I mean in previous instances they held the patient until any previously ingested alcohol must have been processed, waited for their BAC to show a clear descent,

I mean in previous instances they held the patient until any previously ingested alcohol must have been processed, waited for their BAC to show a clear descent, then gave the patient sugar and watched the BAC go up at subsequent timepoints. I don’t think even the most isolated docs would be naive enough to trust an incoming intoxicated patient about their own substance use.