Death by poisoning: a ten-year survey of Dallas County.

From 1971 through 1980, 1115 deaths were ascribed by the Dallas County Medical Examiner's Office to poisoning of some type. An analysis of these deaths, with emphasis on the substances involved, is the purpose of this study. Relatively few agents or groups of agents accounted for 87% of these deaths: carbon monoxide, barbiturates, propoxyphene, narcotics, tricyclic antidepressants, ethyl alcohol, and inhalants (gases and solvents). Twenty-five percent of the deaths were classified as mixed intoxications, resulting from combinations of agents. Two major trends were observed: in the second five-year period, barbiturate-induced deaths decreased considerably (58%) and deaths from tricyclic antidepressants increased more than four times as compared with the first five-year period. Yearly statistics have been compiled for deaths from each agent.

[1]  R. F. Shaw,et al.  Propoxyphene in postmortem toxicology 1976-1978. , 1981, Journal of forensic sciences.

[2]  J. Garriott,et al.  Analysis for volatile compounds in biological samples. , 1981, Journal of analytical toxicology.

[3]  J. Garriott,et al.  Measurement of toluene in blood and breath in cases of solvent abuse. , 1981, Clinical toxicology.

[4]  J. Garriott,et al.  A fatal case of lead poisoning due to a retained bullet. , 1980, The American journal of forensic medicine and pathology.

[5]  B. Finkle,et al.  Diazepam and drug-associated deaths. A survey in the United States and Canada. , 1979, JAMA.

[6]  B. Finkle,et al.  A national assessment of propoxyphene in postmortem medicolegal investigation, 1972-1975. , 1976, Journal of forensic sciences.

[7]  R. Baselt,et al.  Acute heroin fatalities in San Francisco. Demographic and toxicologic characteristics. , 1975, The Western journal of medicine.

[8]  W. Sturner,et al.  Morphine concentrations and survival periods in acute heroin fatalities. , 1973, The New England journal of medicine.

[9]  G. Lundberg Barbiturates: a great American problem. , 1973, Journal of the American Medical Association (JAMA).

[10]  W. Sturner,et al.  Deaths involving propoxyphene. A study of 41 cases over a two-year period. , 1973, JAMA.

[11]  M. Bass Sudden sniffing death. , 1970, JAMA.

[12]  C. S. Petty,et al.  Death from inhalant abuse: toxicological and pathological evaluation of 34 cases. , 1980, Clinical toxicology.

[13]  W. Sturner,et al.  Toxicologic findings in six fatalities involving methadone. , 1973, Clinical toxicology.

[14]  B. Finkle Ubiquitous reds: a local perspective on secobarbital abuse. , 1971, Clinical toxicology.