398 
REPORTS OF CASES. 
pressure directly on the radial artery, which I could feel pulsate, 
and administered 3 ss chloral hydrate in ball to quiet him, as lie 
was very excitable, the day being hot and the flies troublesome. 
I then carefully cleansed the wound, ligated the metacarpal artery, 
superiorly, and applied tortion to the veins and some smaller 
branches. I inserted three twisted metallic sutures (harelip) to 
close the incision; the first about two inches below the top of the 
wound and nearly two inches between the others. 
I filled the superior space from which the blood oozed with 
lint dipped in equal parts of tinct. opii and c. tr. benzoin, and 
bandaged over the whole with five yards of linen, three inches 
wide, and kept wet with carbolic lotion, 1 to 30. During the 
course of the operation he bled about two quarts more. 
I placed him in a cool stall, the floor covered with tan, so as 
to prevent jarring the limb, and darkened it to shut out the flies; 
gave no food nor drink for twenty hours, except to moisten the 
mouth with cool water occasionally. 
I slackened the tourniquet in twenty-four hours, and a slight 
continuous hemorrhage ensued. I again tightened it and it checked; 
left it for a day and a half longer, and removed it entirely. 
The bandages were removed and replaced three times a day, 
and kept wet during the day with the carbolic lotion. 
After the fourth day the wound commenced to suppurate, and 
granulation speedily followed and closed the aperture, but being 
rather exuberant I used a little dry alum and pressure to reduce 
it; wound up with cold water bandages during the day, removing 
them at night and applying a little carbolic acid to the cicatrix, 
1 to 10. 
Fed nothing but bran and water for the first ten days, gradu¬ 
ally giving oats and hay, and increasing it to the 17th of August, 
when he w T as discharged. 
On the 2d of September he was put to slow work for the first 
time, being 54 days after the occurrence. The temperature of 
the limb inferior to the injury was much lower than that of the 
others for several days, and although increased heat was mani¬ 
fested on the day he resumed work, still it was far from being 
normal. • 
