World War, 1914-1918 -- Personal narratives, American
He was conscious and mentally bright. “Hello, fellows,” he called out
to those who worked over him, and to the surgeon he said confidently:
“I’ve got a blighty, haven’t I?” Meaning a rest in a home hospital.
Even the surgeon thought so. The case was bad but the man seemed so
fit. Yet within an hour he was dead.
There was a sergeant, a hardworking, conscientious man, loved by his
fellows. A piece of shell got him as he lay asleep at the foot of a
dugout. Both feet were shattered. Within ten minutes the surgeons had
the man on the operating table, but he was another case of shock. He
died while they were working over him.
Shock has other ways of showing itself. A soldier, very badly wounded
in the chest and abdomen, was treated in the advanced dressing
station, and as he appeared to be normal in every way he was wrapped up
and sent in an ambulance to the evacuation hospital. Within a few hours
after he arrived, and when he was sleeping quietly, symptoms of shock
appeared.
He sat up in bed struggling and tearing at the bandages which covered
his chest. “Air!” he gasped. “I must have air! I can not breathe.”
Nurses and doctors surrounded the poor man, trying to alleviate his
intense agony. But they knew that this “air hunger,” as it is called,
was almost certainly a sign of rapidly approaching death.
The doctors had to find out what caused the conditions. They could not
tell by simply observing the shocked men. Too many of them died before
much observation could be made.
It did not help the doctors to observe that the blood pressure of such
patients went down and that most of the blood in their bodies seemed
to disappear. Where did it disappear? Nobody knew. The men’s pulses
stopped, their wounds ceased to bleed. Why? Why did they suffer this
awful air hunger? What relation had the low blood pressure to the
breathing capacity?
There was one way and one only for them to find out. They had to
anesthetize a great many guinea pigs, rabbits and other small animals
and subject them while unconscious, to conditions as nearly as possible
identical with those under which the men had developed wound shock.
Perhaps in future they will find another way. At present that is the
only way we have. Following experimentation they examined every organ
of the wounded animals, analyzed their blood, minutely studied them,
with the result that they know, if not all about wound shock, at least
something. They know a great deal about the causes and they are on the
track of the cure.
They know, for example, that tremendous changes take place in the
system following a battle. The men go into action with their hearts
beating abnormally hard and high. They are in a state of intense
excitement. When they are wounded there occurs a sharp reaction, both
mental and physical, partly because of the wound, partly because of bad
conditions which often precede going over the top.
Public-domain text, read in full here on John Shaqi.
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