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
_Pathology._—The lesions resulting from this disease may be divided
into two parts. First, the lesions of the intestinal canal, Peyer's
patches, the solitary glands of the ileum and caecum, and more rarely
of the colon and the rectum, and changes in the spleen. Secondly,
those lesions resulting from sepsis occurring during the long period
of fever, and affecting the tissues and organs at large. The first
effect of the poison or bacilli is to cause hyperemia (swelling) of
the lymphatics, the capillaries become engorged and cell infiltration
takes place in the solitary glands of the intestines. Frequently the
infiltration is so excessive that the capillaries become engorged and
entirely choked with the infiltration. Ulcers form, which are shallow
or deep, according to the amount of necrosis (sloughing), and when very
deep, perforation of the bowel may follow, although this condition is
rare. The spleen is nearly always involved, congestion takes place,
followed by softening. The liver becomes hyperemic, swollen and soft,
and often shows abscess formation. There is granular degeneration in
the kidney, ulceration of the larynx and sometimes congestion of the
lung. The heart muscles too often become weakened the result of the
poison.
_Treatment._—If death occurs early in the disease, the body will not
be greatly emaciated, and the following treatment may be followed in
detail:
If intense abdominal fermentation exists, relieve the accumulated gas
with trocar, aspirate as much serous matter as possible from the pelvic
cavity, introduce a strong fluid into the cavity, taking care to have
as much of this fluid reach the cavities of the intestines as possible.
Open one of the arteries commonly used in one of the drainage processes
and inject 64 ounces of half strength fluid, draining blood from
the vein simultaneously with the injection. Then inject a sufficient
quantity of normal fluid to complete preservation. Close all openings
of the body with absorbent cotton. Massage the face with water or a
commercial solution during the injection.
If death occurs late in the disease, the abdomen may require a stronger
treatment such as we would give in acute peritonitis. The trocar may
not prove efficient in reaching the affected parts and in such a case
we would make a 4 inch incision along the median line and between the
umbilicus and the pubic arch, exposing the ileum and caecum, which
should be incised, their contents removed, and then all replaced in
the cavity thoroughly surrounded with hardening compound. After this
the wound should be closed with stitches. After preservation has been
completed in either this form of the disease or the one mentioned
above, dust on a good quality of face powder to remove the moist
appearance from the skin. When a body dead of this disease is to
be transported, consult the state or local transportation rules in
addition to these treatments.
Public-domain text, read in full here on John Shaqi.
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