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
_Diagnosis._--The only diagnostic point which it is necessary to
consider in this chapter is the determination of the nature of the
bullet which has caused the particular injury under observation, and
this is more a matter of interest than importance.
The primary indication lies in the size of the aperture of entry, which
naturally varies with the calibre of the bullet employed, and the
difference, except in the case of large projectiles, is not always
easily determined, unless we can be sure that the impact of the bullet
was at right angles. In the latter case it is possible to distinguish
even between, for instance, a Lee-Metford and a Mauser wound, if the
resistance likely to be offered by the part struck is kept in mind. A
ricochet bullet, on the other hand, may upset all our calculations, if
size alone be taken as an indication; but here the irregularity of the
wound often serves to exclude one of the larger varieties as the cause.
The appearances of the exit wound are less useful in determining the
nature of the bullet employed, as irregularities of outline are so much
more common whatever projectile may have emerged; but examination of
this wound often gives us useful information as to the existence of an
injury to the bones not involving loss of continuity.
[Illustration: FIG. 46.--Two flattened Leaden Cores to illustrate means
of determination of nature of bullet. Note ring at base. The right-hand
bullet is probably a 'man-stopping' revolver bullet; it flattened
against bone]
Other information beyond that furnished by the external wounds may be
gleaned from the presence of fragments of lead in the wound; these, if
unaccompanied by portions of casing, afford some presumptive evidence of
the use of an unsheathen bullet, especially if found on the fractured
surface of the bones; but it must be borne in mind that in the case of
ricochet bullets the leaden core often perforates when entirely freed
from its mantle. Pieces of the mantle again may give useful information
both from examination of their thickness and composition. Lastly a naked
core nearly always retains the marking on its base corresponding to the
turning over of the mantle, this not being likely to suffer impact
calculated to efface the groove. When this groove existed the employment
of any of the soft-nosed bullets used in this campaign might be safely
excluded (fig. 46).
Public-domain text, read in full here on John Shaqi.
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