Forensic Toxicology
Forensic Toxicology
Forensic Toxicology
Forensic Toxicology is associated with the medico-legal aspects of toxicology; it plays an essential role in criminal and
coroner investigations of poisoning, drug use and death, as well as in suspected cases of doping, inhalant or drug abuse,
and driving under the influence of alcohol or drugs. This forensic discipline applies analytical chemistry to isolate and
chemically identify toxic substances, drugs (prescription and illicit), alcohol, volatile substances and industrial,
household or environmental chemicals that adversely affect the human body.
Toxicology – This refers to the branch of science that treats of poison, their origin, physical and chemical properties,
physiological action, treatment of their noxious effect and methods of detection. The etymology of toxicology came from
“toxico” that means poison and "ology that means study or science.
Poison – This refers to a substance that when introduced into the body and is absorbed through the blood stream and acting
chemically is capable of producing noxious effect.
Classification of Poison
1. According to Kingdom
a. Animal – ex Cantharides
b. Vegetable – ex. Strychnine
c. Mineral – ex. Hydrochloric acid
Action of Poison
1. Local – This refers to the changes or disturbance produced on the part with which the poison come in
contact. Ex. The corrosion produced by corrosive poisons.
2. Remote – This refers to the changes or disturbance produced in distant parts away from the site of
application. Ex. Dilation of the pupils when belladonna is taken orally.
3. Combined – This refers to the effect of the poison is not only localized at the site but affects remote
organs. Ex. Phenol causes corrosion of the gastro – intestinal tract
(local) and causes convulsion (remote).
Conditions Modifying the Action of Poisons
1. Those attributed to the individual
a. Age and sex
b. Health
c. Habit – the repeated taking of small dose of drug
d. Idiosyncrasy – This refers to a term applied to individuals’ reactions to certain substances who exhibit.
e. Diseases
f. Food
g. Sleep
h. Exhaustion
2. Those attributed to the poison itself
a. Physical state or form of the poison
b. Dilution
c. Solubility of the poisons
d. Mode of administration
e. Chemical combination
f. Mechanical combination
g. Dose – This refers to the quantity of a poison to be administered at one time Posology – This refers to
branch of medical science that concerned with form and quantity of medicine to be administered within a
certain period.
Kind of Dose
1. Safe Dose – This refers to one that does not cause harmful effect.
2. Toxic or Poisonous Dose – This refers to one that is harmful to both healthy and sick
3. Lethal Dose – This refers to one that kills.
4. Minimum Dose – This refers to the smallest amount that will produce the therapeutic effect without
harm.
5. Maximum Dose – This refers to the largest amount that will cause no harm but at the same time
produce desired therapeutic effect.
Entrance of Poison
Poison May Enter the Body Through:
1. Mouth and are absorbed into the circulation after passing the stomach and intestinal wall.
2. Nose and enter the blood from the upper respiratory passages or lungs.
3. Eyes
4. Rectum, vagina, urethra, bladder and ureter by injection
5. Hypodermic Injection
6. Intravenous Injection
Elimination of Poison
Poison May be Eliminated by:
1. Emesis
2. Respiration
3. Feces
4. Urine
5. Milk
6. Saliva
7. Sweat
8. Tears
Diagnosis of Poisoning from Disease
Diagnosis of poisoning before death is very difficult because of:
1. The large number of poisons and the factor modifying them;
2. Some of the symptoms observed in cases of poisoning are also seen in certain diseases.
v. Special treatment
a. if the poison is gas – immediate need is fresh air and artificial respiration.
b. if poisoning is external (like burn on the hand by concentrated acid) – wash with plenty of water or with
Alcohol, Sodium Bicarbonate, Lime Water or Milk of Magnesia.
c. if alkali burn – wash with lemon or other citrus fruits.
d. if the poison has come from a bite or injection – the poison can be checked from spreading through
the body by applying tourniquet or a restricting band tightly above the wound. This retards the
absorption of poison by the blood.
2. Stomach The whole stomach For all types of poisoning taken by mouth
3. Intestinal All available For cases in which the poison was taken
Contents by mouth within one or two days
4. Liver 300 grams Metals, barbiturates, fluorides, oxalate,
sulfonals and many other poisons
5. Kidney One Kidney Metals, especially Hg,
Sulfonamides
6. Blood At least 10 ml All gas poisons, sulfonamides,
bromides, alcoholism,
drowning for chloride contents
7. Brain 500 grams Volatile poisons, barbiturates, alkaloids,
alcoholism
8. Urine All available Nearly all types of poisoning
9. Bone 200 grams Lead, arsenic, radium
10. Muscle 200 grams In most acute poisoning and internal
organs are badly putrefied
11. Hairs 5 grams Chronic Arsenic Poisoning