History injury in the presence of alcohol intoxication |
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| Affiliation: | 1. Health Professions, College of Applied Sciences and Arts, San Jose State University, San Jose, Calif, USA;2. Valley Hospital Medical Center, Las Vegas, Nev, USA;1. Département de Chimie, Biochimie et Physique, Université Du Québec à Trois-Rivières, C.P. 500, Trois-Rivières, Québec, G9A 5H7, Canada;2. Axe Oncologie, Centre de Recherche Du CHU de Québec-Université Laval, Hôpital Saint-François D''Assise, 10, Rue de L''Espinay, Québec, G1L 3L5, Canada;1. Department of Surgery, University of Vermont, 789 Orchard Shore Road, Colchester, VT 05446, United States;2. Trauma Research Program, Chandler Regional Medical Center, United States;3. Department of Surgery University of Arizona College of Medicine, Phoenix, United States;4. Department of Anesthesiology, University of Rochester, United States;5. Emergency Medicine, University of Sheffield, United Kingdom;6. Trauma Audit and Research Network, United Kingdom;7. Chandler Regional Medical Center, United States;8. Department of Mathematics and Statistics, University of Vermont, United States;9. School of Public Health and Health Sciences, University of Massachusetts, United States;1. Karadeniz Technical University, Faculty of Medicine, Department of Emergency Medicine, Trabzon, Turkey;2. Karadeniz Technical University, Faculty of Medicine, Department of Cardiology, Trabzon, Turkey;1. Adelphi University, United States;2. Duke University, United States;3. Pennsylvania State University, United States |
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| Abstract: | The difficulty of distinguishing between serious head injury and intoxication is presented in the case of an injured patient whose signs and symptoms were attributed to alcohol withdrawal. This report emphasizes the need for a high level of suspicion for all trauma patients, for all health care providers to be familiar with common forms of life-threatening trauma, and how to distinguish between altered levels of consciousness resulting from alcohol intoxication versus intracranial disorders. This case may also demonstrate that a person's wealth and social influence and an Institution's orientation to a medical specialty can affect care givers' decisions. |
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