A Treatise on Gunshot WoundsLongmore, T. (Thomas), Sir
History
A Treatise on Gunshot Wounds
Longmore, T. (Thomas), Sir
Gunshot wounds
only for direct missiles which may effect lodgment in the body, but for
many other foreign substances which may be forced in by their agency.
=Internal wounds without external marks.=—Among the wide variety of
injuries from gunshot, there have not unfrequently been noticed cases
in which serious internal mischief has been inflicted, without any
external marks of violence to indicate its having resulted from the
stroke of a projectile. An important viscus of the abdomen has been
ruptured, yet no bruising of the parietes observable; symptoms of
cerebral concussion have shown themselves, yet no injury of the scalp
to be detected. Even bones have been comminuted without any wound of
the integuments or appearance of injury. The records of the Crimean
campaign afforded not unfrequent examples of such wounds. Two cases
occur, in the French records, of fracture of the forearm without any
external apparent lesion; in one the internal structures were reduced
to a mass of pulp. The difficulty of reconciling the several facts
noticed in such instances, together with the vague descriptions by
patients of their sensations, led surgeons to seek an explanation for
them in the supposition that masses of metal projected with great
velocity through the air might inflict such injuries indirectly by
aerial percussion. Either the air might be forcibly driven against the
part injured by the power and pressure of the ball in its flight, or
a momentary vacuum might be created, and the forcible rush of air to
refill this blank might be the origin of the hurt. Electricity has also
been called into aid in explaining these injuries. All these hypotheses
are now abandoned. So many observations have been made of cannon–balls
passing close to various parts of the body, as near as conceivable
without actual contact, without any such consequences as those
attributed to windage, as to lead to the necessary conclusion that the
theory must in all instances have been fallacious. Portions of uniform
and accouterments have been torn away by cannon–balls without injury
to the soldier himself. Even hair from the head has been shaved off,
and cases are on record where the external ear and end of the nose have
been carried away without further mischief.
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