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
_Gun-shot wounds._ Long after the invention of gunpowder, Surgeons
continued to entertain very vague opinions respecting the nature of
wounds produced by it; some considered that the injured parts were
either dreadfully burnt by the heat of the projected body, or were
irritated by the presence of poison, communicated to them by the powder.
_Thomas Gale_, who served as a Surgeon in the army of _Henry_ 8th, at
Montreuil in 1554, was the first to refute the absurd opinions of “the
poisoning, burning, and conquassation of gun-shot wounds.” A gun-shot
wound is now defined “a violent contusion, with, or without a solution
of continuity, suddenly and rapidly effected by a solid body projected
from fire-arms.” If a musket or pistol ball has struck a fleshy part,
without injuring any material blood-vessel, we see a hole about the size
of, or smaller than the bullet itself; with a more or less discoloured
lip forced inwards, and if it has passed through the parts, we find an
everted edge, and a more ragged, and larger orifice at the point of its
exit; the pain in this case is so inconsiderable that the wounded person
is frequently not aware of his having received any injury. The course of
balls is frequently most extraordinary, and it behoves the judicial
surgeon to keep in mind a fact which may often throw considerable light
upon the subject of his investigation. A ball will often strike the
thorax or abdomen, and, to an inexperienced eye, appear to have passed
directly across, or to be lodged in one of the cavities. If great
difficulty of breathing or hemorrhage from the mouth, with sudden
paleness and laborious pulse, in the one case, or deadly faintness,
coldness of the extremities, and the discharge of stercoraceous matter
from the wound, in the second, are not present, we shall perhaps find
that the ball has coursed along under the integuments, and is marked in
its progress either by a redness, which Mr. _Hunter_ compared to a
blush, or by a wheal, or dusky line, terminated by a tumour, on the
opening which it will be easily extracted. In some of these long and
circuitous routes of balls, where we have not this mark, a certain
emphysematous crackling discovers their course, and leads to their
detection. The ball is in many instances found very close to its point
of entrance, having nearly completed the circuit of the body. In a case
related by Dr. _Hennen_, as one that occurred to a friend of his in the
Mediterranean, the ball, which struck about the _Pomum Adami_, was found
lying in the very orifice at which it had entered, having gone
completely round the neck, and being prevented from passing out by the
elasticity and toughness of the skin which had confined it to this
circular course. This circuitous route is a very frequent occurrence,
particularly when balls strike the ribs, or abdominal muscles, for they
are turned from the direct line by a very slight resistance indeed,
Public-domain text, read in full here on John Shaqi.
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