The Golden Hour: American Battlefield Medicine in World War I
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1 The Golden Hour: American Battlefield Medicine in World War I George Thompson The University of Kansas Medical Center
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5 Zone of the Armies
6 Battlefield Medicine is: Care Under Fire Tactical Field Care Tactical Evacuation Care
7 British Regimental Aid Station, Battle of the Somme, 1916
8 Rifles fired out to 500 yards Machine Guns fired out to 2 miles
9 Light Artillery fired out to 11 miles Heavy Artillery fired out to 13 miles
10 Railway guns fired out to 35 miles
11 Zone of the Armies
12 4,000 yards 11 to 13 miles Zone of the Armies
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14 230,460 Admissions: 70,552 Gas Injuries 153,537 Battle Injuries 8,919 Cases of Neurasthenia 3,898 Shell-Shock Cases
15 Battle injuries by destructive agents for American army troops,
16 20 % to the head and upper trunk 20% to the trunk 25% to the upper extremities 35% to the lower extremities Distribution of wounds on the body
17 Battle injuries by admissions for American army troops,
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19 Dr. R. Adams Crowley, MD
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21 Zone of the Armies
22 Collect casualties from the battlefield and initiate first aid Control hemorrhage, shock and set fractures Give a prophylactic injection to prevent tetanus Initiate surgical procedures to prevent gas gangrene
23 Time from injury to treatment: 1 hour: 10% mortality 2 hours: 11% mortality 3 hours: 12 % mortality 4 hours: 33% mortality 5 hours: 36% mortality 6 hours: 41% mortality 8 hours: 75% mortality 10 hours: 75% mortality Gas gangrene before an operation P. Marquis Moulinier Santy Da Shock Tramatique dans les blessures de Guerre Analysis d'observations, 1918
24 Members of the 137 Field Hospital tending casualties in a war battered church, 1918
25 1 st Level Zone of the Armies
26 1 st Level Zone of the Armies 2 nd Level
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28 Company aid station, 1 st Division, July 5, 1918 Company aid station, 4 th Division, September 27, 1918
29 Walking wounded in the Argonne Forest, 1918
30 Battalion aid station, 79 th Infantry Division in the Bois de Consenvoye
31 Battalion aid station, 167 th Infantry, July 17, 1918 Battalion aid station, 358 th Infantry, October 27, 1918
32 Battalion aid station, 28 th Infantry, May 28, 1918
33 Control of hemorrhage Application or readjustment of field dressings and splints Injection of the anti-tetanus serum and morphine tablets for pain Treatment for gas injuries Anti-shock treatment such as warmth and hot drinks
34 Very slightly wounded but able to return to the line Slightly wounded and requires evacuation Seriously wounded Patient with fractures Severely wounded with attendant shock Gassed patient Psychoneurotic Sick
35 Painting around the wound with iodine Injection of 500 units of the anti-tetanus serum One-fourth grain of morphine for pain to slightly to seriously wounded Control of hemorrhage through ligature, hemostats or a tourniquet Immobilization of fractures with splints Shock treatment such as blankets, hot water bottles, hot drinks
36 Collecting point for wounded, 3 rd Division, October 12, 1918
37 Dressing station, Ambulance Company No. 102 Field Hospital No. 13
38 Advance post, Ambulance Company, 1 st Division, Missy-aux-Bois, July 20, 1918
39 Dressing station, Ambulance Company No. 111 Dressing station first aid kit
40 Dressing station, Lahayville, France, 1918 Arresting hemorrhage Inspecting and readjusting the dressings and splints Administering morphine and the anti-tetanus serum Treating for shock and gas injuries
41 Dressing Station near Avocourt, France, September 26, 1918
42 Dressing station, Ambulance Company No. 102, near Samogneux, France, October 23, 1918
43 Triage, 42 nd infantry Division, near Suippes, France, July 17, 1918
44 Field Hospital No. 28, Varennes, October 2, 1918
45 Field Hospitals No. 314 and No. 315, 79 th Division, France 1918
46 Field Hospital No. 13, near Vendeull-Caply, France, July 2, 1918 Wounded and gassed Sick Skin and venereal diseases
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48 Church at Benzu-leGuery, Field Hospital No. 1, 2 nd Division, June 16, 1918
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50 Triage, 77 th Division, La Chalade, September 28, 1918
51 Slightly wounded awaiting readjustment of dressings, Field Hospital No. 28, October 2, 1918
52 Administering a hot drink to a shock patient
53 Mustard gas casualties being bathed with soap and water
54 Evacuating wounded from Field Hospital No. 15, near Montruil, France, June 7, 1918
55 1 st Level Zone of the Armies 2 nd Level Base Hospitals
56 2 nd Level Zone of the Armies
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59 Mobile Hospital No. 2 Mobile Hospital No. 30 Reception Room, Mobile Hospital No. 39 Operating Room, Mobile Hospital No. 39
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61 Evacuation Hospital No. 1
62 Surgery in progress in an operating theatre, No. 3 Casualty Clearing Station, July 1916
63 Patients arriving at the Receving Room, Evacuation Hospital No. 8
64 Ground plan for Evacuation Hospitals 6 and 7 located at Souilly, France, 1918
65 Receving Room, Evacuation Hospital No. 8 Sorting patients at the Receiving Room
66 10 operating, 4 x-ray rooms, 16 hospital wards performed the surgical work
67 Heating chamber for shock patients Fractured clavicle, lodged missile in the end of the clavicle
68 Operating room and sugical team of Evauation Hospital No. 8, 1918
69 Debridement: Excision of the external wound, of the aponeurotic layer, of injured muscles
70 The Carrel-Dakin method, Duchess of Sutherland Hospital, Calais, 1917
71 Page from the operating room record kept by Dr. Frederick A. Pottle, MD, Medical Corps Evacuation Hospital No. 8, Petit Maujouy, France, 1918
72 Post-operative ward of an Evacuation Hospital
73 Loading patients on to a Hospital Train
74 Zone of the Armies
75 Point of Injury Evacuation Hospital No. 8 Battalion aid station, 79th Infantry Field Hospital No. 28
76 Dressing Station near Avocourt, France, September 26, 1918
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79 Dressing station, Lahayville, France, 1918 Forward Surgical Team
80 Evacuation Hospital, France Combat Support Hospital, Iraq
81 The most enduring legacy that informs the army today is a medic-to-surgeon mentality
82 American Wounded Making Way to First Aid Station in the Village of Marne During German Attack by George Mathews Harding
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