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Anyone know when a “gunshot wound” wasn’t decidedly fatal?

Posted on 4/23/24 at 12:04 am
Posted by yankeeundercover
Buffalo, NY
Member since Jan 2010
36377 posts
Posted on 4/23/24 at 12:04 am
Like, when did they (the first medical people) figure out that a bullet NEEDED to come out before sealing the wound?

I was thinking as I’m watching Black Flags that there’s never a bullet removed. I figured that by this era they’d have figured out at least “STEP 1: Get bullet out” and then survival rate at least went up so then that became a thing… and so on.

Couldn’t really find a hard date/timeframe when it was suspected to have been figured out by the people.
Posted by Broski
Member since Jun 2011
71241 posts
Posted on 4/23/24 at 12:11 am to
quote:

I was thinking as I’m watching Black Flags that there’s never a bullet removed. I figured that by this era they’d have figured out at least “STEP 1: Get bullet out” and then survival rate at least went up so then that became a thing… and so on.


I mean, we were using leeches to "suck the bad blood out" not THAT long ago in the grand scheme of things.

Posted by jizzle6609
Houston
Member since Jul 2009
4291 posts
Posted on 4/23/24 at 12:12 am to
A woman figured it out I’m sure.
Posted by TDsngumbo
Alpha Silverfox
Member since Oct 2011
41726 posts
Posted on 4/23/24 at 12:34 am to
Posted by jbgleason
Bailed out of BTR to God's Country
Member since Mar 2012
18928 posts
Posted on 4/23/24 at 1:40 am to
First of all, they don't always remove the bullet even today. My buddy is walking around with one inside him. They make a determination if removing it would cause more harm than leaving it in. Generally based on its location.
Posted by yankeeundercover
Buffalo, NY
Member since Jan 2010
36377 posts
Posted on 4/23/24 at 1:40 am to
I guess I never really thought about “aftercare” beyond the removal and the closure…

Wow, am I dense…. I guess the only experience I have personally is “contemporary” and that things like antibiotics and anything resembling tools that could get into a wound without SO MUCH irreparable damage that it would have been foolish to try… so the question I’m trying to resolve is answered simply “NOT NEARLY AS LONG AGO AS I EVER IMAGINED”

So in the late-19th century vs my thinking was pretty close to the invention of the bullet… haha

Posted by Fat and Happy
Baton Rouge
Member since Jan 2013
17062 posts
Posted on 4/23/24 at 1:40 am to
Talk to ER nurses

People come in regularly with a bullet in them and act like it’s just another day
Posted by Jim Rockford
Member since May 2011
98337 posts
Posted on 4/23/24 at 1:51 am to
A wound to an extremity almost invariably meant amputation. A shot to the torso was probably fatal but not always. They might probe the would for the bullet but there was nothing they could do to repair the damage.

One of my ancestors suffered an abdominal wound in a civil war battle and it never properly healed. He became a lifelong morphine addict as a result. It came from New Orleans by riverboat and family lore tells how he would have "screaming fits" if the boat was late.
This post was edited on 4/23/24 at 1:58 am
Posted by makersmark1
earth
Member since Oct 2011
15975 posts
Posted on 4/23/24 at 5:47 am to
John Hunter, one of the early members of the Royal College of Surgeons, had better results by not removing musket balls. Read the book, Knife Man.

Book: LINK

Many soldiers died of infection after a wound was explored.

Antiseptic techniques were not widely used until the late 1800s. Antibiotics, specifically penicillin, were not around until the 1930s.

Routine Safe transfusion I was developed between WWI and WWII
This post was edited on 4/23/24 at 4:48 pm
Posted by sta4ever
The Pit
Member since Aug 2014
15362 posts
Posted on 4/23/24 at 7:26 am to
All I know is, I’m glad I didn’t live in the eras where they were practically having to experiment on people in the field, until they figured out what worked and what didn’t.
Posted by McLemore
Member since Dec 2003
31538 posts
Posted on 4/23/24 at 7:45 am to
quote:

A woman figured it out I’m sure.


Your binary presumptions have triggered me into an armored safe space today. I guess it’s a white woman too huh?
Posted by McLemore
Member since Dec 2003
31538 posts
Posted on 4/23/24 at 7:46 am to
quote:

Antiseptic techniques were not widely used until the late 1800s.


This is so crazy to think about. My maternal grandfather was born in 1908 is rural MS. So basically could have been me!
Posted by AUFANATL
Member since Dec 2007
3928 posts
Posted on 4/23/24 at 7:48 am to

A lot of times it's not the bullet but the little fragments of soiled clothing that poses the biggest infection risk.

Posted by Walt OReilly
Poplarville, MS
Member since Oct 2005
124694 posts
Posted on 4/23/24 at 7:51 am to
30 yrs ago I was shot in my leg. Drs did a great job of removing the bullet and I rehabbed pretty quick. It was a pellet gun though
Posted by Lithium
Member since Dec 2004
62099 posts
Posted on 4/23/24 at 7:52 am to
We rarely remove Bullets in the Emergency Room.
Posted by Nutriaitch
Montegut
Member since Apr 2008
7626 posts
Posted on 4/23/24 at 7:58 am to
quote:

“STEP 1: Get bullet out”


I know a couple people who have bullets still in them.
Posted by sidewalkside
rent free in yo head
Member since Sep 2021
1711 posts
Posted on 4/23/24 at 7:58 am to
quote:

Anyone know when a “gunshot wound” wasn’t decidedly fatal?


The phrasing of your question speaks volumes about your level of expertise amongst the esteemed OT Mensa members
Posted by jaytothen
Member since Jan 2020
6431 posts
Posted on 4/23/24 at 8:32 am to
If you really think about it, hospitals and doctors are battling with ammo manufacturers to see who can be better at their job.
Posted by GeauxTigers123
Member since Feb 2007
1372 posts
Posted on 4/23/24 at 8:35 am to
quote:

Talk to ER nurses People come in regularly with a bullet in them and act like it’s just another day


In a large state hospital (in a state with violent gun crimes) you will see a TON of people that have bullet fragments or shotgun pellets for decades.

Also a lot of minority young males with colostomy bags, recurrent small bowel obstructions, and/or lower body paralysis all from old gunshot wounds.

This post was edited on 4/23/24 at 8:37 am
Posted by bhtigerfan
Baton Rouge
Member since Sep 2008
29678 posts
Posted on 4/23/24 at 9:04 am to
quote:

We rarely remove Bullets in the Emergency Room.
Since most bullets are made of lead or have lead in them, is there any risk of lead poisoning from it?
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