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Med Sci Law OnlineFirst, published on April 1, 2014 as doi:10.1177/0025802414524385

Technical report

Medicine, Science and the Law


0(0) 1–7
Alcohol calculations and their uncertainty ! The Author(s) 2014
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DOI: 10.1177/0025802414524385
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John Searle1

Abstract
A dilution model is widely used to link blood alcohol concentration and the quantity of alcohol consumed. Whilst some
authors use the total body water formulation of that model, others use the Widmark Factor formulation. A paper by
Forrest gave a table of example values of the Widmark Factor and Barbour, based on Forrest’s work and using Forrest’s
computer program, subsequently presented Forrest’s results by way of a chart. Whilst the results of Forrest and Barbour
are often used interchangeably, there is a significant difference between them on the factors for women. This paper
examines the source of the unexpected discrepancy. It is essential to quote an error range, in blood alcohol concen-
tration calculations, for the results. The extent of that error range was investigated by Gullberg who also employed the
Widmark Factor formulation. Gullberg concluded that when reporting a calculated blood alcohol concentration, a
coefficient of variation of 21% should be applied. Similarly, Gullberg concluded that when calculating the volume of
drink, a coefficient of variation of 12½% should be applied. The present paper derives and publishes the formulae for
calculating this coefficient of variation. It is then shown that Gullberg’s conclusions are mistaken: the coefficient of
variation is not some fixed percentage but must be calculated in each case.

Keywords
alcohol, calculations, error, uncertainty, Widmark

subjects a dose of alcohol and measured the BAC,


The basis of alcohol calculations creating a database of figures from which the
Blood alcohol calculations originated in the 1920s Widmark Factor can be estimated for any subject.
with the pioneering work of Widmark,1 who noticed, Zuba and Piekoszewsk2 commented that the
whilst developing the micro-analysis of alcohol, that Widmark procedure was the most popular method
the results were always higher than might be expected of making alcohol calculations.
from a simple dilution calculation. In other words, a In 1981, Watson et al.3 suggested an alternative
dose of m grams of alcohol, in a subject of mass M formulation, changing the terminology to bring
kilograms would always produce a blood alcohol con- greater clarity and make the dilution equation easier
centration (BAC) higher than m/M. to understand. Instead of thinking of the body water
Widmark realised that this was due to the propor- as a proportion of the body constituents, the volume
tion of water in the body as a whole being less than of body water can be estimated directly. According to
the proportion of water in blood. Bones and fat con- Watson:
tained little water and so absorbed only a low amount Men
of the alcohol. That was raising the concentration in
the blood. To allow for this difference, Widmark pro- V ¼ 2:447 þ 0:3362  Weight þ 10:74  Height
posed to incorporate an empirical factor r, so that the  0:09516  Age
calculated BAC C was given by
Women
m
C¼  100 milligrams per 100 millilitres
rM V ¼ 2:097 þ 0:2466  Weight þ 10:69  Height

The factor r, which has the units of litres per kilo-


1
gram, became known as the Widmark Factor and has Road Accident Analysis, United Kingdom
been shown to depend on the gender of the subject, as
Corresponding author:
well as a number of anthropometric factors, of which John Searle, Road Accident Analysis, Mead House Hill Street, Hinckley,
body mass index (BMI) is perhaps the most import- LE10 1DS United Kingdom.
ant. Many other researchers have similarly given Email: johnsearle@meadh.freeserve.co.uk

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2 Medicine, Science and the Law 0(0)

