A Treatise on Gunshot WoundsLongmore, T. (Thomas), Sir
History
A Treatise on Gunshot Wounds
Longmore, T. (Thomas), Sir
Gunshot wounds
The objects above enumerated present several varieties of forms. The
chief are—1st, spherical, as cannon–balls, grape, musket–shot, and
shells; 2d, cylindro–conoidal, as balls belonging to rifled cannon and
rifled muskets; 3d, irregular, but generally bounded by linear and
jagged edges, as fragments of shells and splinters.
A gunshot wound, whether received from a direct or indirect projectile,
may be complicated by the entrance of extraneous bodies of various
kinds, most commonly portions of the cloth or buttons of the dress
worn by the person wounded. Such foreign substances, though not of
themselves causing the wound, often have a special bearing on the
progress of its cure.
Not only the form of outline, but the weight, and in some instances
the matter of which the missile is composed, influence the nature of
gunshot wounds. In the largest kinds of balls, such as are projected
from field–pieces or guns of position, the form offers little subject
for consideration to the surgeon. So long as there is momentum enough
to carry forward the mass of iron of which these missiles are composed,
so long will their weight be the most important ingredient in the
production of the wounds inflicted by them. Whether the shot come as
a solid cone or bolt from one of the new guns or as a round ball from
an ordinary cannon, the injury will be equally destructive to life or
limb. The same remark is applicable to the heavier forms of shell,
before explosion. The only difference surgeons may look for from the
use of cylindro–conoidal balls, or Whitworth bolts applied to cannon,
should they become general, independent of increase in the number of
direct wounds from greater power and precision of fire, will be the
less number of indirect injuries likely to result from their action,
as they neither ricochet nor roll as “spent balls” in the manner that
spherical shot are accustomed to do.
Grape–shot, canister, and spherical case, on striking collectively—that
is, before they have spread—as sometimes happens in assaulting or in
accidental close proximity to guns in the field, produce the same kinds
of injuries as cannon–shot, but individually resemble musket–shot in
their effects. Wounds from grape–shot are always of a grave character,
not only from the extent of the flesh wound, but also because, from
their large diameter and weight, the nerves and vessels of the part
struck are less likely to escape injury, if not destruction, than in
wounds from the smaller shot projected in canister or spherical case.
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