In conclusion I will only make the further remark, that shell wounds, with the exception of clean leaden shrapnel tracks, always suppurated.
I make this closing statement with the view of emphasising the influence exerted on the aseptic course of modern rifle wounds by the small calibre of the bullet, since both bullet and shell wounds were exposed to the same surrounding conditions.
INDEX
Abdomen, injuries to, [407]
General prognosis in, [470]
Abdominal wounds:
Explosive, [414]
Non-perforating, [409]
Perforating, [411]
Abscess of the brain, [287]
Acetabulum, fracture of, [193]
Acetylene light, [30]
Ambulance:
Foreign, [30]
Trolly (McCormack-Brook), [18]
Wagons, [19]
Amputations:
Effect of transport on, [110]
for fracture, [177]
Aneurisms:
Effect of rest on, [127]
Gangrene after, [152]
Traumatic, [122]
False, [123]
True, [126]
Treatment of, [127]
Aneurismal varix:
Arm and forearm, [147]
Effect on circulation, [134]
Carotid, [146]
Femoral, [147]
Mode of development, [130]
Popliteal, [147]
Prognosis in, [144]
Signs of, [131]
Treatment of, [144]
Anosmia, [348]
Antrum, wounds of, [306]
Aphasia:
Amnesic, [276]
Ataxic, [273]
Functional, [351]
Arterial hæmatoma, [123]
Prognosis in, [126]
Treatment of, [126]
Arteries:
Compression by cicatrices, [113]
Contusion of, [112]
Division of, [114]
Perforation of, [114]
Arterio-venous aneurism:
Arm and forearm, [150]
Cervical, [149]
Femoral, [150]
Leg, [150]
Popliteal, [151]
Treatment of, [148]
Biliary fistula, [467]
Bladder:
Wounds of, [443], [457]
Extra-peritoneal, [458]
Intra-peritoneal, [457]
Retained bullet in, [110], [460]
Bones. See Fractures
Bowlby, Mr.:
Retained bullets in joints, [229], [230]
Wound of pharynx, [311]
Brain:
Abscess of, [287]
Cerebral irritation, [269]
Compression of, [267]
Concussion of, [266]
Effect of ricochet on, [249]
Explosive injury of, [247], [248]
Frontal injuries, [247], [249], [266]
Fronto-parietal injuries, [273]
Occipital injuries, [276]
Parietal injuries, [273]
Prognosis in cerebral injuries, [289]
Treatment, [289]
Bread, [7]
Buck wagon, [21]
Bullets:
Characters directly affecting wounds:
Aseptic nature, [70]
Calibre, [41]
Composition of, [51]
Deformities of, [81]
Fragmentation, [88]
Length, [41]
Mantles of, [52], [82], [83]
Penetration, [49]
Revolution, [45]
Ricochet, [82]
Shape, [42]
Stability, [51]
Striking force, [50]
Velocity of flight, [42]
Weight, [42]
Effect of resistance of bones on, [86], [87], [88], [93]
Retention of, [71], [79]
Indications for removal of, [110]
in bladder, [110], [460]
in chest, [381], [401]
in nasal fossa, [244]
in or near joints, [229], [230]
in skull, [244], [249], [260], [266], [284], [298]
in spinal canal, [337]
Reversal of, [81]
Varieties of:
Determination of, [105]
Expanding, [91]
Explosive, [95]
Guedes, [48], [51]
Krag-Jörgensen, [48], [51]
Jeffreys, [94]
Large leaden, [95]
Lee-Metford, [52], [89]
Mark IV., [94]
Mauser, [52], [83]
Soft-nosed, [93]
Tampered, [95]
Tweedie, [94]
Waxed, [52]
Cauda equina, injury to, [325], [330]
Cellulitis, [34]
Cervical nerve roots, injury to, [107]
Plexus, [357]
Cheatle, Mr. G. L.:
Entry and exit wounds, [72]
First field dressing, [107]
Wound of heart, [383]
" " intestine, [413]
Cheek, wounds of, [309]
Chest, injuries to, [374]
Character of wounds, [377]
Influence of small calibre of bullet on, [374]
Martini wounds, [374], [388]
Non-penetrating wounds, [375]
Penetrating wounds, [376]
Cheyne, Mr. W. W., F.R.S.:
Abdominal wounds, [449]
Spent bullets, [243], [449]
Civil surgeons, [38]
Climate, [8], [36], [71]
Comparison of South African with other campaigns, [14]
Compression of brain, [267]
Spinal cord, [319]
Concussion of brain, [266]
Eye, [300]
Joints, [226]
