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
_Symptoms._--When swallowed, characteristic smell in breath, anxious
countenance, burning pain in the throat, stomach, and region of the
abdomen, staggering gait, coldness of the extremities, vomiting,
insensibility, deepening into coma, with stertorous breathing, dilated
pupils, and imperceptible pulse. When inhaled, much the same as ether,
but produces insensibility and muscular relaxation more rapidly. It
would be impossible to instantly render a person insensible by holding a
pocket-handkerchief saturated with chloroform over the face. Statements
such as this, which are often made in cases of robbery from the person
and in cases of rape, are incredible.
_Delayed Chloroform-Poisoning._--Death may take place in from four to
seven days after chloroform has been administered, especially in the
case of children. The internal organs are found to be fattily
degenerated, and death is thought to be due to acetonuria.
_Post-Mortem Appearances._--Cerebral and pulmonary congestion. Heart
empty, or right side distended with dark blood.
_Treatment._--Stomach-tube and free lavage; cold affusion; drawing
forward tongue; artificial respiration; galvanism and suspension with
head downward. Inhalation of nitrite of amyl; strychnine hypodermically.
_Fatal Dose._--When swallowed, from 1 to 2 ounces.
_Method of Extraction from the Stomach._--By distillation at 120 deg. F. The
vapour, as it passes along a glass tube, may be decomposed by heat into
chlorine, hydrochloric acid, and carbon--the first shown by setting free
iodine in iodide of starch, the second by reddening blue litmus-paper,
and the last by its deposit.
_Tests._--Taste, colour, weight; burns with a green flame; dissolves
camphor, guttapercha, and caoutchouc.
=Iodoform.=--Poisoning may result from its use in surgery. It produces
delirium, sleepiness, and coma. It may lead to mental weakness or optic
neuritis.
XXXV.--CHLORAL HYDRATE
It was formerly largely used as a hypnotic, and many fatal consequences
ensued. It is prepared from alcohol and chlorine.
_Symptoms._--Deep sleep, loss of muscular power, diminished or abolished
reflex action and sensibility, followed by loss of consciousness and
marked fall of temperature. Pulse may become quick, and face flushed or
livid and bloated. Prolonged use of this drug may produce a peculiar
eruption on the skin. Supposed to act in the blood by being decomposed
into chloroform and sodium formate. Its effects are due chiefly to
depression of the central nervous system, the medulla being the last
part of the nervous system to be attacked.
_Method of Extraction from the Stomach._--By distillation in strongly
alkaline solutions, when it may be obtained as chloroform and tested as
such.
_Treatment._--Stomach-tube or emetic. Hypodermic injections of
strychnine. Keep patient warm, and inject a pint of hot strong coffee
into the rectum. Nitrite of amyl and artificial respiration.
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