A Treatise on Gunshot WoundsLongmore, T. (Thomas), Sir
History
A Treatise on Gunshot Wounds
Longmore, T. (Thomas), Sir
Gunshot wounds
In the whole Crimean campaign, the
total number of British wounded amounted to 11,361, exclusive of men
killed in action.
=Spent balls.=—In connection with degree of velocity, the subject of
what are called “spent balls” naturally occurs. After a cannon–ball has
ceased to pursue its course through the air or to proceed by ricochet,
it not unfrequently travels to a considerable distance, rolling along
the surface of the ground. When its rate of movement is not much faster
than that at which a man can walk, and when to all appearance it might
be stopped by the pressure of the foot as readily as a cricket–ball, it
yet possesses the power of inflicting serious injury on such an attempt
being put into execution. This power is easily understood if the amount
of force is remembered which must still be inherent in the cannon–ball
for it to overcome the inertia of its own mass, and the resistance to
which it is exposed in passing over the ground on which it is rolling.
It is this force, multiplied by the weight of the ball, which gives it
the destructive power. If this ball is brought into collision with the
foot of a person, such destruction ensues as generally to necessitate
amputation. Should it impinge on other parts of the body, as in the
instance of a man lying on the ground, it may cause mortal injury to
internal organs, and that without exhibiting external evidence of the
amount of injury it has inflicted. So, also, though powerless to carry
away a limb, it may cause comminuted fractures of bones and extensive
contusions of the softer structures.
=Lodgment of balls.=—Low rate of velocity leads to musket and other
balls lodging in various parts of the body. When the smooth–bore musket
was in common use, lodgment of balls was of frequent occurrence. In
the first place, from absence of sufficient initial velocity to effect
its passage out of the body, and, secondly, from its liability to be
diverted from a direct line, a round ball might be arrested in its
progress at any distance from its point of entrance. Conical balls
lodge when their velocity has become nearly expended before entering
the body; or, from peculiarity in the posture of the person wounded, a
ball, having had force enough to traverse a limb, may afterward enter
into another part of the body and lodge. A ball may reach a part so
deep in the muscles of the back, for example, or be so far removed
from the aperture of entrance, as to elude all attempts on the part of
the surgeon, at the time of examination of the wound, to discover its
retreat. Or it may have reached some position from which the surgeon
fears to take the necessary steps for its extrication, judging the
additional injury that would thus be inflicted more mischievous than
the probable effects of allowing the ball to remain lodged.
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