Possibilities for Respiratory Protection in Autopsy Procedures, Utilising Personal Protective Equipment and Infrastructural Installations

doi: 10.32567/hm.2022.2.15

Abstract

During autopsy procedures, special work safety issues can arise in cases where the decedents were infected with dangerous pathogens or the bodies were contaminated
with hazardous chemical, radiological or nuclear agents. These cases represent an increased health risk for post mortem operations done by the pathology staff. In order to minimise the risks and to protect the integrity of the environment and the safety of medical personnel, the necessary post-mortem procedures shall be carried out using personal protective equipment and infrastructural installations. In this study, the possibilities of respiratory protection are summarised and presented, in the light of autopsy procedures.

Keywords:

health and safety autopsy respiratory protection personal protective equipment CBRN

How to Cite

Farkas, C. B. (2022). Possibilities for Respiratory Protection in Autopsy Procedures, Utilising Personal Protective Equipment and Infrastructural Installations. Military Engineer, 17(2), 217–230. https://doi.org/10.32567/hm.2022.2.15

References

American Conference of Governmental Industrial Hygienists: TLVs and BEIs: Threshold Limit Values for Chemical Substances and Physical Agents and Biological Exposure Indices. Cincinnati, OH, ACGIH, 2019.

Barea, Elisa – Carmen Montoro – Jorge A. R. Navarro: Toxic Gas Removal – Metal– Organic Frameworks for the Capture and Degradation of Toxic Gases and Vapours. Chemical Society Reviews, 43. (2014). 5419–5430. Online: https://doi.org/10.1039/C3CS60475F

Burton, Julian L.: Health and Safety at Necropsy. Journal of Clinical Pathology, 56. (2003), 4. 254–260. Online: https://doi.org/10.1136/jcp.56.4.254

De Oliveira Cardoso, Telma Abdalla – Francisco de Paula Bueno de Azevedo Neto – Simone Cynamon-Cohen – Deborah Chein Bueno de Azevedo: Biosafety in Autopsy Room: An Systematic Review. Revista de Salud Pública, 21. (2019), 6. 1–5. Online: https://doi.org/10.15446/rsap.v21n6.81593

Durakovic, Asaf: Medical Effects of a Transuranic “Dirty Bomb”. Military Medicine, 182. (2017), 3–4. e1591–e1595. Online: https://doi.org/10.7205/MILMED-D-16-00256

Edkins, Adrienne – Virginia Murray: Management of Chemically Contaminated Bodies. Journal of the Royal Society of Medicine, 98. (2005), 4. 141–145. Online: https://doi.org/10.1177/014107680509800402

Green, Francis H. Y. – Ken Yoshida: Characteristics of Aerosols Generated During Autopsy Procedures and Their Potential Role as Carriers of Infectious Agents. Applied Occupational and Environmental Hygiene, 5. (1990), 12. 853–858. Online: https://doi.org/10.1080/1047322X.1990.10387806

Interpol: Interpol Disaster Victim Identification Guide, part B, Annexure 16 (é. n.). Online: https://www.interpol.int/How-we-work/Forensics/Disaster-Victim-Identification-DVI

Jackson, Tanya – Danika Deibert – Graeme Wyatt – Quentin Durand-Moreau – Anil Khunti – Kamlesh Adisesh – Sachin Khunti – Simon Smith – Xin Hui S. Chan – Lawrence Ross – Nia Roberts – Elaine Toomey et al.: Classification of Aerosol-Generating Procedures: A Rapid Systematic Review. BMJ Open Respiratory Research, 7. (2020), 1. e000730. Online: https://doi.org/10.1136/bmjresp-2020-000730

Janssen, Larry – Arthur T. Johnson – James S. Johnson – S. Z. Mansdorf – Osvaldo R. Meici – Richard W. Metzler – Timothy R. Rehak – Jonathan V. Szalajda – Jordan Moore: Chemical, Biological, Radiological, and Nuclear (CBRN) Respiratory Protection Handbook. Pittsburgh, PA, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, DHHS (NIOSH) Publication No. 2018-166, 2018.

