Embalming III Course 2306.2 - Exam 1 Flashcards

organ and tissue donation

the process of surgically removing an organ or tissue from one person (the donor) and placing it into another person(the recipient)

- Uniform Anatomical Gift Act (UAG Act)

- Organ Procurement and Transplantation Network (OPTN)

- US Food and Drug Administration (FDA)

federal legislation of organ and tissue donation includes:

- Heart

- Lungs

- Liver

- Kidneys

- Pancreas

- Intestines

commonly donated organs (6):

- Eyes (parts or whole)

- Blood vessels

- Cartilage

- Skin (partial and full thickness)

- Bone

- Pericardium

- Soft tissues

commonly donated tissues (7):

organ donors

- Must be brain dead

- Must be on a ventilator

- Heart must be beating (to keep organs viable – then heart is taken last)

- Time is of the essence!

- Procurement is done surgically in a medical setting

tissue donors

- Not on a ventilator

- No cardiac or respiratory activity

- Timeline is more flexible (within limits)

- Procurement is still done surgically

- Options for procurement setting/location (Hospital, OPO/Procurement facility, Funeral home prep room)

- midline

- U or V incisions

recovery incisions for organ donors include:

higher index/stronger

when embalming an organ donor it is best to use a __________ ________/_________________ embalming solution

enucleation

removal of the whole eye

- cornea

- sclera

tissue donation of the eyes include:

eye donors

- protect surrounding area (massage cream)

- use moderate to strong embalming solution

- avoid pre-injection and humectants

- use restricted cervical injection

- partial/split thickness recovery

- full thickness recovery

the two types of skin donation:

partial/split thickness recovery

- Thin layers of skin

- Completed with a dermatome

- Recovered from numerous locations

full thickness recovery

- Dermal and adipose layers

- Completed free-hand with a scalpel

abdomen, back, and thighs

full thickness recovery is often recovered from:

skin donors

- treat area with phenol-based liquid or gel

- use a stronger solution during arterial embalming

- allow treated areas time to dry thoroughly

- once dry, treat as needed (absorbent pads, powders, plastic sheeting, plastic garments)

- Humerus

- Femur

- Tibia

- Fibula

- Iliac crest

- Rib

- Radius

- Ulna

bones typically recovered (8):

autopsy

a postmortem examination of the dead human body(organs and tissues) to determine cause of death and/or pathological conditions

necropsy

autopsies are also known as:

a hospital

medical autopsies take place in:

medical examiners or coroners

medicolegal/forensic autopsies are performed by:

- to confirm or verify a diagnosis

- when death follows unexpected medical complications

- when death follows use of an experimental drug, treatment, or therapy

- when death follows a surgery

- when death follows childbirth

- when there are concerns about a disease (contagious, hereditary, etc.)

situations in which a medical autopsy is performed:

false

families do not have to consent to a medical autopsy (t/f)

true

families do not have to consent to a forensic autopsy (t/f)

- to determine the cause of death

- to determine the manner of death

- establish the time of death

- confirm identification

- provide evidence and information to legal authorities

situations in which a forensic autopsy is performed:

- partial autopsies

- full autopsies

the two types of autopsies:

- specific region

- specific cavity

the types of partial autopsies:

- external

- cranial cavity

- abdominal and thoracic cavities

- pelvic cavity

- neck

- eyes

- spine

full autopsies include examination of:

- Y-incision

- cranial/scalp incision

autopsied cases will often have these two types of incisions when you receive them:

stronger

autopsied cases require a _____________ than normal solution due to the likely greater preservative demand

waterless

consider a _________________ solution for autopsied cases

inferior; superiorly

start ____________ and work ________________ when injecting autopsied cases

legs - standard to high pressure

arms - standard to higher pressure

head - lower pressure

types of pressure used for each segment of the body:

- adhesive

- musculature sutures

- calvarium clamps

methods of reattaching the calvarium:

- breasts

- buttocks

- shoulders/neck

- flaps of the open cavity

treat certain areas with hypodermic and/or surface embalming to ensure preservation:

- bag method

- stack/layer method

the two options for returning the treated viscera to the body:

- baseball suture

- worm/inversion suture

options for suturing the scalp closed:

right; left

when suturing the cranium start behind the __________ ear and finish (tie it off) behind the ________ ear.