Medical Jurisprudence, Volume 3 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 3 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
That a change in the character of the pulmonary structure so important
as that just described should have attracted the notice of the
physiologist, and been eagerly seized, as evidence in proof of the
infant _having respired_, and therefore been _born alive_, cannot be a
matter of surprise; and we accordingly find that the _hydrostatic test_
long enjoyed the unreserved confidence of the profession and the public.
Whenever an infant was found dead, under circumstances of doubt and
suspicion, its lungs were removed from the body, and immersed in water;
if they sank, the subject of the experiment was immediately declared to
have been still-born. If, on the contrary, they floated, it was
concluded without farther enquiry, that the infant had lived after its
birth. The aphorism of _Baglivi_ may be received as an expression of the
general feeling so long entertained upon this subject. “_Pulmones fœtus
mortui in utero matris, si extrahantur, et in aqua ponantur, petunt
fundum; mortui vero extra uterum et aqua injecti innatent in ea. Quod
signum ad infanticidia detegenda est evidentissimum._”[72] The number of
innocent females who may have been thus sacrificed through a
physiological conceit, is a circumstance that must excite the most awful
reflection.[73] It is now well ascertained, and as generally admitted,
that the validity of the _hydrostatic test_, as usually applied, must
afford very unquestionable indications. _Bohn_,[74] _Hoffman_,[75] and
_Heister_,[76] have shewn that the lungs of a fœtus, born dead, will
under some circumstances, to be hereafter explained, float in water;
while those of one that has lived after its birth may sink in the same
fluid. _Dr. Gordon Smith_ is inclined to attribute _some_ of the
uncertainty, by which the minds of medical men have been obscured with
regard to the pulmonary tests, to confusion in the method of conducting
the experiment, for there is, says he, but one order in which the steps
can be taken, and if the anatomist should inadvertently resort to one
stage of the process before another that should have preceded, he will
baffle his own efforts. In commencing an examination of the thoracic
organs, we should, previous to the disturbance of the parts, notice
whether any morbid appearances present themselves, such as adhesions
between the lungs and the pleura costalis, &c. We should at the same
time observe whether the lungs be collapsed, or dilated, and whether
they cover the lateral parts of the pericardium. We then proceed to
separate the pulmonary organs from the body, in order to submit them to
the _hydrostatic test_, to which we have adverted. For the performance
of this dissection, _Dr. Hutchinson_ has given us so many complete and
satisfactory directions, that we shall here introduce them for the
instruction of the forensic physician. “Ligatures must be placed on the
aorta and venæ cavæ, near their attachment to the heart; the trachea is
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