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
54. In cases of suspected drowning, the inspectors will observe
particularly whether grass, mud, or other objects be clutched by the
hands, or contained under the nails; whether the tongue be protruded or
not between the teeth; state of the penis; whether any fluid, froth,
or foreign substances be contained in the mouth, nostrils, trachea,
or bronchial ramifications; whether the stomach contains much water;
whether the blood in the great vessels be fluid. Careful pressure
should be made upon the lungs; any fluid contained in them in thus
forced into the bronchial tubes and trachea, and its nature observed.
When water with particles of vegetable matter or mud is found within
the body, these must be compared with what may exist in the water in
which the body was discovered, and should be preserved for further
scientific investigation, if requisite. Marks of injuries must be
compared diligently with objects both in the water and on the banks
near it, and especial attention given to the question--whether any
observed injuries had been sustained by the body before or after death.
55. In cases of suspected death by hanging, strangling, or smothering,
it is important to attend particularly to the state of the face
as to lividity, compared with the rest of the body; the state of
the conjunctiva of the eyes as to vascularity; of the tongue as to
position; of the throat, chin, and lips as to marks of the nails,
scratches, ruffling of the scarf-skin, or small contusions; the
state of the blood as to colour and fluidity; the state of the
heart as regards the amount of blood in its several cavities; the
state of the trunk and branches of the vena cava in the abdomen as
regards distension with blood; and the state of the lungs as regards
congestion, rupture of any of the air cells, and small ecchymoses under
the pleura, or the pericardium. The mark of a cord or other ligature
round the neck must be attentively examined; and here it requires to
be mentioned that the mark is often not distinct till seven or eight
hours after death, and that it is seldom a dark livid mark, as is very
commonly supposed, but a pale greenish-brown streak, presenting no
ecchymosis, but the thinnest possible line of bright redness at each
edge, where it is conterminous with the sound skin. Nevertheless,
effusions of blood and lacerations should be also looked for under and
around the mark, in the skin, cellular tissue, muscles, cartilages, and
lining membrane of the larynx and trachea. Accessory injuries on other
parts of the body, more especially on the chest, back, and arms, must
also be looked for, as likewise the appearance of blood having flowed
from the nostrils or ears, and the discharge of fæces, urine or semen.
In cases where death may be due to the emanations from burning fuel or
other poisonous vapours, a small phial should be filled with the fresh
blood, and securely corked for further investigation, if requisite.
VIII. Examination in Cases of Burning
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