Abstract
It appears from statistics inThe Journalof the American Medical Association, August 29, 1903, that of 392 cases of tetanus incident to accidents on the previous July 4, 363 followed wounds from the blank cartridge and the toy pistol. In other words, 92 per cent. of the tetanus cases were apparently attributable to wounds from blank cartridges. Dr. A. I. Ludlow, assistant resident surgeon at the Lakeside Hospital, succeeded in isolating B. tetani from the blank cartridge wounds in one out of five fatal cases of tetanus, but cultivated the B. aerogenes capsulatus in four. In none of these cases was there emphysema nor emphysematous gangrene of the wounds, which were routinely treated by free incision and packing with iodoform gauze. In one of these which came to autopsy I failed to isolate B. tetani from the wound of the hand, but obtained B. aerogenes capsulatus from the local
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