Nerves, [341], [343]
Spinal cord, [315]
Contour wounds, [65]
Contusion:
Nerves, [343]
Spinal cord, [316]
Costal cartilages, fractures of, [379]
Cox, Dep. Insp.-Gen.:
Case of varix, [148]
Day, Mr. J. J.:
Fractures of the skull, [251]
Deadliness of modern weapons, [16]
Diaphragm, wounds of, [381]
Displacement of structures by the bullet, [68]
Abdomen, [411]
Nerves, [342]
Vessels, [382], [384]
Viscera, [310], [382], [411]
Drink, [8]
Dust, [8], [35]
Bacteriology of, [36]
Empyema, [394], [396]
Enteric fever, [9]
Epilepsy, traumatic, [291]
Equipment of foreign ambulances, [31]
Surgical, [4]
Erysipelas, [34]
Expanding bullets, [91]
Explosive bullets, [95]
Explosive wounds:
of abdomen, [414]
of fractures, [155]
of head, [245]
of leg, [221]
of soft parts, [97]
of thigh, [197]
Eye, injuries to, [299]
Facial paralysis:
Cortical, [273]-277
Peripheral, [355]
First field dressings, [107]
Flies, [36]
Flockemann, Dr.:
Hæmothorax, [393]
Injury to abdomen, [420]
Fractures:
Course of healing of, [172]
Explosive wounds in, [155]
into joints, [163], [228]
Limb bones, [154]
Local shock in, [172]
Long bones, types of, [161]
Longitudinal, [163]
Notch, [165]
Oblique, [165]
Perforating, [166]
Stellate, [161]
Transverse, [166]
Wedge, [165]
Osteomyelitis in, [174]
Pom-pom fractures, [483]
Prognosis, general, in, [174]
Special features of, [155]
Special bones:
Acetabulum, [193]
Carpus, [183]
Clavicle, [178]
Femur, [193]
Fibula, [219]
Humerus, [178]
Jaws, [306]
Malar, [305]
Mastoid process, [299]
Metacarpus, [185]
Metatarsus, [224]
Orbital walls, [300]
Patella, [215]
Pelvis, [189]
Radius, [183]
Ribs, [377]
Scapula, [177], [379]
Skull:
Base, [262]
Glancing, [254]
Gutter, [255]
Perforating, deep, [245]
Superficial, [259]
Treatment of, [293]
Spine, [314]
Sternum, [379]
Tarsus, [223]
Tibia, [217]
Short and flat bones, [168]
Suppuration of soft parts in, [173]
Symptoms of, [171]
Treatment of:
General, [175]
Femur, [205]
Leg, [221]
Upper Extremity, [135]
Variation in character during the campaign, [154]
Fractures in Franco-German war (Sir W. MacCormac), [167]
Fragmentation of bullets, [88]
Fuses of shells, wounds by, [481]
Gangrene:
Acute traumatic, [34]
After ligature of main vessels, [152]
Genital organs, wounds of, [472]
Guedes rifle, [65]
Gutter wounds:
of bladder, [458]
of bones, [231]
of intestine, [417]
of joints, [231]
of liver, [466]
of pelvis, [189]
of scalp, [242]
of skull, [255]
of soft parts, [157]
Hæmarthrosis, [232]
Hæmorrhage, [104], [114]
Control by bullets, [116]
by loop of nerve, [116]
Deaths from, [116]
Fever dependent upon, [118]
Internal, [116]
Interstitial, [118]
Primary, [114]
Recurrent, [117]
Secondary, [117]
Treatment of, [120]
Hæmorrhoids, [10]
Hæmothorax, [386], [389]
Behaviour of blood in, [390]
Course of, [390], [394]
Diagnosis of, [398]
Effect of transport on, [389]
Empyema after, [394]
Pleuritic effusion in, [390]
Prognosis in, [399]
Recurrent bleeding in, [393]
Parietal, [389], [398]
Pulmonary, [386], [389]
Symptoms of, [391]
Temperature in, [391], [393]
Treatment of, [400]
Head, injuries to, [241]
Health of the troops, [7]
Heart, wounds of, [382]
in neighbourhood of, [384]
Hemianopsia, [276]
Altitudinal, [277]
Lateral, [276]
Hospitals:
Field, [29], [37]
Foreign, [30]
General, [31], [38]
Improvised, [28], [39]
Indian Field, [29]
Stationary, [27], [31], [33], [37]
Varieties of, [28]
Hospital ships, [24]
Tents, [32]
Trains, [23]
Hydronephrosis, [464]
Impact, irregular, [80], [82]
Instruments, [4]
Intestine, injuries to:
Diagnosis of, [428]
Difficulties of operation, [453]
Indications for operation, [454]
Lateral contusion, [416]
Prognosis, [446]
Treatment, [452]
Wounds of, [415]
Extra-peritoneal, [419]
