title: [Forensic aspect of acute drunkenness].
abstract: Alcohol consumption in itself is not forbidden in France. Two situations are reprehended by the law: public drunkenness - where only the behavior is sanctioned and not the alcohol level - and driving with a level of alcohol superior to 0.5g per liter. The management of a severe state of drunkenness - even though frequent - is on the one hand poorly managed and on the other hands badly mastered by doctors. The management of drunken patients lies essentially in a strong monitoring of the possible complications. The inherent question of the returning-back-home for a drunken patient should be approached according to the state of consciousness rather than the alcohol rate in the blood. No matter what the rate is, the authorization to release a patient depends on the preservation of his judgmental capacities. If those are altered, the doctor can then decide to keep - even against his will - the patient temporarily and until he has recovered his discernment. Patients still keep their right to refuse any medical treatment. Indeed, the law does not provide any answer concerning the particular issue of the refusal of medical care by the patient, especially in case of a severe alcoholic intoxicated state that let the patient incapable to express his will and to understand the range of the given information. There is no legal measure that can able a doctor to firmly forbid a drunk patient to be released and to take the wheel. Doctors have to try to dissuade them by proposing other alternatives but they cannot physically oppose themselves to the patient decision. However, proofs that the doctor tried his best to convince the patient not to drive while under the influence of alcohol can be demanded. Doctors have the duty to inform patients on every risk that alcohol can bring while driving but do not have any measure of pressure.
authors: CHU d'Amiens, service de médecine légale et sociale, 80054 Amiens, France.
authors: Xavier
authors: X
authors: de Lentaigne de Logiviere
authors: CHU d'Amiens, service de santé publique, 80054 Amiens, France.
authors: Maxime
authors: M
authors: Gignon
authors: CHU d'Amiens, service des urgences, 80054 Amiens, France.
authors: Carole
authors: C
authors: Amsallem
authors: CHU d'Amiens, service de médecine légale et sociale, 80054 Amiens, France.
authors: Olivier
authors: O
authors: Jarde
authors: CHU d'Amiens, service de médecine légale et sociale, 80054 Amiens, France. Electronic address: manaouil.cecile@chu-amiens.fr.
authors: Cécile
authors: C
authors: Manaouil
mesh_terms: D000435:Alcoholic Intoxication; D001334:Automobile Driving / Q000331:legislation & jurisprudence*; D005602:France; D006801:Humans