Cannabinoid Hyperemesis Syndrome: Reports of Fatal Cases

Cannabinoid hyperemesis syndrome (CHS) is one of the more clinically challenging effects of cannabis consumption. It is characterized by cyclic attacks of nausea and vomiting in chronic cannabinoid users and learned behavior of compulsive hot bathing. The deaths of a 27‐year‐old female, a 27‐year‐old male, and a 31‐year‐old male with a history of CHS are reported. The decedents had a history of cyclical nausea and vomiting, chronic cannabinoid use and negative laboratory, radiological and endoscopic findings. All presented to the emergency department with nausea and vomiting in the days preceding death and were treated symptomatically. Toxicological analysis revealed tetrahydrocannabinol in postmortem blood. The cause of death of two of the three cases was attributed to CHS. CHS was appreciated in the third case but was not the cause of death. These three cases demonstrate the importance of recognizing CHS as a potential cause or contributing factor to death in cannabinoid user.     

Developing and Testing a Soil Property Database for Forensic Applications in Southern California

The research sought to develop and test a forensic database of surface soil variability within previously mapped geologic and soil units in southern California. This type of database could be used to link suspects to crime scenes or determine source locations of soil sample evidence. Variability was evaluated using (i) color, (ii) magnetic susceptibility, and (iii) particle‐size distribution. Soil properties were analyzed for their ability to discriminate source areas using stepwise discriminant analysis. The percent correct predictions for geologic unit groups ranged from 30% to 100%. A blind study experiment matched four of the 18 samples to their unit of origin with the first choice by stepwise discriminant analysis, and eight were matched as second and third choices. The probability of selecting the appropriate unit of origin increased by 54% over random chance and eliminated as much as 99% of the field area as a potential search location.