USA > Massachusetts > Worcester County > Worcester > Town annual reports of the several departments for the fiscal year ending December 31, 1884 > Part 14
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Superintendent of Nurses. MISS GEORGEANNA RUSSELL.
TRUSTEES' REPORT.
To the Hon. Charles G. Reed, Mayor, and the City Council of the City of Worcester :
The Trustees of the City Hospital respectfully submit their Fourteenth Annual Report, for the year ending Nov. 30, 1884.
STATISTICAL.
There were remaining in the Hospital Dec. 1, 1883, 29 patients, and there have been received since that time 354, making a total of 383 who have been under treatment during the year. Of these, 356 have been discharged, and 27 remain. Of those who have been discharged 177 were well, 119 were relieved, 9 were not relieved, 8 were not treated, 4 eloped and 39 died. The deaths were 10 per cent. of the whole number ; and 17 were from injuries, 3 from quick consumption, 3 from exhaustion, 3 from Bright's disease, 2 from phthisis, 2 from typhoid fever, 2 from strangulated hernia and 1 each from heart disease, angina pectoris, epilepsy, diabetes, pneumonia, cancer and intestinal obstruction. Of the 17 deaths by injuries 12 occurred soon after admission.
For that more or less important additional information, usually given in this connection, as to the numbers respectively of male and female patients, of medical and surgical cases, of those that paid and those that were free, and as to the daily average number, the average time spent in the Hospital, the rate of board charged to those who were able to pay, the residence, birthplace, occupa- tion, and civil condition of those who were admitted,-and much else that will be of interest,-we take the liberty of referring to
222
CITY DOCUMENT .- No. 39.
the carefully prepared tabular statements of the Superintendent, which are herewith transmitted.
FINANCIAL,
The receipts of the Hospital for the year have been as follows :
From the Appropriation by the City,
$6,000 00
Income of the Jaques Fund,
6,498 00
66
Income of the Tenney Fund,
250 00
State aid to State paupers,
948 58
66 Board of paying patients,
982 64
Amount transferred from Fire Department,
-
-- $15,183 17
The expenses have been as follows :
For Salaries and wages,
$5,463 54
" Groceries and provisions,
3,497 06
Crockery, tinware, &c.,
85 47
Furniture, fixtures, and repairs of same,
263 09
Medicines,
488 73
Surgical instruments and repairs of same,
188 31
Druggists' glassware,
42 65
Fuel,
1,247 61
66
Gas,
806 20
Printing,
59 07
Stationery and books,
65 47
66
Postage, express, telegrams, &c.,
26 38
66
Rent of telephone, and messages,
61 75
Ice, $134.04, Water rates, $147.53,
281 57
66 Blacksmithing,
20 50
Rubber goods,
55 80
Dry goods, bedding, &c.,
323 48
Hardware and tools, and repairs of same,
39 75
Carriage, use of carriage and repairs of same,
90 77
Hay, grain and straw,
76 31
" Hack hire and board of horse,
92 41
Hose $6.00, repairs of harness $7.60,
13 60
Horse $250.00, ambulance $400.00,
650 00
Medical books $23.75, advertising $3.50,
27 25
66 Trucking and freight,
20 27
66 Lawn dressing,
35 00
Labor of men and team,
48 00
Travelling expenses,
10 00
Gas governor,
60 00
Crutches $3.75, making garments $13.50,
17 25
Edison's igniters,
33 25
Fire extinguisher,
5 00
Oakum,
18 18
Boiler, and setting same,
272 46
Total expenses,
---- $15,184 07
503 95
Total receipts,
223
CITY HOSPITAL.
This statement is made up from data kindly furnished for the purpose at the office of the City Auditor. It will be noticed that the expenses for the year have exceeded the receipts by the small sum of 90 cents.
A comparison with the report of last year shows some import- ant changes in the financial standing of the Hospital. The receipts have fallen off, notwithstanding an increase of $944.11 in the income from the Jaques Fund, by the sum of $2,629.65. This has resulted from the reduction of the City Appropriation, and the great diminution of income from the State, and from paying patients, there having been a falling off in these two latter items of $1,569.76. On the other hand the necessary running expenses of the year show a moderate increase. This is seen by deducting the cost of the horse and the ambulance, $650.00 (expenditures of an unusual and exceptional character), from the total expenses, $15,184.07, leaving $14,734.17 as the net actual cost of maintaining the institution for the year. This is more than last year by $777.21, and is almost exactly accounted for by referring to the item of " salaries and wages," which exceeds the same item in last year's account by the sum of $714.70. This excess shows the increased expense of the nurs- ing department, and, in view of the greatly increased efficiency of that department, we believe that it represents money wisely spent.
