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my name is Eric teske I am the alcohol
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and other drug education and prevention
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coordinator at IUPUI and the office of
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health and wellness promotion in the
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division of student affairs this
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presentation is called beyond be
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responsible personal risk management for
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alcohol it's a sort of alcohol 101
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presentation it's a basic presentation
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that you would see in a first-year
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seminar class or often requested by
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student organizations or residence halls
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so let's take a look throughout the
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presentation I'll refer to the numbers
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of drinks or how many drinks or count
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the number of drinks we want to make
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sure that we're all talking about the
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same units here because alcohol comes in
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different size shaped containers in
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different concentrations so when I say
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one drink I'm talking about one standard
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drink these are all considered one
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standard drink 12 ounces of beer at five
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percent alcohol by volume four ounces of
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red wine at about 15 percent white wine
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will be a little bit less concentrated
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at about 11 or 12 percent there's a lot
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of variation with wine and then only
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when we know for sure is the 80 proof
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liquor that's the one that has the
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alcohol by volume right there in the
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name it's actually double the percentage
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so it's not eighty percent alcohol it's
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80 proof just like you'd see something
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called 151 it's not a hundred and
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fifty-one percent its 151 proof and so
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for that one serving is 1.5 ounces or
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one shot glass worth of alcohol all
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right first up true or false
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alcohol is a central nervous system
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depressant which means it makes you sad
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what do you think the answer this is
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false so it is a central nervous system
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depressant that doesn't mean it makes
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you sad actually slows down brain
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activity it doesn't give you one emotion
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or another it can magnify your emotions
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by reducing your inhibition so basically
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making whatever emotion you are feeling
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more visible to the outside but it's not
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going to assign you a specific emotion
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to feel it is gonna slow down your
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nervous system of your brain activity
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this accounts for a lot of the side
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effects of alcohol things like reduced
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reaction time blurred vision tunnel
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vision things like that are all caused
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by its effect on the nervous system
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alright true or false the only thing
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that will serve you up is time and there
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is no way to speed up this process what
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do you think all right you might have
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heard this one before and this is true
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BAC drops at a knowable rate at about
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0.01 5 per hour now if we know that BAC
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is dropping at this pretty consistent
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rate we can look at a time line let's
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say that someone stopped drinking at 2
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a.m. and their BAC was point to zero
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since we know BAC is dropping at a
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pretty consistent rate we can look at a
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time line at 3 a.m. we'd be at point 1 8
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5 4 a.m. point 1 7 and so on it wouldn't
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be until 10 a.m. the next morning that
