Case Analysis: Difficult, Donor, Both Skin & Bone


Concentration 2% 
Dilution – approx. 8 oz. arterial fluid per gallon of solution (Using 32 index) Use Dilution Calculator for all other index’s 
        1. Inject body normally according to instructions depending on the body condition.
        2. Clamp off arteries that are leaking (Axillary or Subclavian / OR Brachial A. AND Common Iliac A. Or Femoral A.) as a result of arterial injection from the RCC Artery.  This will allow for complete distribution and saturation to other body parts.
        3. As body is being arterially embalmed, external treatments should be performed to preserve and dry out the exposed muscles and tissues of the arms and legs.  
        4. After Arterial injection of the body and head are complete, carefully raise any available artery and inject.  Hypodermic treatments will be required as finding smaller arteries may be difficult or near impossible to find and larger muscles will need internal and external preservation and cauterization.
        5. Once hands are persevered adequately continue to cauterize the exposed tissues of the arms and legs.  
        6. Use drying and preserving powders and reposition prosthetics if necessary. 
        7. Begin suturing by creating small suture stations.  A suture station is a small knot of ligature in the skin joining the incision.  Suture stations should begin at the mid bicep region.  This will help the embalmer with alignment and help prevent drying powders from spilling out. 
        8. Wrap arm with bundle-wrap prior to placing in plastics and dressing.

NOTE:  Embalmer should use plenty of drying powder and very tight suture to keep the arm in the best possible position and best chance of staying dry.  Waxed ligature should be used in place of cotton unwaxed.  Waxed suture is much stronger and is less likely to break.