Anatomy and Embalming: A Treatise on the Science and Art of Embalming, the Latest and Most Successful Methods of Treatment and the General Anatomy Relating to this SubjectNunnamaker, Albert John
Science
Anatomy and Embalming: A Treatise on the Science and Art of Embalming, the Latest and Most Successful Methods of Treatment and the General Anatomy Relating to this Subject
Nunnamaker, Albert John
Embalming
Venous blood is removed from the right side of the heart directly or
indirectly, and the veins, only when it is deemed necessary by the
operator.
There are two methods of removing this arterial or venous blood from
the body. These two methods are aspiration and drainage. Besides these
two methods some modified methods or combinations of the two, are
given.
Aspiration consists in actually pumping the blood from the heart,
arteries or veins. In this method, if blood is to be taken from the
heart directly, the trocar is used; if the blood is to be taken from
the heart indirectly or from the arteries or the veins one of the
drainage tubes is used. Either the trocar or the drainage tube is
connected by rubber tubing, to the goose neck on the blood bottle,
which in turn is connected by rubber tubing to the aspirator side of
the aspirator and injector pump. When the air is drawn from the blood
bottle, there is a vacuum formed, which will aspirate or draw the blood
from the heart directly or indirectly from the arteries or veins. The
one great disadvantage of this method is that if the vacuum is made too
great, the artery or vein will collapse ahead of the drainage tube and
thus prevent the successful aspiration of the blood.
Drainage or gravity consists in opening one of the principle arteries
or veins of the body, inserting a blood drainage tube into the artery
or vein as far as it seems practical, and then connecting the blood
drainage tube to the blood bottle by means of rubber tubing. The blood
bottle should be placed considerably lower than the body in order to
have the blood drain successfully. If the femoral artery or vein is
used, the body ought to be on a considerable incline, the head at least
one foot higher than the feet in order to get the maximum amount of
blood.
If the axillary, brachial, or carotid, or their corresponding veins
are used, the body ought to be on a level or turned to the side of the
opening veins.
Simple drainage in itself is not a very successful method of getting
the maximum amount of blood from the body.
The process can be modified in three ways which are as follows:
(1) By placing the blood drainage tube in the vein and the arterial
tube in the corresponding artery. Inject fluid into the arteries
which will tend to push the blood in turn from the capillaries into
the veins, and out into the drainage tube into the blood bottle. This
modified method has been called by Robbins “Displacement.” This is a
good name and one which should be generally adopted.
(2) By placing the blood drainage tube in the artery or vein,
preferably the femoral, and connect it by means of rubber tubing to
the blood bottle. The operator now stands at the head of the subject,
he reaches over, takes hold of each hand of the subject, raises the
arms of the subject to right angles with the subject, then crosses the
arms and with a steady gentle pressure bears down on the chest of the
subject over the heart region.
Public-domain text, read in full here on John Shaqi.
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