The necessity of making special preparations for an autopsy depends
upon its performance in a regularly appointed autopsy room or
under the conditions of private practice. In the former case the
autopsy room should be constructed to meet the demands of the
work. In teaching hospitals it should be a large, well-lighted and
properly-ventilated room with proper facilities for teaching-staff
and students, and should be so connected with the hospital wards
that the conveyal of bodies may be protected from observation. In the
same building there should be the pathological laboratory, library
and museum, a waiting-room, and under some conditions a chapel for
funeral services. The autopsy room itself should have a grooved
concrete floor sloping to a central drain, the furniture should be
of simple construction, and so built that the entire room may be
washed with a hose. The seats should be arranged in an amphitheatre
facing the northern side of the building, which should be constructed
practically wholly of glass, the lower sashes containing ground glass
or prisms. The northern half of the roof should likewise be of glass.
[Illustration: FIG. 23—Hand Bone-Drill]
In the pit, in the field of strongest illumination, should be placed
the autopsy table. This should be strongly built, of marble, slate,
soapstone, artificial stone, copper, zinc, etc., about seven feet
long, thirty inches wide, and thirty to thirty-six inches high. A
high table is much preferable to a low one. It should have a top
with grooves slanting toward a central perforated plate fixed in the
central hollow standard in such a way that the top may be freely
revolved. In the standard there should be a drain and ventilating
shaft connected with a fan revolving outward. The drain from the
table as well as the others from the laboratory should empty into a
large catch-basin where the contents may be sterilized before passing
into the main sewer. Above the table a combination gas and electric
light with hot and cold water-pipes should be arranged. A sheet of
blue glass of the proper tint may be used in connection with the
illuminating apparatus to give daylight effects.
Extra tables, weighing and measuring apparatus, sinks, lavatories,
bacteriologic outfit, sterilizer, instrument-case, etc., may be
supplied as needed. In the case of delayed permission, or when the
law requires that the bodies be kept a certain length of time before
the autopsy, it becomes necessary to provide a proper cold-storage
apparatus. The local conditions will suggest the most convenient and
appropriate construction. In routine autopsy service well-trained
assistants and attendants become a necessary factor in the
satisfactory performance of the work.
Public-domain text, read in full here on John Shaqi.
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