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Bladder Wash as an Alternative Postmortem Toxicology Specimen: Forensic Pathologists' Perspectives
Luke N Rodda1,2, Kylie E Candela3, Amy P Hart1,4
1Office of the Chief Medical Examiner, San Francisco, CA.
The American Journal of Forensic Medicine and Pathology
|February 27, 2025
Summary
Bladder wash, a novel specimen for postmortem toxicology, is effective for determining cause of death. Forensic pathologists
Area of Science:
- Forensic toxicology
- Postmortem investigations
Background:
- Bladder wash offers a potential alternative specimen for toxicological analysis when other samples are compromised.
- Current use of bladder wash in postmortem investigations is not standardized.
Purpose of the Study:
- To evaluate forensic pathologists' perceptions of bladder wash utility before and after exposure to toxicological data.
- To gauge the potential for standardizing bladder wash collection in forensic investigations.
Main Methods:
- An online survey was distributed to forensic pathologists.
- Responses were analyzed to identify shifts in opinion regarding bladder wash samples.
Main Results:
- Most pathologists acknowledged the benefits of bladder wash for toxicological analysis.
- A notable shift in perspective occurred after participants reviewed supporting data.
- Bladder wash was recognized as valuable for determining cause and manner of death.
Conclusions:
- Bladder wash is a valuable and accessible specimen for postmortem toxicological analysis.
- Standardizing bladder wash collection can provide crucial data when other specimens are unavailable.
- Further adoption of bladder wash analysis can enhance forensic investigations.
Keywords:
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