If the proportion of water in the blood is P litres


per litre, then the dilution equation becomes:
The dilution model
Using metric units, when the alcohol consumed is
mP diluted in the body then the BAC may be written as:
C¼  100 milligrams per 100 millilitres
V 100 m
C¼  bt milligrams per 100 millilitres
rM
The change is a conceptual one, bringing out the ðabbreviated here as mg%Þ
underlying dilution model, but mathematically it is a
change of terminology. The Widmark Factor is the where
total body water divided by the product of the body
mass and the proportion of water in blood, both of C is the calculated BAC at the relevant time
which are known quantities. m is the mass of alcohol consumed during the
Although total body water is more easily under- drinking session, in grams
stood, ultimately either formulation can be used. M is the mass of the subject, in kilograms
One can write either rM or V/P, because those are r is the subject’s Widmark Factor in litres
equivalent and have the same definition: the mass of per kilogram.
alcohol in grams necessary, in the absence of elimin- b is the subject’s elimination rate, in mg%
ation, to create in the subject a BAC of 100 milligrams per hour
per 100 millilitres. They have the same value for any t is the duration in hours from the start of the
subject, a value which can be measured experimen- session to the relevant time.
tally by giving the subject a dose of alcohol and
taking a sample of blood. The ‘relevant time’ is the time at which an estima-
The present paper discusses the investigations by tion of the BAC is required, for example the time
Forrest4 who conducted a large number of such when an accident took place. As an abbreviation, Co
tests. The paper also discusses the uncertainty of will be used to denote the calculated level of BAC had
blood alcohol calculations, including the examples there been no elimination, that is
of uncertainty calculation presented by Gullberg5
and by Zuba and Piekoszewsk.2 In all those papers, 100 m
Co ¼
the authors use the Widmark Factor formulation rM
rather than the total body water formulation. Of
necessity therefore, this paper also uses the The above formula for BAC is based upon elimin-
Widmark Factor formulation. ation occurring at its full rate from the start of drink-
ing to the relevant time. There are three ways in which
that may not be the case:
Scope of paper
(a) At the start of the session the rate of drinking may
Blood alcohol calculations are widely presented in have been so slow that elimination was at less
court. Such calculations often rely upon the investiga- than full rate.
tions by Forrest, whose paper4 tabulates examples of (b) The drinking may have been in two sessions, say
the Widmark factor whilst Barbour,6 to whom lunchtime and evening, and in between the blood
Forrest made available his computer program, pre- alcohol reached zero so that elimination stopped
sented those results as charts. When such a calculation for a while. The calculation must be restricted to
has been made, the conclusions of Gullberg5 are then the current session.
often used to estimate the uncertainty of the calcu- (c) After drinking ceased, the blood alcohol may
lated result. have reached zero before the relevant time.
The present paper is concerned with two problems
which have arisen in this process. First, the factors for Following Gullberg, the mass of alcohol taken into
women which are given as examples by Forrest ought the body may be expressed in further parameters:
to coincide with the values given by Barbour’s
chart for those same examples. There appears to be m ¼ vzad
a significant difference. Second, Gullberg did not pub- where
lish the derivation of any formula and his method of
estimating the uncertainty is based on fixed percent- v is the volume of drink consumed in millilitres
ages. That appears to be in contradiction to the esti- z is the strength of the drink as percentage
mation of uncertainty suggested by Widmark1 and ABV 7100
Alha.7 a is the proportion of the alcohol absorbed
These two topics form the basis of the present d is the density of alcohol (¼ 0.789 grams per milli-
paper. litre, constant)

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Searle 3

One may therefore write: Figure 1 shows the two sets of results. Forrest9
gave a mathematical relationship which may be sim-
100 vzad plified to the following form:
C¼  bt
rM
Widmark Factor for men r ¼ 1.0181–0.01213  BMI
This formula calculates the BAC from a past his- Widmark Factor for women r ¼ 0.9367–0.01240  BMI
tory of alcohol consumption, a form which may be
called the Forward Widmark calculation. The for- For men, the tabulated examples published by Forrest
mula may of course be re-arranged to make v the and the chart by Barbour follow closely this simple
subject and so calculate, from a measured level of relationship. For women, the charts of Barbour
blood alcohol B, the volume of drink consumed. follow the relationship but the table by Forrest does
That may be called the Reverse Widmark calculation. not. Forrest’s examples, for women, appear to be
Widmark gave examples of both directions of erroneous.
calculation. Zuba et al.5 comment that the procedure developed
by Forrest is practical and appears to encompass the
current state of knowledge relating to upgrading
The Widmark Factor Widmark’s equation. That appears to be the case,
The Widmark Factor, denoted by r, is not a simple but one must work from the simple mathematical
constant but depends on anthropometric parameters. expression of Forrest’s results and not from the
The influence of such parameters was explored by table of examples he gave.
Forrest, who found that gender and BMI were the
most important.
Uncertainty of the calculated result
Other parameters such as age and stature3 have
been suggested, and BMI has its limitations in char- With the BAC formula, as with any mathematical
acterising body build.8 However, Forrest’s results are formula, errors in the input parameters will produce
widely used. Forrest published examples of what the an error in the calculated result. That error can be
average factor would be, for men and for women, at estimated, by the method of error propagation, from
different levels of BMI. Those examples, and interpol- the contribution of each input parameter.
ations between them, are often used in calculations Suppose in general terms that a result y is to be
presented in Court. calculated from a formula
Barbour subsequently obtained from Forrest the
computer program which had been used to calculate y ¼ f ðx1 , x2 . . . . . . :xn Þ
the Widmark Factor from the BMI. Barbour then ran
the program to obtain extensive results, which he pub- where the first input variable x1 is subject to an error
lished in the form of two charts, one for men and one of standard deviation S1, the second input variable x2
for women. When those charts are applied to the is subject to an error of standard deviation S2 and so
examples Forrest gave, it is found that the two on. If those input errors are normally distributed then
authors agree entirely on the results for men, but for they will, according to the method of error propaga-
women the results differ: tion, create in y an error which has a standard

