1 / 16

High Risk Autopsy

High Risk Autopsy. Randal R. Nixon, MD PhD Oregon Health & Sciences Univ. Dept. of Pathology, Portland, OR Cleveland, OH - 6/23/04. Source Material. High Risk Autopsies. Case Selection Permissions Local NPDSU (required for genetic testing) Precautions Autopsy - BSL 2 Tissue - BSL 3

kristian
Download Presentation

High Risk Autopsy

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. High Risk Autopsy Randal R. Nixon, MD PhD Oregon Health & Sciences Univ. Dept. of Pathology, Portland, OR Cleveland, OH - 6/23/04

  2. Source Material

  3. High Risk Autopsies • Case Selection • Permissions • Local • NPDSU (required for genetic testing) • Precautions • Autopsy - BSL 2 • Tissue - BSL 3 • Equipment • Procedure • Tissue Handling • Shipping

  4. Limit Exposure Respirator Vacuum Limited personnel Limit Contamination Disposables Shroud Coverings Dissection container Dedicated tool set High Risk Autopsies - Goals . Obtain diagnostic tissue

  5. High Risk Autopsies - Equipment • HEPA Respirator suit (Enviro-Safety Products) http://envirosafetyproducts.com • HEPA Vacuum (Mar-Med Inc.) 1-440-572-5175 • Disposables (Mopec) • Cutting board, large • Brain Knife • Headrest • Plastic Tub • Biohazard Bags

  6. Stainless steel Autoclavable 1M NaOH 30’ Non-autoclavable Immersible 1-2M NaOH, 1hr, RT Non-Immersible 1-2M Aluminum Sodium hypochlorite (2% free chlorine) DO NOT AUTOCLAVE Liquid waste 1M NaOH Autoclave 132°, 4.5hr Dry waste Incineration Autoclave 132°, 4.5hr High Risk Autopsies - Decontamination

  7. Tissue Processing • Post-fixation Formic Acid • >95%, 1hr, RT with post-treatment formalin 48hr. • Process as usual • Discard waste as biohazardous waste

  8. Shipping Infectious substance, 6.2 UN 1 fiberboard box 602 Affecting humans 2814 X 10g (Prions, PrP-Sc) Dry Ice 9 UN III 10kg 904 1845 OVERPACK USED Emergency contact: NAME / PHONE NUMBER Prior arrangements as required by the IATA Dangerous Goods Regulations 1.3.3.1 have been made.

  9. Useful Websites • CDC CJD • http://www.cdc.gov/od/ohs/biosfty/bmbl4/bmbl4s7d.htm • WHO TSE • http://www.who.int/emc-documents/tse/whocdscsraph2003c.html • WHO Shipping • www.who.int/emc/pdfs/emc97_3.pdf • HEPA Respirator • http://envirosafetyproducts.com

More Related