A Fatal Case of Compound Depressed Fracture of the Skull, and Compound Comminuted Fracture of Radius and Ulna

space four inches square. On the right side, the occipital bone was also fractured and depressed, and the brain beneath was much injured and compressed. There was a hernia of a portion of the right lobe of the cerebrum at its posterior part. The left forearm was extensively fractured a little below the elbow joint. The man could not speak, but it was ascertained that he had been knocked down and run over by an engine which was shunting at the station. On his arrival, his pulse was very small but still perceptible at tee wrist ; pupils unequal; perspiration profuse ; respiration laborious, and he was semi-con-