Article: article from journal or magazin.
Case report (case report): feedback on an observation with a short commentary.
Car crash after massive ingestion of digoxin and midazolam.
International Journal of Legal Medicine
Publication types: Case Reports ; Journal Article
In a case where a 32-year-old man lost control of his vehicle, urine and blood samples were taken 6 h after the crash for toxicological investigations. In the hospital, the driver admitted consumption of some drugs, in particular digoxin and midazolam just before the crash which corresponded to the results of blood analyses. Toxicological findings indicated the presence of digoxin at 12.9 ng/ml and midazolam at 7 ng/ml in the blood. These results suggested that at the moment of the crash digoxin and midazolam blood levels were in the range of toxic and therapeutic concentrations, respectively. Therefore the respective roles of the drugs in the impairment of the ability to drive at the moment of the crash is discussed.
Accidents, Traffic, Adult, Alcohol Drinking, Autopsy, Cardiotonic Agents, Digoxin, Humans, Hypnotics and Sedatives, Male, Midazolam, Substance-Related Disorders
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