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
The siege of Sebastopol has furnished many opportunities for partial
hand to hand bayonet contests, in which many have been killed and
wounded on all sides, but I do not learn that in any engagements which
have taken place regiments advanced against each other in line and
really crossed bayonets as a body; although the individual bravery of
smaller parties was frequently manifested there, as well as in the war
in the Peninsula.
LECTURE II.
ON INFLAMMATION, MORTIFICATION, ETC.
24. In some very rare cases, an intense, deep-seated inflammation
supervenes after some days, almost suddenly and without any obvious
cause. The skin is scarcely affected, although the limb--and this
complaint has hitherto been observed only in the thigh--is swollen, and
exceedingly painful. If relief be not given, these persons die soon,
and the parts beneath the fascia lata appear after death softened,
stuffed, and gorged with blood, indicating the occurrence of an intense
degree of inflammation, only to be overcome by general blood-letting;
and especially by incisions made through the fascia from the wound,
deep into the parts, so as to relieve them by a considerable loss of
blood, and by the removal of any pressure which the fascia might cause
on the swollen parts beneath.
25. Erysipelatous inflammation is marked by a rose or yellowish
redness, tending in bad constitutions to brown or even to purple, but
in all cases terminating by a defined edge on the white surrounding
skin. It frequently spreads with great rapidity, so that the limb,
and even the whole skin of the body, may be in time affected by it,
the redness subsiding and even disappearing in one part, while it
extends in another direction. When this inflammation attacks young
and otherwise healthful persons of apparently good constitution, it
should be treated by emetics, purgatives, and diaphoretics, in the
first instance, with, perhaps, in some cases, bleeding. When the habit
of body is not supposed to be healthy, bleeding is inadmissible, and
stimulating diaphoretics, combined with camphor and ammonia, will be
found more beneficial after emetics and purgatives; these remedies may
in turn be followed by quinine and the mineral acids, with the infusion
and tincture of bark. Little reliance can be placed on large doses of
cinchona in powder; they nauseate and therefore distress.
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