Four years after a plurality of the United States Supreme Court in Mitchell v. Wisconsin, 588 U.S. ___, 139 S. Ct. 2525 (2019), announced a State-favorable exigency rule for withdrawing blood from a suspected impaired driver who is unconscious, the North Carolina Court of Appeals in State v. Burris, COA22-408, ___ N.C. App. ___ (July 5, 2023), has applied the rule for the first time. This post will review the holding in Mitchell and the Court of Appeals’ analysis in Burris and will conclude with a summary of the Fourth Amendment limitations on implied consent testing.