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the person was sober enough to drive or
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actually they would still be driving
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drunk at 10 a.m. at point-o 8 the legal
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cutoff to drive if you're 21 so if
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someone had a class at 9 a.m. they would
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be drunk driving to class and if
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everyone if you've ever heard someone
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wake up and say they felt like they were
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still drunk believe them because they
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might have been and it wouldn't be until
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4 p.m. the next day that in this case
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the person would be stone-cold sober at
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point zero zero zero a lot can happen
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this time picture waking up and going to
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class going to work grabbing a workout
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all with at least a little bit of
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alcohol still in your system do you
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think you'd be performing at your best
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let's try this true or false alcohol
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affects everybody in the same way as
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long as they're the same size what do
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you think right this one is false
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alcohol is going to affect everybody in
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different ways even if they're the same
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size there are a lot of ways that
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alcohol can affect people
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look at all these factors that affect
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intoxication not just blood-alcohol
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content but the level of impairment
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based on other physiological emotional
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factors level of hydration body
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composition hormone levels amount of
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sleep the list goes on let's look at the
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metabolism of ethanol ethanol is the
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type of alcohol that's in alcoholic
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beverages you can see ethanol on the
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left as it's broken down goes through
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two different phases alcohol
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dehydrogenase is the enzyme that turns
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ethanol into acetaldehyde now
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acetaldehyde is actually very toxic in
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your system and can cause damage to
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organs so it has to be broken down yet
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again before it's turned into harmless
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acetate there are some people that make
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less alcohol dehydrogenase if you make
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less of the thing that's breaking down
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the ethanol what's gonna happen if that
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person continues to drink less alcohol
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dehydrogenase and the level of ethanol
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goes up this causes BAC to rise quickly
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and to stay high longer in people with
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less alcohol dehydrogenase now there are
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some populations that naturally make
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less women tend to make less alcohol
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dehydrogenase than men and it is
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hereditary so it can be passed down to
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families in different populations such
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as Alaskan Natives Pacific Islanders
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Native Americans tend to have less
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alcohol dehydrogenase because it's
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passed down through their family family
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bloodlines
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let's talk about the effect of body size
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and composition on blood alcohol
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concentration so use your imagination
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and picture these three rectangles as
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three different people I said use your
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imagination now the blue rectangle is
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the amount of lean body mass the amount
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of tissues in the body that water can be
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dispersed into now alcohol can follow
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the water into these tissues alcohol
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penetrates every tissue of the body
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except bone and fat so what will happen
