Too much ethanol at once can indeed lead to death from toxicity. Typically, a BRAC (breath alcohol content) of 0.20 or higher results in a trip to the hospital for monitoring if law enforcement has made an arrest – at least, that was policy where I worked. My personal best (arrest, that is) was 0.349, IIRC. I’ve seen some 0.4 and higher and heard of one guy a tad over 0.50.
Brain damage starts to occur with the higher levels, although functional alcoholics have a greater tolerance and often need a higher BA level just to function. For instance, I once dealt with a girl in her early 20’s that was such a person. She blew a 0.234 and I had no idea she’d even consumed anything. More to the point, neither did my partner and he was a court recognized expert on the matter.
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