Case Analysis: Normal, Autopsy, Adult

Concentration 1.75% 

Dilution – approx. 12 oz. arterial fluid per gallon of solution (Using 18 index) Use Dilution Calculator for all other index’s 

Directions – 

  1. Mix 12 oz. of 18 index arterial fluid with every 1 gallon of solution, add 1 -3 oz. of humectant fluid and use appropriate dyes if necessary.
  2. Open the autopsy incision and remove detached viscera and treat in a separate container or bag with 64 oz. of Cavity fluid and mix well.  Dissect all viscera with surgical scissors to allow cavity fluid to penetrate more readily.
  3. Inject Common Illiac arteries first. 
  4. Next, remove the calvarium, treat the scalp and calvarium with pheonol-based preservative and replace calvarium. This will keep the forehead from creasing.
  5. Disinfect face and orifices, shave and set features while legs are being treated.
  6. Next, inject the left Common Carotid then the right.  Leave the artery of the Circle of Willis open until the blood-filled artery clears and formaldehyde is flowing.  After the blood clears, clamp the Circle of Willis artery and continue injecting until the face is adequately embalmed.   Clamp any incised arteries in the neck area that are leaking arterial solution. Repeat on the right side.
  7. Inject Axillary arteries last.  Arms should be injected last for positioning purposes.  The hands should be in a relaxed position and folded, as an adult’s hands would be.
  8. After arterial embalming, check entire body for areas that received poor or no distribution.  These areas should be hypodermically injected and possibly treated with external packs of preservative cream. NOTE: the buttocks should be hypodermically treated in every abdominal autopsy embalming because many times arteries that lead to those areas have been severed.
  9. With a brand new scalpel blade, dissect intercostals, separating each rib.  This exposes all the muscle and tissue of the lateral muscles and the back muscles.  
  10. Treat cavities and exposed tissues with a cauterant chemical that contains phenol.  This will better preserve and dry the tissue.
  11. Next, treat the cavities with preservative powder / Hardening Compound.
  12. Remove viscera from container and replace viscera inside cavities.  The organs may be placed in proper position.  i.e. Lungs where lungs go, heart where the heart goes, etc.  
  13. Powder each organ as it’s individually placed back into its proper place.
  14. Replace throat if necessary with cotton.  
  15. Protect the throat with a plastic lining.  This will also serve as a barrier against fluids and odors.
  16. Replace breast plate and powder.
  17. Suture incision – “Y” incision; gather the 3 corners at the junction-point (at the center of the “Y”).  Secure all three points with a knot and continue suturing inferiorly towards the pubic bone. Next, with one piece of ligature, begin suturing from the right shoulder, suture towards the junction point.  Continue suturing past the junction point and continuing up to the left shoulder.  “I” incision; being at the superior most portion of the incision and suture straight down, inferiorly towards pubic region.
  18. Treat inside of scalp with phenol or formaldehyde gel once more for good measure.  Pack the foramen magnum with mastic compound, sprinkle absorbent powder inside open skull, next pack with cotton.  
  19. Next, with a 1/8” drill bit, drill a half hole at the margin of the calvarium and another at the adjacent bone margin of the base of the skull.  This will make a complete hole once the calvarium is placed back into position.  
  20. Calvarium Clamps with the small stainless steel plates may now be used to secure the calvarium into place. Next,
  21. Glue Temporal muscles to calvarium with instant adhesive such as Aron Apha.
  22. Bathe The body
  23. Glue incisions of the thorax.