A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomyThomas, A. R. (Amos Russell)
Science
A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomy
Thomas, A. R. (Amos Russell)
Anatomy, Pathological; Autopsy -- Handbooks, manuals, etc.
=The Preliminary Preparations= at the place of the operation should
consist in providing a sponge for absorbing fluids; newspapers and old
cloths for filling cavities or wrapping up any morbid specimen that it
may be desirable to preserve; a couple of quarts of clean sawdust or
wheaten bran for throwing into the cavities before closing them up, and
thus absorbing any excess of fluids; stout thread or twine for tying
intestines and closing the cavities; lard or sweet oil for oiling the
hands; a couple of empty slopbuckets for receiving the fluids, bloody
water, &c., and plenty of water, hot and cold, with towels and soap. If
the floor of the room is carpeted, to protect it from accident, a piece
of old carpet, or quilt, or oilcloth should be spread alongside the
table or box where the examination is made. Care should be observed to
have all these matters provided before the operation is commenced, when
the door should be fastened, that there may be no intrusion, by accident
or otherwise.
In preparing the body for examination, if the head is to be opened and
the body is in an ice-box, it will be absolutely necessary that it be
removed. Placing the cover of the box on the floor, the body may be
lifted out and placed on the same, when both may be again placed on the
top of the box or on a table, for the examination. If only the chest and
abdomen are to be examined, it will hardly be necessary to lift the body
from the box. In all cases, the sheet in which the body is placed, with
the underclothing, (the latter having been split down the centre,)
should be carefully turned aside, and care observed during the operation
to avoid as much as possible soiling them with blood-stains.
=Precautionary Measures.= That there is a certain amount of danger from
absorption of virus in case of cuts or scratches received while
conducting a post-mortem examination, cannot be denied; yet this danger
is by no means common to every case. In the great majority of instances,
probably no mischief whatever would follow such an accident, the danger
being confined almost wholly to cases of peritoneal inflammation,
erysipelas, and certain malignant forms of disease. In all cases,
however, it will be well to look for any scratch, cut, or abraded point
on the hands or fingers, and first touching them with nitrate of silver,
cover them finally with collodian. Smearing the hands well with lard or
olive oil will also aid much in preventing absorption.
Public-domain text, read in full here on John Shaqi.
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