Kharasch, SigmundMcBride, David R.Saitz, RichardMyers, Ward P.2016-07-142016Kharasch, Sigmund J., David R. McBride, Richard Saitz, and Ward P. Myers. 2016. “Drinking to toxicity: college students referred for emergency medical evaluation.” Addiction Science & Clinical Practice 11 (1): 11. doi:10.1186/s13722-016-0059-4. http://dx.doi.org/10.1186/s13722-016-0059-4.1940-0632http://nrs.harvard.edu/urn-3:HUL.InstRepos:27662068Background: In 2009, a university adopted a policy of emergency department transport of students appearing intoxicated on campus. The objective was to describe the change in ED referrals after policy initiation and describe a group of students at risk for acute alcohol-related morbidity. Methods: A retrospective cohort of university students during academic years 2007–2011 (September–June) transported to local ED’s was evaluated. Data were compared 2 years prior to initiation of the policy and 3 years after and included total number of ED transports and blood or breath alcohol level. Results: 971 Students were transported to local ED’s. The mean number of yearly transports 2 years prior to policy initiation was 131 and 3 years after was 236 (56 % increase, p < 0.01). 92 % had a blood or breath alcohol level obtained. The mean alcohol level was 193 mg/dL. Twenty percent of students had alcohol levels greater than 250 mg/dL. Conclusions: Adoption of a university alcohol policy was followed by a significant increase in ED transports of intoxicated students. College students identified as intoxicated frequently drank to toxicity.en-USJournal Article2016-07-1410.1186/s13722-016-0059-4