Gentlemen: Permit me to call your attention this morning, in a practical manner, to the management of incised or lacerated wounds involving important nerves, tendons, and muscles. To come directly to our subject we shall present to you a patient, Mr. J. G., aged 22, single, native of the U. S., and by occupation a cigarmaker. He presented himself and was admitted to the hospital two days ago, with the following history: Two days prior to his admission he became involved in a saloon brawl and was struck by a beer glass which broke and inflicted a lacerated wound of the forearm. Hæmorrhage was very free and evidently arterial in character. A physician was called who applied a compress and firm bandage, which was allowed to remain until he applied for treatment at the hospital.
Upon examination at that time the hand was dark colored, much swollen and cold, owing