A Treatise on Gunshot WoundsLongmore, T. (Thomas), Sir
History
A Treatise on Gunshot Wounds
Longmore, T. (Thomas), Sir
Gunshot wounds
Vessels do not always thus happily elude division by the ball. Captain
V., of the 97th Regiment, whose death led to so much interest in
England, was struck by a ball which divided the axillary artery on the
right side. The arm had apparently been extended when he received the
injury, as if in the act of holding up his sword. The night was very
dark, the distance from the place where the sortie took place in which
he was wounded to the camp hospital was more than a mile and a half,
and he sunk from hemorrhage while being carried up. The death of an
officer from division of the femoral artery is recorded in the Surgical
History of the Crimean War, where also cases are mentioned, though
not immediately fatal, of a wound of the femoral vein and profunda
artery in the same subject from a conical bullet; and another, of the
popliteal artery and vein, also from a rifle–ball. Mr. Guthrie mentions
the cases of two officers who were killed, almost instantaneously,
one by direct division of the common iliac artery, the other of the
carotid. Primary but indirect hemorrhage, in consequence of a gunshot
injury, usually occurs as a complication of fractured long bones, the
sharp points and edges of which, extensively torn up as they now are
by conical bullets, are well calculated to cause such injuries. They
are not as frequent as might be expected, from the limits within which
the dispersion of the fragments is restricted by their periosteal
and other connections, and the yielding mobility, before mentioned,
of the vessels themselves. We have no data, however, to guide us in
determining the proportionate frequency of fatal results from primary
hemorrhage after wounds; nor can we have them until proper examination
and classification of the particular causes of death on the field of
battle are instituted.
PROGNOSIS.
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