A Treatise on Gunshot WoundsLongmore, T. (Thomas), Sir
History
A Treatise on Gunshot Wounds
Longmore, T. (Thomas), Sir
Gunshot wounds
With regard to gunshot fractures in the middle and lower third of the
femur, the experience of the French and English armies in the Crimea
has tended to confirm the doctrine of the older military surgeons, that
many lives are lost which might be otherwise preserved, by trying to
save limbs; and that, of the limbs preserved, many are little better
than incumbrances to their possessors. In the late Italian battles,
the practice of trying to save lower extremities, after comminuted
fractures in these situations of the thigh, appears to have been
abandoned. Eight cases of union after compound gunshot fractures of
the femur in these situations have, however, returned from the late
mutiny in India; and this is a much larger proportion than was that
of the recoveries from the Crimea. Dr. Williamson, who records these
cases, is inclined to attribute this success in a great measure to the
use of dooleys for the conveyance of wounded, and argues that it would
be advantageous to introduce them into European warfare. But wounds
generally, where proper care is taken, heal more favorably in southern
latitudes, east or west, probably owing to the climate admitting of
so much more free an access of fresh air by day and night to the
patient than can be afforded, without inconvenience, in colder or more
variable climates. The dooley is most advantageous and comfortable as
used in the East, where it is an ordinary mode of conveyance among all
classes, and the bearers—a special race in each Presidency—are trained
from childhood to the occupation; but, from experience of the peculiar
habits and tenets of these men, both Madrassees and those of Bengal, it
seems scarcely probable that they would prove efficient, even if they
could exist, or that their wants could be provided for in the numbers
necessary to be serviceable, with armies in northern latitudes. French
surgeons have remarked how much more favorably, _cæteris paribus_,
wounds heal in Algeria, where they have only the same kinds of
conveyance for wounded as in Europe; and the difference is accounted
for by the favorable influence in this respect of a warmer climate.
Public-domain text, read in full here on John Shaqi.
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