Statistical reports from the British forces in France on penetrating wounds of the chest.

Date:
1919
Catalogue details

Licence: Public Domain Mark

Credit: Statistical reports from the British forces in France on penetrating wounds of the chest. Source: Wellcome Collection.

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    have not acquired the art of giving a perfectly satisfactory local anaesthetic or it would have been used more frequently. Out of 911 cases 32 were done under local anaesthesia, and 179 under general. , Ill. Expectant TREATMENT Cases showing signs of a small or of no haemothorax, with no symptoms of infection, and with slight damage to the parietes, were treated expectantly, 1.e. rest, morphia, heat, sitting posture, &c. Cases whose general condition was considered a contra-indication to operative measures were also treated expectantly. « End Results in Cases treated expectantly. O/ . oO Returned to duty ‘ : ; ; : : : : . : 45°83 Overseas, B.E.F. . ( : : : ; 4 ‘ : f 23°61 England . : ; ‘ ; : ‘ : : sheath 22-22 Returned to Australia ; 4 ‘ ; : ; : Dies 9-25 Invalided to Canada . ‘ ‘ ; - : : : 5-10 Discharged as Per stains Unfit. : ! ‘ : : : ‘ 11-57 Pure Chests : ‘ ‘ : : ‘ H F : 5-50 Complicated A j : ; : ‘ } : ‘ 6-07 Died at C.C.S. (Pure Chests) : , 1-38 Cause of death : Pneumonia 1, Double Haemothorax 1 , Haemorrhage 1. Died at C.C.S. (Complicated) 7°88 Chest plus Paraplegia 7, Chest plus Compound Fracture of Skull 6, Chest plus Wound of the Heart 2, Chest plus Injury of Innominate Vein 1, Chest plus arlene Fracture of Femur 1. Died at Base in France 1-86 Cause of death: Tetanus 1, Haemorrhage from Lung 1, Compound Fracture of Skull 1, Cause not ascertained 1. eds in England (2 cases of Paraplegia) : : : ‘ , ; 0-93 Not heard from . ; ; } . 2 : P 16°20 Total number of cases in this class, 216. Number of months in Hospital : Months awe 13 2 24 34 4 44 5 54 6 Per'eent. i 8 7 14 17 12 13 7 2 3 4 4 Months nt (1 eee oy 74 8 8} 9 9} 10 and over Per cent. §.° 5 Z 0 0 0 1 1 4 Practically all the cases staying in hospital ea than four months did so on account of extrathoracic injuries, e.g. nerve lesions, com- pound fractures of the limbs, &e. LV. ASPIRATION Cases with signs of a moderate or a large haemothorax, with no symptoms of infection, no distress, and with only slight parietal damage were treated on general lines and by aspiration of the haemothorax, usually on the third day. al End Results in Cases Aspirated. 0 O Returned to duty . . ; ‘ : : ‘ ‘ ‘ 59-72 Overseas, B.E.F. . : ; ; ‘ ‘ , : : 31-94 England. . . : x a alas : ‘ : : 27-78 Returned to Australia 2 p 4 : : ; : , . ; 12-50 Invalided to Canada . ; < 4-17 Albuminuria 1, Amputation Arm 1, Double Haemothorax 1. A 2
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