ratively little hemorrhage. Maclean
reports the history of an accident to a man of twenty-three who had
both arms caught between a belt and the shaft while working in a woolen
factory, and while the machinery was in full operation. He was carried
around the shaft with great velocity until his arms were torn off at a
point about four inches below the shoulder-joint on each side. The
patient landed on his feet, the blood spurting from each brachial
artery in a large stream. His fellow-workmen, without delay, wound a
piece of rope around each bleeding member, and the man recovered after
primary amputation of each stump. Will gives an excellent instance of
avulsion of the right arm and scapula in a girl of eighteen, who was
caught in flax-spinning machinery. The axillary artery was seen lying
in the wound, pulsating feebly, but had been efficiently closed by the
torsion of the machinery. The girl recovered.

Additional cases of avulsion of the upper extremity are reported by
Aubinais, Bleynie, Charles, George, James, Jones, Marcano, Belchier,
Braithwaite, and Hendry.

Avulsion of the Lower Extremity.--The symptoms following avulsion of
the upper extremity are seen as well in similar accidents to the leg
and thigh, although the latter are possibly the more fatal. Horlbeck
quotes Benomont's description of a small boy who had his leg torn off
at the knee by a carriage in motion; the child experienced no pain, and
was more concerned about the punishment he expected to receive at home
for disobedience than about the loss of his leg. Carter speaks of a boy
of twelve who incautiously put the great toe of his left foot against a
pinion wheel of a mill in motion. The toe was fastened and drawn into
the mill, the leg following almost to the thigh. The whole left leg and
thigh, together with the left side of the scrotum, were torn off; the
boy died as a result of his injuries.

Ashurst reported to the Pathological Society of Philadelphia the case
of a child of nine who had its right leg caught in the spokes of a
carriage wheel. The child was picked up unconscious, with its thigh
entirely severed, and the bone broken off about the middle third; about
three inches higher the muscles were torn from the sheaths and appeared
as if cut with a knife. The great sciatic nerve was found hanging 15
inches from the stump, having given way from its division in the
popliteal space. The child died in twelve hours. One of the most
interesting fea