Surgical Experiences in South Africa, 1899-1900: Being Mainly a Clinical Study of the Nature and Effects of Injuries Produced by Bullets of Small CalibreMakins, George Henry
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Surgical Experiences in South Africa, 1899-1900: Being Mainly a Clinical Study of the Nature and Effects of Injuries Produced by Bullets of Small Calibre
Makins, George Henry
Gunshot wounds; South African War, 1899-1902; Surgery, Military
2. _Direct course taken by the wound track._--This character primarily
depends on the velocity with which bullets of small calibre are made to
travel, and on the small area of the tissues upon which they operate. In
this relation the degree of velocity retained by the bullet is often of
minor importance, provided it be sufficient to penetrate the body. Fired
within a distance of 2,500 yards there is little doubt that a bullet of
the Lee-Metford, Mauser, or Krag-Joergensen types, passes straight
between the apertures of entry and exit when these are of the type
outline, even when the bones are implicated. By reason of the small size
of the projectiles, their shape, and the spin and velocity transmitted
to them, there is no reason why at a sufficiently short range they
should not traverse the body from the crown of the head to the sole of
the foot. The necessary conditions of position and distance for such an
injury are obviously not often obtained, but it may be pointed out that
the Belgian Mauser rifle at a distance of five yards is capable of
driving a bullet 55 inches or nearly five feet into a log of pine-wood.
Many examples of long tracks will be referred to later, but the
following instances may be of interest in this relation. A bullet
entering at the occipital protuberance traversed the muscles of the
neck, passed through the thoracic cavity, fractured the bodies of the
third and fourth and grooved the seventh and eighth dorsal vertebrae,
grooved the seventh and eighth and fractured the ninth and tenth ribs,
traversed the muscles of the back and finally lodged against the ilium;
the whole length of this track measured some 25 inches. Again, at the
battle of Belmont a Mauser bullet entered the pelvis of a horse just
below the anus, and traversed the entire trunk before emerging from the
front of the chest: it may be of interest to mention that this animal
was alive and moving about the next day, but I am sorry I can give no
further information regarding his fate.
[Illustration: FIG. 25.--Superficial Track on external surface of Thigh.
Local discoloration of skin five weeks after reception of injury]
The possibility of contour tracks travelling around the walls of the
chest or abdomen has therefore rarely to be considered, except in
occasional instances where the bullet fired from a long range has
impinged against a bone and is retained in the body. The small volume of
the bullets, however, allows the production of very prolonged direct
subcutaneous tracks in the body wall, in positions where they would be
manifestly impossible with projectiles of larger calibre.
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