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This patient is brought before the College largely on account of the rareness of simultaneous triple major amputations. It is quite possible that some of the Fellows may not have had an opportunity of seeing such a case.
The patient is a Moor, 20 years of age. He was admitted to the University Hospital November 28, 1887, having been run over on the Pennsylvania Railroad. I saw him within two hours after his admission. I found a compound comminuted fracture of the right leg, the laceration extending above the knee; complete avulsion of the left leg, the limb having been torn off in its lower third; and a compound fracture of a severe character of the right hand and wrist. There was also a compound fracture of the skull, involving the frontal bone. This, however, was an impacted fracture, of course without much depression, and did not require interference. In
ASHHURST J. SIMULTANEOUS TRIPLE AMPUTATION FOR RAILWAY INJURY, WITH REMARKS ON THE TECHNIQUE OF MULTIPLE AMPUTATION.Remarks before the College of Physicians of Philadelphia, March 7, 1888.. JAMA. 1888;X(15):459–460. doi:10.1001/jama.1888.02400410015001d