Newswise — The day before Thanksgiving, nicknamed Blackout Wednesday, is a time when college students are home and reunite with friends over beers or alcoholic beverages in bars and restaurants. But what often starts out as a joyous celebration all too often ends up as a senseless tragedy.

"Thanksgiving is all about being together and celebrating with family and friends. No one wants to ruin those happy memories with a visit to the emergency department,” says Mark Cichon, chair of Emergency Services at Loyola University Health System. “Drinking and partying is something that most people can control and we all have a responsibility to help ourselves and to help each other stay out of harm's way.”

The Wednesday before Thanksgiving is considered one of the busiest drinking holidays and a top drunk driving night of the year due to underage drinking. The emergency services chair with more than 25 years of witnessing Black Wednesday injuries advises, "Enjoy all things in moderation, especially alcohol."

Dr. Cichon offers these tips to avoid pain and embarrassment on Blackout Wednesday:

Educate. "Talk to your kids about the dangers of drinking too much. Make sure they have a strategy to get home safely if they have too much to drink," says the professor at Loyola University Chicago Stritch School of Medicine. "Students, make a plan among your friends to enforce limits and watch out for each other."

Pace Yourself. "Alternate alcoholic drinks with non-alcoholic beverages and fill up on a hearty dinner or appetizers to avoid drinking on an empty stomach, which causes alcohol effects to be more potent," says Cichon.

Establish a Timeout. "Establish a 'go home' time and stick with it," he says. "The longer you stay in a bar, the more you will be pressured to drink alcohol to diminishing effects."

Since 1995, annual patient volumes in Loyola’s emergency division have increased from 29,000 to 53,000 patients.

The Loyola emergency medicine division is classified as a Level 1 Trauma Center, providing the highest level of surgical care to trauma patients. The division also has been recognized by groups such as The Joint Commission, the Commission on Accreditation of Medical Transport Systems, the American College of Surgeons for Trauma and the Illinois Department of Public Health for Trauma, Burns, Pediatric and Emergency departments.