A Brief Overview of Alcohol & the Science of Intoxication
The
prosecution and defense of a Driving Under the Influence case can be
based upon scientific and medical principles. The blood alcohol content
of an individual is separate and distinct from the "high" that we
receive when we consume alcohol. One can be above the legal limit but
not show any signs of impairment. On the other hand, one can be
impaired, without reaching the "magic number" of .08.
Below
is a brief description of alcohol and the physiology behind its
absorption, distribution, and elimination. Understanding the science is
an essential part of your defense. It is imperative that your attorney
understands the science before he represents you.
Alcohol:
"Alcohol"
is the name given to a family of closely related and
naturally-occurring chemicals. Each of the chemicals that is called an
"alcohol" is made up of molecules that contain a single oxygen atom and
varying numbers of hydrogen and carbon atoms. The simplest alcohol has
only one carbon atom and four hydrogen atoms. The next alcohol has two
carbons and six hydrogens. The third alcohol has three carbons and eight
hydrogens. The next one in the "chain" has one more carbon and two more
hydrogen atoms than the one before. That is how the alcohols differ
from one another.
Alcohols
are molecularly very similar and produce similar effects. They produce
intoxicating effects when ingested into the human body. Only one of them
is meant for human consumption. However, when ingested in substantial
quantities it can cause death.
The
ingestible alcohol is known as ethyl alcohol, or ethanol. Its chemical
abbreviation is ETOH. The "ET" stands for "ethyl" and the "OH"
represents the single oxygen atom and one of the hydrogen atoms, bonded
together in what chemists refer to as the "hydroxy radical". Ethanol is
the variety of alcohol that has two carbon atoms. Two of ethanol's best
known analogs are methyl alcohol (or methanol), commonly called "wood
alcohol", and isopropyl alcohol (or isopropanol), also known as "rubbing
alcohol".
Ethanol
is what interests us, because it is the kind of alcohol that features
prominently in impaired driving. Ethanol is beverage alcohol, the active
ingredient. in beer, wine, whiskey, liquors, etc. Ethanol production
starts with fermentation. That is a kind of decomposition in which the
sugars in fruit, grains and other organic materials combine with yeast
to product the chemical we call ethanol. This can occur naturally, as
yeast spores in the air come into contact with decomposing fruit and
grains. However, most of the ethanol in the world didn't ferment
naturally, but was produced under human supervision.
When
an alcoholic beverage is produced by fermentation, the maximum ethanol
content that can be reached is about 14%. At that concentration, the
yeast dies, so the fermentation stops. Obtaining a higher ethanol
content requires a process called distillation. This involves heating
the beverage until the ethanol "boils off", then collecting the ethanol
vapor. It is possible to do this because ethanol boils at a lower
temperature than does water.
Distilled
spirits is the name we give to high-ethanol-concentration beverages
produced by distillation. These include rum, whiskey, gin, vodka, etc.
The ethanol concentration of distilled spirits usually is expressed in
terms of proof, which is a number corresponding to twice the ethanol
percentage. For example, an 80-proof beverage has an ethanol
concentration of 40 percent.
Over
the millennia during which people have used and abused ethanol, some
standard-size servings of the different beverages have evolved. Beer,
for example, is normally dispensed in 12-ounce.servings. Since beer has
an ethanol concentration of about four percent, the typical bottle or
can of beer contains a little less than one-half ounce of pure ethanol. A
standard glass of wine has about four ounces of liquid. Wine is about
12 percent alcohol, so the glass of wine also has a bit less than
one-half ounce of ethanol in it. Whiskey and other distilled spirits are
dispensed by the "shot glass", usually containing about one and
one-quarter ounce of fluid. At a typical concentration of forty percent
ethanol (80-proof), the standard shot of whiskey has approximately
one-half ounce of ethanol. Therefore, as far as their alcoholic contents
are concerned, a can of beer, a glass of wine and a shot of whiskey are
all the same.
Physiologic Processes
Ethanol
is a Central Nervous System Depressant. It doesn't affect a person
until it gets into their central nervous system, i.e., the brain, brain
stem and spinal cord. Ethanol gets to the brain by getting into the
blood. In order to get into the blood, it has to get into the body.
