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A Public Health Enforcement Initiative to Combat Underage Drinking Using Emergency Medical Services Call Data

Published online by Cambridge University Press:  17 May 2012

Daniel L. Lemkin
Affiliation:
Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, Maryland USA
Michael C. Bond*
Affiliation:
Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, Maryland USA
Donald W. Alves
Affiliation:
Department of Emergency Medicine, Division of Special Operations, The Johns Hopkins Medical Institutions, Baltimore, Maryland USA
Richard A. Bissell
Affiliation:
Center for Emergency Education and Disaster Research, University of Maryland, Baltimore County, Baltimore, Maryland USA
*
Correspondence: Michael C. Bond, MD, FACEP, FAAEM Department of Emergency Medicine University of Maryland School of Medicine 110 S. Paca Street, Sixth Floor, Suite 200 Baltimore, Maryland USA E-mail mbond007@gmail.com

Abstract

Objective

The objective of this study was to determine whether Emergency Medical Services (EMS) records can identify bars that serve a disproportionate number of minors, and if government officials will use this data to direct underage drinker enforcement efforts.

Methods

Emergency Medical Services call logs to all bars in the study area were cross-referenced with a local hospital's records. The records of patients with alcohol-related complaints were analyzed. Outlier bars were identified, and presented to government officials who completed a survey to assess if this information would prompt new enforcement efforts.

Results

Emergency Medical Services responded to 149 establishments during the study period. Eighty-four responses were distributed across six bars, and 78 were matched with the hospital's records. Fifty-one patients, 18 (35%) of whom were underage, were treated for alcohol intoxication, with 46% of the cases originating from four bars. Government officials found the information useful, and planned to initiate new operations based on the information.

Conclusions

Alcohol consumption by minors can lead to life-long abuse, with high personal, financial, and societal costs. Emergency Medical Services response data and hospital records can be used to identify bars that allow underage drinking, which is useful in directing law enforcement efforts.

Lemkin DL, Bond MC, Alves DW, Bissell RA. A public health enforcement initiative to combat underage drinking using emergency medical services call data. Prehosp Disaster Med. 2012;27(2):1-5.

Type
Original Research
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2012

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References

1. Hingson, RW, Heeren, T, Jamanka, A, Howland, J. Age of drinking onset and unintentional injury involvement after drinking. JAMA. 2000;284(12):1527-1533.Google Scholar
2. Fabbri, A, Marchesini, G, Morselli-Labate, AM, Rossi, F, Cicognani, A, Dente, M, Iervese, T, Ruggeri, S, Mengozzi, U, Vandelli, A. Blood alcohol concentration and management of road trauma patients in the emergency department. J Trauma. 2001;50(3):521-528.Google Scholar
3. Madan, AK, Yu, K, Beech, DJ. Alcohol and drug use in victims of life-threatening trauma. J Trauma. 1999;47(3):568-571.Google Scholar
4. Smith, GS, Branas, CC, Miller, TR. Fatal nontraffic injuries involving alcohol: a metaanalysis. Ann Emerg Med. 1999;33(6):659-668.Google Scholar
5. Hingson, RW, Heeren, T, Zakocs, RC, Kopstein, A, Wechsler, H. Magnitude of alcohol-related mortality and morbidity among U.S. college students ages 18-24. J Stud Alcohol. 2002;63(2):136-144.CrossRefGoogle ScholarPubMed
6. Soderstrom, CA, Cole, FJ, Porter, JM. Injury in America: the role of alcohol and other drugs—an EAST position paper prepared by the Injury Control and Violence Prevention Committee. J Trauma. 2001;50(1):1-12.Google Scholar
7. Luna, G, Adye, B, Haun-Hood, M, Berry, M, Taylor, L, Thorn, R. Intentional injury treated in community hospitals. Am J Surg. 2001;181(5):463-465.CrossRefGoogle ScholarPubMed
8. Graham, P. Alcohol and the young. Arch Dis Child. 1996;75(5):361-363.Google Scholar
9. Hingson, R, Heeren, T, Zakocs, R. Age of drinking onset and involvement in physical fights after drinking. Pediatrics. 2001;108(4):872-877.CrossRefGoogle ScholarPubMed
10. Birckmayer, J, Hemenway, D. Minimum-age drinking laws and youth suicide, 1970-1990. Am J Public Health. 1999;89(9):1365-1368.Google Scholar
11. Committee on Substance Abuse. Alcohol use and abuse: a pediatric concern. Pediatrics. 2001;108(1):185-189.Google Scholar
12. Allard-Hendren, R. Alcohol use and adolescent pregnancy. MCN Am J Matern Child Nurs. 2000;25(3):159-162.Google Scholar
13. Maskalyk, J. Drinking and driving. CMAJ. 2003;168(3):313.Google ScholarPubMed
14. McCammon, K. Alcohol-related motor vehicle crashes: deterrence and intervention. Ann Emerg Med. 2001;38(4):415-422.CrossRefGoogle ScholarPubMed
15. Byrd, C. Injury prevention program for youthful traffic offenders. J Emerg Nurs. 1997;23(4):326-329.Google Scholar
16. Martin, CA, Kelly, TH, Rayens, MK, Brogli, BR, Brenzel, A, Smith, WJ, Omar, HA. Sensation seeking, puberty, and nicotine, alcohol, and marijuana use in adolescence. J Am Acad Child Adolesc Psychiatry. 2002;41(12):1495-1502.Google Scholar
17. Foster, SE, Vaughan, RD, Foster, WH, Califano, JA Jr. Alcohol consumption and expenditures for underage drinking and adult excessive drinking. JAMA. 2003;289(8):989-995.CrossRefGoogle ScholarPubMed
18. Spirito, A, Barnett, NP, Lewander, W, et al. . Risks associated with alcohol-positive status among adolescents in the emergency department: a matched case-control study. J Pediatr. 2001;139(5):694-699.CrossRefGoogle ScholarPubMed
19. Bastin, R, Worms, R, Acar, JF. Clinical incidence of heterogenous resistance of Staphylococcus to penicillin and cephalosporin [in French]. Pathol Biol. 1967;15(23):1205-1211.Google ScholarPubMed
20. Walker, S, Treno, AJ, Grube, JW, Light, JM. Ethnic differences in driving after drinking and riding with drinking drivers among adolescents. Alcohol Clin Exp Res. 2003;27(8):1299-1304.Google Scholar
21. Ciampa, G, Grieco, C, Silipo, C. Experimental contribution to the study of non-aqueous titrimetry in drug determinations. II. Analysis of substances with basic characteristic [in Italian]. Farmaco Prat. 1967;22(2):70-95.Google Scholar
22. Carnicelli, A, Grieco, M, Menchini, GF, Saba, P, Luisi, M. The determination of urinary testosterone by the use of horizontal thin layer chromatography and gas chromatography [in Italian]. Boll Soc Ital Biol Sper. 1967;43(1):36-38.Google Scholar