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History: Medicine Through Time (British Sector of the Western Front): 5 of 5


                          The Battles                                        Illness & Injury                                  Doctors and nurses

       Ypres – Called ‘Wipers’ by the British. Most direct route                                                   RAMC: Royal Army Medical Corps. All medical
       to Calais/Dunkirk. Ypres Salient (‘bulge’) was vulnerable                                                   staff belonged from doctors to ambulance
             as Germanscould fire down on it. Became                                                               drivers.9000 staff in 1914, increased to 113,000
         waterlogged. Second Battle saw the first use of gas.
                                                                                                                   by 1918.
        Somme– Huge casualty rate: over 60,000 on day one.                                                         VAD: Volunteer Aid Detachment. Middle &
        By the end of the battle, over 400,000 Allied causalities                                                  upper class women who did a lot of cleaning.
         and 450,000 Germans.Casualties overwhelmedthe                                                             By 1917 they had more medical duties like
                            medics.                                                                                nursing and dressing wounds.
        Arras – Soldiers from New Zealand had dug tunnels in                                                       FANY: First Aid Nursing Yeomanry. Founded in
          the chalky ground. These rooms were fitted with                                                          1907 by a soldier who wanted women riding in
         electricity and running water. The hospital had over                                                      to help wounded soldiers. Many were
            700 beds. It also allowed secrecy and shelter.                                                         ambulance drivers& nurses.
         Cambrai – This battle saw the first large-scale use of
         tanks (over 450). No preliminarybombardment so it                                                                       Medicinein the War
          was a surprise. Not backed up by the infantry so
                   eventually they lost ground                                                                    Aseptic Surgery- Moving to remove bacteria from the
                                                                                                                  theatre, altogether,
                                                                                                                  In WWI: Hygiene in surgery is poor. To combat problems of
                                                                                                                  infection the Carrel-Dakin method was introduced: The
                   The Trench system                                        EvacuationRoute                       wound was continually flushed with chemicals to stop
                                                                                                                  infection & often made deeper to remove affected tissue.
                                                                                                                  X-rays: Rontgen discovered xrays in 1895. This helped with
                                                            1. Stretcher bearers                                  identifying shrapnel in wounds during WWI.
                                                                                                                  In WWI: Mobile x-rays were introduced. Initially there
                                                            2. Regimental Aid Posts                               were only 2 but sppn every CCS & hospital had one.
                                                                                                                  Blood Groups:- Karl Landsteiner discovered blood groups.
                                                            3. Dressing stations                                  Transfusions were possible as long as donor & patient
                                                                                                                  were in the same room.
                                                                                                                  In WWI: Storing blood was problematic. It was discovered
                                                            4. Casualty Clearing Stations                         that if sodium citrate was added & it was chilled, it would
                                                                                                                  last longer. Mobile blood banks were also introduced.
                                                            5. Base hospitals                                     The Thomas Splint: 80% of men who had been shot in the
                                                                                                                  femur died. The two sharp ends of broken bone caused
                                                                                                                  more blood loss. The Thomas Splint pulled the bones apart
                                                                                                                  to stop them grinding on the flesh. The death rate reduced
                                                                                                                  from 80% to 20%. People were trained to use it in R.A.P.s.
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