A Treatise on Gunshot WoundsLongmore, T. (Thomas), Sir
History
A Treatise on Gunshot Wounds
Longmore, T. (Thomas), Sir
Gunshot wounds
Much has been written on the comparative surgical effects of
bullets of various weights and sizes; but these qualities do not,
on consideration, excite so much practical interest in the mind
of the surgeon as it might at first appear they are calculated
to do. Some very heavy bullets were used by the Russians in the
defense of Sebastopol, nearly one–third heavier than any employed
by the troops opposed to them. Such bullets, if of like form and
density, and propelled with equal velocity, would obviously inflict
injuries—especially against osseous structures, which offer great
resistance—wider in proportion to their greater size and momentum; but,
in respect to simple flesh wounds, the increased size of the wound
left by the larger ball would make little difference in the gravity
of the wound, or the time required for its cure, while the escape of
foreign substances, which it might happen to carry with it, would be
facilitated by the freer means of exit and increased discharge from
the surface. Mr. Guthrie mentions that, having had a wide field for
observation in the effects of the heavy British musket–ball, sixteen
to the pound, on the French wounded, he did not think them more
mischievous in their results than the French musket–balls, twenty to
the pound, on the English soldiers; while the advantages of carrying a
lighter musket and greater number of rounds of ammunition were on the
side of our adversaries. It is understood that in warfare the object
is not so much to destroy life as to disable antagonists, and the
smaller size has been supposed to be fully equal to this object by the
British military authorities of the present day; for in the weapon most
recently given to the troops, the Enfield rifle, the weight of the ball
has been reduced two drachms and a half below that of the ball with the
Minié, previously in use. After all, within the moderate limits which
must be preserved to suit the circumstances of infantry soldiers, the
form and velocity of musket–balls must be the qualities of interest to
the surgeon in connection with the wounds inflicted by them, rather
than their weight or size, as with projectiles from guns of large
caliber.
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