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"With over 23,000<br />
casualties, the newly<br />
established Corp was able<br />
to remove the wounded<br />
within 24 hours and in<br />
doing so, saved hundreds<br />
of lives in the process."<br />
Men were trained to act as stretcher-bearers and to<br />
operate wagons to pick up the wounded quickly<br />
and efficiently. If necessary, the Ambulance Corps<br />
were trained to use triage on the battlefield. The<br />
success of Letterman’s Ambulance Corps was<br />
witnessed at the Battle of Antietam in September<br />
1862. With over 23,000 casualties, the newly<br />
established Corp was able to remove the wounded<br />
within 24 hours and in doing so, saved hundreds of<br />
lives in the process.<br />
The immediate treatment on the battlefield was a<br />
game-changer but Letterman had also instigated<br />
further changes for the care of the soldiers after the<br />
battle. His evacuation system comprised of three<br />
core areas. A Field Dressing Station located on the<br />
battlefield for triage, dressings and<br />
tourniquets. Those who required surgery would be<br />
moved to the Field Hospital before transferring to a<br />
larger Hospital away from the battlefield for longerterm<br />
treatment and recuperation. Having an<br />
organised system from the battlefield to recovery<br />
not only saved the lives of the men within his own<br />
care but also later, the Union Army as in March 1864<br />
the system was adopted by the whole Union Army.<br />
Since the Civil War, almost 4 million American have<br />
served in their country. Of these, more than<br />
600,000 have died with over 1.3 million returning<br />
home injured. Many would have experienced the<br />
services that Letterman and his team had<br />
pioneered in the 19th century. Technology may<br />
have advanced even further but the concept of<br />
what Letterman introduced in still used to this day.<br />
It is for this reason that is referred to as,<br />
"THE FATHER OF<br />
BATTLEFIELD MEDICINE"<br />
American Civil War veteran, with an amputated leg at the hip. Credit: Wellcome Collection. CC BY 4.0