Document Detail


Apparent suicidal carbon monoxide poisonings with concomitant prescription drug overdoses.
MedLine Citation:
PMID:  16419412     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report four separate suicides by apparent motor vehicle-related carbon monoxide (CO) poisoning in which complete toxicological analysis showed the absence of, or lower than expected, percent carboxyhemoglobin saturation and high concentrations of concomitant prescription drugs. These cases, within a population of 71 apparent CO suicides from the Wayne County Medical Examiner's Office over 1998-2004, represent cases where additional factors are in play. Multiple modalities (CO poisoning and drug overdose) and/or undetectable carbon dioxide poisoning from the vehicle exhaust of cars manufactured after laws regulating vehicle emissions were enacted are examples of additional factors that require consideration in these selected cases. All four cases demonstrated some degree of decomposition, so the possible loss of CO could not be ruled out. The need for full toxicological analysis in apparent suicidal CO poisoning is emphasized.
Authors:
Avneesh Gupta; Melissa A Pasquale-Styles; Bradford R Hepler; Daniel S Isenschmid; Carl J Schmidt
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of analytical toxicology     Volume:  29     ISSN:  0146-4760     ISO Abbreviation:  J Anal Toxicol     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2006-01-19     Completed Date:  2006-02-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7705085     Medline TA:  J Anal Toxicol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  744-9     Citation Subset:  IM    
Affiliation:
Wayne County Medical Examiner's Office, 1300 East Warren Avenue, Detroit, Michigan 48207, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Carbon Monoxide Poisoning / complications*,  metabolism
Female
Forensic Medicine
Humans
Male
Overdose / complications*,  metabolism
Pharmaceutical Preparations / adverse effects*
Suicide*
Vehicle Emissions / poisoning*
Chemical
Reg. No./Substance:
0/Pharmaceutical Preparations; 0/Vehicle Emissions

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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