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. ............................................... and bile could also be of importance for metabolic investigations. Best regards Leifur Franzson MScPharm Specialist in Clinical Biochemistry Clinical Associate Professor Dept. of Genetics and Molecular Medicine Landspitali University Hospital Hringbraut, 101 Reykjavik, Iceland "Hogan, Tim" <[log in to unmask]> Sent by: Clinical biochemistry discussion list <[log in to unmask]> 02.10.2008 14:27 Please respond to "Hogan, Tim" <[log in to unmask]> To [log in to unmask] cc Subject Sudden Infant death samples. The following is an extract from a policy on unexpected infant death and I was hoping there might be some forensic specialists who read the data base who might advise. Any stool or urine passed by the infant, together with any gastric or nasopharyngeal aspirate obtained, should be carefully labelled and frozen after samples have been sent for bacterial culture and for virology. If the nappy is wet or soiled, it should be removed, labelled and frozen also. During the process of resuscitation, various investigations will be initiated, including blood samples for blood gases, urea and electrolytes, full blood count, blood sugar and blood culture. Blood and, if possible, urine samples should also be taken at this time for metabolic investigations. If resuscitation is not instituted, then in most cases such investigations should be taken as soon as possible after the arrival of the infant. A lumbar puncture should also be performed and a sample of cerebrospinal fluid (CSF) sent for microscopy and culture. If possible, a further sample of CSF should also be frozen for future metabolic investigation. Questions, What should we do with the nappy? Should we carry out any of the routine investigations requested in the second paragraph, or is it more important to keep the samples for forensic purposes., if so how should we process them?, e.g. centrifuge samples as normal and remove plasma/ or leave in original containers, should they be frozen? Tim Hogan Laboratory Manager Clinical Biochemistry Basildon and Thurrock University Hospitals NHS Foundation Trust 01268 593036 or 0845 155 3111 Ext 3036 [log in to unmask] www.basildonandthurrock.nhs.uk National Pathology Week 3 - 9 November 2008 ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/ Fyrirvari / Disclaimer http://www.landspitali.is/disclaimer ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/