Chapter 22

Abdomen, injuries to,407General prognosis in,470Abdominal wounds:Explosive,414Non-perforating,409Perforating,411Abscess of the brain,287Acetabulum, fracture of,193Acetylene light,30Ambulance:Foreign,30Trolly (McCormack-Brook),18Wagons,19Amputations:Effect of transport on,110for fracture,177Aneurisms:Effect of rest on,127Gangrene after,152Traumatic,122False,123True,126Treatment of,127Aneurismal varix:Arm and forearm,147Effect on circulation,134Carotid,146Femoral,147Mode of development,130Popliteal,147Prognosis in,144Signs of,131Treatment of,144Anosmia,348Antrum, wounds of,306Aphasia:Amnesic,276Ataxic,273Functional,351Arterial hæmatoma,123Prognosis in,126Treatment of,126Arteries:Compression by cicatrices,113Contusion of,112Division of,114Perforation of,114Arterio-venous aneurism:Arm and forearm,150Cervical,149Femoral,150Leg,150Popliteal,151Treatment of,148Biliary fistula,467Bladder:Wounds of,443,457Extra-peritoneal,458Intra-peritoneal,457Retained bullet in,110,460Bones. See FracturesBowlby, Mr.:Retained bullets in joints,229,230Wound of pharynx,311Brain:Abscess of,287Cerebral irritation,269Compression of,267Concussion of,266Effect of ricochet on,249Explosive injury of,247,248Frontal injuries,247,249,266Fronto-parietal injuries,273Occipital injuries,276Parietal injuries,273Prognosis in cerebral injuries,289Treatment,289Bread,7Buck wagon,21Bullets:Characters directly affecting wounds:Aseptic nature,70Calibre,41Composition of,51Deformities of,81Fragmentation,88Length,41Mantles of,52,82,83Penetration,49Revolution,45Ricochet,82Shape,42Stability,51Striking force,50Velocity of flight,42Weight,42Effect of resistance of bones on,86,87,88,93Retention of,71,79Indications for removal of,110in bladder,110,460in chest,381,401in nasal fossa,244in or near joints,229,230in skull,244,249,260,266,284,298in spinal canal,337Reversal of,81Varieties of:Determination of,105Expanding,91Explosive,95Guedes,48,51Krag-Jörgensen,48,51Jeffreys,94Large leaden,95Lee-Metford,52,89Mark IV.,94Mauser,52,83Soft-nosed,93Tampered,95Tweedie,94Waxed,52Cauda equina, injury to,325,330Cellulitis,34Cervical nerve roots, injury to,107Plexus,357Cheatle, Mr. G. L.:Entry and exit wounds,72First field dressing,107Wound of heart,383"    "  intestine,413Cheek, wounds of,309Chest, injuries to,374Character of wounds,377Influence of small calibre of bullet on,374Martini wounds,374,388Non-penetrating wounds,375Penetrating wounds,376Cheyne, Mr. W. W., F.R.S.:Abdominal wounds,449Spent bullets,243,449Civil surgeons,38Climate,8,36,71Comparison of South African with other campaigns,14Compression of brain,267Spinal cord,319Concussion of brain,266Eye,300Joints,226Nerves,341,343Spinal cord,315Contour wounds,65Contusion:Nerves,343Spinal cord,316Costal cartilages, fractures of,379Cox, Dep. Insp.-Gen.:Case of varix,148Day, Mr. J. J.:Fractures of the skull,251Deadliness of modern weapons,16Diaphragm, wounds of,381Displacement of structures by the bullet,68Abdomen,411Nerves,342Vessels,382,384Viscera,310,382,411Drink,8Dust,8,35Bacteriology of,36Empyema,394,396Enteric fever,9Epilepsy, traumatic,291Equipment of foreign ambulances,31Surgical,4Erysipelas,34Expanding bullets,91Explosive bullets,95Explosive wounds:of abdomen,414of fractures,155of head,245of leg,221of soft parts,97of thigh,197Eye, injuries to,299Facial paralysis:Cortical,273-277Peripheral,355First field dressings,107Flies,36Flockemann, Dr.:Hæmothorax,393Injury to abdomen,420Fractures:Course of healing of,172Explosive wounds in,155into joints,163,228Limb bones,154Local shock