The transfer of the sum of $503.95 from the Fire Department, which appears in our statement of receipts, was made to meet the deficit resulting from the large falling off of income, and moderate increase of expenditure, to which we have alluded. The average cost per week, for each patient, has been $10.32, or 50 cents per week more this year than last.
THE WANTS OF THE PRESENT YEAR.
In submitting an estimate of the amount of Appropriation which will be required for the current year, we neither antici- pate, nor make allowance for, any further reduction of income from " State aid " or " paying patients." It seems hardly pos- sible that this income can be less in 1885 than it has been in
224
CITY DOCUMENT .- No. 39.
1884 ; and in our opinion an Appropriation of $9,000 will be sufficient to meet the expenses of the Hospital, unless some expenditures of an extraordinary nature should be determined upon.
But in this connection, and because it bears strongly, though indirectly, upon the subject of Appropriation, we deem it our duty to call the particular attention of the City Council to some of the important suggestions contained in Dr. Peabody's accom- panying Report. What is there said touching the necessity of a maternity ward, the inadequacy of the laundry accommoda- tions, the need of a small ward for noisy, refractory and deliri- ous patients, and the urgent necessity of some provision for isolating foul and infectious cases,-should receive very serious consideration. The wants are real. Sooner or later all the suggested improvements will have to be made.
GIFTS AND BEQUESTS.
It is our pleasant duty to report several noble benefactions. The year has been marked by generous remembrances of the Hospital and its necessities, in the form of gifts and bequests.
The will of the late Hon. Stephen Salisbury contained the fol- lowing provision :-
"I give and bequeath to the City Hospital of Worcester $3,000, on condition that the Trustees of that Hospital shall provide three Free Beds in that Hospital, in perpetuity, for treatment of suitable patients unable to make payment therefor, and that my son Stephen shall have the right to offer candidates for the occupation of those Free Beds."
Upon the communication of the above to the Board of Trus- tees, by Mr. Salisbury's executor, the following action was taken :-
" Voted, That the Trustees of the City Hospital gratefully accept the bequest of $3,000 from the late Stephen Salisbury to provide for the support of three Free Beds in the Hospital, and that they put this sum into the hands of the Treasurer of the Funds which are in charge of the Commissioners of the Hospital, directing that it be set aside and kept separate, and designated as the Salisbury Fund,-the prin- cipal to remain intact, and the income to be added to the principal,
225
CITY HOSPITAL.
except as it may be drawn upon in conformity with the conditions of the bequest, or as may be deemed proper by the Trustees."
A few days after the above was recorded the Trustees were called together at a special meeting to receive the announcement · of a gift of $6,000 from Mrs. Sarah Gill to the City of Worces- ter, to be used under the direction of the Trustees in building a new pavilion or ward for male patients. The gift was accom- panied by certain terms and conditions which appeared to the Board every way proper and reasonable, and was made the sub- ject of the following action :-
" Resolved, That the Trustees have received with great satisfac- tion the announcement of a proposed gift of six thousand dollars from Mrs. Sarah Gill to the City of Worcester for the purpose of building an additional pavilion or ward for male patients ; and that they recom- mend to the City Council an acceptance of the terms upon which it is offered."
The gift having been accepted by the City Council, it will be the duty of the Trustees to build the new ward during the com- ing summer.
Following close upon these announcements, notice was received from the executors of the will of the late Mrs. Helen C. Knowles of still another gift. This was made in the following terms :-
"I give and bequeath unto the City of Worcester the sum of twenty-five thousand dollars, in trust always, the income thereof to be applied under the direction of the Trustees of the City Hospital for the maintenance of a ward in that institution to be devoted to the treatment of poor women and children who are afflicted with incurable diseases ; or for Lying-in purposes, in which case the principal may be used for building."
It is impossible to forecast the future and estimate the full measure of the benefits that may result from such thoughtful acts of kindness. They will flow on from generation to generation, blessing those who know and those who do not know the source from whence they come, but filling both alike with thank- fulness and joy.
226
CITY DOCUMENT .- No. 39.
TRAINING SCHOOL FOR NURSES.
