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Forensic Toxicology Deaths Investigated by Forensic Toxicologists Accidental Poisonings Drug Abuse Cases Suicidal Poisonings Homicidal Poisonings Main Questions Addressed by Forensic Toxicologist Is a drug or poison present? If so, what is the substance? How much of the substance is present? Is the concentration great enough to cause or contribute to death? How was the drug/poison administered? Properties of Ideal Poison Properties of Ideal Poison Undetectable by senses Soluble in water Delayed effect Easily obtained Non-traceable Symptoms mimic actual disease Undetectable by scientific instruments Potent Potencies of Various Poisons Agent Botulinum toxin Ricin Strychnine Sodium arsenite Sodium cyanide Thallium Lethal Dose 0.05 mg 0.5 mg 100 mg 200 mg 250 mg 1000 mg *As measured by the LD50 – the lethal dose that would kill 50% of people General Classes of Poisons Gases – HCN, CO Metallic Poisons – As, Sb, Pb, Li, Hg, Tl Non-volatile organics Corrosive poisons – strong acids/bases Salts – NaCN Alkaloids Pesticides Carbon Monoxide (CO) Normal level of 1-3% in body (up to 10% in smokers) Fatal level at autopsy considered to be >50% for a healthy middle-aged male CO prevents Oxygen binding to hemoglobin (red blood cells) Leads to suffocation CO victims have “cherry pink color” Metal Poisons Most common – As2O3 (arsenic) Death within 24 hours Can be given in trace amounts over long periods of time Symptoms: Vomiting Diarrhea Alkaloids Nitrogen-containing organic base Found in Plants and fungi Strychnine most common Death from muscle over-contraction, leading to respiratory system failure Spasms and convulsions Pesticides Many (most?) of the pesticides we spray on our lawns, gardens, etc. are poisonous Growing in popularity Easy to obtain Common enough that it won’t raise suspicions as quickly if traces found Toxicological Analysis of Tissues A. Collect sample of all body fluids B. Collect samples from organs and tissues C. Begin analysis as quickly as possible after death due to quick metabolism of toxins D. Look for traces of poison OR their metabolic product (what toxin is changed into when broken down) Samples Collected at Autopsy Fluids Soft Tissue Samples Collected at Autopsy Fluids Blood – up to 100mL Urine – 100 mL Bile – all available Vitreous – all available Gastric contents – 50g Soft Tissue Liver – 100g Brain – 100-200g Kidney – 50g Lung – 50g Spleen – 50g Intentional Poisoning Trends Perpetrator Profile Gender Intentional Poisoning Trends Perpetrator Profile Caucasian Male Average or above IQ Underachiever Personality defect Non-confrontational Non-athletic Neat, orderly, meticulous Loner Gender Male – 46% Female – 39% Unknown – 15% Top 5 Homicidal Poisons Arsenic – 31% Cyanide – 9% Strychnine – 6% Morphine – 3% Chloroform – 3% Possible Symptoms Constricted/dilated pupils (opioids, organic phosphates) Breath odor (arsenic – smells of garlic) Hair loss (Thallium) Convulsions (strychnine) Paralysis (botulism) Coma (depressants, hypnotics) Skin color (CO=red, nitrites=blue) Skin appearance (arsenic – hyperkeratosis, warts) (dioxin – chloracne) TCDD (dioxin) – Chloracne Poisoning of Victor Yushchenko just before Ukraine presidential election