Embalming Process (test 2- mors 113) Flashcards Preview

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Flashcards in Embalming Process (test 2- mors 113) Deck (67):
1

  • Wear double latex or nitril gloves and special clothing in the preparation room.
  • Wear only the type of lab smock or other protective clothing that is disinfected and laundered.
  • Wear protective eye cover.
  • Three hepatitis shots are required

Universal Precautions - Protect the Operator (PPE)

2

This may include a full gown or body suit with protective impermeable apron, special shoes with covers, head cover, oral-nasal mask and formaldehyde respirator.

Wear double latex or nitril gloves and special clothing in the preparation room.

3

Disposable lab clothing is even better

  • Example: Washable full face masks and goggles. The primary objective is to filter airborne bacteria.

Wear only the type of lab smock or other protective clothing that is easily disinfected and laundered.

4

Full face shield, to guard against spashing of the eyes.

Wear protective eye cover.

5

In the late 1970's to 1980's, embalmers would not serve or would charge extra for AIDS cases.

Prior to Universal Precautions

6

Emaciation is a characteristic of this.

AIDS

7

This lives outside of the body for two weeks.

TB

8

The person tends to get very sick, then better due to bacterial going into a spore state. This occurs in HIV cases more often (weaker).

Tuberculosis

9

Latex or nitril gloves and apron, rubber head block, arterial tubes, aneurysm hooks, hemostat, nasal aspirator, needle injector, brass wire, needles, scalpel, scissors, curved and straight forceps, spatula, ligature thread, vein tube drains.

Gather the necessary instruments from the lab cabinet.

10

  • Use germicidal soap
  • Use lukewarm or cold, but not hot water because hot water damages tissues.
  • Shave the face of both men and women- may require permission from the PRD
  • Wash and aspirate the inner mouth and nose.
  • Wash hair, check for lice.
  • Remove and clean dentures.
  • Clean finger nails.

Sanitize Remains

11

Shave with the hair, not against it.

Shaving the Remains (with permission from the PRD)

12

  • Flex the facial muscles
  • Flex cheeks, jaws, and neck
  • Flex arm at shoulder, elbow, wrist, and fingers.
  • Flex leg at hip, knee, foot
  • Alleviate by flexing as much rigor mortis as possible.
  • Position the body the way you want it to appear in the casket.

Position The Remains

13

Flex all four at the same time, or risk breaking them.

Flexing the Fingers

14

Using these guides to indicate the proper point, make a three-inch incision though the skin and superficial fascia with a sharp scalpel.

Anatomical and Linear Guides

15

The separation and pushing aside of the superficial fascia leading to blood vessels and the deep fascia surrounding blood vessels, utilizing manual techniques or round ended instruments which separate rather than cut the protective tissues.

Blunt Dissection

16

For finding the carotid artery, separate the fascia _________, not against it.

With the Incision

17

An incision that is three inches on the surface but only one inch at the deepest point.

  • A common error of the novice embalmer.

Incorrectly Dissected Incision

18

Results from a failure to adequately separate the fat and fascia by dissection to the full extent of the superficial incision.

Improperly Dissected Incision

19

A limited working space at the bottom of the incision and a danger that the vessels might be broken as they are drawn up though an opening of small dimension.

The result of an improperly dissected incision

20

The fat and deep fascia are separated by _________, using aneeurysm hooks or fingertips, to expose vessels and nerves.

  • The student must be careful not to rupture any vessels especially when using aneurysm hooks.

Blunt Dissection

21

Separate the _____ from the accompanying veins, nerves, and fascia.

Artery

22

Use aneurysm hooks to clean excess _____ from the vessels.

Tissue

23

After you raise the artery and/or vein from a clear and open incision, place the handle of the aneurysm hook or bone separator ______________.

Under the Vessel

24

Make ligature by cutting a piece of ligature into an _____ inch length (or lengths of the same size).

8"

25

By using ______, insert under the artery and/or the vein two ligatures superior and inferior approximately one inch apart.

Curved Forceps

26

The primary objective of this is the make the incision large enough to easily admit a cannula tube in the artery or a drain tube in the vein.

Incising The Vessel

27

Make an incision with a sharp scalpel ________ or _______ but never more than half way across the vessel.

Transverse or Diagonal

28

At right angles to the long axis of the vessel.

Transverse Incision

29

This type of incision is used most frequently in cases of arteriosclerosis. With scissors, cut a triangular wedge from the wall of the vessel.

Triangular Incision

30

  • Be sure the cannula tube is smaller than the lumen.
  • Never force a cannula tube into the artery.
  • Always lubricate cannula with liquid soap
  • After sucessfully inserting the cannula into the artery tighten the ligature.
    • Insert drain tube
    • Cut vein with scalpel
    • Insert with the greatest of care, narrow stemmed forcep
    • Lubricate drain tube, spread incision with forceps, and insert drain tube.

Insert Cannula Tube Into Artery

31

When inserting the drain tube into the vein. The the ligature tightly so the drain tube isn't forced out.

