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Two types of forensic toxicology
Human performance toxicology
Postmortem analysis
What is human performance toxicology
Measures the amount of alcohol or drugs in a living person’s blood or breath
Estimates their role in modifying human performance or behavior
What is postmortem analysis
Presence of drugs, gases, metals, and other toxic chemicals in human fluids and organs
Determines their role, if any, in the death
What is the most common type of human performance testing
Testing is done to determine if someone is driving a car under the influence of alcohol or drugs
What is BAC
Blood Alcohol Concentration, which expresses the amount of alcohol in a person’s body
Typically done by police officers
What is a field sobriety test
Assesses a driver’s degree of physical impairment
What are the effects of low BAC
Affects cerebral function
What are the effects of high BAC
Medullar function is affected
BAC levels
BAC < 0.06%: considered to be sober
BAC = 0.18%: individual is easily confused
BAC = 0.27%: person is in a stupor
BAC = 0.35%: they are in a coma
Where is alcohol mainly absorbed?
Ethyl alcohol is absorbed into the bloodstream largely from the stomach and small intestine
What are some factors that influence the rate at which alcohol enters the bloodstream
Rate of gastric emptying
Presence of food
Concentration of alcohol consumed
Type of beverage
Rate at which alcohol is consumed
How is alcohol eliminated from the body?
Two ways:
Oxidation: 95-98% of alcohol is eventually oxidized to CO2 and water
Excretion: Normally as sweat, breath, and urine
What is the process of the oxidation-reduction reaction of eliminating alcohol
Alcohol is transported to the liver, where enzymes catalyze its oxidation
Acetaldehyde → acetic acid → CO2 and H2O
More than 90% of ethyl alcohol that enters the body is oxidized to acetic acid
How is BAC measured?
A breath sample is first collected at the scene. Then, a direct chemical analysis of a blood sample can be done, which is typically more reliable.
How are blood samples for measuring BAC collected
Skin is first cleaned with a nonalcoholic disinfectant (Betadine)
Blood is taken with a sterile needle
How are blood samples for measuring BAC preserved
Preservatives are added to the sample
Anticoagulants (potassium oxalate)
Sodium fluoride (NaF) inhibits microorganisms from growing and contaminating the sample
Indicated with a gray capped tub
Refrigeration
What happens if a BAC blood sample is not preserved properly
BAC results will be abnormally low
How are BAC blood samples collected from cadavers
Blood samples should be collected from multiple sites
Tissues samples can be used instead as well
Explain the headspace technique
Theory: Concentration of ethanol and other volatiles in a dilute aqueous biological sample is directly proportional to their concentration in the gas phase
About 1/3 - ½ sample (liquid or solid) is placed in an airtight container
Headspace vapor is injected into the GC/FID using an airtight syringe
Each component has a unique retention time
Concentration is calculated by a calibration curve based on peak area or peak height
Uses ~ 100 uL of blood or other body fluids or 1-2 g of tissue
Dilutor will combine the sample with 450 uL of internal standard, which acts as a positive control (IS)
Explain gas chromatography
Used to separate and detect complex mixtures of volatile organic compounds
Distributes compounds of a mixture between an inert-gas mobile phase and a solid stationary phase
Components product symmetrically shaped peaks (Gaussian peaks)
Peak area is proportional to the concentration of that component
What does postmortem toxicology begin with
A case history of the deceased and analyses for poisons
How are toxicological collections of postmortem specimens done
Body fluids are collected from organs in which chemicals might accumulate
Collection is done before the body is embalmed
Analysis may also be done on bone marrow, fluid in the eye, hair, or maggots
Presumptive testing is performed first to detect the presence or absence of drugs
What are specifically analyzed first for postmortem toxicological specimens
If poison is taken orally, the GI contents are analyzed
Urine
Kidneys
Liver and other organ tissues
What are the general categories of poisons
Inorganic
Organic
Radiological
Biological
What types of poisons are typically analyzed in toxicology
Corrosive poisons
Metabolic poisons
Toxic metals
Organic metals
What are corrosive poisons
Substances that destroy tissues on contact (e.g., HCl, sulfuric acid, etc.)
What are metabolic poisons
Poisons that cause harm, and frequently death, by interfering with some essential metabolic process in the body
What are toxic metals
Metals that are toxic in very small amounts (e.g., lead, mercury, etc.)
What are organic poisons
Poisons that are typically administered to incapacitate a victim (e.g., laxatives, antidepressants, etc.)
