36th EVAC BN, 1st MED BDE, 13th COSCOM BINGE DRINKING Presented by: SGT Carrie Jackson 582nd MEDLOG Co. 36th EVAC BN, 1st MED BDE, 13th COSCOM 11/8/2018 582nd MEDLOG Co.

BINGE DRINKING TRAINING TASK: CONDITION: STANDARD: Students will learn the definition of binge drinking, the symptoms of alcohol poisoning and what to do if someone is showing signs, blood alcohol content (BAC) levels and the effects of alcohol, and the impact alcohol can have on their military careers CONDITION: Students will be given a lecture in conjunction with a PowerPoint presentation in a classroom setting STANDARD: Students will be able to correctly define the term binge drinking, identify the symptoms of alcohol poisoning and be able to react, identify the different BAC levels, and will know how alcohol abuse can affect their military careers 11/8/2018 582nd MEDLOG Co.

REFERENCES AR 600-85 Army Substance Abuse Program (ASAP) http://ww.medhelps.com/Topics/Addictions//Binge%20Drinking.htm http://www.1id.army.mil/1ID/safety/Alcohol_support_information.doc http://www.intheknowzone.com/binge.htm 11/8/2018 582nd MEDLOG Co.

WHAT IS BINGE DRINKING? DEFINITION: The consumption of large amounts of alcohol in a very short period of time. Rule of thumb: Females – 4 or more drinks in a row Males – 5 or more drinks in a row Can cause alcohol poisoning which can be fatal. Becomes even more deadly when combined with medications or other drugs, illness, stress, or an empty stomach. Rule of thumb - Gender Inequality Women become intoxicated more quickly than men, even when body weights are the same. There are three likely explanations for this fact. First, soon after consumption, alcohol rapidly spreads throughout the water in a drinker’s body, and men’s bodies have a greater percentage of water by volume. If a woman drinks the same amount as a man, the effect is similar to pouring the same amount of alcohol into a smaller pail of water. Women also have lower levels of activity in the alcohol-metabolizing enzyme, alcohol dehydrogenase, in the stomach. This means that more alcohol is metabolized in the stomachs of men before being absorbed into the bloodstream than in the stomachs of women. The end result is that more alcohol passes directly into the bloodstream of women. Finally, as a woman’s hormone levels vary during the course of her menstrual cycle, her blood alcohol concentration can vary dramatically with the same amount of alcohol intake. 11/8/2018 582nd MEDLOG Co.

SYMPTOMS OF ALCOHOL POISONING Drinking excessive amounts of alcohol to the point of vomiting Semi consciousness or unconsciousness Cold, clammy, pale, or bluish skin Slow breathing Vomiting while sleeping or while unconscious Semi consciousness or unconsciousness – the person cannot be awakened Slow breathing – the person breathes less than 8 times per minute or has 10 seconds or more between breaths 11/8/2018 582nd MEDLOG Co.

WHAT SHOULD YOU DO? Never leave the person alone Turn the person on his or her side and check their pulse and breathing periodically GET HELP! If unsure of what to do, it is “better to be safe than sorry”, take them to the emergency room – it could save their life GET HELP! – Call someone who can help: the emergency medical services/ambulance, MPs, or even the unit commander 11/8/2018 582nd MEDLOG Co.

BLOOD ALCOHOL CONCENTRATION (BAC) In most states, a BAC of .10% is considered legally drunk. In some states, the legal definition of intoxication is .08%. In the Army, a BAC ≥ .05% is considered to be impaired while on duty On Ft. Hood, a BAC ≥ .04% is considered to be impaired while on duty The faster someone drinks, the higher the BAC is, and the more dangerous drinking becomes. 11/8/2018 582nd MEDLOG Co.

BAC AND GROWING IMPAIRMENT Following are ten snapshots of increasing drunkenness and impairment as blood alcohol concentration increases. Ranges are approximate and vary with the drinker: BAC EFFECTS .02 Drinkers begin to feel moderate effects. .04 Most people begin to feel relaxed, mildly euphoric, sociable, and talkative. .05 Judgment, attention, and control are somewhat impaired. Ability to drive safely begins to be limited. Sensory-motor and finer performance are impaired. People are less able to make rational decisions about their capabilities (for example, about driving.) .08 There is a definite impairment of muscle coordination and driving skills. .10 There is a clear deterioration of reaction time and control. .12-.15 Vomiting usually occurs, unless this level is reached slowly or a person has developed a tolerance to alcohol. Drinkers are drowsy. - Drinkers display emotional instability, loss of critical judgment, impairment of perception, memory, and comprehension. - Lack of sensor-motor coordination and impaired balance are typical. Decreased sensory responses and increased reaction times develop. The vision is significantly impaired, including limited ability to see detail, peripheral vision, and slower glare recovery. 11/8/2018 582nd MEDLOG Co.

BAC AND GROWING IMPAIRMENT Death may occur at .37% or higher. BACs of .45% and higher are fatal to nearly all individuals. BAC EFFECTS .15 This blood-alcohol level means the equivalent of 1/2 pint of whiskey is circulating in the blood stream. .18-.25 Drinkers are disoriented, confused, dizzy, and have exaggerated emotional states. Vision is disturbed, as is perception of color, form, motion, and dimensions. - Drinkers have increased pain threshold and lack of muscular coordination. Drinkers stagger or lose the ability to walk and have slurred speech. Apathy and lethargy are typical. .25-.30 Drinkers display general inertia, near total loss of motor functions, little response to stimuli, inability to stand or walk, vomiting, and incontinence. Drinkers may lose consciousness or fall into a stupor. .30-.50 Symptoms are complete unconsciousness, depressed or absent reflexes, subnormal body temperature, incontinence, and impairment of circulation and respiration. 11/8/2018 582nd MEDLOG Co.

IMPACT ON MILITARY CAREER UCMJ action Referral to ASAP Possible separation 11/8/2018 582nd MEDLOG Co.

QUESTIONS? 11/8/2018 582nd MEDLOG Co.