Citation

Gail WH. Buffalo medical and surgical journal 1863; 3(4): 121-124.

Copyright

(Copyright © 1863)

DOI

unavailable

PMID

36664382

PMCID

PMC9423520

Abstract

Secondary hemorrhage from gun-shot wound, says Mr. Roux, proceeds from "separation of the eschar; from injury by fractured bones; from the capillaries caused by general feebleness of the patient." The latter corres ponding with the "hemorrhagic diathesis" of Druit, produced by long campaigns, improper diet, and the absence of a sufficient quantity of veg etable food, tn prevent the system from laboring under a scorbutic cachexa. But whatever be the cause, it is a disagreeable complication, and requires prompt and energetic action to insure any degree of safety to the patient. Stronmeyer relates a case, showing the necessity of knowing what to do, and the presence of mind, to do it without delay.

An arterial hemorrhage from a wounded brachial artery, occurred in the third week of the injury--a fracture of the humerus; the arm was ampu tated, but the patient soon died, having lost so much blood in the first instance; "an incompetent medical man who was present not having pres ence of mind to employ compression." In the treatment of this acciden tal complication of gun-shot injuries, the first indication is, to arrest the hemorrhage; the second, to prevent its recurrence. The first may be fulfilled by compression, ice, persulphate of iron; these, if the artery be small, and the hemorrhage be slight, may fulfill the second indication...

Language: en