Transcript Vanita Parekh presentation – ppt

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Clinical Forensic Medical Services:
Responses to the ACT Drug Driving Legislation
Associate Professor Vanita Parekh
Senior Specialist, Forensic and Sexual Health Medicine
Director, Clinical Forensic Medical Services (CFMS)
4/2/2017
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Overview
• Who are CFMS and what do they do?
– Response to drug driving legislation
• Key principle
– Removing impaired drivers from the road
• ACTGAL data
• ACT Jurisdiction
– Best practice
4/2/2017
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MVC
• Attend fatalities
• Coronial toxicology reports
– Culpable
• Toxicology interpretation
• Serious injury
– GBH
4/2/2017
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Medical examination under section 16
• Impairment testing and
sample collection
• Cocaine
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WH
SH
DA
Coronial
4/2/2017
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Clinical Impairment/Sobriety Testing
• Opportunity for intervention
• Impairment testing
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Alcohol
Sedatives
Stimulants
COMBINATIONS
• New substances
• What else could it be?
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Head injury
Diabetes
Epilepsy
Intellectual disability
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All Cause Impairment
• Fitness to Drive Medical Clinic
– 70% cancellation rate
• Police custody medical care
– Drug and alcohol
• Sexual and general assault
– Drug and alcohol
• Education
– Police
– Year 10
• Alcohol still number 1
4/2/2017
Figure 1 - Blood Alcohol Analyses Performed at ACTGAL 2002-2014
Dr Ian Whittall, Lachlan Kite and Simon Rockliff 2015
ACT Government Analytical Laboratory (ACTGAL), Health Protection Service (HPS)
Oral Fluid Analytical Results
November 2011 – January 2015
Figure 10 – Oral fluid analytical results November 2011 – January 2015
Dr Ian Whittall, Lachlan Kite and Simon Rockliff 2015
ACT Government Analytical Laboratory (ACTGAL), Health Protection Service (HPS
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Levels and Impairment
• Tolerance
• Safe levels
– BAC 0.05% interpretation
• New substances
• Prescribed medications
– ANU study
– Diversion
• Impairment testing models
– DRE
• US
• Vic , video
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Questions?