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
In our own country scarcely a winter passes without the occurrence of
some event equally illustrative of this physiological fact; and it is
highly important that the medical jurist should be able to appreciate
its influence; those who perish in this manner are generally individuals
of the most wretched condition, and will be found to have undergone much
suffering and privation; by which their nervous energy had been too much
exhausted to generate sufficient heat to counteract the diminished
temperature of the atmosphere; an event of this nature occurred in
London during the winter of 1819, when a man and his wife, aged persons,
and poor, but not supposed, nor indeed proved to have been quite
destitute, were found dead in their apartment, although food was
discovered in the room, and money was in the pocket of the man: the
night (28th of December) had been inclement, and there was neither bed
nor fire in the miserable couple’s apartment. It appeared in evidence
that they had been previously ailing. The verdict recorded that they had
perished from the inclemency of the weather, in consequence of the
destitute circumstances under which they were found.
It would seem that persons who are long exposed to intense cold do not
suffer a painful death; they gradually lose their sensibility, become
drowsy, and die as if through the effects of an opiate. Mr. _Brodie_[52]
classes the effects of cold in the following order.
1. It lessens the irritability, and impairs the functions of the whole
nervous system.
2. It impairs the contractile powers of the muscles.
3. It causes contraction of the capillaries, and thus lessens the
superficial circulation, and stops the cutaneous secretion.
4. It probably destroys the principle of vitality, equally in every
part, and does not exclusively disturb the functions of any particular
organ.
These positions have been confirmed by experiment. Dr. _Chassat_ states
that in an animal immersed in a cold bath, death may take place at 79°
Fahr. (26 _Centig._), although it may be sometimes cooled down as low as
69° (17 _Cent._) before it dies; but, _cæteris paribus_, the animal dies
sooner as the cooling is more rapid.
M. _Portal_ thinks that cold produces death by inducing apoplexy, and
remarks that the examination of the bodies of persons who have died from
cold, proves the presence of sanguineous congestions in the vessels and
cavities of the body, and especially in those of the brain. Dr. _Cooke_,
however, has remarked that “M. _Portal’s_ notions on this subject seem
to want confirmation. Excessive cold undoubtedly produces, first
drowsiness and afterwards a profound sleep, in which the unfortunate
individual generally perishes; but we have not on record a sufficient
number of cases with particular descriptions of symptoms and appearances
on dissection, to enable us to say positively that cold kills by
apoplexy.”
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