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Difficult, Edema w/Jaundice, Edema Localized to the Face/Head with Moderate Edema & Severe Jaundice

Severe Jaundice / Moderate Edema –

Concentration 2.0%

Dilution – approx. 13-14 oz. per gallon solution (Using an 20-18 index arterial fluid, respectively). Use Dilution Calculator for all other indexes

Directions –

  1. Dissolve 1.5 cups Epsom Salt completely in 1 gallon of lukewarm water; keep in separate container.
  2. Pour 13-14 oz of 20-18 index arterial into embalming machine tank,
  3. 5-8 oz of capillary conditioner,
  4. 5-8 oz. of drainage chemical and
  5. 4 oz edema chemical. Next,
  6. Add .5-1 oz Dye (add as needed) finally,
  7. Add dissolved salt water up to 1-gallon total solution* (roughly 1/3rd tank using a 3 gal. tank). Pour through nylon stockings to filter un-dissolved salt crystals from entering embalming machine tank.

Repeat as necessary.  Use professional judgment, but approximately 1 gal for every 50 lb. of body weight should be considered. 

*Some manufacturers suggest against the use of Epsom Salt, but I’ve never had an issue with all the most popular machines on the market.

Recommended procedures:

Semi-lunar incision – allows gravity to drain edema from head, face and neck.

Elevate decedent – as vertical as possible allows gravity to work best.

Leave incision open as long as possible prior to dressing and casketing (other prep).