Sudebno-meditsinskaia ekspertiza
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This paper is focused on selected problems of postdiploma training of experts for forensic chemical departments of bureaus of forensic medical examination. The main drawbacks of the existing system of advanced education for such specialists are the narrow spectrum of pharmaceutical disciplines and the lack of internship training for future experts for forensic chemical departments. Other interfering factors are conflicting situations arising in the course of forensic chemical examination at bureaus of forensic medical examination and chemical-toxicological investigations carried out in clinical and diagnostic laboratories by specialists having diploma of higher education in pharmacia. It is proposed that a new speciality (forensic toxicology) should be listed in the nomenclature of specialities of workers having higher and postdiploma education in medicine and pharmaceutics, in analogy with the universally accepted world practice.
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Data on general toxicity of carbon monoxide (CO) are presented with reference to the gender, age, and the degree of alcoholic intoxication of the affected subjects. Threshold values of carboxyhemoglobinemia for clinical and morphological manifestations of alcoholic intoxication were determined. Expert evaluation of CO toxicokinetics in subjects with alcoholic intoxication revealed informative clinical and morphological signs of carbon monoxide poisoning, the basic parameters of carboxyhemoglobin kinetics, and the sequence of CO-induced clinical and morphological changes during alcoholic intoxication. The data obtained permit to exactly determine the specific cause of death from poisoning with carbon monoxide and ethanol.