Nursefriendly.com: Alcohol Intoxication

Showing posts with label Alcohol Intoxication. Show all posts

Monday, April 18, 2011

Hung-over surgeons more error-prone | Reuters

Surgeons might want to steer clear of alcohol the night before operating, according to a new report that shows a hangover fuels errors during simulated surgery.

While there is no question about the immediate effects of alcohol on surgical skills, there aren't any rules for how much doctors can drink the day before going to the operating room.
"Historically, the medical profession has had a reputation for high rates of alcohol consumption," Anthony Gallagher, of the Royal College of Surgeons in Ireland, and colleagues write in the Archives of Surgery.
"It is likely that surgeons are unaware that next-day surgical performance may be compromised as a result of significant alcohol intake."
To measure the degree of that impairment, the researchers invited eight surgeons and 16 students out for a night on the town.

via reuters.com

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Friday, April 1, 2011

40 Million in U.S. Driving Drunk or Drugged - US News and World Report

Despite massive efforts to curb drunk driving, some 30 million Americans are driving drunk and another 10 million are driving drugged each year, federal officials report.

In fact, in some states the number of drunk and drugged drivers tops 20 percent, according to a report released Thursday by the Substance Abuse and Mental Health Services Administration (SAMHSA).

"This is a pretty high percentage of people that are operating a motor vehicle under the influence of something," said Peter Delany, director of SAMHSA's Center for Behavioral Health Statistics and Quality.

There has been a small decline in the number of those driving drunk or drugged, he added. "But, even though we are making advances, we still have a ways to go," he said. "The reality is any numbers are concerning."

via health.usnews.com

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Hangover Cure? Hah. But These Tips May Help - US News and World Report

When it comes to hangovers, everyone has a swear-by-it remedy, from bingeing on cheeseburgers and fries (grease supposedly lines the stomach and slows alcohol absorption) to gulping spiked orange juice or a Bloody Mary (hair of the dog). Hundreds of others are free for the taking online, so why not pick one and get moving the day after you've had a few too many?

Because "in terms of anything that's proven to, quote, cure a hangover, there isn't anything," says Michael Fingerhood, an associate professor of medicine at Johns Hopkins University School of Medicine in Baltimore. In 2005, researchers scoured studies as far back as the 1950s that addressed preventing or treating hangovers. They unearthed just eight that were worth a closer look, none of which could convincingly demonstrate success for their hangover tricks (such as taking a supplement of prickly-pear cactus or a yeast-vitamin pill), according to the report published in the British Medical Journal.

via health.usnews.com

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Friday, March 11, 2011

Stanton Peele: Why We Should Give Serious Thought to Wet Shelters for Homeless Alcoholics

On the one hand, young people shouldn't act addicted -- because it can become a lifelong habit. On the other, we shouldn't regard young people as lifetime addicts due to their current situations (think Drew Barrymore); this is a horrible mistake that is more likely to exacerbate and prolong their problems (cf. Lindsay Lohan).

At the other end of the life cycle, there are people not likely to quit drinking et al. any time soon.

And what do we do about them? We can harangue them to join AA, go to the Salvation Army, and straighten up and fly right.

But here's another way of dealing with "incorrigibles":

via huffingtonpost.com

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Tuesday, January 4, 2011

The Long and Winding Road to the Emergency Room - NYTimes.com

He was the first patient of the day, dropped off at the emergency room by the police or a family member — a man in his 50s, unshaved, stumbling, engulfed in the pungent aroma of alcohol.

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Joseph Daniel Fiedler

When he blew into the breathalyzer’s strawlike tube, the readout was 0.18, more than twice the legal limit.
“I get seizures,” he said, referring to the dangerous reaction some people experience when they abruptly stop drinking. Then, as if to prove it, he held out trembling hands. Each bore the nicks and scars of a hard-lived life.
I looked at the beads of sweat on his brow, then down at his vital signs. Heart rate 120; blood pressure pushing 170/90. Despite his high alcohol level he was already in withdrawal. A medical detoxification — with drugs to counteract the sudden absence of alcohol in his system — was the right first step.
“Let’s admit him,” I said to his nurse. Because it was still early, there was a good chance a hospital bed would be available.
Her reply was apologetic but resigned: “He’s out of network.” I winced at my own naïveté. “Out of network,” a euphemism for “insurance will not pay,” was a roadblock I should have anticipated. A nuisance for many patients and would-be providers, it is ubiquitous in the second-class world of substance-abuse treatment, where insurance companies contract with selected hospitals and doctors to deliver care at bargain rates.
We called the few in-network hospitals within a broad radius. One had a bed. But before accepting my patient, the receiving doctor wanted a battery of tests, including an electrocardiogram and laboratory work, to rule out other medical concerns. It would be a day or so before the tests came back.
But the patient was already in withdrawal, I told the doctor. He couldn’t wait a day.
“Sorry,” he said flatly. “He

via nytimes.com

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Monday, April 18, 2011

Hung-over surgeons more error-prone | Reuters

Friday, April 1, 2011

40 Million in U.S. Driving Drunk or Drugged - US News and World Report

Hangover Cure? Hah. But These Tips May Help - US News and World Report

Friday, March 11, 2011

Stanton Peele: Why We Should Give Serious Thought to Wet Shelters for Homeless Alcoholics

Tuesday, January 4, 2011

The Long and Winding Road to the Emergency Room - NYTimes.com

Joseph Daniel Fiedler

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