Memphis daily appeal. [volume] (Memphis, Tenn.) 1847-1886, 1862-07-17


wounded (not torn across), the bone being IN
Injured the sufferer will probably bleed to DEATH
unless aid be afforded, by making compression
above, and on the bleeding part long OUT
not broad stone, tied sharply on with hanKeI-
chief, will often suffice until assIs lance can De
obtained. when both ends Of the divided or
wounded artery are to be secured BY ligatuTes.
y. The upper end of the great artery OF the
thigh bleeds scarlet blood, the lower eha astH
veuous- -colored blood; and this is not departed
from in a case of accidental INJURY unless theIe
have been previous disease ID tne ninD; a
knowledye of this fact or circumstance, winch
continues for several days, viii prevent a mis-
take at the moment Of injury, and at subse-
ouent period, if secondary hemorrhsge should
occur. In the upper extremity both ends OF the
princinal artery bleed scarlet blood, from the
free collateral circulation, and from the anasto-
moses in the hand
26 From this cause, modification rarely takes
place after wound of the principal artery Of the
arm, OF even Of the arm-pit
1t froGasRHg follows wound OF the principal
artery in the under, middle, or even lower parts
Of the thigh, rendering amputatIOn necessary.
81 Ii is q great question, when the bone is
uuiriurad, where and what part the amputaton
should be performed. Modification Of the foot
and leg, from such a wound, is disposed to stop
a little below the knee, if it should not destroy
the sufferer and the operation, if done in the
trst instance, as soon Gs the tallOwy or motted
appearance of the foot is observed, should be
done at that part the wound OF the artery, and
the operation for securing the vessel above and
below the wound being left unheeded BY this
proceeding, when successful, the lneejoint is
saved, while On amputation above the middle Of
the thigh is always doubtful in its result.
2o. When modification has taken place from
any cause, and has been arrested below the
knee. and the dead parts show some sign of sep
aralion, it is usual to smputate above the knee.
By not doing it, but by gradually separating and
removing the dead parts, under the use of disiu-
feeling medicaments and fresh cir, a good stump
may be ultimately made, the knee-ioint and life
being preserved, which latter is frequently lest
after smputating under such circumstances.
%. Hospital gangrene, when it unfortunately
occurs, should be considered to be contagious
and infectious, and IS to be treated locally by
destructive remedies, such as nitric acid and the
bivouacing or encamping of the remainder Of the
wound, if it can be effected, or their removal to
the open air.
30 Poultices have been very often applied in
gUn-shot wounds, from lsziness, OF to cover neg
lect, and should be used as seldom as possible.
81 ChlorOform may be administered in all
cases Of ampusaGOn of the upper extremity and
below the knee, and in all minor operations
uatil The mere serious operations are
performed.
30 Auputation Ct the UPPER and middle
parts of the thigh are to be done as soon as pos
sipls after the receipt of the injury. The ad-
Of chloTofOrm in them, when there
IS much prCstTaton, is doubtful, and must be
attended to, and observed with great care. The
question whether it should not be administered
in such cases being undecided.
81 If the young surgeon should not feel
quite equal to the ready performance Of the va
-iOus operations recommended, many of them
requiring great anatomical knowledge and man
ual dextelity (and it is not to be expected that
be shoUld), be sh, Uld avail himself of every Op-
DorLuuity which msy offer Of peTtecting his
The surgery Of the British army should be at
.he hight Of the surgery of the metropolis, and |
he medical officers of that service should recol
ect, that the elevation at which it has arrived
las been on many points principally due to the
abors OF their predecessors, during the war IN
he Pehinsuls. Il is expected, then, that they
viii not only correct any errors into which their
may have fallen, but excel them by
he additions their oppeT tunities viii permit them
to make in the Improvement of the great art and
science of surgery.-L0Rd0H Lancet for June.
AFmy-Ets Present Location.
From the Petersburg Va) Express, July lOI
A gentleman who came up yesterday, states
hat so far as can be discovered by observation
)u the south bank Of James river, no important
movements have .akeu place in McClellan's
army during the past three or four days. Many
1f the wagons have disappeared from view, aud
he tents have been extended up the bank Of the
river almost 20 the very doors Of the family man
si0ns Of BsTkley. By the smoke Of the camp
ir-rr -
posed that the enemy had advanced sOmewha.
from the immediate banks of the different water
courses by which he was at first almost COM
Pletely surrounded. 1t is positively known that
heavy TelntoTcenentS have reached the Yankee
and it is believed that his army now
numbers nearly or quite 100000 men.
We have reason to believe that an important
has been made by a portion of our
forces, but the particulars will be known in
few days, and we refrain for manifest good rec
sons, from giving them here. In this connection
We su6join an article from the Enquirer OF yes
terday, entitled the situa ion"
The movements of cur army, for the past two
days, have been entirely strategical. No fight
ing Of Importance he's transpired, and at least
IOr some days, so tar as our advices indicate,
none need be expected. 1t is sufficient for us to
know first, that Mcclellan has been defeated be-
fore Richmond, and second, that his immediate
plans in changing his front have been frustrated
through the superior ability Of our generals.
It viii require a herculean effort for him to
retrieve his fallen fortunes an effort which will
require time, patience and increasing energy |
Il is considered physical impossibility for HIM
10 recruit his army in time for an early and
earnest resumption Of his "on to Richmond"
march His status at present, though not an idle
one, Is not and cannot be as active as our own.
st no period in the history of the war has the
Confederate government manifested more dash
ing and energetic spirit than which IS now per-
mItted to inspire the commanders of our army,
although that old temptation. foreign interfsr-
snce," looms up even more brilliantly and seiuc-
lively than ever. The war has at length become
an earnest one, Confederate government has
ceased all the pGrley with the rest Of the world,
and relying upon right and own resources, is
determined to pursue it to the bitter end 1t
would be imprudent TO publish the movements
which are now being made by our army. The
public must be satisfied they are wise, practical
ana essential to the success Of the struggle.
Up to 3 o'clock last evening our pickets had
brought up no prisoners, the first day they have
failed to DO SO since McClellan's forces reached
Berkley. We presume the vigilance of McClel-
lan's liver guard has been redoubled, and the
poor creatures who are so anxious to leave the
Yankee service find il q somewhat hazardous un-
deItakirg. As soon as the bright moonlights we
are now having shall have passed away, deser-
tons viii doubtless be numerous.
From HiIsOn Head and Vicinity.