Gunshot injuries : how they are inflicted : their complications and treatment . n 263 fractures without brain the latter suffered brain lesion in a certain percentage of thecases as the mortality is rated too high for this class. In dwelling uponthe rather low mortality, per cent, and per cent., amongthose who suffered with brain injury in these two recent wars, we haveto remember that Kharbine and the English base were far from thefront and that the statistics are culled from a restricted class. Percontra we have to account for our relatively high mortality, pe
Gunshot injuries : how they are inflicted : their complications and treatment . n 263 fractures without brain the latter suffered brain lesion in a certain percentage of thecases as the mortality is rated too high for this class. In dwelling uponthe rather low mortality, per cent, and per cent., amongthose who suffered with brain injury in these two recent wars, we haveto remember that Kharbine and the English base were far from thefront and that the statistics are culled from a restricted class. Percontra we have to account for our relatively high mortality, percent., in the Spanish-American War by citing the fact that our statis-tics were made up from all cases coming under treatment, a classwithout restriction as to time, the extent or location of injury. Wehave reason to believe that the Anglo-Boer War and Kharbine statis-tics refer only to cases that reached hospital care after the lapse ofsome days. Gutter Fractures.—This form of injury is especially commonwith the use of steel-jacketed bullets. The ogival headed bullets of. Fig. 91.—Gutter fracture of first degree. The drawing does not show well the small fragmentsof bone usually carried from the margins of the depression by the bullet. (Makins.) this class travel in a straight line, they are not deflected like theold lead balls. In the minor degrees of guttering the outer tableis grooved by the projectile, carrying away small bone these particles of bone become displaced with great violencethey take up part of the energy of the bullet and force themselves1 Op. cit. GUNSHOT WOUNDS OF THE HEAD, FACE AND NECK 171
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