Statistical reports from the British forces in France on penetrating wounds of the chest.
- Date:
- 1919
Licence: Public Domain Mark
Credit: Statistical reports from the British forces in France on penetrating wounds of the chest. Source: Wellcome Collection.
5/40 page 5
![I. SOME NOTES ON PENETRATING WOUNDS OF THE CHEST By W. L. MANN, M.D., C.M., Manitoba, Major, C.A.M.C., No. 8 Canadian C.C.S. CONTENTS PAGE I. INtTRopDUCTION 5 II. TREATMENT : 7 TI]. Exprcrant TREATMENT . 9 TV. ASPIRATION q 9 V. OPEN PNEUMOTHORAX . 3 ; t ( { : ’ ia 20 VI. Srovn-In CHESTS . 2 2 ; : ; ) i d . yy te VII. Inrecrep HAEMOTHORAX ! ; ; ; ; ; ; i fod4 VIII. Aspomino-THORACIC WoUNDs . ; : ; : : ‘ ep yy ES IX. ParreTau-Insgury . : i , 4 : x ‘ ' aL 23 X. Removat or ForericN Bopy . 4 s 4 F ; ; F 24. XI. GENERAL STATISTICS ' : F ; , : : ; dina l. INTRODUCTION Tue following notes and observations were made on a series of over six hundred cases admitted to a front line C.C.S. (No. 3 Can.) during the period from June 1916 to November 1917 During this time the sector from which the wounded came saw periods of very active fighting and periods of comparative quiet. The series is con- tinuous, that is to say, the cases are consecutive, and all the cases were treated by the same surgeon. All cases of chest injury, no matter what other complicating injury might be present, were admitted to the chest wards. And, so far as it is possible for us to make a diagnosis, only cases having an injury with penetration of the pleural cavity are included in the statistical part of the paper. Of course any one who has had experience with this class of case will realize that an absolutely positive diagnosis of pleural penetration is not always possible. We have tried to exclude doubtful cases, but realize fully that we are very liable to err. Also we are well aware that a classification of chest wounds into those that penetrate the pleural cavity and those that involve the chest wall only is not free from objection. Some of the most serious cases of chest injury are the so-called ‘ stove-in ’ chests. These would be ruled out in a classi- fication based on whether or not the foreign body penetrated the pleural cavity. We do not know a classification that is free from objections, but we persist in making one because we believe the](https://iiif.wellcomecollection.org/image/b32170804_0005.jp2/full/800%2C/0/default.jpg)
