Show: At the Head End — optimalanesthesia.com

What’s inside:

A high-stakes debate for anesthesiologists: when an acutely intoxicated, actively bleeding patient rolls into the OR and the ED hasn’t sent a blood alcohol level, should you write “alcohol intoxication” in the anesthesia record? We clash Pro vs Con, trade point–counterpoint on safety, ethics, and medicolegal fallout, and land on a balanced documentation strategy you can use tonight.

You’ll learn:

• How alcohol alters CNS, hemodynamics, coagulation, and drug requirements in bleeding patients.
• The Pro case: clinical accuracy, continuity of care, and legal defensibility.
• The Con case: insurance/compensation risks, unverified labels, and privacy pitfalls.
• A practical middle path: objective signs, emergency context, and shared medicolegal documentation.
• Two quick case vignettes (when documentation saves you vs. when it harms the patient financially).
• An exam reflection box you can use for viva/OSCE prep.

Perfect for: anesthesia residents, consultants, trauma teams, perioperative leaders, and anyone who signs the chart at 2 a.m.