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SUMMER 2014 Dodge Is Proud to Announce Our Partnership with WREATHS Across AMERICA SUMMER 2014 Dodge is proud to announce our partnership with WREATHS across AMERICA. WREATHS across AMERICA (WAA) is a program of coordinated wreath laying ceremonies on a specified Saturday in December at Arlington National Cemetery, as well as veterans’ cemeteries and other locations in all 50 states and beyond. Wreaths from the Worcester Wreath Company in Maine are placed on the graves of our fallen heroes by thousands of volunteers. The Dodge Company has deep roots in Maine that make this partnership especially meaningful. The Funeral Service WAA Tour includes visits to significant sites in and around our Nation’s Capital led by long time coordinator Sally Belanger. Join your Funeral Service colleagues for this rewarding experience! Want more information on the Funeral Service Tour? There are three ways to request additional information - contact your Dodge Representative, download the information from Dodge’s website: www.dodgeco.com, or contact our coordinator, Sally at: [email protected]. COME WITH A MISSION...LEAVE WITH A MEMORY! FUNERAL SERVICE TOUR DECEMBER 11-14, 2014 for additional information on the waa program VISIT wreathsacrossamerica.org/2014 © 2014 THE DODGE COMPANY SUMMER 2014 Volume 106 No. 3 SUMMER 2014 Quarterly Publication Dedicated to Professional Progress in Funeral Service CONTENTS Jaundice 4 Matt Black Presenting the Perfect Remains With Waterless Preparation 7 Bill Martin Embalming CJD Cases: The Facts 11 Karl Wenzel, CFSP, MBIE Disease of the Month: MERS-CoV 14 Kim Collison, MSA, M.T. (ASCP) The Cover Hawaii seashells - 16 Long-term Embalming photo by Kristie Dodge Steve Labrash, CFSP We’ll Do It Tomorrow 23 Dennis Daulton Editor Keith Dodge Searching For the Beautiful Question 25 Glenda Stansbury Assistant Editor Kristin Doucet I Have an Awesome Dragon and Courage is Her Name 28 Joy Johnson Contributing Editors Matt Black Formoids Bill Martin 30 Jacquie Taylor, PhD Karl Wenzel Kim Collison He Profits Most Steve Labrash 32 Jerome Burke Dennis Daulton Glenda Stansbury Published by Joy Johnson Jacquie Taylor The Dodge Company The Dodge Company (Canada) The Dodge Company Jerome Burke 9 Progress Road 1265 Fewster Drive, Mississauga Unit 15 Ardglen Industrial Estate Billerica, MA 01821-5731 Ontario, L4W 1A2 Whitchurch Hampshire RG287BB © 2014 The Dodge Company Phone: 1-978-600-2099 Phone: 1-905-625-0311 United Kingdom Printed in U.S.A. For Orders: 1-800-443-6343 For Orders: 1-800-263-0862 Phone: (011-44) 1256-893883 Fax: 1-978-600-2333/ Fax: 1-905-624-1109 Fax: (011-44) 1256-893868 The opinions expressed by contributors to this 1-800-443-4034 magazine are those of the authors and do not necessarily represent the opinion of the publisher. Website: www.dodgeco.com E-mail: [email protected] Most articles in this magazine are available as reprints at our cost. 3 Summer 2014 Jaundice by Matt Black Jaundice is one of the most challenging situations to using a preservative arterial solution. an embalmer can encounter. Failure occurs in Metaflow is in a class of its own. This unique embalming jaundice cases when there is poor accessory chemical is a Plasdoform-based chemical. preservation, a lack of dye, or a lack of accessory A special characteristic of the Plasdoform chemical arterial chemicals. In all embalming cases, is its similar consistency and molecular weight to preservation takes precedence over any cosmetic human blood. Metaflow is a chemical specifically issue due to discolorations. Cosmetic issues can be formulated to intensify embalming formulation covered with cosmetics, decomposition cannot! I receptiveness within the vascular system and the feel it’s always better to over-embalm than under- tissues beyond. Its conditioning factors include: the embalm a body. An under-embalmed jaundiced stimulation of drainage and circulation, the dispersal body is a time bomb. A pre-embalming analysis is of arterial obstacles, and the fortification of the a must for all embalming cases, but a jaundice case preservative action of embalming solutions. Metaflow adds a few more considerations. penetrates blood cells, restores permeability to cell The key to embalming is preservation of the membranes, prevents loss of tissue moisture, and tissue. Preservation can be regarded as complete releases toxic deposits from the cell, rendering them only when the arterial chemical used has penetrated non-toxic. It’s a powerful diffusing agent which the cells and achieved “firming” of the tissue. When increases the range of your preservative chemicals. the arterial fails to enter the individual tissue cells By using Metaflow correctly your worries about fully, these cells remain active and decomposition dehydration could be eliminated. As a pre-injection breakdown will continue. or co-injection Metaflow has neutralizing effects on The washing Preservation is the most important factor