Ready to speed to any accessible port on telegraphic or telephonic orders from the Admiralty Medical Transport Department are Royal Naval Ambulance trains. They are always on the move, picking up wounded or sick officers and bluejackets at Scotch and English ports, bearing them to stations where there are great hospitals, to relieve the coast institutions likely to receive wounded in the event of a North Sea Fleet engagement. These grey-painted trains, with the Red Cross and the "R.N." on each coach, are the outcome of a great deal of study, and they are now run with remarkable efficiency. No millionaire could receive better care when wounded or ill than do John Bull's naval officers and seamen. Sir James Porter, the head of this service, whose pen sends a train to all parts of England and Scotland, has a loyal staff, which devotes remarkable zeal to their share of the work. They take pride in making a time-record in disembarkation and entraining of patients. Naval surgeons at each railroad station watch the work of the stretcher-bearers to be sure that every cot has the gentlest possible handling when being carried from the train to the ambulance which is to take the patient to the local hospital. The "stepping" of the stretcher-bearers seems a trifling thing, but it is surprising to note the attention given to this point in the first days of the war. Dr. A. V. Elder, staff surgeon of the Royal Naval Volunteer Reserve and the right bower of Sir James Porter, practised for weeks the carrying of patients, getting into cots to ascertain the most comfortable step for the wounded. Prizes were even given to the men who carried a pail of water on a cot and reached a fixed point with the most liquid in the receptacle. By this means the best method of "stepping off" was evolved. There are hundreds of these stretcher-bearers--volunteers without compensation--who now perform the task so well that it attracts even the attention of the casual observer. The cot-bearers are doing their "bit"; they get to the railroad stations at all times to meet the ambulance trains, and often have to wait hours and give up their usual business. It may also be interesting to some that in those August days the Naval Ambulance trains were not much more than a series of box-cars. The present cot--an ingenious arrangement by naval surgeons--was used in the naval hospitals and aboard the warships. But the fixtures on the train for carrying this cot were far from perfection. The patient was tossed about by the movement of the train, and it was realised that in the event of hundreds of patients being carried something would have to be discovered to steady the beds. Dr. Elder invented a clip-spring to be attached to the cot and the side of the coach. It held the bed, and had sufficient "give" to make it steady. In lieu of the box-cars, there are now coaches of the American type, with windows and great sliding doors which permit of easy ingress or egress.