Body Bags

Fig 1. A body bag on a tray in a mortuary

    When one thinks of body bags one usually thinks of a black plastic bag with a large zipper down the front.  This is however not what I found them to be.

    The body bags in NSW are made of blue tarpaulin, as shown in figure 1.  I remember how surprised I was to find body bags were made of exactly the same stuff as the tarpaulin in my car.  Even down to the colour and feel they are identical.  Occasionally body bags will be made of brown tarpaulin, or a white or brown heavy cloth. This heavy cloth type is rare and more expensive, but some companies prefer it for nursing home or house transfers as it is a lot quieter than the tarpaulin bags.

    The other thing is that body bags do not have handels.  Well there are some with handels but these are rare.  This is because they are "noticeably more expensive" (as someone once told me) and as such groups like hospitals or funeral homes are reluctant to buy them.  The handels are made of seatbelt material and are stitched into the inside of cloth bags.

    Final thing is the zipper.  The zipper is not down the middle or at the front.  Instead it is on the side, slightly above the very edge of the bag.  This makes it much easier to get the bag under a body and then zip it up.  It means you do not have to lift the body into the bag but can simply roll the bag under the body.  This is great for small spaces, heavy bodies or just to save effort.  Plus having the zip on the side means it's less lightly to rip or break under stress.

    With infectious bodies some places use a special yellow body bag.  This bag is basically the same material as the tarpaulin type but a stronger and more leak proof material.  It is a great idea to use this bag as you immediately know by the bright yellow colour that the body is infectious.  However most places do not use these bags for whatever reason.

    Something I find interesting is that on the Australian Museum they have a section on body bags (where I got the picture).  On that page they say that there are special regulations for body bags and that extra precautions are taken for infectious bodies.  But in my experience I have seen bodies transfered while only wrapped in a plastic sheet and/or blanket.  Which apparently meets the legal and health requirements.  And with infectious bodies they are sometimes placed in a yellow bag or in two bags, but this is very rare.

    So that there's some information about the body bag.  It's not a black thing with a large zip on the front like in TV shows and movies.  It's most often a tarpaulin bag with the zip down one side.

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http://australianmuseum.net.au/image/Body-Bag

Funeral Terminology

    There is a bit of specific terminology in the funeral industry.  But actually not that much, especially when compared with other areas such as psychology, medicine, etc.


General Terminology:

• DC - Death Certificate, the original is essential with all burials and cremations.  Also used as authority to transfer a body.
• CC - Cremation Certificate, the original is essential with all cremations.
• Intrim - A temporary DC used to transfer a body.  It is not suitable for burial or cremation.
• NDY or Not Dead Yet - Someone who is soon to die and is arranging their funeral.

Transfer Terminology:

• Transfer - The process of moving a dead body prior to any service, such as collecting a body from the hospital to bring to the funeral home.  Or taking the body to the airport to be sent overseas.
• Transfer Vehicle, Ambulance Hearse - Although 'ambulance hearse' is a much older term often considered inappropriate by many, it can still be used.  Either way this is the vehicle used to transfer the body.  It is usually a white Toyota Hiace van.
• Ambulance Stretcher, Collapsible Stretcher - A stretcher used to transfer bodies.  It has collapsable legs, like an ambulance stretcher, which fold down and in with the use of a handel.
• One-Man Stretcher, Carry Stretcher - A stretcher used to transfer bodies.  It has no legs, instead only two wheels on the foot end of the stretcher.  It is much lighter and cheaper than the ambulance stretcher but the lack of legs makes it difficult to carry heavy bodies.
• Slide Sheets - Large slippery sheets made from parachute material.  They are used to slide or carry bodies about, often in small or awkward spaces.  Although these sheets are not cheap they are durable and reusable.
• Pat Slides - A flat, thin board, smaller than the average person.  It is used in hospitals and nursing homes as well to slide a body from the bed to stretcher.  Or to slide a body up or down small heights.
• Evacuation Pod - This is basically like a hammock that is sealed with buckles.  Used to move a body up or down stairs.  One person will hold the long handles at both the foot and head end which makes the weight even and controllable, even down steep stairs or slopes.
• Seat Slide - A cloth basket like carrier with four handles.  It is used to move a body from a seated position (such as on the toilet or in a chair) and onto the stretcher.
• Body Bag - A blue large plastic bag made out of tarpaulin like material used for containing and moving a body.  It has a long zipper from head to toe and can be unzipped so it is completely open.  Although most body bags are simple and have no handels lately there have been more with handels, and more cloth style body bags.
• Valuables - Anything on the body other than clothes.  Such as jewellery, pictures, watches, money, etc.  It does not have to be worth anything.  All valuables should be noted on the transfer sheet and in the mortuary book.
• ID Tag, Wrist Tag - An armband placed around at least one, but sometimes both wrists of the deceased.  There should always be at least one on the body at all times.  The wirst tag is similar to a hospital or club wrist band, plastic and secured with one press button that cannot be undone once fastened.  Some places use different colours to represent different things, such as yellow for valuables to be returned to the family and blue for valuables to stay with the body or red for no valuables.

