Treatment 100 GUNSHOT WOUNDS OF THE PERINEUM AND GENITOURINARY ORGANS. Statistics of in the Crimea 101 GUNSHOT WOUNDS OF THE EXTREMITIES. Frequency of 103 Division of 103 Pyemia from 104 Upper extremity 105 Percentage of recoveries from, without amputation 106 Lower extremity 109 When to amputate and when to be avoided 109 The femur 110 Statistics of cases of 110 Proportions of recoveries in amputations in 114 Fractures in the middle and lower third of the femur 116 Statistics in fractures of the leg, in the Crimean war 117 AMPUTATION. Advantages of primary as compared with secondary 117 SECONDARY HEMORRHAGE. Reasons for its occurrence 120 Not uncommon in deeply–penetrating wounds of the face 121 Rule of treatment 122 WOUNDS OF NERVES. Temporary or complete paralysis caused by 122 Amputations sometimes necessary 122 TETANUS. Statistics of 124 Treatment 125 HOSPITAL GANGRENE 126 PYEMIA 126 ANESTHESIA IN GUNSHOT WOUNDS. Chloroform 126 Views respecting its use in secondary operations 129 Mode of administering 130 AFTER–USEFULNESS OF WOUNDED SOLDIERS. Observations upon 131 General summary 131 GUNSHOT WOUNDS. Gunshot wounds consist of injuries from missiles projected by the force of explosion. As the name implies, this class of wounds is ordinarily restricted to injuries resulting from fire–arms; but it should be remembered that wounds possessing the same leading characteristics may result from objects impelled by any sudden expansive force of sufficient violence. Injuries from stones, in the process of blasting rocks, or from fragments of close vessels burst asunder by the elastic power of steam, offer familiar examples of wounds of a like nature with those from gunshot. In the following article, however, gunshot wounds will be considered as they are met with in the operations of warfare. HISTORY.