France. Armée; Joffre, Joseph Jacques Césaire, 1852-1931; World War, 1914-1918
careful dispositions, rendered a great service in providing train
accommodation for sixty thousand wounded to which the Minister of War
added twenty thousand; and which again, I believe, was considerably
increased by General Galliéni during his brief but strenuous period at
the Ministry of War.
As originally conceived the ambulance of the Front was equipped for
major operations as well as the hospital in the rear, but afterwards it
was found inadvisable to perform operations in these conditions where
the surgeon had not the time or the tranquillity of mind necessary for
the purpose; and so by a later arrangement the hospitals for the major
operations were placed fifteen or twenty miles to the rear. And so it
happened that the first mistakes were rectified. Instead of great and
important operations being conducted on the field of battle, subject to
the dangers and interruptions from such a propinquity, the more gravely
wounded, whose state required amputation, were rapidly transported to
these hospitals in the rear after their wounds had been attended to in
the first place, and an examination made in the field hospital, or
ambulances as they are called in France. This system gave much better
results than that adopted in the beginning, whereby the _ambulances de
l’avant_ (or advanced ambulances) and the reserve ambulances, the
divisional ambulances, and the army ambulances, were interchangeable.
They were intended to serve for all the purposes of attending to the
wounded. They were used either as a place of temporary relief for the
wounded or took on a _quasi_ permanent character according to the
necessities of the case. When the advanced ambulances in certain
circumstances became stationary, the reserve ambulances followed the
army on the march. It seemed in many respects an excellent system, and
certainly was very supple and ingenious, for these ambulances became
interchangeable; but they possessed the inconvenience, to which I have
already alluded—that is to say, the proper sort of attention could not
be given to the important cases. Hence the change that the Committee
brought about, whereby the _grands blessés_ were transported to the
hospital at the rear, where the necessary skill and the instruments
required were at their disposal. The present system works in this
manner. The battle takes place. The chief medical officer fixes the
spot in the rear where the formation ought to be established. The
formation establishes itself there in a couple of hours with its
motor-cars. An hour after, it has pitched its first tent and is ready
to shelter the first wounded which come to it from the ambulances,
perhaps in the space of three or four hours. Instruments sterilised in
advance permit the surgeons to commence to operate three hours after
having received their orders to establish the hospital tent. Other
tents can be established to the number of five. A hundred wounded
persons can thus be taken care of and treated in the open country.
Public-domain text, read in full here on John Shaqi.
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