Chapter Fourteen – Forensic Toxicology FRSC 8104 Criminalistics II Professor Bensley FRSC 8104 – Toxicology Objectives 1. Describe the role of the forensic toxicologist in the following: Postmortem Examinations, Human Performance Testing, and Workplace Drug Testing. 2. Describe the various biological matrices on which toxicological analyses are routinely performed. 3. Explain how alcohol is produced, how it is absorbed into the bloodstream, how it is transported throughout the body, and how it is eliminated by oxidation and excretion. 4. Describe the basic fundamental concepts of breath alcohol testing procedures (BrAC). 5. Relate the precautions to be taken to properly preserve blood samples in order to accurately analyze its alcohol content. FRSC 8104 – Toxicology Objectives 6. Describe techniques that forensic toxicologists use to isolate and identify drugs and poisons. 7. Appreciate the significance of finding a drug in human tissues and organs to in relation to assessing level of impairment. FRSC 8104 – Toxicology Outline I. Introduction A. B. C. D. Definition of toxicology Three areas of forensic toxicology Role of the toxicologist Toxicology vs. Pharmacology II. All Substances are Poisons? A. Therapeutic Levels B. Lethal Dose (LD50) Typical Dose Response Curve (NOAEL) = No observed adverse effect level (LOAEL) = Lowest observed adverse effect level LD-50 FRSC 8104 – Toxicology Outline III. Parmacokinetics – Study of how drugs move into and out of body A. Absorption - All introduction methods result in passage of drug through a tissue barrier and into the bloodstream B. Distribution C. Metabolism D. Elimination FRSC 8104 – Toxicology Outline IV. Pharmacodynamics – Study of how drugs act in the body A. Receptors, Agonists, and Antagonists B. Tolerance C. Synergism FRSC 8104 – Toxicology Outline V. Sample/Specimen Collection VI. Post Mortem Forensic Toxicology A. B. C. D. Types of cases Specimens Analytical Process Analytes FRSC 8104 – Toxicology Outline VII.Human Performance Testing (Behavioral Toxicology) A. Steroids 1. Corticosteroids 2. Anabolic Steroids 3. Prohormones and Designer Steroids Anabolic Steroids Steroid Synthesis Hormone Synthesis Prohormones FRSC 8104 – Toxicology Outline B. Growth Hormones (HGH) FRSC 8104 – Toxicology Outline C. Alcohol (Ethanol) 1. Absorption of Ethanol a. b. c. d. e. Ingestion Metabolism Oxidation Full vs. Empty Stomach Factors determining absorption rate Ethanol Oxidation Ethanol Absorption (Widmark) Curve The effect of food on blood alcohol concentration. The graph shows BAC after a person drank alcohol following an overnight fast (solid line) and immediately after breakfast (dotted line). FRSC 8104 – Toxicology Outline 2. Distribution of Ethanol 3. Excretion of Ethanol 4. Circulation of Ethanol a. b. Direct analysis of Blood Alcohol content of Breath 5. Analysis of Ethanol a. b. Field Sobriety Tests Breath Tests (BrAC) FRSC 8104 – Toxicology Outline i. Breathalyzer FRSC 8104 – Toxicology Outline c. Blood Alcohol Concentration (GC-FID) i. Extraction ii. Distillation iii. Direct Injection of blood or serum iv. Head Space Procedures FRSC 8104 – Toxicology Outline v. vi. vii. viii. ix. 7. Quantitative Analysis Procedures External vs. Internal Standard Plasma/serum Reporting results Sample Preservation (Anticoagulants and Preservatives) Alcohol Impairment FRSC 8104 – Toxicology Outline VIII.Workplace Drug Testing A. NIDA – 5 classes of drugs B. Test Types 1. 2. 3. 4. 5. Urine Saliva Hair Blood Sweat (Patch) SUBSTANCE BLOOD SALIVA Shortest Detectability SWEAT URINE ----------------------------------> HAIR Longest Detectability Alcohol 12 hrs 6-12 hrs unknown 6-24 hrs n/a Amphetamine 12 hrs 3 days unknown 1-4 days up to 90 days Barbiturates unknown unknown unknown 1-21 days unknown Benzodiazepines unknown unknown unknown 1-42 days unknown Cannabis (single use) 2-3 days 12-24 hrs unknown 2-3 days up to 90 days 2 weeks 12-24 hrs unknown 15-30 days up to 90 days Cocaine unknown 1 day unknown 4-5 days up to 90 days Codeine/Morphine unknown 12-36 hrs unknown 2-4 days up to 90 days Heroin unknown unknown unknown 2-4 days up to 90 days Methamphetamine 1-3 days unknown unknown 3-5 days up to 90 days PCP 1-3 days 3 days unknown 3-7 days up to 90 days Cannabis (habitual use) http://www.erowid.org/psychoactives/testing/testing_info1.shtml FRSC 8104 – Toxicology Outline C. Classes of Drugs Tested 1. Cannabanoids Delta-9-THC FRSC 8104 – Toxicology Outline 2. Cocaine FRSC 8104 – Toxicology Outline 3. Amphetamines Methamphetamine vs. Neurotransmitters Methamphetamine Dopamine Epinephrine FRSC 8104 – Toxicology Outline 4. Opiates FRSC 8104 – Toxicology Outline 5. Phencyclidine (PCP) FRSC 8104 – Toxicology Outline 6. Others C. Methods of Analysis 1. 2. Extraction Methods Screening Methods a. 3. 4. 5. Immunoassay (EMIT, ELISA, RIA) Confirmation Field Tests Special Considerations At-Home Drug Test Kits Drug Screening Urine Cutoffs Analyte Tested in Confirmation Confirmation Urine Detection Cutoffs (ng/mL) Time (ng/mL) Amphetamine 1,000 Amphetamine 500 2-4 days Cocaine 300 Benzoylecgonine 150 1-3 days Heroin 300 Morphine; 6-monoacetylmorphine 300;10 1-3 days Marijuana 50-20 Tetrahydrocannabinol 15 1-3 days (casual), 30 days (chronic) Methamphetamine 1,000 Methamphetamine; Amphetamine 500; 200 2-4 days PCP 25 Phencyclidine 25 2-7 days (casual) http://www.nida.nih.gov/pdf/monographs/monograph167/108-129_Cone.pdf