CONTENTS.

GUNSHOT WOUNDS IN GENERAL.
PAGE
Definition of the term[9]
History of the surgery of gunshot wounds[9]
VARIETIES OF GUNSHOT WOUNDS.
Form and nature of missile[14]
Grape-shot, canister, and spherical case[16]
Musket-shot—Conical bullets[16]
Bullets of various weights and sizes[17]
Double bullets[18]
Stones, and splinters of iron or wood[19]
Degree of velocity[20]
Increased by modern fire-arms[21]
Comparison of round and conical balls[21]
The Enfield and Whitworth rifles[22]
Number of wounds in battle[22]
Proportion to shots discharged[22]
Spent balls[23]
Lodgment of balls[24]
Consequences of unextracted balls[25]
Lodgment of an 8-pound ball[26]
Illustrative cases[27]
Fragments of shells[28]
Fragments of bullets[29]
Small foreign bodies[30]
Internal wounds without external marks[32]
Hypotheses concerning[32]
Explanation concerning[33]
Seat of injury[34]
Course of balls[34]
SYMPTOMS OF GUNSHOT WOUNDS.
Diagnostic symptoms[38]
Appearances from various kinds of projectile[38]
Apertures of entrance and exit[41]
Pain of gunshot wounds[44]
Shock of gunshot wounds[45]
Primary hemorrhage[47]
Prognosis of gunshot wounds[50]
Treatment of gunshot wounds in general[51]
Provisional dressing recommended[51]
Surgeon’s first duty[52]
Position of patient for examination[53]
Instruments for conducting examination[54]
Views respecting enlargement of the external orifice[54]
Instruments for extracting balls[56]
Means to be employed for readjusting lacerated wounds[59]
Constitutional treatment[61]
Progress of cure[62]
GUNSHOT WOUNDS IN SPECIAL REGIONS OF THE BODY.
GUNSHOT WOUNDS OF THE HEAD.
Observations on[63]
Wounds of the scalp and pericranium[65]
Wounds complicated with fracture, but without depression on thecerebrum[67]
Fissured fracture[68]
Wounds complicated with fracture and depression on the cerebrum[69]
Wounds with penetration of the cerebrum[70]
Treatment[71]
Use of the trephine[71]
Opinions concerning[72]
GUNSHOT WOUNDS OF THE SPINE.
Statistics of[75]
Vertebral column and spinal cord[76]
GUNSHOT WOUNDS OF THE FACE.
General observations on[77]
Treatment[78]
GUNSHOT WOUNDS OF THE CHEST.
Comparison with other wounds[80]
Non-penetrating[81]
Penetrating[82]
Signs indicating[83]
Hemorrhage from[83]
Indications of the lung being penetrated[84]
Treatment[85]
Wounds of the heart[89]
GUNSHOT WOUNDS OF THE NECK.
Abstract of[90]
GUNSHOT WOUNDS OF THE ABDOMEN.
Observations on[93]
Non-penetrating[94]
Penetrating[94]
Of the diaphragm[99]
Fatality of[99]
Treatment[100]
GUNSHOT WOUNDS OF THE PERINEUM AND GENITOURINARY ORGANS.
Statistics of in the Crimea[101]
GUNSHOT WOUNDS OF THE EXTREMITIES.
Frequency of[103]
Division of[103]
Pyemia from[104]
Upper extremity[105]
Percentage of recoveries from, without amputation[106]
Lower extremity[109]
When to amputate and when to be avoided[109]
The femur[110]
Statistics of cases of[110]
Proportions of recoveries in amputations in[114]
Fractures in the middle and lower third of the femur[116]
Statistics in fractures of the leg, in the Crimean war[117]
AMPUTATION.
Advantages of primary as compared with secondary[117]
SECONDARY HEMORRHAGE.
Reasons for its occurrence[120]
Not uncommon in deeply-penetrating wounds of the face[121]
Rule of treatment[122]
WOUNDS OF NERVES.
Temporary or complete paralysis caused by[122]
Amputations sometimes necessary[122]
TETANUS.
Statistics of[124]
Treatment[125]
Hospital gangrene[126]
Pyemia[126]
ANESTHESIA IN GUNSHOT WOUNDS.
Chloroform[126]
Views respecting its use in secondary operations[129]
Mode of administering[130]
AFTER-USEFULNESS OF WOUNDED SOLDIERS.
Observations upon[131]
General summary[131]