A Treatise on Gunshot WoundsLongmore, T. (Thomas), Sir
History
A Treatise on Gunshot Wounds
Longmore, T. (Thomas), Sir
Gunshot wounds
off close to the tubercle. It was then rendered evident that there was
fissured fracture into the joint. As soon as the man had recovered
from the state of anesthesia, the necessity of amputation above the
knee was explained to him, and he readily assented. This was shortly
afterward done, and the man recovered without any unusual symptoms, and
was invalided to England. It is not likely, without chloroform, in a
doubtful case of this kind, that the chance of saving the knee would
have been conceded.
In the British army in the Crimea chloroform was generally applied by
simply pouring a little on lint. The chief objection against this in
the open air is probably the waste which is likely to be occasioned.
Dr. Scrive says it always appeared to him most advantageous to
use a special apparatus, as well to measure exactly the doses, as
to guarantee a proper amount of mixture of air; and that although
he never saw a fatal result, he had several times seen excess of
chloroformization from the use of lint rolled up in the shape of a
funnel. The instructions which he gave were, never to pass the stage
of strict insensibility to pain, never to wait for complete muscular
relaxation; and to this direction being carried out he attributes the
fact that no death occurred from chloroform in the French army in
the Crimea. In an article on anesthetics, in the _Medico–Chirurgical
Review_, October, 1859, Dr. Hayward, of Boston, has strongly advocated
the use of sulphuric ether above all other anesthetics. The quantity
required to produce anesthesia—from four to eight ounces—would render
the use of this agent almost impracticable in extensive army operations
in the field.
AFTER–USEFULNESS OF WOUNDED SOLDIERS.
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