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Identification of the Incapacitated Patient in Mass Casualty Events: An Exploration of Challenges, Solutions, and Barriers

Published online by Cambridge University Press:  29 June 2018

Danielle Osborn  and
Lucy Easthope
Danielle Osborn*
Affiliation:
Lincoln Law School, University of Lincoln, Lincoln, United Kingdom
Lucy Easthope
Affiliation:
Cabinet Office Emergency Planning College
*
Correspondence and reprint requests to Danielle Osborn, Lincoln Law School, University of Lincoln, Brayford Pool, Lincoln, LN6 7TS, UK (e-mail: dosborn@lincon.ac.uk).
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Abstract

Increasing scrutiny of the role and actions of emergency responders in the aftermath of mass casualty events has led to improvements and advances in terms of treatment and care. However, despite these improvements, the authors have identified a growing concern relating to the identification of incapacitated patients and those unable to provide any identifying details, such as pediatric patients. The use of visual identification and the reliance on personal effects within the vicinity of a victim, either living or deceased, has resulted in mistaken identification in a number of major international incidents. The purpose of this article is to consider whether commonly used scientific methods for identification of the deceased could and should be broadened to include victims who are incapacitated and unable to confirm their own identity. The medicolegal questions that may arise when applying identification methods established for deceased patients to the living casualty will also be examined. (Disaster Med Public Health Preparedness. 2019;13:338–344)

Type
Concepts in Disaster Medicine
Information
Disaster Medicine and Public Health Preparedness , Volume 13 , Issue 2 , April 2019 , pp. 338 - 344
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2018 

