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artery was destroyed-of course making amputation imperative. I was therefore compelled to operate at the lower third of the thigh, which I did under fire. The Medical Director allowed me thirty minutes to do the operation and get my patient into an ambulance, as we were very much exposed to shot and shell. I was on time, and had everything properly secured, using extra precaution to prevent bleeding on the road. He was taken 60 miles in the ambulance to Kinston, and there put on board a steamerdoi:10.1056/nejm186301220672507 fatcat:3kfrkdb7kzcbxjn2ftwqvgfw4m