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
39. In the course of the dissection of wounds, a careful search must
be made for foreign bodies in them. When firearms have occasioned
them, the examination should not be ended before discovering the
bullet, wadding, or other article, if any, lodged in the body; and
whatever is found must be preserved. When the article discharged from
firearms, or when any other weapon had passed through and through a
part of the body, the two wounds must be carefully distinguished by
their respective characters, especially as regards their comparative
size, inversion or eversion, smoothness or laceration, of their edges,
their roundness or angularity, and the comparative amount of bleeding
from each. In gunshot injuries, the presence or absence of marks of
gunpowder should be noted.
40. When wounds are situated over any of the great cavities, they ought
not to be particularly examined until the cavity is laid open; and in
laying open the cavity, the external incisions should be kept clear of
the wounds.
41. When the discoloured state of a portion of the skin is such as to
render it doubtful whether it is due to injury or to changes after
death, an incision should be made to ascertain whether there is blood
effused into the textures, constituting true ecchymosis, or merely
gorging of the vessels of the skin, or discoloration from infiltration
of the colouring matter of the blood, which takes place in depending
parts of a dead body. The term suggillation should be avoided, as it
has been used in opposite senses by Continental and British authors.
The respective expressions, “discoloration from extravasated blood,”
and “lividity after death,” are preferable.
VI. Examination in Cases of Poisoning
42. In examining a body in a case of suspected poisoning, the
inspectors should begin with the alimentary canal, first tying two
ligatures round the gullet, above the cardiac orifice of the stomach,
two round its pyloric end, and a third at the sigmoid flexure of the
colon, then removing the stomach and entire intestines; next dissecting
out the parts in the mouth, throat, neck, and chest in one mass; and,
finally, dissecting the gullet, with the parts about the throat, from
the other organs of the chest. The several portions of the alimentary
canal may then be examined in succession.
43. Previous to commencing the dissection in cases of supposed
poisoning, the inspectors should make such inquiries as may enable them
to form an opinion as to the class of poison to which the death may be
traceable, and thus to guide them as to the conclusions to be come to
from the presence, or it may be the complete absence, of any marked
appearance explaining the cause of death.
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