Widmark Factor for men Widmark Factor for women

BMI Forrest Barbour BMI Forrest Barbour

17.9 0.80 0.80 15.6 0.74 0.74


21.9 0.75 0.75 20.1 0.69 0.69
24.7 0.72 0.72 22.8 0.61 0.65
27.2 0.69 0.69 25.3 0.58 0.62
29.6 0.66 0.66 27.3 0.53 0.60

This discrepancy for women should not exist. The deviation of:
matter is of practical importance since, for a woman
qffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi
of high BMI, it can lead to a difference of 25% or
Sy ¼ ½@y=@x1 2 S21 þ ½@y=@x2 2 S22 þ    þ ½@y=@xn 2 S2n
more in the estimation of BAC.

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4 Medicine, Science and the Law 0(0)

0.90

0.80
Barbour and Forrest (men)
Widmark Factor

Barbour (women)
0.70

X
X
0.60 Forrest (women) X

0.50
15 20 25 BMI 30

Figure 1. Barbour’s and Forrest’s results for the Widmark Factor. Note: BMI ¼ Weight in kilograms/Square of height in metres.

The calculation of error propagation is explained


eb coefficient of variation of the rate of alcohol
in the extensive literature on the subject.10 The basic
elimination for the individual
principle is that S1 represents the size of the small
et coefficient of variation of the duration of the
errors in x1, whilst qy/qx1 represents the change in y
drinking session
which a unit change in x1 will produce.
The results of applying this formula may often be Error propagation was first applied to alcohol calcu-
simplified by expressing the input errors as coefficients lations by Widmark himself, later followed by Alha.7
of variation rather than standard deviations. The A shortcoming of their analysis is that they appear to
coefficient of variation of each variable is its standard be considering a laboratory environment. They
deviation divided by its mean. assume that the time when the drink was consumed
is known with exactitude whereas in real life there is
Here, the concentration C is a function of eight
uncertainty, and often there is uncertainty in the
variables:
strength of the drink and the proportion absorbed
as well. Also, Widmark and Alha did not take into
C ¼ f ðv, z, a, d, r, M, b, tÞ account the negative correlation,5 that is some
–0.135, between the Widmark Factor r and the rate
and each of those input variables will contribute of elimination b. Gullberg took that into account but
uncertainty to the calculated value of the BAC C. stated only the general principle of error propagation,
However two of the variables, that is the body mass without publishing any formula.
M and the density of alcohol d (¼ 0.789), are known Appendix 1 applies the method of error propaga-
with some precision. Their contributions to the uncer- tion to the uncertainty of the Forward BAC calcula-
tainty are ignored in the present paper, although the tion. The coefficient of variation of the calculated level
formula for uncertainty can easily be extended to of BAC is found to be:
encompass them.
vffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi
h iffi
The remaining variables each have their own u 2 
u 2 2 2
Co t ev þ ea þ ez þ er þ ðbt=Co Þ eb þ et 2 2 2
uncertainty, which can be expressed as a standard ec ¼
C 0:27 ðbt=Co Þ er eb
deviation but is more conveniently expressed as a
coefficient of variation, that is the standard deviation ð1Þ
divided by the mean:
Some of the coefficients of variation relate to the cir-
ev coefficient of variation of the volume of drink cumstances of the event under investigation and those
consumed coefficients must be estimated from the circumstances.
ez coefficient of variation of the alcoholic strength If for example the event is in a laboratory, then the
of the drink (ABV) time when the alcohol was consumed will be known
ea coefficient of variation of the proportion of the exactly, as will be the time at which an estimate of
alcohol absorbed BAC is required, such as the time when a blood
er coefficient of variation of the Widmark Factor sample was drawn. The uncertainty in the duration,
for the individual that is et, will therefore be zero. Similarly the value of

