Injury

“ Faintness-sinking. It is suspended action of the heart. The injury to the spine deranged the system, and then the long suspense, and the shock—It is not one thing more than another, but it must go on. Dr. Spencer will tell you. ”

“ but there are some cases, and his was one of them, in which the sense of injury breeds—not the will to inflict injuries and climb over them as a ladder, but, a hatred of all injury. ”

“ That is to say, suppose the æthereal body capable of receiving an injury, an injury in one part of it would correspond to an injury in a man’s past; an injury in another part,—that which the material body was traversing,—would correspond to an injury to the man at the present moment; injury to the æthereal body at another part, would correspond to injury coming to the man at some future time. ”

“ Yet I saw as many instances of fractured limbs, hernia, and other accidents there, as I ever saw on the earth; for when they fall from great heights, or miscarry in the feats of activity which they ambitiously attempt, it inflicts the same injury upon them, as a fall nearer the ground does upon us. ”

“ WOUNDS.—A wound is a condition produced by a forcible cutting, contusing, or tearing of the tissues of the body, and includes, in its larger sense, bruises, sprains, dislocations, and breaks or fractures of bones. As ordinarily used, a wound is an injury produced by forcible separation of the skin or mucous membrane, with more or less injury to the underlying parts. ”

“ "Wisely was it written: 'Let him that desireth oblivion confer benefits—but the memory of an injury endureth for ever.' I forget neither benefits nor injuries." ”

“ It is the strain that does the injury, and nothing can eliminate the strain. By avoiding events which might be injurious I have been enabled to do a little work, such as it is, now and then, and to remain among the living. ”

“ But the loss of a limb, or injury to a tissue, is sometimes the quickener of manliness; and the unfortunate cripple may present more of it than the statuesque athlete, — teaching us, by his very deprivations, that “a man's a man, for a' that.” ”

“ Definitions.—Surgically a wound means a solution of continuity and refers to every such lesion produced by external violence or developing spontaneously. The medico-legal acceptation of the term is much broader and includes any injury or lesion caused by mechanical or chemical means. Vibert [601] quotes Foderé as defining a wound medico-legally as, “Every lesion of the human body by a violent cause of which the results are, singly or combined, concussion, contusion, puncture, incision, tear, burn, twist, fracture, luxation, etc. ”

“ When a limb is broken—the bones shattered, the flesh torn, the blood-vessels severed, the nerves lacerated, what can the surgeon or doctor do to repair the injury? A little outside mechanical work. He ligates, he stitches, he plasters, he fixes the parts in apparatus so they will remain motionless in the natural position. He can do no more. ”

“ The extent of the injury to the muscular tissues varies with the degree of excessive exertion and with the duration of the injurious exercise. An advanced stage of muscular strain is distinctly a pathological condition. ”

“ You had no bones broken, but the injury to your muscles and ligaments was sufficient to kill a man only ordinarily strong, while the blows affecting your kidneys, liver and other internal organs were in themselves, without the bruising of all your surface, enough to cause death. ”

“ SERIOUS PHYSICAL INJURY.— The term “serious physical injury” means an injury that— `` (A) is life threatening; `` (B) results in permanent impairment of a body function or permanent damage to a body structure; or `` (C) necessitates medical or surgical intervention to preclude permanent impairment of a body function or permanent damage to a body structure. ́ ́.
Sec. 3. Covered Countermeasure Process. ”

“ Law teaches us to know when we commit injury and when we suffer it. ”

“ In anger the eyes are fiery and the pupils contracted; in modesty the cheeks are suffused with blushes; in fear, and under a sense of infamy and of shame, the face is pale, but the ears burn as if for the evil they heard or were to hear; in lust how quickly is the member distended with blood and erected! But, above all, and this is of the highest interest to the medical practitioner,—how speedily is pain relieved or removed by the detraction of blood, the application of cupping-glasses, or the compression of the artery which leads to a part? ”

