Double Jeopardy At 2 A.M. — Anesthesia For The Acutely Intoxicated, Actively Bleeding Patient
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Double Jeopardy At 2 A.M. — Anesthesia For The Acutely Intoxicated, Actively Bleeding Patient
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About this listen
Show: At the Head End — optimalanesthesia.com
What’s inside:
A high-stakes debate for anesthesiologists: when an acutely intoxicated, actively bleeding patient rolls into the OR and the ED hasn’t sent a blood alcohol level, should you write “alcohol intoxication” in the anesthesia record? We clash Pro vs Con, trade point–counterpoint on safety, ethics, and medicolegal fallout, and land on a balanced documentation strategy you can use tonight.
You’ll learn:
- How alcohol alters CNS, hemodynamics, coagulation, and drug requirements in bleeding patients.
- The Pro case: clinical accuracy, continuity of care, and legal defensibility.
- The Con case: insurance/compensation risks, unverified labels, and privacy pitfalls.
- A practical middle path: objective signs, emergency context, and shared medicolegal documentation.
- Two quick case vignettes (when documentation saves you vs. when it harms the patient financially).
- An exam reflection box you can use for viva/OSCE prep.
Perfect for: anesthesia residents, consultants, trauma teams, perioperative leaders, and anyone who signs the chart at 2 a.m.
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