Always keep pump rod closed

32

Before pumping the drain tube rod, inject about _____ of fluid.

One Quart

33

Massage the dependent parts of the body in a motion ______ the heart. Be sure massage is vigorous.

Toward

34

Always watch for drainage and always ________.

Encourage Drainage

35

After injection of about one quart of fluid, stop the machine, _______ to be sure you have drainage.

Open drain tube

36

With the exception of an autopsy, always pose the features _______.

First

37

  • Needle Injector
  • Musculature
  • Mandibular
  • Wire through the bone

Methods of mouth closure

38

Not the most study method of mouth closure.

Needle Injector

39

A suture that goes through the mentalis muscle, through the frenulum of the lips to the septum of the nose. This is more sturdy than the needle injector.

Musculature Suture

40

Suturing through the septum of the nose and around the mandible.

  • Most sturdy - helps hold bottom dentures in place (but not the top).

Mandibular Tie

41

Used in special cases, wire and dremel. This is used when the mandible is in pieces.

Wire through the bone

42

  • Position lip with thin layer of cotton inside mouth between gum and lip
  • Wet cotton strips outside mouth
  • Stay cream
  • Suture with hidden stitch if badly dehydrated; use tissue builder.
  • Cement lip
  • Use straight pins into gums and set lips on head of pins or pin lips to gum and remove after tissue firms.

Methods of Lip Closure

43

Similar to lip wax, use the palm of your gloved hand, smooth and apply an even coat over the lips.

Stay Cream

44

Always use this after embalming.

Tissue Builder

45

Be sure teeth and lips are dry; use lip lock or Japanese glue.

Cement Lip

46

  • Eyecaps made from plastic (perforated)
  • Flat, thin pieces of cotton (not on an eneculation case)
  • Stay cream- never overlap eyes

Methods of Eye Closure

47

  • Gather necessary chemicals
  • Learn the working of your emblaming machine
  • Pressure- rate of flow- pulsator
  • Do not mix more than 3 gallons of solution at a time
  • Determine your solution
  • Basic solution
  • Addition solutions beyond 3 gallons may often be necessary.

Formulate the proper chemical solution

48

Arterial restorative co-injection, cosmetic dye, water softener.

Gather Necessary Chemicals

49

Edematous case solution.

3% Dilution

50

Ordinary case dilution.

2%, usually not more than 5%

51

Always run the solution through the machine.

Learn the working of your embalming machine

52

In life there are only 6 quarts (5.5 liters) of blood.

Do not mix more than three gallons of solution at one time.

53

By sex, age, weight, time laspe since death (postmortem interval), cause of death, time lapse to burial.

Determine your solution

54

16oz arterial solution to 16oz co-injection to 1oz of dye to 10oz water softener; and water to make three galons (20-30 index)

Basic Solution

55

Judgement and body size will be required.

Additional solutions beyond three gallons may often be necessary.

56

Turn machine on, check rate of flow and pressure (be careful of pressure).

  • Massage arms towards heart
  • After you are sure fluid has penetrated arms, reposition them.
  • Be sure fingernails have been cleansed and trimmed
  • After you are certain that fluid has penetrated the legs and arms, massage the body trunk.

Start embalming after features are posed

57

Hydro aspirator, electric aspirator or hand pump and jug.

Be sure your trocar is sharp and your choice of aspiration systems are in good working order.

58

  • Be sure you use an OSHA approved temperature sensitive clear, rigid plastic or rubber hose.
  • Insert your trocar into the umbilical region two inches above and two inches to the left of the navel.

Aspiration and Cavity Treatment

59

Do not use this type of rubber hose because they collaspe and vacuum is lost.

Flexible Gum Rubber

60

Always aspirate from ____________.

High to Low

61

Clear your trocar often so it does not:

Back up and reverse itself.

62

The general rule for the amount of cavity fluid used. (usually no more than 2-3 bottles)

1 bottle per 50 lbs

63

  • Screw cavity injector into bottle
  • Hold bottle high and control rate of flow with "thumb hole"
  • Inject the cavity fluid liberally in a fast sweeping motion from high to low.
  • Using a button driver, insert trocar button into hole. (or use an N stitch or purse string stitch)

Cavity Treatment

64

Inject the throacic cavity first, put more fluid in the throacic cavity because:

Much of it will gravitate downwards toward the abdomen.

65

  • Clean trocar and cavity injector by filling bottle with hot soapy water and running it through.
  • Clean machine by running about 6 gallons of clear water through machine.
  • Always leave water in the bottom of the machine to prevent the base plate of oxdizing.

Cleaning Cavity Injector and Embalming Machine

66

An embalming instrument which is connected to a bottle of cavity fluid to aid in injecting the favity fluid into the various cavities of the body.

Cavity Injector

67

  • Wash remains with warm soapy water
  • Shampoo hair
  • Dry remains, reposition remains
  • If necessary, put rubber or plastic goods on remains - coveralls, pants, stockings, sleeves and/or unionall.

After Cavity Injecting

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