Flashcards in Embalming 3 Test 3 Deck (75):
It is the second major procedure in the sanitation and temporary preservation of the dead human body.
The direct treatment other than arterial injection of the content of the body cavities and the lumina (plural for lumen) of the hollow viscera
Cavity embalming is achieved by:
injection of a proper amount of a suitable chemical (undiluted cavity fluid)
how much cavity fluid in normal adult & location?
1 bottle (16oz) in thoracic cavity
1 bottle (16oz) in abdominal/intestinal cavity
Purpose of cavity embalming (2)
1. supplement vascular embalming, by direct treatment of contents of hollow viscera & area between organs
2. reduce putrefactive changes caused by areas not receiving arterial fluid
when is cavity embalming performed?
1. immediately after vascular injection
2. wait a period of time (hour or longer)
this is the MOST COMMON time to perform cavity embalming
immediately after vascular injection, to prevent gas formation & decomp
Instruments & equipment required for cavity embalming (8)...
4. Electric aspirator
5. Hand pump
6. Cavity injector
7. Trocar button
8. Nasal tube aspirator
standard instrument used in cavity embalming
standard adult trocar size
standard size of infant trocar
clear is recommended...attaches trocar to aspirator
one of which is required to produce suction needed for aspiration
Thomas Holmes – suitable for both aspiration and injection.
threaded instrument, on side it has a carburetor.
used for closure of trocar insert
curved shaped to better insert into the nose, can be used to aspirate through the mouth.
Nasal tube aspirator
To establish the nine region plan of the abdominal region: Extend_____ vertical lines upward from a point _______________________ and the _____________ and _____ horizontal lines, one at the __________________ and the other at the ______________________.
Midway between the anterior superior iliac spine
Inferior margin of the 10th costal cartilage
Tubercles of the iliac crests
Right hypochondriac is located...
(under the cartilage)
Epigastric is located...
(on top of stomach)
Left hypochondriac is located...
(under the cartilage)
Right lumbar is located....
(right loin or lowerback) “love handle region”
Left lumbar is located...
(left loin or lowerback) “love handle region”
Right inguinal is located...
(right iliac region)
Hypogastric is located...
(under stomach/pubic region)
Left inguinal is located...
(left iliac region)
4 Organs in Right hypochondriac UPPER REGION
1. coils of small intestine
2. part of right kidney
3. part of liver
4. gall bladder
4 organs of Epigastric UPPER REGION
1. part of liver
(cardiac & pyloric openings)
4 organs of Left Hypochondriac UPPER REGION
1. part of liver
3. part of left kidney
4. left colic splenic flexure (bend)
(fundus & cardiac portion of stomach)
4 organs of the Right lumbar MIDDLE REGION
1. ascending colon
2. right colic (hepatic flexure) (bend)
3. lower liver
4. part of right kidney
3 organs of the umbilical MIDDLE REGION
1. transverse colon
2. part of both kidneys
3. part of small intestines
3 organs of the left lumbar MIDDLE REGION
1. descending colon
2. portions of left kidney
3. portions of small intestine
4 organs of Right inguinal LOWER REGION
2. part of small intestine
4. part of ascending colon
3 organs of hypogastric LOWER REGION
1. Uterus during pregnancy (Prostate Gland in Men)
2. Part of small intestine
3. Urinary bladder when distended
3 organs of the left inguinal LOWER REGIONq
1. sigmoid colon
2. part of small intestine
3. part of descending colon
to establish the abdominal regions QUADRANT METHOD a ____________ line is drawn through the _____________.
A ___________ line is drawn down the _________ of the body.
4 parts of the quadrant...
1. right upper
2. left upper
3. right lower
4. left lower
what quadrant is the cecum located in...
lower right quadrant
what quadrant is the stomach located in...
left upper quadrant
The items listed below highlighted were not talked about in class...was on our notes...
Lungs – blood, edema, purulent material, gases
Stomach – hydrochloric acid, undigested food, blood, gases
Small intestine – gases, blood undigested food
Heart – blood
Large intestine – gases, blood, fecal material
Urinary Bladder- urine, blood
the following 4 organs have trocar guides:
3. urinary bladder
common insertion point of the trocar
2 inches superior &
2 inches to the left of umbilicus
trocar guide for stomach
trocar point toward intersection of 5th intercostal space & left mid-axillary line.
continue until trocar enters stomach
trocar guide for cecum
trocar toward point 1/4 the distance from right anterior superior iliac spine to pubic symphsis.
keep point of trocar close to abdominal wall until within 4 inches of right anterior superior iliac spine; dip trocar 2 inches insert forward.
trocar guide for urinary bladder
trocar toward intersection of median line & pubic bone (symphysis publis), keeping it toward surface until it touches pubic bone; withdraw it slightly (1/2 inch), dip point slightly & insert into urinary bladder.
trocar guide of heart (right side)
direct trocar along line from left anterior superior iliac spine to lobe of right ear; keep point close to abdominal wall until it pierces diaphragm, then dip point downward & into right side of heart.
what is the order of treatment when using trocar?
no specific order...proceed in orderly manner to ensure no areas are missed
Aspiration procedures –
1. make sure all organs are penetrated
2. several passages can be made through an organ (solid or hollow)
3. space between also aspirated
4. posterior portion of organs & cavities are aspirated
what type of fluid is ALWAYS used for cavity injection?
the volume of cavity fluid is determined by the __________________
mass of tissue to be treated
two methods to inject undiluted cavity fluid
1. gravity injector
2. machine injection
what method is used for phenol
what method is used for regular fluid
when injecting the tip of the trocar should be kept close to the ___________________
This will allow the chemical to gravitate to all areas of the cavity.
top of the cavity wall
decomposition occurs quickly...using an ________ or _________ trocar. Insert the trocar into the ________ through the ______________ in the __________.
Inject _______ undiluted cavity fluid into the cranial cavity.
2 - 3 ounces
place massage cream on the face to prevent _________ & _________
after aspiration & injection, the ________ should be packed.
conditions for cranial aspiration and injection...
1. any disease of brain
2. cerebral hemorrhage
3. gas within cranium
steps in reduction of distended neck by using a trocar
insert trocar at normal insertion point then direct tip into neck region.
fluid should flow down into thoracic cavity.
to help force fluid down neck can be massaged
when should reaspiration be performed (required)...
1. anytime there is gas formation (causes distention or purge)
2. prior to shipping a body
3. advanced decomp
4. obese cases
5. death from infectious disease
6. person with ascites
edema in the abdominal cavity
closures of the abdominal opening...
1. trocar button
2. suture (purse string suture)
provides complete closure and is usually removed if further aspiration is necessary
goes around the edge of the trocar incision. Offers a complete closure, stitches are made around the opening, with the loose ends pulled tightly when completed. A bow can be used to secure the suture when completed.
suture (purse string suture)
just below the skin a condition where there is an exceptional and noticeable amount of gas in the tissues prior to embalming. Caused by the rupture or puncture, or tearing the pleural sac of the lung. NO ODOR & USUALLY NO SIGNS OF DECOMP.
Ante Mortem subcutaneous emphysema
If the condition (Ante Mortem subcutaneous emphysema) is severe, try and remove some of the gas prior to _______
arterial embalming.....channel and/or lance the tissue, this will help to relieve the gases.
rule of thumb for normal amount of cavity fluid in infants
on certain cases ____________ may be necessary