Commentaries on the Surgery of the War in Portugal, Spain, France, and the Netherlands: from the battle of Roliça, in 1808, to that of Waterloo, in 1815; with additions relating to those in the Crimea in 1854-55, showing the improvements made during and since that period in the great art and science of surgery on all the subjects to which they relate.Guthrie, G. J. (George James)
History
Commentaries on the Surgery of the War in Portugal, Spain, France, and the Netherlands: from the battle of Roliça, in 1808, to that of Waterloo, in 1815; with additions relating to those in the Crimea in 1854-55, showing the improvements made during and since that period in the great art and science of surgery on all the subjects to which they relate.
Guthrie, G. J. (George James)
Crimean War, 1853-1856 -- Medical care; Napoleonic Wars, 1800-1815 -- Medical care; Surgery, Military -- Europe -- History; War wounds -- Europe -- History
6. A certain constitutional alarm or shock follows every serious wound,
the continuance of which excites a suspicion of its dangerous nature,
which nothing but its subsidence, and the absence of symptoms peculiar
to the internal part presumed to be injured, should remove. The
opinion given under such circumstances should be very guarded; for if
this symptom of alarm should continue, great fears may be entertained
of hidden mischief. Colonel Sir W. Myers was shot, at Albuhera, at
the head of the Fusilier Brigade, at the moment of victory, by a
musket-ball, which broke his thigh, and lodged. The continuance of
the alarm and anxiety satisfied me it had done other mischief. He
died next morning, of mortification of the intestines. General Sir
Robert Crawford was wounded at the foot of the smaller breach at the
storming of Ciudad Rodrigo, by a musket-ball, which entered the outer
and back part of the shoulder, and came out at the axilla. There was a
third wound, a small slit in the side, apparently too small to admit
a ball. The continuance of the anxiety and alarm pointed out some
hidden mischief, which I declared had taken place; and when he died his
surgeon found the ball loose in his chest. It had been rolling about on
his diaphragm. Surgery was not sufficiently advanced in those days to
point out the situation, or to authorize an attempt for the removal of
the ball. It must in future be done.
This constitutional alarm and derangement are not always present to so
marked an extent. A soldier at Talavera was struck on the head by a
twelve-pound shot, which drove some bone into, and some brain out of
his head: he was walking about, complaining but little, immediately
after the accident, although he died subsequently.
7. It is not always possible, from their appearance, to decide which
opening is the entrance, which the exit of an ordinary sized round
ball; or when two holes are distant from each other, to ascertain
whether they have been caused by one, or by two distinct balls. When a
ball is not impinging with much impetus, it may become a penetrating,
without being much of a contused wound, which will close in and heal
with little suppuration. If the ball do not press upon, or interfere
with some important part, the slight degree of irritation which follows
may give rise to the formation of a sac, which adheres to it and
possibly keeps it quiet for years, if not for life.
8. The wound made by the entrance of an ordinary musket-ball is usually
circular, depressed, of a livid color, and capable of admitting the
little finger, the exit being more ragged, and not depressed. It is
sometimes little more than a small slit or rent, although at others, as
in the face or in the back of the hand, it may be much torn, giving to
an otherwise simple wound a more frightful appearance, such as is not
usually seen in the thigh, or other equally firm fleshy part.
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