Surgical Experiences in South Africa, 1899-1900: Being Mainly a Clinical Study of the Nature and Effects of Injuries Produced by Bullets of Small CalibreMakins, George Henry
History
Surgical Experiences in South Africa, 1899-1900: Being Mainly a Clinical Study of the Nature and Effects of Injuries Produced by Bullets of Small Calibre
Makins, George Henry
Gunshot wounds; South African War, 1899-1902; Surgery, Military
_Trains._--In many cases in Natal, and in a few instances on the western
side, the wounded men were able to be transferred from the first
dressing station directly into the trains. Space will not allow me to
describe any of those in use, but the accompanying illustration shows
the general arrangement of the beds in Nos. 2 and 3 trains (fig. 9). The
carriages were converted from ordinary bogie wagons of the Cape
Government Railway stock under the supervision of Colonel Supple,
R.A.M.C., P.M.O. of the Base at Cape Town. Each train was provided with
accommodation for two medical officers, two nursing Sisters, orderlies,
a kitchen, and a dispensary, and each carried some 120 patients. The
trains were under the charge of Major Russell, R.A.M.C., and Dr. Boswell
(and later other civilian medical officers) and of Captain Fleming,
R.A.M.C., D.S.O., and Mr. Waters, and carried many thousand patients
from all parts of the country to the Base and Station hospitals. They
were most admirably worked, and seemed to offer little scope for
improvement except in minor details. To them much of the success in the
treatment of the wounded who had to traverse the immense distances
incident to South Africa must be attributed. I made many pleasant
journeys in each of them. Later, two additional trains, Nos. 4 and 5, of
a similar nature, were added. Two trains, No. 1, and the Princess
Christian train, which I was not fortunate enough to see, performed
similar duties for Natal.
[Illustration: FIG. 9.--Interior of one of the Wagons of No. 2 Hospital
Train]
_Hospital Ships._--These were numerous and some especially well
arranged. Fig. 10 is of the 'Simla,' a P. & O. vessel which was
admirably adapted to the requirements of a hospital ship. On her main
deck some 250 patients were accommodated in a series of wards all on the
same level, which much lightened the difficulties of service usually
experienced. During the present campaign the abundance of transport
vessels rendered the transhipment of patients to England a matter of
comparative ease, and good vessels were always available. Considering
the constant transhipment of invalids from India and our other colonial
possessions, it would seem advisable that, in place of having to
hurriedly improvise hospital ships, the Government should possess two or
three hospital ships of the 'Simla' type. It is true this would deprive
our naval transport officers of a duty which in this war was performed
with extraordinary celerity and success; thus the 'Simla' was fitted in
seven days, and sailed with a cargo of invalids ten days after her
arrival at Durban; but on the other hand it would ensure that really
suitable vessels were always provided.
[Illustration: FIG. 10.--P. & O. Hospital Ship 'Simla' in Durban
Harbour]
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