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if we add some fat some adipose tissue
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to this rectangle on the left you see
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that we've increased the size of the
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shape but we haven't really changed the
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amount of blue area the lean body mass
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where the alcohol can disperse into
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imagine pouring a vial of red food
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coloring into a glass of water it will
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be very concentrated because it doesn't
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have that much space to spread out now
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imagine pouring that same amount of red
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food coloring into a swimming pool
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it would be much more diluted because
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the food clarinha has more space to
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spread out the same is true with alcohol
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and lean body mass now if we increase
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the lean body mass let's say the
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rectangle on the right has been pumping
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some iron now we see more blue space
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more area where the alcohol can spread
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out so the same amount of alcohol now
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has more room to disperse any
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concentration will be lower we've looked
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at a variety of factors that affect the
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level of intoxication and blood alcohol
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concentration and the conclusion here is
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that the decision to drink really should
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be a personal choice because everybody's
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body is different everybody's body
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chemistry is slightly different and
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everybody's family history is different
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so everyone has genetic differences and
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physical differences that means the
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alcohol is going to affect them in
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unique ways different from everyone else
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around them all right so we know the
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decision to drink is a personal choice
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let's look at some reasons people give
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for why they drink use our survey
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results from 3,000 IEP UI students from
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a random sample in spring 2013 it didn't
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include students who did not drink at
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all and it's sort of set up like Family
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Feud where the number one answer is the
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most reported answer it doesn't exactly
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work like Family Feud because the
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percentages don't add up to a hundred
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percent exactly it's sort of a check all
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that apply so let's see the reasons that
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students gave number eight was to get to
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sleep ten percent said they used alcohol
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to help them sleep number seven to get
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away from problems number six because
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they're bored
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number five out of anger or frustration
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or to deal with anger or frustration
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number four to feel good number three
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because it tastes good
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number two helps me relax and the number
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one answer it's a social activity and
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this is pretty common this is what we
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usually see rise into the top there's
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definitely a social component to it and
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people use it to help them relax
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there are some good and some bad things
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about drinking people definitely use it
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in different ways and can lead to
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positive and negative outcomes so like
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we saw in the previous slide people are
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using it as a way to relax to help them
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socialize or because they enjoy the
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tastes and those can be considered
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pretty good outcomes there's also some
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bad there's ways that people are using
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it that are maybe not so healthy and it
