If someone is involved in an mva involving fatalities, also involving drunk driving where on earth their liver is lacerated, is their ETOH even a factor? In other words, would the ETOH level be a factor?Would it alter results?
Even next to your rephrasing, I'm not sure what exactly you're asking, but I'll try to answer.
Being drunk by definition means there's an irregular neurologic exam. In suspected head trauma, this can be impossibly confusing. Drunks also don't respond to headache normally, making the physical exam much smaller number reliable. For instance, with the liver laceration, the perception affliction or response to palpation of the right upper abdominal quadrant may be blunted. For this reason, drunks require more trialling and imaging than sober, alert people. If you're asking just about the hepatic enzyme tests on a chemistry panel, they're neither sensitive nor specific, so they're only just worth doing in suspected hepatic injury. If there's idea to suspect such an injury, imaging studies in stable patients are call for. Where available, that usually begins next to a FAST (ultrasound) exam, and that's an acronym, although it's also quick. Otherwise, and probably additionally, CT is a good choice. In the unstable, laparotomy near or without preliminary diagnostic peritoneal lavage is the choice. The blood test, if ordered at all, are as expected to mislead as to diagnose, at least within the initial and important hours.
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