Chapter 1013 - 949: Confirming the Murderer
"Captain Jiang, it’s been cut open."
Shen Yaowei sawed through three saw blades before finally opening the inner and outer tables of the victim’s skull.
Jiang Yuan put down his teacup, sighed, and began to put on his coat, gloves, and head cover, then picked up a T-shaped chisel and wedged it into the cut skull with a "crack," prying it open.
Only then did Shen Yaowei stand up, sought someone to help wipe off his sweat, and said, "It’s like sawing open two boxes of coconuts; my arms are sore."
This job is indeed quite similar to opening coconuts: first, cut open the skin on the outside, then saw through the hard shell, and then you can see the soft contents inside.
Jiang Yuan first carefully observed the dura mater beneath the skull. The dura mater is a thin layer of membrane similar to the white coconut flesh exposed after prying open a coconut.
The most common and basic operation in neurosurgery is the evacuation of a subdural hematoma, which involves cutting open the patient’s dura mater with the purpose of clearing clots or relieving pressure. It is a procedure that sounds sophisticated but actually has a moderate technical content, and many lower-level hospitals have voluntarily or out of necessity started performing this type of surgery.
Because the evacuation of a subdural hematoma is often an emergency procedure, in layman’s terms, it is needed when one hits their head, the head is smashed, kicked by a donkey, etc. Many local health commissions require that within a XX-kilometer radius of a city, there must be a hospital capable of performing it, to prevent patient deaths due to transfer.
For a forensic doctor, subdural bleeding is also a great indicator.
In most cases, the presence of subdural bleeding can be used to explain the cause of death. Even if the deceased had other conditions leading to death, a large clot inside the brain is still a factor to consider.