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MORBID ANATOMY Mike Conway contacted each


designated disaster mortuary (DDM) and Public Mortuary, informing them of the exercise and requesting support from their APTs for this week-long event. Many of these mortuaries were short staffed or had limited staff to release for the event, so a rota was drawn up and those nominated to attend were populated on the rota. Representation from within London came from Queen’s Hospital Romford, public mortuaries in Haringey, St Pancras, Greenwich, Westminster and Uxbridge, Lewisham General Hospital, King’s College Hospital, University College Hospital and the Royal Free Hospital. There was also representation from Chesterfield Royal Hospital, Royal Berkshire Hospital and Flax Bourton Public Mortuary in Bristol; the last three representatives (Mike Conway, David Ridgewell and Terry Venn- Adams) comprised three-fifths of the team managers from the UK DVI APT team.


Response mortuary A response mortuary was set up which comprised a temporary structure and included a personal protective equipment (PPE) collection and briefing area, body reception and holding area, post-mortem/ DVI room complete with 11 post-mortem examination tables and an area for odontology, photographic and exhibit tables,


A number of the APTs had not


met before and were new to the DVI process, but after a short brief from Mike Conway and David Ridgewell they soon gelled into the team structure and everyone was amicable and worked well together. The victim identification


The post-mortem/DVI room included 11 post-mortem examination tables and an area for odontology, photographic and exhibit tables.


and an area for safe undressing (PPE removal). Incorporated into this was a corridor for ‘visitor observation’, as many national and international observers were allowed to visit and see the scene, the rescue and recovery phases, casualty triage areas and victim identification processes. The APTs in attendance worked with the


police DVI teams to ensure good compliance with PPE and the safety elements of mortuary work as well as helping and advising them with body handling and manouvring the strip and search process, external examinations, fingerprinting, describing the clothing, and photography (positionoing of articles, URN and scales etc).


‘The victim identification process was carried out over four days and a total of 73 ‘deceased’ were dealt with using the full DVI protocol’


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process was carried out over four days and a total of 73 ‘deceased’ were dealt with using the full DVI protocol. Hot debiefs were carried out each day, with a chance to reflect on the practicalities of the systems and processes being used; dynamic changes were introduced as necessary – one morning the clean/dirty line and ‘one way system’ for PPE had to be re-thought as one end of


the structure became unstable due to high winds. At the last de-brief on the Thursday night,


the APTs received a standing ovation for all of their help and assistance during the exercise from the national and international police teams.


Mike Conway CSci MIBMS is Service Manager – Mortuary, Bereavement & Post Mortem Examination Services, Chesterfield Royal Hospital; David Ridgewell is Service Manager – Mortuary, Bereavement & Post Mortem Examination Services, Royal Berkshire Hospital, Reading; Terry Venn-Adams is Senior Anatomical Pathology Technologist, Flax Bourton Public Mortuary, Bristol. Further information on the AAPT is available from Professional Support Services Manager Christian Burt (christianburt@ibms.org).


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