Page A24
JULY 2017
FUNERAL HOME & CEMETERY NEWS
S ec t i on A
O
N
-L
INE
A
SSOCIATE
D
EGREE
I
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F
UNERAL
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ERVICE
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By Matt Black
Embalming
Tips & Tools
The Importance
of Hands (Part 7)
In our last installment, we reviewed pre-embalming
treatments of traumatized laceration wounds and su-
tures in the areas of the hands.
As we continue looking at pre-embalming techniques
for the hands, we will focus on abrasions. As mentioned
in prior installments, along with age comes thinning of
epidermal layer of the hands, however, we see abrasions
in all ages because the tissue of that area of the body is
extremely delicate and very prone to abrasion.
By definition, an abrasion is a wound caused by su-
perficial damage to skin, no deeper than the epider-
mis. There are dry abrasions and wet abrasions. A dry
abrasion is an area of dehydrated tissue that is dark and
rough and resembles a scab. A moist abrasion is an area
leakage. The area will be wet to the touch and can have
some bruising present.
When treating any type of abrasion, cleaning and dis-
infection are normal protocol. This should be followed
by spraying the hands with humectant arterial injection
accessory chemicals or massage cream. This helps pro-
tect the entire hand area and will prevent any crusting
or dehydration. Most dry abrasions can be treated with
these topical treatments followed by embalming process.
If scabs are present, it is advised not to remove them.
Most abrasions are very superficial and normally only
affect the epidermis layer of the skin. Wet abrasions of-
ten have seepage, raw skin or a small amount of bruis-
ing present. Spray the hands and the wet abrasion with
humectant arterial injection accessory chemicals or
massage cream. This helps protect the entire hand area
and will prevent dehydration of the raw skin.
Once we have topically conditioned the area, em-
balming can proceed. Normally embalming fluid will
reach these abraded areas and it will preserve the tissue.
Small amounts of arterial leakage can be present dur-
ing the embalming procedure. Since we have topically
Many times a case analysis needs to be re-assessed
to see if arterial preservation will reach these areas. A
frequent complication with burn victims is difficulty
with circulation and high preservation demands. We
have to remember we need a preserved, firm and dry
tissue for restoration and cosmetic treatment.
We are generally speaking of a 2nd degree localized
burn of the hands. A popular treatment is painting
the burned area with a formaldehyde preservative gel.
This treatment should be planned as a multi-step ap-
proach and should be done prior, during and after
embalming. This technique is an effective option and
causes very little bleaching effect.
Another pre-embalming technique is using a phe-
nol/ non-phenol cauterant pack wrap or a non-phenol
cauterant gel on the burned areas. The areas should
then be covered. This technique will have a bleaching
effect.
A popular technique used for damaged tissue in vari-
ous cases, including 2nd and 3rd degree burns on the
hands and elsewhere, is painting the burned areas of
the hands with a super gel mixture. The phrase su-
per gel has become well known in our industry and
refers to a mixture of formaldehyde preservative gel
and a phenol liquid cauterant mixed in stainless bowl.
This mixture can be used as pack or painted over the
burned area and covered. These pre-embalming treat-
ments for abrasion and burns can help with preserva-
tion and cosmetic applications.
In our next installment, we will discuss pre-embalm-
ing treatments prior to embalming.
conditioned, the entire hands are protected from the small
amount of leakage. A post embalming treatment may be
necessary if leakage or preservation problems were not ful-
filled during embalming.
Burns to the hands caused by heat, chemicals, electric-
ity or radiation are classified into 1st, 2nd and 3rd degree
burns. Embalmer discretion and case analysis is impor-
tant.
• 1st degree burns only cause redness of the epidermis.
This type of a burn is very superficial.
• 2nd degree burns have blisters and swelling (edema) to
the area. There is destruction of the tissue of the epider-
mis and dermis.
• 3rd degree burns destroy layers of skin and tissue. A
charring effect and destruction of the skin is present.
Preservation is the primary concern when faced with 2nd
and 3rd degree burns. Since we are dealing with pre-em-
balming techniques for burns of the hands only, we will
only focus on generalized location of burn not the total
system effects a burn can have on the body. Pre-embalm-
ing treatments depend on the degree of the burn. Burn
victims frequently will survive the initial burn event and
live for some time. Initial concerns are, depending on the
severity: severe infection, localized edema, trauma, char-
ring and loss of tissue.
General guidelines for pre-embalming treatments for
2nd degree burns include:
• Thorough washing, cleaning and disinfection of the lo-
calized burns on the hands. This can be performed with
a topical embalming spray and a germicidal soap.
• Spray the entire hand area with humectant arterial in-
jection accessory chemicals or massage cream. This will
help condition skin that is not damaged from topical
preservation treatment and will condition and protect
the skin. Remove these conditioners from the burnt tis-
sue only. Re-spray with topical embalming spray.
• If blisters are present, puncture pouches of liquid and
allow to drain. This can be accomplished with a trans-
dermal needle injection into the blister in a fan like
manner. This will allow drainage of liquid during arte-
rial injection.
Matt Black has been a licensed funeral director and embalmer
in the State of Pennsylvania for over 20 years. He represents The
Dodge Company in Central and Western Pennsylvania. In addi-
tion to being a graduate of the Pittsburgh Institute of Mortu-
ary Science, Matt also holds degrees in Bio-Medical Engineering
Technology and Industrial Management. Matt has also attended
the Fountain National Academy of Professional Embalming Skills,
Springfield, MO, and is licensed in eye and corneal enucleation. He
has presented at Dodge Embalming Seminars as well as numer-
ous local seminars in Pennsylvania. He can be reached by email at
mblack@Dodgeco.com. www.nomispublications.com Funeral Home & Cemetery News Contributors share insights and exchange ideas. BlogsMission Park to be more environmental-
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Continued from Page A4