Part 2- Embalming Process Flashcards
- Open thoracic, abdominal, pubic and cranial cavities.
- Remove any gauze packings or any foreign material from the cavities (instruments)
- Remove viscera and put into viscera bucket
- Aspirate cavities and wash remains with warm, soapy water.
- Inject the lower extremeties first
- Inject the arms
Autopsies or Postmortem Examinations
- Open viscera with long scissors or long blanded knife (bistoury knife).
- Pour carefully any liquid from viscera into aspiration sink.
- Pour 1-3 bottles of cavity fluid over viscera, be sure to mix fluid and viscera thoroughly, then cover bucket.
- If brain is left in the body, then it should be included with the viscera for treatment.
Remove Viscera and put into viscera bucket
Prepare solution in machine and connect “Y” connection with two cannula tubes.
Aspirate all three cavities and wash remains with warm, soapy water.
- Locate the bifurcation of the common iliacs just to the left of the lower spine at the termination of the aorta.
- Put a cannula in each branch of the “Y” into the right and left external iliacs.
- Be sure the internal branch of the common iliacs is tied or clamped off. (if not, fluid will leak into the pubic cavity)
- Locate the bifurcation of the common iliac veins just to the right of the lower spine and at the termination of the inferior vena cava.
- After observing a substantial amount of fluid in the drainage, clamp or tie off the vein; this will allow the penetration of fluid into the surface tissue. Create back pressure.
- Aspirate cavity after you are sure the legs are throughly embalmed.
Inject the lower extremities first
Pose the features at the same time you inject the lower extremeties.
If you have more than one person
- If possible, inject the arms from inside the thoracic cavity either from the arch of the aorta if intact or the subclavian arteries.
Arteries used for injecting the upper extremties for autopsied bodies.
- Be sure you extend the arms outward and open the hands and flex the fingers to stimulate circulation.
- Encourage drainage by massage (toward the heart).
- After observing a substantial amount of fluid in the drainage, clamp or tie off the axillary or subclavian vein. This will allow penetration of fluid into the surface tissue (mottling)
Injection of the arms
Medical Examiner (Medico-legal) or hospital
Types of Autopsies
Concerned with the cause of death.
Both hospital and medical examiner autopsies
Concerned with the manner of death.
Medical Examiner Autopsies (Medico-legal)
Does not need permission for an autopsy.
Medical Examiner
- Natural
- Homicide
- Accident
- Suicide
- Other
- Undetermined
Manner of Death
Forces arterial solution into the tissues and cells.
Back Pressure
An embalming instrument which is a one piece scalpel used for making incisions and excisions.
Bistoury
Inject the head from these arteries.
Left and Right Common Carotid Arteries
Never inject the head ______.
Simultaneously
Inject this side of the head first.
Left
Never inject the head with more than the ______ amount of pressure or rate of flow.
Minimum
Before this, throughly cream the forhead; open cranial incision; remove the calvarium; have two small hemostats ready to clamp off the severed ends of the internal carotid arteries.
Posing Features
The dome-like superior portion of the cranium; that portion removed during cranial autopsy.
Calvarium
Start injection of the head only after _______.
Features are posed
After you see fluid and only fluid leaking from the severed ends of the internal carotid arteries, ___________.
- These severed ends are found in the area desginated as the sella turcica, in the center and at the base of the cranial cavity.
Clamp them off with small hemostats
In the center and at the base of the cranial cavity.
Sella Turcica