Quotation from: Manual of SurgeryWritten by: Alexander Miles and Alexis Thomson |
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Wounds inflicted by shell fragments and shrapnel bullets tend to be extensive in area, and show great contusion, laceration, and destruction of the tissues. The missiles frequently lodge and carry portions of the clothing and, it may be, articles from the man's pocket, with them. Shell wounds are attended with a considerable degree of shock. On account of the wide area of contusion which surrounds the actual wound produced by shell fragments, amputation, when called for, should be performed some distance above the torn tissues, as there is considerable risk of sloughing of the flaps.
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