154 or 9.74
per cent. wounded. I am inclined to think that this is a higher
proportion than the average of the campaign, and that more of the men
must have been exposed in the erect position than was ordinarily the
case during the fighting.
The statistics also show that 33.33 per cent. of the patients with
abdominal injuries died within from twenty-four to twenty-eight hours,
and that the percentage of deaths had risen to 73.33 per cent. at the
end of the third day. These numbers again seem high, but in this
relation it may be noted that, as a small force only was present, and as
all the patients were together, Mr. Cheyne had unusually good
opportunities for seeing all the cases.
One other point is doubtful from the report, and that is what percentage
of the wounds were caused by bullets of small calibre. In one case it is
definitely stated that the wound was large, and in the second that gas
escaped from the wound; both of these may have been instances in which a
large bullet, or some expanding form, had been employed, and there is no
doubt that the use of such projectiles was more common at this stage of
the campaign than it was earlier.
_Treatment of injuries to the intestine._--Some general rules for the
immediate treatment of all cases may be laid down. First, the patients
must be removed with as little disturbance as possible, and absolute
starvation must be insisted upon. If the patients be suffering from
severe shock, hypodermic injections of strychnine should be
administered, or possibly some stimulant by the rectum.
After a battle, when these cases may be brought in in considerable
number, they should be collected and placed in the same tent. The
objection to congregating a number of severely wounded patients together
must be disregarded in the face of the manifest advantage of being able
to treat all alike in the matter of feeding. After the battles of the
Kimberley relief force, Surgeon-General Wilson, at my request, had all
the abdominal cases placed in a large marquee, where we were able to
carefully watch the whole of the patients from hour to hour, and little
chance existed for any indiscretion on the part of the patients in the
way of eating or drinking.
If possible, the patients should be kept absolutely quiet until they are
evidently out of danger. A week's stay at Orange River sufficed for this
object in the cases referred to. The avoidance of transport is
manifestly of extreme prognostic
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