In recent years emergency teams have to deal with an increasing number of young acutely affected by alcohol and social drug related manifestations. Alcohol/drug use are important risk factors for unintentional road injuries potentially associated with major public health problems and high economic‐socital cost. Binge drinking is a pattern of heavy drinking (in particular among students18 ‐25 years) that can be defined as episodes of alcohol consumption up to five (male) or four (female) drinks in the space of about 2 hours, or, “drinking too much, too fast”. Binge drinking in particular has led to premature mortality in younger and economically productive ages, mainly due to alcohol intoxication, road traffic injuries, and cardiovascular fatalities. Death can occur when blood levels range 300‐ 400 mg/dl.