to the axilla.
This was considered a blood effusion; it was not obviously
distensile, and pulsation was very slight. The brachial radial
and ulnar pulses were absent. A fluctuating swelling was
present along the anterior border of the deltoid. There were
some signs of nerve contusion, but no paralysis, beyond tactile
anaesthesia in the area of distribution of the median nerve.

Four days later little alteration had been noticed beyond a
tendency to variation in firmness of the different parts of the
swelling. On the thirty-first day considerable enlargement was
observed. This enlargement, together with continued rise of
temperature, aroused the suspicion of suppuration, and an
exploratory puncture with a von Graefe's knife was made by
Major Lougheed, R.A.M.C., after consultation with Professor
Chiene. Blood clot first escaped, followed by free arterial
haemorrhage. The incision was enlarged while compression of the
third part of the subclavian was maintained; a large quantity
of clot was turned out, and an obliquely oval wound half an
inch in long diameter was found in the axillary artery.
Ligatures were applied above and below the opening between the
converging heads of the median nerve. The veins were not
damaged. The wound healed by first intention. On the twelfth
day a feeble radial pulse was perceptible, and shortly
afterwards the man left for England, diminished median tactile
sensation being the only remnant of the original symptoms.

(4) A private of the 2nd Rifle Brigade was struck while
doubling at Geluk, at a range of one hundred yards. The Mauser
bullet entered four inches above the upper border of the left
patella, internal to the mid line of the limb, and escaped in
the centre of the popliteal space. The man lay in a farmhouse
during the night and bled considerably from both wounds. He did
not fall when struck, but could not walk. He was sent to No. 2
General Hospital in Pretoria. On arrival there the external
wounds were scabbed over, and a large tumour existed beneath
the entrance wound. There was much discoloration from
ecchymosis, but no pulsation could be detected. The posterior
tibial pulse was good. At the end of ten days pulsation became
marked both in the front of the limb and in the popliteal
space. There w