J——, William A. a machine readable transcription Susan C. Lawrence Kenneth M. Price Kenneth J. Winkle 2011 med.d1e19693 Civil War Washington University of Nebraska–Lincoln Center for Digital Research in the Humanities
319 Love LibraryUniversity of Nebraska–LincolnLincoln, NE 68588-4100cdrh@unlnotes.unl.edu
 2011

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 The following are responsible for particular readings or for changes to this file, as noted: Matthew Bosley Elizabeth Lorang Stacey Berry Elisabeth Tracey The Medical and Surgical History of the War of the Rebellion. (1861–65.)Surgeon General Joseph K. Barnes, United States ArmyWashington, D.C.Government Printing OfficePart 1 Volume 21870520-521 Medical and Surgical History of the War of the Rebellion wounds and injuries of the chest gunshot wounds of the chest hemorrhage wounds of the great blood vessels wounds of the innominata hemothorax compression of trachea general anesthesia, chloroform ball entered at upper sternum, passed under clavicle, lodged in thorax autopsy performed ball entered at upper angle of sternum, passed under clavicle, lodged in thorax additional proofing of transcription and encoding case text extracted and transformed from larger file enriched encoding validated file encoded initial checking of OCR text against PDF; encoded

CASE.—Private William A. J——, Co. E, 7th West Virginia Volunteers, aged 26 years, was wounded in the engagement on the Weldon Railroad, October 27th, 1864, by a conoidal musket ball, which entered at the right upper angle of the sternum, passed under the clavicle, and lodged in the thorax. The wound was plugged with lint, and the wounded man was conveyed to City Point, and thence, on an hospital steamer, to Washington, where he was received at Emory Hospital. On October 30th, he was kept quiet, with a simple dressing to the wound. On the 31st, he was placed under the influence of chloroform, and an exploration was made for the ball, which led to a profuse hæmorrhage. Plugging the wound was the only alternative. Afterwards a compress and bandages were applied. On November 1st, the patient suffered greatly from dyspnœa caused by hæmothorax. The blood effused in the mediastinum appeared to compress the trachea. He died on November 2d, 1864, five days after the reception of the wound. The autopsy was made by Surgeon N. R. Moseley, U. S. V., in charge of the hospital. The ball was found resting against the innominata, having ruptured its coats and produced a diffused aneurism. The opening in the innominata is oval, nearly half an inch long, and is situated on the front part of the vessel, a little way below the bifurcation into carotid and subclavian. The specimen was contributed to the Army Medical Museum by Surgeon Moseley, and is No. 3410 of the Surgical series. The clinical notes were furnished by the ward Surgeon, Dr. C. B. McQuesten.