Barbiturate automatism | Self poisoning | Barbiturate poisoning | UGC NET Forensic science notes

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Definition: It is taking of barbiturate tablets repeatedly, because of mental confusion.
Cause: The patient develops a state of toxic delirium after ingestion of one or several doses of drug, and in the delirium or automatism state, takes additional doses of drug in order to get to sleep without any intention to commit suicide and without realizing it.
Medico-legal aspects: Barbiturate automatism may be more pronounced with alcohol consumption.
• Barbiturate in high doses is used for physician-assisted suicide, and in combination with a muscle relaxant for euthanasia and for capital punishment by lethal injection.
• Thiopental is used IV for the purposes of euthanasia. The Belgians and the Dutch have created a protocol that recommends sodium thiopental as the ideal agent to induce coma, followed by pancuronium bromide.
• Barbiturates including thiopental (sodium pentothal) and sodium amytal (amobarbital) are used as a ‘truth serum’

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