The training school has been very successful, and we desire to make public acknowledgment of Miss Russell's excellent management. The entire nursing for the year has been done by the pupils under her direction, and has never been more satis- factory. There are nine pupils, and they have enjoyed, in addition to the instructions of the Superintendent of Nurses, the advantage of sixteen lectures upon various duties and emergen- cies of their art from Drs. Peabody, Francis, Wheeler and Marble.
THE MEDICAL AND SURGICAL STAFF.
There have been no changes in the staff of Physicians and Surgeons, and we renewedly express our gratitude to the gen- tlemen who compose it, for their continued services. Their duties are arduous ; they require the sacrifice of much valua- ble time, and the constant exercise of a high degree of judg- ment and skill. It is impossible to speak too highly of the ser- vices rendered.
Our thanks are due also to Dr. Peabody, in an especial degree, for continued faithfulness and efficiency in discharging the difficult and exacting duties of his office. We again call attention to his Report which is herewith presented. There will be found in it other important suggestions than those to which we have alluded, and much valuable information.
And finally to you who are associated in the City Govern- ment, and to the City Treasurer, the City Auditor, and the Commissioners of our Funds, we tender the grateful acknowl- edgment of continued courtesy, and valuable assistance. Both you and they will share with us the pleasure and satisfaction of knowing that the City Hospital is growing from year to year, - not only in usefulness, but in the confidence and respect of the wise and good.
For the Trustees,
ALBERT CURTIS,
President.
REPORT
OF THE
SUPERINTENDENT AND RESIDENT PHYSICIAN.
To the Trustees of the City Hospital : -
GENTLEMEN : - My Report for the year ending November 30, 1884, is respectfully submitted as follows : -
PATIENTS IN THE HOSPITAL, DECEMBER 1, 1883.
Males, 19
Females, 10
Total,
29
Medical, 12
Surgical, 17
Paying, 9
Free, 20
ADMITTED FROM DECEMBER 1, 1883, TO DECEMBER 1, 1884.
Males, 244
Females, 110
Total,
354
Medical, 171
Surgical, 183
Paying, 40
Free, 314
Accidents, 115
Births, 2
TREATED DURING THE YEAR.
Males, 263
Females, 120
Total,
383
Medical, 183
Surgical, 200
Paying, 49
Free, 334
DISCHARGED DURING THE YEAR.
Males, 244
Females, 112
Total,
356
Medical, 169
Surgical, 187
Paying, 47
Free, 309
CONDITION OF THOSE DISCHARGED.
Well,
177
Not Treated, 8
Relieved,
119
Eloped, 4
Not Relieved,
9
Died,
39
228
CITY DOCUMENT .- No. 39.
REMAINING NOVEMBER 30, 1884.
Males, 19
Females, 8
Total,
27
Medical, 14
Surgical, 13
Paying, 2
Free, 25
Largest number of patients in the Hospital, 39 ; smallest, 14 ; Daily average, 26.09 ; - of males, 16.19; - of females, 9.90. Average time in Hospital, 23.59 days ; paying patients, 15.16 ; free patients, 24.82.
For paying patients the rate per week has varied from $3.00 to $21.00; the average being $9.20.
Of the free patients, there belonged to the City, 165 ; to other towns, 31; to the State, 118.
Cause of Death: - Injury, 17 ; Bright's disease, 3; ex- haustion, 3 ; quick consumption, 3; phthisis, 2; typhoid fever, 2; strangulated hernia, 2; cancer, pneumonia, heart disease, epilepsy, diabetes, angina pectoris, intestinal obstruction, 1 each.
Death Rate :- 10. Twelve of the deaths occurred soon after admission.
RESIDENCE OF PATIENTS ADMITTED.
Worcester,
313
Other Towns in Massachusetts,
33
Other States,
8
-354
BIRTHPLACE.
Males.
Females.
Total.
Worcester,
21
13
34
Other Towns,
39
15
54
Other States,
52
12
64
-152
Ireland,
. 76
39
115
Great Britain,
11
4
15
British Provinces,
20
8
28
Other Countries,
27
17
44
-- 202
229
CITY HOSPITAL.
OCCUPATION.
MALES.
Laborers,
83
Jewellers,
2
Mechanics,
60
Woolsorters,
2
Shoemakers,
10
Baker,
1
Mill hands,
9
Bartender,
1
R. R. employés,
8
Brewer,
1
Painters,
8
Druggist,
1
Peddlers,
6
Dyer,
1
Tailors,
5
Gardener,
1
Teamsters,
5
Laundryman,
1
Hostlers,
5
Porter,
1
Barbers,
4
Printer,
1
Sailors,
3
Steward,
1
Clerks,
3
Umbrella mender,
1
Bookkeepers,
3
Upholsterer,
1
Manufacturers,
2
Minors,
12
Farmers,
2
244
FEMALES.
