Restorative Art 10h - 10m

High Velocity Projectile

- Bones can be shattered

Penetrating

- Bullet enters and stays in the cavity or organ

Grazing

- Marginal abrasio

Perforating

-Bullet enters and exits in the cavity or organ

Lacerating

-Irregular tears in the cutaneous surface

Diseases that are predispose to a bone break

Cancer, osteomyelitis, and Paget and nutritional and vitamin deficiency.

Humectant

Chemical that increases the ability of embalmed tissue to retain moisture

Accessory chemicals

Chemicals used in addition to vascular (arterial) and cavity fluid

Cosmetics for jaundice-

Each embalmer creates it his or her own method Best time to apply is a day after embalming.

Treatment for severed Limb

Each part of the limb should be embalmed separately. It can be accomplish through embalming vessels but if not available Hypodermic injection when embalming is completed, all vessels should be ligated and exposed tissues areas show be dried and sealed with sealer Suture the muscles of both parts as tight as possible, then suture the skin entirely around the limbs. The sutures are sealed with sealer and after dried seal again with sealer

Surface Characteristics Affecting Restoration

Entrance and Exit Wound: Entrance wounds are usually cleaner and smaller then exit wounds which are usually lacerated and larger Swollen/discolored eyes Fractured bones that affect surface work

Procedures for restoration Post-embalming

Excise dehydrated marginal tissue Ensure that the tissue is firm and dry Purse string or N suture Wax is necessary Cosmetic if necessary

Procedures for Restoration of Penetrating wounds : Post-embalming

Excise the dehydrated margins around lacerations Ensure that the tissue is firm and dry Large, deep wounds will be treated as large cavity restorations Small wounds may be sutured with the purse string or N suture Some wounds may need to waxed. Ensure that the tissue is sealed, firm and dry. Swollen or discolored area will need to be treated Powder burns ma be masked with opaque cosmetics

Procedures for Restoration of Penetrating wounds : Pre-embalming

Face is covered with an emollient Surface bleaching. Pack on ecchymosis around the eyes Cold compress on swollen eyes

Classification

Grazing- Marginal abrasion Lacerating-Irregular tears in the cutaneous surface Penetrating- Bullet enters and stays in the cavity or organ Perforating-Bullet enters and exits in the cavity or organ High Velocity Projectile- Bones can be shattered

Formaldehyde

HCHO; colorless, strong-smelling gas that is a powerful preservative when used in solution

Second option an embalmer uses to build up dehydrated tissues

Hypodermic Tissue Building

Hypodermic tissue building

Injection of a special tissue building liquid into the tissues through the use of a syringe and needle to restore natural contour

Syringe

Instrument used to inject or aspirate fluids

Procedures for Restoration of Penetrating wounds : Embalming

Leave wound open and observe distribution in the tissues of the laceration, etc

Process for jaundice- After injection

Massage cream is removed and face and hands are dried. Cosmetics are applied

Contour

Outline or surface form

Dehydration

Partial loss of moisture content

Arterial fluid

Preservative embalming chemical injected into the arterial system during vascular embalming

Procedures for restoration Pre-embalming

Remove scabs using a sharp instrument Cover the area with an emollient

The best the embalmer can hope for in a Jaundice case

Remove some of the discoloration Counterstain the tissue with a more natural color Cover the remaining discoloration with cosmetics Jaundice must be treated in the beginning of the embalming process

General Tissue Building procedures.

Select an injection point Insert needle, injecting deep with out release closer to surface in the area to be tissue built. Start injecting as need is slowly withdrawn For large areas, radiate the needle in different direction, while using the same point of entry. Slowly inject until the surface is elevated slightly more than the surrounding skin Smooth the area with digital pressure until it returns to normal contour

Decapitation

Separation of the head with the body; to decapitate is the act of such separation.

Tissue builder

Substance used to elevate sunken (emaciated) tissue to normal level by hypodermic injection

Gelatinous

Texture of jelly

Process for jaundice- during injection

The use of a pre-injection fluid can be beneficial in treating jaundice if edema is not present. The pre-injection fluid helps flush out some of the deeper discoloration Massage cream can be reapplied during the pre-injection The arterial fluid will also remove some of the yellow color. NOTE: A high index arterial fluid can turn the yellow color to green in some cases. A restricted cervical injection method should be used. This will allow the body fromt he neck down to be treated with a stronger solution than the head, insuring adequated preservation

Toro

Trunk of body

Process for jaundice- Pre-embalming

Wash body completely with soap and water before embalming Remove some of the surface discoloration when the soap is wiped off the skin with a warm cloth A heavy application of massage cream can be applied to the head, neck and hands. Apply a warm, moist towel over the area and let it remain for ten minutes and then wipe clean ( This may remove additional surface discoloration)

Jaundice fluids

are fluids with bleaching and coloring qualities for use on bodies with jaundice. They usually contain a low concentration special arterial of formaldehyde

The equipment consist of a Hypodermic Tissue Building

hypodermic syringe, needles and tissue building liquid and solvent (for cleaning)

Puncture

A puncture is a hole or slight wound resulting from piercing

Pistol and Rifle wounds

A rifle is high velocity (determined by caliber) and pistol is low velocity Wounds from close range are more serve than those from a distance A wound near the temple is likely to result in swollen or discolored eyes Bullet ricochet within the body, damaging internal organs and circulatory

Solvent

A substance capable of dissolving something

Simple Fracture

A broken bone that does not pierce the skin

Fracture

A broken bone that is classified as simple or compound

Compound Fracture

A broken bone that pierce the skin

Osteomeylitis

A chronic metabolic skeletal disease; inflammation of the bone

Jaundice

A condition characterized by excessive concentration of bilrubin and bile pigment in the skin and tissue resulting in a yellow appearance of the decreased.

Point of entry

A place at which access to inner positions may be had; a place at which a hypodermic needle may be inserted

Splint

An appliance of wood, metal, or other suitable material used to protect or immobilize a movable part

Hypodermic

Applied or administered under the skin

Penetrating Wounds

Are wounds entering the interior of an organ or cavity. i.e pistol and rifle wounds, medical devices (feeding tubes), punctures, stab wounds. They can be small or large, requiring small cavity or large cavity restoration.