of the
wounds. I simply evacuated the fluid of the vesication and left the
part exposed to dry.
On the third day there was no pain or inflammation, and the eschar
remained adherent.
From this time no remedy was required. The eschar separated leaving
the surface healed, in about a month from the occurrence of the
accident. The patient suffered no sort of inconvenience nor was he
confined from his labours a single day.
CASE XV.
The following case was far more severe, but the mode of treatment was
not less efficacious.
Mr. Granger, aged 36, was exposed to a severe bruise by a great weight
of stones which had been piled up, falling upon the outside of the
leg; he was extricated from this situation with much difficulty.
Besides the bruise, the skin was removed from the outside of the leg
to the extent of ten or twelve inches in length, and in some parts an
inch and half in breadth; and in the forepart of the ankle a deep
furrow was made by the rough edge of one of the stones. I applied the
caustic in about half an hour after the accident, over the whole
surface of the wounds, and protected the eschar by the gold-beater's
skin. The patient was directed to keep the leg cool and exposed to the
air. He took no medicine.
On the succeeding day the leg was a little swelled, but the patient
did not complain of any acute pain but only of a sense of stiffness.
An adherent and perfect eschar was found to be formed over the whole
extent of the wound. There was no fever.
On the third day, the swelling had abated. No further remedy. The
patient was still enjoined to rest.
On the fourth day the swelling was nearly gone. The eschar remained
adherent. The patient walks about.
From this time the patient pursued his avocation of a stone-mason; no
further remedy was required; no inconvenience experienced; and the
eschar separated in about a month.
I think it totally impossible to have cured this wound, by any other
remedy, in less than a month; during which period the patient must
have suffered much pain and fever, and have been quite confined.
It is also quite certain, I think, that there would have been an
extensive slough, from the severity of the bruise. This was doubtless
prevented by the application of the caustic.
CASE XVI.
J. Jennings, bricklayer, aged 26, fell through the roof of a house and
bruised and lacerated his shin rather severely to the extent of an
inch and half in one part and in several o
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