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can lead to some pretty severe negative
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consequences so let's remind ourselves
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of some of the good
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all-righty things that we recognize
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social activity helps me relax
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not-so-surprising there and then some of
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the bad things these are items that
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students usually give in presentations
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when we asked to name some of the bad or
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consequences from alcohol use it can be
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anything from hangovers to causing
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fights health consequences it can get
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expensive can cause people to miss
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classes there's really a range of
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negative everything from you know
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sending a text to your mom that you wish
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you didn't all the way to serious injury
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or even death so there's a big range
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when we're gonna focus on is what's the
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risk versus benefit how do we get all of
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the good and none of the bad is that
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even possible
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if not how do we get at least most of
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the good and reduce as much bad as
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possible what would that look like
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how could someone drink in a way to
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maximize the good and reduce the bad
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they could be responsible be safe know
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when to stop do you notice anything
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about these phrases these phrases
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frustrate me so much this is the kind of
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stuff you see in alcohol commercials or
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things your parents tell you or your
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professors tell you it's well-wishing it
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doesn't really mean anything know your
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limits be smart
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that doesn't really provide any
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information that would be like saying do
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well in your exam well thanks that
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doesn't actually help me on my exam how
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about some study tips or some test
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taking strategies something usable
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rather than just well wishing that's
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what I want to focus on next some real
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useable strategies and not just hoping
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for the best or wishing you well hoping
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that nothing bad happens if you want to
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get specific this is very specific I
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spent the whole first half of the
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presentation telling you about how
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everyone is a unique snowflake and
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everyone's drinking differently because
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their body is different well the NIH is
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trying to be helpful by oversimplifying
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it so we'll take this into consideration
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as we look at these low risk drinking
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guidelines they come from a survey of
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43,000 US adults and people who followed
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these strategies only 2% went on to
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develop consequences of alcoholism or
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alcohol abuse so pretty low risk but
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there's still a risk there the way it
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works is you have to follow both the top
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and the bottom rules so let's take a
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look at this men should have no more
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than four drinks on any single day and
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no more than 14 in a week now that
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doesn't mean have four drinks every
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single day
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it doesn't mean save them all up and
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have 14 all at once on a Saturday you
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have to follow both the top and the
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bottom so fall into this low-risk
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drinking guidelines for what women it's
00:12:56
fewer it's no more than three drinks on
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any single day and no more than seven in
