: 
GUNSHOT WOUNDS. 
inet ty. We do not mean to fay, that the introduction as truly practical, and worthy of its great and immortal 
of a ibe into the wound is always wrong; if there is author, « Hin feck ” fays he, ‘is 5 in gunthot 
reafon to fufpec that any eee | fubitance lies in the wounds, and in fuch a manner as if of more fervice in them 
part, and that it can be extracted without too much irrita- than wounds i n general; but, I do not fee this neceffit 
tion, the _furgeon is undoubtedly Waited in probing the more than in other wounds, that have done the fame mifchiee, 
| obtain the reguifite information con- and where the fame inflammation and other confequences are 
ming the nature and fituation of the foreign body. arn- expected. 
ing ‘the irecti 2 means  ‘ Bleeding is pide to be ufed here as in all wounds, 
mr probe, may alfo be frequently right, though in general where there is a ftrong and full habit, and where we expect 
knowledge thus acquired does not produce the confiderable ‘lla and fymptomatic righ but if it 
ate in the mode of treatment. However, it muft be is fuch a gunfhot wound as not to produce nfiderable 
confefled, that theré is always fome advantage in being aware effeéts, either local or conititutional, I woud on 
7 : peéted on 
son fideisble depth, we can be more upon I believe this is the cafe with all contufed wounds, where a 
our gl ‘gaint the eonicqucneee We may prevent a death in the part is a confequence ; 
fatal hemorrhage by eur vigilance and precautions during fomewhat fimilar to the effects of a cautlic; for while the 
the firft ten days, or we may be fo careful in having recourfe feparation of the dead part is forming, the og in. 
to every thing that is antiphlogiltic, without lofs of time, flammation is retarded, and therefore re not fo vi t 
‘a to prevent iuch a degree of ‘inflammation in the injured this can only be faid of thofe wounds which are not com 
parts, as would be the deftrnétion of the patient. Upon mgr with 38 other inj xcept what was produced 
a oe alone is the probing of a gunfhot wound - od balls _pafling ee feet pat ; for 4 a bone igs 
d fraéture. 
iflammation, to 
ba pel by the firf 3 teatiee ; they mnt Grit daid off bleed in the part with leeches, or by punétures with a lan- 
tudor is, and iuppuration is to be followed by the pro- cet.’ This helps to empty the Fel s of the part, to leflen 
dut aes There is little danger of the ex- the inflammation fooner, and of courfe to promote fuppu- 
ng up too foon, that is to fay, while ration. But I cout own that bleeding muit be ufed with 
r is oe within, and before floughs and loofe ex- ig caution, where inflammation and fever run very high ; 
more deeply fituated, are difcharged. for, to reduce the pane equal to the action at the time, 
Then cons, the entrance of the ball are always (which, Fe ie is an oe d ation, or ry sae one, ig 
Tore inj ured, and confequently lefs capable of healing than- only temporary,) will be Aprsata him ©: much for 
the dep art of the wound. Therefore, the method of the poe eg: to fupport life when this paey ceafes ; for 
t ~ ‘the: mouth of the i injury with tents, and doffils of the Je worlt ag. that can happen i is the Linger geal 
lint, a view of keeping it fom clofins, is ee the mot 
part to peer. ‘unneceffary, and. e produdtive of a vaft 
deal f irr urttul. The. SselBias for 
ally be fuch as are unirritating, 
ledget of ee imple falve, 
b be emollient ponitioe, 3 is common! eligible t 
e Sad with dry lint, or apply ing any {ti- 
eS por and d g fhould 
balan or _lotio 
changed three or hy times a day, in cafe the difcha: 
sa ad and ee former application ought never to be al- 
ii e ftiff and hard, 
to rem 
i may be the tate of the cafe, There can be no i 
able excufe for irritating a gunfhot wound, by pre- others, 
» that certain mame are nece: to ftop the “A man will bear bleeding better after an S miptratie? 
Gunthot Pace will not bleed in the firft of the arm than leg; better after a compound fracture of © 
» unlefs very reid Taek os ougtet 16 be Sed, the arm than leg ; he will bear bleeding better after an in. 
nied, and aoek is “not in ly an hemorrhage this jury done to the heal, cheft, eae &c. than to either the 
satay, nd cont dwells not ‘ae ack arm or le 
quantity of blbied. ; 
wad Caer ag the violence committed j 
& parts muit E give bisth to inflammation. When t 
Homers tif on gon patient may Saline vad ay oe ia i 
desta ee regard wounds in general, not only when the inflammation is gone 
a X2 off, 
é rg na to the { ee of 
