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August 20, 1898

Wounds Requiring Operation.

JAMA. 1898;XXXI(8):424. doi:10.1001/jama.1898.02450080050013

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Reserve Ambulance Company, Tampa, Fla., Aug. 10, 1898.

To the Editor:  —In your issue of July 30, I notice that an official report, rendered by me on returning with wounded from the fracas near Santiago, serves as a basis for editorial comment. Permit me to correct the statement there credited to me that "surgical operations were required only in shell wounds," a rather more sweeping assertion than I should care to be responsible for. It is, however, true that shell wounds were invariably serious and almost always accompanied by such extensive laceration and comminution as to render grave operative interference necessary. Mauser wounds, on the contrary, were usually humane and, with the undeformed bullet, were quite free from the so-called explosive effect anticipated by the theorists, but they nevertheless occasionally required surgical operations of a more or less serious character. "Keyhole" wounds and those produced by deformed bullets sometimes presented

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