TY - JOUR
TI - Stosowanie substancji psychoaktywnych przez górników wydobywających węgiel kamienny podczas pracy – opis przypadku śmiertelnego zatrucia α-PiHP i tramadolem
AU - Skowronek, Rafał
AU - Wachholz, Paulina
AU - Bujak-Giżycka, Beata
AU - Celiński, Rafał
AU - Pawlas, Natalia
TI - Stosowanie substancji psychoaktywnych przez górników wydobywających węgiel kamienny podczas pracy – opis przypadku śmiertelnego zatrucia α-PiHP i tramadolem
AB - Working in an underground coal mine is undoubtedly associated with a lot of stress. This promotes the abuse of psychoactive substances – ethyl alcohol, but also medicines and narcotics. Drug tests are not routinely performed in mines.A 40-year-old hard coal miner suddenly fell while working and lost consciousness, followed by a seizure. Sudden cardiac arrest occurred, which could not be restored by cardiopulmonary resuscitation. The forensic autopsy did not determine the cause of death. However, it allowed to exclude traumatic death and revealed only minor pathological changes. Toxicological analyses of blood and urine performed using liquid chromatography coupled with mass spectrometry showed, among others: the presence of α-PiHP (α-pyrrolidinoisohexanophenone) at a concentration of 0.062 μg/mL and 0.163 μg/mL, respectively, the metabolite of α-PiHP (OH-α-PiHP, 4-hydroxy-α-pyrrolidinoisohexanophenone) at a concentration of 0.080 μg/mL and 1.50 μg/mL, and tramadol at concentrations of 1.60 μg/mL and 15.9 μg/mL (toxic concentration in blood).In cases of death among hard coal miners, it is always justified to collect biological material for toxicological tests and to order analyses for the presence not only of ethyl alcohol, but also of medicines and narcotics. This may be crucial to determining the cause of death and for post-accident investigation in the workplace.
VL - 2025
IS - 142–143
PY - 2025
SN - 1230-7483
C1 - 2720-5983
SP - 207
EP - 214
DO - 10.4467/12307483PFS.25.010.22917
UR - https://ejournals.eu/czasopismo/problems-of-forensic-sciences/artykul/use-of-psychoactive-substances-among-hard-coal-miners-during-work-a-case-report-of-fatal-a-pihp-and-tramadol-poisoning