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The Insulin Pump as Murder Weapon: A Case Report

Benedict, Butch; Keyes, Rusty; Clark Sauls, F MD, FACS

The American Journal of Forensic Medicine and Pathology: June 2004 - Volume 25 - Issue 2 - p 159-160
doi: 10.1097/01.paf.0000127383.69760.72
Case Report

Microprocessor-controlled insulin pumps designed for continuous delivery of short-acting insulin analogs into subcutaneous tissues offer several important potential benefits for diabetic patients. The delivery of other substances using these systems is technically feasible. We present a case of homicide involving lethal doses of etomidate and atracurium injected via the victim's insulin pump. This unique situation could be encountered by homicide investigators more frequently as the popularity of these systems continues to grow.

From the Forrest County Coroner's Office, Hattiesburg, Mississippi (B.B.); Hattiesburg Police Department, Hattiesburg, Mississippi (R.K.); and Cardiothoracic Surgery and Surgical Critical Care, Enid, Oklahoma (F.C.S.).

Manuscript received November 18, 2003; accepted November 26, 2003.

Reprints: F. Clark Sauls, MD, FACS, 330 S. 5th Street, Suite 104, Enid, OK 73701. E-mail:

© 2004 Lippincott Williams & Wilkins, Inc.