British medical journal . lyimpress themselves on themind. The size of theskiu wound that admitsthe missile is no indica-tion of the amount ofdamage sustained by thetissues, hard and soft, inits track. Ko attemptshould be made to ascer-tain the amount ofdamage by manipulation,by insertion of a fingerinto the wound, nor by aprobe. An a;- ray ex-amination saves in-fection, pain, and muchmisery. A bullet moving witha high velocity will tra-verse a limb and jierforatea large bone like thefemur and cause very-little disturbance; or itmay catch a nerve, anartery or a vein and pro-duce instantly unmi
British medical journal . lyimpress themselves on themind. The size of theskiu wound that admitsthe missile is no indica-tion of the amount ofdamage sustained by thetissues, hard and soft, inits track. Ko attemptshould be made to ascer-tain the amount ofdamage by manipulation,by insertion of a fingerinto the wound, nor by aprobe. An a;- ray ex-amination saves in-fection, pain, and muchmisery. A bullet moving witha high velocity will tra-verse a limb and jierforatea large bone like thefemur and cause very-little disturbance; or itmay catch a nerve, anartery or a vein and pro-duce instantly unmistak-able signs. A man undermy care received a bulletwound just below theangle of the left orbit,it emerged between theright styloid and mastoidpi Jcesses, causing palsy of the right facial nerve. He soonbecame convalescent, but the facial paralysis small amount of injury that puts a soldier out ofaction has also impressed mo. .i. bullet hits a man onthe tip of the finger, carries off the nail, and splits the. Fig. 6.—The femm-of an ..; had entered the thigh, travthe skin in the popliteal space. terminal phalanx. We have had many injuries of thiskind; tiiey quickly become septic, and the soldier isinvalided witii a whitlow for several weeks. In theseapparently trivial cases an a;-ray examination is ex-ceedingly useful. Incidentally referenceshave been made in thenotes of the cases in thislecture to the modes oftreating septic wounds 30frequent in the in this war. Itis of course impossible totreat such wounds asep-tically. The employmentof antiseptic solutions isurgent, and it is remark-able how quickly thewounds clear up undersolutions of carbolic acid,boracic fomentations, andespecially hydrogen per-oxide. Tincture of iodinehas proved very useful,and especially a combina-tion oi carbolic acid solu-tion (1 in 60) and tinctureof iodine a drachm to thepint. The wise surgeondoes not put his wholetrust in any routinemeasure whether it bestyle
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Keywords: ., bookcentury1800, bookdecade1850, booksubjectmedicine, bookyear185
