In a mass fatality incident, members of the medical examiner or coroner’s office are faced with a host of complex and time-sensitive responsibilities. These include identifying victims, collecting property and evidence, determining cause and manner of death, issuing death certificates, and returning the bodies to their families. Written for all personnel involved in these incidents, Mass Fatality Management Concise Field Guide outlines the necessary components to prepare for and manage mass fatalities.
Topics covered in this practical manual include:
Each chapter features a convenient bulleted format and includes forms and illustrations to enhance the narrative. The Appendix includes supplemental information on mass fatality personnel description, external physical examination procedures, standard internal body examination procedures (the forensic autopsy), dental identification procedures, body release, and the mobile morgue equipment inventory list. An accompanying rewritable CD-ROM allows readers to enter data electronically and print out completed forms.
The information in this book will enable those organizations tasked with managing these incidents to more effectively develop a mass fatality plan; prepare a needs-assessment list; identify local resources for equipment, supplies, and personnel; and adequately train personnel. It will also be a useful resource for preparing a community’s local plan to meet the National Association of Medical Examiners (NAME) accreditation standards for medical examiner offices and to comply with the federal emergency support function (ESF)-8 requirements.
Mass Fatality Management Overview
Mass Fatalities Plan of Operation
Administrative Operations
Public Information Officer—Joint Press Release
Computerized Database Maintenance
Death Certificate Issuance—Permanent Records
Logistics
Personnel Management
Financial Accounting
Legal Concerns
Incident Site
Incident Site Assessment
Search and Recovery
Evacuation from Incident Site
Morgue Operations
Admitting Station—Station
Radiography—Station
Assessment/Pathology/Photography—Station
Personal Effects—Station
Dental Examination—Station
Fingerprinting—Station
DNA—Station
Anthropological Examination—Station
Body Releasing—Station (Exit/Rebagging)
Family Assistance Center
The Need for a Family Assistance Center
Participating Agencies
Site Selection Considerations
Procedures and Operations of the FAC
Weapons of Mass Destruction
Recognition of a Weapons of Mass Destruction (WMD) Incident
Personnel Assignment
Taking Jurisdiction of Fatalities
Transportation of Fatalities
Body Tracking System
Temporary Incident Morgue Operations
Mass Burial Guidelines
Objective
Purpose
Procedure
Location Selection
Processing of Remains for Mass Burial
Burial of Remains
Mass Burial Guidelines in a WMD Incident
Appendix A: Mass Fatality—Personnel Description
Appendix B: External Physical Examination Procedure
Appendix C: Standard Internal Body Examination Procedure
Appendix D: Dental Identification Procedure
Appendix E: Body Release
Appendix F: Resources
Appendix G: Logistics Equipment/Supplies List
Index
Mary H. Dudley, M.D., is the Chief Medical Examiner for Jackson County, Missouri. Dr. Dudley has been a member of the federal mass fatality team, DMORT, since 1993 and serves as pathology section leader in the morgue operation. She has been deployed to several federally declared disasters, including the Joplin, Missouri, tornado in May 2011; Hurricane Ike in 2008; Hurricane Katrina in 2005; and the Kirksville, Missouri, airplane crash in 2004. She helped obtain grant funding for equipment and volunteer personnel to establish the Kansas City Regional Mortuary Operations Response Group (KCR-MORG), a local resource for the Kansas City metropolitan region, in 2011. She actively assists in training others in mass fatality management.