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Back when I worked hospital PM&R, I once asked the ER docs why they so often lacked BAC data on our patients - many of whom were telling us they were trashed at the time, but no records to support it (those BAC levels would be quite relevant to a trauma team). The answer I got was that if they are DUI, their insurance won't pay for the hospital treatment, so the hospital takes a sort of 'don't document, don't lose $$' approach - if the docs need the data, the anesthesiologists get an 'unofficial' number that doesn't go into the chart. Not sure this is still the case, but it made sense.
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