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Searle 5

ev, the uncertainty in the volume drunk, is also likely (ev ¼ 0.05) with an ABV of 4.0  0.12% (ez ¼ 0.03).
to be zero in these circumstances. In a real-life event, It is soon calculated that the mass of alcohol in the
the duration of drinking and the volume drunk may drink is 3550  0.040  0.789 ¼ 112 grams.
both have significant uncertainty and estimates of It is also soon found that the value of Co is
those uncertainties must be made from the
circumstances. 100  112
¼ 188 mg%:
Other coefficients of variation concern the param- 0:73  81:6
eters relating to alcohol dilution and elimination, that
is er the accuracy to which Widmark’s Factor can be The rate of elimination is 14.8 mg%/hour so that
determined, ez the accuracy of manufacturer’s values after 5 hours, when all the alcohol has been absorbed
of ABV and eb the accuracy of the assumed rate of and some has been eliminated, the calculated BAC
elimination. Those coefficients of variation have been will be:
determined by researchers. Gullberg reviews the pub-
lished literature and suggests suitable values, that is Co  bt ¼ 188  14:8  5 ¼ 188  74 ¼ 114 mg%
er ¼ 0.092, ez ¼ 0.03 and eb ¼ 0.22. These will be
adopted here, because this paper re-works Hence from Formula 1 the coefficient of variation
Gullberg’s example and the comparison is made of the calculated BAC will be:
easier by adopting the same input. All the variables
are assumed uncorrelated except r and b, where the vffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi
u
covariance is –0.135. u 188   742
u 0:052 þ 0:032 þ 02 þ 0:0922 þ
Once the coefficients of variation for the input par- u 114 1882
ameters have been established, the uncertainty ec of ec ¼ u
u
t   74
the calculated BAC can be obtained from Formula 1.  0:222 þ 02  0:27   0:092  0:22
Appendix 2 presents a similar exercise for the cal- 188
culation in the other direction, that is the Reverse
¼ 0:21:
Widmark calculation of the volume of drink con-
sumed from a measurement of the BAC at a later
time. The formula for the volume drunk is: The coefficient of variation of the calculated BAC
is therefore 0.21, which is the same result as Gullberg
ðB þ btÞ obtained (21%). On the basis of that example,
v¼ zad where B is the measured level of BAC:
100 rM Gullberg concluded that:

All the variables are assumed uncorrelated except r ‘‘When reporting an estimated BAC, a 2CV [i.e. twice
and b, where the covariance is – 0.135. The coefficient the coefficient of variation] uncertainty interval
of variation of the calculated value of v, the volume of should be approximately 42%’’.
drink ingested, will be:
That is simply not so. The coefficient of variation is
vffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi
   ffi not a constant 21% for all circumstances, but must be
u 
u ½B=Bo 2 e2 þ ½bt=Bo 2 e2 þ e2 þ e2 þ e2 þ e2 calculated on a case by case basis. That may be seen
ev ¼ t B b t r a z
from Gullberg’s own example, by noting that after a
0:27½bt=Bo er eb
further 7 hours the BAC will have fallen to a calcu-
ð2Þ lated 10 mg%. It hardly needs saying that the coeffi-
cient of variation of that figure is far greater than the
where Bo ¼ B þ bt 21% of 10 mg%, which would be only 2.1 mg%. A
Once again the coefficients of variation for the constant percentage as suggested by Gullberg will
input parameters must be estimated for each of not do.
them. The value of eB, that is the accuracy of blood Furthermore, Gullberg has chosen an example
alcohol analysis, is about 0.0375 in the UK. where uncertainty in absorption (ea) can be ignored,
Gullberg stated only the general principle of error as can uncertainty in the duration of the drinking ses-
propagation, without deriving any formula by which sion (et).
the uncertainty could be calculated. He did however In that same paper, Gullberg gives an example of
give an example and, without showing any working, the uncertainty of a Reverse Widmark calculation,
stated the result he had calculated for it. Gullberg’s again without giving any formula. It is based on the
example is presented here in metric units, but this time same data, except now it is the measured blood alco-
giving the formula and calculating through to the hol B which is given, as 120 mg%, and the volume
result. of drink is to be calculated. That calculation is
In Gullberg’s example, a man of mass 81.6 kg straightforward and the result is 3662 millilitres. A
having an estimated Widmark Factor of 0.73 back calculation of Bo, the BAC at time zero, gives:
(er ¼ 0.092) drinks 3.55  0.178 litres of beer 120 þ 14.8  5 ¼ 194 mg%.

