RT Journal A1 Rutkow IM T1 A surgical sponge and medical malpractice in 1856 JF Archives of Surgery JO Archives of Surgery YR 1999 FD October 1 VO 134 IS 10 SP 1158 OP 1158 DO 10.1001/archsurg.134.10.1158 UL http://dx.doi.org/10.1001/archsurg.134.10.1158 AB King of William was shot by James Casey, a corrupt politician, in the left side of the chest. King of William was immediately taken to his office at the Pacific Express, which ultimately became his death chamber, as tens of physicians manually explored the wound and in a cacophony of divided opinion decided to have a sponge inserted in the bullet entrance site to tamponade further bleeding. Almost immediately, cries of surgical malpractice were initiated by Richard Beverly Cole (1829-1901), a physician who had been a close friend of King of William, against the many other medical men involved in the management of the case, particularly Hugh Hughes Toland (1806-1880), the state's best known surgeon.