What is pharmacology
The study of the relationship between drugs and living things
What is toxicology
The study of the nature, effects, and detection of poisons
What is pharmocokinetics
Study of how drugs move in and out of the body
Does the rate at which the body removes alcohol from the blood differ between individuals
Yes, it varies significantly between individuals
What is the equation for estimating BAC range
Ca= Ct + β(t)
Ca = BAC at time of the accident
Ct = BAC at time of blood draw
Lowest rate is β = 12.5 mg/100 mL hr
Highest rate is β = 25 mg/100 mL hr
t = time from accident to blood draw
What are the responsibilities of a forensic toxicologist
Identity of drugs
Quantity of drugs
Presence of metabolites
Interactions of present drugs
Role of dependence and tolerance
What are some challenges of forensic toxicologists
General screening'
May only have ug or ng of substances
Metabolites of substances
Toxicity levels → lethal doses
What specifically does pharmacokinetics look at
Absorption
Distribution
Drugs may have a specific structure that causes them to accumulate in a particular tissue
Metabolism
Process whereby a drug or other substance is chemically changed to a different form
Elimination
What are the main steps of analysis in forensic toxicology
Extraction
Screening
Confirmation
What are types of extraction
For liquids → acid/base extraction
For solids → Solid phase microextraction (SPME)
Coated wire/fiber is inserted in fluid (activated charcoal)
Drugs selectively absorb
Wire is removed and drugs eluted
What are types of screening procedures
Thin Layer Chromatography (TLC)
Gas Chromatography
Immunoassay
What is thin layer chromatography
The stationary solid phase involves a glass or plastic plate coated with a thin layer of silica
The moving liquid phase works through capillary action, causing the solvent to be pulled across the plate
Separates component based upon their affinity for the mobile and stationary phases
Rf = distance component traveled/distance solvent traveled
Explain ELISA
Enzyme-Linked Immunosorbent Assay
Involves microplates coated with a polyclonal antibody that has a high affinity for target analytes
Sample is incubated with the plastic-bound antibody
If an analyte is present in the sample, it will form a complex with the antibody
Wells are then washed to remove any unbound sample and reagent
A monoclonal antibody is added to the well, which is specific to another area of the antigen
Chromogenic substrate is added to the second antibody
Intensity of the color is proportional to the concentration of the analyte in the sample
Explain how GC/MS works
GC separates components of the mixture
The MS records the sample’s mass spectrum
Consists of a series of small mass peaks (fragments) that are unique to organic compounds
Most reliable confirmation test for forensic toxicology
Explain how mass spectrometry works
Mass is presented on the x-axis, and intensity of the mass on the y-axis
Molecular ion (M+) peak
Computers are equipped with a library of reference spectra from compounds
What is the molecular ion peak
M+ peak occurs when the molecule is bombarded with electrons, causing one electron to get knocked off the molecule, creating a positive ion
Corresponds to the molecular mass off the molecule
How long do drugs remain in the bloodstream
~24 hours
How long do drugs remain in the urine
~72 hours
How is hair helpful in forensic toxicology
Because hair is nourished by blood flowing to the root, drugs in the blood will diffuse through capillary walls into the base of the hair. Drugs are then permanently trapped in the keratin structure of the hair. Hair grows ~1 cm per month
What is determined from postmortem toxicological information
How the poison entered the body
Whether enough poison was ingested to cause death
Where is the highest concentration of poison usually found
Where it entered the body
What is the ratio of alcohol in blood to alcohol in breath
2,100 to 1
In other words, 1 mL of blood will contain nearly the same amount of alcohol as 2,100 mL of alveolar breath
What reaction produces fire
Oxidation reactions
What is an oxidation reaction
A chemical reaction between a substance and oxygen
What are examples of slow oxidation reactions
Rusting or bleaching
What are examples of fast oxidation reactions
Combustion or fire, where there is a rapid release of heat
What is an example of an extremely fast oxidation
Explosions
What is activation energy
Minimum energy that reactant molecules must possess to react
What factors change the rate of a chemical reaction
Temperature
Concentration of reactants
Presence of a catalyst
How is a flame produced
Fuel produces a flame only when sufficient molecules exist in the gaseous state. Once a liquid reaches its flash point, fuel can be ignited by an outside source of heat
What is flashpoint
The minimum temperature at which a liquid fuel will produce enough vapor to burn
Which is higher, ignition temperature or flash point
Ignition temperature
What is flash point for flammable liquids
<100ºF
What is the flash point for combustible liquids
≥100ºF
What are accelerants
Materials used to start or sustain a fire
Liquid accelerants form flammable or explosive vapors at room temperature
What is pyrolysis
Chemical decomposition of a substance by heat
What is flammable range
Concentration of gaseous fuel that will support combustion
What are the essential ingredients of a fire
Fuel, air, sufficient heat
What is the sequence of events during a fire
Incipient stage
Free-burning stage
Smoldering stage
Describe the incipient stage
Ignition of fire
Gases rise in the room
Oxygen dives to the bottom of the flames
Fire produces a “V” pattern on vertical surfaces
Describe the free-burning stage
Fire consumes more fuel and intensifies
Flames spread upward and outward
A dense layer of smoke and fire gases accumulates near ceiling
At a temperature of 1100ºF, all flues in the room ignite (flashover)
If fire stays confined to the area it originated, its growth depends on the amount of O2 available
Entire structure becomes engulfed in flames
Describe the smoldering stage
All fuel is consumed, and the fire’s open flames disappear
If oxygen suddenly enters the area, the soot and fire gases can ignite with explosive force, producing a backdraft
What is a hydrocarbon accelerant
Accelerants composed of carbon and hydrogen
Presence of specific hydrocarbons in fire debris may indicate that a certain accelerant was used
What is the point of origin of a fire
Place where the fire started
Typically the site of greatest damage
Usually located at the lowest point of intense burning
Most likely area to discover an accelerant or ignition device
What are burn patterns
Physical marks and char that remain after a fire
What are some types of burn patterns and what can they indicate
Lines or darkened areas record the boundaries between different levels of heat and smoke
Direction the fire traveled can be determined from burn holes in walls or ceilings
Measuring the depth and extent of charring may help estimate the duration of the fire
What does charring on the underside of furniture on the floor indicate
Use of a flammable liqiuid
What is burn pattern geometry
Shapes on the walls or floors may indicate handling of accelerants
What does an hourglass pattern indicate
Pool of burning liqiuid
What does a pour pattern indicate
Burn in the middle of a room
What does a trailed pattern indicate
Burn pattern that resembles a flowing stream; liquid was spread from one location to another
What do melted objects indicate
Melted objects, especially metals, can assist in determining intensity and duration of the heating