Our study indicates that this indeed is not a futile exercise, but that when operating under a standard, simplified protocol, a reasonable number of patients will respond to the intervention. Physicians and nurses have the unique position in society to turn the lights on for people in the dark about their health risks. We have identified a high-risk population that needs illumination through intervention for a disease that is responsible for huge societal costs. We have identified a viable methodology for intervention that can be adapted in virtually any emergency department. Further longitudinal research will be necessary to verify long term reduction in harmful drinking and driving in this population.

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