_Post-mortem Appearances._—The body is generally livid, the countenance
pallid, or sometimes livid and bloated, the jaws firmly closed, and the
hands clenched. There is frequently blood or froth about the mouth, and
the eyes are sometimes described as prominent and glistening. There is
often an odor of prussic acid about the body, which is more perceptible
on opening the stomach. The venous system is usually gorged with blood;
and the brain, lungs, heart, liver, spleen, and kidneys have been found
congested with dark-colored fluid blood.
_Treatment._—There is no chemical antidote to this poison which can be
relied upon. Chlorine and the mixed oxides of iron have been
recommended; but even if one of these agents happened to be at hand, it
is doubtful if its employment could be timely enough to be advantageous.
Attempts must be made to restore animation by cold affusion, stimulating
frictions to the chest and abdomen, warmth to the surface, and the
application of ammonia to the nostrils. Cold affusion over the head and
neck has proved most efficacious when promptly resorted to, and repeated
at short intervals so as to cause a shock. The direct injection of
liquor ammoniæ into the veins, as proposed by Professor Halford, for
snake bite, might be tried if the means were at hand. As soon as
possible ammonia should be given internally and the stomach emptied.
If recovery ensue from the immediate effects, vomiting should be
produced by emetics or otherwise, after which strong coffee, with
brandy, ought to be administered.
_Tests._—The best are the following:
When hydrocyanic acid has to be separated from organic substances, such
as the contents of the stomach, it is usual to take advantage of its
ready volatility. If the acid be not in combination it may be given off
so readily as to be detected by a watch glass moistened with nitrate of
silver held over the vessel containing the acid; but in order to make
sure of its presence or absence the following process should be adopted.
The suspected material should be acidulated with pure sulphuric acid so
as to insure the prussic acid being in a free state. The substances thus
acidulated are to be placed in a retort, distilled over a water bath,
and the distillate collected in a cool receiver containing some caustic
potass. About one-sixth of the fluid substance should in this way be
distilled over, when the liquid in the receiver may be tested by the
silver or iron tests, or the vapor as it passes over may be tried with
the sulphur test.
1. The peculiar _odor_ of prussic acid is well known, and is a very
delicate test, taken in conjunction with others, of its presence.
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