542 



FIG. 10. 



MILITARY SURGERY AND MEDICINE. 

 FIG. 11. FIG. 12. FIG. 14. 



B 



Hamilton's Strong 

 Bullet Forceps. 



Hamilton's Compound 

 Bullet Probe. 



Moses' Bullet 

 Extractor. 



Nelaton's 

 Probe. 



thing better a piece of candle-wick or a strip of 

 cotton or woollen cloth, the water in small but 

 constant drops falls upon the cloth or lint cover- 

 ing the wound. This usually reduces the tem- 

 perature sufficiently, and is besides very grate- 

 ful to the patient. When the wounded man is 

 to be transported a long distance, simple cerate 

 spread upon patent lint is used for a dressing, 

 and this is covered with a broad and pretty 

 thick dressing of cotton-batting, tow, or some 

 other soft material, secured in its place by 

 adhesive plaster or a few turns of a light roller. 

 The subsequent treatment of gunshot wounds, 

 which is usually conducted in the general hos- 

 pital, presents little that is novel. In the treat- 

 ment of secondary hemorrhage (that occurring 

 after the sloughing of the dead tissues), the liga- 

 tion of the bleeding vessel in the wound, if pos- 

 sible, without embracing a nerve with it, or 

 when this cannot be done the use of perchlo- 

 ride of iron, or what is better, perhap?, Dr. 

 Pancoast's haemostatic (carbonate potassa, one 

 drachm; castile soap, cut fine, two drachms; 

 alcohol, four fluid ounces), is generally resorted 

 to ; if these fail, no time is lost in applying a 

 ligature to the main artery above the wound. 

 For the removal of decomposing tissues and 

 acrid pus, the method of irrigation is again 

 adopted, as being the most gentle and speedy, 

 and as imparting a healthier tone to the granu- 

 lations. "When the water develops a fine pap- 

 ular eruption, as it will after a time, it is 

 medicated by the addition of one drachm cf 



FIG. 18. 



Tiemann's Bullet Forceps. 



super-acetate of 

 lead to the quart 

 of water, or the 

 milder zinc oint- 

 ment is substi- 

 tuted. Meddle- 

 some surgery, 

 such as the 

 squeezing of a 

 wound to press 

 out the pus, or 

 probing and 

 picking to re- 

 move suspected 

 spiculaa of bone, during the suppurating stage, 

 is wholly interdicted. In the treatment of gun- 

 shot fractures of the limbs, and especially of the 

 lower extremities, the methods of treatment 

 and apparatus devised for securing perfect 

 rest, easy dressing, moderate extension, and 

 the prevention of bed-sores, are ingenious, 

 efficacious, easily constructed, and of moderate 

 cost. 



In gunshot wounds of the head, trephining is 

 sometimes though rarely necessary. In frac- 

 tures of the skull from blows of blunt instru- 

 ments, as the butt of a musket, &c., or from 

 injuries from fragments of shell, &c., it is very 

 generally advisable. Among the circular tre- 

 phines employed for this purpose, we have seen 

 no instrument equal to Gait's spiral trephine 

 (fig. 15). 



The tendency with the army surgeons to 



