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Intoxication calls: How cops can aid our responses

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EMS Management Article

February 21, 2012


EMS News in Focus
by Art Hsieh

Intoxication calls: How cops can aid our responses

Several urban centers such as San Francisco have established sobering centers

By Art Hsieh

Managing an intoxicated patient on a Saturday night is not my idea of fun — it's work.

While it can be mildly amusing at times, it's more frustrating than anything else — especially when the reason for the EMS call is directly correlated to the level of ethanol present in the patient's bloodstream.

Moreover, while the injury or illness is not significant or even exist, the inability for the inebriated patient to be able to legally refuse medical care or transport results in an expensive cab ride to the hospital and an EMS unit being taken out of service.

In the United States, several urban centers such as San Francisco have established sobering centers as a way to divert qualified patients away from both jail cells and hospital beds.

This story out of England shows potentially another way to manage this group of patients. By teaming law enforcement and EMS to specifically target these patients, it has the potential to free up both types of resources when call volume is heavy.

In addition, law enforcement is trained and equipped to identify the individual who is legally intoxicated, while the EMS provider can provide the comprehensive assessment necessary to rule out potential medical conditions.

It's a good fit.

About the author

EMS1 Editorial Advisor Art Hsieh, MA, NREMT-P currently teaches at the Public Safety Training Center, Santa Rosa Junior College in the Emergency Care Program. In the profession since 1982, Art has worked as a line medic and chief officer in the private, third service and fire-based EMS. He has directed both primary and EMS continuing education programs. A Past President of the National Association of EMS Educators, former Chief Executive Officer of the San Francisco Paramedic Association, and a scholarship recipient of the American Society of Association Executives, Art is a published textbook author, has presented at conferences nationwide, and continues to provide patient care at a rural hospital-based ALS system. Contact Art at Art.Hsieh@ems1.com.

Comments
The comments below are member-generated and do not necessarily reflect the opinions of EMS1.com or its staff.
Joshua Huschke Joshua Huschke Sunday, February 26, 2012 11:34:16 AM The Sobering Center helps but is far from a solution here in SF. If we could get the Wet House Model like in Seattle, WA and St. Paul, MN (see article:http://edition.cnn.com/2011/HEALTH/05/11/minneapolis.wethouse.alcoholics/index.html) it would take on the 'hardcore' alcoholics that we see on a daily (if not hourly) basis. Just a thought because the Board of Supervisors in SF is exploring this option, and I support it.
Randy Bruns Randy Bruns Sunday, February 26, 2012 12:19:05 PM Portable PBTs are not that hard to use and could be a screening tool like a blood glucose monitor, scan thermometer, or pulse oximeter, all diagnostic tools that arre accurate enough in the field. Along with a quick drug screening test. And I believed my entire career that law enforcement should go on every 911 call, period. I never had much faith in dispatchers working to get the whole story.
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