ter fracture of frontal bone._--Wounded at Paardeberg.
_Entry_ (Mauser), 3/4 of an inch within the margin of hairy
scalp above outer extremity of right eyebrow; gutter fracture;
_exit_, 2 inches nearer middle line, at the same distance from
the margin of the hairy scalp. The patient was knocked head
over heels, his main feeling being a sense of dulness in the
right great toe. He sat up and got a first field dressing
applied, then lay down, but as he was still under fire, he
retired 1,000 yards to the collecting station; here he dressed
some patients, and later mounted an ambulance wagon and was
driven to the Field hospital. The next day he helped with the
work of the hospital, amongst other things controlling the
artery during an amputation of the arm. He then took a three
days' and nights' journey to Modder River in a bullock wagon,
during which journey he had a fit, which was general, the
thumbs being turned in and a wedge being necessary between the
teeth to prevent him biting his tongue.
On the sixth day the wound was examined, and between this and
the tenth day he had several fits of the same nature as the
first, accompanied by stertorous breathing and profuse
sweating. On the tenth day Mr. Cheatle opened up the wound and
removed numerous fragments of bone, leaving a clean gutter 2
inches by 3/4 of an inch. After the operation no further fits
occurred, and eight days later he was conscious, but was
excitable and talked at random. On the twentieth day he arrived
at the Base after 30 hours' railway journey (623 miles). He was
then quite rational, but unable to make any demands on his
memory and very sensitive to noise; at times he wandered in the
evenings and his temperature rose as high as 100 deg.. The wound
was open and granulating, the floor pulsating freely.
Three weeks later the wound was still open, and the skin dipped
in at the lower margin. The mental condition was much improved,
although attempts at giving a history of his case were
obviously tiresome.
The wounds in the leather headband of this patient's helmet
were interesting, the round aperture of entry in the exterior
of the helmet being followed by a starred exit aperture in the
leather band, the second entry opening in the leather band
being again circular,
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