Colonel Louis A. La Garde Gunshot Injuries

Gunshot Injuries

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Excerpt from Gunshot Injuries: How They Are Inflicted; Their Complications and Treatment

In the short interval of two and a half years which has elapsed since the preparation of the first edition of this book a large amount of new material has been added to the literature of gunshot injuries as a result of the present European War. In consequence thereof any work on gunshot injuries no matter how recently produced requires extensive additions This was realized and the labor of revision was begun shortly after war was declared.

The additions that have been made in the present edition refer to the use of certain types of machine guns and the method of fire from these weapons; the use of the high explosive shell and shrapnel in the "77" and "75" mobile artillery of the French and German armies; the composition of the compound rifle bullet of the British army and how it has operated to provoke anew the discussion on Dumdum bullets. Chapter IV, on Infection of Gunshot Wounds, has been rearranged, and most of it rewritten. This was rendered necessary because of the valuable contributions which the bacteriologists have made on the invasion of the fecal anaerobes in the wounds of the present war. Chapter V, which takes up the subject of the General Treatment of Gunshot Wounds, has also been rearranged and largely rewritten on account of the radical departures which have been made in the treatment of infected wounds, by Sir A. E. Wright, Alexis Carrel, Colonel H. M. W. Gray and others. To Chapter VI we have added material of much value on the subject of Injuries of the Superior Longitudinal Sinus, a traumatism which has developed largely as a result of tangential shots which have developed from the high velocity of the military rifle and machine gun. Material additions have been made on the subject of Chest Wounds in Chapter VIII. H?mothorax has been more frequent and more difficult to treat in the present war as a result of severe wounds from close fire by the rifle, and the numerous hits by shrapnel and high explosive shell fragments. In Chapter IX, devoted to Gunshot Wounds of the Abdomen, the views of military surgeons on the value of early operation have been discussed at length.

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