Email this article The use of specialized knowledge in the field of forensic medicine and toxicology in the case of deprivation of the right to drive a car: organizational and methodological conclusions
- Authors: Kuznetsov S.1,2, Molin Y.A.3, Reinuk V.L.1, Lodyagin A.N.4, Sinenchenko A.G.4, Balabanova O.L.4, Antonova A.M.1,4, Batotsyrenov C.B.1, Demidova E.O.1, Varioshkin P.N.1, Pshennikova D.A.4,1, Sukhonos N.Y.5
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Affiliations:
- The Federal State-Financed Institution Golikov Research Clinical Center of Toxicology, Saint Petersburg, Russian Federation
- Federal State Budgetary Educational Institution of Higher Education «Saint Petersburg State Pediatric Medical University», Saint Petersburg, Russian Federation
- Department of forensic medicine of the North-Western State Medical University Mechnikov, Saint Petersburg, Russian Federation
- State Budgetary Institution of Saint Petersburg «Research Institute of Ambulance named I.I. Dzhanelidze», Saint Petersburg, Russian Federation
- S.M. Kirov Military Medical Academy of the Russian Defense Ministry, Saint Petersburg, Russian Federation
- Section: Case reports
- Submitted: 28.12.2024
- Accepted: 22.04.2025
- Published: 23.07.2025
- URL: https://for-medex.ru/jour/article/view/16240
- DOI: https://doi.org/10.17816/fm16240
- ID: 16240
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Abstract
The article presents the controversial points of the medical examination for intoxication. The data are presented on the basis of a practical case of assistance from a specialist in the field of forensic medicine and toxicology in resolving the issue of the legality of the deprivation of the right to drive a car in an administrative case.
Based on the analysis of real-life observation, errors in the interpretation of the results of chemical and toxicological studies in situations of unreliable determination of psychoactive substances in human biological environments are clearly demonstrated. Using the example of the considered situation of gamma butyrolactone detection in a professional car driver, arguments are given for the inadmissibility of using unreliable methods for determining a particular chemical compound. Additionally, omissions in the training of doctors of clinical laboratory diagnostics are shown, the problem of the inadmissibility of a mechanistic approach in their work is highlighted, and ways to eliminate existing shortcomings are proposed.
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About the authors
Semyon Kuznetsov
The Federal State-Financed Institution Golikov Research Clinical Center of Toxicology, Saint Petersburg, Russian Federation; Federal State Budgetary Educational Institution of Higher Education «Saint Petersburg State Pediatric Medical University», Saint Petersburg, Russian Federation
Author for correspondence.
Email: nachsml@mail.ru
ORCID iD: 0000-0002-3132-8522
SPIN-code: 5122-0242
candidate of medical sciences, associate professor
leading researcher; associate professor of the department of extreme medicine, traumatology, orthopedics and military field surgery
Russian Federation, 192019, Saint Petersburg, Bekhtereva str., house 1Yuri Aleksandrovich Molin
Department of forensic medicine of the North-Western State Medical University Mechnikov, Saint Petersburg, Russian Federation
Email: juri.molin@yandex.ru
ORCID iD: 0000-0002-4343-4656
SPIN-code: 7439-0540
doctor of medical sciences, professor, Honored doctor of the Russian Federation, professor of the department
Russian Federation, 195067, Saint Petersburg, Piskarevsky ave., house 47, pav. 26Vladimir Leonidovich Reinuk
The Federal State-Financed Institution Golikov Research Clinical Center of Toxicology, Saint Petersburg, Russian Federation
Email: institute@toxicology.ru
ORCID iD: 0000-0002-4472-6546
SPIN-code: 5828-0337
doctor of medical sciences, associate professor, acting director
Russian Federation, 192019, Saint Petersburg, Bekhtereva str., house 1Aleksei Nikolaevich Lodyagin
State Budgetary Institution of Saint Petersburg «Research Institute of Ambulance named I.I. Dzhanelidze», Saint Petersburg, Russian Federation