Large intestine, [436], [444]
Results of, [421]
Small intestine, [427]
Irregular wounds, [97]
Itinerary, [2]
Jam, [7]
Jaws, fractures of:
Lower, [306]
Upper, [306]
Treatment of, [308]
Jenner, L. L., bacteriology of dust, [36]
Joints, injuries to, [225]
Arterial wounds in, [121], [233]
Classification of, [229]
Course after, [232]
Fractures into, [228]
Signs and symptoms, [232]
Suppuration of, [233]
Treatment, general, [235]
Joints, retained bullets in or near, [229], [230]
Joints, special:
Ankle, [239]
Elbow, [236]
Hand, [237]
Hip, [238]
Knee, [238]
Shoulders, [236]
Tarsus, [240]
Ker, J. E., cases of aneurism, [152]
Kidney, wounds of, [461]
Krag-Jörgensen rifle, [65]
Laminectomy, [335], [340]
Larynx, wounds of, [312]
Leaden bullets, [95]
Lee-Metford rifle, [53], [64]
Lewtas, Col. I. M. S., cases of aneurism, [144]
Lightning stroke, [10]
Liver, wounds of, [466]
Local shock, [103]
in fractures, [172]
Lower jaw, fractures of, [306]
Lungs, wounds of, [385]
Diagnosis, [398]
Effect of velocity on, [385]
Prognosis, [399]
Retained bullets in, [401]
Symptoms of, [386]
Treatment of, [400]
Lyddite shells, [475]
MacCormac, Sir W.:
Aneurism, [150]
Fractures, [167]
Malar bone, fractures, [305]
Mandible, fractures, [306]
Mantles, stability of, [51], [83]
Martini-Henry rifle, [48]
Wounds by, [96]
Mastoid process, [299]
Mauser rifle, [64]
Meat, [7]
Mediastinal wounds, [382], [384]
Mesentery, wounds of, [420]
Mills-Roberts, Mr. H. R.:
Spinal hæmorrhage, [321]
'Modders, the,' [9]
Mortality, general, [11]
amongst officers, [14]
in battles of Kimberley Relief Force, [12]
Nasal fossæ, bullet in, [244]
Neck, wounds of, [309]
Nerves, injuries to, [341]
Concussion, [341], [343], [346]
Contusion, [343], [347]
Displacement of, [342]
Laceration, [344], [348]
Perforation, [345]
Prognosis in, [370]
Scar, implication of, [345], [350]
Section, [344]
Symptoms of, [346]
Treatment of, [371]
Velocity in relation to, [341]
Nerves, special:
Cranial:
Fifth, [353]
Fourth, [353]
Eighth, [353], [354]
Eleventh, [356]
Olfactory, [352]
Optic, [352]
Seventh, [354], [372]
Sixth, [353]
Tenth, [356]
Third, [353]
Twelfth, [357]
Spinal:
Brachial, [357]
Cervical, [347], [357]
Lumbar, [359]
Sacral, [359]
Sacro-coccygeal, [360]
Thoracic, [358]
Neuritis:
Ascending, [350]
Peripheral, [355]
Traumatic, [349]
Neurosis, traumatic [351]
Nose, wounds of, [305], [348]
Nurses, [38]
Officers, mortality among, [14]
Olecranon, fracture of, [183], [237]
Omentum, wounds of, [420]
Prolapse of, [420]
Operations:
Difficulties of, [35]
in field, [296]
in Field hospitals, [109]
Orbit, wounds of, [299]
Prognosis and treatment of, [304]
Osteomyelitis in fractures, [174]
Outfit, surgical, [3]
Pain in wounds, [103]
Paraplegia, functional, [337]
Penetration of bullets, [49]
Penis, wounds of, [472]
Peritoneal infection, [412]
Pharynx, wounds of, [311]
Pleural septicæmia, [437]
Pleurisy, [390], [398]
Pneumonia, [9], [398]
Pneumo-thorax, [388]
Pom-pom shells, [478]
Portland Hospital, [34]
Psychical disturbance, [101]
Rain, [9], [36]
Range of fire:
Difficulty of judging influence on mortality, [17]
Rectum, wounds of, [443], [444]
Removal of wounded from the field, [18]
Respiration in spinal injuries, [329]
Retained bullets. See Bullets
Reversed bullets, [81]
Revolution of bullet, [45], [46]
Ribs, fractures of, [377]
Signs of, [379]
Ricochet, [82]
Effect on wound type, [249]
Lee-Metford, [89]
Mauser, [84]
Within body,
Abdomen, [415]
Skull, [249]
Rifles:
Bore, [41]
Guedes, [47], [54]
Krag-Jörgensen, [47], [54]
Lee-Metford, [47], [64]
Martini-Henry, [47], [97]
Mauser, [47], [64]
Modern principles of, [40]
Trajectory, [44]
Varieties employed, [47], [48]
Scalp wounds, [242], [264]