Domestics,
39
Nurses,
2
Housewives,
45
Tailoresses,
2
Operatives,
5
Dressmaker,
1
Cooks,
4
Minors,
10
Washerwomen,
2
--
110
CIVIL CONDITION.
MALES.
FEMALES.
Single,
132
Single, 59
Married,
86
Married,
36
Widowers,
26
Widows,
15
Of the male patients 34 per cent. were laborers and 65 per cent. were single or widowers; of the females 37 per cent. were domestics, and 67 per cent. were single or widows.
REFUSED ADMISSION.
Males, 17
Females, 5
Total, 22
Medical, 14
Surgical, 7
Confinement, 1
The general and sanitary condition of the Hospital has been good, and although the death rate has been above that of some
230
CITY DOCUMENT .- No. 39.
previous years, yet the number of accidents admitted was unusually large, 115, and of these 15 per cent. proved fatal.
Between 60 and 70 per cent. of our patients are single and have no homes of their own ; most of these come from boarding- houses, and many of them have no legal claim upon the city, but they are living here, and having been overtaken by misfor- tune and distress must be cared for. The rules followed in the admission of patients are set down with other matters appended to this report.
Throughout the year the Hospital has been well filled, especially on the male side, and the number of important and criti- cal cases has been large. The capacity of our Hospital is very much less than it should be, even for the present needs of the city, and, as the city grows, constantly increasing demands will be made upon us. This lack of the Hospital is, at times, very evident to those who have to do with the daily work of manage- ment or the care of the patients. The new Gill Memorial Ward, so wisely and generously provided for, and which we anticipate with grateful appreciation of the gift, will add considerably to our capacity and will relieve us to that extent. But it will not, by any means, supply all our needs.
I renew the recommendation of my last report for a ward, or rooms, where cases of severe injury may have the special treat- ment which they need at first without disturbing the other patients, and where noisy, delirious or dying patients may be cared for ; the presence of such patients in a ward with others is very objectionable, and the need of special accommodations for them is very real and very urgent.
I call your attention once more to the need there is for a maternity ward. Confinement cases ought never to come into such surroundings as the Hospital always must present under the present arrangement ; yet such cases are occasionally thrust upon us, and we have to take the risk of encountering the perils that attend them. This year we, fortunately, have escaped these dangers, but we ought not to be obliged to assume or to incur the risks of contaminating our wards or endangering the lives of our patients. During the last three years there have been four births
231
CITY HOSPITAL.
in the Hospital and ten applications for admission refused. All the mothers have been married women, and all the applicants, so far as is known, were respectable.
I also call your attention to the need for an isolating ward, a need that must soon become an imperative necessity. The ward built for this purpose two years ago must soon be converted into a corridor, according to the original design. It has answered a useful purpose, we could not have done without it, yet it has hardly ever been available for strict isolation on account of the crowded condition of the male side of the house. It has been occupied almost every day since it was first opened, and much of the time has been full because the other ward was also full. During this time there have been many cases which it was desirable to have by themselves, there have been some cases for which isolation was imperatively demanded ; fortunately these cases have been few in number, but occasionally (and this is liable to happen at any time and in spite of the most scrupulous care), a case of disease or injury may assume such a character as makes it highly infectious to surgical patients, and very obnoxious, if not dangerous, to medical ones. If such a case can at once be separated from others, all may go well, but if this cannot be done the consequences may be disastrous in the extreme.
Provision should be made for such cases, both male and female, not as a matter of convenience, but of safety. It should not be elaborate, it need not be expensive.
Our laundry accommodations have been for some time entirely inadequate, and lately a temporary arrangement, giving us more room, has been adopted. This can serve only for a time, however, and I recommend that a separate building for laundry purposes be provided. In connection with this building an apartment might easily be arranged for disinfecting purposes. This ought to be done. The Hospital needs it. It would also meet a public demand, there being now no place in the city where a private family afflicted with some contageous disease can have the infected articles of clothing, bedding, etc., properly and thoroughly disinfected. Such an arrangement
16
232
CITY DOCUMENT .- No. 39.
would be an assistance to the Board of Health also, and a source of revenue to the Hospital.
