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Clinical assessment compared with breathalyser readings in the ER: concordance of ICD-10 Y90 and Y91 codes
  1. R Touquet
  1. Correspondence to:
 Professor R Touquet
 A & E Department, St Mary’s Hospital, Praed Street, London, W2 1NY; robin.touquetstmarys.nhs.uk

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Clinical assessment of the amount of alcohol that has been consumed by a patient presenting to the emergency department is notoriously difficult. How should the caring professions respond to the “Epidemic of Binge Drinking in the United Kingdom (UK)”?1 Alcohol is a drug like any other, which depresses inhibitions initially, but is legal and used by 90% of society, including the medical profession.2

This paper, a work from twelve countries, defines the accuracy of clinical assessment (ICD-10 Y91) by comparison with alcohol breathalyser readings (ICD-10 Y90). It is well worked, multinational, with robust methodologies supported by the World Health …

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