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6 Medicine, Science and the Law 0(0)

By Formula 2 above we have: It is important when reporting calculations of BAC


vffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi from volume of alcohol, or in the reverse direction the
u  ffi volume of drink from a later BAC, to provide an esti-
u ½120=1942 0:0362 þ ½74=1942 0:222 þ 02
u   mate of the uncertainty of the result. Gullberg appears
ev ¼ u
t þ 0:0922 þ 02 þ 0:032 0:27  ½74=194 to be mistaken in suggesting that the coefficients of
0:092  0:22 variation are fixed percentages, that is 21% and
¼ 0:122: 12½%, respectively. Formulae are presented, in the
body of the paper, whereby the coefficient of variation
In this example, the coefficient of variation of the can be calculated.
volume of drink is therefore 0.122, that is about
12½%, the same result that Gullberg obtained.
However, again Gullberg generalises that example to
Declaration of conflicting interests
all circumstances and says: The author declares there is no conflict of interest.

‘‘A 2CV [i.e. twice the coefficient of variation] uncer-


Funding
tainty interval of 25% should be applied when reporting
estimates of the number of drinks’’. This research received no specific grant from any
funding agency in the public, commercial, or not-for-profit
sectors.
That is not so at all, as may be seen by considering an
example where the measured BAC was 10 mg% but
References
the drinking started 12 hours before. The coefficient of
variation of the volume of drink would be about 1. Widmark EMP. Principles and applications of medicole-
gal alcohol determination. English translation of 1932
double the value it was in Gullberg’s example.
German edition, Davis Biomedical Publications 1981.
Zuba et al. also give an example of calculating the 2. Zuba D and Piekoszewsk W. Uncertainty in theoretical
uncertainty of alcohol calculation, again without calculations of alcohol concentration. In: Proc. 17th
giving any formula. Zuba simplified the Widmark Internat. Conf. on Alcohol, Drugs and Traffic Safety,
Factor to omit elimination and then used a commer- Glasgow, 2004.
cially available program on error propagation. 3. Watson PE, Watson ID and Batt RD. Predictions of
Expressed in the nomenclature of the present paper, blood alcohol concentration in human subjects.
Zuba’s example was: J Studies Alcohol 1981; 42: 547–556.
4. Forrest ARW. The estimation of Widmark’s Factor.
v ¼ 250 millilitres ev ¼ 0:04 Drink volume J Forensic Sci Soc 1986; 26: 249–252.
z ¼ 0:40 ez ¼ 0:0125 Drink strength ABV 5. Gullberg RG. Estimating the uncertainty associated
with Widmark’s equation as commonly applied in
M ¼ 75 kg eM ¼ 0:0267 Body mass
forensic toxicology. Forensic Sci Int 2007; 172: 33–39.
r ¼ 0:70 er ¼ 0:0714 Widmark Factor
6. Barbour AD. Simplified estimations of Widmark r
values by the method of Forrest. Sci Justice 2001; 41:
With those input values it can soon be calculated 53–54.
that C ¼ 150.3 mg%, the value obtained by Zuba. 7. Alha AR. Blood alcohol and clinical inebriation in
The coefficient of variation is found, from Formula Finnish men: a medicolegal study. Ann Acad Sci Fenn
1, to be some 0.08708. That corresponds exactly with 1951; 26: 1–90.
the result for twice CV quoted by Zuba from his com- 8. Jones AW. Body mass index and blood alcohol calcu-
puter program, that being 17.4% which is twice lations. J Anal Toxicol 2007; 31: 177–178.
0.08708 expressed in percentage terms. 9. Forrest ARW. Commentary: estimation of Widmark’s
Zuba, like Gullberg, generalises the result of the Factor. J Forensic Sci Soc 1986; 26: 249–252.
10. Taylor JR. An introduction to error analysis, 2nd ed.
example and says that the uncertainty of blood alco-
CA: University Science Books, 1996.
hol calculations is less than 20%. That generalisation
is far from correct, especially when elimination has
played a large part.
Appendix 1
Conclusions Estimation of the uncertainty of a Forward
Although the values of the Widmark Factor tabulated
Widmark calculation
by Forrest are derived from the same data as the Using the nomenclature of the main paper the
charts subsequently published earlier by Barbour, Forward Widmark calculation is:
for women they differ. Some values in Forrest’s
table appear erroneous. Those errors may be avoided
100vazd
by using the charts published by Barbour or by using C¼  bt
rM
the simple formulae given in this paper.

