Medical Jurisprudence, Volume 2 (of 3) — John Shaqi
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
the heart has ceased, its motions are continued. The experiment may also
be very satisfactorily varied in the following manner; apply a ligature
to the carotid arteries in the neck, so as to prevent the occurrence of
hemorrhage, and then decapitate the animal; if respiration be now
artificially maintained, the heart will suffer no disturbance in its
motions, but the circulation will be preserved for several hours in the
body of the decapitated animal. In further illustration of this view of
the subject, _Mr. Brodie_ observes, that many reptiles which are capable
of respiring by means of the skin, will survive the loss of the brain
for so long a period, that the wound made by decapitation, becomes
cicatrized, and death only takes place at last in consequence of
inanition.—(_Manuscript Notes._)
In farther illustration of these views, let us observe the mode in which
death takes place in apoplexy, or in cases of pressure on the brain,
whether occasioned by a depressed portion of bone, or by blood
extravasated within the cranium. At first the patient is insensible to
all external impressions, but the breathing is not affected; after an
interval, however, the respiration becomes difficult and laborious, and
the purple hue of the lips and cheeks, from the sub-cutaneous vessels,
demonstrates that the blood is imperfectly oxygenized. The arterial
action becomes more slow, in proportion only as the respiration is more
difficult; and the pulse may even be distinguished at the wrist, after
the breathing has altogether ceased; under such circumstances it is
obvious that life might be protracted for several hours by artificial
inflation of the lungs, but as no ultimate benefit could be derived from
such an operation, its expediency may be fairly questioned.
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