Greely, Timothy a machine readable transcription Susan C. Lawrence Kenneth M. Price Kenneth J. Winkle 2011 med.d2e4914 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 Sarah Synovec The Medical and Surgical History of the War of the Rebellion. (1861-65.)Washington, DCGovernment Printing OfficePart 3Volume 2188395 Medical and Surgical History of the War of the Rebellion wounds and injuries of the lower extremities wounds and injuries of the hip joint shot fractures at the hip joint excision at the hip after shot injury primary excisions ball entered near fold of natis, struck femur at digital fossa, splintered neck into articulation, exited anteriorly pyæmia neck of femur badly shattered, fracture did not extend to shaft general anesthesia, chloroform additional proofing of transcription and encoding, identified keyword terms case text extracted and transformed from larger file Enrich Encoding, Edit and validate Validated File Sarah Synovec initial checking of OCR text; encoded P5 Encoding

CASE 223.—Private Timothy Greely, Co. C, 74th New York, aged 20 years, was wounded October 5, 1861, by a round musket ball, which entered near the fold of the left natis, struck the left femur at the digital fossa, splintered the neck into the articulation, and made its exit outside the vessels anteriorly. He was conveyed to the E street Infirmary, Washington, on the same day. A stream of blood and another of clear and pellucid synovia issued from the wound of exit. There was but little constitutional irritation, the pulse was but slightly depressed, and the patient congratulated himself on having escaped with what he regarded as a slight injury. On the morning of October 6th Assistant Surgeon John W. S. Gouley, U. S. A., assisted by Surgeon C. H. Laub, U. S. A., Assistant Surgeon C. B. White, U. S. A., Surgeon T. Sim, and Assistant Surgeon H. E. Brown, proceeded to operate. Insensibility having been induced by chloroform, Dr. Gouley made an incision seven inches long, commencing above and behind the trochanter major and continued downward in the axis of the limb. The neck of the bone was found to be badly shattered, but the fracture did not extend to the shaft. A section through the great trochanter and base of the neck was made with the chain saw. The head of the bone was then disarticulated and removed, and the fragments of the neck were extracted. There was very little loss of blood. The wound having been approximated and dressed simply, the patient was put to bed, and the limb was kept in position by pads and cushions. Surgical fever set in soon after the operation; pyæmia was developed, and the patient gradually sank, and died on October 12, 1861. His friends would not permit an autopsy. The pathological specimen and Dr. Gouley's notes of the case were destroyed in the conflagration which shortly afterwards consumed the Infirmary.