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Emergency Medicine
Added on
07/07/2009
Updated on
07/06/2010
Up to 35% of all A&E attendance and ambulance costs may be alcohol-related.
Up to 70% of A&E attendances at peak times on the weekends (between midnight and 5am) may be alcohol-related.
Figs from NHS Care and Alcohol , DH 2008
Local Resources
Identification and Brief Advice Tools
- Paddington Alcohol Test PAT 2009
The PAT is an evolving pragmatic clinical tool (Patton et al, 2004; 2005) that detects alcohol misuse early on in a drinker's natural history and acts to implant the relationship between A&E attendance... - PAT (2009)-Revisions to the Paddington Alcohol Test for Early Identification of Alcohol Misuse and Brief Advice to Reduce Emergency Department Re-attendance
The Paddington Alcohol Test (PAT) has evolved over 15 years as a clinical tool to facilitate emergency physicians and nurses giving brief advice and the offer of an appointment for brief intervention...
Local Protocols
The full projects and strategies can be viewed on the HubCAPP database of local initiatives. 
"Every hospital worker has a responsibility to help reduce unscheduled re-attendances to hospital. A classic example being alcohol misuse where patients themselves need to have significant insight into cause and effect"
[Robin Touquet Prof Emergency Medicine, Imperial College, 2008]
St Mary's Hospital / Imperial College Healthcare NHS Trust London
View the full St Mary's Alcohol Health Work Project
- Alcohol Health Work and Screening
These presentations provide an overview of the role of alcohol health work at St Mary's Hospital. They includes local data on A&E PAT alcohol-related attendance (2005-2007), info on identification... - Imperial College Healthcare Hospital In-Patient Alcohol Full Guidelines
Imperial College full Alcohol Guidelines include information on the detection of alcohol misuse & dependence, alcohol health work referral process, alcohol withdrawal syndrome and Ward-based prescribing.... - St Mary's A&E Identification and Brief Advice Patient Assessment
IBA Assessment Form used by Alcohol Health Workers at St Mary's Hospital Paddington. Questions covered include IBA, social (eg housing, relationships etc), legal, withdrawal etc. - Coping with Alcohol Withdrawal and Detoxification Leaflets
These leaflets were produced by the Central and North West London NHS Foundation Trust Addictions Services to provide Alcohol Health workers and staff with patient information guidance around withdrawal...
Royal Liverpool and Broadgreen University Hospitals
Liverpool Alcohol Services Lifestyle Team Project
- Liverpool Brief Intervention Policy
This policy covers the rationale, process, patient benefits, guidelines, competencies and the identification tool (AUDIT) and drinks diary template. - Liverpool Early Discharge Clinical Protocol
This protocol relates to those patients who require pharmacological support for the management of alcohol withdrawal and who have no medical or psychiatric illness that would otherwise necessitate continued...
