In article <"/GUID:27A00892BC31D611874C00B0D0AAAAAE"@MHS>, [log in to unmask] writes >Why not treat it with alcohol? Much easier, known to be effective, good patient >compliance, low risk. Needs no inpatient time. >Treating lack of one drug by substituting another such as a benzodiazepine seems >odd. When the patient is stabilised on alcohol, discuss planned withdrawal if >they are serious about stopping. > Absolutely agree re the pharmacology - but some service implications here I think. The issue is to encourage appropriate access of appropriate services - I don't feel that A+E dispensing booze will achieve this. I am happy to, and have in the past, re-directed folk to the off-licence/liquor store Cheers -- Jel Coward The UK Wilderness Emergency Medical Technician and Command Physician course is 10-16th November 2002 at Glenmore Lodge, Aviemore, Scotland http://www.wildmedic.org http://www.wemsi.org [log in to unmask] 'There's no such thing as bad weather - just bad clothing" Anon Norwegian