“ Let us suppose that a human body is wounded—that is, cut or torn by some outside agency. The tissues, lymphatic and blood vessels, glands, muscles, nerves, and sometimes even the bone, is severed, and the continuity interrupted. The wound bleeds, gapes and causes pain. The nerves carry the message to the brain, calling loudly for immediate help, and the Instinctive Mind sends messages here and there in the body, calling out a sufficient force of repair workmen, who are hurried to the scene of danger. ”

“ The wounds which seem like real wounds, the color of the skin, the contraction of the face, the attitude, the expression,—each thing is terribly real. If you touched the body, you would expect to feel the tremor of the limbs and the warmth of the blood. ”

“ Yet others, with deep, gaping wounds, in which inflammation had already set in, were delirious from their pain, and implored that they might be put out of their misery, and with drawn faces twisted themselves into indescribable positions in their supreme agony. ”

“ A Simple Wound is that which only opens the Flesh, and hath no other concomitant Circumstances; but a Complicated Wound, on the contrary, is that which is attended with grievous Symptoms, as Hæmorrhages, Fractures of Bones, Dislocation, Lameness, and others of the like Nature. {142}
What is a dangerous and mortal Wound?
A dangerous Wound is that which is complicated the Accidents whereof are dreadful: As when an Artery is open'd or prick'd, when a Nerve or Tendon is cut, or when the Wound is near a Joynt and accompanied with a Dislocation or Fracture. ”

“ If one must suffer, he may assuage his pain by bearing it bravely. The over-tending of a wound may produce worst consequences. Exposure to the air, frequent ablutions, occasional frictions, create healing processes, reduce sensitiveness, and restore somewhat of the old life and vigor. ”

“ The lesions or injuries of the body which form so prominent a part of disease vary in kind, degree and situation, depending upon the character of the injurious agent, the duration of its action and the character of the tissue affected. The most obvious injuries are those produced by violence. By a cut, blood vessels are severed, the relations of tissues disturbed, and at the gaping edges of the wound the tissue usually protected by the skin is exposed to the air, resulting in destruction of the cells contained in a thin layer of the surface. ”

“ You know that you can produce wounds upon the body of the hypnotised patient, in a state of trance. By suggestion lesions are made, burns are caused, inflammation and pain appear by the mere suggestion of a wound. ”

“ With every drop of your blood.
Fear not. When back you steal,
Broken and weary, to me,
With oil and wine I will surely heal
Each bruise and hurt that your senses feel,
As I take you on my knee. ”

“ We conceive in a much more lively and distinct manner the pain which proceeds from an external cause, than we do that which arises from an internal disorder. I can scarce form an idea of the agonies of my neighbour when he is tortured with the gout, or the stone; but I have the clearest conception of what he must suffer from an incision, a wound, or a fracture. The chief cause, however, why such objects produce such violent effects upon us, is their novelty. ”

“ In injuries to the person, those marks which denote injuries regarded by mankind in general as differing in magnitude; the size, for example, or position, of a wound; in injuries to reputation, the words used, and the occasion when, and so forth, are the only means of distinction which can be employed. ”

“ If a fracture, then, occur in the head, it is discovered by the sharpness, weight, hardness, or violent force of the body which struck it, and by the symptoms which supervene upon the person who has been struck, such as vertigo, loss of speech, and sudden prostration, more particularly if it be a fracture with depression, or contusion, or expression, or the internally-arched fracture, owing to the compression of the brain. ”

“ In the more ordinary instances, pain is of the darting, or of the aching kind; and all writers on military surgery, who have recorded their experience of the results of wounds received in battle, have spoken of affections of this kind, for the most part singularly severe and obstinate, and in not a few recorded instances clinging to the patient during the remainder of his life. ”

“ Relief in Severe Injuries.—Even extremely severe injuries, which inflict serious organic lesions that ordinarily would produce shock and collapse, quite apart from the pain induced, may at moments of excitement pass unnoticed. A soldier often does not know that he is wounded until the flow of blood calls his attention to it, or perhaps a friend points it out to him, or loss of blood causes him to faint. ”

