Aids to Forensic Medicine and ToxicologyRobertson, W. G. Aitchison (William George Aitchison )
Science
Aids to Forensic Medicine and Toxicology
Robertson, W. G. Aitchison (William George Aitchison )
Medical jurisprudence; Poisons
In using the elastic stomach-tube, some fluid should be introduced into
the stomach before attempting to empty it, or a portion of the mucous
membrane may be sucked into the aperture. The tube should be examined to
see that it is not broken or cracked, as accidents have happened from
neglecting this precaution. The bowels and kidneys must also be
stimulated to activity, to help in the elimination of the poison.
2. The second indication is met by the administration of the appropriate
antidote. Antidotes are usually given hypodermically, or, if by mouth,
in the form of tablets. In the absence of a hypodermic syringe, the
remedy may be given by the rectum. In the selection of the appropriate
antidote, a knowledge of pharmacology is required, especially of the
physiological antagonism of drugs. Antidotes may act (1) chemically, by
forming harmless compounds, as lime in oxalic acid poisoning; (2)
physiologically, the drug which is administered neutralizing more or
less completely the poison which has been absorbed; (3) physically, as
charcoal. Every doctor should provide himself with an antidote case. The
various antidotes will be mentioned under their respective poisons.
3. To avert the tendency to death, we must endeavour to palliate the
symptoms and neutralize the effects of the poison. Pain must be relieved
by the use of morphine; inflamed mucous membrane soothed by such
_demulcents_ as oils, milk, starch; stimulants to overcome collapse;
saline infusions in shock, etc. In the case of narcotics and depressing
agents, stimulants, electricity, and cold affusions, may be found
useful. We should endeavour to promote the elimination of the poison
from the body by stimulating the secretions.
VIII.--DETECTION OF POISONS
Notice the smell, colour, and general appearance, of the matter
submitted for examination. The odour may show the presence of prussic
acid, alcohol, opium, or phosphorus. The colour may indicate salts of
copper, cantharides, etc. Seeds of plants may be found.
This examination having been made, the contents of the alimentary canal,
and any other substances to be examined, must be submitted to chemical
processes.
Simple filtration will sometimes suffice to separate the required
substance; in other cases dialysis will be necessary, in order that
crystalloid substances may be separated from colloid bodies.
In the case of volatile substances distillation will be required. The
poisons thus sought for are alcohol, phosphorus, iodine, chloral,
ether, hydrocyanic acid, carbolic acid, nitro-benzol, chloroform, and
anilin. The organic matters are placed in a flask, diluted with
distilled water if necessary, and acidulated with tartaric acid. The
flask is heated in a water-bath, and the vapours condensed by a Liebig's
condenser. In the case of phosphorus the condenser should be of glass,
and the process of distillation conducted in the dark, so that the
luminosity of the phosphorus may be noted.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account