By Norman Giesbrecht
First released in 1989. Routledge is an imprint of Taylor & Francis, an informa corporation.
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Additional info for Drinking and Casualties: Accidents, Poisonings and Violence in an International Perspective
While policy initiatives are typically beyond the direct influence of the researcher, the work reported is based on the expectation that further research on drinking and casualties has a bearing on policy decisions. Policy Issues The concluding chapters present two perspectives on research and policy. Draper (see Chapter 21) proposes that unless researchers become more sensitive to the nature of policy-making and the needs of policy-makers they will continue to generate information which is not central to interventions under consideration.
No clear picture emerged relating positive BAC and severity of injury. 4). No analysis is carried out linking injury with type of traumatic event and both with alcohol involvement. 6). 5 per cent had positive BACs. This varied by type of presenting problem. Almost half of the head injured patients had a positive BAC, compared with only 3 per cent of those presenting with medical and surgical emergencies. 5: Alcohol consumption by diagnosis Positive Alcometer Alcometer ≥ 80 mg/ 100 ml Diagnosis Number of patients Major head 17 injury Minor head 52 injury Major other 52 trauma Minor other 618 trauma Drunk 4 Self-poisoning 25 Psychiatric 6 Surgical (non189 traumatic) Medical 66 No diagnosis 15 Totals 1044 Source: Walsh and Macleod 1983 no.
This is not surprising, given the significant role that road traffic accidents play in causing the injuries. ’ The demands on staff of headinjured patients can be particularly great when a large proportion of cases are due to assaults and are often ‘obstreperous’ (Murray 1976). 40 ALCOHOL AND TRAUMA Other Injuries Injuries, other than head injuries, have received limited attention in relation to alcohol involvement. A Wisconsin study of spinal cord injuries, over an 18month period reports half the patients as ‘drinking just before the accident’ and five of the 15 patients who had been drinking, as drunk.