Under The Microscope: It 'nearly' killed me!

Death from alcoholic poisoning is not uncommon and can occur at blood levels in excess of about 300mg1100ml. Some deaths could be attributed to alcohol at even lower concentrations. Death can be caused either by the direct depressive effects upon the brainstem, mediated via the respiratory centres - or through secondary events such as aspiration of vomit. the use of 'aspiration of vomit' as a cause of death must be used with great caution unless there - is ante-mortem eyewitness evidence. The major exception to this proviso is in acute alcoholism, where if copious inhalation of stomach contents right down to the secondary bronchi is confirmed, then in the absence of significant natural disease, injury or other toxicity, a high blood-alcohol. level may reasonably be incriminated as the probable cause. Many such fatalities occur during police custody, when con s iderable outcry, publicity and disciplinar...