ry in
no way altered their habitual insensibility, but in persons of what may
be termed the normal type in this particular great differences were
observed.
When a wound was received in the full excitement of battle during a
rapid advance, pain was often slight, or so trifling in degree that it
was almost unnoticed; many patients did not realise that they had been
struck until a second wound, possibly implicating a bone or some
specially sensitive structure, was superadded. In such instances the
pain was often described as 'burning' in character, or even likened to a
'sting from an insect.' Occasionally the pain was referred to a distant
part; thus a man struck in the head first felt pain in the great toe,
and another struck in the abdomen also felt pain in his foot only. Again
in some multiple injuries, pain was only felt in the more sensitive of
the regions implicated; thus a patient in whom a bullet (Martini)
traversed the arm and chest emerging in the neck to again enter the chin
and comminute the mandible, only felt pain in the chin and first
realised that he had been wounded elsewhere when he undressed. A
striking instance of the entire absence of initial pain was afforded by
a man shot through the buttock, the bullet then traversing the abdomen:
this patient remained unaware that he had been hit until on undressing
he found blood in his trousers and exclaimed: 'Why I have got this
bloody dysentery!' None the less his internal injuries were sufficiently
severe to lead to death during the next thirty-six hours.
Although initial pain might be slight or absent, practically all the
patients complained of some of varying severity at the end of an hour
after reception of the wound.
In a large proportion of the wounded, however, pain was more or less
severe from the first, and this was especially the case when the men had
been exposed to fire for some hours behind inadequate 'cover.' The most
common descriptions under these circumstances were that they felt as if
they had been struck by 'a brick,' 'a ton of lead,' or 'a
sledge-hammer.'
3. _Haemorrhage._--This question is fully treated under the heading of
injuries to the blood-vessels. It will suffice here to say that
haemorrhage was rarely of a dangerous nature so far as life was
concerned, unless the large visceral vessels or those in the walls of
serous cavities were concerned, when death was often rapid. From limb
wounds, even when the largest trunks were imp
|