A 26-year-old male died from multiple trauma sustained in a single motor vehicle crash after consuming approximately eight beers (blood alcohol 0.115%, more than twice the legal limit). He lost control of his vehicle on a straight section of road, ran off the sealed surface, overcorrected, and collided with a tree at an estimated 79 km/h. He was not wearing a seatbelt. Expert review excluded hypoglycaemia despite his diabetic history. The coroner found the death preventable, emphasising that high alcohol impairment increases crash risk 5-10 fold and that seatbelt use would likely have prevented death. Clinical lessons: recognise impaired driving risk in intoxicated patients; counsel diabetics on hypoglycaemia and driving safety.
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