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ajority of the skiagrams of the fractures under my observation at Wynberg and elsewhere. I must also express my thanks to Mr. Danielsson and his artist, Mr. Ford, for the trouble they have taken in converting my rough sketches into the illustrations contained in the volume. Lastly, my warmest gratitude is due to my friends, Mr. Cuthbert Wallace, who has read some of my chapters, and to Mr. F. C. Abbott, who has read the whole book for the press and suggested many improvements and modifications. 47 CHARLES STREET, BERKELEY SQUARE, W. _February_ 1901. CONTENTS PAGE CHAPTER I INTRODUCTORY Itinerary--Surgical outfit--Personal transport--General health of the troops--Climate--Consideration of the number of men killed and wounded--Transport of the wounded--Vehicles--Trains--Ships--Hospitals 1 CHAPTER II MODERN MILITARY RIFLES AND THEIR ACTION General type--Calibre, length, and weight of bullet--Velocity--Trajectory--Revolution--Varieties of rifle in common use by the Boers--Penetration--Comparison of bullets--Use of wax--Comparative efficiency of different types 40 CHAPTER III GENERAL CHARACTERS OF WOUNDS INFLICTED BY BULLETS OF SMALL CALIBRE Type wounds--Nature of external apertures--Direct course of wound track--Multiple wounds--Small bore and sharp localisation of tracks--Clinical course--Mode of healing--Suppuration--Wounds of irregular type--Ricochet--Mauser bullet--Lee-Metford bullet--Expanding bullets--Altered bullets--Large sporting bullets--Symptoms--Psychical disturbance and shock--Local shock--Pain--Haemorrhage--Diagnosis--Prognosis--Treatment 55 CHAPTER IV INJURIES TO THE BLOOD VESSELS Nature of lesions; contusion, laceration, perforation--Results of injuries--Primary haemorrhage--Recurrent haemorrhage--Secondary haemorrhage--Treatment of haemorrhage--Traumatic aneurisms--Arterial haematoma--True traumatic aneurism--Aneurismal varix and varicose aneurism--Conditions affecting development--Effects of aneurismal varix or varicose aneurism on the general circulation--Prognosis and treatment of aneurismal varix--Prognosis and treatment of varicose aneurism--Gangrene after ligation of arteries 112 CHAPTER V INJURIES TO THE BONES OF THE LIMBS Nature of wounds--Explosive wounds--Types of fracture of shafts of long bones--Stellate,
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