The Training School for Nurses has now been in successful operation for more than a year, and has fully met our expecta- tions. Miss Creemer, to whose wise discretion and faithful ser- vice, the school is largely indebted for its success at the outset, left us the first of May to take charge of the larger and older school at New Haven. Her successor, Miss Russell, was Assistant Superintendent of the school in the Boston City Hospital, and has had a large experience in hospital work. Under her instruction the nurses have made marked progress.
The nurses are to be commended for their good conduct, their application to their studies, their fidelity to duty, and the readi- ness with which they have undertaken the most irksome and dis- agreeable tasks. There are now nine pupils in the school, and in March or April next two of them will be sufficiently advanced to be sent to cases outside the Hospital.
During the year several members of the staff have delivered lectures to the nurses on subjects connected with their duties or their studies, as follows :
Dr. Francis, on Surgical Dressings. Dr. Marble, on Fever Nursing, Dr. Wheeler, on Obstetrical and Gynæcological Nursing. Dr. Peabody, on Anatomy and Physiology.
Dr. Douglas Graham, of Boston, on Massage.
Instruction has also been given at the bedside, by each one of the visiting staff, and the nurses have had examinations by a committee of the staff appointed for that purpose.
As the Hospital increases in size we shall need more nurses, and shall then have outgrown our present limited and cheerless accommodations for them. Our pupils are, and we expect will continue to be, superior to the ordinary nurse in position, character and education. If they could have a pleasant " Home," separated a little from the Hospital proper, where they could find
233
CITY HOSPITAL.
the needed opportunity for recreation and rest, it would be greatly to their advantage both for comfort and health.
During the year many friends have kindly shown their interest in the Hospital by visits and by various gifts. The employés have, as a rule, been faithful and interested in their work. To the medical staff my thanks are due for their interest and kind assistance, and to your Board I am under continued obligation for your confidence and support.
Appended to this Report are the usual tables of " cases treated and their results," and the list of donors, etc.
CHAS. A. PEABODY,
Superintendent and Resident Physician.
Worcester, December, 1884.
234
CITY DOCUMENT .- No. 39. Cases treated and their Results, from December 1, 1883, to December 1, 1884.
MEDICAL.
DISEASES.
In Hosp. Dec. 1, 1883.
Males.
Females.
Total.
Well.
Much relieved.
Relieved.
Not relieved.
Not treated.
Eloped.
Died.
Total.
In Hosp. Dec. 1, 1884.
Albumenuria
6
2
8
1
·
wo
8
Alcoholism
6
6
6
Anæmia
2
1
3
1
1
.
Angina Pectoris
1
.
1
·
8
2
10
7
2
1
·
1
.
Cerebro-spinal Meningitis
Constipation
·
7
12
19
7
4
2
1
1
2
17
2
Diabetes
1
1
Diarrhoea
1
2
3
3
Dyspepsia
2
2
1
1
·
·
·
·
1
5
1
1
.
.
2
2
2
1
Fever, Typhoid .
8
12
6
26
20
Gastritis
1
2
3
3
2
1
3
1
Hæmaturia
1
2
.
1
1
2
2
.
.
·
1
2
·
Malingering
2
2
4
6
3
1
1
Opium Eating
1
1
1
1
1
Phthisis
1
1
3
.
3
1
1
5
3
3
Pneumonia
1
12
1
14
6
3
1
1
11 2
3
Poisoning
2
2
1
1
2 11
3
1
15
1
Uterine
4
4
1
1
1
3
1
Infants .
3
4
4
4
Eczema
1
1
1
1
Psoriasis
1
1
1
·
·
·
Total Medical Cases.
12
100
71
183
92 34 12
6
4 2 19 169
14
.
1
1
1
.
·
.
1
1
1
.
1
1
1
1
·
1
·
2
3
.
2
22 3
4
Heart Disease (Valvular)
4
4
.
1
.
.
·
1
1
2
·
Insanity
Intestinal Obstruction
2
2 2
.
.
·
1
1
.
2 5
1
1
1 2
1
1
.
.
.
.
·
3
Pleuritis
1
2
1
2
Pregnancy
2
8
8
2
4
6
6
.
·
Vomiting
1
1
.
.
5 3 3
.
.
1
Phthisis, Acute
1
3
.
5 1
1
Exposure
Febricula
Fever, Intermittent
Hemoptysis
2
.
1
.
2
·
.
1
.
·
1
1
Paralysis
Phlebitis (Milk Leg)
3
.
