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
22. The inspectors should begin with that cavity over which there is
a wound or other mark of injury. Or, if there be an injury on the
extremities, the dissection ought to commence there. In the absence
of any such guide, that cavity should be taken first where the
circumstances of death, so far as they are ascertained, may lead the
inspectors to expect unusual appearances. In other cases, the abdomen
should be first opened but not dissected, and a general survey made of
the parts exposed, without disturbing them materially, the position
of the diaphragm being determined by examining it with the hand; then
the thorax is immediately to be examined, unless there is good reason
for doing otherwise. The reasons for this method of procedure are as
follow: If the abdominal organs are removed, and the veins cut, the
blood in the heart may drain away through the venæ cavæ, and error
result. If, on the other hand, the thorax be first opened, the relation
of the abdominal organs to each other cannot be clearly made, owing to
the relaxation of the diaphragm, due to the severing of its thoracic
connections. Again, if the thorax be first opened, the position of the
diaphragm cannot be determined. The inspectors may begin with the head,
which may be examined thoroughly in the first instance, afterwards the
chest and belly, as above described; the spine being reserved till the
conclusion. Wherever unusual appearances are discovered in the first
cursory survey, the anatomical examination ought in general to be begun
there.
23. In examining the several regions of the body it is to be observed
that wherever a wound, or other obvious injury of the external parts,
lies in the way of the ordinary incisions, that part must be avoided,
so as to leave the external injury unaltered.
24. The most approved mode of opening the head in medico-legal cases
is, after dividing the integuments from ear to ear, and reflecting
the scalp over the forehead and occiput, to make the usual circular
incision through the skull, about an inch above the orbits in front,
and over the occipital protuberance behind, using the saw lightly
and carefully after the outer table of the skull has been divided,
so as to avoid injuring the membranes of the brain; and to raise the
skull-cap from before backwards, taking care to detach the dura mater
from the skull with the handle of the scalpel or a spatula where it
adheres firmly. The chisel and mallet should never be used where there
is any chance of finding a fracture of the skull; for how could it be
distinguished from a fracture made with the mallet? Should the dura
mater be firmly adherent to the skull-cap, the better practice is to
divide it carefully, so as to remove both at the same time. Tearing the
membrane and crushing the brain substance are thus avoided. In infants
and young children this mode of procedure is most necessary, as in them
the dura mater is, as a rule, adherent.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account