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a week do you remember why women should
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have fewer drinks than men to be
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considered low risk that's right it's
00:13:09
because women naturally make less
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alcohol dehydrogenase so though BAC will
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rise faster
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and as the BAC goes up so does the risk
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level if you want it to be even lower
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risk you'd follow the zero one to four
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rule this puts you at low risk of all
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consequences not just the consequences
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of developing alcoholism or alcohol
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abuse this is all possible outcomes it's
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been studied in things like divorce
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rates and joblessness and future salary
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so a lot of different consequences are
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considered here and this puts you at low
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risk of all of them here's how it works
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there are people that should have zero
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drinks to be considered low risk that's
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people who are under the legal drinking
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age pregnant or on medication where they
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should not be drinking women can have
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one drink per day and still be
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considered low risk no more than one
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drink per day for women the two you
00:14:11
guessed it is for men men can have no
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more than two drinks per day and still
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be considered low risk now is that two
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drinks every single day that's the
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fourth rule no more than four days per
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week so whether it's one or two drinks
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no more than four days a week
00:14:30
to be considered a low risk drinker this
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puts you at low risk of all negative
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outcomes including health consequences
00:14:37
legal trouble or I guess anything
00:14:43
alright this is one of my favorites this
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is called the biphasic effect on the
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left hand side you see a scale ranging
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from the effect of alcohol acting as a
00:14:52
stimulating buzz all the way down to
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it's sedative effects and across the
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horizontal axis you see the blood
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alcohol content now a lot of times when
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people start drinking they are under the
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impression of a urban myth that the more
00:15:07
alcohol the better if I have a little
00:15:10
bit of fun when I have a little bit of
00:15:12
alcohol
00:15:12
I'll have even more fun when I have a
00:15:14
lot of alcohol I'm sorry it just doesn't
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work that way but it is interesting the
00:15:20
alcohol can sort of act like a stimulant
00:15:22
even though we know it's a central
00:15:24
nervous system depressant here's what
00:15:26
the curve actually looks like in small
00:15:29
quantities alcohol does produce a sort
00:15:32
of stimulating buzz and then eventually
00:15:34
as the BAC Rises the sedative effects
00:15:37
take over it is after all a central
00:15:40
nervous system depressant but there's a
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point right around 0.055 the point of
00:15:45
diminishing returns that's the peak of
00:15:48
the crest that's the top of the wave and
00:15:50
so if someone was drinking because they
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wanted that feeling of a stimulating
00:15:55
buzz a euphoric sensation that's
00:15:58
probably where they would want to stay
00:16:00
now what would the best strategy be to
00:16:03
maximize the amount of time someone
00:16:04
would spend at a BAC 0.055 this just
00:16:09
happens to look like low-risk drinking
00:16:11
it means spacing your drinks out over
00:16:13
time drinking a little bit and then
00:16:16
waiting to see how you feel
00:16:17
drinking a little bit more and then
00:16:19
stopping alternating non-alcoholic
00:16:22
drinks with alcoholic drinks and so on
00:16:23
so these are all strategies that people
00:16:25
can use to really maximize that buzz if
00:16:28
that's what they're going for but it
00:16:29
also keeps them below the legal limit to
00:16:33
drive and in a more reasonable length
00:16:35
range in terms of their BAC level and
00:16:39
their overall risk
00:16:43
alright I mentioned some strategies that
00:16:45
people would use to stay at a certain
00:16:47
BAC to sort of hover at that point oh
00:16:49
five five that's a way to drink in a
00:16:52
low-risk way let's look at some other
00:16:54
common strategies that students say that
00:16:55
they do most of the time or always
00:16:58
number eight would be tell friends it's
00:17:01
okay to cut you off this is sort of like
00:17:03
giving your friends permission ahead of
00:17:04
time so they don't have to wonder
00:17:06
whether or not you're gonna be annoyed
00:17:08
or angry that they cut you off they'll
00:17:10
know that they have your permission in
00:17:11
that it's okay number seven avoid
00:17:15
drinking games or I guess any situation
00:17:17
that you'd be required or told to drink
00:17:19
and not just drinking at your own
00:17:20
