Tetanus risk from bullets & shrapnel

Two medical case sheets which reveal the problem of infection associated with shrapnel and gunshot wounds leading to possible tetanus and lock jaw, (Catalogue ref: MH106/2104)

Transcript

Medical Case Sheet                                                               Army Form 1.1237
No, in Admission and Discharge Book

E.44

Regimental

 

No. 8365

Rank

 

Private

Surname

 

Slater

Christian Name

 

J.E.

Year Unit Age Service
1914 1st South Staffs 26 6
Station & Date

Military

3rd N G H

Sheffield

6th Nov.’14

(midnight)

Disease Shrapnel wounds, Buttock, head and shoulder. Tetanus

This man arrived at midnight Nov. 6 with extensive shrapnel wounds of buttock & back- surfaces were covered with foul stinking pus as he shewed signs of trismus [lock jaw], anti-tetanic serum was administered.

Wounds sprayed with peroxide of Hydrogen in large quantities & Hypertonic saline fomentations applied. Appearance of patient: ashen (very pale), pulse rapid.  Spasms soon appeared & large doses of chloral hydrate fxx [sedative] every 2 hrs for 3 doses.

Nov. 7

 

 

 

 

 

 

 

 

Patient died 2pm.

Special report sent up to Surg.

General Sir David Bruce Ams.

 

Died

No prophylactic dose mentioned

 

A.M. Connell

Lt. Colonel, R.A.M.C. (T) O.C 3rd Northern General Hospital

 

 


This example also shows the journey taken by a wounded soldier as part of his treatment. (Catalogue ref: MH106/2104)

Medical Case Sheet                                                               Army Form 1.1237
No, in Admission and Discharge Book

949

Regimental

 

No. 10531

Rank

 

1st Lieutenant

Surname

 

Kelly

Christian Name

 

Lennard

Year Unit Age Service
1915 2nd Scottish Rifles 22 4 yrs.4months
Station & Date

Military

3rd N G H

Sheffield

April 15th

 

 

 

 

 

 

 

 

 

 

 

 

 

Disease Gunshot wound of neck & Right arm, Tetanus

Injury to Brachial Plexus

Wounded at Nerve Chapelle on 15th March. Bullet struck side of neck on [sternocleidomastoid] injuring 5th & 6th & cervical [spine] process on right side. Loss of all movement of right arm. Was in the trenches at the time. Another bullet struck right forearm extension surface. Both “bullets” remained in- went to powder. Anti-tetanus injection at Merville. Treated by ambulance men in trenches. Then to A.D.S. [advanced dressing station] at Neuve Chapelle. Went by ambulance to Merville the next day. Dressed there again. Then sent to No. 3 Stationary [Hospital] Rouen the same day. Was there for 3 weeks & 4 days. Had operation on or about March 26th. Opened neck and found nothing except abscess. Left a small drain in it. Right arm was X Ray.T [Bullet] (powdered) was too small to take out-not opened.

Sent onto Hospital ship on April 3rd and remained until following evening. Then removed to No.2.General Le Havre [Hospital] where was given 3000 units of serum in 40 ccs normal saline. 20 ccs spinal fluid previously withdrawn. 3000 units in 1 p1 normal saline given intravenously [by drip into vein], & 3000 into buttock.

 

Buttock afterward very swollen & sore to just above the knee. Right arm infection just above the elbow … no swelling.

 

He was in No 2. General for 8 days. Wounds treated with dry dressings, healing well.

 

Crossed from Havre on April 14th, 15th night. On SS Oxfordshire [ship] came with the 21st Convoy to 3rd N.G [Hospital] Sheffield. Arrived 6.30. p.m. April 15th

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