in,172Long bones, types of,161Longitudinal,163Notch,165Oblique,165Perforating,166Stellate,161Transverse,166Wedge,165Osteomyelitis in,174Pom-pom fractures,483Prognosis, general, in,174Special features of,155Special bones:Acetabulum,193Carpus,183Clavicle,178Femur,193Fibula,219Humerus,178Jaws,306Malar,305Mastoid process,299Metacarpus,185Metatarsus,224Orbital walls,300Patella,215Pelvis,189Radius,183Ribs,377Scapula,177,379Skull:Base,262Glancing,254Gutter,255Perforating, deep,245Superficial,259Treatment of,293Spine,314Sternum,379Tarsus,223Tibia,217Short and flat bones,168Suppuration of soft parts in,173Symptoms of,171Treatment of:General,175Femur,205Leg,221Upper Extremity,135Variation in character during the campaign,154Fractures in Franco-German war (Sir W. MacCormac),167Fragmentation of bullets,88Fuses of shells, wounds by,481Gangrene:Acute traumatic,34After ligature of main vessels,152Genital organs, wounds of,472Guedes rifle,65Gutter wounds:of bladder,458of bones,231of intestine,417of joints,231of liver,466of pelvis,189of scalp,242of skull,255of soft parts,157Hæmarthrosis,232Hæmorrhage,104,114Control by bullets,116by loop of nerve,116Deaths from,116Fever dependent upon,118Internal,116Interstitial,118Primary,114Recurrent,117Secondary,117Treatment of,120Hæmorrhoids,10Hæmothorax,386,389Behaviour of blood in,390Course of,390,394Diagnosis of,398Effect of transport on,389Empyema after,394Pleuritic effusion in,390Prognosis in,399Recurrent bleeding in,393Parietal,389,398Pulmonary,386,389Symptoms of,391Temperature in,391,393Treatment of,400Head, injuries to,241Health of the troops,7Heart, wounds of,382in neighbourhood of,384Hemianopsia,276Altitudinal,277Lateral,276Hospitals:Field,29,37Foreign,30General,31,38Improvised,28,39Indian Field,29Stationary,27,31,33,37Varieties of,28Hospital ships,24Tents,32Trains,23Hydronephrosis,464Impact, irregular,80,82Instruments,4Intestine, injuries to:Diagnosis of,428Difficulties of operation,453Indications for operation,454Lateral contusion,416Prognosis,446Treatment,452Wounds of,415Extra-peritoneal,419Large intestine,436,444Results of,421Small intestine,427Irregular wounds,97Itinerary,2Jam,7Jaws, fractures of:Lower,306Upper,306Treatment of,308Jenner, L. L., bacteriology of dust,36Joints, injuries to,225Arterial wounds in,121,233Classification of,229Course after,232Fractures into,228Signs and symptoms,232Suppuration of,233Treatment, general,235Joints, retained bullets in or near,229,230Joints, special:Ankle,239Elbow,236Hand,237Hip,238Knee,238Shoulders,236Tarsus,240Ker, J. E., cases of aneurism,152Kidney, wounds of,461Krag-Jörgensen rifle,65Laminectomy,335,340Larynx, wounds of,312Leaden bullets,95Lee-Metford rifle,53,64Lewtas, Col. I. M. S., cases of aneurism,144Lightning stroke,10Liver, wounds of,466Local shock,103in fractures,172Lower jaw, fractures of,306Lungs, wounds of,385Diagnosis,398Effect of velocity on,385Prognosis,399Retained bullets in,401Symptoms of,386Treatment of,400Lyddite shells,475MacCormac, Sir W.:Aneurism,150Fractures,167Malar bone, fractures,305Mandible, fractures,306Mantles, stability of,51,83Martini-Henry rifle,48Wounds by,96Mastoid process,299Mauser rifle,64Meat,7Mediastinal wounds,382,384Mesentery, wounds of,420Mills-Roberts, Mr. H. R.:Spinal hæmorrhage,321'Modders, the,'9Mortality, general,11amongst officers,14in battles of Kimberley Relief Force,12Nasalfossæ, bullet in,244Neck, wounds of,309Nerves, injuries to,341Concussion,341,343,346Contusion,343,347Displacement of,342


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