comfortable pace number six set drink
00:17:24
limit ahead of time this is when you
00:17:26
decide how many drinks you're gonna have
00:17:27
when you're sober and then try to stick
00:17:29
to that later on number five would be to
00:17:32
stick to one kind of drink fifty percent
00:17:35
of people said that they do this most of
00:17:36
the time are always when they're
00:17:37
drinking number four is count your
00:17:40
drinks this is a great way to keep track
00:17:42
and try to guess what your BAC would be
00:17:44
to keep track of how many you've had
00:17:47
over how long a period of time and just
00:17:49
monitor to make sure that your number of
00:17:51
drinks isn't going up too quickly
00:17:53
alright number three eat something
00:17:56
having something in your stomach is a
00:17:58
great way to reduce your risk and we'll
00:17:59
go into more detail in the next slide
00:18:02
number two use a designated driver only
00:18:06
forty only eighty four percent here I
00:18:08
wish that number was a little bit higher
00:18:09
at least it made the top two using a
00:18:12
designated driver is definitely a way to
00:18:14
reduce risk of some pretty serious
00:18:16
consequences and the number one answer
00:18:18
survey says stick together now you might
00:18:22
not think this is an alcohol risk
00:18:23
reduction strategy it's just staying
00:18:25
with your friends and hanging out it's
00:18:27
actually a great way to make sure that
00:18:29
you have each other's backs to watch out
00:18:31
for one another and make sure everyone's
00:18:32
being safe you can make sure someone
00:18:35
gets home safely and think about it if
00:18:37
someone shows up at a party alone no one
00:18:40
at the party has any idea if the person
00:18:42
just did five shots or if they've had
00:18:44
any alcohol at all so it makes it tough
00:18:47
to guess unless you're with someone too
00:18:48
for the course of the whole night it
00:18:51
makes it really difficult to kind of
00:18:52
keep track about people around you and
00:18:55
how much they're consuming
00:18:59
all right this is what I call the
00:19:01
stomach diagram let's look at this
00:19:03
here's your stomach now let's fill it
00:19:06
with some alcohol all right now what are
00:19:09
we gonna eat let's try a cheesy gordita
00:19:12
crunch that's my favorite let's say
00:19:14
you've got this alcohol in your stomach
00:19:16
along with a cheesy gordita crunch what
00:19:18
is the effect and how is it helping you
00:19:21
out well it's gonna slow the absorption
00:19:24
of the alcohol in three different ways
00:19:26
first it's gonna actually soak up some
00:19:29
of the alcohol now this is pretty
00:19:31
minimal but it is technically happening
00:19:34
any food that's sort of like a sponge
00:19:36
will absorb some of the alcohol
00:19:38
temporarily now that alcohol will get
00:19:41
absorbed later on but like I said it's
00:19:43
just slowing down how long it takes for
00:19:45
that alcohol to get absorbed number two
00:19:48
is it's blocking contact with the
00:19:50
stomach lining so if it's coming in
00:19:52
contact with the stomach lining that's a
00:19:54
point where now the alcohol cannot be
00:19:57
absorbed and so with absorption is all
00:20:00
about surface area the more surface area
00:20:02
the alcohol has with the lining of your
00:20:04
stomach the faster it'll be absorbed so
00:20:06
it's technically blocking a little bit
00:20:08
of that stomach lining probably the most
00:20:12
significant way that it's gonna help you
00:20:13
out is it slow and absorption by keeping
00:20:16
the food in your stomach longer once the
00:20:19
contents is sent along to the duodenum
00:20:22
or the duodenum I've heard it both ways
00:20:25
absorption absorption is much faster the
00:20:28
surface area of your duodenum is about
00:20:31
as big as a tennis court and so the
00:20:33
alcohol has a lot of space to get
00:20:35
absorbed through that lining and get
00:20:38
into your bloodstream so that's pretty
00:20:41
much it is having food in your stomach
00:20:43
going to reduce your BAC well it's gonna
00:20:47
make the alcohol in your stomach stay
00:20:48
there longer it will eventually make its
00:20:51
way to your bloodstream it's certainly
00:20:53
not sucking alcohol out of your veins
00:20:55
right but it's gonna delay the alcohol
00:20:59
that's currently in your stomach from
00:21:00
getting there longer so it can help your
00:21:02
body keep up and really spread out the
00:21:04
amount of time it takes for that to get
00:21:06
absorbed
00:21:09
let's try this question what percent of
00:21:11
male IUPUI students have four or fewer
00:21:14
drinks when they go out now this is a
00:21:16
self-report survey from spring 2014 it
00:21:19
is a random sample and it's completely
00:21:21
anonymous we do three different
00:21:23
assessments ie py and all the numbers
00:21:25
end up about in the same area so we
00:21:28
think that's a pretty good test of
00:21:30
validity to make sure that we're not
00:21:32
just getting random answers from people
00:21:33
and we think we have a pretty good
00:21:35
handle of what students are actually
00:21:37
doing let's see did you get your guests
00:21:41
yet it's actually a 68% what percent of
00:21:49
female IUPUI students have four or fewer
00:21:51
drinks when they go out this is from the
00:21:54
same survey obviously female students
00:21:56
here what percent do you think have four
00:21:58
or fewer it's actually 79%
00:22:08
for men and women combined it's 75% of
00:22:12
the student body having four or fewer
00:22:14
drinks when they go out you can see
00:22:16
they're right there in that range they
00:22:17
are pretty much following the low-risk
00:22:19
guidelines let's try this question what
00:22:25
percent of IUPUI students have had zero
00:22:26
drinks in the past thirty days zero
00:22:29
drinks in the past month not even one
00:22:32
drink in the past month what percent do
00:22:34
you think alright it's about a third 32%
00:22:42
did you find yourself under estimating
00:22:44
the percent of students who drink in a
00:22:45
low-risk way why is that let's explore
00:22:49
this more using what I like what I like
00:22:51
to call one hundred people house party
00:22:53
imagine a hypothetical house party with
00:22:55
100 attendees where the number of drinks
00:22:58
they have is exactly representative of a
00:23:00
cross-section of the entire student body
00:23:02
how many drinks would each person have
00:23:06
some people would be having 1 to 4
00:23:09
drinks quite a few actually some people
00:23:14
would be having 5 drinks some people
00:23:18
wouldn't be having 6 drinks and then
00:23:22
there's the group playing beer pong
00:23:24
puking in the stairwell knocking over
