A Treatise on Gunshot WoundsLongmore, T. (Thomas), Sir
History
A Treatise on Gunshot Wounds
Longmore, T. (Thomas), Sir
Gunshot wounds
Large fragments of heavy shells generally produce immense laceration
and separation of the parts against which they strike, but do not
carry away or grind, as round shot. Ordinarily, the line of direction
in which they move forms an obtuse angle with the part of the body
wounded. When they happen to strike in a more direct line, so as to
penetrate, the external wound, as alluded to under the head of lodgment
of projectiles, is mostly much smaller than the fragment itself, from
the projectile not having had force enough to destroy the vitality and
elasticity of the soft parts through which it entered.
Small projectiles, with force enough to penetrate the body, leave
one or more openings, the external appearances of which also vary
according to their form and velocity. The appearance of a wound from a
rifle–ball, at its highest rate of speed, may be sometimes witnessed
in cases of suicide. A soldier, in thus destroying himself, mostly
stoops over the muzzle of his firelock, pressing it against the upper
part of his body, and springing the trigger by means of his foot. The
muzzle is usually applied beneath the chin. In such a case, a circular
hole, without any puckering or inversion of the marginal skin, together
with dark discoloration of the integument for several inches round, is
observed at the wound of entrance. The vertex of the head is shattered;
fragments of the parietal and occipital bones, together with small
portions of brain, are carried away and scattered about; the bones
not broken are loosened from their sutures; the mass of brain is torn
to pieces, but held by its membranes; the superficial vessels of the
face are distended with blood. These effects are not wholly due to the
passage of the ball, but partly to the flame from the ignited gunpowder
jetting out at the mouth of the musket, and in part also to the
expansive force exerted within the cavity of the cranium, by the gases
resulting from the explosion.
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