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
5. _Inflation._--In the first place, it is to be remarked that to
inflate the lungs is by no means an easy task. Elsässer states “that
in forty-five experiments performed on children born dead, without
opening their thorax and abdomen, only _one_ was attended with complete
success, thirty-four with partial success, and ten with none whatever;
and it must also be remembered that these experiments were conducted
without disturbance, and with the greatest care.” Professor Gross
states his opinion on this subject thus: “We are decidedly of opinion
that artificial inflation of the lungs is a very difficult matter; and
we believe that the complete distension of these organs can only be
effected where a tube is introduced into the mouth of the larynx.” In
the cases that come before the medical expert, the question naturally
arises, Who would inflate the lungs? Surely not the mother. If not the
mother, who else? It has been suggested that some malicious person
might inflate them to sustain a charge of infanticide. Is this probable?
The following points may be noticed on this subject:
(_a_) Known difficulty in inflating the lungs.
(_b_) Absence on the part of the mother of any preparation to
save the life of her child.
(_c_) Presence of air in the stomach and intestines, the result
of attempted inflation.
(_d_) Bright cinnabar-red colour of the lungs, without trace
of mottling.
(_e_) Absence of frothy blood when the lungs are cut into.
(_f_) When, therefore, we observe the following
phenomena, a sound of crepitation without any escape
of blood-froth on incision, _laceration_ of the
pulmonary cells with hyperæmia, bright cinnabar-red
colour of the lungs _without any marbling_, and
perhaps _air_ in the (artificially inflated)
stomach and intestines, we may with certainty conclude
that the _lungs have been artificially inflated_.
It may be further noted that natural respiration is accompanied with,
first, the distension of the air cells of the lungs with air; and,
second, with an increased flow of blood into the organs, beyond that
necessary for their nourishment and growth. They thus increase in
absolute weight, while their specific gravity is lessened.
The objections just mentioned apply to the hydrostatic test as
originally employed. It will now be necessary to notice those against
the same test when modified by pressure. These are two in number:
1. That no amount of pressure, short of entirely destroying the lung
tissue, can expel the air from a lung that has been inflated, or from
one in which respiration has taken place.
2. Pressure is, therefore, no test of natural respiration or of
artificial inflation.
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