With the Doughboy in France: A Few Chapters of an American EffortHungerford, Edward
History
With the Doughboy in France: A Few Chapters of an American Effort
Hungerford, Edward
American National Red Cross; World War, 1914-1918 -- United States
Splints, of which an immense number were necessary even for the very
short period in which we were actually engaged in the conduct of the
war, formed a real Red Cross specialty. Our army hospitals were entirely
dependent upon the American Red Cross for these necessities--the total
orders for which in July and August of 1918, totaled some 15,000 to
20,000 weekly. For that entire year the output was 94,583 splints, the
factories often working from eighteen to twenty hours a day to keep pace
with the requisitions upon them. Our Red Cross also supplied all the
nitrous oxide used in American hospitals of every type in France. The
use of this ultra-modern anæsthetic, to the increasing exclusion of
ether and of chloroform, forms one of the fascinating chapters of the
medical conduct of the war. Although it had been employed as an
anæsthetic in the United States for a number of years before the
beginning of the war, its first use in Europe was when Colonel George W.
Crile--the distinguished surgeon from Cleveland, Ohio--introduced it
into operations in the then American Ambulance Hospital at
Neuilly--afterward the American Red Cross Military Hospital Number One.
That was in 1915. Nitrous oxide as an anæsthetic immediately attracted
the attention of a number of eminent British surgeons.
"It is good," said Colonel Crile, tersely.
And so it is--good. It is so good that Colonel Alexander Lambert, at
that time chief surgeon of our American Red Cross, immediately made it
the standard anæsthetic of its medical service. For, like so many other
American surgeons, he quickly concurred in the opinion that nitrous
acid, used in combination with oxygen, three parts to one, is the least
dangerous as well as the best adapted for use when operating upon cases
of chest surgery, abdomen wounds, or of shock. Under this anæsthetic the
percentage of recovery is seventy-two per cent, as compared with fifty
per cent for either chloroform or ether. Moreover, it has none of the
disagreeable after effects which come almost invariably with the use of
chloroform or ether. To quote Colonel Lambert:
"The use of nitrous-oxide anæsthetic to the exclusion of ether or
chloroform in case of at least the seriously wounded seems to me not
only advisable but beyond the advisability of discussion."
Its official use, therefore, was predicated. It was first supplied to
the casualty-clearing stations; American and British coöperating for the
sake of an exchange of ideas as to its best use. Our Red Cross supplied
an apparatus of special design that had gradually been evolved from
those already devised. This allowed the separate administration of the
nitrous oxide, of oxygen, or of ether--which at times was used in small
quantities--or of the three in various combinations. And all our
American nurses were trained as anæsthetists in its use.
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Public-domain text, read in full here on John Shaqi.
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