Case Analysis: Normal, Autopsy, Child, 2-12 yrs

Child 2-12 years

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. For ages 2-5 Mix 1 oz. of 18-index arterial fluid with every 9 oz. water, add an ounce of humectant fluid. For ages 5-10 mix 12.5 oz of arterial fluid to 1 gal solution.
  2. Use appropriate size cannula / arterial tube.
  3. If a cannula is to be used along with an embalming machine, be certain the machine is well calibrated and works properly.  Older machines have gauges that may fluctuate rapidly. 
  4. Open the autopsy incision and remove detached viscera and treat in a separate container or bag with at least 32 oz. of Cavity fluid.  Dissect all viscera with surgical scissors to allow cavity fluid to penetrate more readily.
  5. Inject Common Illiac arteries first.
  6. Inject Axillary arteries next.  The hands should be in a relaxed position and not folded as an adult’s hands.
  7. Next, remove the calvarium cap and then inject the left Common Carotid arteries one at a time.  Leave the artery of the Circle of Willis open until the blood-filled artery clears and formaldehyde is evident.  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.
  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.
  9. Feature setting – Do not use needle injector, mouth formers or ligature to close the mouth.  Mouth closure (if necessary) can be easily performed with Aron Alpha or other instant adhesive with young children.  With an older or larger child a dental tie or sublingual suture should be used to secure the mouth closed.. 
  10. With scalpel blade dissect intercostals, separating each rib.  This exposes all untreated muscle and tissue.  
  11. Treat cavity and exposed tissues with a cauterant chemical that contains phenol.  This will better preserve and dry the tissue.
  12. Treat the cavity with preservative powder / Hardening Compound
  13. 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.  
  14. Powder each organ as it’s individually placed back into its proper place.
  15. Replace throat if necessary with cotton.  
  16. Protect the throat with a plastic lining.  This will also serve as a barrier against fluids and odors.
  17. Replace breast plate and powder.
  18. Suture incision – “Y” incision; gather the 3 junction-points together at the center of the “Y” and continue suturing towards pubic bone. Next with one piece of ligature, begin suturing from the right shoulder passing the junction point and continuing up to the left shoulder.  “I” incision; being at the superior most portion of the incision and suture inferiorly.
  19. Treat inside of scalp with phenol or formaldehyde gel
  20. Glue calvarium in place with instant adhesive such as Aron Apha.
  21. Scalp may need to be glued into place if the skin is too thin. Bathe and clean