A Treatise on Gunshot WoundsLongmore, T. (Thomas), Sir
History
A Treatise on Gunshot Wounds
Longmore, T. (Thomas), Sir
Gunshot wounds
When the musket–ball strikes at a distance from the weapon by which it
was propelled, but still preserves great velocity, the appearances of
the wound are changed. An opening is observed, irregularly circular,
with edges generally a little torn; and the whole wound is slightly
inverted. There may be darkening of the margin, of a livid purple
tinge, from the effects of contusion, or it may be simply deadlike
and pale. Should the ball have passed out, the wound of exit will be
probably larger, more torn, with slight eversion of its edges and
protrusion of the subcutaneous fat, which is thus rendered visible.
These appearances are the more easily recognized, the earlier the wound
is examined. They are more obvious if a round musket–ball has caused
the injury than when it has been inflicted by a cylindro–conoidal
bullet. Indeed, with the latter, where it has simply passed through
the soft tissues of an extremity of the body at full speed, it is
usually very difficult to distinguish by its appearance the wound of
entrance from that of exit. In medico–legal investigations concerning
gunshot wounds, it must be often a matter of great importance to
decide this point; but to the military surgeon, more especially
from the circumstances connected with the new projectiles, it has
become a subject of little practical interest. When the indirect and
tortuous penetration of balls was the rule rather than the exception,
a knowledge of the spot at which the ball entered was often useful in
diagnosing the mischief it had probably committed in its passage, and
in determining the part of the wound where foreign bodies might be
supposed to be carried and to be lodging. When the track of the ball
is nearly in a straight line, as now usually happens, such information
cannot be looked for from knowing the relation of either opening to the
entrance or passage of the missile.
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