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References

REFERENCES

1. Evans, F. Boston Marathon bombings: doctors mistook victim for her friend and wrongly told father she was alive. https://www.mirror.co.uk/news/world-news/boston-marathon-bombings-doctors-mistook-1836805. Published April 17, 2013. Accessed April 12, 2018.Google Scholar
2. Cullen, W. The Public Inquiry Into the Shootings at Dunblane Primary School on 13 March 1996. London: The Stationery Office; October 16, 1996.Google Scholar
3. Clarke, A. Public Inquiry Into the Identification of Victims Following Major Transport Accidents. Norwich, England: Her Majesty’s Stationery Office; March 2001.Google Scholar
4. Weir, R. Review of Circumstances Surrounding the Misidentification of Danica O’Rourke Deceased and Anita Swift Deceased. Courts and Tribunal Service. Belfast: Northern Ireland Coroners Publications; November 14, 2006.Google Scholar
5. Van Ryn, D, Van Ryn, S, Cerak, N, et al. Mistaken identity. London: Simon and Shuster; 2008.Google Scholar
6. Hicks, G. One Unknown. London: Pan Macmillan; 2010.Google Scholar
7. Interpol. Disaster Victim Identification Guide. Interpol website. http://www.INTERPOL.int/INTERPOL-expertise/Forensics/DVI-Pages/DVI-guide. Published March 2014. Accessed April 29, 2017.Google Scholar
8. Armstrong, S, Langlois, A, Laparidou, D, et al. Assessment of consent models as an ethical consideration in the conduct of prehospital ambulance randomised controlled clinical trials. BMC Med Res Methodol. 2017;17(1):142. doi: https://doi.org/10.1186/s12874-017-0423-4.Google Scholar
9. London Resilience Partnership. Mass Casualties Framework V3.2. London.gov website. https://www.london.gov.uk/sites/default/files/london_mass_casualty_framework_v3.2.pdf. Published August 2015. Accessed April 27, 2017.Google Scholar
10. London Resilience Partnership. Mass Fatalities Framework V.5. London.gov website. https://www.london.gov.uk/sites/default/files/gla_migrate_files_destination/NPM_LMFF%20v5.pdf. Published June 2015. Accessed April 27, 2017.Google Scholar
11. Catteneo, C, Gibelli, D. Identification. In: Houck MM, ed. Forensic Pathology. London: Elsevier; 2017:305-314.Google Scholar
12. Subedi, N. The need for human identification and the scenario in Nepal. JCMS Nepal. 2015;11(4):1-2. doi: http://dx.doi.org/10.3126/jcmsn.v11i4.14316.Google Scholar
13. Nuthall, K. Luxor bodies mix up grows more macabre. The Independent. http://www.independent.co.uk/news/luxor-bodies-mix-up-grows-more-macabre-1297059.html. Published November 30, 1997. Accessed December 1, 2017.Google Scholar
14. Lain, R, Griffiths, C, Hilton, JM. Forensic dental and medical response to the Bali bombing: A personal perspective. Med J Aust. 2003;179(7):362-365.Google Scholar
15. Iino, M, Aoki, Y. The use of radiology in the Japanese tsunami DVI process. J Forensic Radiol Imaging. 2015;4:20-26. doi: https://doi.org/10.1016/j.jofri.2015.12.006.Google Scholar
16. Visiting a patient in the ICU. Intensive Care Foundation website. http://www.intensivecarefoundation.org.au/contact-us/. Published 2017. Accessed March 29, 2017.Google Scholar
17. Seeing the patient in ICU for the first time. University of Oxford website. http://www.healthtalk.org/peoples-experiences/intensive-care/intensive-care-experiences-family-friends/seeing-patient-icu-first-time#ixzz4e1crjbFO. Published May 2015. Accessed March 29, 2017.Google Scholar
18. Reid, A. Manchester attack surgeon: “The impact for patients is likely to be lifelong”. The Guardian website. https://www.theguardian.com/uk-news/2017/may/26/manchester-attack-surgeon-the-impact-for-patients-is-likely-to-be-lifelong. Published May 26, 2017. Accessed December 20, 2017.Google Scholar
19. Mathews-King, A. Families buried wrong bodies after NHS mortuary mix-ups, study reveals. The Independent. http://www.independent.co.uk/news/health/mortuary-failing-wrong-bodies-cremated-foetus-reburial-nhs-hospitals-jrsm-alder-hey-a8071766.html. Published November 24, 2017. Accessed December 21, 2017.Google Scholar
20. Yardleu, IE, Carson-Stevens, A, Donaldson, LJ. Serious incidents after death: content analysis of incidents reported to a national database. J R Soc Med. 111(2):1-8. doi: 10.1177/0141076817744561.Google Scholar
21. BBC News. Paris attacks: what happened on the night. BBC News website. http://www.bbc.co.uk/news/world-europe-34818994. Published December 9, 2015. Accessed May 1, 2017.Google Scholar
22. Attentats de Paris: la douleur de la famille Moulin, victime d’une erreur de corps. L’express website. http://www.lexpress.fr/actualite/societe/attentats-de-paris-la-douleur-de-la-famille-moulin-victime-d-une-erreur-de-corps_1749951.html. Published January 1, 2016. Accessed April 5, 2017.Google Scholar
23. Hubert, C, Absalon, J. Attentats à Paris: des parents meurtris après une erreur d’identification du corps leur fille. Radio Television Lëtzebuerg website. http://www.rtl.fr/actu/societe-faits-divers/attentats-a-paris-des-parents-meurtris-apres-une-erreur-d-identification-de-leur-fille-7781121420. Published January 2, 2016. Accessed April 5, 2017.Google Scholar
24. Fisher, M, Gribben, P. Hospitalised Children Were Unidentified for Several Hours. http://www.bbc.co.uk/news/live/uk-england-manchester-40007967?ns_mchannel=social&ns_source=twitter&ns_campaign=bbc_live&ns_linkname=59259e7ee4b067b356cfd5f8%26Hospitalised%20children%20were%20unidentified%20for%20several%20hours%26&ns_fee=0#post_59259e7ee4b067b356cfd5f8. Published May 24, 2017. Accessed May 24, 2017.Google Scholar
25. Mental Capacity Act (c.9). http://www.legislation.gov.uk/ukpga/2005/9/contents. Published April 2005. Accessed April 27, 2017.Google Scholar
26. Montgomery v Lanarkshire Health Board UKSC 1.1. (2015).Google Scholar
27. Jones, MA. Informed consent and other fairy stories. Med Law Rev. 1999;7(2):103-134.Google Scholar
28. Ortiz, E, Siemaszko, C. Utah nurse arrested for refusing to give patient’s blood to police. NBC News website. https://www.nbcnews.com/news/us-news/utah-nurse-arrested-refusing-give-patient-s-blood-police-n798021. Published September 1, 2017. Accessed December 21, 2017.Google Scholar
29. Thompson, F. High court ruling: police refused access to pilot statements over Shoreham aircrash show. The Argus website. http://www.theargus.co.uk/news/14769058.High_Court_ruling__Police_refused_access_to_pilot_statements_over_Shoreham_Airshow_crash/. Published September 28, 2016. Accessed December 20, 2017.Google Scholar
30. Chief Constable of Sussex Police v Secretary of State for Transport and British Airline Pilots Association EWHC 2280 (QB) (2016).Google Scholar
31. Robertson, DJ, Noyes, E, Dowsett, AJ, et al. Face recognition by metropolitan police super-recognisers. PLoS One. 2016;11(2):1-8.Google Scholar
32. White, D, Dunn, JD, Schmid, AC, Kemp, RI. Error Rates in Users of Automatic Face Recognition Software. PLoS One. 2015;10(10).Google Scholar