Funeral & Hearse Terminology:

• Goose Neck - The stopper used in a hearse to keep the coffin in place.  It is slotted into special holes along the middle of the hearse and tightened with a horizontal screw with a rubber stopped on the end.
• Pegs - The small metal 'sticks' used to keep the coffin straight as it is loaded or unloaded from the hearse.  They have rubber on the top to prevent damage to the coffin.
• Ropes - The long flat ropes used to manually lower the coffin at the grave.
• Automatic Lower - A device used at the graveside to lower coffins automatically.  It can only be used on certain lawn graves.  Basically it uses clockwork style gears inside to keep the speed steady and slow.
• Wing Droos, Side Doors - When referring to the hearse this is describing the small doors on either side that open to the space under where the coffin sits.  The space underneath the coffin is completely hollow and designed to store things, these doors give access to that area.
• Coffin Bars - Long bars used to carry a coffin.  At least two are placed under the coffin, one at each end, and one person will carry the bar on either side.  This means at least four people will carry the coffin with both hands, which makes it much easier.
• Catafalgue - A special and specific object at crematoriums.  This is what the coffin is placed on at the crematorium, be it fixed to the front or movable and on wheels.
• Crypt, Vault - A special above ground 'burial' for the deceased.  Usually refers to a small stone building where four to ten coffins can sit on each level.  It sometimes has two levels, one on the surface and one underground.
• Cortege - The process of cars following the hearse.  They should (by law) have their lights on, but not hazard lights or high beams.  The cortege should also have right of way (by law) at roundabouts and other intersections without lights.  It is also highly illegal to cut-off a cortege, but this is difficult to prove or police.
• Police Cortege, Police Honour Guard - A special cortege which has police guiding it or blocking traffic at least part of the way.  Very rare now with few funerals having police escorts unless the deceased had direct ties to the police or was extremely important.  This type of cortege will often speed slightly and run read lights.  They will also follow each other a lot closer in this type of cortege.
• Family Car, Mourning Car - The car provided by the funeral company to transport the family, friends of the deceased or the priest or celebrant.  For example Greek Orthodox funerals must provide a free car for the priest, although they will often charge the family secretly.
• Zink Liner - A special inside lining made of zink.  It is used for international transfers or for coffins going into a vault.  The zink liner prevents fluids and gases getting in or out of the coffin.
• Grave Marker - A simple marker used to indicate where someone was recently buried.  It can be used temporarily or in lieu of a gravestone.  Most often it is a simple white wooden cross.

Mortuary Terminology:

• TP - A temporary, simple embalming of the body.  It is much quicker and easier than a complete embalm.
• Aneurysm Hook - Perhaps one of the most useful and versatile tools in the mortuary.  And it looks and feels great! With a flat hook on one end and a rounded scraper on the other it can be used in endless ways.  Plus the gap in the middle makes it great for tying suture corde to, this means the needle wont go falling off the table.
• Forceps - Scissor like tool that seals, grabs and clamps rather than cuts.
• Trocar - An ancient device used to inject and/or remove fluids from a body.

This is a picture of just about every tool used in embalming or the mortuary in general.  Starting from left to right at the top you can see the trocar, other similar fluid removing/adding tools, forceps and clamps and finally the different gauges of needles used for suturing and other such tasks.  On the second, bottom row we see scalpels, scissors, a few different aneurysm hooks, tweezers and finally different attachments for the trocar.

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The Slow Rise of Obesity

    Obesity and heavy bodies are becoming an increasing problem for the funeral industry.  Yes, on one hand it means a shorter life spane which is good for the industry.  But more importantly it is causing big issues and costing the whole industry a lot of time and money.  So here is a look at some changes being introduced to handle heavy bodies and why.

