Metastatic abscesses, both articular and parenchymatous. Regular dressings, immediate relieving of constrictions, disinfection of the wounds, and dressing only at long or relatively long intervals. Crowding should be avoided, and isolation of those men already infected must be insisted upon. When pyamia is recognised as being present, antiseptic baths, washing out with solutions of carbolic acid or permanganate, or with hydrogen peroxide, touching with the chlorides. Injections of nucleinate of sodium, fixation abscess, lavage of the blood.
Amputation is sometimes necessary, but it is always a proceeding of much gravity.
Emphysematous Gangrene . Of great frequency in wars, especially at the commencement. It has already been seen in many forms, chiefly on German wounded who have been abandoned. No wound is safe from it, but the wounds most exposed to it are those of shell fragments and of dangerous fractures. The symptoms are pain emphysematous swelling of the region, general disturbances.