ion whether he should be submitted
to the use of the knife, and in the performance of the operation in case
one was required. It was a mistaken impression among those at home, that
each medical officer was the operating surgeon for his own men. Only
about one in fifteen of the medical officers was intrusted with
operations.
From each brigade an assistant surgeon was detailed to provide food and
shelter for the wounded. His duty was to superintend the erection of
hospital tents as soon as there was a prospect of an engagement, and to
have hot coffee and rations of food ready for the wounded as soon as
they came to the hospital; he was to attend to their clothing, bedding
and rations as long as they remained in the hospital.
Another assistant surgeon from each brigade was selected to keep the
records; to take the name and character of wound of every one who was
brought to the hospital, with the operation, if any; and the list of
deaths, the place of burial, and all other matters necessary to record.
An assistant surgeon was to remain with each regiment, and attend to
getting the wounded from the field into the ambulances, and to arrest
hemorrhage in case of necessity.
Thus, all labor was systematized. Every officer and nurse knew exactly
what to do: each had his own part of the work assigned to him, and there
was no conflicting of orders or clashing of opinions.
Our ambulance system was also very perfect--so complete, indeed, that,
after a year of trial in the Army of the Potomac, congress adopted it as
the ambulance system of the United States. To Doctor Letterman, also,
belongs the honor of originating this system.
The ambulances of each corps were under command of a captain, who acted
under directions from the medical director of the corps. A lieutenant
commanded the ambulances of a division, and a second lieutenant those of
a brigade. To each ambulance was assigned a driver, and two
stretcher-bearers; and to three ambulances a sergeant, mounted. The
ambulances of a division always went together, behind the division, and
on the march were attended by a surgeon, an assistant surgeon, a
hospital steward, a cook, and three or more nurses, who were to attend
to the wants of the sick in the ambulances, and at night, if any were
unable to return to their regiments, to erect tents for them, and supply
them with food and bedding. In an engagement, the stretcher-bearers of
each regiment, with the sergeant, reported to
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