00:23:27
the birdbath and there having seven or
00:23:29
more I think the highest was even 18
00:23:30
drinks in a single night and they're
00:23:32
represented by these dots over here so I
00:23:35
call this job security right there is
00:23:37
definitely some high-risk drinking going
00:23:39
on IUPUI there's a handful of students
00:23:43
at this hypothetical party but it's
00:23:44
definitely not the majority most people
00:23:48
at this party are having 1 to 4 drinks
00:23:50
and so far the people that had zero
00:23:51
drinks aren't even at the party let's
00:23:54
take a look when we add them
00:23:57
if you add in the students that didn't
00:23:59
even drink that night one-third of IUPUI
00:24:02
students you see that the people having
00:24:04
seven or more really don't speak for
00:24:06
everybody
00:24:07
they really don't represent what a
00:24:09
typical student is doing but if you're
00:24:12
gonna ask somebody how was the party
00:24:14
last night who do you think they would
00:24:16
tell a story about yeah they're gonna
00:24:19
talk about the more extreme behavior the
00:24:21
stuff that makes headlines it shows up
00:24:24
on your newsfeed and there's a ten
00:24:26
minute snapchat story about it
00:24:28
it seems more interesting intriguing
00:24:30
extreme it's the kind of stuff that
00:24:32
would make the news it's the same reason
00:24:34
my mom freaks out that I work in
00:24:36
downtown she watches the evening news
00:24:38
too much and what kind of stuff comes up
00:24:40
there
00:24:40
it's the hand-picked stuff that's the
00:24:43
most interesting most extreme things if
00:24:46
you formed your opinion about what daily
00:24:48
life was like an Indianapolis based on
00:24:50
the evening news headlines you'd be
00:24:52
you'd be scared to go outside so that
00:24:55
same thing is happening with our
00:24:56
perceptions about high-risk drinking if
00:24:58
we only hear from the people who are
00:25:00
doing the more extreme behavior and
00:25:02
there's not really that many stories
00:25:04
about the people that had zero or one
00:25:06
drink that night you know no one's
00:25:07
bragging on social media had one drink
00:25:10
and folded laundry now I'm gonna watch
00:25:11
Netflix so if you don't hear about it
00:25:14
you don't remember it and that can I
00:25:15
think contribute a lot to skewing our
00:25:17
perception about what we consider
00:25:19
typical or normal okay here we have
00:25:25
information from alcohol edu this is the
00:25:28
online course that incoming students
00:25:30
take we can see that the first three
00:25:31
weeks of school here there's definitely
00:25:33
some peaks and valleys this is what we
00:25:35
consider sort of typical college binge
00:25:38
drinking where the number goes way up on
00:25:40
weekends and goes back down during the
00:25:42
week now even though it's peaking on
00:25:44
Fridays and Saturdays notice the average
00:25:47
number of drinks that's only going up to
00:25:48
about two drinks on average and the
00:25:51
national average is about three drinks
00:25:52
so although it does spike on weekends
00:25:54
and we see this pattern the number
00:25:56
doesn't shoot up to you know seven to
00:25:58
ten drinks on average the average is
00:26:00
still fairly low here's some more
00:26:05
information from alcohol edu these are
00:26:07
some negative consequences that are
00:26:09
experienced by students at IUPUI
00:26:11
these are self-report numbers you can
00:26:13
see that I'm pretty pleased IUPUI is
00:26:15
below the national average and things
00:26:17
like having a hangover blacking out
00:26:19
missing class but there's two areas on
00:26:22
here that we're actually exceeding the
00:26:24
national average can you see which ones
00:26:26
they are they're right down here and
00:26:31
what do these have in common
00:26:33
they both have to do with vehicles
00:26:35
either riding with someone after they've
00:26:37
been drinking or driving after having a
00:26:39
few drinks so what do you think it is
00:26:41
about Indianapolis or IUPUI's campus
00:26:44
that would make us be beating the
00:26:46
national average when it comes to risky
00:26:48
behavior with alcohol and vehicles think
00:26:54
about that I'll have you reflect on that
00:26:56
in a discussion question so keep that in
00:26:58
mind as we move forward here okay here's
00:27:02
a snapshot of just some other risk
00:27:05
behaviors for IUPUI students you see
00:27:06
compared to the national average ie Pui
00:27:09
is just a different kind of campus it
00:27:11
just doesn't seem to be what we do here
00:27:13
as much you know doing shots pre-gaming
00:27:16
chugging you see it's all easily under
00:27:20
about a third of the students engaging
00:27:22
in these behaviors it's just not quite
00:27:24
as typical here at IUPUI okay let's talk
00:27:30
about the signs of alcohol poisoning if
00:27:33
you've ever taken a first aid class or a
00:27:34
lifeguard training class you probably
00:27:36
learned about the symptoms of shock
00:27:38
alcohol poisoning is pretty similar in a
00:27:40
lot of ways if the person has cold
00:27:43
clammy bluish skin any kind of slow or
00:27:46
irregular breathing irregular heart rate
00:27:49
if the person is vomiting while they're
00:27:52
passed out or vomiting excessively and
00:27:54
then if the person cannot be awakened
00:27:56
those are definitely signs that
00:27:58
something serious is going on and it's
00:28:01
considered an alcohol emergency at that
00:28:06
point so definitely that's an
00:28:07
appropriate time to call 9-1-1
00:28:10
if left untreated alcohol poisoning can
00:28:13
be deadly
00:28:14
remember alcohol is a central nervous
00:28:16
system depressant so it can slow your
00:28:18
heart rate and breathing to the point
00:28:19
where your body doesn't get enough
00:28:20
oxygen and it can and it can kill you
00:28:22
that way what's more likely is if the
00:28:26
person is drunk enough to vomit but too
00:28:29
drunk to be able to roll over or clear
00:28:32
the vomit from their mouth if they're
00:28:33
unresponsive the person can actually
00:28:35
choke on their own vomit and it can be
00:28:37
deadly that way even if someone doesn't
00:28:39
die from alcohol poisoning it can lead
00:28:41
to brain damage seizures hypothermia so
00:28:45
there's a lot of different things that
00:28:46
can happen and we definitely want to
00:28:48
intervene to prevent these things from
00:28:49
occurring what you can do to help is to
00:28:55
initiate the emergency action response
00:28:57
as soon as possible call 9-1-1 get an RA
00:29:01
tell someone to call the police get that
00:29:03
emergency response initiated as soon as
00:29:05
possible and don't leave the person
