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
It was formerly believed that _Asphyxia_[27] from _drowning_, always
depended upon the lungs and intestinal canal being filled with
water;[28] whereas it is hardly necessary to observe that it alone
depends upon the blood, in consequence of the suspension of breathing,
ceasing to possess the qualities which are essential to the preservation
of life. _M. Gauteron_ immersed a dog for more than a quarter of an
hour, without inflicting the least injury, having previously inserted a
long tube in the trachea, which was kept elevated during the experiment
above the surface of the water.
If a small animal be immersed in water, contained in a transparent glass
vessel, the phenomena of drowning are readily discernible; there is
first a deep expiration, by which bubbles of air are expelled from the
lungs; there is then an effort to inspire, but the effort is
ineffectual; there being no air which can be received into the lungs,
and a spasm of the muscles of the glottis seems to forbid the admission
of any considerable quantity of water into the trachea. The attempts to
breathe are repeated several times, and at each attempt at expiration a
small proportion of air is expelled from the mouth and nostrils, until
the air-cells of the lungs are almost emptied;[29] then the animal
becomes insensible; and convulsive action of the voluntary muscles mark
the instant when the brain begins to suffer from the influx of the dark
coloured venous blood. After the cessation of these convulsive actions,
the animal becomes motionless, and gives no sign of life; but if the
hand be applied to the thorax, the actions of the heart, gradually
becoming fainter and fainter, indicate that some remains of vitality
still linger in the system. Before the circulation of the blood
altogether ceases, the muscles of respiration once more resume their
actions, and ineffectual efforts are made to breathe. It is a remarkable
circumstance that the diaphragm continues to exert itself nearly as long
as the heart itself, and that the interval between the cessation of the
motions of the diaphragm and that of the motions of the heart, which is
so short in animals that die by strangulation, is still shorter in those
who perish by drowning.[30] These phenomena follow each other in rapid
succession, and the whole scene is closed, and the living animal is
converted into a lifeless corpse, incapable of recovery, in the brief
space of a few moments, (_Brodie’s Manuscript Notes_). If however the
animal be taken out of the water before the total extinction of life,
and the diaphragm contract afterwards, so as to draw air into the lungs
before the action of the heart has ceased, the circulation is
maintained, and the animal continues to respire; he will thus have
escaped immediate death from suffocation; but his life still remains in
jeopardy, for there is a second period of danger, and one at which death
may take place, when we are the least prepared to expect it; for the
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