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Updated: June 28, 2025
The force exerted by the cog drawing on the rope was sufficient to avulse his whole arm and shoulder-blade. There was comparatively little hemorrhage and the man was insensible to pain; being so dazed and surprised he really was unconscious of the nature of his injury until he saw his arm in the wheel. According to Billroth the avulsion of an arm is usually followed by fatal shock.
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