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
Many cases are recorded of the death of children from the ingestion of
boiling water; an accident which will be always liable to occur, as long
as the peasant allows his family to quench their thirst by drinking the
cold water through the spout of the tea kettle. It has been very
generally supposed that fatal effects have, on these occasions,
supervened the high state of inflammation produced in the æsophagus and
stomach by the boiling liquid. _Dr. Marshall Hall_ has, however, lately
published a very interesting paper on this subject, in the twelfth
volume of the _Medico-Chirurgical Transactions_; from which it would
appear, that the patient, under these circumstances, actually dies of
suffocation as in croup; and that the boiling water is arrested in its
progress to the stomach by the convulsive action of the muscles of the
pharynx. In passing, however, to the posterior part of the mouth, it
scalds the _epiglottis_, and _glottis_, which afterwards become more and
more swollen, until at length the _rima glottidis_, or orifice into the
larynx, becomes completely obstructed. Here then we have a new instance
in which the operation of laryngotomy, or of tracheotomy, may be
performed with the effect of preventing impending suffocation, and
perhaps of saving life. _Dr. Marshall Hall_ relates four cases in
illustration of this interesting fact; of which one recovered from
imminent suffocation immediately after screaming[327]; two died from
suffocation, one 10, the other 17 hours, after the accident; the fourth
was completely relieved by the operation of tracheotomy, and survived 34
hours, but died, exhausted by the irritation produced by the primary
affection.
MELTED LEAD.
An instance stands recorded in the history of the destruction of the
Eddystone-light house, by fire, where a quantity of melted lead fell
into the mouth, and was swallowed by a person who was attentively
watching the conflagration. It is very singular, that this man lived
many days after the accident; a fact which at least shews what extensive
injury the stomach will occasionally sustain, without the immediate
destruction of life. The lead taken out of the stomach after death, in
this case, weighed exactly seven ounces, five drachms, and eighteen
grains.[328]
THE CAUSTIC ALKALIES.
These bodies are distinguished by a highly corrosive and peculiar taste;
they change the blue[329] juices of vegetables to a green, and the
yellow to a brown; they are soluble in water, and have the power of
imparting the same property to oils, by combining with them, and thus
forming saponaceous compounds. With the different acids they constitute
peculiar salts. When applied to the flesh of animals they act as
powerful caustics, destroying its texture, and ultimately dissolving it;
they are accordingly arranged with great propriety under the head of
corrosive poisons.
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