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
=Carbon Dioxide.=--Carbon dioxide is a product of combustion and
respiration, and is generated in many ways during fermentation. It is a
constituent of _choke damp_ due to explosions in coal-mines, and is
given off from lime-kilns, brick-kilns, and cement-works. It is often
met with in dangerous quantities in wells and in brewers' vats. From 10
to 15 per cent. in the atmosphere would prove fatal, but even 2 per
cent. inhaled for long would produce serious symptoms. The proportion
usually present in air is 0.04 per cent.
_Symptoms._--Inhalation of the _pure_ gas causes spasm of the glottis,
insensibility, and death from asphyxia, at once; _diluted_, causes sense
of weight in forehead and back of head, giddiness, vomiting, somnolence,
loss of muscular power. Insensibility, stertorous breathing, lividity of
face and body, and death from asphyxia. Convulsions occasionally.
_Post-Mortem Appearances._--Face swollen and livid, or calm and pale;
lividity is most marked in eyelids, lips, ears, etc.; limbs usually
flaccid, abdomen distended; right side of heart, lungs, and large veins,
gorged with dark-coloured blood. Brain and membranes congested.
_Treatment._--Pure air, cold affusion, stimulants, artificial
respiration, galvanism, inhalation of oxygen, venesection, transfusion.
=Carbonic Oxide.=--This is one of the most poisonous of gases. It is
evolved in the process of burning charcoal and coke in stoves or
furnaces. Water-gas, obtained by passing steam over heated coke,
contains 40 per cent. of the substance, the remainder being chiefly
hydrogen. It forms the chief part of the deadly 'choke damp' after an
explosion in a mine. Two per cent. in the atmosphere is immediately
fatal.
_Symptoms._--When in _large amount_, insensibility comes on at once;
when in _very small amounts_, headache, giddiness, noises in the ears,
nausea, and vomiting, with prostration, insensibility, and coma. There
may be convulsions. Even in cases which recover, permanent impairment of
the brain may result.
_Post-Mortem Appearances._--The blood is bright red in colour, due to
the interaction of carbonic oxide with haemoglobin. A rosy hue of the
skin-surface and viscera is often noticed. Bright red patches of colour
are found over the surface of the body. The spectrum of the blood is
characteristic.
_Treatment._--Ammonia to the nostrils, inhalation of oxygen, cold douche
in moderation, artificial respiration, transfusion of blood.
=Coal Gas.=--Coal gas contains light carburetted hydrogen or marsh gas,
olefiant gas, ammonia, sulphuretted hydrogen, carbonic acid, carbonic
oxide, free hydrogen, and nitrogen. Coal gas has an offensive odour,
burns with a yellowish-white flame, yielding water and carbonic acid.
Cases of poisoning often due to escape of gas into the room.
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