Scapula, fractures of, [177], [379]
Scrotum, wounds of, [472]
Septic disease, [34]
Septicæmia:
General, [34]
in enteric fever, [9]
Peritoneal, [421]
Pleural, [437]
Shells, [474]
Varieties of, [475]
Vickers-Maxim, [478]
Lyddite, [476]
Shrapnel, [483]
Shell wounds:
of abdomen, [480], [485]
Proportionate occurrence of, [11]
Shell fuse wounds, [481]
Ships, hospital, [24]
Shock:
General, [101]
Local, [103]
Treatment of, [110]
Shrapnel, [483]
Simla, [25]
Skull. See Fractures
Fractures independent of gross brain lesion, [242]
with brain lesion, [248]
Spinal column:
Injuries to, [314]
Fractures of centra, [317]
Spinous processes, [315]
Transverse processes, [314]
Spinal cord, injuries to, [315]
Compression by bullets, [319]
Concussion, [319]
Contusion, [320]
Diagnosis, [335]
Hæmato-myelia, [322]
Section of, [323]
Shock accompanying, [328]
Signs of, [323]
Transport of, [339]
Treatment of, [339]
Spinal hæmorrhage:
Epidural, [321]
Hæmato-myelia, [322]
Peri-pial, [321]
Spleen, wounds of, [469]
Splints:
Aluminium, [177]
Field cane, [209], [221]
Hodgen's, [211]
Wire gauze, [187]
Sternum, fractures of, [379]
Stevenson, Col. W. F.:
Local shock, [106]
Explosive wounds, [159]
Stokes, Sir W.:
Treatment of aneurism, [151]
Stomach, wounds of, [424]
Stonham, Mr. C.:
Wound of vermiform appendix, [437]
Sunstroke, [10]
Suppuration of wounds, [78]
in fracture, [173]
Synovitis, vibration, [226]
Temperature of air, [8], [36]
in blood effusions, [118], [391], [393]
Tents, [32]
Testicle, wounds of, [472]
Tetanus, [34]
Thirst, [8]
Thomson, Sir W.:
Pom-pom wounds, [479]
Wound of nose, [305]
Thoracic vessels, wounds of, [384]
Tonga, the, [19]
Tongue, wounds of, [309]
Trachea, wounds of, [312]
Traction engines, [23]
Trains, hospital, [23]
Trajectory, [44]
Transport:
after battles, [26]
of wounded men from field, [18]
of wounded of the Kimberley Relief Force, [25]
of chest injuries, [386]
of fractures, [176]
of spinal injuries, [339]
Traumatic aneurism. See Aneurism
Traumatic epilepsy, [291]
Traumatic gangrene, [34]
Traumatic neurosis, [107], [351]
Treves, Mr. F.: on cessation of intestinal peristalsis, [423]
Trolly (McCormack-Brook), [19]
Upper jaws, [306]
Urethra, wounds of, [472]
Urinary Bladder. See Bladder
Varix. See Aneurismal varix
Vegetables, [7]
Veldt sores, [10]
Velocity of bullet:
Circumstances influencing, [43]
Initial, [42], [49]
Remaining of various rifles, [49]
Velocity, influence of:
on fractures of long bones, [163]
on fractures of short and flat bones, [168]
on wounds of abdomen, [414]
of chest, [385]
of joints, [226], [230]
of lungs, [385]
of nerves, [341]
of skull, [251]
of spine, [319]
Vermiform appendix, wounds of, [437]
Vibration synovitis, [226]
Vickers-Maxim shell, [478]
Vomiting in spinal injuries, [329]
Wagons:
Ambulance, [20]
Buck, [22]
Ox, [20]
Warfare, deadliness of, [40]
Water in South Africa:
Character of, [8], [36]
Transport of, [5]
Waxed bullets, [52]
Wobble, [80], [81], [251]
Wounded men, removal from the field, [18]
Wounds, general:
Aperture of entry, [55], [72]
Aperture of exit, [58], [74]
Climate, influence on, [71]
Clinical, course of, [69]
Contour tracks, [65]
Direct nature of tracks, [63]
Directions of tracks, [66]
Displacement of structures, [68]
Explosive exit wounds, [97]
Foreign bodies in, [71]
First field dressing, [107]
Hæmorrhage, [104]
Irregular types of, [80], [97]
Mode of healing, [72]
Multiple character, [67]
Nature of tracts, [68]
Pain, [103]
Prognosis, [106]
Psychical disturbance, [101]
Shock, [101]
Small bore, [67]
Superficial tracts, [65]
Suppuration, [69], [78]
Symptoms, [100]
Tracks, nature of, [68]
Treatment, [107]
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