AAMI Principles of Embalming II Unit 7

Electric Aspirator

a device that uses a motor to create a suction for the purpose of aspiration.

Infant Trocar

a short hollow tubular instrument with a sharp point. Used for aspiration and injection of an infant's thoracic and abdominal cavities.

Hydrocephalus

abnormal accumulation of cerebrospinal fluids in the ventricles on the brain.

Hydrothorax

abnormal accumulation of fluid in the thoracic cavity.

Hydropericardium

abnormal accumulation of fluid within the pericardial sac.

Hydrocele

abnormal accumulation of fluids in a sac-like structure, especially in the scrotal sac.

Edema

abnormal accumulation of fluids in tissues or body cavities.

Ascites

accumulation of serous fluids in the peritoneal cavity.

True

any situation or condition could require reaspiration and reinjection. T/F

Hydroaspirator

apparatus that is connected to the water supply. When the water is turned on, suction is developed and is used to aspirate the contents of the body's cavities.

Thoracic, Pericardial, Abdominal, Pelvic, Scrotum, Cranial

areas and cavities that need to be aspirated are? (6)

Immediately

aspiration should be done ________ after injection to prevent gas formation and other putrefactive changes. It also should be done in cases of decomp or communicable disease.

True

cavity fluid can also be used in hypodermic and surface embalming. T/F

Cavity Embalming

direct treatment other than arterial embalming of the contents of the body cavities and the lumina of the hollow viscera. Usually accomplished by aspiration and then injection of chemicals using a trocar.

Cecum

direct trocar to point 3/4 distance on a line from pubic symphysis to right anterior superior iliac spine. When point is approximately 2 " from line, depress point 2", then thrust forward to pierce cecum. (This is where process of turning waste material into semi-solid waste (feces) begins, as water and certain necessary substances are absorbed back into the blood stream.

Stomach

direct trocar toward the intersection of fifth intercostal space and left mid-axillary line, continue until trocar enters the stomach.

Cavity Fluid

embalming chemical that is injected into a body cavity following aspiration in cavity embalming.

12

how many inches long is the infant trocar?

18

how many inches long is the standard trocar?

Direct Incision

if a body cavity has been opened by surgery or a partial autopsy this method uses this incision to lance and drain the various organs and aspirate the cavity. Cavity fluid can then be injected after the body has been resutured. This method is unsanitary and can be time consuming.

Viscera

internal organs enclosed within a cavity.

Urinary Bladder

keep point up near abdominal wall directing trocar to median line of pubic bone (pubic symphysis) until point touches bone. Retract trocar slightly depress point slightly, insert into urinary bladder.

Trocar Guide

line drawn or visualized on the surface of the body or a prominent anatomic structure used to locate internal structures during cavity embalming, from a point of reference 2" to the left of and 2" superior to the umbilicus.

Right Side of the Heart

move trocar along a line from left anterior-superior iliac spine and right earlobe. After trocar has passed through diaphragm, depress point and enter the heart.

Purge

postmortem evacuation of any substance from an external orifice of the body as a result of pressure.

Brain

purge from this area looks creamy white, has no odor, and exits from the nose/ear.

Rectum

purge from this area looks like feces or bloody feces, smells like feces, and exits from the anal orifice.

Lungs

purge from this area looks like frothy white (or frothy red if blood is present), has little or no odor, and exits from the nose/mouth.

Stomach

purge from this area looks like liquid, coffee grounds, has a sour odor, and exits from the nose/mouth.

Epigastric

region area above the stomach.

Hypochondriac

region just below cartilage of ribs, immediately over abdomen.

Hypogastric

region just below the umbilical region

Inguinal

region near upper portion of hip bone

Umbilical

region surrounding the umbilicus (naval)

Lumbar

regions near the waist

Stain

remove blood accumulated in the heart and major trunk veins during arterial embalming, otherwise this blood may be forced by gravity of gas pressure into superficial capillaries of the neck, ears, face to cause visible _________.

Reaspiration

repeated aspiration of a cavity.

Anasarca

severe generalized edema

Trocar

sharply pointed surgical instrument used in cavity embalming to aspirate the cavities and inject cavity fluid. The trocar may also be used for supplemental hypodermic embalming.

2, Left, 2, Superior

site of trocar insertion ____" to the deceased's ________, ____" ______ to the naval.

All

the greater omentum can be found in _____ regions.

Viscera

the purpose of cavity fluid is to place a very strong disinfectant and preservative in direct contact with_______?

After Arterial and Cavity Embalming

this treatment for purge happens ______? - reaspirate and reinject concentrated (undiluted) cavity fluid until purge is controlled.

During Embalming

this treatment for purge happens _________? - determine that escaping substance is purge (stomach, lung) and not arterial fluid escaping from damaged stomach or lung tissue. - if purge treat the source - if arterial fluid, perform regional injection.

Prior to Embalming

this treatment for purge happens ______________? - cream areas (like lips, cheeks, neck) to minimize burning (from HCI acid from the stomach) - reduce gas pressure in abdomen by careful insertion of trocar.

Fluid

this type of purge has the color and consistency of arterial fluid and exits from the nose/mouth/anus/ear.

Pursestring, N Reverse Stitch

what are the two alternative methods for closure of the abdominal opening?

Aspiration, Cavity Fluid Injection

what are the two steps to cavity embalming?

Purge

what can gases and liquids left in the body cause?

Intestinal Wall

what is a more formidable barrier to cavity fluid penetration than any other abdominal organ?

Feces

what is difficult for cavity fluid to penetrate?

Supplemental Hypodermic

what other type of embalming can the trocar be used for?

Right Lower

what quadrant are the following in: - appendix - part of the intestines - part of female reproductive organs - urinary tract

Left Lower

what quadrant are the following in: - part of the intestines - part of the female reproductive organs - urinary tract

Right Upper

what quadrant are the following in: - part of the liver - Gall Bladder - part of the pancreas and intestinal tract

Left Upper

what quadrant are the following in: - stomach - spleen - part of the liver, pancreas, intestines

Anterior

when aspirating the cranial cavity only the _____ portion can actually be aspirated.

Aspiration

withdrawal of gas, fluids and semi-solids from body cavities and hollow viscera by means of suction with an aspirator and a trocar.