After its removal, if the bleeding be checked, dress as above directed with water, A deeply punctured wound is prone to heal at the surface. This should be prevented by inserting a strip of linen between the lips of the wound, so as to allow of the escape of matter. The healing from the bot- tom is sometimes to be promoted by injecting with a "weak solution of Condy's fluid (a teaspoonful to a pint of water). MEBlClKAL, m Stabs, or Pu.nCTUREd Wounds of the Chest. — The dan- ger of these will depend upon the fact and extent of penetration. Those wounds that do not pene- trate the cavity of the chest may be treated as ordinary stabs. (See previous directions.) Penetration of the chest is probably attended with u v/ound in the lung. This may be inferred if there be diffi- culty in breathing, or spitting of blood, with distress and anxiety of countenance. The first indication of treat- ment in wounds of the chest is to give remedies to stop the bleeding. Should this proceed from a vessel in the wall of the chest, it should be sought for, and, if possible, tied; should it, however, proceed from the lungs, ice and cold drinks should be given. For the organs within the chest, see diagram, which will point out the parts probably wounded. A draught as follows: Tincture of opium, 20 minims; infusion of oak-bark, to make one ounce. This should be given every hour until the patient sleeps, and then discontinued. The sleeping is important, as it diminishes the force of breath- ing, and so insures a certain amount of rest to the wounded lung. The wound in the wall of the chest should then be accurately closed with stitches, or plaster, and the patient kept as quiet as possible. Should there be any heat, swelling, or pain in the part, or should the patient have any shivering fits, small doses of opium should be continued at frequent intervals; thus: Compound ipecacuanha powder (Dover's powder), two and a half grains. Every two hours. It will be as well, when these symptoms show themselves, to give the patient also half an ounce of Epsom salts, in order to open the bowels. He should be allowed a light, cool diet. Pleurisy is often a consequence of wounds in the walls of the chest. For its treatment, see under the name "Pleurisy. " Punctured Wounds of the Abdomen. — These may be slight and easily repaired, or they may be so serious as to end fatally in the course of a few hours. The gravity will depend upon the amount of injury inflicted upon the intestines. Th<5 following divisions of the subject will illustrate thispoii.*^.: S80 MEDICINAL. ist. Non-perforating Wounds. — A simple wound of thd walls of the abdomen, not passing through into the abdominal cavity, is not more serious than an incised or punctured wound elsewhere, and should be treated in the same way. A probe, or the finger, will readily detect the fact of a perforation; be- sides that, in the event of such an occurrence, there will prob- ably be more severe pain in the part.

AI-modernized reading of the original text

After its removal, if the bleeding be checked, dress as above directed with water, A deeply punctured wound is prone to heal at the surface. This should be prevented by inserting a strip of linen between the lips of the wound, so as to allow of the escape of matter. The healing from the bottom is sometimes to be promoted by injecting with a "weak solution of Condy's fluid (a teaspoonful to a pint of water). [illustration: Medical] m Stabs, or Punctured Wounds of the Chest. — The danger of these will depend upon the fact and extent of penetration. Those wounds that do not penetrate the cavity of the chest may be treated as ordinary stabs. (See previous directions.) Penetration of the chest is probably attended with a wound in the lung. This may be inferred if there be difficulty in breathing, or spitting of blood, with distress and anxiety of countenance. The first indication of treatment in wounds of the chest is to give remedies to stop the bleeding. Should this proceed from a vessel in the wall of the chest, it should be sought for, and, if possible, tied; should it, however, proceed from the lungs, ice and cold drinks should be given. For the organs within the chest, see diagram, which will point out the parts probably wounded. A draught as follows: Tincture of opium, 20 minims; infusion of oak-bark, to make one ounce. This should be given every hour until the patient sleeps, and then discontinued. The sleeping is important, as it diminishes the force of breathing, and so insures a certain amount of rest to the wounded lung. The wound in the wall of the chest should then be accurately closed with stitches, or plaster, and the patient kept as quiet as possible. Should there be any heat, swelling, or pain in the part, or should the patient have any shivering fits, small doses of opium should be continued at frequent intervals; thus: Compound ipecacuanha powder (Dover's powder), two and a half grains. Every two hours. It will be as well, when these symptoms show themselves, to give the patient also half an ounce of Epsom salts, in order to open the bowels. He should be allowed a light, cool diet. Pleurisy is often a consequence of wounds in the walls of the chest. For its treatment, see under the name "Pleurisy. " Punctured Wounds of the Abdomen. — These may be slight and easily repaired, or they may be so serious as to end fatally in the course of a few hours. The gravity will depend upon the amount of injury inflicted upon the intestines. The following divisions of the subject will illustrate this point: S80 MEDICINAL. ist. Non-perforating Wounds. — A simple wound of thd walls of the abdomen, not passing through into the abdominal cavity, is not more serious than an incised or punctured wound elsewhere, and should be treated in the same way. A probe, or the finger, will readily detect the fact of a perforation; besides that, in the event of such an occurrence, there will probably be more severe pain in the part.

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