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
1. _Pressure on the Vessels._—The red and livid hue of the face of
persons killed by hanging, very naturally induced a belief that
_Apoplexy_[42] was the immediate cause of death; while it is evident
that the pressure on the jugular veins must necessarily so prevent the
return of blood to the heart, as to produce an accumulation in the
vessels of the brain: _Dr. Hooper_ has a preparation of the brain of an
executed criminal, in which blood is seen extravasated among the
membranes; and various other cases have occurred, where dissection has
clearly demonstrated the existence of those vascular congestions and
sanguineous effusions, upon which apoplexy is supposed to depend; but
this merely goes to prove that apoplexy occasionally takes place from
hanging; it does not establish the fact of its being the common cause of
death on such occasions.[43] _Gregory_ made the following experiment to
shew that it is to the interception of air that death is to be
attributed; after having opened the trachea of a dog he passed a slip
knot round the neck, above the wound; the animal, though hanged,
continued to live and respire, the air was alternately admitted and
easily expelled through the small opening; but as soon as the
constriction was made below the orifice, the animal perished. _Mr.
Brodie_ hanged a dog, and as soon as it became insensible, the trachea
was opened below the ligature, upon which he breathed, and his
sensibility returned.
2. _Pressure on the Nerves of the Neck._ Although the pressure of a
ligature on the nerves of the neck cannot be considered as the immediate
cause of death in hanging, yet _Mr. Brodie_ has very justly observed,
that if the animal recovers of the direct consequence of the
strangulation, he may probably suffer from the effects of the ligature
upon the nerves afterwards. _Mr. Brodie_ passed a ligature under the
trachea of a Guinea pig, and tied it tight on the back of the neck with
a knot; the animal was uneasy, but nevertheless breathed and moved
about; at the end of fifteen minutes the ligature was removed; on the
following morning, however, the animal was found dead. On dissection no
preternatural appearances were discovered in the brain, but the lungs
were dark and turgid with blood, and presented an appearance similar to
that which is observed after the division of the nerves of the eighth
pair; I do not, observes _Mr. Brodie_ (_Manuscript Notes_) positively
conclude from this experiment that the animal died from an injury
inflicted upon the nerves of the eighth pair, but I think that such a
conclusion is highly probable; and it becomes an object of inquiry
whether a patient having recovered from hanging, may not, in some
instances, die afterwards from the injury of the _par vagum_.
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