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Autopsy assessment of pediatric head injury: a proposal for aerosol mitigation during the COVID-19 pandemic
Forensic Science, Medicine and Pathology ( IF 1.8 ) Pub Date : 2021-05-03 , DOI: 10.1007/s12024-021-00368-y
Emma C. Cheshire , Roger D. G. Malcomson , Guy N. Rutty

During the Corona Virus Disease-19 (COVID-19) pandemic, there is still a requirement for post-mortems to continue, including those examinations performed in the context of medico-legal investigations. Currently, very little is known about how long this coronavirus can survive in deceased human bodies or whether un-embalmed human cadavers can be contagious to people who handle them. Therefore, it would appear to be prudent to consider implementation of additional safety measures for all necessary post-mortem procedures. During the post-mortem examination of babies and young children, it is important to open the calvarium to enable visualization of the brain and its coverings, particularly in cases where a head injury is likely to have occurred. Since October 2013, the use of neurosurgical equipment to open the calvarium during infant and young child autopsies has become routine practice in our unit. Both the neurosurgical craniotome and a standard oscillating mortuary saw produce particulate matter consisting of bone and body fluids (including blood) which can become aerosolized. Within this paper, we discuss the use of a transparent plastic tent whilst opening the calvarium during pediatric post-mortems, to reduce the spread of aerosols into the mortuary environment.



中文翻译:

儿科头部损伤的尸检评估:COVID-19大流行期间缓解气雾的建议

在Corona Virus Disease-19(COVID-19)大流行期间,仍然需要继续进行验尸,包括在法医学调查中进行的检查。目前,人们对这种冠状病毒在已故的人体中可以存活多长时间,或者对未处理过的尸体能否传染给人的了解很少。因此,为所有必要的验尸程序考虑实施额外的安全措施似乎是审慎的做法。在对婴儿和幼儿进行验尸检查期间,重要的是打开颅骨,以使大脑及其覆盖物可视化,尤其是在可能发生头部受伤的情况下。自2013年10月以来,在婴幼儿尸检期间使用神经外科设备打开颅骨已成为我们单位的常规做法。神经外科开颅手术刀和标准摆动太平锯都产生由骨和体液(包括血液)组成的微粒物质,这些微粒物质可能会被雾化。在本文中,我们讨论了在小儿验尸期间打开颅骨的同时使用透明塑料帐篷的方法,以减少气溶胶在into房环境中的扩散。

更新日期:2021-05-03
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