The Embalmer's Nightmare

Tissue Gas has been A nightmare for many an embalmer. Please give me a few of your ideas on the topic. I have written an indepth article on the subject. Please take a look at the excerpt. The Discussion Board holds the complete article along with the powerpoint presentation.  Let's get the conversation going. 





Tissue Gas Doesn’t Have To Be A Nightmare
By Mark E. Fisher, FSL
Copyright Claim #1-364916156
Preregistration # PRE000003316



Part 1


Introduction

Tissue gas can be one of the most difficult cases an embalmer will ever encounter. This article was derived not from an insane interest, but out of necessity. Between January 2008 and February 2009, I’ve encountered a total of 15 tissue gas cases, with one of those being the result of cross contamination of not properly disinfecting a trocar. Rather than giving up in defeat, I searched for a solution. These strategies and procedures proved to work and each case was viewable. So please don’t be afraid, try these methods when faced with your next tissue gas case and I guarantee success!

The Villain
Tissue gas is caused by a spore forming anaerobic bacterium called Clostridium perfringens, usually resulting in what can be referred to as the “Embalmer’s Nightmare”. This spore forming bacterium is a natural inhabitant of the gastro-intestinal tract. After death, the bacterium can spread rapidly, escaping from the gastro-intestinal tract to other body tissues. This is especially contingent when embalming is delayed or when the remains is under embalmed. It’s important to remember that tissue gas can be spread prior to, during, or following embalming; therefore, thoroughly disinfect and sterilize all instruments.

The problems caused by tissue gas can include the following: a very unpleasant odor of decomposition, serious distention of the eyes, tongue, face, and all body tissue; discolorations; and skin-slip. In severe cases the skin-slip can be extensive and the pressure of the gas can cause blood vessels at skin surfaces to become highly visible. In extreme cases, green and black discolorations of decomposition are present beginning in the abdominal region. Misdiagnosis, delayed treatment, or incorrect treatment can cause caskets to be closed, resulting in unnecessary anguish for families and even worse litigation!




Most tissue gas cases can be viewable. These special cases do require an additional amount of time and expertise, but don’t be discouraged. No practicing embalmer anywhere in the world can honestly say that he was born knowing how to embalm. We all started somewhere and had to gain knowledge on the subject matter.




After obtaining the basic knowledge we then learned basic practical application. In my opinion the only difference between basic practical application, moderate practical application, advanced practical application and extreme practical application is the experience level of the embalmer.




If we are never challenged by the “difficult case” where will our skill set go? Funeral service, especially embalming is an ever changing industry. If we are not constantly learning, then stagnation will certainly settle in.




Don’t be afraid of tissue gas, it is only a different condition that requires a different practical application. Welcome the opportunity to add a new challenge to your repertoire.

 

From this article I have been blessed to give this presentation on the International, National, State and Local levels.

I'm in no way saying that my techniques are the only techniques. There is always more than one way to skin a cat.

If interested in the entire article let me know.

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