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
Several explanations are to hand, but none of them conclusive. Two must,
however, be shortly considered. First, the surface of the bullet, except
its tip and base, is practically renewed by passage through the barrel.
Secondly, there is the question of the heat to which it is subjected. As
far as cauterisation of the tissues is concerned, this question has been
practically settled in the negative, since actual determinations of the
heat immediately after the moment of impact have been made, and again it
has been shown that butter is not melted, and that neither gunpowder nor
dynamite is exploded, by firing bullets through small quantities of
those materials. Again, the absence of any sign of scorching of the
clothes of the wounded is strong evidence against the possibility of any
considerable heat being applied to the tissues of the body; while
another observation, although of less importance as affecting spent
bullets only, that bullets, which have perforated the body but lie
between the skin and the clothing, leave no sign of cauterising action
on either, may be mentioned. None the less, the sources of heating while
the bullet is passing from the barrel are many and obvious. Thus there
is the heat consequent on explosion of the powder, the warm state of the
barrel itself when the rifle has been fired a few times consecutively,
and the heat resulting from the force and friction essential to the
propulsion of the bullet through the barrel. Again, bullets covered with
wax before their introduction into the barrel retain no trace of this
when they have been fired, although at any rate the portion covering
the tip is not exposed to friction on the part of the rifle, and lastly
the base of the bullet has no other explicable reason for its
innocuousness than subjection to a certain degree of heat. While not
claiming any cauterising action on the tissues by the bullet, I should
therefore still be inclined to allow the probability of the heat to
which the surface of the bullet is exposed exerting a cleansing action
on the projectile. In regard to this point it is interesting to bear in
mind that shots from an ordinary gun seldom or never give rise to
infection.
Public-domain text, read in full here on John Shaqi.
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