Medical Jurisprudence, Volume 2 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 2 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
_Of incised wounds, or cuts._ The prognosis of wounds made with a
cutting instrument varies, _cæteris paribus_, according to the extent
and depth of the division, the nature of the injured parts, and the
circumstances which attend the operation; where the instrument has been
so sharp as not to occasion any contusion or laceration, the fibres and
texture of the wounded part will have suffered no other injury but their
mere division; and there is consequently less tendency to inflammation,
suppuration, gangrene, and other bad consequences; if the wound be large
and deep it will be more dangerous, as well as more difficult to heal,
than one which only affects the skin. Wounds, accompanied with injury of
considerable vessels or nerves, are more or less hazardous, according to
the magnitude or number of those vessels or nerves; generally speaking,
the most dangerous examples of incised wounds are those which are made
about the throat; here there are so many large blood-vessels, nerves and
other parts of great importance, that deep incised wounds often prove
fatal, either immediately, or in a few days; in some cases of suicide
the carotid artery is opened, and the person perishes from hemorrhage on
the spot, before any assistance can be afforded; in other instances he
divides some of the principal branches of the external carotid, and
after losing a great deal of blood, he faints, and the hemorrhage being
thus checked, the life of the patient is preserved, until surgical
assistance can be procured. Cut wounds of the extremities, when such
arteries as the femoral and brachial are injured, may also suddenly
destroy the patient, by hemorrhage.
Public-domain text, read in full here on John Shaqi.
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