Hanzlick Randy, Nolte Kurt, deJong Joyce
Fulton County Medical Examiner and Emory School of Medicine, Atlanta, Ga 30312, USA.
Am J Forensic Med Pathol. 2009 Dec;30(4):327-38. doi: 10.1097/PAF.0b013e31819d208c.
In the past few years, a number of publications and other resources have appeared concerning the management of mass fatality incidents. Some are geared toward the general management of incidents while others cover more specific topics such as decontamination procedures. Still others cover selected agents, including chemical, biologic, or radiologic ones. Few publications have been written specifically for medical examiners and coroners. The Medical Examiner and Coroner's Guide for Contaminated Deceased Body Management is written specifically for the medical examiner or coroner who will be in charge of investigations of fatalities that result from terrorism or other events that result in contaminated remains. In some such cases, agents may be used that will require mitigation of environmental hazards and decontamination of human bodies. To that end, this Guide provides information and suggestions that may be useful in understanding the principles involved in decontamination procedures, recognizing that it may not be the medical examiner or coroner staff who actually conducts decontamination procedures. The suggestions in this guide may differ slightly from those in other publications. However, those who have contributed to this guide believe that the recommendations are practical, workable, have a scientific basis, and do not differ much in substance when compared with other relevant publications. The contents of this Guide may be reproduced for practical use but the Guide may not be sold and it may not be cited for advertisement purposes. Reference to specific commercial products is for informational purposes only and does not constitute endorsement of the product or company which produces the product. The recommendations contained in this Guide are not mandated nor are they required by federal, state, or local law. Rather, the recommendations are intended to assist medical examiners and coroners for the purposes of planning and providing a set of reasonable practice guidelines for incident response.
在过去几年里,出现了许多关于大规模死亡事件管理的出版物和其他资源。有些针对事件的一般管理,而其他的则涵盖更具体的主题,如去污程序。还有一些涉及特定的制剂,包括化学、生物或放射制剂。专门为法医和验尸官撰写的出版物很少。《法医和验尸官受污染尸体管理指南》是专门为负责调查因恐怖主义或其他导致尸体受污染事件而死亡的法医或验尸官编写的。在某些此类情况下,可能会使用需要减轻环境危害和对人体进行去污的制剂。为此,本指南提供了一些信息和建议,可能有助于理解去污程序所涉及的原则,同时认识到实际进行去污程序的可能不是法医或验尸官工作人员。本指南中的建议可能与其他出版物中的略有不同。然而,为本指南做出贡献的人认为,这些建议是切实可行的,有科学依据,与其他相关出版物相比,在实质内容上没有太大差异。本指南的内容可复制用于实际用途,但不得出售本指南,也不得将其用于广告引用。提及特定商业产品仅用于提供信息,并不构成对该产品或生产该产品的公司的认可。本指南中的建议并非联邦、州或地方法律所强制要求。相反,这些建议旨在协助法医和验尸官进行规划,并为事件应对提供一套合理的实践指南。