Shell-shock and other neuropsychiatric problems : $b Presented in five hundred and eighty-nine case histories from the war literature, 1914-1918Southard, Elmer Ernest
History
Shell-shock and other neuropsychiatric problems : $b Presented in five hundred and eighty-nine case histories from the war literature, 1914-1918
Southard, Elmer Ernest
War neuroses; World War, 1914-1918 -- Medical care; World War, 1914-1918 -- Psychological aspects
A man of the 26th Regiment of Infantry was brought October 26, 1914,
to Ambulance No. 6 of the Twentieth Army Corps at the Chateau d’Henu.
Weakly and jerkily the man was able to tell how, as he was going
forward, a large calibre shell fell less than a meter in front of him
and exploded. He fell back and lost consciousness, was picked up in the
evening and carried to the relief post and then to the ambulance, where
he arrived ten hours after the fall. There were signs of a considerable
shakeup, with pale and anxious face, nose pinched, hollow eyes, rapid
superficial respiration, small pulse, 120, and a feeble voice. There
were small skin wounds of the right arm, a finger, and ear, but there
was otherwise no wound. The thorax and abdomen were somewhat painful
all over, but there was no especial point of pain. The chest showed
a slight dulness at the bases. Examination of the abdomen produced
defensive movements and the man vomited blood during examination. He
was put on his back, kept warm, given artificial serum, hypodermic
injections of camphorated oil and caffeine, and carefully watched. In
the night he had another bloody vomiting, his pulse became smaller and
smaller, dyspnea became more and more intense, and he died late in the
night.
The autopsy showed that the abdomen was free of lesions and that all
the organs were of a normal appearance and color. There was no sign
of perforation or of peritonitis. The stomach itself was filled with
blood and there was a generalized ecchymotic appearance of the mucosa,
with small, submucous hematomata and a number of tears in the pyloric
portion.
The pleurae were found filled with blood, almost a quart in each
cavity. The right lung showed a large tear at the level of the middle
lobe, 15 cm. long. An orange-size, black bit of lung protruded through
the tear. There was no sign of rib fracture opposite this tear, and no
subpleural, intercostal or subcutaneous contusion. The thorax wall was
perfectly normal.
The left lung showed, in the middle portion of the upper lobe, a
somewhat analogous pleural tear, almost as big as that on the right,
with another large hernia of black lung. Bits of the herniated lung
sank in water. The thorax wall was intact. The pericardium was free
from blood. There was nothing else abnormal about the body.
_Re_ effects of an explosion upon structures with intervening objects
left intact, Fauntleroy notes that a shell bursting three yards from
an aneroid barometer may force its levers into an abnormal position.
A further fact will indicate how permanent is the physical state into
which the levers are forced; for when the barometer with its levers
placed right was placed under a bell-jar and the pressure therein was
reduced to 410 mm., the levers resumed the position into which the
explosion of the big shell had thrown them.
Public-domain text, read in full here on John Shaqi.
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