Table of Contents

Contributors vii Preface ix 1 Alcohol use: Consumption and costs 1 Peter McGovern and Eric Appleby 2 Alcohol use: Society and politics 7 Peter McGovern and Eric Appleby 3 Alcohol in the body 12 Alex Paton and Anne McCune 4 Definitions 15 Alex Paton 5 The nature of alcohol use disorders 19 John B. Saunders 6 The detection of alcohol use disorders 25 John B. Saunders 7 Medical problems 33 Alex Paton 8 Problems in the Emergency Department and their solutions 37 Zulfiquar Mirza and Robin Touquet 9 Alcohol and the young person 42 William Christian, Sian Veysey and Anne Frampton 10 Alcohol and the older person 46 Jarrod Richards and Rachel Bradley 11 Alcohol and the liver 50 Anne McCune 12 Surgical problems 56 James S. Huntley 13 Alcohol, maxillofacial trauma and prevention of personal violence 61 Jonathan Shepherd and Paul Jordan 14 Neurological and neurosurgical complications of alcohol 64 Jane Alty and Jeremy Cosgrove 15 Alcohol and cancer 69 Sarah L. Williams 16 Alcohol and the heart 74 Nitin Kumar, Yasmin Ismail and Julian Strange 17 Drug alcohol interactions 79 Dan Harris 18 Management of acute unplanned alcohol withdrawal 84 Adrian Brown and Anne McCune 19 The role of alcohol care teams in district general hospitals 89 Kieran J. Moriarty 20 Management in primary care 95 Carsten Grimm 21 Advice and counselling 99 Nicola Taylor 22 Psychological treatment and relapse prevention 102 Nicola Taylor 23 Alcohol and psychiatry 105 Nicola Taylor 24 Other resources, and alcohol and the doctor 109 Nicola Taylor Index 000

About the Author

Anne McCune, Consultant Hepatologist, Department of Hepatology, Bristol Royal Infirmary, University Hospitals Bristol NHS Foundation Trust, Bristol, UK