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
injury have been in the lower extremity, the leg and foot swell on
any exertion, which cannot be performed without pain and inconvenience
for a considerable time. The treatment should be active; the patient,
if robust, ought to be bled if no endemic disease prevail, vomited,
purged, kept in the recumbent position, and cold applied so long as
it shall be found agreeable to his feelings; when that ceases to be
the case, warm fomentations ought to be resorted to, but they are to
be abandoned the instant the inflammation is subdued and suppuration
well established. The feelings of the patient will determine the
period, and it is better to begin a day too soon than one too late.
If the inflammation be superficial, leeches will not be of the same
utility as when it is deep seated; but then they must be applied in
much greater numbers than are usually recommended. The roller and
graduated compresses, or pressure made by slips of adhesive plaster
under them, are the best means of cure in the subsequent stages, with
change of air, and friction to the whole extremity, which alone, when
early and well applied, will often save months of tedious treatment.
If the limb become contracted and the cellular membrane thickened, it
is principally by friction (shampooing) that it can be restored to its
natural motion.
17. If the ball should have penetrated without making an exit, or have
carried in with it any extraneous substances, the surgeon must, if
possible, ascertain its exact situation, and remove it and any foreign
bodies which may be lodged; indeed, if there be time, every wound
should be examined so strictly as to enable the surgeon to satisfy
himself that nothing has lodged. This is less necessary where there are
two corresponding openings evidently belonging to one shot; but it is
imperiously demanded of the surgeon, where there is one opening only,
even if that be so much lacerated as to lead to the suspicion of its
being a rent from a piece of shell; for it is by no means uncommon for
such missiles, or a grape-shot, to lodge wholly unknown to the patient,
and to be discovered by the surgeon at a subsequent period, when much
time has been lost and misery endured. A soldier during the siege of
Badajoz had the misfortune to be near a shell at the moment of its
bursting, and was so much mangled as to render it necessary to remove
one leg, an arm, and a testicle, (a part of the penis and scrotum being
lost.) In one of the flesh wounds in the back part of the thigh and
buttock a large piece of shell was lodged, and kept op considerable
irritation until it was removed. The man recovered.
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