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    Cannabis misinterpretation and misadventure in a coroner's court.

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    Authors
    Tormey, William Patrick
    Affiliation
    Chemical Pathology, Beaumont Hospital, Dublin 9, Ireland. billtomey@gmail.com
    Issue Date
    2012-10
    MeSH
    Adult
    Coronary Occlusion
    Death, Sudden
    Forensic Pathology
    Humans
    Male
    Marijuana Smoking
    Smoking
    Tetrahydrocannabinol
    Time Factors
    
    Metadata
    Show full item record
    Citation
    Cannabis misinterpretation and misadventure in a coroner's court. 2012, 52 (4):229-30 Med Sci Law
    Journal
    Medicine, science, and the law
    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
    ISSN
    0025-8024
    ae974a485f413a2113503eed53cd6c53
    10.1258/msl.2011.011087
    Scopus Count
    Collections
    Beaumont Hospital

    entitlement

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