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I RUSSIA'S HANDS FULL

BULLETS AND THEIR IWOUNDS.…

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BULLETS AND THEIR WOUNDS. â Mr. J. A. Spender, of 'tbe ""t.1 mmster GazeUe," who has been in tbp war Mn<\ in his last articls upon J in Iiis last art,,clo lipC,U j inflicted by bullets are generally clean, unless they have been contaminated by I fragments, of clothing or by .contact with I the earth afterwards. The high velocity of the mod?'m rifle generates ? heat, on btrikiug which, is its own caMt?ry for severed nerves and tissues, and is merci- i-l-hl(,Ii i, its oivii CzAtitoT.y ab--8 that the wounded are quickly handled, aod that, it trains are used to (transport them to the base hospitals, these are dean and comfortabift and well- provided with nurses aud doctors, a large proportion of the cases prove to be light and recover quickly. Where these con- ditions are not forthcoming, gangrene, tetanus, and ouier kinds ot septic com- plications follow quickly. A Splendid Service. I The writer testifies to the enormous im- provement, of our service in these respects since the first weeks of the war. The trains are excellent, nurses and doctors are snHiciont in numbers and highly competent, and the stationary ;1.11<1 general hospitals are an durably equipped. Nothing can exceed the ingenuity with which hotels, casinos, and other less pro- mising buildings have been adapted for this purpose. There is always a large margin of beds f<)r ;)t the principal base, and not a moment is lost in getting the wounded mm from the tiring line to the hospital. But, the nt-most care will not abolish all the | complications. Tetanus, for instance, has always to he reckoned with, though fortunately it has almost disappeared since the beginning of winter. I find no doubt among the doctors that the anti- tetanic serum administered after the l wound has bcon received is a true pro-I p1: laetk. A Conquest Over Tetanus. I So much progress has been milCh: in the treatment that in a large proportion of eases this disease, hitherto thought, fatal from the onset, may now be regarded as curate". The general rule is that the chance* of recovery increases with the length of the incubation. It tetanus, for instance, appears on tho second day after the wound was received, the chances are small; if on tho tenth recovery is a l- 1 most certain. Careful researches have ln made on this subject t-ince the, war broke out, and here, as in many other branches of medicine, knowledge is II sensibly advanced.

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