Organization: How Armies are Formed for WarFoster, Hubert
History
Organization: How Armies are Formed for War
Foster, Hubert
Armies -- Organization
In the Middle Ages there was no medical organization with armies, nor
were there even any surgeons. The sick and wounded were left to shift
for themselves, and were tended, if at all, by private persons out of
charity, or in monasteries, for the monks alone possessed any knowledge
of surgery and medicine in those days.
Rudimentary provision for surgery in armies is found in the
organization of the German mercenaries of the sixteenth century, where
a surgeon was appointed by each Captain for his Troop of Reiters
or Company of Landsknechts. Later, a Surgeon was attached to the
Regiment, and medical care, from being purely a matter for the Captain
to organize, became a Regimental responsibility. By this time the
practice of surgery had long passed from the hands of monks into those
of the barbers. Thus in the seventeenth century the Prussians had
_Feldschere_, _Field Barbers_, attached to Companies and Regiments for
surgical duties. There also began to be during the sixteenth century
a certain number of what we should call _Staff Surgeons_, attached to
the Higher Commands, who were supposed to supervise the _Regimental
Surgeons_. The latter gradually became better educated, while the
_Company Surgeons_ under their supervision remained merely rude
subordinates.
During the seventeenth century the sick and wounded were treated
in tents pitched in the rear of the camp as long as the army was
stationary, and tended by some of the women who accompanied it. When
it moved, they were handed over to local authorities, or left in the
villages near the fighting. An effort was then made in most countries
to establish hospitals in the chief towns in the theatre of war,
into which the wounded could be collected for better tending. By the
eighteenth century Army Surgeons were allotted to these hospitals,
which seem first to have been organized in France, where, however,
they were managed by contractors. The abuses of this system led to the
hospitals being placed under the Intendants of the Army, a change which
effected little improvement, as the Intendants, through ignorance and
apathy, hampered the action of the medical department, and delayed any
improvement in it. France was the first country to organize any sort
of mobile hospital, the germ of our _field ambulance_. One ambulance
wagon was provided per 1,000 men, and in battle, dressing stations
were formed in rear, to which wounded found their way, or were carried
on stretchers. Stationary hospitals were also established in rear,
and the modern system of evacuation of wounded to the rear was rudely
organized. The same idea was started in Austria, and, in a less
developed form, in Germany.
Public-domain text, read in full here on John Shaqi.
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