Eitzen David, Byard Roger W
Forensic Science SA, 21 Divett Place, Adelaide, SA, Australia.
J Forensic Leg Med. 2013 Jan;20(1):57-9. doi: 10.1016/j.jflm.2012.04.032. Epub 2012 May 16.
Increased body mass has occurred in many countries over the past two decades. Morbidly obese individuals are prone to higher rates of cardiovascular, endocrine and malignant disease requiring hospitalization and medical care. A review of problems encountered by ambulance services, hospitals, forensic facilities and funeral service reveals common problems in examination, transport and handling. Strategies used in one area of health to deal with bariatric cases can be adapted for use in other areas. Forensic facilities may require the use bigger body bags, reinforced trolleys and vehicles, with larger refrigerator bays and CT scanning machines. The best option is for purpose built mortuaries designed with lifting hoists and passages, doorways, machinery and autopsy tables that can cope with morbidly obese bodies. Unnecessary handling and lifting of these bodies should be minimized, and so the admissions area, cool room storage and dissection theatre should be in close proximity to each other.
在过去二十年里，许多国家的人群体重都有所增加。病态肥胖个体更容易患上心血管疾病、内分泌疾病和恶性疾病，需要住院治疗和医疗护理。对救护车服务、医院、法医机构和殡葬服务所遇到的问题进行审查后发现，在检查、运输和搬运方面存在一些常见问题。医疗卫生领域某一领域用于处理肥胖症病例的策略可适用于其他领域。法医机构可能需要使用更大的尸袋、加固的推车和车辆，以及更大的冷藏区和CT扫描仪。最佳选择是建造专门的停尸房，配备升降设备、通道、门道、器械和解剖台，以应对病态肥胖的尸体。应尽量减少对这些尸体的不必要搬运，因此入院区、冷藏室和解剖室应彼此相邻。
