Preparation of the Infant, Treatment of Body to be shipped, Preparation of the Obese, Contagious and Infectious Diseases (Exam 2) Flashcards
It is suggested that the embalmer not use this if preparing an infant
Pre-injection
When preparing an infant body, describe the fluids used
Regular arterial fluids and slightly diluted from those of an adult
An infant may be autopsied. What are the different kinds of autopsies?
Complete
Partial
Organ examination
Cranial, thoracic, and abdominal cavities, spinal autopsy, limbs examined
Complete Autopsy
Examination of only cranial, thoracic, or abdominal cavity, spine or limbs
Partial Autopsy
Removal of only one organ
Organ Examination Only
Referred to as pre-term in pediatric medicine today
Premature infants
Any infant weighing less than 5.5 pounds at birth or born prior to the end of the 37th week of gestation
Premture infants
Fetus that dies prior to delivery from the uterus
Stillborn
Assume for identification purposes that the non-viewable infant will be seen by whom?
One authorized by the PRD
When should any intravenous tubes or invasive connections to the arterial or venous system be removed
After embalming
The only time you can remove an intravenous tube before embalming is if
the tube is directly into the jugular
The infant should be wrapped in a prep towel with only the face showing. How should the infant be resting?
On their back, as if sleeping
How should you preserve an infant?
Topical jelly, phenol base, low fuming, in combination with a plastic bag
OSMOTIC PRESERVATION
What is a major embalming problem associated with a still born?
Maceration due to amniotic fluid, causing massive desquamation
Should you do a mouth closure on an infant?
If possible, no, because infants mouths are not closed in life
Do not use these for positioning an infant’s body
Head blocks
What should be used instead of a head block when positioning an infant’s body for embalming?
A towel or small styrofoam block
How should the arms of an infant be positioned?
At sides or across the abdomen - not left over right like an adult
How should the head of an infant be positioned?
Straight or a slight tilt to the right
You should never, ever cut the clothing of an infant. Why?
Often a parent will want to dress the baby for the last time
It should always be assumed that the family will dress the baby. What should you do in every infant case because of this?
ALWAYS USE PLASTICS
You should never, ever, EVER use this method to preserve a baby
Ascending Aorta
Why should the ascending aorta method never ever EVER EVER be used to preserve a baby, or anyone for that matter?
UNNECESSARY MUTILATION
Instead of the ascending aorta method, what can be used to preserve a baby?
Abdominal (Descending) Aorta
Where do you make the incision for the Abdominal Aorta method?
A three inch incision just left to the midline of the abdomen from the xiphoid process to the umbilicus
What should be pierced in the Abdominal Aorta to establish drainage?
Vena Cava
Suturing for the ascending and Descending aorta methods would be a
Baseball stitch
How should you cover any incisions on a baby or infant
A Band-aid
What is the injection and drainage site for a child from one to five years of age?
Right femoral artery and vein
Cranial and trunk cavities are opened and enclosed viscera removed
Complete autopsy
Only one cavity is opened
Partial Autopsy
Only one organ is removed or a special examination is made of the rout of blood vessels or nerves
Special or Local Autopsy
Eyes may be removed; Heart, lungs, liver, kidneys, or skin may be removed
Organ Donor Autopsy
You may have to shave the lanugo off of the face of an infant. Why?
If you need to use cosmetics, they will cake into the hair, giving an artificial look to the face
If you have to shave the lanugo, what do you need to get first?
Authorization from the family
What should be considered in treatment of a body to be shipped?
How much time there will be between embalming and final disposition
Tracheotomy tubes or any other tubing placed into the mouth should be removed when?
Prior to arterial injection
Which mouth closure would be best for a body to be shipped?
Mandibular
Why should a mandibular be used?
Most secure
Why should you NOT use the needle injector to close a mouth of a body to be shipped?
Least Secure - the injector needles can break with any slight movement
How should you tie the mouth closure suture in the case of a body being shipped out?
Bow tie
Why tie the mouth closure suture in a bow tie?
In case the mouth needs to be reset for any reason once it has been shipped
What is the embalming solution strength and volume for a body to be shipped?
High index solution with humectant base
Why use a humectant base in a ship out case?
Prevent dehydration
What else should be tied in a bow?
The trocar incision if a button is not secure enough in case reaspiration is needed
In cases of mold and fungi, what should be done to the hands and face?
Coat with phenol topical jelly and cover with plastic and saran wrap
This is a useless preventative against mold and fungi
Formaldehyde
What index should be used on an obese case?
30-40
These should be avoided in an obese case
Humectants
Lanolin based fluid
Pre-injection
What injection method should be used in an obese case?
Restricted cervical method or six point if need be
In most highly contagious diseases, this group directly assumes responsibility
Local Health Authority
In the event of infectious diseases, the embalmer should not hesitate to contact these groups
Colleagues
State Board
CDCP
In the case of an infectious disease, you should make sure that the health authorities have arranged this
Proper disinfection of the home and protection of the family
You should remove protective covering from yourself when?
Before entering the driver’s seat
You should always disinfect any effects removed from the deceased when?
Before returning them to the family
The body should be washed thoroughly with a disinfectant approved by whom?
The Health Department
In mortuary science, a hermetically sealed container is what?
Airtight
In real life, a true hermetically sealed container is what?
Welded shut
A contagious or infectious diseased body is usually marked with what?
A red tag
You should NEVER EVER EVER EVER cranially aspirate bodies with what diseases?
Meningococcal Meningitis or Creutzefeldt-Jakob Disease
What kind of disease is Herpes?
Virus
What kind of a disease is CJD?
Prion
A possible postmortem finding in a contagious or infectious diseased body is a low moisture content due to
Unusually high fever
A possible postmortem finding in a contagious or infectious diseased body is clotted condition of blood due to
Toxins and bacteria in blood and presence of fever