使用法医毒理学来增强医疗法律死亡调查
Sara J Schreiber1, Brian L Peterson2
1From the Milwaukee County Medical Examiner's Office.
概括
对自然死亡的审查发现了18起案件,其中药物毒理学测试将原因从自然疾病转变为意外或自杀. 这凸显了毒理学在确定准确的与毒品有关的死亡分类方面的重要性.
科学领域:
- 法医毒理学 法医毒理学
- 死亡调查 死亡调查
- 公共卫生 公共卫生
背景情况:
- 验尸官办公室经常证明自然死亡没有尸检或毒理学.
- 准确确定死亡原因和方式对于公共卫生和法律目的至关重要.
- 如果没有进行全面的测试,与药物相关的死亡可能会被错误分类.
研究的目的:
- 审查没有尸检或毒理学证明的自然死亡.
- 为了识别错误地被归类为自然疾病的与毒品有关的死亡事故.
- 根据毒理学发现,修改死亡证明.
主要方法:
- 基于证据的审查,从2020-2021年对315例自然死亡进行了基于证据的审查.
- 使用液体染色学-四极质谱法选的血液样本.
- 对检测到的分析物进行分析,以确定对死亡的贡献,并进行确认测试和法医病理学家的评估.
主要成果:
- 18个病例 (约5.7%) 因药物检测显著而被重新分类.
- 一个病例从自然转变为自杀;17个病例转变为意外.
- 涉及的药物包括处方药和非法物质.
结论:
- 毒理学查对于准确分类与药物有关的死亡至关重要.
- 重新评估最初被认定为自然死亡的死亡,可以揭示大量的药物参与.
- 当毒理学揭示与毒品有关的原因时,死亡证明的修改是必要的.
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