title: [Medicine and driving: Alcohol and other toxins].
abstract: General practitioners and specialists, beyond their role of health care providers, have a societal responsibility regarding the use or misuse of alcohol, drugs including cannabis, and some medications. Alcohol remains the leading cause of road accidents, and more than 100,000 drivers were found to be driving while intoxicated in 2000. Other drugs are now systematically tested for in serious accidents. The various government and road safety websites as well as several significant studies on the subject show that drunk driving is still a major problem and that other drugs and medication are also a significant cause of accidents, either alone or in combination with alcohol. The role of psychiatric disorders sometimes complicates the risk. Doctors have an obligation to provide their patients with information and must have an accurate knowledge of relevant legislation. They may be liable for accidents caused by the driving of their patients. This liability requires them to be able to demonstrate that they gave the individual some information about insurance, the possible limitation of their driver's license, and the steps they should take should they misuse alcohol or other drugs, including some medications.
authors.affiliation: Unaformec Île-de-France, 32, rue Vacheresse, 77400 Lagny-sur-Marne, France. Electronic address: f.abramovici@free.fr.
authors.forename: Francis
authors.initials: F
authors.lastname: Abramovici
mesh_terms: D000063:Accidents, Traffic / Q000523:psychology / Q000706:statistics & numerical data; D000428:Alcohol Drinking / Q000009:adverse effects; D001334:Automobile Driving / Q000523:psychology; D064420:Drug-Related Side Effects and Adverse Reactions / Q000453:epidemiology / Q000503:physiopathology / Q000523:psychology; D000431:Ethanol / Q000633:toxicity*; D006801:Humans; D013287:Illicit Drugs / Q000633:toxicity*; D008511:Medicine; D019966:Substance-Related Disorders / Q000150:complications / Q000523:psychology
chemical_list: D013287:Illicit Drugs; D000431:Ethanol