Morgue Mystery: Why Are Mouths Closed?

do hospital morgues close mouths for veiwing

A morgue, or mortuary, is a place used for the storage of human corpses awaiting identification, autopsy, burial, cremation, or other methods of disposal. In hospitals, morgues are often located near loading docks for easy transportation. While the term 'morgue' is predominantly used in North American English, 'mortuary' is the preferred term in the UK. In some cases, euphemisms such as Rose Cottage or Rainbow's End are used in British hospitals to enable discreet discussions in front of patients and visitors. Hospital morgues can vary in size, with larger hospitals having the capacity to store more than 15 bodies. The bodies are typically kept at low temperatures to delay decomposition. While the mouth closure of corpses in hospital morgues may vary depending on cultural and religious practices, the primary focus is on respectful handling and preservation until burial or cremation.

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Reasons for closing mouths: to prevent decomposition and for religious rites

In modern times, corpses are refrigerated to delay decomposition. Refrigeration is not a new concept, as ancient societies would store ice in cold chambers to preserve their dead. Freezing bodies (cryonics) will prevent decay, and in many countries, the family of the deceased must bury their dead within 72 hours of death. However, in some countries, burial takes place several weeks or months after death. This is why some corpses are kept for up to one or two years in a hospital or funeral home.

To further delay decomposition, bodies are kept at temperatures between 2°C and 4°C. While this slows decomposition, it does not prevent it, which continues at a slower rate than at room temperature. To prevent decay for longer, bodies are kept at temperatures between −10 °C and −50 °C.

The time it takes for a body to decompose depends on climatic conditions, such as temperature and moisture, as well as accessibility to insects. Insects can be excluded from a body by deep burial, protective wrapping, and sealed crypts. If insects are excluded, a body will decompose much more slowly, as maggots are the most voracious flesh feeders.

The natural state of a dead body is for the mouth to fall open. To close the mouth, external means must be applied, such as wiring the jaw shut, sewing the lips, or placing something under the chin. Rigor mortis can also cause the jaw to clench shut temporarily. In the United States, it is customary to close the mouths of the deceased.

While I cannot find specific information on religious rites requiring closed mouths, some religions dictate that the family must witness the cremation of their deceased family member.

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Temporary morgues: set up during the COVID-19 pandemic

A morgue or mortuary is a place for the storage of human corpses awaiting identification, autopsy, burial, cremation, or other disposal methods. Typically, corpses are refrigerated to delay decomposition. However, the COVID-19 pandemic resulted in an unprecedented number of fatalities, overwhelming permanent morgue capacities and necessitating the establishment of temporary morgues worldwide.

During the COVID-19 pandemic, numerous temporary morgues were hastily established to accommodate the surge in fatalities. These temporary facilities were set up in various locations, including council gritting yards, nature reserves, beauty spots, airports, and even ice rinks or refrigerator trucks. Local councils owned and managed these temporary morgues, supporting hospitals that had reached their storage capacity. For instance, a temporary mortuary near Summer Leys, a nature reserve in Northamptonshire, was utilised to aid Northampton and Kettering General Hospitals. With a capacity of 1,100 bodies, this site was reopened to address the surge in excess deaths and provide dignified treatment for the deceased.

The COVID-19 pandemic highlighted the need for contingency measures to manage excess deaths and mortuary capacity issues. The Human Tissue Authority, responsible for regulating body storage in the United Kingdom, issued a national alert regarding mortuary capacity issues. Hospitals that typically handle a certain number of deaths annually found themselves overwhelmed, necessitating the establishment of additional refrigeration units. For example, the Royal Liverpool Hospital set up two extra refrigeration units in their car park to manage the increased demand.

The establishment of temporary morgues during the COVID-19 pandemic was a global response to the overwhelming number of fatalities. These temporary facilities provided crucial support to permanent morgues and hospitals, ensuring the respectful treatment and storage of the deceased until burial or cremation could take place. While the world hopes to leave the pandemic behind, the legacy of its impact on healthcare systems and the measures implemented to cope with the surge in deaths will be long-lasting.

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Hospital locations: often near loading docks for transport ease

A morgue, or mortuary, is a place used for the storage of human corpses awaiting identification, autopsy, burial, cremation, or other methods of disposal. In modern times, corpses are typically refrigerated to delay decomposition. In some cases, bodies are even frozen.

