GUNSHOT WOUNDS OF THE HEAD

This series of 105 cases of gunshot wounds of the head was collected from the records of the Cincinnati General Hospital from 1922 to 1932. The total mortality rate (80.2 per cent) for 96 craniocerebral injuries of this series is considerably higher than that found for the same type of injury sustained during the World War. Cushing,1reporting a series of 219 cases in which operation was performed in a casualty clearing station, found a total mortality rate of 32.4 per cent, or, excluding 22 scalp wounds, 35.5 per cent for all craniocerebral injuries. Jefferson,2reporting from a base hospital, found no deaths in 91 cases of injury to the head without dural penetration and a mortality rate of only 37.6 per cent in 79 cases with dural penetration. Both considered only operative cases; however, every patient not moribund is said to have been subjected to operation. Horrax,