Medical Jurisprudence, Volume 2 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 2 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
It has been asserted by _Bichat_[11] that the immediate cause of death,
when it takes place suddenly, must be the cessation of the functions of
the heart, brain, or lungs; although it is sometimes difficult to
determine which of these organs is the first to fail in its action; this
may be well exemplified by the poisonous operation of Arsenic upon the
animal economy, which when introduced into the circulating system will,
according to the valuable experiments of _Mr. Brodie_, occasion stupor
and paralysis, a feeble and intermitting contraction of the heart, and
slow and laborious respiration; but it is found that in some cases, one
order of symptoms will predominate, and be the first to display
themselves, whilst in others, the very contrary will obtain, without
perhaps our being able to assign the immediate cause of such deviations.
There are, moreover, cases of sudden death, in which the principle of
animation would seem to be at once annihilated in every part of the
animal machine, and when every organ appears to be simultaneously
affected, as in that occasioned by the agency of intense cold, and
sometimes, for it is not in every instance, by that of lightning, or
electricity; still, as a general proposition, the aphorism of _Bichat_
must be admitted; and we shall proceed to investigate the subject of
sudden death, as connected with medico-judicial inquiry, upon principles
deduced from the enlightened views of this distinguished philosopher. To
the able and satisfactory researches of our English physiologist, _Mr.
Brodie_, we are also greatly indebted for a correct notion of the nature
and order of succession, of those events by which life is quickly
extinguished; his attention was many years ago directed to one important
branch of this subject,—to the investigation of that series of changes
produced on living bodies by the operation of poisons, the results of
which were published in the _Philosophical Transactions_,[12] to which
we shall have frequent occasion to refer in the following pages. Since
that period he has diligently pursued the subject in its more extensive
ramifications, and in his lectures, delivered from the anatomical chair
of the College of Surgeons during the last year, he presented a
condensed and philosophical history of the phenomena of death, in
general, in which he elucidated many leading points that were before
obscure, established several propositions that have long been considered
doubtful, and rejected a mass of popular error, which, under the
sanction of authority, has continued to retard our inquiries, and to
embarrass and misguide our practice. The author of the present section
of this work has to acknowledge the kindness and liberality by which he
is enabled to avail himself of these luminous researches, having been
furnished by his friend _Mr. Brodie_ with the manuscript notes from
which the lectures were delivered.
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