In the treatment of this subject I shall not discuss injuries to the arteries as they usually occur, complicated with grave lacerations of the skin and soft parts, but will limit the scope of this paper to those cases where the force of the injury is so directed against the artery as to rupture its walls, while the skin and soft parts remain practically intact.
As an introduction to the subject, I present the following case: James W, colored, age 23 years, brakeman, while coupling cars at Grand Junction, Tenn., 1 A.M., May 21, 1898, had his right arm caught between the bumpers, the soft parts contused below and above the elbow, the neck of the radius fractured, the vessels ruptured, the skin remaining intact with the exception of slight abrasions of the cuticle in a few places. He was at once attended by a physician, who stated that he