EMBALMING FLUID.

Corrosive sublimate, 2 ounces.

Chloride of zinc, 4 ”

Creasote, 4 ”

Alcohol, 1 gallon.

The chloride of zinc and corrosive sublimate must be first dissolved

in the alcohol, and the creasote then added.

The small intestines must then be gently and carefully drawn out, and

allowed to lay on the right side of the abdomen; this will reveal

in the abdominal region a cavity, which may or may not be filled

with serum, according to circumstances. At any rate, should there

be any liquid, it must be carefully pumped out or sponged off until

perfectly dry.

The cavity is then to be sprinkled heavily with tannic acid. The

small intestines must then, and before being replaced, be next

attended to. If inflated with nothing but gas, a simple puncture

at different points, so as to favor the escape of the gas, and a

moderate injection through the aperture, will suffice.

If, however, the intestine should be found congested with blood, or

some other substance, the contents must be emptied by the following

method: Seize firmly, between the two forefingers of the left hand,

the intestine, at the lowest point you can reach, and with the right

hand draw the intestine through the fingers of the left; this will

have the effect of forcing the contents of the intestine forward

in front of the fingers of the left hand. After the matter has so

accumulated that the progress is impeded, the intestine must be cut,

the matter extracted, the part which has thus been emptied, injected

with the embalming fluid, and then tied up. This operation must be

repeated until the whole of the intestines, small and large, have

been emptied and injected, and then the whole is to be replaced into

the cavity.

About four ounces of the embalming fluid must be poured over the

intestines, and the wound neatly sewed together.

It may be found necessary before closing the opening to lay a

thickness of cotton batting over the bowels and under the walls of

the abdomen.

Should the lungs be congested with blood, they must be emptied. This

object may be attained either by pressing upon the lower part of the

thorax, which will have the effect of forcing the blood out through

the nostrils and mouth; or else the diaphragm separating the thoracic

cavity from the abdomen may be cut through, and the extravasated

blood can therefore be got out through the opening. The injection of

the thoracic cavity can also be performed through the same opening.

The utmost caution must be used in perforating the diaphragm, as some

of the arteries might be wounded by a careless use of the knife.

The above operation may be performed before closing the wound in the

abdomen or replacing the intestine into the cavity, as it will then

leave more room to collect the fluid which may escape from the lungs.

The lungs should in all cases be well injected, either through the

trachea or by the process given above. The air passages must be

carefully stopped with cotton. The mouth being closed, the nostrils

are about the only air passages which require the attention of the

operator. The eyes, after a few days, are liable to sink in the

sockets, which gives the body an unnatural appearance. Mr. John C.

Rulon, of Philadelphia, has invented a wax shell, which, after being

introduced under the eyelids, prevents the sinking of the eyes.

The arterial system is to be injected, and next requires attention.

Before commencing to inject the arteries, the jugular vein on the

left side of the neck must be punctured so as to allow the blood to

escape. In some subjects, the flow of blood will be very copious, in

which instance the jugular veins must be opened on both sides of the

neck; at other times the flow of blood will be very limited, and even

the opening of the veins has sometimes been found quite unnecessary.

The femoral artery is the vessel generally chosen for injecting, at

a point below the arch about eight inches from and below Poupart’s

Ligament. After the artery has been raised, a small incision is

punctured into the coat of the artery, large enough to admit the

nozzle of the injector, and the canula is carefully pushed upwards

into it as far as its length will allow; the artery is then safely

and firmly fastened around it, and everything is then ready for

injecting.

On the mode of injecting depends, in a great measure, the success

of the operation. With some of the instruments now employed, the

pressure of the injecting fluid is so strong and sudden as in some

instances to rupture the walls of the arteries at some weak point,

and fill the cavaties of the thorax and abdomen; sometimes even the

liquid has been forced in with such force and in such quantities as

to burst the arteries, and, after filling the chest, to pour out in a

stream from the mouth and nostrils.

In the above instances, it stands to reason that neither the arterial

nor venous systems have been properly injected.

The injection should be performed in a slow, regular manner. After

a quart of the embalming fluid (the composition of which has been

given above) has been injected, the operation should be suspended

for about ten minutes, after which it should be renewed in the same

manner, until a gallon and a half or two gallons have been injected.

Sometimes the quantity injected need not be so great, as for instance

in the case of a person much emaciated by long illness, or if the

subject be a child.

The jugular veins must be kept open so long as the flow of blood

continues, but they must be closed as soon as the embalming fluid

makes its appearance. The best manner of closing the veins is by

introducing into the jugulars a small pad of cotton, and neatly

sewing up the opening.

It should be remembered that the cloth moistened with the solution

for the face should be kept on, well saturated, while this operation

is being performed, and even for a few hours after the body has been

dressed.

A body prepared in this manner has been kept, in a wooden coffin,

in a dark and moderately cool place, for the space of nine months

without any perceptible change. After that time the shrinking of

the tissues took place, and the body was slowly drying up and being

desiccated without in the least decaying or putrefying.

The undertakers' manual · 第 61 / 122 题