“ The wound was deep, a ball had passed through the stranger's thigh, who, to be able to walk, must have exerted a strength and courage more than human. "You will not be able to proceed on your journey to-day," said the curate, probing the wound with the satisfaction of an amateur artist. "You must remain here to-night; good rest will restore your health and abate the inflammation, and the swelling will go down." ”

“ She gazed at me meditatively for a moment, and then she shook her head. “Your wound will heal. When our wounds are fresh, it always seems as if they would never heal. But they do heal. Yours will heal. You must try to think of other things. ”

“ The arms dangle from the shoulders; as if they were almost cut away, and hung by shreds. The legs totter and bend at the knees, as ready to sink under the weight of the reeling body. And a general incapacity, corporeal and mental, exhibits human nature sunk below the brutal. ”

“ Army surgeons recognize three types of wounded. One type so nervous, that it drops the moment it is struck, whether the wound is disabling or not. Another so nerveless, that it fights on, unconscious that it has been hit. ”

“ Partridge.—I believe the immediate cause of death to have been a blow on the back of the neck by some blunt instrument, but I judge of the violence which must have been used, from other circumstances, namely, the freshness of the body, the rigidity of the limbs, the swollen state of the face, the bloodshot eyes, and their perfect freshness. ”

“ Will the man whose wound has been closed and whose bleeding has been stanched by the surgeon, tear off the bandage and reopen the wound in order to afford the physician another opportunity of displaying his skill? ”

“ They not only often wound the skin, but they have occasionally been known to penetrate the body and the joints of the limbs. So many of these dreadful accidents occur, and where no accident happens, so much pain is occasionally given by their sharp points to the little sufferer, who cannot tell what the matter is, that it is quite time the practice were abolished. ”

“ And a bone sustains fractures, either so fine as to escape the sight, or such as are apparent, and contusions which are not apparent, and depression from its natural position, especially when one person is intentionally wounded by another, or when, whether intentionally or not, a blow or stroke is received from an elevated place, and if the instrument in the hand, whether used in throwing or striking, be of a powerful nature, and if a stronger person wound a weaker. ”

“ When the surgeons came around him to dress his wounded hand he said, “No, I can wait; my wound is but a trifle; attend first to those poor fellows.” He then sat down upon the grass and waited until the wounds of the badly hurt had been dressed. ”

“ Doctors are accustomed to wound one part of the body in order to cure another part; they open a vein in a sound arm to relieve a feverish brain; they make use of the cupping-glass to remove inflammation; they keep a wound open in order to be able to close another ”

“ Here am I, a little animal called a man—a bit of vitalized matter, one hundred and sixty-five pounds of meat and blood, nerve, sinew, bones, and brain,—all of it soft and tender, susceptible to hurt, fallible, and frail. I strike a light back-handed blow on the nose of an obstreperous horse, and a bone in my hand is broken. I put my head under the water for five minutes, and I am drowned. I fall twenty feet through the air, and I am smashed. I am a creature of temperature. A few degrees one way, and my fingers and ears and toes blacken and drop off. ”

“ If it be an artery that is cut, the pressure should be applied between the wound and the heart; if a vein, beyond the wound. If you are alone, and are severely wounded, or in an emergency, like a railroad accident, use the remedy which has saved many a life upon the battlefield—bind or hold a handful of dry earth upon the wound, elevate the part, and await surgical assistance. ”

“ Haemorrhage from a Wound.--When the blood does not pour or trickle in a steady stream from a deep wound, but jets forth in pulses, and is of a bright red colour, all the bandages in the world will not stop it. ”

“ In the perpetual presence of this great Healing Agent, who stays the bleeding of wounds, who knits the fractured bone, who expels the splinter by a gentle natural process, who walls in the inflammation that might involve the vital organs, who draws a cordon to separate the dead part from the living, who sends his three natural anaesthetics to the over-tasked frame in due order, according to its need,—sleep, fainting, death ”

“ If I had no bones my brain, heart, lungs, and larger blood vessels would be lying around in me, and might get hurt. If my bones were burned I should be brittle, because it would take the animal out of me. ”