Institute of Legal Medicine, Department of Medical and Surgical Sciences, "Magna Graecia" University of Catanzaro, Catanzaro, Italy.
Clin Ter. 2024 Jul-Aug;175(Suppl 2(4)):187-191. doi: 10.7417/CT.2024.5113.
Crime scenes are possible scenario of accidents for operators, despite those risks the are no operative protocols in literature. However, COVID-19 pandemic has affected in a positive manner the management of infectious risk, encouraging use of Personal protective equipment (PPE). The aim of the study is to deepen and examine the occupational risk of all health professionals involved in the analysis of the crime scene and biological material collection to develop an operational protocol that explains in detail all the strategies applicable to reduce it.
We conducted a review of the literature researching among the main databases, such as: PUBMED, EMBASE, COCHRANE introducing as keywords: crime scene, medico-legal investigations, occupational risk, infections. Subsequently, we developed an operational protocol that is currently applied during the activity of the Institute of Forensic Medicine "Magna Graecia" of Catanzaro.
The crime scene can show numerous dangers for operators, due to the presence of syringes, contaminated biological material or sharps or access to areas with poor hygienic and sanitary conditions. This paper shows various strategies that may be implemented to reduce the risk. The aim of this work is to focus on the occupational risk for operators by proposing an operative protocol showing in detail how to manage a crime scene by reducing the infectious risk for operators until the transfer of the body and the collected evidence to the morgue and to the laboratory.
犯罪现场可能是操作人员发生事故的场景，尽管存在这些风险，但文献中尚无操作方案。然而，COVID-19 大流行以积极的方式影响了传染病风险的管理，鼓励使用个人防护设备 (PPE)。本研究的目的是深入研究和检查所有参与犯罪现场分析和生物材料采集的卫生专业人员的职业风险，以制定一份操作方案，详细说明所有适用的策略以降低风险。
我们在主要数据库（如 PUBMED、EMBASE、COCHRANE）中进行了文献回顾，引入了关键词：犯罪现场、法医调查、职业风险、感染。随后，我们制定了一份目前在卡坦扎罗法医研究所实施的操作方案。
犯罪现场可能对操作人员造成许多危险，因为现场可能存在注射器、受污染的生物材料或锐器，或者进入卫生和卫生条件较差的区域。本文展示了可能实施的各种策略，以降低风险。这项工作的目的是通过提出一份操作方案来关注操作人员的职业风险，详细说明如何通过降低操作人员的感染风险来管理犯罪现场，直到将尸体和收集的证据转移到太平间和实验室。
