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                                                                <title level="m" type="main">Dow, Smith E.</title>
                                                  <title level="m" type="sub">a machine readable
                                                  transcription</title>
                                                  <principal>Susan C. Lawrence</principal>
                                                  <principal>Kenneth M. Price</principal>
                                                  <principal>Kenneth J. Winkle</principal>
                                                </titleStmt>
                                                <editionStmt>
                                                  <edition><date>2011</date></edition>
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                                                <publicationStmt>
                                                  <idno>med.d1e19841</idno>
                                                  <authority>Civil War Washington</authority>
                                                  <publisher>University of
                                                  Nebraska–Lincoln</publisher>
                                                  <distributor><name>Center for Digital Research in
                                                  the
                                                  Humanities</name><address><addrLine>319 Love Library</addrLine><addrLine>University of Nebraska–Lincoln</addrLine><addrLine>Lincoln, NE 68588-4100</addrLine><addrLine>cdrh@unlnotes.unl.edu</addrLine></address></distributor>
                                                  <date>2011</date>
                                                  <availability>
                                                  <p>Copyright © 2011 by University of
                                                  Nebraska–Lincoln, all rights reserved.
                                                  Redistribution or republication in any medium,
                                                  except as allowed under the Fair Use provisions of
                                                  U.S. copyright law, requires express written
                                                  consent from the editors and advance notification
                                                  of the publisher, the University of
                                                  Nebraska–Lincoln.</p>
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                                                  <note type="project">The following are responsible
                                                  for particular readings or for changes to this
                                                  file, as noted: 
                                                                  <persName xml:id="mb">Matthew Bosley</persName>
                                                                   <persName xml:id="el">Elizabeth Lorang</persName>
                                                  <persName xml:id="sb">Stacey Berry</persName>
                                                  <persName xml:id="et">Elisabeth Tracey</persName>
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                                                <sourceDesc>
                                                  <bibl><title>The Medical and Surgical History of
                                                  the War of the Rebellion.
                                                  (1861&#8211;65.)</title><editor role="compiler">Surgeon General Joseph K. Barnes, United States
                                                  Army</editor><pubPlace>Washington,
                                                  D.C.</pubPlace><publisher>Government Printing
                                                  Office</publisher><biblScope type="part">Part 1</biblScope>
                                                  <biblScope type="volume">Volume 2</biblScope><date
                                                  when="1870">1870</date><biblScope type="page">541</biblScope></bibl>
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                                                  <bibl>Medical and Surgical History of the War of
                                                  the Rebellion</bibl>
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                                                  <keywords scheme="#medsurg">
                                                                  <term>wounds and injuries of the chest</term> 
                                                                  <term>operations on the chest</term>
                                                                  <term>ligations</term>
                                                                  <term>ligations of the subclavian</term>
                                                                  <term>ball entered near inferior clavicular margin</term>
                                                                  <term>subclavian artery ligated below clavicle</term>
                                                                  <term>subclavian artery divided at point of ligation</term>
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                                                <p> <hi rend="initialcap">C</hi>ASE 15.&#8212;<name type="person" key="xxx">Color Sergeant Smith E. Dow</name>, <name type="organization" key="xxx">4th New York Volunteers</name>, aged 28
                                                                years, was wounded at <name type="BATTLE" key="xxx">Petersburg, Virginia</name>, <date type="injury" when="1864-10-27">October 27th, 1864</date>, by a ball, which entered near
                                                  inferior clavicular margin, passing inward,
                                                  downward, and backward, divided into two parts,
                                                  and emerged near superior angle of right scapula.
                                                  He was admitted to the <name type="hospital" key="214">Fairfax Seminary Hospital</name>, <name type="place">Virginia</name>, <date type="admit" when="1864-11-02">November 2d, 1864</date>; there was extensive
                                                                sloughing and suppurating, and on <date type="operation" when="1864-11-05">November 5th</date> the
                                                  right subclavian artery was ligated below
                                                  clavicle. He was feverish and weak from loss of
                                                  blood. Patient did well for ten days after the
                                                  operation, when he was allowed to sit up.
                                                  Ligatures removed; profuse h&#230;morrhage, four
                                                  ounces; compression made. <date type="operation" when="1864-11-16">Eleventh day</date>,
                                                  h&#230;morrhage of four ounces; decided to ligate.
                                                  Parts indurated; on pulsation artery could not be
                                                  seen at its normal position; compression
                                                  continued. He died <date type="death" when="1864-11-18">November 18th, 1864</date>, from
                                                  recurring h&#230;morrhage, the artery having divided
                                                  at point of ligation. Necropsy: Parts of the
                                                  wound indurated; almost impossible to trace the
                                                  course of arteries and veins; bony deposit below
                                                  clavicle, implicating arteries and veins;
                                                  subclavian artery divided at point of ligation;
                                                  ends contracted two inches; upper end drawn inward
                                                  from its normal position two inches. The case is
                                                  reported by the operator, <name type="person" key="245">Assistant Surgeon Harrison Allen</name>, <name type="organization" key="190">U. S. A.</name> </p>
                                                
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