A Treatise on Gunshot WoundsLongmore, T. (Thomas), Sir
History
A Treatise on Gunshot Wounds
Longmore, T. (Thomas), Sir
Gunshot wounds
Many examples of such injuries will be found in the works of all
writers on gunshot wounds until the recent introduction of rifled
weapons, while those who have only seen the latter in use are almost
inclined to doubt the accuracy of previous statements on this subject,
from not meeting with similar instances in their own experience. In
the early part of the late war with Russia, the musket wounds were
nearly all inflicted by the round bullet; but during the year 1855
conical bullets of various shapes and sizes were brought into use by
the Russians generally, as they had been for some time previously by
nearly the whole of the English army, and a large proportion of the
French army. As early as the battle of Inkerman, however, the Russians
were partly armed with the Liège rifle, with its conical bullet. Among
3000 wounded from the recent battles of Palestro and Magenta, assembled
in the hospitals at Turin, M. Appia, whose letters on the wounded in
the late Italian campaign have been before quoted from, writes that he
was astonished not to meet one case of a cylindrical ball having taken
a curved direction in its passage. He mentions the case of an officer
being wounded by a ball, which entered at the epigastrium and passed
out by the side of one of the lumbar vertebræ, without penetration
of the abdomen, a red mark or zone connecting the two wounds and
indicating the circuit which the ball had made. In another case, a ball
had traversed the chest from right to left, and still had sufficient
force to wound the left arm. Both these injuries, however, were caused
by spherical balls.
SYMPTOMS OF GUNSHOT WOUNDS.
The leading symptoms of gunshot wounds are the diagnostic marks of
these injuries, and the constitutional disturbance, pain, hemorrhage,
edema, and other circumstances with which they are attended. Some of
these require to be noticed separately.
=Diagnosis.=—The external distinguishing signs of a penetrating
gunshot wound are generally manifest enough, but exact diagnosis of
the nature and extent of the wound is not always so simple as it might
at first appear to be. It is necessary to describe, firstly, the
external appearances. These, although possessing certain universal
characteristics, vary to a wide extent, according to the different
forms, already described, of the missiles causing the injuries, their
velocity, the part of the body struck, and its position relative to the
projectile at the time of injury.
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