Restorative Treatments

airbud123's version from 2015-12-25 05:24

Section 1

Question Answer
Injuries/TraumaAuto Accidents, Fire, Homicide
DiseaseCancer, Peripheral Arterial Disease, HIV
Postmorem tissue change BEFORE embalmingdecomposition and dehydration
Postmortem tissue change DURING embalmingswelling of a facial feature
Postmortem tissue change AFTER embalmingdecomposition and tissue gas causing distension

Section 2

Question Answer
Pre-embalming treatmentsremove dirt and external stains, set facial features, temporarily suture loose skin, and shave
During embalming treatmentapplication of pressure to an area to prevent swelling, bleach a discolored area
After embalming treatmentexcise tumor, reduce swelling, tissue build in sunk areas. dry/suture incisions, apply wax/cosmetics, hairstyling

Section 3

Question Answer
treating an abrasion before embalmingpaint massage cream on area around abrasion, not on the abrasion itself
when do you remove a scabafter embalming because they cause irregular texture on skin
what to do after scab is removeddry with cauterizing agent, then dried with cotton and sealed with sealer
what to do to scab after it is sealed and driedwax/mastic compound is applied and pores, lines, and wrinkles should be made

Section 4

Question Answer
what might possibly have to be done to lacerations prior to embalmingmake some temporary sutures of loose flaps of skin
what should be done to lacerations BEFORE embalminginside of the wound should be dried with a cauterant pack (to dry tissue) & massage cream should be applied to the outside of the wound and surrounding area
what should be done to lacerations AFTER embalmingwound should be dried with cotton, then sealer brushed over all tissue below the surface. After sealer dries, wound can be packed with cotton and incision sealing powder/mortuary mastic
what should be done to dehydrated pieces of skinthey should be removed
if the size of the wound permits the skin to come together without possible distortion, what should be done?sutured closed, using a subcutaneous suture or super glue adhesive...the sutured area can then be hidden with wax
if the wound is too large and effects distortion what should be done?wax or mortuary mastic can be applied over the packing, making it level with the surface
what can be used to act as an anchor for the waxbasket weave suture

Section 5

Question Answer
discolorationCAN be removed by embalming
stainCANNOT be removed by embalming
how to diagnose if something is stain or discolorationapply digital pressure to an area if clearing occurs, then it is a discoloration
examples of discoloration occurring BEFORE embalmingdisease, decomp, medical treatment, trauma, post-mortem lividity (livor mortis)
examples of cause of discoloration DURING embalmingtoo strong of arterial solution, inadequate drainage, using formaldehyde on jaundice patient
examples of cause of discolration AFTER embalmingrazor burn, gray discolration of buccal area, and post embalming decomp

Section 6

Question Answer
three options to remove a stainremove or decrease by bleaching, cover stain with cosmetics, and bleach stain, then cover with cosmetics
bleaching agentscavity fluid, phenol/alcohol, preservative gel, and special-bleaching fluid
effects of bleachlightening of stained area, lightening of non-stained tissue, possible dehydration, fixed tissue
using a surface compressapply massage cream to non-affected areas, cover compress with plastic, check at intervals your progress, and remove when stain is gone/reduced
hypodermic injectioninject bleaching agent into tissues, inject into entire stain (may need to remove needle), seal entrance with tissue adhesive
possible prblems with hypo injectionmay totally miss the stain, may counter stain arterial fluid, possible over bleaching

Section 7

Question Answer
1st degree burn treatmentstronger arterial solution (avoid skin slip), apply massage cream, and last;y cosmetics
2nd degree burnpop blister before embalming, surface compress on area (blood coagulates), dry tissues/paint with sealer, then cosmetize
3rd degree burncharred tissue should be excised to non charred tissue, surface embalming compress applied, apply sealer to tissue, deep tissue wounds should be sealed with cotton, wax/putty should fill wound to surface
what should be used on large openingsbasket weave suture

Section 8

Question Answer
excising tissue pre-embalminggreat care taken to not interfere with arterial circulation, temp sutures might be needed
post-embalming excision of tissueexcision of tumor is pereformed AFTER embalming, unless it interferes with circulation
treating a tumorcut away tissue with scalpel, apply drying agent to cavity to remove moisture, use sealer to get rid of moisutre, make a base of cotton/astic for the wax (basket weave suture) push down wax on the sutures and apply markings as needed

Section 9

Question Answer
eye point of entrybetween lids at the inner canthus or the medial corner
supraorbital point of entryhidden point is in the eyebrows
temple point of entryouter edge of eyebrow, hairline above the temple, behind top of the ear, sideburn when present
cheek point of entrbehind wing of the nose, corner of mouth, outside ear behind lobe, inside er behind tragus, angle of the jaw
lips point of entrylateral corners at end of mouth closure, behind medial lobe
neck hidden point of entryinside the ear, angle of the jaw
chin point of entrybehind earlobe and lower center of chin
forehead point of entryin the eyebrow, the hair
nose point of entrybridge of nose, inside nose
war point of entrylobe, behind helix
hands point of entryfingers, back of hands, side

