Memphis daily appeal. [volume] (Memphis, Tenn.) 1847-1886, 1862-07-12
BY WCLANAHAN & DILL.

].
wounded men, care should be taken, when be-
fore the enemy, not only that the barrels at
tached to the conveyance carts are properly
filed with good water, or such other means as
are commonly used in the country for carrying
il, should be procured and duly # led
,. Bandages OF rollers, applied on the field Of
battle are, in general, so many things wasted,
as they become dirty and stiff, and are usually
cut away and destroyed, without having been
really useful they are therefore not forth-com-
ing when required, ana would be of no use
, Simple gunShot wounds require nothing
more, for lhe FIRST two or three days, than the
application of piece OF wet or oiled linen,
fastened on with a strip OF sticking plaster, or If
possible, kept constantly wet and cold with
water When cold disagrees, warm water should
be substituted
4 Wounds made by swords, sabers or other
cutting instruments, are TO be treated principally
by position. Thus, a cut down to the bone
across the thick part Of the arm, Immediately
below the shoulder IS to be treated by raising
the arm 20 or above right angle with the body
in which position it is 10 be retained, however
ineonvenient It may be- Ligatures may be IN
serted, but through the skin only. If the throat
be cut ecross in front, any great vessels shonld
be tied, and Oozing stopped by q sponge. amer
a few hours when the OCzing IS arrested re-
move the sponge, and the head brought down
toward the chest, and retained in that position
without hga.uTes; if this is done too soon, zoe
sufferer may possibly be sufOcated by the lnh.-
tratiou OF bloc into the sreOar tissue parts ad-
jacent
: If ths cavity CT the chest is opened INFO By
q sword or lance, II is of the utmost Importance
that the wound in the skin should be effectively
closed. and this can only be done by sewing it
No as a tailor or d lady would sew up seam,
skin only being included; compress Iist should
be suplied over the ST ches, fastened on by stick
INC plaster. The patient is then 10 be placed
| an the wounded side that the lung may iail
down. if it can, upon, or apply ltsei to the
wounded part. and adhere { o It, by winch hBppy
and hoped for iHciden. lie may N all prooaoihty
bespreseryed Ii the lung should De seen pro
| truding in the wound, it should net be returned
beyond the level Of tie ribs, but becoYeTed over
| by the external parts.
! 6. II Is advisable TO encourage previously the
discharge Of blood fIom the cavity of the chest,
! if any have fallen into il; bat if the bleeding
! from within should continue, so as TO place the
life of the sufferer in danger the eX erual Weund
should be closed and events awaited.
Z. When it IS doubtful whether the bleeding
proceeds from the cavity of the chest or from
the intercostal artery "a surgical bugbear.) an
incision through the skin and the external inter
cos.al muscle viii expose the artery close to the
muscle behind It. The vessel thus exposed may
be tied, or the end pinched by the forcePs, until
it ceases to bleed. Tying string round the
ribs IS a destructive piece OF cruelty, and the
plugs, etc, formerly recommended, may be con-
sidered as surgical ineongTulhes
> A guu-sh0t wound in the chest cannot close
hy adhesion, and must remain open The pos
ton Of the sufferer should therefore be that
which is most comfortable to him. small hole
/ penetrating the cavity IS more dangerous than
large one, and the wound is less dangerous II the
I ball goes through the body. The wounds
/ should be examined, aud enlarged If necessary,
/ in order to remove all exIsneous substance,
evan If they should be seen to stick on the sur
/ lace of the lungs; the opening should be cover
! Cd with soft oiled or wet lint-a baudage when
agreeable. The ear of the surgeon and the
stethoseope are invaluable aids, and ought al
wavs to be used: indeed no injury OF the chest
can be scientifically treated without them.
g. Iucised and gun-shot wounds Of the shdn-
men are 10 be trestsd in nearly similar man
slzs=a=z IS, lrtA iairass- -ti'a' ''3iieh Is
most greeeb!a y she pateEt the parts being re-
/ laxed.
10 In wounds Of The bladder, an elastic cath
er is generally necessary. Fit cannot be passed,
an opening should be made in the pcrinseum for
! the evacuation Of the urine, with as little delay
as possible
l.
loose, broken pieces of bone, and all extreneOus
substances are to be removed as soon as possible
and depressed fractures of bone are to be raised
A deep cut made by heavy sword through the
bone into the brain, generally causes consid-
/ srEbls depression of the inner table OF bone
whilst tue outer may appear to be merely dl
vided
u. An arm is rarely to be amputated, except
from the effects of a cannon shot. The head o
the bone is to be sawn off, if necessary. The
ebow-oint Is 10 be cut out, il destroyed, and the
sufferer in either case, may have very useiu
arm.
l3. In case Of gun-shot fracture Of the uppel
arm, in which the bone is much splnteTed' incis
brotep Ui aS pieces t. @ Whicb feasible to take away
The elbow Is to be supported The forearm j:
TO be treated in G similar manner the spiinti
used should be solid.
IL. The hand is never 10 be ampUtated unles;
all or nearly all its parts are destroyed Differ,
ent bones Of it and OF the wrist to be removed
when iTecoyeIably injured, with or without the
metsreaIpal bones and fingers OF the tham5
but thumb and one finger should always be
preseTvd when possible.
10 The head Of the thigh-bOne should be SAW
of when broken by musket-ban AmPuta
ton at the hip Joint should only be done when
or the limb is destroyed by cannon-shOt.
l6. The knee joint should be cut cut when ir-
recoverably injured; but the limb is not to be
ampUated until i cannot be avoided,
II. A gun-shot fracture Of the middle of the
thigh, attended by great spliutering, IS cast
for amputatiOu. IL less difficult cases, th'
splinter should be removed by inCisiOns, par
ticularly when they can be made on the UpPe
and outer side Of the thigh. The limb shoulC
be placed on a straight, Erm splint. a broker
thigh does not admit Of much, and sometimes
Of no extension, without an UnadTlssble Increas
of suffering. An inch or TWO Of shortening th'
thigh does not so materially interfere with pro
gresson as to make the sufferer regret having
escaped smputatiou.
Is. A lee injured below the knee should rare
" be amputated in the FIRST instance, unles
from the effects of g -cannoA-shot. The splinter
of bone are all 10 be Immediately removed, b,
/ saw or forceps after due ineisions The linz
should be placed in iron spints and hung on
permanent frame as atfoTding the greatest com
fort, and probable chance of ultimate success.
~ An ankle-iOint is 10 be cut out, unless tn
iendous around are too much injured, sud s
Z are the tarssl and metat2Tsal bones an0 tees
Incisions have hitherto been too little employe
. in the early treatment Of these injuries OF Ia
, foot for the removal Of the eEETaneous sui
stances.
: 30. A wound Of the principal artery Of Oh
I thigh, in addition 10 gun-shot fracture, render
Immediate amnutation necessary. In no otht
mart Of the npuLation to be done in tn
first instance for So injury. Ligatures are
be placed on the wounded artery, one above, II
other below the wound, and events awaited.
I d. The occurrence OF modification IN any
/. these cases viii be known by the charge {
color in the skin It viii rarely occur in Il
nnner extremity, but will frequently do 80
tba lower When about to take place, the COLI
= of the skin of the foot changes, from the natur
8esh color. to a tallowry or mottled white An
nrtation should be performed Immediately abo'
lie fractured part. The modification is J
+ % When .bis discolOration has not been o
0; served, and the part shEinks, or gsngrene IA
d y. :. ...th -.orn rnarl,ed annraIances. but J