A Treatise on Gunshot WoundsLongmore, T. (Thomas), Sir
History
A Treatise on Gunshot Wounds
Longmore, T. (Thomas), Sir
Gunshot wounds
Double bullets, linked together by a spiral coil of wire, something
after the manner of chain cannot–shot, were introduced by the Russians
during the war in the Crimea. Specimens of these bullets were found
about the works around Sebastopol, but no injuries received from them
have been recorded; although, after the discovery, peculiarities in the
characters of some wounds, which had not previously been satisfactorily
accounted for, were supposed to have probably resulted from them. It
seems likely, however, that, when discharged, the divergent forces
impressed on the two bullets were sufficiently great to break apart
the connecting wire, which was of very slender diameter, before they
came into contact with the troops against whom they were directed.
Dr. Scrive, in his History of the Eastern Campaign, mentions also that
incendiary balls were employed by the Russians. They consisted of a
small cylinder of copper containing a detonating composition, and made
up into the form of an ordinary cartridge, so as to be discharged from
a musket. On hitting its object, the projectile burst with violence.
These balls were not known till after the conclusion of the siege;
and it was only then, M. Scrive remarks, that a key was obtained to
some wounds of a frightful character which could not be accounted for
by the action of ordinary bullets or fragments of shell. No similar
observation is recorded in the British surgical history of the war.
Wounds caused indirectly by stones from parapets, splinters of iron
or wood, and by fragments of shells are very varied in character and
severity. They derive their importance chiefly from the extent of
surface usually lacerated and destroyed. Unless they happen to have
penetrated or torn away largely the coverings of vital parts of the
body, they are often less grave, though to the sight more fearful,
than injuries of less alarming appearance from direct projectiles. In
missiles of this secondary kind, the amount of resistance offered to
their displacement proportionably diminishes the impetus with which
they strike. In like manner, the powerful opposition of the hollow
iron shell to the force of the bursting charge within, as well as the
shape of the portions into which it is usually rent asunder, combine to
cause the momentum of each fragment at starting to be much less, and
this momentum to be more rapidly retarded during its flight through
the air, than happens in ordinary missiles of direct explosion.
The constitutional shock, in these injuries, is consequently, as a
general rule, less than in direct gunshot wounds. Occasionally simple
fractures happen from indirect missiles; from direct, they are almost
necessarily compound. Although there may be no communication with an
external wound, however, there is often great comminution of the bone
in these accidents. The laceration and bruising of the soft parts
are frequently rendered more dangerous from indirect projectiles
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