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
_Treatment._--Remove from work, rest in bed, diuretics, purgatives,
alkalies.
XXXIV.--ALCOHOL, ETHER, AND CHLOROFORM
Alcohol, ether, and chloroform, induce general anaesthesia, often
preceded by delirious excitement, and followed by nausea and vomiting.
When they cause death, it is by inducing a state like apoplexy or by
paralyzing the heart.
=Alcohol.=--Absolute alcohol is ethyl hydroxide (C_{2}H_{5}OH) with not
more than 1 per cent. by weight of water. Rectified spirit (spiritus
rectificatus) contains 90 per cent. of alcohol. Methylated spirit
consists of rectified spirit with 10 per cent. of wood spirit. Proof
spirit contains a little over 49 per cent. of absolute alcohol; brandy
or whisky, 53 per cent.; port wine, 20 to 25 per cent.; ales and stout,
4 to 6 per cent.
_Symptoms._--Acute poisoning; confusion, giddiness, staggering gait,
headache, passing into stupor, with subnormal temperature, and coma.
Vomiting may occur and recovery ensue, otherwise collapse sets in.
Pupils usually dilated.
Dipsomaniacs suffer from indigestion, vomiting and purging, jaundice,
albuminuria, diabetes, cirrhosis of liver, degeneration of kidneys,
congestion of brain, peripheral neuritis, alcoholic insanity, and
various forms of paralysis. In the acute form delirium tremens is the
most common manifestation.
_Post-Mortem Appearances._--Deep red colour of lining membranes of
stomach. Sometimes congestion of cerebral vessels and meninges. Lungs
congested, blood fluid. Rigor mortis persistent.
_Fatal Dose._--Death from 1/2 pint of gin and from two bottles of port,
but recovery from larger quantities.
_Fatal Period._--Average about twenty-four hours.
_Treatment._--Stomach-tube, cold affusion, electricity, injection of a
pint of hot coffee into the rectum. Give chloride of ammonium in 30
grain doses to prevent delirium; strychnine or digitalin
hypodermically.
_Method of Extraction from the Stomach._--Neutralize the contents of the
stomach, if acid, with sodium carbonate; place them in a retort and
carefully distil. Collect the distillate, mix with chloride of calcium
or anhydrous sulphate of copper, and again distil. Agitate distillate
with dry potassium carbonate, and draw off some of the supernatant fluid
for testing.
_Tests._--Odour. Dissolves camphor. With dilute sulphuric acid and
bichromate of potassium turns green, and evolves aldehyde. Product of
combustion makes lime-water white and turbid.
=Methyl Alcohol: Wood Naphtha.=--Used to produce intoxication by
painters, furniture-polishers, etc.
_Symptoms_ are those of alcoholic poisoning, but vomiting and delirium
are more persistent. Total or partial blindness may follow as a sequel
of optic atrophy. A fatal result not infrequently follows.
The following table gives the points of distinction between concussion
of brain, alcoholic poisoning, and opium poisoning:
CONCUSSION OF BRAIN. ALCOHOL. OPIUM.
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