Re: Gold Standards
To Penny Mellors' commendable list, I should like to add two more:
a) Total Body X-Ray. This is briefly mentioned in the Kennedy
Report in the Pathology section where it is inappropriate and impractical.
A total body x-ray may reveal lung changes which are not necessarily
obvious at autopsy, as well as unsuspected skeletal injuries. A single
body x-ray is technically easy but presents a number of clinical
considerations. It is therefore best arranged by a paediatrician before
the infant is moved to the mortuary.
b) Siblings. It is vital to examine any vulnerable siblings
especially a twin, as a matter of urgency. This may not only be life-
saving but bacteriological and biochemical investigations during life are
infinitely more reliable than after death.
Herbert Barrie, MD, FRCP, FRCPCH
Competing interests: No competing interests