November 2023

Page A16 november 2023 FUNERAL HOME & CEMETERY NEWS Section A AMRA INSTRUMENTS Researched, Developed and Patented by Funeral Directors Research,Inc. visit www.amrainstruments.com for links to our Supply Chain Partners ™ ® “DUNCAN STUART TODD KNEW WHAT WE NEEDED.THEY MADE IT SIMPLE IN HAVING THE TOTAL PACKAGE.” - THE WOOD MORTUARY PREPARATION ROOM Design + Equipment 720-583-1886 info@duncanstuarttodd.com www.duncanstuarttodd.com SINCE 1991 The past two articles have discussed preparing jaundiced and edematous bodies, which are some of the more difficult cases we face. To recap, the primary goal in preparing jaundice/edematous bodies is a thorough preservation of the tissue, treating the jaundice as well as reducing edema, and hopefully re-establish some level of color. As you start treating this type of affected body, it’s very important to continually observe your efforts as you proceed with your arterial injection. I strongly suggest preparing only one gallon of arterial solution at a time. This gives you the ability to make ‘on the go’ adjustments as you observe how the body is reacting. No two bodies are alike and are unique so they will react differently to embalming solutions because of the physiological differences of the tissue. Injecting using the RCI (restricted cervical injection) and injecting down from the right common carotid, I believe it’s important with your first gallon of arterial solution to keep your solution strength low (1.5-2%), so you don’t over-treat the cells and preventing them from accepting dyes. How much dye? That depends on the severity of the jaundice and the tissue’s receptiveness. I would start with 6 ounces of bright red dye per gallon and observe the nail beds or palms of the hands for color as your injection progresses. If you prefer more color, simply add additional dye. An internal red color is much easier to cosmetize than bronze or green! Without fail, it seems the body from the neck down will respond well to our embalming efforts…but it’s the head that seems to give us problems! With the consulting I do with other embalmers, next to significant facial trauma, I receive the most calls on treating jaundice/ edema. Similar to preparing infants…we have only one opportunity to get it ‘right’ and we can’t rush it! By Wally Hooker, CFSP, MBIE Following the hopefully ‘successful’ arterial injection downward using the RCI, I would suggest if you observed anything more than slightly jaundiced (if the sclera has any yellowish color), to flush it out with a pre-injection solution. I am at a disadvantage not being allowed to discuss the types of chemicals that have worked well for me. However, I am always available to share with you if you contact me. When pre-injecting upward through the right and left carotid arteries…low rate of flow and low pressure win the race. This is not the time to be in a hurry and push the limit. We are mindful of the possibility of swelling the delicate tissue of the eyes, lips as well as the face and neck, I suggest not restricting drainage to the head. We all know how quickly swelling can occur and the problems it brings. We suggested earlier, that jaundice fluids normally aren’t a high index chemical and may not be appropriate for the lower extremities, because they don’t offer adequate preservation strength for the demand of the tissue. However for injecting the head of a jaundice case the jaundice fluids may be adequate, at least for an initial injection. Remember, we don’t want to ‘wall off’ (over treat) the tissue which will inhibit the formaldehyde and dye to penetrate the cell wall to treat and counter-stain the color. Mixing a half gallon of jaundice fluid along with 4-6 ounces of dye would be a suggestion for initial injection to the head. Remember…low and slow with open drainage! Pay close attention to how the chemical and dye are working. If you are observing clearing and color diffusion, you are on a good path. Even with a color change you may not be achieving adequate firming or preservation. With half a gallon of solution you should be able to see progress half way through your tank mix. Stop and move to the cannula Embalming 101 to the left carotid to finish up your solution. Mix another half gallon of the jaundice fluids with enough dye, based on your preference of color. You can also ‘spike’ this injection to bring the percentage strength up to a level where you are getting the tissue fixation necessary for adequate preservation. I know this seems like an abundance of chemicals and many steps, but this is a difficult battle and we have to pull out all the stops if we are to succeed. Until next month, stay safe and remember…very few in your communities have the talents and abilities to preserve/reconstruct the dead and give them back to their families and friends for an open casket goodbye. Be proud to be a professional funeral service practitioner, walk with a little spring in your step, yet stay humble. Your community needs you, and you are indeed special…don’t ruin it by being a knucklehead! See you next month. Wallace P. (Wally) Hooker CFSP, MBIE, is the owner, funeral director and embalmer of Family & Friends Funeral Home of Wingate, IN. He and his wife, Janet designed, established and built their funeral home in 2004. Wally is a graduate of Worsham College of Mortuary Science, where he serves on the Advisory Board. He is Past President of the Indiana Funeral Directors Association and previous board member of North American Division of the British Institute of Embalmers. In addition, he has served as chief deputy coroner/investigator of Fountain County, IN for the last 24 years. FUNERAL HOME & CEMETERY NEWS www.NomisPublications.com Monthly Columnsonline at You Can Lead a Horse to Water... (Part 3) Continued from Page A12 Funeral Service Foundation Donations Service Foundation. “Not only are the funds raised truly impactful and essential to supporting funeral service, but it’s a terrific chance to connect and have some fun with friends all across the profession.” On the evening of September 11th, more than 250 of the Foundation’s donors, along with current and past trustees and volunteers, attended the invitation-only Donor Reception, which was underwritten by Global Atlantic Financial Group for the tenth straight year. Continued on page A20

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