Case Analysis: Normal, No Autopsy, Child, 1yr - 2yrs

Child: 1yr – 2yrs

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. (this may be mixed inside a container or if the baby is large enough to withstand a cannula and hose, mix inside the embalming machine).
  2. Draw solution into a 20 cc syringe (or larger).  Connect a luer-lock infant rubber catheter to the syringe (remove air from syringe and catheter).  Slight pressure on the syringe plunger should be tested to judge the rate of flow.  
  3. If an infant cannula is used be certain the embalming machine is well calibrated and the control knobs read accurately. When the settings are low some machines tend to spike in rate of flow and pressure.  
  4. Select appropriate artery and vein (typically an autopsy will have been performed so use the exposed arteries as normal).  If no autopsy was performed use the Femoral artery and vein of the right leg.  NOTE:  be mindful of purpling of the head and face due to drainage difficulties and blockages.  If the face does not clear relatively soon a Common Carotid artery should be used with Jugular vein drainage.  
  5. After arterial embalming, check entire body for areas that received poor circulation.  These areas should be hypodermically injected and possibly treated with external packs of preservative cream. 
  6. Aspirate the cavities using an infant trocar for smaller and younger children.
  7. Fully saturate the cavities with cavity fluid injected with trocar.  
  8. Suture incisions including the aspiration holes.  Large trocar buttons may be detected by the family.
  9. Bathe and clean the infant with baby soap.
  10. Glue incisions and place cotton over the glued incision.
  11. Remove infant from the table and rest the body into a swaddling or receiving blanket.  The infant should then be placed upon a soft pillow or inside a cradle.  Do not leave any part of the infant resting on a hard surface such as a table or counter-top.