Text-book of forensic medicine and toxicologyBuchanan, R. J. M. (Robert James McLean)
Science
Text-book of forensic medicine and toxicology
Buchanan, R. J. M. (Robert James McLean)
Medical jurisprudence; Poisons
=Post-mortem Appearances.=--The _external appearances_ are more or less
those described under “Death from suffocation.” In the greater number
of cases the face bears a quiet, placid expression, no turgidity or
lividity being noticeable. The eyes are usually half open, but not
protruded, and the condition of the pupils variable. The tongue may be
protruded, but just as often not. The face may be pale or livid, and
a bluish colour present on the free border of the lips. Cyanosis and
swelling of the face are only present when the death agony has been
long; they soon disappear.
Ecchymosis of the conjunctiva, and on the outer surfaces of the lids
may be present. The escape of urine, fæces, and semen may take place,
but are not characteristic, and are extremely rare.
Casper states that in not one of the many cases he had examined of
persons hanged has he ever “found an erection of the male organ,”
and he also asserts that the emission of semen is extremely rare.
Seminal emissions take place more frequently in persons who have been
shot, and also in those who have been poisoned by irrespirable gases
or by hydrocyanic acid. As a test of strangulation, it is therefore
worthless. Tardieu, however, only noticed the escape of urine and fæces
in two out of forty-one cases; it is by no means a test of hanging, as
it may occur after death if the body is shaken in a cart, or roughly
used when first found. A fat person dying of apoplexy may have a mark
round the neck as if strangled. Injury to the spinal cord due to
fracture or dislocation of the cervical vertebræ is rare in suicidal
hanging. Fracture of the spinal ligaments and of the hyoid bone is also
rare. Rupture of the internal and middle coats of the carotid arteries
sometimes occurs. But it appears that considerable damage is done to
the soft parts of the neck by the present judicial mode of hanging with
the “long drop.”
Dr. Dyer has recorded (_New York Medical Journal_, vol. iii., 1866)
some experiments he made on the eyes of a man and some dogs killed by
hanging. He found certain transverse fissures across the lens, which he
is inclined to think are characteristic of this mode of death. Dr. R.
F. Hutchinson states that an invariable sign of death from hanging is
_the flow of saliva out of the mouth, down the chin, and straight down
the chest_. The appearance is unmistakable and invariable, and _could
not occur in a body hung up after death_, the secretion of saliva being
a living act (Chevers). Death from hanging may take place although the
toes or other parts of the body rest on the ground. Death is complete
in four or five minutes.
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