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Invited Critique
December 1, 2006

Association Between Alcohol and Mortality in Patients With Severe Traumatic Head Injury—Invited Critique

Arch Surg. 2006;141(12):1192. doi:10.1001/archsurg.141.12.1192

This is a well-designed, retrospective study using a large Canadian trauma system database. Tien et al examine the hypothesis that “admission blood alcohol concentration is associated with in-hospital death in patients with severe brain injury from blunt head trauma.”

There is a long-held myth that intoxicated trauma victims are more relaxed and, therefore, fare better than nonintoxicated patients. In the interest of public health, this is a myth to be discredited.

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