STUDY OBJECTIVE: Emergency department (ED) visits for acute alcohol intoxication are common, but this population is at risk for decompensation and occult critical illness. The purpose of this study is to describe the incidence and predictors of unsuspected critical illness among patients with acute alcohol intoxication. METHODS: This was a retrospective observational study of ED patients from 2011 to 2016 with acute alcohol intoxication. The study cohort included patients presenting for alcohol intoxication, whose initial assessment was uncomplicated alcohol intoxication without any other active acute medical or traumatic complaints...
March 2018: Annals of Emergency Medicine
Beth L Emerson, Travis Whitfill, Carl R Baum, Katherine Garlin-Kane, Karen Santucci
This study aimed to investigate the effects of alcohol-based hand hygiene solution (ABHS) use by care providers on point-of-care alcohol breath analyzer interpretation under different clinically relevant conditions. Among each test condition (foam vehicle with immediate testing, gel vehicle with immediate testing, allowing hands to dry after the use of ABHS, and donning gloves after the use of ABHS), alcohol was detected in breath at 1 minute after use of ABHS. Because the use of ABHS by individuals administering breath alcohol detection may result in false-positive detection of alcohol, staff using these devices should consider traditional hand hygiene with soap and water...
December 1, 2016: American Journal of Infection Control
Sigmund J Kharasch, David R McBride, Richard Saitz, Ward P Myers
BACKGROUND: In 2009, a university adopted a policy of emergency department transport of students appearing intoxicated on campus. The objective was to describe the change in ED referrals after policy initiation and describe a group of students at risk for acute alcohol-related morbidity. METHODS: A retrospective cohort of university students during academic years 2007-2011 (September-June) transported to local ED's was evaluated. Data were compared 2 years prior to initiation of the policy and 3 years after and included total number of ED transports and blood or breath alcohol level...
June 8, 2016: Addiction Science & Clinical Practice
Y C Li, N N Sze, S C Wong, Wei Yan, K L Tsui, F L So
UNLABELLED: Driving under the influence of alcohol (DUIA) is a significant factor contributing to road traffic crashes, injuries, and fatalities. Although the effects of alcohol on driving performance are widely acknowledged, studies of the effects of alcohol impairment on driving performance and particularly on the control system of Chinese adults are rare. This study attempts to evaluate the effects of alcohol on the driving performance of Chinese adults using a driving simulator. METHOD: A double-blind experimental study was conducted to evaluate the effects of alcohol impairment on the driving performance of 52 Chinese participants using a driving simulator...
October 2016: Accident; Analysis and Prevention
Kathryn Parkinson, Dorothy Newbury-Birch, Angela Phillipson, Paul Hindmarch, Eileen Kaner, Elaine Stamp, Luke Vale, John Wright, Jim Connolly
BACKGROUND: Alcohol related hospital attendances are a potentially avoidable burden on emergency departments (EDs). Understanding the number and type of patients attending EDs with alcohol intoxication is important in estimating the workload and cost implications. We used best practice from previous studies to establish the prevalence of adult alcohol related ED attendances and estimate the costs of clinical management and subsequent health service use. METHODS: The setting was a large inner city ED in northeast England, UK...
March 2016: Emergency Medicine Journal: EMJ
Senthil Kumar, Yogender Singh Bansal, Dalbir Singh, Bikash Medhi
BACKGROUND: Statistics show an increasing proportion of alcohol and drug use in drivers in more recent times throughout the world. It has been found that among the various human factors, alcohol consumption, using drugs and subsequent driving on the roads are major risk factors. Traffic regulations in India penalises drivers who drive beyond permissible alcohol limit of 30 mg%. Consumption of psychoactive drugs such as opioid, cannabis and benzodiazepines has been reported mainly among youngsters...
July 2015: Journal of Clinical and Diagnostic Research: JCDR
Spencer Bujarski, Kent E Hutchison, Daniel J O Roche, Lara A Ray
BACKGROUND: Subjective responses (SRs) to alcohol have been implicated in alcoholism etiology, yet less is known about the latent factor structure of alcohol responses. The aim of this study was to examine the factor structure of SR using a battery of self-report measures during a controlled alcohol challenge. METHODS: Nontreatment seeking drinkers (N = 242) completed an intravenous alcohol challenge including the following SR measures: Biphasic Alcohol Effects Scale, Subjective High Assessment Scale, Profile of Mood States, Alcohol Urge Questionnaire, and single items assessing alcohol "Liking" and "Wanting...
July 2015: Alcoholism, Clinical and Experimental Research
Dirk Schwerthöffer, David Beuys, Johannes Hamann, Thomas Messer, Frank-Gerald Pajonk
Objective: Psychiatric hospitals are confronted with high rates of psychiatric emergencies. There are, however, only few investigations that focus on psychiatric emergency care in German psychiatric hospitals, their supply structures and diagnostic and treatment standards. The aim of the survey was a systematic acquisition of the diagnostic and therapeutic approach in treating psychiatric emergencies in German psychiatric hospitals. Methods: We conducted a survey in psychiatric hospitals throughout Germany...