00:29:07
alone you definitely want to stay with
00:29:09
them make sure that they don't vomit and
00:29:10
choke on it
00:29:11
make sure that their their breathing is
00:29:14
continuing don't put them to bed to
00:29:16
sleep it off and if they pass out make
00:29:19
sure that they're on their side so the
00:29:20
vomit can clear
00:29:21
unfortunately there's no simple thing
00:29:23
that you can do to just leave them and
00:29:26
know for sure that they are gonna be
00:29:28
fine if you put them to sleep on their
00:29:30
stomach they could suffocate in a pillow
00:29:32
if you put them to sleep on their back
00:29:33
they could choke on vomit if you put
00:29:35
them to sleep on their side who's to say
00:29:37
that they're not gonna toss and turn and
00:29:39
roll over so unless you're gonna be with
00:29:41
them the entire night monitoring their
00:29:43
pulse and breathing it's really best to
00:29:46
get a professional to do a medical
00:29:47
evaluation so that you're not playing
00:29:49
doctor and trying to guess to determine
00:29:52
if someone is okay or not leave that to
00:29:55
the professionals and let them make the
00:29:56
call
00:30:00
okay Indiana actually has a very
00:30:03
progressive medical amnesty law called
00:30:06
the Indiana lifeline law it was expanded
00:30:08
in 2014 and provides legal immunity the
00:30:12
word immunity is right there in the law
00:30:14
now that's not very often that you see
00:30:15
that provides immunity from underage
00:30:18
drinking and public intoxication laws
00:30:20
for anyone who calls the police in
00:30:22
response to a crime reporting being the
00:30:26
victim of a sexual offense or other
00:30:27
health emergency this is for individuals
00:30:30
and groups so it's not a race to the
00:30:32
phone to see who's immune anyone who's
00:30:35
on the scene helping can receive that
00:30:36
immunity and the way it's worded is if
00:30:39
you're reporting what you believe to be
00:30:41
a crime then you can still get that
00:30:44
immunity so it doesn't have to actually
00:30:45
even be a crime if you see something
00:30:47
that doesn't look right that looks like
00:30:49
an emergency is happening and that's the
00:30:51
reason the police find out about your
00:30:53
underage drinking or public intoxication
00:30:55
then you have immunity and you cannot be
00:30:58
charged with those like I said it only
00:31:02
covers certain laws so public
00:31:04
intoxication and the minor possession
00:31:07
consumption and transport laws and if
00:31:10
the person reveals themselves to law
00:31:12
enforcement again if that's the reason
00:31:14
they find out is because you made the
00:31:15
call
00:31:16
not because you were going to call or
00:31:18
you meant to call later on its if you
00:31:20
actually were the one to call or reveal
00:31:23
yourself to law enforcement and that's
00:31:25
the reason they found out it's really
00:31:27
designed to encourage bystanders to make
00:31:29
the call to remove that hesitation and
00:31:31
those barriers we don't want people
00:31:33
standing around for half an hour
00:31:35
debating whether or not they should make
00:31:36
the call we want them to make that call
00:31:38
right away you receive immunity if you
00:31:44
are the one who calls or if you act
00:31:45
alongside the person who calls so if you
00:31:47
are with someone and you're also on the
00:31:49
scene helping you will also receive
00:31:51
immunity but if you're in the backyard
00:31:53
playing beer pong
00:31:53
I'm sorry you're not acting alongside
00:31:56
the person who called I have to provide
00:31:58
your full name and stay on the scene
00:32:00
cooperate cooperate with authorities
00:32:02
basic stuff like that
00:32:06
okay the Lifeline law was expanded in
00:32:09
2014 to create a deferment condition for
00:32:11
the victim so maybe you're thinking I'm
00:32:13
not worried about getting in trouble
00:32:14
myself but what about the person who's
00:32:16
passed out I don't want them to get in
00:32:18
trouble
00:32:18
there's now a deferment condition where
00:32:21
they can pay a fine to the court take an
00:32:23
alcohol education class and they can get
00:32:25
that sealed from their record where
00:32:27
there's actually no conviction on their
00:32:30
record so they don't have to report
00:32:31
anything to future employers it's not
00:32:33
gonna show up in a background check
00:32:35
anything like that it establishes a
00:32:37
mitigating circumstance for drug
00:32:39
possession
00:32:40
so Indiana didn't make a law that says
00:32:42
we're gonna ignore drug laws instead
00:32:44
they make a mitigating circumstance
00:32:46
which means the judge has to officially
00:32:48
take it into consideration upon
00:32:49
sentencing so nine times out of ten
00:32:52
that's gonna mean a reduced sentence for
00:32:54
drug possession it's just not written
00:32:57
crystal clear guaranteed in the law but
00:33:00
unless there's nothing else like
00:33:02
violence that accompanied that if it's
00:33:04
just the drug possession it's probably
00:33:07
gonna be a reduced sentence because they
00:33:08
want to encourage people to do the right
00:33:09
thing and make the call they want to
00:33:11
they want to reward that behavior they
00:33:13
don't want to turn on and say thanks for
00:33:16
calling to save your friend's life
00:33:17
now you're busted so they really try to
00:33:20
make it a little bit easier on the on
00:33:22
the person doing the right thing it also
00:33:24
allows emergency responders to
00:33:26
administer an overdose intervention drug
00:33:28
immediately so this is called naloxone
00:33:30
and it's like an EpiPen that goes in the
00:33:32
thigh so if a person is overdosing on
00:33:35
opiate drugs it stops the overdose from
00:33:38
happening
00:33:39
I hear it's actually quite shocking in
00:33:41
emergency rooms they'll they'll
00:33:42
administer it and the person will be
00:33:43
foaming at the mouth one minute and then
00:33:46
two minutes later up and walking and
00:33:47
talking
00:33:48
it really does stop the overdose in its
00:33:51
tracks and now emergency responders can
00:33:53
administer that right away if someone
00:33:55
was under 18 before they used to have to
00:33:57
call the parents or get a prescription
00:34:00
for and and now they can just give it no
00:34:03
questions asked because really it saves
00:34:06
the person's life on the spot
00:34:10
well that's all we have this has been
00:34:13
the alcohol personal choices
00:34:15
presentation as part of the health and
00:34:18
wellness peer education program continue
00:34:20
the discussion online and on canvas and
00:34:23
continue on to the next week's course
00:34:24
thanks a lot
