as sunk deeply in the chest, abdomen,
or pelvis, they were best left, unless some very special indication for
removal existed. Large fragments of shell always demanded removal.

In conclusion I will only make the further remark, that shell wounds,
with the exception of clean leaden shrapnel tracks, always suppurated.

I make this closing statement with the view of emphasising the influence
exerted on the aseptic course of modern rifle wounds by the small
calibre of the bullet, since both bullet and shell wounds were exposed
to the same surrounding conditions.

INDEX

Abdomen, injuries to, 407
General prognosis in, 470

Abdominal wounds:
Explosive, 414
Non-perforating, 409
Perforating, 411

Abscess of the brain, 287

Acetabulum, fracture of, 193

Acetylene light, 30

Ambulance:
Foreign, 30
Trolly (McCormack-Brook), 18
Wagons, 19

Amputations:
Effect of transport on, 110
for fracture, 177

Aneurisms:
Effect of rest on, 127
Gangrene after, 152
Traumatic, 122
False, 123
True, 126
Treatment of, 127

Aneurismal varix:
Arm and forearm, 147
Effect on circulation, 134
Carotid, 146
Femoral, 147
Mode of development, 130
Popliteal, 147
Prognosis in, 144
Signs of, 131
Treatment of, 144

Anosmia, 348

Antrum, wounds of, 306

Aphasia:
Amnesic, 276
Ataxic, 273
Functional, 351

Arterial haematoma, 123
Prognosis in, 126
Treatment of, 126

Arteries:
Compression by cicatrices, 113
Contusion of, 112
Division of, 114
Perforation of, 114

Arterio-venous aneurism:
Arm and forearm, 150
Cervical, 149
Femoral, 150
Leg, 150
Popliteal, 151
Treatment of, 148

Biliary fistula, 467

Bladder:
Wounds of, 443, 457
Extra-peritoneal, 458
Intra-peritoneal, 457
Retained bullet in, 110, 460

Bones. See Fractures

Bowlby, Mr.:
Retained bullets in joints, 229, 230
Wound of pharynx, 311

Brain:
Abscess of, 287
Cerebral irritation, 269
Compression of, 267
Concussion of, 266
Effect of ricochet on, 249
Explosive injury of, 247, 248
Frontal injuries, 247, 249, 266
Fronto-parietal injuries, 273
Occipital injuries, 276
Parietal injuries, 273
Prognosis in cerebral injuries, 289
Treatment, 289

Bread, 7

Buck wagon, 21

Bullets:
Characters directly affecting wounds:
Aseptic nature, 70
Calibre, 41
Composition of, 51
Deformities of, 81
Fragm