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. — John Shaqi
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
“An East Indian, twenty-two years of age, of healthy aspect, in the
month of October, 1854, when proceeding on a shooting excursion, at
Moulmein, in Burmah, was most severely wounded by the accidental
explosion of his gun, the entire charge of large shot lodging in the
center of the left thigh, and causing a bad compound fracture, with
fearful laceration of the soft parts. I was asked to see the patient
by Dr. Reynolds, the staff-surgeon of the station, at half-past seven
A.M., an hour after the injury had been inflicted, and found him
laboring under most urgent collapse and great nervous depression. It
was of course impossible to save the limb, but I suggested delay for
some hours, and the moderate use of stimulants, till the system had
in some degree recovered its equilibrium. Such was the case at five
P.M., and the flap operation was done while the man was under the
full influence of chloroform, (three drachms being required for that
purpose.) When placed in bed, he became conscious, but never rallied,
and died in half an hour.
“Very little blood was lost during the operation, and the impression
on my mind was, that it would have been wiser to have steadily but
carefully continued the use of stimulants during the operation, and
thus have counteracted the shock of the latter following on that of the
injury, from which the system had only partially recovered.”--_Case by
Dr. Dane, Surgeon to the Forces._
Deputy Inspector-General Taylor informs me that “a young muscular man,
of the siege-train, had his left thigh nearly carried off at its middle
by a cannon-shot at Sebastopol. The soft parts on the inside, including
the artery, escaped laceration; the remaining soft parts and large
pieces of bone were entirely carried away, the injury extending above
the middle of the bone. The muscles on the fore part of the other thigh
were extensively laid bare and injured. The prostration was great;
pulse feeble; the man’s spirits were good, and he desired amputation
under chloroform. The left thigh was amputated at the upper third. The
chloroform, administered on a pocket-handkerchief, lightly folded, and
held over the nose and mouth, speedily took effect. I am under the
impression that the chloroform not only caused insensibility to pain,
but supported the system during the operation, although the man died an
hour after its completion. Nevertheless, I think the chloroform enabled
the man to bear the operation better than he would have done without
it.”
This case does not quite meet my proposition as to the effect of
chloroform when the thigh has been carried off nearer the hip-joint,
with rupture of the principal artery; cases which have hitherto been
usually lost, whether amputation is performed or not.
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