Necessity for immediate amputation when an extremity is so wounded
as to preclude all hope of saving it; degree of danger attending
amputations of the upper and lower extremities; the question us to
immediate amputation--of the arm, or leg below the knee; in the upper
half of the thigh. Constitutional alarm of shock from the injury.
Illustrative cases by Dr. Beith, Dr. Dane, etc. Advantages of primary
over secondary amputations; consequences of secondary amputations.
Purulent deposits; cases by Dr. Irwin, Mr. Rose, and Mr. Boutflower;
case of purulent deposit in the thyroid gland; Daniel Lynch’s case.
Inflammation of the veins; cases; two varieties of phlebitis--the
adhesive and irritative, or unhealthy; symptoms and treatment of
the unhealthy inflammation. The case of Private A. Clarke; of Jane
Strangemore; cases of endemic fever after secondary amputation ending
in sub acute inflammation of the lungs and effusion into the chest.
Employment of the sulphuric acid lotion in sloughing stumps. Writers on
purulent deposits: the author’s claims; opinions of Mr. Henry Lee and
Dr. Hughes Bennett. Hemorrhage in sloughing stumps, and its treatment;
ligature of the principal artery of the limb in such cases, and its
failure; hemorrhage after amputation at the shoulder-joint; sloughing
of the stump caused by the bad air of the hospital; hemorrhages from
irritable stumps not unfrequent in crowded hospitals; symptoms and
treatment. pp. 51-73