[Sampling, storage and transport of biological materials collected from living and deceased subjects for determination of concentration levels of ethyl alcohol and similarly acting substances. A proposal of updating the blood and urine sampling protocol].
The present paper emphasizes the most common mistakes committed at the beginning of an analytical procedure. To shorten the time and decrease the cost of determinations of substances with similar to alcohol activity, it is postulated to introduce mass-scale screening analysis of saliva collected from a living subject at the site of the event, with all positive results confirmed in blood or urine samples. If no saliva sample is collected for toxicology, a urine sample, allowing for a stat fast screening analysis, and a blood sample, to confirm the result, should be ensured. Inappropriate storage of a blood sample in the tube without a preservative can cause sample spilling and its irretrievable loss. The authors propose updating the "Blood/urine sampling protocol", with the updated version to be introduced into practice following consultations and revisions.
Wiergowski
Marek
M
Z Katedry i Zakładu Medycyny Sadowej Akademii Medycznej w Gdańsku. marwier@amg.gda.pl
Reguła
Krystyna
K
Pieśniak
Dorota
D
Galer-Tatarowicz
Katarzyna
K
Szpiech
Beata
B
Jankowski
Zbigniew
Z
D001774:Blood Chemical Analysis / Q000379:methods; D004866:Equipment Contamination / Q000517:prevention & control*; D000431:Ethanol / Q000097:blood* / Q000652:urine*; D005554:Forensic Medicine / Q000379:methods; D006801:Humans; D009294:Narcotics / Q000097:blood / Q000652:urine; D012463:Saliva / Q000737:chemistry; D012680:Sensitivity and Specificity; D013048:Specimen Handling / Q000379:methods* / Q000592:standards; D015813:Substance Abuse Detection / Q000379:methods*; D014021:Tissue Preservation / Q000379:methods*; D014116:Toxicology / Q000592:standards; D016482:Urinalysis / Q000379:methods
D009294:Narcotics; D000431:Ethanol