1. What is Binge drinking? Why is it harmful? Do this now. 1.Write in your agenda: Draw a picture that represents possible harm from alcohol. 2.On scrap, write one question for Office Kriz on alcohol laws What are we doing today: 1. Identify binge drinking 2. List harm from binge drinking (video) 3. Identify ways to have fun without drinking (group work)

2. OBJECTIVES recognize that alcohol is a drug, just like marijuana, cocaine and heroin. recognize that while one in five teens drinks heavily, four out of five do not. recognize that beer contains alcohol and is a potentially dangerous substance. recognize that there are many negative consequences from heavy drinking including unwanted sex, sexually transmitted diseases, pregnancy, and injury/death from accidents. recognize that they can have better relationships and more fun when they remain sober and engage in activities other than “partying.” Use with video “ Binge drinking facts and consequences”

3. Today’s objectives Explain why young people drink too much Understand why people die when they drink too much Identify the symptoms of alcohol poisoning List first aid procedures for alcohol poisoning Explain what not to do if you suspect alcohol poisoning

4. What is binge drinking? Consumption of five or more drinks in a row by men — or four or more drinks in a row by women in a short period of time.

5. Are young people drinking responsibly? Most binge drinking is done in public, at bars and at parties. It is very much a social behavior and it is perceived as the norm. About 12 percent of binge drinkers report driving soon after drinking. U.S. Centers for Disease Control and Prevention, 2008 View Web Max film called : Binge drinking the facts….

6. What is alcohol poisoning? How can I help? Do this now: 1. Take out your worksheet on Questions on Alcohol & Alcohol and the Law. 2.Write in your agenda: Quiz next class covering Questions on alcohol. Alcohol and laws and alcohol poisoning. 3.Check your folders for other student’s notes from Office Kriz. What are we doing today? 1. Define alcohol poisoning 2. What to do …what not to do (group work) 3. 911 Good Samaritan Law

7. What promotes irresponsible drinking? Young adults play alcohol games that allow for consuming large amounts of alcohol in a short period of time. Among them: Beer bongs Beer Pong Edward Forty Hands

8. Beer Pong If you keep losing you may end up drinking 5 beers in a very short period of time. BAC could be >.10

9. Beer Bong Funneling It can result in blackouts, seizures and hypothermia. You can pass out, choke on your own vomit and die.

10. Edward Forty Hands 2, 40 ounce beers are taped to your hands and not removed until you finish the beer. That’s the equivalent of almost 7 beers and will raise the BAC to.14 or higher. (especially if you are a girl or lower weight)

11. Among the drink specials that encourage high-risk drinking: Bottomless cups: pay one price and drink all night Bladder Busters: drinks are $1.00 until someone uses the toilet Fishbowls with straws Long Island ice teas: several shots of liquor (22%) Ladies’ Nights: Ladies drink free

12. What causes Alcohol Poisoning? Drinking too much too fast. Not knowing your limits. Inexperience with alcohol Peer pressure (Hazing)

14. Gender plays a part too. Women can be more susceptible than men because of: Women generally have more body fat & less water then men. Alcohol is water soluble, so less water in the blood means higher blood alcohol concentration. Females have less alcohol dehydrogenase which breaks down alcohol in the stomach. Less of this enzyme means more alcohol in the system.

15. Symptoms of alcohol poisoning include : vomiting, passing out, difficultly awakening & slow or shallow breathing Vomiting is an attempt to remove unabsorbed alcohol from your body

16. What is alcohol poisoning? Death by alcohol Symptoms: Vomiting after drinking Unconsciousness Cold, clammy, pale, bluish skin Slow or irregular breathing (less than 8 breaths a minute or 10 or seconds between breaths

17. Some people vomit when they have consumed alcohol while other people just fall asleep. After falling into a deep sleep individuals can vomit and not wake up, without waking up one can choke on his/her own vomit and be unable to clear his/her own airway therefore choking to death. How can drinking too much alcohol cause death? Death by asphyxiation is common because alcohol depresses the body’s reflexes.

18. Typical Behaviors which occur at various BAC. 01 -.05%Lowered alertness, “good” feeling, less inhibited behavior, thought and judgment impaired.06-.10%Slowed reaction time, distorted depth perception, peripheral vision glare recovery, behavior changes diminished awareness *legally drunk in all states (.08%). 13 -.20% Marked depression in motor capability, emotional outbursts ( joy, anger, weeping, shouting) decidedly intoxicated. 21 -.25% Severe motor disturbances, staggering, sensory perceptions greatly impaired, blurred vision

19. .30%Semi-Stupor possible death.35%Surgical Anesthesia, possible death.40% Comatose, higher risk of death.50% Cessation of breathing and heart beat

20. Reducing the Risks of Alcohol Poisoning 1.Choose not to drink at all under certain conditions (i.e. if driving or taking medications). 2.Reduce your rate of consumption; by keeping alcoholic drinks to one per hour. 3.Alternate alcoholic drinks with water. 4.Eat food. 5.Stop drinking alcohol after a certain number of drinks. 6.Choose drinks with higher water/soda content (i.e. mixed drinks instead of shots). 7.Have a buddy with you and work out a designated safety system ahead of time. 8.Determine who will be the designated sober partier, someone who can call for help if needed.

21. What do you do? Call 911 Immediately. It is important to prevent choking (should the person vomit). While waiting for 911, gently turn the intoxicated person on his/her side and maintain that position by placing a pillow in the small of the persons back. Never leave the person unattended Perform CPR If needed. Though the person may seem like they are sleeping it off, they may still be processing alcohol through their bloodstream. The blood alcohol levels could continue to rise. This is a very critical problem.

22. It may take anywhere from about 30- 90 minutes after you stop drinking, before you reach your highest level of intoxication. http://www.youtube.com/watch?v=6E_T_NQjJDo

23. Don’t make them vomit! While waiting for help, don't try to make the person vomit. Alcohol poisoning affects the way your gag reflex works. That means someone with alcohol poisoning may choke on his own vomit or accidentally inhale (aspirate) vomit into the lungs, which could cause a fatal lung injury.

24. What you don’t do. A drunk person should not be in charge of a drunk person Do not try to exercise the person Do not let the person drive a car, or other vehicle, or ride a bike etc. Do not give the person food, liquid, medication or drugs to sober them up Do not give the person a cold shower, the shock could cause unconsciousness The only thing that sobers a person up is TIME!!!