inal
contents spurted freely across the room. The openings were
sutured with five Lembert's stitches. The bowel was punctured
in two places to relieve distension, and then returned into the
belly, after washing with boiled water.

Four pints of saline solution were infused into the median
basilic vein, and 1/30 grain strychnine sulph. was injected
hypodermically.

The patient did not rally, and died twelve hours after the
operation.

(167*) Wounded at Graspan. _Entry_ (Lee-Metford), midway
between the umbilicus and pubes; _exit_, 1 inch to the left of
the fifth lumbar spine. The patient was seen on the third day
in the following condition: in great pain, expression extremely
anxious, vomiting constantly. Pulse 150 running, respirations
48. Temperature 100 deg., sweating freely. Great distension,
rigidity, and general tenderness of immobile abdomen. No
improvement followed the administration of brandy and
hypodermic injection of strychnine 1/30 grain, and operation
was deemed hopeless.

In the evening the patient was apparently dying. Face blue and
sunken and covered with sweat, eyes dull, speechless, pulse
imperceptible, restlessness extreme, bowels acting
involuntarily, no urine in bladder.

The man was placed in a tent by himself, and to my surprise was
alive and better the next morning; the expression was still
anxious, but the face brighter and not sweating; the pulse
only numbered 100, but was very weak, and the hands and feet
were cold. The condition of the abdomen was unaltered, but the
thoracic respiration had decreased in rapidity from 48 to 28.

His condition still seemed to preclude any chance of successful
intervention, but none the less life was retained until the
morning of the seventh day, the state alternating between a
moribund one and one of slight improvement. He was lucid at
times, although for the most part wandering, and was so
restless that no covering could be kept upon him. Vomiting was
continuous, so that no nourishment could be retained; the
bowels acted frequently involuntarily, and little or no urine
was passed. Meanwhile, the abdomen became flat, then sunken, an
area of induration and tenderness about 6 inches in diameter
developing around the wound of entry. Slight variations in the