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Forensic Toxicology. Dr. Harold Shipman. In 1998, family members found Kathleen Grundy, an 81 year old who was in good health dead on her couch.
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Dr. Harold Shipman • In 1998, family members found Kathleen Grundy, an 81 year old who was in good health dead on her couch. • They soon learned that her will had been recently changed, leaving all of her money to Dr. Shipman. Forgery was quickly discovered and her body was exhumed and a toxicological analysis of the remains showed a lethal quantity of morphine. • Investigations of Shipman’s deceased patients began. He killed at least 236 people over 24 years with overdoses of heroin or morphine. • Dr. Shipman hung himself in jail in 2004.
Toxicologist • An individual whose job is to detect and identify drugs and poisons in body fluids, tissues, and organs • Toxicology is the study of drugs and poisons in body fluids, tissues, and organs.
History • Ancient Egyptians and Grecians reported poisonings due to herbs, plants and food. • Opium, arsenic and hydrocyanic acid were used throughout Europe during the middle ages.
History • Philippus Theophrastus AureolusBombastus von Hohenheim (or Paracelsus) observed that any substance could be a poison, depending on its dose • “ What is there that is not poison? All things are poison and nothing without poison. Solely the dose determines that a thing is not a poison”
History • In the U.S., forensic toxicology did not develop until the early 20th century. • Dr. Alexander Gettler is considered this country’s first forensic toxicologist.
Postmortem Forensic Toxicology • Suspected drug intoxication cases • Homicides • Arson fire deaths • Motor vehicle fatalities • Deaths due to natural causes
Postmortem Forensic Toxicology • Death Investigations • Coroner • Medical Examiner
Postmortem Forensic Toxicology • Specimens • Blood – from the heart and from the femoral or jugular veins • Vitreous humor • Urine • Bile • Liver • Other – lung, spleen, stomach contents or brain
Postmortem Forensic Toxicology • Analytical Process • Separation • Identification • Confirmation • Quantitation
Postmortem Forensic Toxicology • Analytes • Volatiles (Carbon Monoxide, Cyanide, and Alcohols) • Drugs • Metals
Alcohol • Alcohol, or ethyl alcohol, is a colorless liquid normally diluted with water and consumed as a beverage. • Alcohol appears in the blood within minutes. • Many factors determine the rate at which alcohol is absorbed into the bloodstream. • Time to consume • Alcohol content of beverage • Presence of food
Ethanol • Absorption • Means of absorption • Dermal • Inhalation • IV • Oral
Ethanol • Elimination • 5-10% in the urine • Saliva, expired air and sweat • **Liver (enzymatic oxidation to acetaldehyde, acetic acid and carbon dioxide)
Blood Alcohol Concentration (BAC) • How much alcohol is present in a person’s system • It takes hours for alcohol to be eliminated from the blood, longer depending on how much alcohol was ingested
Alcohol and the Law • .08 % Blood Alcohol concentration is the legal measure of drunk driving • The 5th Amendment of the US Constitution guarantees all citizens protection against self-incrimination (being forced to make an admission that would prove guilt). • So a law was put into effect essentially stating that by choosing to drive you give consent for BAC testing or will lose your license (usually for a year).
Tylenol Murders • In 1982, 2 firefighters were casually talking about 4 recent deaths in the area when they realized that they had all taken Tylenol. • They reported this to police and before the investigation was complete 3 more people were killed with the poison-laced Tylenol. • The Tylenol was filled with potassium cyanide. • The poison was determined to be added outside of the factory and is still unsolved.
Postmortem Forensic Toxicology • Metals • Aluminum • Arsenic • Iron • Mercury • Lead • Thallium Heavy Metal poisoning is not as common today because of the heavy regulation of these substances because of environmental laws.
Carbon Monoxide Poisoning • Very common • Usually from automobile exhaust
Techniques used by the Toxicologist • Alcohol, Marijuana, and Cocaine account for 90% of all the drugs/poisons encountered in the toxicology lab. • Many different procedures are used to try and detect drugs and poisons.
Acids and Bases • Drugs/poisons fall into certain levels of acidity • Acids=a compound capable of donating a Hydrogen ion • Bases=a compound capable of accepting a hydrogen ion • pH scale=used to express the acidity of basicity of a substance.
Screening and Confirmation • Screening=quick test to determine if a drug/poison is present • TLC Chromatography, gas chromatography, immunoassay • Confirmation=a more specialized test to identify the type of drug • Gas Chromatography combined with Mass Spectrometer, yields a unique ‘fingerprint’ of the drug or poison.
Significance of Toxicological Findings • Toxicologists can determine: • What was present in a victim’s system (or a living person) • How much was present • The probable state of the person’s behavior based on the known substances • If the use was prolonged or sudden