·
2
2
Rheumatism
16
·
Tonsillitis
6 1
1
3
2
Enteritis
1
1
1
Epilepsy
4
1
1
1
1
·
Bronchitis
Catarrh
1
1
1
·
.
.
.
·
.
2
1
1
·
Ascites
1
10
1 1
1
.
1
Debility
·
1
.
3
·
.
1
Neuralgia
2
.
.
·
DISCHARGED.
ADMITTED.
1
1
1
CITY HOSPITAL.
SURGICAL.
DISEASES.
In Hosp. Dec. 1, 1883.
Males.
Females.
Total.
Well.
Much relieved.
Relieved.
Not relieved.
Not treated.
Eloped. Died.
Total.
In Hosp. Dec. 1, 1884.
Abscess
3
4
2
9
5
1
·
Abscess of Lung
1
1
·
Abscess, Pelvic
Arthritis
1
1
1
.
2
1
.
1
1
1
1
1
·
·
1
1
1
1
1
1
Glaucoma
Hare-Lip
Hemorrhoids
2
2
4
2
1
1
·
Hernia, Strangulated .
1
2
3
1
2
3
Hydrocele
2
2
2
Hypospadias
1
1
2
2
1
1
1
3
1
Ophthalmia
1
·
.
1
1
1
1
1
1
2
2
2
1
4
3
1
1 4
1
Suppurating Bubo
1
1
2
1
1
2
Tumor of Abdomen
1
1
1
1
1
1
·
1
1 1
Ulcer
1
3 3
2
7
1
3
2
1
1
Ulcer, Varicose
.
1
1
2
2
.
.
.
.
.
INJURIES.
Bruises
3
16
1
20
11
5
1
20
Burn
4
2
6
3
1
1
6
Dislocation of Ankle
1
1
1
Dislocation of Elbow
Dislocation of Shoulder
Fracture of Skull
1
1
.
.
·
.
1
1
.
.
1
Fissure, Anal
1
1
Fistula, Anal
1
.
1
1
1 1
·
1
1
.
·
.
.
1
.
·
1
Phimosis
Prostatitis
Renal Calculus
1
4
·
1
1
1
·
.
Tumor, Fatty
Tumor, Fibroid Varicocele
1
1
1
.
4
3
1
4 6
1
Ulcer of Cornea
2
2
1
·
.
.
·
1
2
1
1
2
2
2
1
1
.
.
Carbuncle
Cellulitis, Pelvic
Coxalgia
Cystitis
1
1
.
1
Epithelioma
1
3
3
2
1
Cancer of Uterus
1
1
.
1
.
1
1
·
1 1
.
2
2
1
.
·
1
Cancer of Breast .
.
.
1
1
1 1
.
.
1
1
1
1
1
Iritis
Necrosis
4 1
·
.
1
Stricture of Urethra
Syphiloderma
.
1
.
Ulcer, Chronic .
2
·
2
1
.
1
.
ADMITTED.
DISCHARGED.
1 8
9
1
·
·
1 4
2
2
·
1 1
1
3 1
2
235
236
CITY DOCUMENT .- No. 89. SURGICAL .- Continued.
INJURIES.
In Hosp. Dec. 1, 1883.
Males.
Females.
Total.
Well.
Much relieved.
Relieved,
Not relieved.
Not treated.
Eloped.
Died.
Total.
In Hosp. Dec. 1, 1884.
Fracture of Ulna .
1
1
1
1
Fracture of Radius and Ulna
1
1
2
2
2
Fracture of Humerus
.
1
1
2
2
1
1
.
.
3
3
1
Fracture of Tibia and Fibula
1
3
4
·
2
2
1
1 1
1
2
·
.
2
2
1
Fracture c. c. of Tarsus
·
6
6
3
2
1
6
1
1
2
3
1
2
Injury to Face
Injury to Back
Injury to Hand
4
1
5 1
2 1
1
2
5 1
Injury to Shoulder
·
.
.
1
1
2
Injury to Foot
2
2
1
1
2
Injury to Ankle
1
1
1
Injury to Knee
2
2
1
1
1
Injury to Leg
2
2
2
1
1
.
1
1
.
·
5
2
9
21
Rupture of Bladder
1
1
·
1
1
1
Gunshot Wound
2
2
1
1
Incised Wound
4
4
1
2
1
4
Punctured Wound
1
1
1
2
·
.
.
2
1
Scalp Wound
3
2
5
1
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