The Atlantic Monthly, Volume 08, No. 50, December, 1861: A Magazine of Literature, Art, and PoliticsVarious
History
The Atlantic Monthly, Volume 08, No. 50, December, 1861: A Magazine of Literature, Art, and Politics
Various
American periodicals
The French, meantime, had three sorts of hospitals,--the Divisional ones
coming between the Regimental and the General. Only the very slightest
cases ever enter their Regimental Hospital; those which may last weeks
are referred to the Divisional; and those which may last months, with
prospect of recovery, to the General Hospital. The Sardinian plan was
nearly the same. The Russians had Divisional Hospitals at various
stations; and all cases were carried to them.
The Regimental Hospitals are wherever the regiments are. The advantage
is, that aid can be immediately rendered,--not only in case of wounds,
but of cholera, in which it is desirable to lay a patient down in the
nearest bed to which he can be conveyed. The disadvantages are the
hap-hazard quality of the site, the absence of quiet and seclusion, and
the liability of being near the scene of conflict. These things cause
the French to prefer the Divisional Hospital, which, while still within
reach, is set farther back from the force, in a picked situation, and
managed on a large scale and with nicer exactitude.
The General Hospital is understood to be at the base of operations: and
this supposes, as a part of its organization, a system of transport, not
only good of its kind, but adequate to any demands consequent on a
great battle, or the spread of an epidemic in the camp. The nearer the
hospital is to the active force, the better, of course; but there are
conditions to be fulfilled first. It must be safe from the enemy. It
must be placed in a permanent station. It must be on a good road, and
within immediate reach of markets. It ought also to be on the way home,
for the sake of the incurable or the incapacitated who must be sent
home.
In the Regimental Hospital, the surgeon may be seen going from the man
who has lost a finger to a fever patient,--and then to one who has
ophthalmia,--passing on to a fellow raving in delirium tremens,--next to
whom is a sufferer under bronchitis, who will not be allowed to go out
of doors for weeks to come; and if half a dozen are brought in with
cholera in the course of the day, the officials do not know which way to
turn. It is possible that the surgeon may be found making starch over
the kitchen fire, because there is nobody at hand who understands how to
make starched bandages; or he may be at the desk, casting up columns of
figures, or writing returns, when he is urgently wanted at the bedside.
Such things can hardly happen now; but they have happened within ten
years. The Russians, meantime, would be carrying all manner of patients
to one of their hospital-stations,--each sufferer to the hospital of his
own division. The French would leave the men with scratches and slight
diarrhea and delirium tremens in the Regimental Hospital,--would send
the fever and bronchitis and scorbutic patients to the Divisional,--and
any gravely wounded, or rheumatic, or other very long cases to the
General Hospital at the base of operations.
Public-domain text, read in full here on John Shaqi.
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