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RE: A Shocking Sermon about Blacking Out While Drunk on Alcohol.
According to this pastor and from my own experience I conclude that it is the speed at which alcohol is consumed that causes blackouts. I would suggest to anyone who drinks that they should eat first and also make sure to get enough water to try and prevent it.
I'd argue that plain old common sense has alot to do with it as well. Pretty unlikely to happen if self-restraint is exercised and one doesn't go into excess.