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 — John Shaqi
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.
Should an accidental cut be received during the operation, it will be
prudent, in all cases, to wash the hands at once, squeeze and suck the
part, to favor bleeding, and, finally, touch with a crystal of nitrate
of silver. Punctures with a needle or slight scratches which do not
bleed are, probably, more dangerous than a free cut; hence, in cases of
suspected danger, when a puncture has been received, it would be safer
to make a free incision with a knife, thus inducing bleeding, which will
favor the washing out of any virus, and finally, use the caustic.
=Time for Making the Examination.= As a rule, post-mortem examinations
should be made as soon after death as a due regard to the feelings of
friends will permit, say within twelve to twenty-four hours; a longer
delay would give time for such decomposition as not only to make the
examination extremely disagreeable, but, from change of structure in
tissues and organs, much less satisfactory. In cold weather, however, or
where the body has been placed in ice soon after death, as is the custom
in most cities, the examination may be postponed to any convenient time
before the burial.
=Notes.= In all important cases, notes should be taken down by an
assistant, on the spot, as dictated by the operator; heading these by
the name and age of the patient and a brief sketch of the disease. In
medico-legal cases, this is to be conducted with particular care, as
will be pointed out hereafter.
=Consent of Friends.= Much difficulty will sometimes be met in obtaining
the consent of friends for a post-mortem examination, the idea of the
mutilation of the body of the deceased striking many with particular
dread. With a little tact and management, however, consent may, in the
majority of instances, be obtained. Instead of speaking to a single
member of the family and leaving him or her to bring the subject before
others, in all doubtful cases it will be better for the physician to see
all the interested parties himself, either together or separately, and
endeavor to interest them in the case, by pointing out the peculiar
character of the disease, the satisfaction which the friends will
themselves derive from a verification of the diagnosis of their
physician, while, when too late, they may regret having withheld their
consent; also the scientific interest which attaches to the case, and
the benefit which will no doubt accrue to medical science through a
post-mortem examination, and the possibility that the lives of others
may depend upon a knowledge of the true state of this case. These, with
like considerations, adapted with ready tact to the class of persons to
be persuaded, will, in the majority of instances, be enough to overcome
all scruples, especially when joined to the assurance that the
examination will be so conducted as to leave no visible trace of the
operation with which to embitter the remembrance of the well-known
countenance.
Public-domain text, read in full here on John Shaqi.
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