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"First pass phenomenon" of inhaled gas in the fire victims
Authors:K Matsubara  A Akane  C Maseda  H Shiono
Institution:Department of Legal Medicine, Shimane Medical University, Izumo, Japan.
Abstract:We investigated the differences in the levels of carboxyhemoglobin (COHb), cyanide (HCN) and petroleum fuels (gasoline and kerosene) between left and right ventricular bloods from fire victims. COHb was slightly, and HCN and petroleum fuels were markedly higher levels in the left than those in the right. These effects were so called 'first pass phenomena' due to the circulation, diffusion and metabolization before the deaths of fire victims.
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