In this module, we have discussed the many different types of instruments that can be found in the preparation room, and talked a bbit about their application. This discussion will expand upon their use
Respond to two other people first person I would bring the deceased into the preparation room and place her on the preparation table. After washing the body I would prepare all my instruments and keeping in mind that each embalming is different. I would have the following available:
Bistoury knife is an optional tool that can be used to do excisions of the tissues, or cut inside out to open arteries and veins. The knife would be able to slit the artery/vein to prepare for embalming. The scalpel is a sharp cutting instrument used for making incisions. The scalpel is good for also cutting the skin to expose the jugular vein. Scissors can sometimes be used to cut open arteries and veins.This would be helpful when a traumatic injury happens and removing things like foreign objects and such. The separator can be used to keep vessels lifted above the incision. This tool is used most commonly after the jugular vein is lifted to make it easier to start the embalming fluids through the line.
Postmortem needles are used to close autopsy incisions as well as raise vessels for injection. This is very helpful when an autopsy has been completed and specific incisions need to be raised. Spring forceps is an instrument used for grasping and holding tissues. This would be used with areas have been ripped apart and attempting to pull them back in close proximity so that it can be stitched back.
Straight forceps can be used to make the nasal area with cotton to stop/prevent leakage. These forceps are used to pack areas that could possibly leak fluids from the body after the person has deceased. Hypodermic needles which can be used to complete tissue building, similar to botox to lift body tissues. These needles are good when there is a section of the exposed body has been traumatically impacted and has obvious damage. The needle helps with building that part of the body back up. Nasal aspirator to remove moisture from the nasal cavity to ensure it is dry and prevent leakage. Canula it delivers embalming fluid and is used to prevent build up of fluid when there is blockage in the body. second person respond to COLLAPSE
This is a standard case with no visible complications. I would start by moving the decadent from the cot to the embalming table. I would then place the body rests in their proper locations, shoulder, feet and buttocks. The head would then be placed on the headrest. Empty bottles of embalming fluid(arms rests) are used to elevate the arms to ensure that water and fluids do not spill over the sides of the embalming table. I use aneurysm hooks to open the eyes and mouth to spray disinfectant spray in those orifices. Forceps are used to hold cotton as I clean the nose and ears. The first FH I trained in used dawn dish detergent with water to “topically disinfect” the remains. My present preceptor uses a disinfectant solution. Both are applied often using dignity towels. The first feature usually set are the eyecaps. Again, I use the aneurysm hooks to place the eyecaps in place, placing them first at the bottom of the eye using the aneurysm hook for abut the eyelids. A suture needle with sutures are used to close the jaw. The suture is placed through the mandible, maxilla, through the nose, back through the maxilla and again through the mandible. The jaw is held closed as the sutures are tied. The sternocleidomastoid is identified to determine where to make the incision with the scalpel. After making the incision, the aneurysm hook is used to locate and raise the right jugular vein. The vein is raised and held above the incision with a separator. The right carodid artery is also located and raised using an aneurysm hook. Once located and raised, the right carotid artery is held in place with a seperator. A bistoury knife is used to open the vein and artery. The groove director is used to direct the angular spring forceps in the jugular vein and it is also used as a guide to insert the arterial tube in the carotid artery.
Embalming theory 1
October 2nd, 2020