10). Advice for Special Cases
Autopsy
Cases
When it is necessary to embalm cases that have underwent an autopsy or some form of post
mortem dissection, there will be more than one vessel to raise and inject to achieve optimal results. There is usually a “Y”
shaped incision extending over the abdominal and thoracic regions. This will require more suturing after the arterial injection
is completed.
On most autopsy cases, both carotid arteries, both sub clavicle arteries and both iliac
or femoral arteries should be injected from within the open autopsy cavity. If the viscera (the abdominal and thoracic organ
content) are returned with the body they should be treated my the direct induction of cavity fluid.
Infants
and Children
Infants can be embalmed much like adult human bodies only on a smaller scale. The arteries
and veins are going to be much smaller, therefore smaller arterial tubes and smaller amounts of arterial embalming fluid solutions
will be used in the total embalming operation.
In the case of premature babies or partially formed babies it may only be possible to
pack the child with a thick layer of preservative gel like described in section # 9 over the entire surface of the skin. The
child should be left in this condition (usually placed inside a pouch or covered in plastic) overnight to allow the gel pack
to penetrate the skin tissue and thus effect some form of temporary preservation.
It is also advisable to treat the abdominal and thoracic regions just as you would and
adult case, again only using a smaller trocar and lesser amounts of cavity fluid. This treatment will also help in the embalming
treatment of the entire infant’s body through the cellular processes of osmosis and diffusion.
Decomposed Cases
If a body has been deceased for extended periods of time prior to embalming it may be
in a state of severe decomposition. In these cases where there is massive amount of skin slippage and the body is swollen
from its natural shape and contour it may be impossible to raise arteries for injection. In some of these cases, it may be
possible to raise an artery only to find that it is completely blocked with coagulated blood.
Often it is necessary to simply place the body in a heavy sealable pouch. Treat the abdominal
and thoracic regions through the technique of aspiration and injection of cavity fluid as previously described in section
# 8.
The entire surface of the body should also be covered with a formaldehyde base gel and
a generous amount of preservative embalming powder. Most embalming chemical manufacturers make products designed specifically
for use in these types of cases. In addition it might be advisable to hypodermically inject undiluted arterial fluid at various
points throughout the entire body.
When this procedure has been completed it may be advisable to place the sealed pouched in
a gasketed steel or fiberglass casket as soon as possible. This should help in eliminating and keeping potential odors at
a minimum during the memorialization process.