GUNSHOT WOUNDS. 
exfoliation, &c. Here no cure can take place till the fo- 
reign body admits of being extracted. 
Of Cafe i in which — is proper —It is exceedingly 
difficult to determine by wri es require t 
immediate performance of 0 and what s 
admit of an attempt being made to preferve a limb badly in- 
jured by gunfhot violence. A habit of forming a corre 
judgment can only be derived from the valuable =e. % 
experience. even with this opportunity of gain 
knowledge, it is not every man that can imbibe the bt. 
information ; want of abilities in the difficult and delicate 
me as having not the 
poflibility of ing. We have known old grey-headed 
{urgeons, of whom it has often am faid that they had feen 
more ff than any of their brethren, and of courfe that 
their opinions were ath valua' There is, however, an 
effenti een merely “having things before o 
ere me really pate theta, Suppofe a man to have ten 
thoufand under = care, what avails the 
greatnefs of the number if nature has made his brains of fo 
iaturnine a compofition that they are < iecayatte of difcrimi- 
_ nating right from Rete 5 or of difcerning the important 
truths which ah sy Na ing in the wide field of expe- 
rience. One may pafs over a large portion of the 
oe and, beset » obferve nothing that he 
ht to not make the fame } poe 
both fi remember every thes which is curio 
ful, or in ee way interelting. In fu otal not fet 
own a man asa confummate eiciorer bacaate he has had 
opportunities of feeing a d deol, not even though he be 
2 hofpital furgeon ; befi ¥> we mutt con- 
whether he potieffes the aipokeas and abibity to 
the fruits of 
ao = 
collected tha mielf has aot ord s 
“i arm rpg the cafes in which amputation 
to 
4 erha 
be : done Santa after the 1 9 see 
' life, and fuch veffel mtintteside anaed be ‘he 
it is fufpeéted that the inflammation, i 
a only left to a Werte the i in oO. 
the amputati ut this celebrated furgeon reprefents the 
pone a bad refource, efpecially when it is ni beets ex- 
7 pee Pa which che pie ved only remove- 
ki 
cannot | 
» and the fi 
there not the fame 
& inftance, it is now ages Ae admitted by all 
it ot 
at biodsey Sac may bleed profufely, and cannot be 
f got at in ‘ 
ae 
| totake up the bleeding v 
of wounds is very different. I 
fiderations, and, by Niche Rely t operation, allows an inflam 
which is e mortal 
th regard to the firft 
pi informed 
he 1 hah 
difpofition, and give a turn to the conftitution, Benge 
a conliderable quantity of blood has been loft, 
probably be the cafe, where both aceident and ee 4 
mediately fucceed one another. ader fuch circumftances 
the patient aca low, {imply by animal life ae its 
port and ever recovers afterwards. Hunter 
n Gunfhot Wisnds. p- 560 , sy ited 
A ftrong argument againft immediately perfo am- 
3 = _of gun pS woun hen ae 
inflammation, i » that 
putation in ca ds, when it is 
putation on the fie 
with more eafe a itlait a ak than than with a one. 
acknowledges, experience is the te 
men who have had the beft oppo 2 
making comparative obfervations, feem to agree 0 
well, who have — limbs cut off on the = of of bal 
while a much 
r. n of exceptions to the 
Resists ‘lh he fates that it is of lefs c 
pale is ad 
fe ice ed 
ion to cut o 
admits 
m : 
y to ee th: operation in order to 
other way, without doing too much ms 
nfhot wounds ina not fo eid to bleed as wounds 
made Though gen inftrume: 
2 ale 
fometimes items them, nd Saar it hie u tely seco 
veffels p 
Alfo, — portions of the bowels or r lungs are protru 
an te reduétion of them is indifpentably requilite. — : 
Large «pisces a of fee driven into the fleth, fhould be a 
t 
For thefe purpofes, the furgeon is called upon to make: 
uch incifions as will enable him to scant the Se 
View. : 
‘ra 
n the firit, little es eta to 
be expected, if properly Coveted but ia the a 
