Treatments Requiring Wax Flashcards
An injury caused by scraping of the skin against a firm objects
Abrasion
An abrasion removes the _________ and exposes the derma to the air
epidermis
The result after an abrasion is a
hard, brown surface
Small _________ may protrude from the area
irregularities
Irregularities should be removed after embalming by use of a
Scalpel or sandpaper
Before waxing, the abrasion should be painted with an
Opaque cosmetic undercoat
Undercoat substitutes include
Arts and crafts paint
Typing correction fluid (white out)
Liquid shoe polish
Classified according to their effect on the tissues
Burns
An injury caused by heat which produces redness of the skin
First Degree Burn
During embalming with first degree burn,
cover face with massage cream
After embalming with first degree burn
Correct cosmetically
A burn resulting in acute inflammation of the skin producing redness and blisters
Second Degree Burn
With second degree burn, hair may be
singed or burnt
With second degree burn, eyes may be
swollen
Before embalming with second degree burns
puncture blisters
Shave face and coat thickly with massage cream and petroleum jelly
Heavily blistered areas may coagulate
Apply external protective chemical packs
Hypodermic injections may be necessary
After embalming with second degree burns
Carefully peel away loose skin
Apply phenol preservative pack for several hours
Swollen lips and eyes may be surgically reduced
When dressing a body with second degree burns,
Dry and seal denuded areas before waxing
Darken singed hair with an eyebrow pencil
Gloves may be needed
A burn resulting in the destruction of subcutaneous and cutaneous tissues
Third Degree burns
With extreme destruction where viewing is not possible,
Deodorize and preserve tissues that remain
When viewing is possible with third degree burns, after embalming,
Hypodermically inject and preserve remaining tissues
Remove charred tissues
Place gauze on seared or roasted tissues and paint with a liquid sealer
Total evacuation of tissue, or absence of tissues
Fourth degree burns
A clean, linear cut, which the margins align
Incision
Closing the margins of an incision with instant bond adhesive
Wipe margins dry
Cauterize if necessary with chemicals or electric spatula
Cement together
Closing the margins of an incision by suturing
Free margins of scab
Use a hidden (intradermal) stitch
If the margins are desicated
Remove after embalming
Treat as a non-linear gash
Where the margins of the cut do not meet
Non-linear cuts and gashes
To treat non-linear cuts and gashes,
Hold the margins in place with temporary sutures
Embalm and remove sutures
Dry and seal deep tissues
Permanently suture and fill any gaps with wax
Place a tiny ribbon of wax on the line of cut and taper on each side
Severance of the head from the body
Decapitation
In a decapitation, how are the head and trunk treated?
Separately
After embalming the head and trunk,
ligate loose vessels
Trim torn deep tissues and ragged edges of the stump and neck
Using a metal rod or wooden dowel
Wire or force the lower end into the vertebral column and insert the upper end into the foramen magnum
These are put into the anterior part of the neck in the muscles
Two short splints
It is important to correctly position and align this
the head
Muscles are __________ to attach the head in a decapitation case
Sutured together
Cotton and plaster of paris are used to
Build deep areas
When broken bones lacerate or puncture the skin
Compound fracture
To align bones before embalming
Pry them together Wire them together Bridge mutilated parts Recreate missing parts Recreate surface form with packing
After embalming use a ____________ and permanently suture
Powder incision sealer
A wound may be tearing the flesh
Laceration
Lacerations may vary from __________________ to ___________
Small scratches to deep jagged tears
Small scratches may be masked with
wax
Deep lacerations should be filled with
incision sealer, suture, and apply wax
Disadvantages of lip waxing every case
natural characteristics are hidden
This can be used in place of wax
Tissue builder injected into the mucous membranes
A small softened roll of correctly colored wax is placed on the teeth, then the mucous membranes are gently pressed against the wax, correcting a small separation
Cylinder method
The space between the mucous membranes is filled with red tinted lip wax, which is fanned alternately to the each membrane with the spatula creating the line of closure
Filling and tooling
Applying a thin layer of tinted wax to each mucous membrane starting with the upper one first
Surfacing each mucous membrane
Large lip separations is caused by
Extreme dehydration
Large lip separations can be corrected by
cross stitches made between the two mucous membranes, pulled taut, and new lips are modeled
Pistol and rifle wounds
Massage cream the face During embalming, plug the hole with cotton Remove cotton after embalming Replace with sealer coated cotton Suture Wax surface
Punctures
Remove scabs Apply massage cream Plug hole with cotton during embalming Later replace with new cotton and sealer Wax
Separation of the epidermis from the dermis
Skin slip or desquamation
Cause of skin slip
putrefaction
Treating skin slip
Inject unpreserved area with embalming chemical
Remove loose tissue
place preservative chemical compress on raw tissue
sear with phenol
pain with liquid sealer
Special sutures may serve one or more purpose
Hold borders of an incision together Gather and turn under excess tissues Hold flaps of skin in position during embalming Correct distortion from sagging muscles Hold the margin of a deep wound in a fixed position Form a mesh anchor to wax Anchor deep filler Circle and hold the margin of a hole Serve as an armature Attach a hair-switch
Materials used for restorative sutures
Linen thread
Silk thread
Nylon thread
The thread used for restorative sutures should be ______________ and used in single length
strong but thin
Individual stitches which are knotted and cut out
Temporary (interrupted) sutures
Used to hold the margins of clean cuts together
Intradermal sutures
Use a non-cutting edge needle
Needle enters only in the tough derma within the margins
Intradermal sutures
One needle, one thread
Single Intradermal Suture
Two needles and one thread in a pattern similar to that of lacing a shoe
Double intradermal suture
Used to gather in and turn under excess skin tissues
Worm suture
Made after embalming with a cutting edge needle
Worm suture
The suture for a deep wound or excision made after embalming to maintain the position of the margins and provide an anchor for the wax
Basket weave suture
Made before or after embalming to hold the margins of small holes in position
Purse String Suture
Tumors with pus
Aspiration during embalming
Inject hypodermically after embalming
Excise necrotic tissue and rebuild with wax
Hard Tumors
Remove after embalming
Flap incision and excise tissue
Pustules on the face
Puncture and aspirate before embalming
Chemically disinfect
After embalming trim or sand hardened margins and apply preservative fluid compress
Paint with liquid sealer and wax