title: [Lethal intoxication while driving a car].
abstract: This report concerns a passenger car crash, which at first looked like a case of multiple trauma resulting in the death of the pinned-in driver. Conspicuous was a cuff that had been applied to the left forearm. No significant injuries could be determined during the autopsy of the corpse. The forensic toxicology results showed lethal toxic concentrations of the painkiller pethidine, which suggests that the driver had applied a lethal dose of the medication immediately before the collision as part of a complex suicide.
authors.affiliation: Unfallforschung der Abteilung für Unfall- und Wiederherstellungschirurgie, der Ernst-Moritz-Arndt-Universität Greifswald.
authors.forename: Matthias
authors.initials: M
authors.lastname: Frank
authors.forename: Klaus-Peter
authors.initials: KP
authors.lastname: Philipp
authors.forename: Gerrit
authors.initials: G
authors.lastname: Matthes
authors.forename: Britta
authors.initials: B
authors.lastname: Bockholdt
authors.forename: Axel
authors.initials: A
authors.lastname: Ekkernkamp
mesh_terms: D000063:Accidents, Traffic / Q000331:legislation & jurisprudence*; D000328:Adult; D000701:Analgesics, Opioid / Q000493:pharmacokinetics / Q000633:toxicity*; D001344:Autopsy / Q000331:legislation & jurisprudence; D003937:Diagnosis, Differential; D004305:Dose-Response Relationship, Drug; D006801:Humans; D008297:Male; D008614:Meperidine / Q000493:pharmacokinetics / Q000633:toxicity*; D009104:Multiple Trauma / Q000097:blood / Q000473:pathology; D009293:Opioid-Related Disorders / Q000097:blood / Q000473:pathology*; D015819:Substance Abuse, Intravenous / Q000097:blood / Q000473:pathology*; D013405:Suicide / Q000331:legislation & jurisprudence
chemical_list: D000701:Analgesics, Opioid; D008614:Meperidine