The DOI matches its Crossref record; 42 of the 42 references it cites were found in a registry or an index.
A possible chemical explanation for the events associated with the death of Gloria Ramirez at Riverside General Hospital
Abstract
The events associated with the death of Gloria Ramirez at Riverside General Hospital on 19 February 1994 have been portrayed as a major medical mystery. A potential chemical explanation for this incident has been developed. The hypothetical scenario depends upon the oxidation of a common solvent, dimethyl sulfoxide, through dimethyl sulfone to dimethyl sulfate. The latter compound is a volatile and highly toxic agent that can be quite hazardous to humans in small amounts. It is also environmentally nonpersistent. Much of the mystery surrounding the circumstances at the hospital may be explainable if this postulated metabolic pathway took place at the time of the emergency room incident. Although dimethyl sulfate was not detected in any analyses pertinent to this event, there are plausible scientific explanations to account for that fact. The sulfate anion, a hydrolysis product of dimethyl sulfate, was measured at an appreciably elevated concentration in Ramirez' blood. The descriptions of the symptoms of the hospital-staff victims appear quite consistent with dimethyl sulfate exposures. This paper attempts to make some sense of the reported data and eyewitness accounts, and perhaps provide new insight for any future research that could further explain this reported occurrence of toxic exposure.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Citations
Cites
Textbook of Biochemistry with Clinical Correlations
(1983) · Biochemical Education · doi:10.1016/0307-4412(83)90121-8 · Cited by 918
Range-Finding Toxicity Data: List VII
SMYTH, H. F., Carpenter, C. P., Weil, C. S., Pozzani, U. C., Striegel, J. A., & Nycum, J. S. (1969) · American Industrial Hygiene Association Journal · doi:10.1080/00028896909343157 · Cited by 766
Altman, P. L., & Dittmer, D. S. (1964) · Cited by 491
Handbook of toxic and hazardous chemicals
Sittig, M. (1981) · Medical Entomology and Zoology · Cited by 209
Range-finding toxicity data: List IV.
SMYTH, H. F., Carpenter, C., Weil, C., & Pozzani, U. C. (1951) · PubMed · Cited by 200
Yamauchi, N., Kuriyama, H., Watanabe, N., Neda, H., Maeda, M., & Niitsu, Y. (1989) · PubMed · Cited by 199
BIOLOGICAL IMPLICATIONS OF DMSO BASED ON A REVIEW OF ITS CHEMICAL PROPERTIES*
Rammler, D. H., & Zaffaroni, A. (1967) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1967.tb34861.x · Cited by 181
Public Health Service, R., & USDOE (1970) · doi:10.2172/4708654 · Cited by 163
THE CHEMICAL AND PHYSICAL PROPERTIES OF DMSO
MacGregor, W. S. (1967) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1967.tb34860.x · Cited by 163
Quantitation of the hydroxyl radical by reaction with dimethyl sulfoxide
Steiner, M. G., & Babbs, C. F. (1990) · Archives of Biochemistry and Biophysics · doi:10.1016/0003-9861(90)90288-a · Cited by 162
Research works printed but not linked: 3
- S. Budavari, (Ed.), The Merck Index, 11th edition, Merck and Co., Rahway, 1989, p. 513.
- E. Browning, Toxic Solvents, Edward Arnold, London, 1953, pp. 129–130.
- Roeder, 1987, Biological role of activated oxygen species, Biol. Rundsch., 25, 273
Cited by
Sorted by citations
Biosafety Considerations for Autopsy
Nolte, K. B., Taylor, D. G., & Richmond, J. Y. (2002) · American Journal of Forensic Medicine & Pathology · doi:10.1097/00000433-200206000-00001 · Cited by 118
Li, J., Xiao, H., Kim, Y., & Lowe, T. L. (2005) · Journal of Polymer Science Part A Polymer Chemistry · doi:10.1002/pola.21058 · Cited by 74
Synthesis and characterization of melanin in DMSO
Bronze‐Uhle, É. S., Batagin‐Neto, A., Xavier, P. H. P., Fernandes, N. I., de Azevêdo, E. R., & Graeff, C. F. O. (2013) · Journal of Molecular Structure · doi:10.1016/j.molstruc.2013.04.061 · Cited by 70
Freeze‐drying above room temperature
Tesconi, M. S., Sepassi, K., & Yalkowsky, S. H. (1999) · Journal of Pharmaceutical Sciences · doi:10.1021/js980478p · Cited by 17
Metadata
- Authors
- Grant, P. M., Haas, J. S., Whipple, R. E., & Andresen, B. D.
- Affiliations
- Lawrence Livermore National Laboratory (US)
- Venue
- Forensic Science International
- Publisher
- Elsevier BV
- Published
- 1997-06
- Volume
- 87
- Issue
- 3
- Pages
- 219-237
- ISSN
- 0379-0738 (ISSN-L)
- OpenAlex
- W2113049439
- Semantic Scholar
- bbd31a42e279660e70b8781aca709f9dad44b6c8
- Cited by
- 7
- References
- 41
- Citations by year
- 2013: 1
- FWCI
- 0.76
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Forensic Science International (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Justice
- Lawrence Livermore National Laboratory
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Historical and Scientific Studies
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Toxicology › Forensic Toxicology and Drug Analysis
- Health Sciences › Medicine › Emergency Medicine › Poisoning and overdose treatments
- Keywords
- dimethyl sulfate, dimethyl sulfoxide oxidation, dimethyl sulfone, toxic exposure
- MeSH terms
- Blood Chemical Analysis, California, Cause of Death, Dimethyl Sulfoxide, Emergency Service, Hospital, Forensic Medicine, Humans, Mutagens, Oxidation-Reduction, Sulfones, Sulfuric Acid Esters
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
How to cite
Cite CoChat for the checks on this page, and the paper for its own findings.
- This page
- CoChat. (2026). Citation check: A possible chemical explanation for the events associated with the death of Gloria Ramirez at Riverside General Hospital. https://app.cochat.ai/papers/10.1016/s0379-0738(97)00076-5
- The paper
- Grant, P. M., Haas, J. S., Whipple, R. E., & Andresen, B. D. (1997). A possible chemical explanation for the events associated with the death of Gloria Ramirez at Riverside General Hospital. Forensic Science International. https://doi.org/10.1016/s0379-0738(97)00076-5