Instructions concerning a gaping wound in his head penetrating to the bone (and) splitting his skull.

Examination

If thou examinest a man having a gaping wound in his head, penetrating to the bone, (and) smashing his skull1, thou shouldst palpate his wound. Shouldst thou find something disturbing therein under the fingers, (and) he shudders exceedingly , while the swelling which is over it protrudes2, he discharges blood from both nostrils (and) from both his ears , he suffers with stiffness in his neck , so that he is unable to look at his two shoulders and his breast.

Diagnosis

Thou shouldst say regarding him: "One having a gaping wound in his head, penetrating to the bone, (and) splitting skull; while he discharges from both his nostrils. (and) from both his ears , (and) he suffers with stiffness in his neck. An ailment with which I will contend."

Treatment

Now when thou findest that the skull of that man is split, thou shouldst not bind him, (but) moor him at his mooring stakes until the period of his injury passes by. His treatment is sitting. Make for him two supports of brick , until thou knowest he has reached a decisive point3. Thou shouldst apply grease to his head, (and) soften his neck therewith and both his shoulders. Thou shouldst do likewise for every man whom thou findest having a split skull .


1 "Splitting his skull", means separating shell from shell of his skull, while fragments remain sticking in the flesh of his head, and do not come away.

2 "The swelling (thb) which is over it protrudes." means that the swelling (sfw-t) which is over this split is large, rising upward.

3 "(Until) thou knowest he has reached a decisive point," means (until) thou knowest whether he will die or he will live; for he is (a case of) "an aliment with I will content."