RT Journal
A1 Salim A, Ley E
T1 NO cheers yet for ethanol in traumatic brain injury—reply
JF Archives of Surgery
JO Archives of Surgery
YR 2010
FD April 1
VO 145
IS 4
SP 403
OP 403
DO 10.1001/archsurg.2010.26
UL http://dx.doi.org/10.1001/archsurg.2010.26
AB 
The association between positive ethanol and GCS score is well described. Stuke et al2 studied GCS levels in more than 55 000 patients with positive blood alcohol levels and found that the presence of alcohol did not significantly reduce the GCS score among patients with traumatic brain injury after stratification by head Abbreviated Injury Score compared with those with negative ethanol levels. Other researchers have supported these findings.3- 4 Attributing reduced GCS score to alcohol intoxication in patients with traumatic brain injury may lead to delays in diagnosis and treatment.