362 
G. ARCHIE STOCKWELL. 
that, with the expulsive effort, was mingled with blood and hurled 
to a distance of a yard or more. 
While cleansing the wound exteriorly, the cough ceased, but 
whether a spontaneous result or the effect of a quarter grain of 
morphia acetate administered dry upon the tongue a few moments 
before, I am not prepared to say. With a pocket-case grooved di¬ 
rector the bone dust was removed from the interior of the wound 
as far as possible, by scraping both the brain walls and the bottom 
of the cavity; an abundance of crumbs buried in cerebral tissue 
were thus removed. Next the wound was closed save at its most 
dependent extremity, by laying within a folded and oiled piece of 
chamois skin; the whole afterwards covered with adhesive 
strips; when the patient was conveyed to his home in a carriage 
and placed in bed in a cool room/’ 
To avoid prolixity I will merely add that the head was dressed 
at intervals of one to four days, as required, during a period of 
six weeks, and soon after the man resumed work in the shop. 
At no time did he suffer any pain, and the sum total of medica¬ 
tion, aside from the morphia above noted, was a half seidlitz 
powder. Shock was appreciably less than where muscular tissues 
are involved, and this I have observed to be true generally of all 
open and fully incised brain wounds. Two years after the acci¬ 
dent the man removed to Canada and all trace of him was lost, 
though I was recently informed that he yet lived, preserved ex¬ 
cellent health and in full possession of all his senses and faculties.* 
*ln the North American Medico-Chirurgical Review for January, 1858, I find 
an almost parallel case reported by Dr. Ellerslie Wallace of Philadelphia. The 
wound, inflicted by a circular saw, was four and a half inches in length by one- 
fourth in width, and extended horizontally across the skull along the coronal 
suture, lacerating the brain and dividing the longitudinal sinus. The patient, a 
girl ten years of age or thereabout, recovered without a single untoward symptom. 
(To be continued .) 
Maladie du Coit.— It is stated that the number of mares and 
stallions now in quarantine in this State on account of the disease 
known as maladie du coit, is over 200. 
