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
Having thus considered the value of the tests of respiration, we shall
proceed to appreciate those which have been considered as furnishing no
less certain indications of death. The absence of the circulation, the
impossibility of feeling the pulsations of the heart and arteries have
been regarded as infallible means of deciding whether the individual be
dead; but it is proved beyond all doubt that a person may live for
several hours without its being possible to perceive the slightest
movement in the parts just mentioned. It has been thought also, says
_Orfila_, that an individual was dead when he was cold, and that he
still lived if the warmth of the body was preserved; there is perhaps no
sign of so little value; the drowned who may be recalled to life, are
usually very cold; whilst in cases of apoplexy, and some other fatal
diseases, a certain degree of warmth is preserved even for a long period
after death. Stiffness of the body is another sign of death upon which
great reliance has been placed; but as it sometimes happens that it
exists during life, it becomes necessary to point out the difference
between the stiffness of death, and that which occurs during life, in
certain diseases. For the following observations upon this subject we
acknowledge ourselves indebted to the judicious treatise of _Orfila_.
1. Stiffness may be very considerable in a person who has been frozen,
who is not yet dead, and who may even be recalled to life. This
stiffness cannot be confounded with that which is the inevitable
result of death, because it is known that the body has been exposed to
the action of severe cold, and above all because it is very general;
in fact, the skin, breasts, the belly, and all the organs may possess
the same rigidity as the muscles, a circumstance not observable in
_cadaverous_ stiffness, in which the muscles alone present any degree
of resistance; besides, when the skin of a frozen person is depressed,
by pressing forcibly upon it with the finger, a hollow is produced
which is a long time in disappearing. When the position of a frozen
limb is changed, a little noise is heard, caused by the rupture of
particles of ice contained in the displaced part.
2. The stiffness to which the late _M. Nysten_ has given the name of
_convulsive_, and which sometimes manifests itself in violent nervous
diseases, may be easily distinguished from _cadaverous_ stiffness;
when a limb is stiff in consequence of convulsions, &c. the greatest
difficulty is experienced in changing its direction, and when left, it
immediately resumes its former position; it is not the same in
stiffness from death; the limb, the direction of which has been
changed, does not return to its former position.
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