Cavity Embalming Course Notes 2019 PDF

[Cavity Embalming] Aspiration & Cavity Injection Module: MSE 015 OUTCOMES FOR THIS MODULE: - - - - - - - - - - - - - - - RESOURCES USED IN THE PREPARATION OF THIS MODULE: - - - - - - - - - - CAVITY EMBALMING -- ASPIRATION AND INJECTION ==...

[Cavity Embalming] Aspiration & Cavity Injection Module: MSE 015 OUTCOMES FOR THIS MODULE: - - - - - - - - - - - - - - - RESOURCES USED IN THE PREPARATION OF THIS MODULE: - - - - - - - - - - CAVITY EMBALMING -- ASPIRATION AND INJECTION ============================================ GENERAL INFORMATION: - - - - - - - - - - - - - - - - - - - - - - - - - - - - CHRONOLOGY OF CAVITY EMBALMING: *NOTE*: As this chronology will give you the optimum values for the entire cavity embalming process, it is not meant to be all encompassing or exact in its progression. That being said, there are tasks within this chronology that MUST be accomplished in the order in which they appear. Those tasks are marked with an ♦ - - - - - - - - - - - - - ♦Washing and Drying of the Deceased. HOLLOW ORGANS: - SOLID ORGANS THAT MUST BE TREATED BY CAVITY EMBALMING: - - - - - - PURGE AND ITS RELATIONSHIP TO CAVITY EMBALMING: Although the subject of purge will be more thoroughly discussed in a future component, it is listed here as it relates to Cavity Embalming. One look at the contents of the hollow organs and the contents of each individual cavity will explain why it is so important for Cavity Embalming to occur at some time after the arterial injection has been completed. If these contents are not aspirated and/or treated gases could form, placing sufficient pressure on the stomach and diaphragm to create PURGE from the oral and/or nasal cavities. - - - - ASPIRATION EQUIPMENT THAT CREATES VACUUM: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - INSTRUMENTS AND OTHER EQUIPMENT USED FOR ASPIRATION: - - - - - - - - - - - - - - - - - - #### CAVITY EMBALMING ANATOMY: Every responsible embalming practitioner must thoroughly understand not only the mechanics of professional embalming, but also that amount of Anatomy to be able to understand where the arterial solution is going. The same holds true for Cavity Embalming. Every responsible embalming practitioner needs to thoroughly understand the cavities that are being aspirated, AND know where the trocar is at any given moment, AND what structures the trocar is channelling through. This section is not meant to be a review of the Anatomy you have already studied. It is meant to familiarise you with the cavities you will be aspirating and the structures the trocar should be passing through during that aspect of Cavity Embalming. Basically, there are four separate regions of the body where aspiration is (could be) performed. One region is very rarely aspirated (the Cranial Cavity), one region is only aspirated up to a certain point (the neck), and the other two are thoroughly aspirated (Thoracic & Abdominopelvic Cavities). Let's take them one at a time. - - - - - - - - - - - - - - - - - - - - - - - - #### THE NINE ABDOMINAL REGION PLAN -- CONTENTS AND LOCATIONS: - - - - -  - - - - - - - - - - - - - - - - - -  - - ***[Right Hypochondriac] [Epigastric] [Left Hypochondriac]*** Part of the Liver Stomach (cardiac & Part of the Liver Part of Right Kidney pyloric openings) Stomach (fundus & Coils of Small Intestine Portion of the Liver cardiac regions) Gallbladder Duodenum & Pancreas Spleen Greater Omentum Suprarenal Glands & Tail of Pancreas Parts of Kidneys Left Colic-Splenic Greater Omentum flexure Part of Left Kidney Greater Omentum ***[Right Lumbar] [Umbilical] [Left Lumbar]*** Lwr portion of Liver Transverse Colon Part of Left Kidney Ascending Colon Part of both Kidneys Descending Colon Part of Right Kidney Part of Duodenum Coils of Small Intestine Coils of Small Intestine Coils of Small Intestine Greater Omentum Right Colic (Hepatic) Bifurcation of Abdominal Flexure Aorta & Inferior Vena Greater Omentum Cava Greater Omentum ***[Right Inguinal (Iliac)] [Hypogastric] [Left Inguinal (Iliac)]*** Caecum & Appendix Urinary Bladder-Adults Part of Descending Colon Part of Ascending Colon (if distended) Sigmoid Colon Coils of Small Intestine Coils of Small Intestine Coils of Small Intestine Greater Omentum Greater Omentum Greater Omentum THE FOUR REGION (QUADRANT) PLAN: - - - - - TROCAR GUIDES FOR ASPIRATION: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - THE ASPIRATION PROCESS: The Aspiration of the Thoracic Cavity and/or the Abdominopelvic Cavity is accomplished under two protocols; [Partial Aspiration], either prior to or during the arterial injection process, or [Complete & Thorough Aspiration], which is accomplished [after] the arterial injection has been finished. When aspirating a case either prior to or during the arterial injection process, if at all possible, use a trocar with a BLUNT TIP: - - - - - ##### OR - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - GRAVITY INJECTION OF CAVITY FLUIDS: - - - - - - - - - - - - - - - CLOSURE OF THE POINT OF INSERTION OF THE TROCAR: - - - - - - - - - - TREATMENT OF THE MALE GENITALIA: - - - - - - - CRANIAL CAVITY EMBALMING: Aspiration of the Cranial Cavity should not be performed on each and every case. In fact, there are very few instances whereby the Cranial Cavity should be aspirated and it is rare for disease to cause cranial purge -- thereby necessitating aspiration of this cavity. - - - - - - - - - - - - - - - - - - - - THE DIRECT INCISION METHOD OF CAVITY EMBALMING: The Direct Incision Method of Cavity Embalming is discussed at this time due to the type of protocols it employs and the importance of how this method could be looked upon by the family of the deceased. *[The Direct Incision Method of Cavity Embalming]* *[must not be considered unless there is no other possible method to use].* This method borders on the point of [Mutilation of the Deceased]. If you decide to proceed with this method you run the risk of being liable for your actions. In other words, you might have to prove beyond any doubt that the condition of the case necessitated the use of this method versus the standard method of Cavity Embalming. This would especially be true if you chose to employ this method on an infant or child and the parents or other family members were the ones who dressed the case. There are several items to address here prior to discussing protocols: - - - - - - - - - - - - - - - - - - - - THE ONE TROCAR METHOD vs. THE TWO-TROCAR METHOD -- FOR CAVITY EMBALMING: If at all possible and if your funeral company can afford the extra equipment the two-trocar method for Cavity Embalming should be utilised: - - - - - #### IS RE-ASPIRATION AND RE-INJECTION OF CAVITY FLUID REALLY NECESSARY? - - - - - - - - - - - - - - - - - - - ######