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Most Common Cause of Death

The most common cause of death was tetanus, lockjaw, indirectly, from gunshot wounds. Not all gunshots were immediately fatal. Some were complicated by bacterial contamination, often introduced into the wound later. For example, at First Manassas, where wounded were put into a farm shed or barn lively with the manure of generations of horses, the dread lockjaw was omnipresent. Yet an equally bloody battle, Shiloh or Pittsburgh Landing, had far fewer tetanus casualties; almost none. This was occasioned by the kind of soil they fought over. In the East, fields worked for seasons were dangerous with tetanus. In the West, the virgin land along the Mississippi had its share of dangers, but tetanus was one of the least of them.
Gunshot wounds reflected the changing armament of the times. One survey of 4,002 Union cases of gunshot wounds of the scalp broke down as follows:
2,612 were reported at “conoidal musket ball” or high velocity Minie-Burton type; 384 as round musket ball at low velocity, and two as explosive ball.

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