New-York daily tribune. [volume] (New-York [N.Y.]) 1842-1866, 1861-10-03

f,r bap not IN the body. Bc!or, probing 10Y ball
IL ia generally ueceay to place Gee Paneut a. near
Iy "A possible in the same lV.id.h rel liveF as
sRot ~ which lie received tro rull, OtherW,Ee
we NAV ,,rybe In wrong direction i5y means OF
the fGrei VIC m9y discover . 10. "a 0Vo, III l,e
wound vaen rIaseut. The clotil soc2Il be al
xrevs oIsrrygI ia orier 70 see Il par has becl cut
~ II e,.ocrigcs Larpcus that there arc two
,,o,.1 /, eueh a I'll iiyc position tcat might lead
us % iIrr fis ball passed entirely through, when q
6ttle rlo.e observation would convince us that two
balls have been received. 1lc locihjy o. pail IN
en-. ROD, r,,y be more easily discovered by pressing
,r,rb dc h engaged hand against the flesh Ia con-
trarv diro ion to the probing ager so g. 10 pres
ebc ball aalius. the finger. But suppos'ng the @eNLh
of the wound too great, and We arc Ulbis 70 leol
lie ball, then mako Tee Oi the probe, which my
De OF q different dUG. Size, or constituency. ILe nc|
prote is piece Of lead drawn Ogt, which may re
bent IN ay 5ircciDn, SO 10 be made 90 follow the
wound Lf each 2 one is not az hand, simple me
yalic o. EgsIulc C8thetCg may be Cssi.
Tie examination should be g. carly as pOSs- oi5
after receiving the wound. Iisuln Is imperative
wbea practicable. The parts are not so SeA,''Nc
SUme ia cly after a. a few h0HtS OF a gay - ,'i
when Inflammation renders the tId.k o. t-e WoAhd
s,cscdifrlv sensitive. and the patent, worn uCWi
Inv eip ,i,I he less likely TO submit 10 the doctor
ope-atiuu. Another reason why til' l.lNPortatt IS
that both src-tule in ease Of ,c!ay VIII he plu-gcd
m bv srgul.iOu and toe gem al character OF Ise
yAou1d CHANGED as before stated. In working the
,!Jlc injury may he Gcue ly eE ting great and
fatal Inflammation or opening an 81 accent artery,
removing tie COsgulum Of an artery already opened
possibly leaving the patient 10 bleed 70 death before
TIE proper rem edv can be applied.
At tbs Point dead subject was uncovered, and
Prof RaIao illustrated his Instructions 20 the class
nv actual demonstration. Three successive bullets
were fired into the BODY IN different parts, and 10
different aiFe itiOls. the first ball entered the
thigh Gt au acute angle, without V8sslng through.
Being small bullet, the wound could not be pr0Jcd
with the finger; but leaden probe was made 10
fol ow the opening. Having teen fired OF an acute
an sle, the wound, it Was observed, detected from
straight course, thluS never happening with conf
cal ball. which skaters everything in lis way, and
comes out on the other side. az length the bullet
was reached, imbedded firmly 10 the fugh-bone.
The second shot was fred 0bliguely in,othe upper
part Of the leg Tie position Of The les was slightly
changed ard IL consequence, On probing the wound,
tho orifce was found entirely closed up. The leg
was then turned forward rs it stood when the ball
was received aud the probe reached the end OF the
wound iitje distance under tie skin on the oppO-
site side Of the leg IN thir case % was thought be6
20 make q counter opening instead Of using the bull
Let fOrceis around the bone. Contact with the bone
had hattenud the bullet, aud collected il as in The
previous case. Ii was remarked tina, IL such cases
She ball nearly always followed The bone round, and
came out about the same place Oh tue other SIDE as
II il had gone straight through
The third shot broke the bJue into great number
Of small fragments but the iOcoo the ballwas not
sufficient 20 make an exit wound. Inc sca!pel was
again made Use Of TO extract the bail. Around tins
wound small space had been entirely biackened !
with powder. IL WA remarked that occasionally (
neither powder colld be traced, nor the hyid dark
color usually attending wounds. variety OF bullet
torceps wee then explained. very sharp needle
was also shown, to be used as an exploring probe,
by piercing the flesh at any pant, with Eeshy per-
sons or IL case inflammation had closed the aper
ture. When bullet lodged in the body, II was safe
70 adopt i as rule, that III ali cases. no matter
a IS,r ole flta
of the thoTax abdomen, or head tho ball should be
extracted. III mtedded IN bone screw attached 20
one Of tue fcrceps might be worked into the lead,
but it almost always ece--avy 20 cut OFT and
ehisel away pant Of the bone II lett IL the bone,
fifty to one tie lead would In future excite milan
nation, give rse to nechrOss, and If IL We're in the
neghbornood Of joint, to the necessity Of subse-
quent ampUiation.
Surprising the ball extracted, the hemouhace ~
rested. and everything going on right farther treat
nent was very staple, unless the injury was of
very grave character. The paris must be approx
mated, tie limb kept perfectly az rest, and the gene
ral condition Of the patient must DO attended 70.
was not 10 be supposed that the edges would unite
by Whist surgeons called FIRST 5Hteat1a, OF primary
Stni0a; gun-shot wounds never did this. They first
united by sUppuTaiiOn, and sttetward by grenula-
tion and cicatrization. The etges nigh. be united
by means Of adhesive straps, or bandcges, which,
suppOsug the wound 10 be a little above the knee,
should euyelop the leg from anclc 10 pelyis. On
the wound itself II was Necessary Only 10 apply
water either warm or cold as ihe patient himself de-
sired. Some doctors insisted upon warm water and
others upen cold. The sensations Of the patient were
sometimes ropuenGDt 20 cold water, in which Gaze
warm should certainly be used keeping the lint con-
EtaDtly wet by dropping or pouring on the outside.
In a very few days suppuration would become es-
tablished, the dead part would al come out, and
healthy foundation would be LETT for the healing 70
commence. When the suppuTatiOn penetrated be-
meath musCes and fascia, the treatment was the same
rs in ordinary practice. TIE patient must be
closely watched, and if there was q collection Of
matter il must be opened out. In order to hasten
the grsuulatiDg process, gentle Swinging Of water
through the wound O. ext. or entrance was excel
lent, in different ways partially IN aiding the eXpul
sion Of foreign matter. The water might be warm
or slightly acidulated, as the Oak Orchard acid
water rom spring in this STATE when an al;era-
tive or asiringent effect desired. The cOnsitu-
tiOnal treatment TO be observed, and also some Of
the effects, which genera! rule were more grave
in character than tie wound i.sel, for instance
Ocklaw, erysipelas and hospital galgrene at certain
seasons, sl+O, where nerves have been injured, Sc.
the Doctor announced would be deferred for eXpos-
tion until the next lecture.
NETWORK STATE VOLUNTEERS.
RECRUITING, APPOINTMENTS, DESIGNATIONS,
ETC.
GESKEAI HEADouiRTsEg, sTaTE OF NEw-YoRE,)