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
But previously two ligatures
should be applied on the gullet, just above the cardiac orifice of the
stomach, and the division made between them.
32. The organs in the abdomen ought to be turned over, like those of
the chest, before any one of them is minutely examined, but before the
thorax is opened, for the reasons given in Sect. 22. In the subsequent
examination, that organ is to be first proceeded with in which there
may appear to be disease.
V. Examination in Cases of Wounds and Contusions
33. In a _post-mortem_ examination, the most approved mode of examining
these injuries is, if they be situated over great cavities, to expose
the successive structures in the manner of an ordinary dissection,
observing carefully what injuries have been sustained by the parts
successively exposed before they are divided. Wounds ought not to be
probed, especially if situated over any of the great cavities. The
depth of a wound is best ascertained by careful dissection and exposure
of the parts involved; but after this is done, the thickness of the
tissues penetrated may be measured by the probe.
34. The seat of the wounds must be described by actual measurement from
known points, their figure and nature also carefully noted, and their
direction ascertained with exactness.
35. Before altering by incisions the external appearances of injuries,
which should never, if possible, be done, care must be taken to
consider what weapon might have produced them, and if a particular
weapon be suspected, it should be compared with them. The wounded parts
should be cut out entire, and carefully preserved.
36. Apparent contusions must be examined by making incisions through
them; and the inspectors will note whether there is a swelling or
puckering of the skin; whether the substance of the true skin be
black through a part or the whole of its thickness; whether there be
extravasation below the skin or in the deeper textures, and whether the
blood be fluid or coagulated, generally or partially; whether the soft
parts below be lacerated, or subjacent bones injured; and whether there
be blood in contact with the lacerated surfaces. By these means the
question may be settled whether the contusions were inflicted before or
after death.
37. In the cases of wounds, too, the signs of vital action must be
attended to, especially the retraction of the edges, adhesion of blood
to their surfaces, or the injection of blood into the cellular tissue
around, or the presence of the signs or sequelæ of inflammation.
Hypostasis must not be mistaken for vascular injection.
38. When large arteries or veins are found divided, care must be taken
to corroborate the presumption thus arising by ascertaining, in the
subsequent dissection, whether the great vessels, lungs, liver, and
membranous viscera of the abdomen be unusually free of blood.
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