Tuesday 25 October 2011

Emedinews:Insights on Medicolegal issues:Precautions in Sampling of blood in forensic cases

• The site of injection should be cleaned by saline swab and not by spirit swab if the sample of blood is collected for alcohol estimation
• About 3-4 ml of blood is drawn as sample in chemically clean evacuated tubes of 5ml.
• set of water proof /not be vulnerable to freezing labels with identification codes to mark the tubes should be used
• EDTA should be used as anticoagulant. Tubes with liquid EDTA /fluoride reduce the risk of hemolytic leads to altered results
• 2ml of 5% aqueous solution of sodium citrate containing 0.2% w/v of formaldehyde or 0.5% w/v of formalin solution must be added to prevent decomposition which leads to altered results
• Plastic vacuum tubes/ Plastic vacuum gel tubes are preferred to glass tubes. . If vacuum tubes are not available or tubes are opened for freely flowing samples, stoppers which do not react with blood constituents should be available.
• special boxes for tube transfer and storage, earmarked refrigerator/ freezer must be available in hospital conducting medico legal cases
• About 3-4 ml of blood is taken in a sterile 5ml injection vial( properly sealed and labeled) containing about 2ml of 5% aqueous solution of sodium citrate containing 0.2% w/v of formaldehyde (or 0.5% w/v of formalin solution).
• Two approximately 1cm x 1cm size blood stains are formed on clean cotton cloth/gauze pieces and, after they are dry, they are transferred to a sterile 10ml injection vial it should be properly dried, before packing to avoid decomposition and then sealed & labeled.
• Bloodstains located on the body of an injured person are taken by rubbing with moistened clean cotton cloth pieces, it should be properly dried, before packing to avoid decomposition and then sealed & labeled.

(Contributed by Dr Sudhir Gupta)

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