Blu42 Media

Injuries of the Head: Fractures of the Cranium, Trephining, and Treatment

page 87/166

To multiply cases would be of little use. The tcach"f all was to lead us to wait; to purge the patient thoroughly; to remove only such pieces of bone as could be got at with forceps, and which were quite detached andloosr: d. if need be, locally and even generally; (Id applications ln'ii tli.iv was a fear of inflammation; to enjoin perfect rest, not only to the b,.dy generally, but, if possible, to give repose to the special senses also, by isolating the patient, and thus ili to tin ise; to enforce the OF THE CRIMEAN WAR. and to continue all this treatment fora IOUJLT period, > after all danger seemed past; and, finally, to treat anv incidental complications on general principles.

It is extremely difficult to get soldiers to avoid stimuli, or to attend to their secretions; and the desire for improved diet leads them sometimes to deceive one as to their feelings. The discipline of a field hospital can often be infringed, and as it is not easy to persuade men of the soldier's disposition, of a danger of which their sensations give no warning, it is necessary to watch them with great care. Hepatic abscess I saw none of, and the nervous irritation and weakness, which so often follow injuries of the head, fell seldom under my notice, from the transference of the patients to the rear as soon as their wounds were healed. Jaundice was present in several fatal cases in which the head received injury.