Email: alodyagin@mail.ru
ORCID iD: 0000-0002-8672-2906
SPIN-code: 4886-8890
doctor of medical sciences, associate professor, head of the clinical toxicology department
Russian Federation, 192242, Saint Petersburg, Budapeshtskaya str., house 3Andrej Georgievich Sinenchenko
State Budgetary Institution of Saint Petersburg «Research Institute of Ambulance named I.I. Dzhanelidze», Saint Petersburg, Russian Federation
Email: andreysin2013@yandex.ru
ORCID iD: 0000-0003-2815-3108
SPIN-code: 6059-1125
candidate of medical sciences, associate professor, head of the emergency psychiatry department
Russian Federation, 192242, Saint Petersburg, Budapeshtskaya str., house 3Olga Leonidovna Balabanova
State Budgetary Institution of Saint Petersburg «Research Institute of Ambulance named I.I. Dzhanelidze», Saint Petersburg, Russian Federation
Email: o.l.ya@mail.ru
ORCID iD: 0000-0002-8636-9858
SPIN-code: 6286-3797
candidate of medical sciences, head of the chemical and toxicology department
Russian Federation, 192242, Saint Petersburg, Budapeshtskaya str., house 3Anna Mikhailovna Antonova
The Federal State-Financed Institution Golikov Research Clinical Center of Toxicology, Saint Petersburg, Russian Federation; State Budgetary Institution of Saint Petersburg «Research Institute of Ambulance named I.I. Dzhanelidze», Saint Petersburg, Russian Federation
Email: ama-spb@yandex.ru
ORCID iD: 0009-0004-2690-5200
SPIN-code: 1576-7890
candidate of medical sciences, radiologist; researcher at the clinical toxicology
Russian Federation, 192019, Saint Petersburg, Bekhtereva str., house 1Chimit Bairovich Batotsyrenov
The Federal State-Financed Institution Golikov Research Clinical Center of Toxicology, Saint Petersburg, Russian Federation
Email: steelfire282@gmail.com
ORCID iD: 0000-0002-2693-6283
SPIN-code: 9446-5175
PhD student of the first year of full-time education in the specialties of «Toxicology» and «Anesthesiology and resuscitation»
Russian Federation, 192019, Saint Petersburg, Bekhtereva str., house 1Ekaterina Olegovna Demidova
The Federal State-Financed Institution Golikov Research Clinical Center of Toxicology, Saint Petersburg, Russian Federation
Email: bedskaya.667@yandex.ru
ORCID iD: 0009-0003-0820-8471
SPIN-code: 1618-1510
junior researcher of laboratory of morphology and electron microscopy; PhD student of the first year of full-time education in the specialties of «Toxicology» and «Forensic medicine»
Russian Federation, 192019, Saint Petersburg, Bekhtereva str., house 1Pavel Nikolaevich Varioshkin
The Federal State-Financed Institution Golikov Research Clinical Center of Toxicology, Saint Petersburg, Russian Federation
Email: zonner17@list.ru
ORCID iD: 0009-0000-3863-3602
SPIN-code: 6563-9541
researcher, head of the testing center of the laboratory of chemical and toxicological diagnostics; PhD student of the first year of full-time education in the specialty «Toxicology»
Russian Federation, 192019, Saint Petersburg, Bekhtereva str., house 1Darya Alekseevna Pshennikova
State Budgetary Institution of Saint Petersburg «Research Institute of Ambulance named I.I. Dzhanelidze», Saint Petersburg, Russian Federation; The Federal State-Financed Institution Golikov Research Clinical Center of Toxicology, Saint Petersburg, Russian Federation
Email: dneoberdina@yandex.ru
ORCID iD: 0009-0004-2531-410X
SPIN-code: 3810-1510
doctor of clinical laboratory diagnostics of the chemical and toxicology department; PhD student of the first year of full-time education in the specialties of «Toxicology» and «Clinical laboratory diagnostics»
Russian Federation, 192242, Saint Petersburg, Budapeshtskaya str., house 3Nickodim Yurievich Sukhonos
S.M. Kirov Military Medical Academy of the Russian Defense Ministry, Saint Petersburg, Russian Federation
Email: Kazisuv1@yandex.ru
ORCID iD: 0009-0001-6036-4581
fourth-year cadet in the specialty «Medical Science» of the second faculty (training doctors for Missile, Land and Airborne Troops)
Russian Federation, 196603, Saint Petersburg, Pushkin, Gusarskaya str., house 4, building 6, sq. 62References
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