In private practice the autopsy is usually made in a private dwelling
or, more rarely, in an undertaker’s shop. Under such conditions much
depends upon the ability of the operator to make the best of things.
In place of a proper table, the cadaver must be examined upon the
bed, undertaker’s body-rest or shutter, in or upon the coffin, on
the coffin lid, box, door, shutter, table or board. It is always
advisable to move the body from the bed when anything else can be
found upon which it can be placed. The support should be put in front
of the window giving the best light and the cadaver placed upon this
with its left side toward the window. Care should, of course, be
always taken that the operation cannot be witnessed from without. A
piece of oil-cloth or several layers of newspapers should be placed
upon the floor beneath and around the support. When it is necessary
to make the autopsy on the bed or in the coffin an abundant supply
of old newspapers tucked under and around the cadaver will usually
prevent the escape of blood or fluids.
An abundance of cold water should be provided, also a slop-pail,
several basins, towels, old cloths, sponges, etc. Before the
operation is begun the instruments and utensils, specimen bottles,
needle and thread, etc., should be arranged. A stick of wood may
serve as a head-rest. Material for filling up the body and restoring
its form should be secured, according to the need for such. Hay,
bran, tow, excelsior, old cloths, paper, etc., may be used for this
purpose.
[Illustration: FIG. 24 Autopsy Needles]
[Illustration: FIG. 25—Brass Measuring-Stick]
When all is ready for the operation members of the family or of the
laity should be tactfully gotten out of the room. It is always well
to ask members of the family if they desire to be present, but this
invitation should be given in the expectation that it will not be
accepted. The effect of an autopsy upon the minds of the laity is
not always a pleasant one, and harm is sometimes done through the
misinterpretation of necessary procedures and the resulting gossip.
In private practice it is worth while, as a matter of courtesy, to
invite several of one’s colleagues to witness or take part in the
autopsy. An ideal way would be to have one of these perform the
operation in expectation of future reciprocation. In the interests of
objective observation a clinician should never perform the autopsies
of his own cases, but should turn them over to a trained pathologist
or to a colleague. The operator is usually in a better position to
know what to do than the onlookers, and while the suggestions of the
latter are usually futile they may be endured for the occasional
great help derived from them.
Public-domain text, read in full here on John Shaqi.
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