DOUGLAS W. JOLLY, m.b., ch.b.n.z., late major, Spanish Republican Army Medical Service. He says the book bears the impress of experience in treating s,ooo gunshot wounds. It would seem that the Medical Corps Field Service School would do well to study it, he says.
DOUGLAS W. JOLLY, m.b., ch.b.n.z., late major, Spanish Republican Army Medical Service. He says the book bears the impress of experience in treating s,ooo gunshot wounds. It would seem that the Medical Corps Field Service School would do well to study it, he says.
DOUGLAS W. JOLLY, m.b., ch.b.n.z., late major, Spanish Republican Army Medical Service. He says the book bears the impress of experience in treating s,ooo gunshot wounds. It would seem that the Medical Corps Field Service School would do well to study it, he says.
FIELD SURGERY IN TOrAL WAR. By DOUGLAS W. JOLLY, M.B., Ch.B.N.Z., Late
Major, Spanish Republican Army Medical Service; with a Foreword by SURGEON REAR- ADMIRAL G. GORDON-TAYLOR, O.B.E., M.A., F.R.C.A., F.R.A.C.A. Published by Paul B. Hoeber, New York City. THIS BOOK, written by a late major in the Spanish Republican Army Medical Serv- ice, bears the impress of experience, for the casualties which passed through his hands were the gravest type of injury and embraced the treatment of some s,ooo wounded men. No British surgeon before the author of this book, and probably no surgeon at any rate, has ever personally operated upon almost I,ooo gunshot wounds of the abdomen. It is for these reasons, which have been expressed by Surgeon Rear-Admiral G. Gordon-Taylor, that we offer this review at this critical time, for it would seem that the Medical Corps Field Service School would do well to study this work carefully, with the object of modifying our present organization. Jolly comments on the sur- geon who uses Dakin's solution as a "I9I4-I,I8 model," so in a way is the operation of our own evacuation system outdated. A criticism of the "Three Point System" may be the question of whether it is possible to normally keep patients in these advanced stations for eight or ten days before evacuating them. However, the success of the plan in Spain was marked, and a lesson that certainly might be well taken by our Army is the location of the echelons of evacuation with the five-hour, ten-hour and i8-hour lag-periods, following the re- ceipt of a wound, rather than by the fixed distance of miles. The lag-period between the sustaining of the wound and the surgical inztervention, from Jolly's experience, is the crux of the organization of the Medical Corps of the Army in the field. Another feature, which Jolly seems to demonstrate, is the importance of the Classi- fication Hospital, with routings to the Hospital for Immediate Operations (called the No. I), or to Hospitals for Intermediate Priority and Special Attention (the No. 2), and finally the more trivial cases needing hospitalization being directed immediately to the Evacuation Hospital. Among the outstanding contributions of this experience of Jolly there may be men- tioned the following: (I) The well-controlled use of glucose and saline in the treatment of shock. (2) The general use of blood, which in our more "expensive" war, may be sup- plemented by plasma or serum, frozeti or dry. (3) Instructions to litter bearers in the handling of the suspected spine injury- abdominal cases to place them in the prone position, and in hyperextension aided by the sag of the stretcher canvas. (4) The use of plaster extension cases to transport fractures of the extremities and spine. (5) The more generous use of brachial plexus block for injuries of the upper extremities. (6) Two-thirds of all war wounds involve bones; hence the temptation of primary closure of these wounds in the advance station. Apparently, this has been abandoned in this war. However, the primary excision of these wounds, encasing them in plaster and holding them for 24 hours before evacuating to the rear, seems to be safe. The chapter on Abdominal Wounds is one of the highlights in war surgery at the present time. His description of the manner of organization, the simple and yet com- plete instructions he has given in the handling of many conditions are arresting. The prognosis charts of Schmieden and Abadie are sections worth while. JAMES B. MASON, Major, Medical Corps, U.S.A.
The Australian Army Medical Corps in Egypt: An Illustrated and Detailed Account of the Early Organisation and Work of the Australian Medical Units in Egypt in 1914-1915
The Australian Army Medical Corps in Egypt
An Illustrated and Detailed Account of the Early
Organisation and Work of the Australian Medical Units in
Egypt in 1914-1915
Gunshot Roentgenograms: A Collection of Roentgenograms Taken in Constantinople During the Turko-Balkan War, 1912-1913, Illustrating Some Gunshot Wounds in the Turkish Army