October 2016: Psychiatrische Praxis
Annika Kaisdotter Andersson, Josefine Kron, Maaret Castren, Asa Muntlin Athlin, Bertil Hok, Lars Wiklund
BACKGROUND: Many patients seeking emergency care are under the influence of alcohol, which in many cases implies a differential diagnostic problem. For this reason early objective alcohol screening is of importance not to falsely assign the medical condition to intake of alcohol and thus secure a correct medical assessment. OBJECTIVE: At two emergency departments, demonstrate the feasibility of accurate breath alcohol testing in emergency patients with different levels of cooperation...
2015: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Siegfried Rs Perez, Gerben Keijzers, Michael Steele, Joshua Byrnes, Paul A Scuffham
BACKGROUND: I.v. 0.9% sodium chloride (normal saline) is frequently used to treat ED patients with acute alcohol intoxication despite the lack of evidence for its efficacy. OBJECTIVE: The study aims to compare treatment with i.v. normal saline and observation with observation alone in ED patients with acute alcohol intoxication. METHODS: A single-blind, randomised, controlled trial was conducted to compare a single bolus of 20 mL/kg i.v. normal saline plus observation with observation alone...
December 2013: Emergency Medicine Australasia: EMA
Y C Li, N N Sze, S C Wong
Normally, bars and restaurants are the preferred locations for drinking. Therefore, there is concern that the roads in bar and restaurant areas could have a higher probability of drink-drivers and alcohol-related road crashes. Many studies have been conducted to model the association between drinking locations and the prevalence of drink-driving, so that cost-effective enforcement strategies can be developed to combat drink-driving. In this study, a cluster analysis approach was applied to model the spatial-temporal variation of drink-driving distribution in Hong Kong...
October 2013: Accident; Analysis and Prevention
Melissa L Langhan
BACKGROUND: Adolescents and young adults are frequent users of alcohol. Younger patients may be more sensitive to the effects of alcohol than their adult counterparts, and toxicity has been known to occur at lower doses. Respiratory depression is a serious adverse effect of alcohol intoxication; however, current monitoring practices may not adequately detect respiratory depression. OBJECTIVE: Our objective was to determine the frequency of hypoventilation as measured by capnography among adolescents with acute alcohol intoxication...
June 2013: Journal of Emergency Medicine
Ryan C Smith, Patrick T Coyle, Conrad Baldner, Bethany C Bray, E Scott Geller
As the first field study of perceived behavioral control (PBC) to assess alcohol consumption with a physiological measure (i.e., blood alcohol content; BAC), the research examined the impact of intoxication on alcohol-specific PBC (APBC). In total, 665 passersby were recruited into the study at several late-night drinking locations near a large university campus. After answering questions regarding personal demographics and APBC, participants were administered a breath alcohol test (Lifeloc FC-20; ±.005mL/L)...
April 2013: Addictive Behaviors
Eric M Changchien, Gavitt A Woodard, Tina Hernandez-Boussard, John M Morton
BACKGROUND: Severe obesity remains the leading public health concern of the industrialized world, with bariatric surgery as the only current effective enduring treatment. In addition to gastric bypass, gastric banding and sleeve gastrectomy have emerged as viable treatment options for the severely obese. Occasionally, poor postoperative psychological adjustment has been reported. It has been previously demonstrated that breath alcohol content (BAC) levels and time to sober were increased in postoperative gastric bypass patients...
October 2012: Journal of the American College of Surgeons
Reagan R Wetherill, David M Schnyer, Kim Fromme
BACKGROUND: Contextual memory, or memory for source details, is an important aspect of episodic memory and has been implicated in alcohol-induced fragmentary blackouts (FBs). Little is known, however, about how neural functioning during contextual memory processes may differ between individuals with and without a history of FB. This study examined whether neural activation during a contextual memory task differed by history of FB and acute alcohol consumption. METHODS: Twenty-four matched individuals with (FB+; n = 12) and without (FB-; n = 12) a history of FBs were recruited from a longitudinal study of alcohol use and behavioral risks and completed a laboratory beverage challenge followed by 2 functional magnetic resonance imaging (fMRI) sessions under no alcohol and alcohol (breath alcohol concentration = 0...
June 2012: Alcoholism, Clinical and Experimental Research
Mustapha Sebbane, Pierre-Géraud Claret, Riad Jreige, Richard Dumont, Sophie Lefebvre, Josh Rubenovitch, Grégoire Mercier, Jean-Jacques Eledjam, Jean-Emmanuel de la Coussaye
BACKGROUND: Acute alcohol intoxication is a frequent cause of emergency department (ED) visits. Evaluating a patient's alcohol intoxication is commonly based on both a physical examination and determination of blood alcohol concentration (BAC). OBJECTIVE: To demonstrate the feasibility and usefulness of using a last-generation infrared breath analyzer as a non-invasive and rapid screening tool for alcohol intoxication in the ED. METHODS: Adult patients suspected of acute alcohol intoxication were prospectively enrolled over 10 days...
October 2012: Journal of Emergency Medicine
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