Proceedings of Meeting of the Association of Military Surgeons of the United States. . RY SURGEONS. 21 8. Visceral wounds of the liver and pancreas are amenableto successful treatment by suturing-, aseptic tamponnade, or actualcautery. 9. Wounds of the spleen and kidney, if not amenable to thesame treatment, may require removal of the injured organ. 10. Wounds of the stomach and intestines large enough topermit extravasation with very few exceptions result in death, andshould therefore be subjected to direct operative treatment beforeserious complications set in. 11. Distension of


Proceedings of Meeting of the Association of Military Surgeons of the United States. . RY SURGEONS. 21 8. Visceral wounds of the liver and pancreas are amenableto successful treatment by suturing-, aseptic tamponnade, or actualcautery. 9. Wounds of the spleen and kidney, if not amenable to thesame treatment, may require removal of the injured organ. 10. Wounds of the stomach and intestines large enough topermit extravasation with very few exceptions result in death, andshould therefore be subjected to direct operative treatment beforeserious complications set in. 11. Distension of the stomach and colon by insufflation ofair before laparotomy and of the small intestines through one ormore perforations after the abdomen has been opened, is a valua-ble diagnostic test. 12. Wounds of the stomach and intestines can be quickly andsafely closed by one row of sero-muscular sutures including a fewfibers of the submucous fibrous coat. 13. The after-treatment should consist of such measures aswill most successfully combat the symptoms of shock and securerest for the injured Pannier and Dressing-lase. Weight including contents, 70 pounds. 22 FOURTH ANNUAL MEETING OF I HIi Symposium on ((Transportation of tije Sick anti flHounoro. TRANSPORTATION OF WOUNDED IN WAR. By Major Charles Smart,Surgeon, U. 8. Army. In writing history it is necessary to begin at the beginning,thereafter following our subject along the stream of time until wereach either the end of its course or its present anchorage ; but thebeginning of our present subject is lost in the haze of the distantpast. In the earliest dawn of history we find men fighting; and bat-tles, no doubt, were fought even in the primitive days. The historyof the human race is in fact a history of battles and their results. Buthistory had no eyes for those who dropped out of the struggle; sel-dom are we told of the wounded. Nevertheless, we must credit theseold time warriors with sympathies which led them to care for


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectmilitar, bookyear1894