Notes of a Case Attacked by an Elephant: Death and Post-Mortem Appearances

scious state, and groaning as if in great pain. On examining him, I found the left side of the chest almost crushed in, the 3rd, 4th, 5th, 6th, and 7th ribs could not be felt on that side, and in their stead a large bulging air-bag was seen, which even extended to the back of the chest as far as the spine. This air-bag bulged and retracted with respiratory movements. A small opening, about ?th of an inch in diameter, was seen about two inches below and an inch to the outer side of the left nipple, and from the opening blood was issuing freely, and the air was drawn in and forced out through the same aperture in accordance with the respiratory movements. There was an ecchymosed patch, about two square inches in extent, in the left supra-scapular fossa, and a smaller one near the left nipple to its inner side ; the respiration was spasmodic and quick. He was at once brought to the Native Base Hospital, Peshawur, for treatment. Cold water was thrown upon the left side of the chest to stop the bleeding, and after a while a long broad piece of sticking plaster was wrapped round the injured side and a broad calico bandage applied over it ; a grain of opium with one drachm of Liquor Ammonias Acetatis in a small quantity of water was administered. Cold water was given to relieve the thirst. His body was cool; pulse 120 times in a minute, very weak ; respiration 42 times in a. minute ; pupils normal. After the administration of opium restlessness was much