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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

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