in drugs and toxins in the body. The effects of Plasdo-based arterial chemicals, technique of using embalming a jaundice case. Jaundice cases will present challenges in preservation because of high in terms of both controlled and gradual preservation, numerous gallons levels of nitrogenous waste, ammonia, drugs, allow us to overcome jaundice by staining the tissue of water and low edema, and a pH imbalance. The administered drugs and then preserving it. The Plasdoform molecule index fluid will and the drug therapy will change the permeability helps replace the bilirubin in the cell with the cause nothing of the cells in the body. This will offer an additional arterial dye prior to the denaturing of the cell, but waterlogged challenge for preservative chemicals trying to pass which keeps the embalming process from locking in the stain, which would then change to the green tissue and through the cell wall to cross-link these proteins. We have to remember that the longer we wait to biliverdin stain. The Metaflow Plasdoform cell numerous embalm, the more decomposition waste products has a superb ability to penetrate cell walls and to preservation and pH changes we see in the body. Not to mention achieve higher cosmetic values, as well as deeper issues on true that decomposition will generate more fluid in the seated tinting of the cells from the dye. The use of jaundice cases. body from the autolytic process. all Plasdoform chemicals from Dodge allows cells Your formaldehyde demands become very to be cosmetically dyed and preserved in a manner high in these challenging cases. You can dangerously from the inside out, in a gradual, controlled manner. under-embalm these cases while worrying about I like to call this a microwave concept. Just like a the jaundice color change. True chronic jaundice microwave cooks from the inside out, Plasdoform- causes a staining of the tissue. Once the tissue is based chemicals preserve from the inside out for stained there is no washing this stain out. We can total preservation. This allows the embalmer to cover the green tint and discolorations caused by control the rate of preservation on a gradual demand jaundice. But I haven’t found a cosmetic that covers basis and enables total cell penetration of dye and decomposition. The washing technique of using preservation, eliminating “walling off” caused by numerous gallons of water and low index fluid will some other types of arterial solutions. cause nothing but waterlogged tissue and numerous The use of Rectifiant is a must in jaundice cases. preservation issues on true jaundice cases. The average human body is more than 60% water, Distribution and diffusion of the chemicals with blood being around 92% water and muscle is the only way to get preservation. As we know, and brain being around 75% water. (waterinfo. distribution is physically injecting the chemical into org). If we look at weight statistics (gallup.com), the arterial system and moving the chemical out in 2011 the average adult man weighed 196 pounds into the tissues. Diffusion can be explained as the and the average adult woman weighed 160 pounds. full movement of the chemical into the cell tissue. I These average weights are up 20 pounds since believe the use of Metaflow and Rectifiant is a must 1990. If an average male weighs 196 pounds this for ALL embalming cases, not just jaundice cases. means that there is 118 pounds of water in him. These two chemicals can be used as a pre-injection One gallon of water weighs about 8.8 pounds. or a co-injection. After death 85% of the blood in So we can say that there is about 13.4 gallons of the body is in the capillaries. A pre-injection would water in an average adult male, before we even be a great way to prepare the vascular system, prior start embalming. This is why using Rectifiant is The Dodge Magazine 4 so very important in every embalming case. Just vascular pressure present. Why would we remove imagine the water/moisture levels in edema cases. the arterial fluid you just placed into the body during Rectifiant corrects and conditions the water in the embalming? A thorough aspiration is a must for any body and the water used in embalming. It will adjust case but I do recommend delayed aspiration. A dull and stabilize the pH and it helps neutralize drug or dirty trocar is also detrimental to the process of therapy and chemotherapeutic drugs. Rectifiant’s thorough cavity treatment. The goal while aspirating ability to neutralize ammonia, nitrogenous waste, is to remove the liquids and gases, and to puncture and urea are very important. Those three waste all the hollow organs. You should never ignore the products will neutralize formaldehyde. Rectifiant trocar. It is a valuable piece of equipment in the Some embalmers will alleviate color blotching and allow a smoother preparation room. It should be cleaned thoroughly have been tinting and counter-staining in a jaundice case.
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