Identification of the motor vehicle accident victim who abuses alcohol: an opportunity to reduce trauma.

Mancino, Maria Elvira; Cunningham, Michael R.; Davidson, Patricia Mary; Fulton, R. L.

doi:10.15288/jsa.1996.57.652

Cited by 15 publications

(3 citation statements)

References 16 publications

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“…Despite high levels of under‐reporting by arrestees, Yacoubian (2003) found that 37% of 1436 arrestees in New York had a drug abuse or dependence diagnosis and 19% had an alcohol abuse or dependence diagnosis. DUI arrests are associated with problem drinking and severe consequences of drinking (Vingilis 1983; Borges & Hansen 1993; Chalmers, Olendick & Stein 1993; Yu & Williford 1993; CDC 1994; Kennedy, Isaac & Graham 1996; Mancino et al . 1996; Lapham et al .…”

Section: Methodsmentioning

confidence: 99%

Substance abuse treatment needs and access in the USA: interstate variations

McAuliffe

Dunn

2004

Addiction

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Development of interstate survey and indicator measures of treatment needs has created new opportunities to broaden our understanding of substance abuse epidemiology and treatment access in the USA. The nature and severity of drug and alcohol problems vary from state to state, but the interstate disparities in treatment services remain even after variations in treatment need have been discounted. Further research is needed to understand the causes of these differences in treatment access.

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Section: Methodsmentioning

confidence: 99%

Substance abuse treatment needs and access in the USA: interstate variations

McAuliffe

Dunn

2004

Addiction

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“…Alcohol remains an underlying and frequently overlooked risk factor for many injuries. Because of the strong relationship between alcohol abuse and accidental injury, all health care personnel should actively search for drinking problems associated with injury [1,[19][20][21]. Despite the limitations of the present study, nurses' detection of acute alcohol intoxication may be promising and may be applied as an initial screening method.…”

Section: Discussionmentioning

confidence: 94%

Feasibility of Identification of Alcohol Intoxication by Nurses in Emergency Departments

2003

The Kaohsiung J of Med Scie

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Vehicle-related injuries are the major cause of death and injuries in Hualien County, and driving under the influence of alcohol plays a major role in such crashes. From December 1997 to May 1998, we determined the blood alcohol concentrations (BAC) of injured individuals from vehicle crashes at two emergency departments in Hualien. Nurses were asked to record whether the patient presented with an alcohol odor. The accuracy of detection by nurses was assessed from the BAC and groups with increased prevalence were identified for screening. Of 945 patients assessed, 505 (53.4%) tested positive by BAC and 320 (33.9%) were identified with an alcohol odor. With a BAC threshold of more than 50 mg/dL, detection sensitivity was 75.4%, specificity was 90.4%, and accuracy was 85.0% (95% confidence interval: 82.7, 87.3). Patients with an alcohol odor were significantly more likely to be men, aborigines, or head-injured patients. The accuracy of detection showed no significant difference by gender, head injury, or driver status. We suggest that detection of alcohol odor by nurses may be a feasible assessment of the role of alcohol in road traffic accidents. This may provide essential data for injury prevention strategies and programs.

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“…However, we should stress that merely removing alcoholics from traffic cannot solve the problem or increase traffic safety or curtail other problems related to alcohol consumption. Instead, drivers addicted to alcohol have to be encouraged to get treatment [18][19][20][21].…”

Section: Discussionmentioning

confidence: 99%

Medical driver selection and alcohol

Bilban

2009

Forensic Science International Supplement Series

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Identification of the motor vehicle accident victim who abuses alcohol: an opportunity to reduce trauma.

Cited by 15 publications

References 16 publications

Substance abuse treatment needs and access in the USA: interstate variations

Substance abuse treatment needs and access in the USA: interstate variations

Feasibility of Identification of Alcohol Intoxication by Nurses in Emergency Departments

Medical driver selection and alcohol

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