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
49. In cases where the possibility of poisoning must be kept in view,
and where matters may require to be procured for chemical analysis, it
is essential to be sure that all instruments, vessels, and bladders
used are scrupulously clean.
50. When any unusual odour is perceived, either in the blood in the
course of making the dissection, or in the stomach when opened, it
ought to be carefully observed, and if possible identified by all the
medical men present. In this way alcohol, opium, prussic acid, oil of
bitter almonds, and other odorous poisons may be recognised. The smell
of the contents of the stomach ought always to be noted whenever it is
opened, as the smell often alters rapidly.
51. The stomach and intestines should be taken out entire, and their
contents emptied into separate bottles. If the stomach or part of
the intestines present any remarkable appearance, examination may
be reserved, if convenient, till a future opportunity; but in every
circumstance it must be preserved and carried away, as it may itself
be an important article for analysis. The throat and gullet may
be examined at once, and preserved with their contents, which, if
abundant, may be kept apart in a bottle. In addition to the alimentary
canal and its various contents, portions of the solid organs of the
body ought to be secured for analysis. The most important are the
liver, spleen, and kidneys. A part of the liver, at least a fourth
part, should be secured in every case of supposed poisoning; and in
cases where the fatal illness has been of long duration, and therefore
only traces of the poison may remain in the body, the whole of the
liver, the spleen, and both kidneys should be secured. A portion of the
blood, especially when the odour of any volatile poison is perceived,
should be at once put into a bottle, closed by a good cork or stopper.
52. No person ought to undertake an analysis in a case of suspected
poisoning unless he be either familiar with chemical researches, or
have previously analysed with success a mixture of organic substances,
containing a small proportion of the poison suspected.
53. All persons undertaking an analysis should bear in mind that the
opinion of some other person practised in toxicological researches may
be required; and they should therefore take care, when practicable, to
use only a portion of the several articles preserved for analysis. The
identity of the subjects for analysis must be secured by the rules in
Sect. 13.
VII. Examination in Cases of Suffocation
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