There
are actually a number of different ways in which ethanol can get into
the body. It can be inhaled. Ethanol fumes, when taken into the lungs,
will pass into the bloodstream and a positive blood alcohol
concentration (BAC) will develop.
However,
prolonged breathing of fairly concentrated fumes would be required to
produce a significantly high BAC. Ethanol could also be injected,
directly into a vein; it would then flow with the blood back to the
heart, where it would be pumped first to the lungs and then to the
brain. And, it could be inserted, as an enema, and pass quickly from the
large intestine into the blood. But none of these methods are of any
practical significance, because alcohol is almost always introduced into
the body orally, i.e., by drinking.
Absorption
Once
the ethanol gets into the stomach, it has to move into the blood. The
process by which this happens is known as absorption. One very important
fact that pertains to alcohol absorption is that it doesn't have to be
digested in order to move from the stomach to the blood. Another very
important fact is that alcohol can pass directly through the walls of
the stomach. These two facts, taken together, mean that—under the right
circumstances—absorption of alcohol can he accomplished fairly quickly.
The ideal circumstance for rapid absorption is to drink on an empty
stomach.
When
the alcohol enters the empty stomach, about 20 percent of it will make
its way directly through the stomach walls. The remaining 80 percent
will pass through the base of the stomach and enter the small intestine,
from which it is readily absorbed into the blood. Because the body
doesn't need to digest the alcohol before admitting it into the
bloodstream, the small intestine will be open to the alcohol as soon as
it hits the stomach.
But
what if there is food in the stomach? Suppose the person has had
something to eat shortly before drinking, or eats food while drinking;
will that affect the absorption of alcohol?
Yes
it will. Food has to be at least partially digested in the stomach
before it can pass to the small intestine. When the brain senses that
food is in the stomach, it commands a muscle at the base of the stomach
to constrict, and cut off the passage to the small intestine. The muscle
is called the pylorus, or pyloric valve. As long as it remains
constricted, little or nothing will move out of the stomach and into the
small intestine. If alcohol is in the stomach along with the food, the
alcohol will also remain trapped behind the pylorus. Some of the alcohol
trapped in the stomach will begin to break down chemically before it
ever gets into the blood. In time, as the digestive process continues,
the pylorus will begin to relax, and some of the alcohol and food will
pass through. But the overall effect will be to slow the absorption
significantly. Because the alcohol only slowly gets into the blood, and
because the body will continue to process and eliminate the alcohol that
does manage to get in there, the drinker's BAC will not climb as high
as it would have if he or she had drunk on an empty stomach.
Distribution
Once
the alcohol moves from the stomach into the blood, it will be
distributed throughout the body by the blood. Alcohol has an affinity
for water. The blood will carry the alcohol to the various tissues and
organs of the body, and will deposit the alcohol in them in proportion
to their water contents. Brain tissue has a fairly high water content,
so the brain receives a substantial share of the distributed alcohol.
Muscle tissue also has a reasonably high water content, but fat tissue
contains very little water. Thus, very little alcohol will be deposited
in the drinker's body fat. This is one factor that differentiates
alcohol from certain other drugs, notably PCP and THC, which are very
soluble in fat.
The
affinity of alcohol for water, and its lack of affinity for fat, helps
explain an important difference in the way alcohol affects women and
men. Pound for pound, the typical female's body contains a good deal
less water than does the typical man's. This is because women have
additional adipose (fatty) tissue, designed in part to protect a child
in the womb. A Swedish pioneer in alcohol research, E.M.P. Widmark,
determined that the typical male body is about 68% water, the typical
female only about 55%. Thus, when a woman drinks, she has less
fluid—pound for pound—in which to distribute the alcohol.
If
a woman and a man who weighed exactly the same drank exactly the same
amount of alcohol under the same circumstances, her BAC would climb
higher than his. When we couple this to the fact that the average woman
is smaller than the average man, it becomes apparent that a given amount
of alcohol will cause a higher BAC in a woman than it usually will in a
man.
Elimination
As
soon as the alcohol enters the blood stream, the body starts trying to
get rid of it. Some of the alcohol will be directly expelled from the
body chemically unchanged. For example, some alcohol will leave the body
in the breath, in the urine, in sweat, in tears, etc. However, only a
small portion (about 2-10%) of the ingested alcohol will be directly
eliminated.