Not all morgues are located in hospitals. Some are public mortuaries in stand-alone buildings, while others are found in hospitals. Hospital morgues may only perform post-mortems on patients of that hospital, and some don't even perform post-mortems, instead transferring the bodies to public mortuaries.

In hospitals, morgues are often located near loading docks, as this makes it easier to load corpses into vehicles for transport. This is especially important in the case of temporary morgues, which may be set up in refrigerator trucks that can be transported to where they are needed. This spares the burden of otherwise having to quickly transport large numbers of corpses over great distances.

The location of morgues near loading docks also raises security concerns, as these areas are often used for the pickup of hazardous materials, such as chemicals and used hypodermic needles. Additionally, active shooters have entered hospitals through unsecured loading dock doors in the past. As such, it is important to implement measures such as surveillance cameras and vendor management systems to control vehicular access to and from loading docks.

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Euphemisms: 'Rose Cottage' and 'Rainbow's End' are used in British hospitals

In British hospitals, the euphemisms "Rose Cottage" and "Rainbow's End" are sometimes used to enable discussions about death in front of patients and visitors, the latter mainly being used in front of children. The terms are used to avoid upsetting patients and visitors by making direct references to death and the morgue. For example, a tannoy announcement may say: "Can a hospital porter please go to bed 10 on Ward B. Cyril Jarvis needs to be taken to Rose Cottage, thank you."

The term "morgue" comes from the French and was first used to describe the inner wicket of a prison. In modern times, corpses are usually refrigerated to delay decomposition. In some countries, burial takes place within 72 hours of death, but in others, it is usual for burial to take place several weeks or months after death. This is why some corpses are kept for up to one or two years in a hospital or funeral home. In some jurisdictions, refrigerated spaces such as ice rinks or refrigerator trucks have been used as temporary morgues to handle a higher-than-usual number of fatalities.

The term "mortuary" dates back to the early 14th century, deriving from the Anglo-French "mortuarie", meaning "gift to a parish priest from a deceased parishioner". The meaning "place where the deceased are kept temporarily" was first recorded in 1865 as a euphemism for the earlier English term "deadhouse". In the UK, the term "mortuary" is preferred over "morgue", although both terms are used interchangeably. An auxiliary person responsible for the care of the deceased is known as a mortuary assistant or diener, while a person qualified in the evisceration and reconstruction of the deceased is called an Anatomical Pathology Technician in the UK.

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Storage: corpses are kept between 2°C and 4°C

A morgue or mortuary is a place used for the storage of human corpses awaiting identification, autopsy, burial, cremation, or other methods of disposal. In modern times, corpses are refrigerated to delay decomposition. While this does not prevent decomposition, it does slow it down.

The storage temperature for corpses is typically maintained between 2°C and 4°C. This temperature range is suitable for storing bodies for several weeks. In some cases, corpses may be stored for longer periods, ranging from a few months to up to one or two years, depending on cultural practices and the financial situation of the deceased's family.

The location of morgues can vary. Some are located within hospitals, while others are stand-alone public mortuaries. Hospital morgues may only perform autopsies on their patients, while public mortuaries serve anyone who dies unexpectedly in the community. In some cases, temporary morgues may be set up during emergencies or pandemics, utilising spaces such as ice rinks or refrigerator trucks.

The layout of a morgue can differ based on the hospital and its available space. Some morgues have small walk-in coolers, while larger hospitals may have autopsy tables and more extensive storage facilities. The primary goal of a morgue is to provide a respectful and safe place for the deceased while they await their final disposition, whether it be burial, cremation, or other cultural practices.

Frequently asked questions

It is not known whether hospital morgues close mouths for viewing as it depends on the hospital and its practices. However, hospital morgues are used for the storage of human corpses and are usually located in the basement of a hospital, near the loading docks for easy transportation.

The terms morgue and mortuary are often used interchangeably, but in North America, the term "morgue" is predominantly used, while in the UK, the term "mortuary" is preferred.

A morgue is a place used for the storage of human corpses awaiting identification, autopsy, burial, cremation, or other methods of disposal.

Yes, there are permanent and temporary morgues. Local jurisdictions typically only support sufficient permanent morgue capacity to handle the expected number of fatalities. Temporary morgues, on the other hand, are set up to handle isolated local incidents or, in the case of the COVID-19 pandemic, global emergencies.

Bodies in a morgue are typically kept at temperatures between 2°C and 4°C to slow down decomposition. For longer-term storage, temperatures between −10°C and −50°C are used.

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