Section 10

Question Answer
penetrating woundswounds entering the interior of an organ or cavity (pistol wound, med devices, punctures, stabs)
wound near temple results in whatswollen and discolored eyes
perforatingbullet enters and leaves cavity or organ
difference between enter and exit woundsenter is smaller and cleaner
procedure for restoring gun wounds PRE embalmingface is covered with emollient, surface bleaching, cold compress on swollen eyes
procedure for restoring gun wounds embalmingleave wounds open and observe distribution in the tissues of the lacerations
procedure for restoring gun wounds POSTexcise dehydrated tissue, make sure tissue is dry, large deep wounds treated, small wounds are purse string, some waxing may be needed, swollen/discolored eyes, powder burns need to be masked
PRE-embalming ouncturetake off scabs, cover with emollient
POST-embalming punctureexcise dehydrated tissue, ensure tissue is firm/dry, purse string suture, wax/cosmetize

Section 11

Question Answer
what to do if arm or hand is missingstuff a long slleve shirt/jacket, white gloves can be used for hand (wrist side pinned to sleeve)
missing legsock is stuffed and placed in the shoe, sock is then pinned on the inside of the shoe
twisted limbsmay be needed to cut ligaments, splint may be needed for support
what vessels do you use to embalm a torsoaxillary and common carotid

Section 12

Question Answer
what type of fracture always requires treatmentcpmpound fractures
PRE-embalming fracture treatmentif any appearance is distorted, then it must be fixed before embalming; (cheek built up, nose packed with cotton); fracture may need to be manipulated
POST-Embalming fractureany packing material removed, incisions must be dried and sealed, bones may need to be wired together

Section 13

Question Answer
goals of embalming a jaundice bodyremove some of the stain discoloration, counterstain tissue with natural color, cover remaining discoloration with cosmetics
PRE-embalming treatment jaundicewash body with soap and water, apply heavy massage cream to face, head, neck, and hadnds and let sit for 10 minutes
DURING emblming tretment jaundicepre-injection can be beneficial, massage cream can be applied, attempt to counterstain with fluid, and do restricted cervical
AFTER embalming treatmentremove massage cream and dry tissue, apply cosmetics
cosmetizing and embalming casebest to apply cosmetics day after embalming...can use all sorts of cosmetizing techniques

Section 14

Question Answer
sources for hairbody itself, hairpieces (toupee/wig), barber/hair salon, burshes
eyebrow hair replacementpace thin layer of wax on supraorbital arch, inset end of hair into wax angled upward and outward toward the distal edge
sideburn and temple areaarrange hir in small patches held togther with wax or cement, patches should be in an overlaying pattern, working from top to bottom
moustache areahair should ppoint downward and towards outer corner of the mouth
if completely bald three choicespurchase a wig, use a scarf/hat, replace all hair

Section 15

Question Answer
most common types of non viewed remiansgas bacillus, 3rd degree burn, drowinings, mutilated and crushed cases
embalming concerns of organ and tissue donorgetting arterial fluid to legs, feet, arms, and hands; controlling leakage
PRE-embalming tissue donorclean and bathe body, set features, disinfect orfices
Embalming and restorative procedureremove all sutures and open incisions, remove all prosthetic devices, locate arteries, head and trunk (raise L&R common carotid or femoral), DO NOT use pre-injection, make arterial fluid stronger than normal
legs embalminginject using femoral (close to top as possible), clamp most vessels as possible, if feet and lower do not receive (anterior/posterior tibial arteries can be used), if feet do not receive use dorsalis pedis or hypodermically inject with needle or trocar
arms and hands embalmingarms and hands injected VIA axillary or brachial artery; radial can also be used
embalming trunkcan use femoral, subclavian, or caroitds
headinject through carotid arteries (solution does not need to be strong as lower body)
AFTER injectioncoat tissues with gel and absorb powder, suture incisions, wash/dry body, aspirate and inject thoracic/abdominal cavities, coat all incisions, place plastic undergarmants on body

Section 16

Question Answer
eye enucleationremove entire eyeball
eye enuculation treatmentgently raise eyelid, remove packing, dry socket, saturate some cotton with drying agent and swab socket while leaving it in socket, eyecap over cotton and close lids, bleach discolorations, coat face with massage cream, inject with minimum pressure/rof, if needed can use cold compress
efter injection of eye enuculationremove temp cotton packing, dry socket and duplicate eyeball, place eyecap on duplicate eyeball, glue eyelids shut
corneal removalaspirate fluid from cornea, dry and pack eyeball instead of socket
skin donation treatmentembalm normally, dry tissue and treat with surface application of drying/preservative product for 30-60+, paint area with embalming glue and cover with cotton, place plastic garments over over treated area,