Lecture Notes - Exam 3 MORS 113 Flashcards
The sum total of those considerations given the case at hand, beginning before the embalming procedure is begun and continuing throughout the operation.
Case Analysis (Embalming Analysis)
- Pre-embalming analysis
- Analysis during arterial embalming
- Analysis after arterial embalming
Case Analysis Will Occur in Three Overlapping Stages (List Question)
- Should be documented in report form.
- Should be stored in a 3-ring binder - O.S.H.A.
- If the body is being shipped, no matter where, a duplicate copy of the report should accompany the embalmed body.
- Translation to a foreign language may be required when shipping internationally.
The Case Analysis Should:
If the organs were returned or not in these cases should be included in the case report.
Autopsy
To perscribe and apply the proper embalming technique.
Purpose of Embalming Analysis
- General condition of the body after death
- Effects produced by disease processes
- Effects produced by drugs or surgical procedures
- Effects that occur during postmortem interval
4 Major Factors the Embalmer Must Consider in Making a Pre-embalming Analysis
The time lapse between death and embalming or to disposition.
Postmortem Interval
It can take weeks or months for this to happen.
To Move the Body to Another Country
Occur within the body.
Intrinsic Factors
- Cause and manner of death
- Bodily conditions
- Presence or absence of postmortem discolorations or stains.
- Postmortem chemical or physical change
- Pharmaceutical agents including illegal drugs - antemortem exposure
- Age
- Gender
- Weight
Intrinsic Factors
- Pathological conditions
- Microbial influence
- Moisture content
- Thermal influences - fever
- Nitrogenous waste products
- Gase in tissues or cavities
Bodily Conditions (Intrinsic)
IV needles (illegal drugs) are known for:
- Transmitting HIV
- Transmitting Hepatitis C
Pharmaceutical agents including illegal drugs- antemortem exposure (Intrinsic)
An example would be that females typically have more adipose tissue.
Gender (Intrinsic)
Emaciated, obese, condition of the muscles.
Weight (Intrinsic)
Occur outside the body, have direct influence on the condition of the body.
Extrinsic Factors
- Environmental
- Postmortem interval
- Embalmer
Extrinsic Factors
- Atmospheric conditions - climatic (Humid, moist, dry).
- Thermal influences (Ideal temp. for bacteria = 98.6oF
- Microbial influences
- Vermin and insects
- Humidity
Environmental (Extrinsic)
Aptitude and attitude.
The Embalmer (Extrinsic)
This is the very foundation of professional embalming.
Case Analysis
In a case analysis, cause of death is not as important as this.
Manner of Death
Circumstances surrounding the body at the time of death.
Manner of Death
- Cause and manner of death
- Bodily conditions
- The presence or absence of pathological discolorations.
- All of the postmortem physical and chemical changes
- Age
- Weight
- Medication, drugs and other therapeutic agents
- Gender
Intrinsic Variable Factors
Generally considered unreliable most of the time because the death certificate is often not obtained until after the embalming has been done and/or it is just stamped ASCVD or MI which is little help.
Cause and Manner of Death (Variable Intrinsic)
Are much more important and will indicate what procedure the embalmer will follow.
- Pathological conditions
- Anaerobic bacterial influence
- Moisture content in tissues
- Thermal influence
Bodily Conditions (Variable Intrinsic)
Those conditions in which there has been damage to the tissue due to disease.
Pathological Conditions
Dependent on how much bacteria there is present in the colon (e-coli).
Anaerobic Bacterial Influence
- Edema
- Dehydration
- Average Case
Moisture Content in the Tissues
In this case, there is an abundance of moisture in the tissue and you would use a strong solution. (36 index, 1 or more bottles per gallon).
Edema
In this case, you would use a weak solution. (About 22 index, lanolin-based, 6 ounces to a gallon).
Dehydration
In this case, you would use a middle index fluid (20-25). This has medium firming capabilities, contains lanolin and active dyes (femoral vein is good to use).
Average Case
An example would be high fever produced by a febrile disease. There will be scanty and clotted drainage.
Thermal Influence
This is a reliable indicator of the degree of the postmortem changes:
- Green spot over the cecum
- Yellow Cast to the tissue
- Livor mortis or postmortem stain
- Golden yellow color
The presence or absence of pathological discolorations (variable intrinsic)
Caused by e-coli, anaerobic bacterial.
A green spot over the cecum
This is due to dehydration (not to be confused with jaundice yellow).
A yellow cast to the tissue
This is due to hemolysis or hemostasis. The colors tend to be red, purple, blue.
Livor Mortis or Postmortem Stain
Associated with hepatic failure causing jaundice.
Golden Yellow
Infant, child, adult, elderly- will demand different embalming procedures- injection sites, drainage sites, strength, quantity, and chemical mixture of fluids- posing features, etc.
Age