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POST-MORTEM ALCOHOL RESULTS CAN BE MISLEADING


OCTOBER 03 -- ROSEBURG, OR: A number of news reports (and subsequent discussion on message boards) have been posted in the last couple days regarding the blood-alcohol results of toxicology reports following the fatal crash on Highway 20 in eastern Oregon that killed eight contract firefighters near Vale, Oregon. Those reports, however, should not be considered "evidence" that the driver or passengers were drinking prior to the crash. A convenience store video does show crewmembers purchasing beer. And surviving crewmembers corroborate that, but they also say that the beer was in a cooler on top of the van racks. This has been an issue over the last few years with the survivors of pilots killed in airtanker crashes, and the subject is on the agenda for this year's annual meeting of the Associated Airtanker Pilots. It is not unusual for alcohol to be detected during toxicological testing of aviation accident victims. Post-mortem ethanol production, according to aircraft crash investigation reports by the Transportation Safety Board of Canada, is the result of bacterial action after death. The presence of ethanol depends on various factors, such as the condition of the tested specimen, the environmental conditions to which the tissues were exposed, and the time duration before the specimen was recovered. To confirm the conditions for this phenomenon, testing was conducted on specimens from individuals who would not have been expected to have ingested alcohol because of age or cultural background. Of the six specimens tested, five tested positive for ethanol. Microorganisms in decomposing bodies frequently produce alcohol in amounts equivalent to intoxication, according to Gary Kunsman, chief toxicologist with the Bexar County (Texas) medical examiner's office. Kunsman has been involved with cases where the post-mortem indication of a high blood-alcohol content was an issue. "Post-mortem alcohol production is a very odd thing," said Kunsman. "It doesn't occur in all bodies, and it doesn't occur at the same rate in bodies, even under the same conditions." Microorganisms in the body, including yeast, can produce alcohol in body tissues after death. Kunsman, who worked for the armed forces medical examiner in Washington, DC, said post-mortem alcohol levels were often seen in military pilots killed in aircraft crashes. "You know the pilot's not drinking," explained Kunsman. "He crashes, it takes a week or two to locate the body, get him back, autopsy him. And we would find alcohol levels of 0.2 or 0.3." Bacteria in some areas of the body escape and can generate ethanol in the blood, brain, liver, and other tissues within a few hours of death. In his paper "Pitfalls in Forensic Toxicology," T. Richardson of the Toxicology Lab at England's Manchester Royal Infirmary said that concentrations can reach 1500 mg per liter within a few days, and physical disruption of the body can enhance post-mortem alcohol production. Post-mortem urine and vitreous fluid, however, are largely free of this effect. Though the possession of alcohol in the van violated the agreement between the contract firefighters' employer and the Oregon Department of Forestry, the post-mortem indications of blood-alcohol don't yet indicate intoxication on the part of the driver or other firefighters.

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