A Treatise on Gunshot WoundsLongmore, T. (Thomas), Sir
History
A Treatise on Gunshot Wounds
Longmore, T. (Thomas), Sir
Gunshot wounds
When a cannon–ball at full speed strikes in direct line a part of the
body, it carries away all before it. If the head, chest, or abdomen
are exposed to the shot, an opening corresponding with the size of the
ball is effected, the contiguous viscera are scattered, and life is at
once extinguished. If it be part of one of the extremities which is
thus removed, the end remaining attached to the body presents a stump
with nearly a level surface of darkly contused, almost pulpified,
tissues. The skin and muscles do not retract, as they would had they
been divided by incision. Minute particles of bone will be found among
the soft tissues on one side, but the portion of the shaft of the bone
remaining _in situ_ is probably entire.
In ricochet firing, or in any case where the force of the cannon–shot
is partly expended, the extremity, or portion of the trunk, may be
equally carried away, but the laceration of the remaining parts of
the body will be greater. The surface of the wound will be less even.
Muscles will be separated from each other, and hang loosely, offering
at their divided ends little appearance of vitality; spiculæ of bone
of larger size will probably be found among them; and the shaft may
be found shattered and split far above the line of its transverse
division. The injury to nerves and vessels may be proportionally higher
and greater. Occasionally it happens, even where the limb seems to have
been struck in direct line, that it is nevertheless not completely
detached, but remains connected by shreds of the skin and parts of the
tissues, on which the bone, reduced to minute fragments, is mixed with
the contused muscles and other soft parts in a shapeless mass.
If the speed be still further diminished, so that the projectile
becomes what is termed a “spent ball,” there will not be removal of the
part of the body struck, but the external appearances will be limited
usually to ecchymosis and tumefaction, without division of surface; or
even these may be wanting, notwithstanding the existence of serious
internal disorganization. The rationale of such phenomena has been
previously described.
Should the cannon–ball strike in a slanting direction, the external
appearances of the wound will be similar to those just described,
according to its velocity, modified only in extent by the degree of
obliquity with which the shot is carried into contact with the trunk or
extremity wounded.
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