Embalming 3 Exam 1 Flashcards
a post mortem evacuation of any substance from an external orifice of the body due to pressure
Purge
purge can occur when?
prior to embalming, during embalming, after embalming (prevent)
What are the types of purge
stomach lung brain rectal vascular (false)
Stomach, Lung, Brain, Rectal, and Vascular(false) purge all may contain what?
Blood
liquid, has a coffee ground appearance, sour odor, contains acid, sometimes has a brownish color, usually exits through the nose and/or mouth (want to do an excellent job of cavity treatment)
Stomach purge
frothy white, no odor, usually exits through the nose and/or mouth, you will see air bubbles in the purge (can be confused with the disinfectant soap used)
Lung purge
creamy white, no odor, usually exits through ears, nose, and/or mouth
brain purge
how to treat brain purge in an infant case
go through the posterior fontanel and use an infant trocar and apply cavity treatment
how to treat brain purge in an adult case
use the infant trocar go though the ethmoid bone at the cribaform plate and apply undiluted cavity treatment
feces escaping from the rectum
Rectal purge
color and consistency similar to arterial solution, this type of purge is arterial fluid due to the deterioration of the vascular system (usually exits through the nose or mouth due to the type of mouth closure)
Vascular (False) Purge
What are the treatment of Purge
- Prior to Embalming (pre-embalming),
- during embalming (concurrent),
- following arterial and cavity embalming (post-embalming),
- cranial cavity treatment
What is the treatment of purge prior to embalming (pre-embalming)
- Apply massage cream over the areas which the purge material flows to minimize burning, this should included the lips, cheeks, and neck
- Nasal tube aspiration- aspiration of the mouth an nose
- Trocar/Scalpel Blade (used only in extreme situations) reduce gas pressure in the abdomen by CAREFUL insertion of the trocar or scalpel at the normal point of insertion of the trocar for cavity embalming, small incision DO NOT insert deep, could cause damage and result in multi-point injection
what is the treatment of purge during embalming (concurrent)
- all procedure may be followed for prior embalming
- IF there is vascular purge; it may result from a break in the vascular system; therefore: a multi-point injection may be needed
- sectional injection may be necessary
- Hypodermic embalming may be needed to supplement arterial injection
- Allow the body to purge
what is the treatment of purge following arterial and cavity embalming (post-embalming)
- Nasal Tube Aspirator
2. Re-Aspiration and Reinjection until the purge is controlled
What is the treatment of purge of cranial cavity treatment
- this treatment should be performed if a brain purge is present
What are the reasons for drainage?
- Diminish secondary dilution
- Remove intravascular discoloration
- Helps prevent distention
- Makes additional room for disinfecting fluid (helps to permit disinfection)
What are the Components of Drainage?
- Arterial solution- it has been estimated that 50 % of drainage is actually arterial solution
- Liquid blood and blood clots
- Lymphatic fluid ( lymph enters blood stream 3/4 of lymph fluid is drained in thoracic duct or r. lymphatic duct)
- Interstitial fluid (tissue fluid, bathes and surrounds body tissue, excesses amount of fluid in tissue, seen in serve edema cases)
What are the different types of methods of drainage in relation to injection
- Alternate
- Intermittent
- Continuous/ Concurrent
- Direct Heart Drainage (heart tap)
- Arterial solution is never injected while drainage is taken
- Procedure- arterial solution is injected with no drainage (approximately a quart or two or until the superficial vessels distend)
- then injection is stopped and drainage is allowed
- this process is continued until the body is embalmed
Alternate Method
What are the advantages of Alternate Method
- Develops more uniform intravascular pressure
- more of a complete fluid distribution is achieved
- Fluid diffusion is enhanced
- Final results is a better embalmed body
- Prevents short circuiting
What are the precautions/ disadvantages of Alternate Method
- Care must be taken to avoid distention
2. May increase embalming time slightly (remember this is not a timed event)
- Continuous injection with drainage taken at intervals; use of a drain tube
- Compromise between alternate and the concurrent methods
- Helps to prevent short circuiting
Intermittent Method
injection and drainage proceed at the same time throughout the embalming procedure
continuous/ concurrent method
