Cannabis misinterpretation and misadventure in a coroner's court.

Hdl Handle:
http://hdl.handle.net/10147/274182
Title:
Cannabis misinterpretation and misadventure in a coroner's court.
Authors:
Tormey, William Patrick
Affiliation:
Chemical Pathology, Beaumont Hospital, Dublin 9, Ireland. billtomey@gmail.com
Citation:
Cannabis misinterpretation and misadventure in a coroner's court. 2012, 52 (4):229-30 Med Sci Law
Journal:
Medicine, science, and the law
Issue Date:
Oct-2012
URI:
http://hdl.handle.net/10147/274182
DOI:
10.1258/msl.2011.011087
PubMed ID:
23155125
Abstract:
A 37-year-old, one-pack-per-day tobacco smoker collapsed and died at home. At autopsy, he had an occluded left anterior descending coronary artery. Δ(9)-Tetrahydrocannabinol-carboxylic acid was found in his urine but no cannabinoids were detected in his blood. Misadventure was the inquest verdict on the basis of the urinary cannabis, with acute myocardial infarction as the primary cause and cannabis as the secondary cause of death. Such a conclusion is a misinterpretation of the evidence when the time duration for cannabis as a trigger for myocardial infarction is at most two hours. The absence of cannabis in the blood likely places the time since inhalation at more than two hours. The role of tobacco smoking as a trigger was ignored. Cotinine, the biochemical marker of tobacco smoke, should be added to the standard toxicological screen in the guidelines on autopsy practice of the Royal College of Pathologists.
Item Type:
Article
Language:
en
MeSH:
Adult; Coronary Occlusion; Death, Sudden; Forensic Pathology; Humans; Male; Marijuana Smoking; Smoking; Tetrahydrocannabinol; Time Factors
ISSN:
0025-8024

Full metadata record

DC FieldValue Language
dc.contributor.authorTormey, William Patricken_GB
dc.date.accessioned2013-03-19T15:09:20Z-
dc.date.available2013-03-19T15:09:20Z-
dc.date.issued2012-10-
dc.identifier.citationCannabis misinterpretation and misadventure in a coroner's court. 2012, 52 (4):229-30 Med Sci Lawen_GB
dc.identifier.issn0025-8024-
dc.identifier.pmid23155125-
dc.identifier.doi10.1258/msl.2011.011087-
dc.identifier.urihttp://hdl.handle.net/10147/274182-
dc.description.abstractA 37-year-old, one-pack-per-day tobacco smoker collapsed and died at home. At autopsy, he had an occluded left anterior descending coronary artery. Δ(9)-Tetrahydrocannabinol-carboxylic acid was found in his urine but no cannabinoids were detected in his blood. Misadventure was the inquest verdict on the basis of the urinary cannabis, with acute myocardial infarction as the primary cause and cannabis as the secondary cause of death. Such a conclusion is a misinterpretation of the evidence when the time duration for cannabis as a trigger for myocardial infarction is at most two hours. The absence of cannabis in the blood likely places the time since inhalation at more than two hours. The role of tobacco smoking as a trigger was ignored. Cotinine, the biochemical marker of tobacco smoke, should be added to the standard toxicological screen in the guidelines on autopsy practice of the Royal College of Pathologists.en_GB
dc.language.isoenen
dc.rightsArchived with thanks to Medicine, science, and the lawen_GB
dc.subject.meshAdult-
dc.subject.meshCoronary Occlusion-
dc.subject.meshDeath, Sudden-
dc.subject.meshForensic Pathology-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshMarijuana Smoking-
dc.subject.meshSmoking-
dc.subject.meshTetrahydrocannabinol-
dc.subject.meshTime Factors-
dc.titleCannabis misinterpretation and misadventure in a coroner's court.en_GB
dc.typeArticleen
dc.contributor.departmentChemical Pathology, Beaumont Hospital, Dublin 9, Ireland. billtomey@gmail.comen_GB
dc.identifier.journalMedicine, science, and the lawen_GB
dc.description.provinceLeinsteren

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