Most
of the alcohol a person drinks is eliminated by metabolism. Metabolism
is a process of chemical change. In this case, alcohol reacts with
oxygen in the body and changes, through a series of intermediate steps,
into carbon dioxide and water, both of which are directly expelled from
the body.
Most
of the metabolism of alcohol in the body takes place in the liver. An
enzyme known as alcohol dehydrogenase acts to speed up the reaction of
alcohol with oxygen. The speed of the reaction varies somewhat from
person to person, and even from time to time for any given person. On
the average, however, a person's blood alcohol concentration—after
reaching peak value—will drop by about 0.015 per hour. For example, if
the person reaches a maximum BAC of 0.15, it will take about ten hours
for the person to eliminate all of the alcohol.
For
the average-sized male, a BAC of 0.015 is equivalent to about
two-thirds of the alcohol content of a standard drink (i.e., about
two-thirds of a can of beer, or glass of wine or shot of whiskey). For
the average-sized female, that same BAC would be reached on just
one-half of a standard drink. So the typical male will eliminate about
two-thirds of a drink per hour, while the typical female will burn up
about one-half of a drink in that hour.
We
can control the rate at which alcohol enters our bloodstream; For
example, we can gulp down our drinks, or slowly sip them. We can drink
on an empty stomach, or we can take the precaution of eating before
drinking. We can choose to drink a lot, or a little. But once the
alcohol gets into the blood, there is nothing we can do to affect how
quickly it leaves. Coffee won't accelerate the rate at which our livers
burn alcohol. Neither will exercise, or deep breathing, or a cold
shower. We simply have to wait for the process of metabolism to move
along at its own speed.
Dose-Response Relationships
People
sometimes ask, "how 'high' is 'drunk'?" What is the "legal limit" for
"drunk driving"? How much can a person drink before becoming "impaired"?
There
is no simple answer to these or similar questions, except to say that
any amount of alcohol will affect a person's ability to drive to some
degree. It is true that the laws of nearly all States establish a BAC
limit at which it is explicitly unlawful to operate a vehicle. In most
cases, that "limit" is 0.08 BAC. But every State also makes it unlawful
to drive when "under the influence" of alcohol, and the law admits the
possibility that a particular person may be under the influence at much
lower BACs.
How
much alcohol does someone have to drink to reach these kinds of BAC?
Obviously, as we've already seen, it depends on how much time the person
spends drinking, on whether the person is a man or a woman, on how
large the person is, on whether the drinking takes place on an empty
stomach, and on certain other factors. But let's take as an example a
175-pound man. If he drinks two beers, or two shots of whiskey, in quick
succession on an empty stomach, his BAC will climb to slightly above
0.04. Two more beers will boost him above 0.08. One more will push him
over 0.10. In one respect, then, it doesn't take very much alcohol to
impair someone: "a couple of beers" can do it.
But
in another respect, when we contrast alcohol with virtually any other
drug, we find that impairment by alcohol requires a vastly larger dose
than does impairment by the others. Consider exactly what a BAC of 0.08
means. Blood alcohol concentration is expressed in terms of the "number
of grams of alcohol in every 100 milliliters of blood". When we find
that a person has a BAC of 0.08, that means that there is one-eighth
(0.08) of a gram of alcohol in any given 100 milliliter sample of blood.
One-eighth of a gram is equal to one hundred milligrams (a milligram is
one-thousandth of a gram). So, at a BAC of 0.08, the person has 100
milligrams of alcohol in every 100 milliliters of blood, or exactly one
milligram per milliliter.
If
a person has a BAC of 0.08 it means there are 0.08 grams of pure
ethanol in every 100 milliliter ("percent") of his/her blood.
CONCLUSION
When
we discuss your case, I will ask a number of questions about your
drinking habits, the amount of alcohol you consumed within 24 hours, and
your food intake. These questions will help me to better understand
whether or not your Blood Alcohol Content, as determined by the
Commonwealth is accurate or may be challenged. If the results can be
challenged, I will refer the case to an expert toxicologist for an
evaluation.
Call DUI Defense Attorney, F. Dean Morgan now for a free consultation. 1-888-821-9446.
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