Prof. E. H. Crane's manual of instructions to undertakers : $b With full and complete instructions in the best methods for preserving the dead, including minute directions for arterial injectionCrane, Elliott H.
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Prof. E. H. Crane's manual of instructions to undertakers : $b With full and complete instructions in the best methods for preserving the dead, including minute directions for arterial injection
Crane, Elliott H.
Embalming; Undertakers and undertaking
Whenever it is desirable for any reason to avoid leaving any external
mark of the puncture, it should be made at the navel, first drawing the
loose fold of skin at one side and puncturing through the navel; then,
when the trocar is withdrawn the loose skin around the navel returns to
its natural position. The trocar can be pointed downwards and to each
side, injecting some of the Preservative in each place, thus
accomplishing the thorough injection of the abdominal cavity from only
one point of insertion.
In case it may be deemed necessary to inject the thorax (or cavity of
the chest) raise or extend one of the arms and puncture and inject
through the axilla or armpit.
The stomach may be reached from the point of insertion at the navel by
pointing the Gas-trocar upwards at an acute angle, inclining it a little
to the left in a line with the top of the left shoulder. The foregoing
methods of injection have the advantage of leaving no visible trace of
the operation.
It is also _important_ (and _not to be forgotten_) to puncture the
bladder with the Gas-trocar and draw off the urine. This is easily done
by placing a washbowl or chamber in a chair and, after puncturing the
bladder, turn the body on its side, and the urine will escape through
the instrument at once, but if in some cases it might not escape through
the Gas-trocar readily in this position it certainly _will_ by raising
the body to a sitting posture.
The point for the insertion of the Trocar to reach the bladder is just
at the top of the _os pubes_ or pubic bone (the bone uniting the hips in
front at the bottom of the abdominal cavity), making the puncture in a
line with the navel as near the top of the bone as you can and inclining
the point of the Trocar a little downwards behind the bone.
Remember, always after the urine has been taken away, to inject _at
least_ half a pint of the Preservative into the bladder. It is important
that this part of the work should be well done, for unless this
precaution is taken, the urine is certain to escape more or less in the
natural way on the second or third day.
And whenever the bladder is _not_ thus attended to, you must _never_
omit the simple precaution of putting on a good heavy diaper; say,
double up a large sheet and use plenty of cotton well saturated with the
Preservative, and do up the parts as snugly as a mother would her child,
remembering to saturate these cloths again the second, third and fourth
day, by pouring Preservative from the bottle on the diapers, thus
deodorizing any escape that may have taken place, in order that there
may be no disagreeable smell arising from this source on the day of the
funeral.
This part of the practice is not new to those well up in the profession,
but I have thought best to call your attention to these facts in order
that no important point should be overlooked by any one.
Public-domain text, read in full here on John Shaqi.
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