There were no signs of
external injury about his thoracic cavity and no fracture of the
ribs could be detected, although carefully searched for; there
was marked emphysema; the neck and side of the face were
enormously swollen with the extravasated air; the tissues of the
left arm were greatly infiltrated with air, which enabled us to
elicit the familiar crepitus of such infiltration when an attempt
at the determination of the radial pulse was made. Consciousness
was never lost. There were several injuries to the face and
scalp; and there was hemorrhage from the nose and mouth, which
was attributed to the fact that the patient had fallen on his
face, striking both nose and lip. This was confirmed subsequently
by the absence of any evidences of hemoptysis during the whole
period of convalescence. The saliva was not even blood-streaked;
therefore, it can be said with verity that there was no
hemoptysis. Shortly after admission the patient reacted to the
stimulating treatment, his pulse became stronger, and all
evidences of threatened collapse disappeared. He rested well the
first night and complained of no pain, then or subsequently. The
improvement was continuous. The temperature remained normal until
the evening of the fifth day, when it rose to 102.
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