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A Treatise on Gunshot Wounds · T. Longmore — chapter 11 of 12 · ~968 words · public domain

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=Longmore on Gunshot Wounds.= Longmore’s Gunshot Wounds. A Treatise on Gunshot Wounds. By T. LONGMORE, Deputy Instructor of Hospitals, Professor of Military Surgery at Fort Pitt, Chatham. In two parts. Part I., Gunshot Wounds in General. Part II., Gunshot Wounds in Special Regions of the Body. One vol. 12mo. 75 cts.

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FOOTNOTES:

Notes on the Surgery of the Crimean War, p. 104, J. B. Lippincott & Co.’s edition.

See Guy’s Hospital Reports, 3d series, vol. v., 1859—case of Gunshot Wound in the Loins, by S. O. Habershon, M.D.

The portion of cranium referred to, with the piece of ball weighing half an ounce, which lodged in the cerebrum, are in the museum at Fort Pitt.

In the Medical and Surgical History of the War against Russia in the Years 1854–55–56, published by authority, vol. ii. p. 265, the physical effects of concussion in producing “shock” are strongly dwelt upon. It is remarked: “The shock of the accidents frequently witnessed by the military surgeon differs, often in a very material degree, and possibly in kind also, from that witnessed in civil life. When a cannon–shot strikes a limb and carries it away, the immense velocity and momentum of the impinging force can scarcely be supposed to have no physical effect upon the neighboring or even distant parts independent of, and in addition to, the ‘shock,’ in the ordinary acceptation of the term, which would result from the removal of the same part by the knife of the surgeon, or the crushing of it by a heavy stone or the wheel of a railway wagon. * * In the great majority of cases, the whole frame is likewise violently shaken and contused, and, probably, independent of these physical effects, a further vital influence is exerted, which exists in a very minor degree, if at all, in the last–named injuries, and may possibly depend upon the ganglionic nervous system.”

M. Scrive gives the following as the weight of the linen dressings consumed by the wounded of the French army in the campaign in the Crimea:—

English weight. tons. cwt. qr. lb. Linen cloth 101,779 kilogrammes = 100 2 1 23 Rolled bandages 46,446 ” = 45 13 2 14 Charpie 47,776 ” = 46 19 3 4

And estimates the following as the proportion consumed by each of the wounded:—

English weight avoirdupois. lb. oz. dr. gr. Linen cloth 2 kil. 482 grammes = 5 7 0 10 Rolled bandages 0 ” 891 ” = 1 15 7 13 Charpie 1 ” 181 ” = 2 9 11 0 —————————— —————————————— Total 4 ” 554 ” = 10 0 2 23

In an Army Medical Department Circular, dated 27th May, 1855, it was announced that the Secretary of State for War had decided the following “Field Dressing” should form part of every British soldier’s kit on active service, so as to be available at all times and in all places as a first dressing for wounds:—

Bandage of fine calico, 4 yds. long, 3 in. wide. Fine lint, 3 in. wide, 12 in. long.

Folded flat and fastened by 4 pins.

Perchlorure de fer, 30 drops, two or three times daily as a tonic, and diluted with six parts of water as an injection.

Dict. des Sciences Méd., Paris, 1813, p. 217.

See Edin. Med. and Surg. Journal, vol. xiv.—Case of gunshot wound of the heart, by J. Fuge, Esq.

For 1855, vol. i. p. 606, and vol. ii. p. 437.

Bulletin de l’Académie Impériale de Médecine, 24th April, 1860. See also Des Amputations consécutives à l’Ostéomyélite dans les Fractures des Membres par armes à feu, par M. H. Baron Larrey, Paris, 1860.

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