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Article
July 9, 1898

THE MODERN TREATMENT OF GUNSHOT WOUNDS IN MILLITARY PRACTICE.

Author Affiliations

LIEUTENANT-COLONEL U. S. VOLUNTEERS, CHIEF OPERATING SURGEON WITH THE ARMY IN THE FIELD.

JAMA. 1898;XXXI(2):46-55. doi:10.1001/jama.1898.92450020002002

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Abstract

Two important causes are destined to bring about a radical change in the treatment of gunshot wounds as practiced in the war of the rebellion and as will be taught and advised in the Spanish-American and future wars: 1, the modifications which the weapon and projectile have undergone since that time; 2, the introduction into general practice of aseptic and antiseptic surgery. The diminution in the caliber of the bullet, the metallic jacket, the substitution of smokeless for black powder, the greater velocity and power of penetration of the missile, are conditions and influences which must necessarily modify the character of wounds inflicted with the modern weapon. Volumes have been written on this subject by writers in all countries in which the old weapon has been abandoned and the new one introduced. Numerous experiments have been made on cadavers and animals for the purpose of studying

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