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Searle 7

Appendix 2
where C is the BAC at the relevant time Estimation of the uncertainty of a reverse
v is the volume of drink consumed in millilitres
BAC calculation
a is the proportion of the alcohol absorbed With the reverse calculation, the volume of drink that
z is the strength of the drink as percentage has been consumed is to be calculated from a mea-
ABV 7 100 sured level of blood alcohol, denoted by B, obtained
d is the density of alcohol (¼ 0.789 grams per milli- from a sample taken at the relevant time. The uncer-
litre, constant) tainty of the blood alcohol measurement is eB.
r is the subject’s proportion of body water in litres/ Using the nomenclature of the main paper,
kilogram, divided by the proportion of water in also presented in Appendix 1, the reverse BAC calcu-
blood in litres/litre (Widmark Factor) lation is:
M is the mass of the subject, in kilograms
b is the subject’s elimination rate, in mg% per zad
v ¼ ðB þ btÞ
hour 100 rM
t is the duration from the start of the session to the The standard deviation of the calculated value of v,
relevant time, in hours the volume of drink ingested, will be:
vffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi
Uncertainty in any of the input parameters will add u
u ½@v=@C2 S2 þ ½@v=@b2 S2 þ ½@v=@t2 S2
to the uncertainty in C, that is the calculated BAC. u c b t
u
Writing S with a suffix to denote the standard devia- u 2
S v ¼ u þ ½@v=@z Sz þ ½@v=@a Sa 2 2 2
tion of each parameter, the uncertainty (standard t
deviation) of the BAC is: þ ½@v=@r2 S2r þ 2½@v=@r  ½@v=@b  Covðr  bÞ
vffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi
u All variables are assumed uncorrelated except r
u ½@C=@v2 S2v þ ½@C=@a2 S2a þ ½@C=@z2 S2z
u and b, where the covariance is –0.135 SrSb
u
Sc ¼ u 2 2
u þ ½@C=@r Sr þ ½@C=@b Sb þ ½@C=@t St
2 2 2 2 Performing the partial differentiations we obtain
t
þ 2½@C=@r  ½@C=@b  Covðr, bÞ @v v @v vt @v vb
¼ ¼ ¼
@C ðB þ btÞ vb ðC þ btÞ @t ðB þ btÞ
All the variables are assumed uncorrelated except r @v v @v v @v v
and b, where the covariance is –0.135 SrSb. ¼ ¼ ¼
@z z @a a @r r
Performing the partial differentiations, we obtain:
Putting those partial derivatives into the formula
@C Co @C Co @C Co @C Co for the uncertainty of v and writing ev ¼ Sv/v and so
¼ ¼ ¼ ¼
@v v @a a @z z @r r on for the other variables:
@C @C vffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi
¼t ¼b u
@b @t u B2 e2c B2 t2 eb 2 B2 t2 et 2
u 2 2 2
u ðB þ btÞ2 þ ðB þ btÞ2 þ ðB þ btÞ2 þ ez þ ea þ er
ev ¼ u
u
Putting those partial derivatives into the formula for t 0:135bt er eb
2
the uncertainty of the BAC, and writing Sv ¼ vev and ðB þ btÞ
so on for the other variables:
vffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi Denoting B þ bt by Bo we have:
u 2  h iffi
u e þ e2 þ e2 þ e2 þ ðbt=Co Þ2 e2 þ e2 vffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi
   ffi
Co u v a z r b t u 
ec ¼ t u ½B=Bo 2 e2 þ ½bt=Bo 2 e2 þ e2 þ e2 þ e2 þ e2
C
0:27ðbt=Co Þer eb ev ¼ t B b t r a z

0:27½bt=Bo er eb
ð1Þ
ð2Þ

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Erratum

Medicine, Science and the Law


2015, Vol. 55(2) 145

Erratum ! The Author(s) 2015


Reprints and permissions:
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DOI: 10.1177/0025802415585926
msl.sagepub.com

Re: article Alcohol calculations and their uncertainty.

DOI 10.1177/0025802414524385

Published online 18 March 2014

On page 5 left hand column, the formula should be

ðB þ tÞ rM

100 zad

And the same formula in Appendix 2, page 7 right hand column.

ðB þ tÞ rM

100 zad

In that same column the symbol C appears three times, and it should be B. Minus signs have been missed in the
expressions -zv and -av

@v @v
The expression @ appears incorrectly as V

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