A Treatise on Gunshot WoundsLongmore, T. (Thomas), Sir
History
A Treatise on Gunshot Wounds
Longmore, T. (Thomas), Sir
Gunshot wounds
in consequence of large vessels or nerves being implicated in the
injuries, leading more often to primary hemorrhage and subsequent
sloughing of wider tracts than in wounds from direct projectiles of
corresponding size. Such sloughing may lead to a fracture of bone
becoming compound which was at first simple. Fragments of shells
sometimes wound by falling, after having been projected upward in the
air. These do not generally produce such serious injuries as fragments
striking at once from the exploded shell; not that the force is
different, but because the parts chiefly exposed—the shoulders, back,
etc.—are more protected from injury, and offer less resistance, from
relative form and position, than do the abdomen, loins, and other parts
of the body, which usually meet the fragments shot upward when the
shell explodes on the ground.
=Degree of velocity.=—The velocity of motion of different projectiles
is an important ingredient in the consideration of the several
wounds produced by them. The rates of motion imparted to missiles
by the fire–arms of early times were probably, from the imperfect
construction of the weapons, defective quality of gunpowder, and other
circumstances, as inferior to those of the musket lately in use as the
velocity of musket–balls was to that of the conical bullets of the
rifles in present use. In a table showing the velocities of certain
moving bodies, published in 1851, the common musket–bullet is set down
as moving at the rate of 850 miles per hour, the rifle–ball of that
time at 1000, the 24–lb. cannon–ball at 1600 miles per hour. But the
musket–ball then could not be depended on to hit an object beyond 80
yards, the rifle 200 to 250 yards; while the present Enfield rifle is
sighted to 900 yards, and the short Enfield to 1100 yards. The effects
of different rates of velocity on wounds are seen in the variations
which occur in proportion to the distance which the missile has
traveled before inflicting the injury. A cannon–ball which, with but
slight velocity of motion added to its weight, would knock a man over,
at ordinary speed will carry away a limb without disturbing the general
equilibrium of the body. A musket–ball that would be arrested half way
through a limb is now replaced by a ball which, at like distance from
the point of discharge, will pass through several bodies in succession.
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