Embalming II PURGE

Re-embalming procedures:

Aspirate before arterial injection; use multi-site injection at high pressure, but pulsed rate of flow; use strong solution for instant tissue fixation; re-aspirate and re-inject minimum of 32 oz of cavity fluid

What type of injection is advised when it comes to bodies that have died from renal failure? What index should be used?

Restricted Cervical/ A large volume of very strong arterial solution, 30-35 index, in trunk and 20-30 in facial tissues

Broken Skin

abrasion, laceration, incision, compound fractures

Tissue Gas

caused by Clostridium Perfringens; may begin prior to death as gas gangrene; after death, tissue gas may result from contamination of tissues by the gas bacillus; can be spread from one body to another if instruments are not cleaned properly

On obese bodies, use the restricted ________ ________, because the drainage forceps are easier to use than the drain tube. The body will demand______ _______ of solution

cervical injection /// large volumes

Brain purge from the nose is rare and is usually the result of a fracture of the _______ ______.

cribiform plate

Unbroken Skin

depressed fracture, swollen tissues, ecchymosis, simple fracture

Stomach purge contains ___________ ______ and can desiccate and discolor the skin

hydrochloric acid

Anal purge should be forced from the body by applying firm pressure to the _______ _______ and flushed away with running water.

lower abdomen

The ear can be the site of brain purge, usually as a result of a fracture of the ________ _____

temporal bone

Gas Gangrene

a fatal disease caused by contamination of a wound infection by a toxin-producing, spore-forming, anaerobic bacterium; the tissues are filled with gas, sometimes to the point of bursting; foul odor

Subcutaneous emphysema

most frequently encountered gas condition, brought about by a puncture or tear in the pleural sac or lung tissue; No odor; can create intense swelling; will rise to highest body part

It has been estimated that ____ _____ more preservative chemical is needed to preserve tissue of bodies dead from complications of renal failure.

six times

Pre-embalming purge generally consists of the ________ _______.

stomach contents.

Types of gas found in tissues:

subcutaneous emphysema, air from embalming machine, gas gangrene, tissue gas, decomposition gas

Two categories in which facial trauma can be classified:

unbroken skin and broken skin

Arterial solution can cause purge under the following conditions:

•Injection of arterial solution at a fast rate of flow •If an area of the stomach, upper bowel or lung is ulcerated •If esophageal varices break •Gastrointestinal bleeding •Arterial solution leakage from an aneurysm in the thoracic or abdominal cavity •Leakage from recent surgical incisions

Two factors necessary for purge to occur:

•Must be a substance to purge •Must be pressure on an organ to evacuate the material

True or False: if arterial fluid is contained in the purge, the dye from the fluid can stain the skin.

TRUE

Purge

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

Visceral Expansion

When bodies have been dead for several hours and arterial solution is injected too fast, the intestinal tract tends to expand which can create sufficient pressure on the stomach walls and cause stomach purge. The expansion can also push on the diaphragm, possibly resulting in lung purge

Reasons to Re-Embalm a body:

fluid was not distributed to all areas, too little solution was injected, the concentration of the fluid was too low to meet preservative demands of the body, the injected solution was neutralized by the body chemistry, or rigor mortis was mistaken for embalming fluid fixation

Brain purge results from a ______ __ ___ ______, _________ or _______.

fracture of the skull, surgical or trauma.

Bodies with mycotic infections are ________ ________. The body should be thoroughly ______ ____ ______ _________ _______ as soon as it is undressed.

fungal infections //// bathed with proper disinfectant solution

Decomposition Gas

gases produced by decomposition are not often as intense as tissue gas or gangrene gas; cannot be spread from body to body via contaminated instruments; ceases when tissues are properly embalmed