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alcohol screening and intervention.
Robert Smith rfsmithmd at comcast.netSun Jun 7 16:41:33 BST 2009
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Doc, Many trauma patients are intoxicated with alcohol or drugs at the time of their injury. It is felt that this intoxication often is a contributing factor in their injury. It is also felt that if the frequency or degree of intoxication could be lessened, the chance of re-injury could also be lessened. Using a very short screening tool like CAGE is helpful because it requires only asking 4 simple questions and does not require any "intervention" skills on the part of the provider who asks the questions. (C = ever try to Cut back?, A = have you gotten Angry if friends or family have talked to you about your drinking/drug use?, G = have you felt guilty about your drinking/ drug use?, E = do you ever use an "eye opener" to get going in the day?). Similar short screens exist for domestic violence and there are other screens for ETOH/drugs. Screening only makes sense if you can then offer an a more detailed interview and/or intervention by someone trained to do it safely. Rob On Jun 7, 2009, at 10:28 AM, Doc Holiday wrote: > > What is meant by "alcohol screening and intervention"? > > What is this in the context of a trauma centre? (Sounds like a > primary care concept to me - or am I missing something?) > > Does saying that someone "strives" for 80% indicate that there are > other numbers one could strive for? > > What happens and to whom does it happen if you strive for a number > and don't get there? > > > > Simply curious... > >> From: Ronald.Gross at baystatehealth.org >> To: trauma-list at trauma.org >> Date: Sun, 7 Jun 2009 08:17:55 -0400 >> Subject: RE: alcohol screening and intervention. >> >> Hey Doc Holiday, >> HUH???? I'm not quite sure exactly what you are asking here. >> Ron >> >> >> -----Original Message----- >> From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org >> ] On Behalf Of Doc Holiday >> Sent: Saturday, June 06, 2009 8:10 AM >> To: .Trauma List >> Subject: RE: alcohol screening and intervention. >> >> >> From: SSherry at LHS.ORG >>> And while I am on my soap box, exactly how many on this list take >>> the time and make the effort to actually do screening and >>> intervention? >> >> >> >> --> Can you explain what this is, please? >> >> And how it is related to soap boxes? >> >> >> >>> strive for 80% screening and intervention. >> >> >> >> --> And so, for whatever you will explain that this is, you have >> the option of deciding how much to "strive" for? Once you decide >> upon this, what happens if you do not make your "target"? >> >> Just curious as to what this is all about - I have no idea... >> _________________________________________________________________ >> >> MSN straight to your mobile - news, entertainment, videos and more. >> >> http://clk.atdmt.com/UKM/go/147991039/direct/01/ >> -- >> trauma-list : TRAUMA.ORG >> To change your settings or unsubscribe visit: >> http://www.trauma.org/index.php?/community/ >> >> ---------------------------------------------------------------------- >> CONFIDENTIALITY NOTICE: This email communication and any >> attachments may contain confidential and privileged information for >> the use of the designated recipients named above. If you are not >> the intended recipient, you are hereby notified that you have >> received this communication in error and that any review, >> disclosure, dissemination, distribution or copying of it or its >> contents is prohibited. If you have received this communication in >> error, please reply to the sender immediately or by telephone at >> (413) 794-0000 and destroy all copies of this communication and any >> attachments. For further information regarding Baystate Health's >> privacy policy, please visit our Internet web site at http://www.baystatehealth.com >> . >> -- >> trauma-list : TRAUMA.ORG >> To change your settings or unsubscribe visit: >> http://www.trauma.org/index.php?/community/ > > _________________________________________________________________ > With Windows Live, you can organise, edit, and share your photos. > http://clk.atdmt.com/UKM/go/134665338/direct/01/ > -- > trauma-list : TRAUMA.ORG > To change your settings or unsubscribe visit: > http://www.trauma.org/index.php?/community/
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