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OCTOBER 2013
FUNERAL HOME & CEMETERY NEWS
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John A. Chew is a Funeral Service Education Specialist, Con-
sultant, Tutor, Thanatogeneticist, and a Licensed Funeral Direc-
tor and Embalmer. He is a retired former Associate Professor and
Director of Funeral Service Education at Miami Dade Community
College as well as the Institute for Funeral Service Education and
Anatomy at Lynn University (1967-1997). He is presently Director
of Education at Embalmers Supply Company, Recinto De Ciecias,
Medicic, UPR, ESCO/OMEGA, and the Academy of Restoration
and Embalming.
By John A. Chew
Guidelines for Veins Used for Drainage or Injection
for Embalming
Internal Jugular Veins
An imaginary guideline for the internal jugular veins is
from the sternoclavicular articulation to the ear lobes, an-
gles of the mandible or the mastoid processes of the tem-
poral bones. The internal jugular veins lie lateral and su-
perficial to the common carotid arteries.
Brachiocephalic or Innominate Veins
An imaginary guideline for the Brachiocephalic or In-
nominate veins is from a point just posterior to the ster-
noclavicular articulation and posterior to the right margin
of the sternum at the first intercostal space. Improper po-
sitioning of the neck obstructs the flow of blood through
these veins during the embalming process creating discol-
orations in the face and/or frogging of the neck.
Superior Vena Cava
An imaginary guideline for the Superior Vena Cava is
from a point just posterior to the sternum in the first inter-
costal space to a point to the right margin of the sternum
at the third intercostal space. It enters in the formation
of the right atrium of the heart. This is the site of impor-
tance to the practitioner who must retrieve blood samples
from tissue donors. A vacuum hypodermic is used to take
blood samples of donors. The needle is inserted medial-
ly between the second and third intercostal space. Some
practitioners will draw blood just interior to the medial
portion of the Poupart’s ligament (see femoral).
Axillary Vein
An imaginary guideline for the Axillary Vein is a point at
Embalming
Technology
(Part 11)
Lateral boundary – the base of the axillary space is the
connecting points where the pectoralis major and the la-
tissimus dorsa muscles blend into the arm.
Inguinal ligament (Poupart’s ligament) boundary – An
imaginary guideline from the anterior superior crest of
the iliac spine to the Symphysis pubis.
Scarpa’s Triangle (Femoral Trigon) Region
Superior – Inguinal or Poupart’s ligament; Laterally –
Sartorius muscle; Medially – Adductor Longus muscle;
Posterior – Iliac (Psoas, Pectineus, Adductor longus).
Hunter’s Canal Region
An aponeurotic space in the middle third of the thigh,
extending from the apex of Scarpa’s triangle (where the
Sartorius and adductor longus converge) to the femoral
opening in the Adductor magnum muscle. It is bound-
ed externally by the vastus internus muscle and internal-
ly by the adductor longus and adductor magus muscles.
The Femoral Artery and vein are covered (protected) by
a strong aponeurosis (flat tendon) which extends trans-
versely across the vessels.
Popliteal Region
Inferior lateral boundary – Medial border of the lateral
head of the gastrocnemius (lateral condyle of the femur);
Inferior medial boundary – Lateral border of the medial
head of the Gastrocnemius (medial condyle of the femur);
Supra – medial boundary – medial border of the semi-
membranosus muscle; Supra – lateral boundary – medial
border of the biceps femoral. The popliteal artery and vein
pass through the diamond shaped popliteal space.
Embalming Technology (Part 12) will deal with Ana-
tomical Positioning of the Body and the Analytical Ap-
proach to Embalming.
the middle of the lateral boundary of the base of the axillary
space to a point at the center of the axillary space (hairline).
It is a continuation of the Brachial/Basilic vein which termi-
nates at the outer border of the first rib (infraclavicular fossa).
Brachial/Basilic Vein
An imaginary guideline for the Brachial/Bacilic Vein is
along bicipital groove between the biceps and triceps mus-
cles. The vein lies above the brachial artery and provides a vi-
sual landmark for the artery.
Inferior Vena Cava
An imaginary guideline for the Inferior Vena Cava is a point
1 inch inferior to the umbilicus and right of the vertebra col-
umn and extends inferiorly 6-8 inches sloping laterally from
the midline approximately 1 inch. The inferior vena cava bi-
furcates at the third and fourth lumbar vertebrae. To be cor-
rect, the origin of the Inferior Vena Cava is the union of the
right and left common iliac veins at the third or fourth lum-
bar vertebrae. The venous system begins at the most distal
points and flows toward the heart.
Common Iliac and External Iliac Veins
An imaginary guideline of the Common Iliac and External
Iliac is from a point ½ inch medial to the middle third of the
inguinal ligament (Poupart’s ligament) to a point one inch
below the umbilicus and slightly to the right of the vertebrae
column (lumbar vertebrae). The lower half of these guidelines
represents the external veins iliac and the upper half repre-
sents the common iliac veins.
Femoral Veins
An imaginary guideline of the femoral veins is from the me-
dial epicondyle of the femur (knee joint) to a point ½ inch me-
dial to the middle third of the inguinal ligament (Poupart’s liga-
ment) – the upper 2/3 represents the femoral vein. A vacuum
hypodermic is used to take blood samples of donors for testing.
Anatomical Regional Boundaries Associated with the
Vascular System
Axillary Region
Anterior boundary – forms the base of the axillary space
found within the fold of skin which envelopes the lateral bor-
der of the pectoralis major muscle.
Posterior boundary – forms the base of the axillary space
found within the fold of skin which envelopes the lateral bor-
der of the latissimus dorsa muscle.
Medial boundary – the base of the axillary space is where the
pectoralis major and latissimus dorsa muscles blend into the
chest wall.
By Todd Van Beck
Humor & Death
On the surface, it would seem that humor and death
are literally opposites of human emotions and experi-
ence. I have found nothing really funny about death,
although some of the most hilarious events in my life
and career have indeed happened on funerals.
There seems to be nothing funny about the painful
emotions that death creates, namely deep profound
acute grief – nothing funny about pain and grief.
Grief hurts; death can be terribly untimely, unexpect-
ed, and inappropriate, even though the death rate is
always 100%.
I have long felt that people have a natural built
in fear of death. This seems a good thing in a way.
A respectful fear of death certainly teaches people
to avoid needless dangers in life. However, learning
about death’s fearful possibilities is not something
we are born with, it is developed learning. In the ab-
sence of this type of learning people grow up with
the meaningless idea that death has nothing to do
with them, and if and when the subject pops up, hu-
mor is often used to distance a person from a subject
that they are fearful of and hence causes them anxi-
eties, and few if any people want to feel anxious. We
have learned to laugh at death, laugh in the face of
death, laugh at death’s power, and laugh at people
whose calling in life is to minister in death’s world.
Laugh, make sport, ridi-
cule, make jokes, laugh,
laugh, laugh.
We have done an ex-
cellent job in making up
an entire language that
makes fun of grief and
death. Add to this that
certain comedians make
big money and get big
laughs on this subject,
and the conclusion can
easily be made that laugh-
Charbonnet-Labat-
Glapion Funeral Home
takes delivery of new
Mercedes
NEW ORLEANS,LA—
Louis Charbonnet
(right), of
Charbonnet- Labat- Glapion Funeral Home
and
John
Muster
(left),
Muster Coaches
, are shown with Mr. Char-
bonnet’s new Mercedes Sprinter Van/Limo just after deliv-
ery. Charbonnet’s has been a family owned and operated
funeral home in New Orleans, LA, for over 100 years.
Todd Van Beck