The Prevention of Epidemics

E. M. Hunt
1885 BMJ (Clinical Research Edition)  
034 TH-E JI MBQ4L JOUBNAL. hMrc 14, 1885.-.~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ II. perwn.-1. Ground Connective Tissue. a. PapiUmla flattewed. b. Tispue of fkoox of blister almqst homogeneous. 2. Capi1 ries. a. Contraction of capillaries. b. Contraction' of endothelial cell' c. Coagulation and fibrillation of contents. 3. Nerves. Remarkable distinctness of Meissner's corpuscles. III. Panniculhs Adiposus.-1. Ground-tissue unaltered. 2. Fatlobules unaltered. 3. Sweat-glands. Fusion of cells and
more » ... ibrillation ofspnteuts of ducts near surface of cutis vera. 4. Nerves. Doubtful 4w lliug of endoneurium. 5. Vessels. Doubtful excessive contraction of arteries. The recorded-morbid, appearances of death from lightning are notew,orthy,in general, on account of the absence of obyious internal lesionQ; in this they agree with the present case. Although at least twp, fatal cases have been reported in this country from the action of theq electrical fluid generated by machinery, yet we are, not aware that the p.athQlogisJ changes have been placed on record. "Lo9kiuag at the present increase in the application of electricity to v?iqoqg ppxpoees, it seems quite probable that fatal accidents will increqs,s among those who, from the nature of -their vocation, are daily .igaged among the complicated machinery. Important medicolegal questions may arise on the subject of a person found dead in the n~qighb,urhood of electrical machines or conducting wires. So, too, itis oufficien.tly .bvious that such an agent as electricity might-be Qmp.loy, 3y mlurdererg, cquainted with the working of electrical appar,$tus, and with the absence of traces of violence left by the action qf the current., It may, therefore, justly be said that a record of such cases is of importance, if, only to serve as references for future comparison, From the evidence of those who stood near, it would seem as though the man"were instantly deprived of life. No doubt the vital spots at the base of the brain are, in such cases, markedly implicated. The fluid pondition of 'all the blood, and. the uncontracted state of the heart, were quite striking, but. the naked eye appearances of. injuries like .these are surqetqobe obscure and negative in character, and it is only by the microscope that we can hope to: appreciate any of the minuter changes that occur. The condition of the blistered skin is verv peculiar, and differs from that of the ordinary burn-blister in several particulars. Such appearances would be quite recognisable on another occasion.
doi:10.1136/bmj.1.1263.534 fatcat:y4dcmcn2zfg5bkpe27iqn4f2qi