    Australia now has a higher number of obese people than America.  And there is countless evidence to show how Australians are getting heavier.  Indeed there is no doubt that the average weight is changing.  So the funeral industry, just like many other industries, will have to keep up with this change.

    Any body over 70kg is tricky to work with.  At 90kg they become difficult and require special attention.  The first issue we have with a heavy body is with the transfer. The transfer crew consists of two people.  Only two people and little special equipment.  This makes moving 90kg+ of dead weight very difficult.  And as I outline in the house transfers post most homes were not designed to move a body through.  Hence the saying "I hope they die on the ground floor".  So some of the first changes seen in the funeral industry are procedural changes dealing with transferring heavy bodies.  They are designing special courses solely dedicated to teaching staff how to safely move a heavy body.  These courses are targeted at western Sydney, such as Liverpool, Penrith, Eastern Creek, Paramatta, etc.  Obviously this is because there is a higher rate of obese people people in Western Sydney.  And truth be told all except for one of the heavy or obese bodies I have transfered were either from the coroners or from Westmead Hospital.

    I remember assisting the embalmer with a big guy from the Pacific Islands.  The skin on his skull was over an inch thick, and it should only be a few millimetres at most.  Usually the embalmer can work alone and have a body fully embalmed in about three hours.  However it took three of us about two days just to embalm him.  Then five of us another day to dress and coffin him.

    Special body bags and coffins for heavy or large bodies have always existed.  But their rate of use is increasing.  Now body bags with handles are becoming more common and are almost a regular site for many transfer crews.  One coffin manufacturer told me how he is making proportionately more oversize (OS) coffins than he did a few years ago.  He is also looking at different, more secure ways to attach the handles to coffins.

    Most normal OS coffins will fit in a hearse and most other spaces without too much trouble.  It might be a bit tight, but it can get about.  However the custom larger OS coffins are another story, some will not even fit in the hearse.  A transfer van is the only option for transporting a large OS coffin.  And nobody could carry it by handles, so no handles are attached (which also saves space).  They carry it on three to four long bars they place underneath the coffin.  This means there is always three to four people on each side, making it easier to carry.  However this coffin is too large for most cemeteries and crematoriums.  We struggle to fit something like that through a large door, having to go through the service garage door.

    Most of these large coffins do not fit in many regular crematoriums, either through the doors or in the 'burner' itself.  Just last year crematorium set about installing a spacial new 'burner' to cremate larger bodies.  It will have a bigger door and more space inside because they had a couple of bodies that would not fit in the crematorium.  They had to get the funeral director to re-coffin the body into a smaller custom made coffin with thin walls.  Squishing up the body to do so.  A regular 'burner' costs over $250,000 just to buy, let alone install.  So a special larger one will cost a lot more.  Yet it is obviously worth it and they will be one of the only crematoriums to have the larger accommodation.  The average burning time is about 3 hours for most bodies.  However they have had a couple in recent time who took 24-36 hours.  This is a big difference from most people.

    Recently the coroners at Glebe installed a special lifting machine over the lift we use to load bodies in and out of the coroners.  This lifting device is designed to move a body between the coroners trolleys and the transfer stretcher.  It is not just bolted onto the roof but has its own special frame built into the roof and has a weight rating of up to 400kg.  This would have easily cost tens of thousands to buy and install.  And the coroners had their last budget heavily slashed so much they had to reduce staff in some areas.  But again, just like the special cremator it is worth it.

    There were rumours that the cemeteries were considering increasing the size of grave plots.  You can buy larger plots, or double sized plots.  But the rumour was that they were looking at increasing the average size of plots.  And cemeteries are very space conscious.  They covert space and hold on to it with devotion, always desiring and devouring more.  After all, once a space is taken it will be decades before it may become open again.  Waverly for example is mostly closed, to buy a plot there would cost at least $70,000 for just one, if it is even available.  And selling space is worth a lot, they even take out or shrink roads to make space for more grave plots.  Others constantly try to expand into neighbouring national parks or empty land.  For the cemeteries to increase plot size would be to lose land, which is a massive issue for the cemetery.

    Overall many new procedures, technologies and attitudes are being developed to deal with the increasing number of obese people in Australia.  All at great cost, time and effort.  But in the end many organisations see it as worth it.

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