Li, Ling – Jiang Gu – Xicheng Shi – Encong Gong – Xingwang Li – Hongquan Shao – Xueying Shi – Huijun Jiang – Xiaoqiang Gao – Daiyun Cheng – Lizhu Guo – Hao Wang et al.: Biosafety Level 3 Laboratory for Autopsies of Patients with Severe Acute Respiratory Syndrome: Principles, Practices, and Prospects. Clinical Infectious Diseases, 41. (2005), 6. 815–821. Online:: https://doi.org/10.1086/432720

Liu, David T. – Katie M. Philips – Marlene M. Speth – Gerold Besser – Christian A. Mueller – Ahmad R. Sedaghat: Portable HEPA Purifiers to Eliminate Airborne SARS-CoV-2: A Systematic Review. Otolaryngology – Head and Neck Surgery, 166. (2021), 4. 615–622. Online: https://doi.org/10.1177/01945998211022636

Medical Advisory, Secretariat: Air Cleaning Technologies: An Evidence-Based Analysis. Ontario Health Technology Assessment Series, 5. (2005), 17. 1–52. Online: https://pubmed.ncbi.nlm.nih.gov/23074468/

NATO: NATO Standard AMedP 7.1 Medical Management of CBRN Casualties (2018). Online: https://www.coemed.org/files/stanags/03_AMEDP/AMedP-7.1_EDA_V1_E_2461.pdf

Nolte, Kurt B. – Timothy B. Muller – Adam M. Denmark – Ron Burstein – Yvonne A. Villalobos: Design and Construction of a Biosafety Level 3 Autopsy Laboratory. Archives of Pathology & Laboratory Medicine, 145. (2020), 4. 407–414. Online: https://doi.org/10.5858/arpa.2020-0644-SA

Padányi József – Halász László – Földi László: Harcjárművek ABVR védelmének javítása a klímaváltozás kihívására adott válaszként. Haditechnika, 47. (2013), 3. 21–26.

Plenzig, Stefanie – D. Bojkova – H. Held – A. Berger – F. Holz – J. Cinatl – E. Gradhand – M. Kettner – A. Pfeiffer – M. A. Verhoff: Infectivity of Deceased Covid-19 Patients. International Journal of Legal Medicine, 135. (2021). 2055–2060. Online: https://doi.org/10.1007/s00414-021-02546-7

Racz, LeeAnn – Dirk P. Yamamoto – Robert M. Eninger (szerk.): Handbook of Respiratory Protection: Safeguarding against Current and Emerging Hazards. Boca Raton, FL, CRC Press, 2017. Online: https://doi.org/10.1201/9781351109079

Riccò, Matteo – Luigi Vezzosi – Anna Odone – Carlo Signorelli: Invasive Meningococcal Disease on the Workplaces: A Systematic Review. Acta Biomedica: Atenei Parmensis, 88. (2017), 3. 337–351. Online: https://doi.org/10.23750/abm.v88i3.6726

Singleton, Mark – R. D. Start – W. Tindale – C. Richardson – M. Conway: The Radioactive Autopsy: Safe Working Practices. Histopathology, 51. (2007), 3. 289–304. Online: https://doi.org/10.1111/j.1365-2559.2007.02768.x

Sriramachari, S.: The Bhopal Gas Tragedy: An Environmental Disaster. Current Science, 86. (2004), 7. 905–920. Online: https://www.jstor.org/stable/24109273

Strudgeon, George E. – Brian J. Lewis – W. W. Albury – R. C. Clinger: Safety Considerations in Handling Activated Carbon. Journal (Water Pollution Control Federation), 52. (1980), 10. 2516–2522. Online: https://doi.org/10.2307/25040915

U.S. Army Center for Health Promotion and Preventive Medicine: Guidelines for Protecting Mortuary Affairs Personnel from Potentially Infectious Materials. TG 195, (2001. október). Online: https://www.hsdl.org/?abstract&did=780538

Yamamoto, Dirk P.: An Overview of Respiratory Protection. In LeeAnn Racz – Dirk P. Yamamoto – Robert M. Eninger (szerk.): Handbook of Respiratory Protection: Safeguarding against Current and Emerging Hazards. Boca Raton, FL, CRC Press, 2017. 3–8. Online: https://doi.org/10.1201/9781351109079-1

Wood, Charles M. – Frank DePaolo – R. Dogget Whitaker: Guidelines for Handling Decedents Contaminated with Radioactive Materials. (h. n.), Centers for Disease Control and Prevention, (é. n.). Online: https://emergency.cdc.gov/radiation/pdf/radiation-decedent-guidelines.pdf

Jogi források

évi CLIV. törvény az egészségügyről

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