- if the death is suspected to be due to poisoning either by the police or doctor
- Deceased was intoxicated or used drugs
- Cause of death was not found after autopsy
- In cases where am an unusual smell, color, or an unidentifiable material is detected in the stomach contents
- Anaphylactic shock
- Death due to burns
- Advanced decomposition
- Accident involving the driver of a vehicle or machine operator
- The stomach and its contents if empty, the wall should be preserved.
- The upper part of the small intestine and its contents
- Liver 200-300g
- Kidney half of each kidney as one may be dysfunctional
- Blood= 30ml[ min=10ml]
- Urine -30ml
- Stomach contents are of primary value for estimating the quantity ingested in acute overdoses and qualitatively in identifying substances that have been recently ingested.
- For preservation of viscera, the glass bottles used should be of liter capacity, clean wide-mouthed white and fitted with glass stoppers.
- Blood should be collected in screw-capped bottle of 30ml
- When lungs or other tissues are preserved for analysis for volatile substances then nylon bags should be used as theses bags are not permeable for the volatile substances.
- Saturated sodium chloride solution except in poisoning from corrosive acids alkalis.
- Rectified spirit, except in cases of suspected poisoning by alcohol, kerosene, chloroform, ether.
- 10 mg/ml of sodium or potassium fluoride
- 1 ml of conc. Hydrochloric acid or 100mg thymol or 100mg of sodium fluoride can be used for 10 ml urine as preservatives.
- Viscera can be analyzed within 24 hrs
- If the sample can be kept in refrigerator
- Bone, hair nails
- lungs for detecting inhaled poisons.
- The viscera should not be preserved in formaldehyde because extraction of poison, especially non-volatile organic substances will be difficult
Viscera should be preserved if:
The following must
be preserved in all the fatal cases of suspected poisoning.
Levels of drugs in
the muscle more accurately reflect blood vessels than kidney or liver
It is essential to
present the contamination of a solid viscera with that of git contents as the time since ingestion maybe
determined from the relative amounts of poison in the stomach, intestines and solid viscera.
Poison found in the
urine, unless added with evil intention, is proof of absorption or excretion.
CONTAINERS:
PRESERVATIVE:
Preservative is not necessary if,
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Postmortem Toxicology Analysis
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