The sun., 1862-01-21
Ob.crv.t,ep. Of a. Rrsh.s Surgeon IN the
Crirnee. Romarkabio Iustanccs of
n q. NJ

on the Treatment Of Guaslot Wounds, by Geo.
ii. B. Mcleod, M. D., 7. r. Q. s., formerly
Surgeon 10 the Civil Hospital at Smyrns and 70
the General Hospital In camp before Sebasto-
pol"
DR.. Mcleod believes that properly construct
cd wooden huts, or canvas tents, erected on
suitable ground, are infinitely superior 10 stone
houses for hospital purposes. In Lotpitals, ven-
tnsdon Is everyeiDg; and more human life
was destroyed by accumulating sick in Low and
in-ventilsted apartments, than in leaving them
exposed 10 the seveisst inclcmsnt weather N
the side Of q common dyke or hedge"
Turning over these pages we find hors and
there mention Of soms remarkable wounds and
reooveriee
Il Ia curious Gays the au,bor) to notice how
l,rgs a body may enter through muscle, and
hide itsek without producing any great wound.
Thus eaw a case at Scutafi in which piece
OF shell, weighing nearly three pounds, was ex-
uacted from the hip Of a man wounded a. tho
Alma, which had been overlooked for a couple
Of months, and TO which but a small opening
led. Larrey gives c ace in which bsll woigh-
ing five poundA was extracted by him from the
thigh Of q soldier The pfeesnce a 40 large a
body had OF boon detected by the surgeon in
charge, and the patient suffered no inc )nvebi-
ence from i beyond feeling Of weight in the
Limb. Paillard mentions having heard NJ. Be
gin recount a $50 In which al ball Of nine pounds
no buried it,.lf for time. Hennen, 100, mon
tiOns case as having occurred at Seringapi-
tam, in which spent twelve pound shot buried
itseli in the thigh OF an officer, end 'so little
appt arAnoe was there Of body Of such bulk that
he was brought 10 the camp where he soon
expired withou, any suspicion Of tho prosenco
of the ball till il wn discovered on eXamina.
ton
OF tho effects Of round and couical balls there
arc many interesting instances cited from
which IL IL evident that the use Of the conica
MIME ball has added much to the mortality Of
a. ~ a
severe problems for the surgeon.
" round ball may bo hittened against the
shaft offs long bono without causing any sub
sequent harm. This was ofien soon in lndia,
where Il ma a'chlock n used. II may turn
ropnd a bone withOut broskinR IL. Thus, Chow
alier records a case in which ball, entorng at
tho lowor part of tho thigh, passed. spirally
round tho bone TO tho top of th- limb, 'conprs
htBdng nearly the whole length OF the bone in
ono oiicumvolu ion
alt may pas through, causing
a cloan hol., Of several Of which occurrences
will afterward relate cases but the coticsl ball
never acts in az Of thoso ways 50 far as have
seen. IL is seldom split itself, but invariably
splinters the bone Against which IL strikes 10 a
greater or less degree, according TO circumstln-
ces, ard that in the direction Of the bore's
axis.
"All Kinds OF balls generally fracture and
pplit tho shaft Of bone it they strike II about
iis middle but while a fracture with but little
comminution results from the round ball, the
conical ball. especially that which has broad,
deep cup in its base, splits and rends tbs bone
80 txtor sively that narrow Fragments many
inches in lot 9Th are detached, and lesser por-
tions are ;hroxn in all direction, crosswise at
the scat Of fracture, and driven into tho neigh .
boring soft parts. IL Is the pressure OF these
fragments which renders the fracture OF long
bones by the new (Minio) ball 80 hopoless.'
OF the eccentric course often pursued by bull
let's DIR. Mcleod gives some curious i6stanco',
| though he remarks that such cases wer1 much
raror than usual in the Crmoan war on account
| Of the general use Of the Mimic bullet
"The conica ball seldom fails TO take the
shorteet cut through n cavity or limb, and IL
has at times been seen Gas at the Alma) to pass
through the bodies Of two men and lodge in
| that Of the third. But OF the wandering' Of tina
! old round ball there were many illustrations NJ.
Meniere, in his account Of the Hotel Deu, dur.
ing the three days, tolls us Of a ball which en-
tered at the inner angle OF the left eye, passed
downward, backward, and TO tbs right side, un.
dc tho base OF the Uranium, and wN removed
above the right shoulder. The rapid recovery,
without bad symptom, was no less wonderful
in this case than tho direction taken by tho
| missile was curious"
raj openings. Our author SAYS:
THUS, have seen two in the leg and ( vo ia
the hip, and slAo two in either thigh, oc;,sio1od
in each cGe by ono halt. Dupuytrcn relates a
case in which, from its splitting, one ball made
five holes; aud the younger Larrey saw at Ant
werp six oriiices caused In the same way. Sir
stephen llammick mentions a case in which an
aperture WAS found on either side Of tho chest OF
| an officer shot ia duel. These ccrresponded
| both 10 position and character 10 those which
would be occatontd by a ball that had trsversed
the chest; yet after death two balls we're found
| in the h dy,'
How little outer traces a deadly wound shows
sometimes, is instanoed in the folio wing case
"Prvate John CoralIy was hit at s .doola-
| pore by round shot on ths outer side OF the
right arm and thorax. A blue mark alone was
occasoned on the arm, and little or ne mark
was found on the Chest. lie died in twenty
hours, without having rallied from tho shock.
| The peritoneal cavity was found full of dar rk
blood. The right lobe OF tho liver was torn in
| to small pieces some Of which we've loose and
mixed with blood. There was no siga Of in 2.
ilammaton in the poiitoneum, aud the other
| yitcera were healthy Shell does not commi-
mute bone so much as a he ball, but It tears
the soft parts much more considerably"
ChlOrofOrm was constantly used in tho Ch-
mea. Tho French alone admjnis'ero it
more than 20, 900 timep, and in obly one case
was 1t fatal. II was remarked that "chloro-
form sppears TO act more efficiently whsn all
ministered in the open air
Oi severe wounds which did not destroy life
there are many instances. Here are several:
y soldier was wounded at lnkermann by q
hall which entered through the right cbesk, and
escaped behind the angle Of tho opposite Jaw.
tea'ing the parts in such a manner that the
great vessels were plainly seen, bare and pul.
sating, in the wound Thee weeks after adj.
mission into hospital he was discharged, never
having had a bad symptom. soldier of tho
B1iis Was wounded in June, 1888, by a rifle
ball, which struck him in the nape Of the neck
1t passed forward round the right SIDE Of the
neck going deeply through the tissues; tur.ing
| up under the angle Of the inferior mAxilla n
/ ITurtmFad n a.