title: A dextromoramide-related fatality.
abstract: A 38-year-old man was found in his car suffering from a heart attack. Serum analysis by capillary gas chromatography and mass spectrometry confirmed the presence of dextromoramide (Palfium), methadone, and lidocaine. The serum concentrations at admission to the hospital were: 1.9 micrograms/mL of dextromoramide, 0.4 micrograms/mL of methadone, and 0.4 micrograms/mL of lidocaine. A serum alcohol analysis performed using headspace gas chromatography was negative.
authors.affiliation: New York State Police Crime Laboratory, Albany.
authors.forename: E
authors.initials: E
authors.lastname: Brewer
mesh_terms: D000328:Adult; D002849:Chromatography, Gas; D003916:Dextromoramide / Q000032:analysis / Q000097:blood / Q000506:poisoning*; D008401:Gas Chromatography-Mass Spectrometry; D005766:Gastrointestinal Contents / Q000032:analysis; D006801:Humans; D008012:Lidocaine / Q000032:analysis / Q000097:blood; D008297:Male; D008691:Methadone / Q000032:analysis / Q000097:blood
chemical_list: D008012:Lidocaine; D003916:Dextromoramide; D008691:Methadone