Disaster Management will be incomplete without Emergency Mortuary Services.The primary responsibilities of the Emergency Mortuary services(
The Emergency mortuary services should continue till the last victim is identified.
Qualification,Radiologist,Odontologist,Pathologist,technical and Administrative supporting Staff.
The Autopsy Surgeon:
A doctor(Government/nongovernment) with required PostGraduate qualification( Forensic Pathology) should be Leader of the Team along with Medical graduates as Members for assistance.
The Supporting staff:
The doctors should have required personnel,mortuary assistants,technicians,clerks,photographer,finger print expert,odontologist,radiologist. Etc.. for work assistance along with volunteers for Identification of victims and their disposal of the remains.
The Emergency Mortuary Services:-
Should preferably Operate away from the Explosion site and the site to be should have easy access to Road or Train.
The Potential sites for the Mortuary Services
The Team Leader in assistance with the Police is responsible for notifying his personnel and determining if the situation warrants 24-hour operations.
The team needs to work in shifts for the around-the-clock operations so as to facilitate speedy Identification and Disposal of the Victims.
The list of Doctors qualified should be maintained and the need of the Emergency should be well addressed and if possible suitable legislation framed to make service compulsory in Mass Disasters (National interest).A recommendation in this regard may be forwarded to the Medical council.
The Police work,fire work,rescue agencies and Insurance agencies should all work in coordination with the
The victims of the Disasters dying within 48-72hrs ,their bodies to be referred to the
The Team leader will be the sole representative to the police, press….
The functions of
Support cleanup and recovery operations during Explosions.
a. Decontaminate mortuary, equipment and the site.
b. Continue mortuary services until last identification is made and remains released to next of kin.
c. Arrange for appropriate disposal of unidentified remains.
DUTIES of Administrative Supporting Staff:
Men and Materials:
a. Protective clothing,
SPECIFIC DUTIES OF AUTOPSY SURGEONS:
This process of Identification and disposal should be with the following :
Radiological examination of all the Victims(in blast cases),by Portable radiological unit.Photographs and Sketches to be taken.Clothing’s to be described and handed over to the IO with all care to maintain the Chain of custody.Complete forensic Autopsy of all the deceased keeping in view of the blast effects to know the exact cause of death.Confirm the number of VictimsPrompt Efforts to be put on to maintain the utmost Cosmetic integrity of the victim.Differentiate the Victims of(Explosions) shock,stampede,accident ,etc..from those due to Blast.Maintaining the Cosmetic integrity of the dead in case of severe mutilation.Histopathological and Toxicological examination should be a must for all victims. The histopathological examination sections to be taken involving all the organs as per the basic Hospital Autopsy protocol.Efforts to help the IO to gather Evidence to know the cause of Disaster, Position of the Victim and differentiating a perpetrator from a peaceful citizen.The Provisional Death certificate, Body transportation certificate, Embalming certificate to be handed over along with the dead body.The Autopsy report to be handed over within 24hours.
The statistics and analysis in relation to the victims of the Blast, pattern of Injury,Position,Cause of Death to be analyzed and submitted to the State within few weeks after the Disaster, so as to enable further Research interims of Management of the specific disaster related cases and also treatment of the causalities.