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
Upon these appearances we have a few observations to offer, especially
as they have given origin to some important questions; and first, with
respect to _the presence of water in the stomach and lungs_, than which
few indications, connected with the subject of drowning, have given
occasion to greater controversy.[33] For since it hath been observed
that water is rarely found in the stomach or lungs of a person who has
been submerged after death, it was inferred that the presence of that
fluid in these organs necessarily proved that the individual must have
been plunged into the water during life. As a general proposition this
may be admitted as correct, although it is liable to certain exceptions
with which the medical jurist ought to be acquainted; we may, for
instance, suppose a case, in which the submerged person may be so
plunged at once under water, as to have been suffocated without his
previously coming to the surface, and when _asphyxia_ has taken place,
the powers of deglutition, on which the presence of water in the stomach
wholly depends, are at an end; or we may suppose that the party in
question faints from terror; a remarkable instance of this kind is
quoted by _Foderè_,[34] from _Plater_, of a young woman, who having been
condemned to be drowned for infanticide, fainted at the moment she was
plunged in the water, and having remained for a quarter of an hour under
its surface, recovered after being drawn out.[35]
With respect to the presence of water in the bronchiæ and lungs, we may
observe that, in the violent struggles of a drowning man, a certain
portion of water generally passes the epiglottis; and being immediately
mixed with the air and mucus of the trachea, constitutes that frothy
mucus, which we have described as being so highly characteristic of this
species of violent death; although we are not to conclude with _Larrey_,
that it is the immediate cause of dissolution in such cases. The
quantity of water, however, thus forced into the pulmonary structure, is
extremely small, for its entrance is powerfully opposed by a spasm of
the muscles of the glottis;[36] were it to occur in any considerable
quantity, and to appear in its fluid state, instead of that of froth,
the influence would clearly be, that _it had passed in after death_.
Although the presence of this frothy matter must be considered as a
strong presumptive proof that the person found in the water had perished
by drowning, the converse of this proposition is by no means established
by the absence of such an indication.
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