CURRENT MEDICAL LITERATURE.—From a study
of modern high velocity military bullets, Law advises to refrain from meddlesome
treatment of the wounds. Dressings should be less frequently changed on the
field for fear of infection. He also notices the peculiar lack of susceptibility
of the blood vessels to wounds, and the rarity of external primary hemorrhage.
Lodgment of the projectile is relatively frequent, on account of the range
of fire, but attempts at removal should be abstained from unless it causes
trouble. Primary amputations are rarely necessary except with shell wounds
or great infection. Fracture cases do as well as those in civil practice.
Infection from the undeformed bullet is rare. Head wounds are among the most
fatal class of cases and require most frequently operative interference. Joint
wounds are among the most favorable class, and generally leave perfect function.
Thoracic wounds, unless immediately fatal, recover with few complications.
Tetanus and gangrene are exceptional. Abdominal perforating wounds constitute
the most serious class and should not be operated on. He considers the high
velocity steel-jacketed projectile as a step towards the end of all wars.
It disables the enemy with the minimum of death, suffering and maiming, and
impairs the subject less for future life after his return home. (1903;41:633)
Bullet Wounds.Bullet Wounds.. JAMA. 2003;290(5):678. doi:10.1001/jama.290.5.678-a