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Hospitalization in World War II – Evacuation of the Wounded

US Army Hospitals in WWII: Evacuation of the Wounded

Photo: Jeep ambulance at Camp Carson, CO, 24 Apr 1943 (US National Archives)

Unlike the US Fifth Army, Hutch crossed the Volturno River backward. While the Allies crossed under machine-gun fire eleven days earlier, Hutch rode in a jeep, turned in the front seat to face little Lucia. Her litter was strapped across the backseat, while two more litters were strapped on the hood.

A furrow raced up Lucia’s forehead, and she clutched her doll even tighter.

Time for Hutch’s treat. “I have a gift for you. For Lucia.” (On Distant Shores, p. 194)

In my novel On Distant Shores, the hero serves as a pharmacist in an evacuation hospital and the heroine serves as a flight nurse. This article is the second in a three-part series on US Army hospitalization in World War II.

Part 1: chain of evacuation

Part 2: mobile and fixed hospitals

Part 3: evacuation of the wounded

Manual Transport

On the battleground, medics or fellow soldiers could manually carry a wounded man further to the rear for aid. Methods included the supporting carry (walking side-by-side), the arms carry, the saddleback carry (piggy-back), and the fireman’s carry.

Wounded US Marine being helped by a comrade, Iwo Jima, 20 Feb 1945 (US Marine Corps photo)

Wounded US Marine being helped by a comrade, Iwo Jima, 20 Feb 1945 (US Marine Corps photo)

Litter Transport

American litters were made of canvas stretched over aluminum or wood poles with stirrup-shaped feet to keep them off the ground. A litter could be carried by two people, but a litter squad consisted of four men, to rotate if traveling long distances and to assist over obstacles. Ideally, litter transport was only used for short distances, but in mountainous or forested or swampy terrain, litter transport was the only available means. Mules were often used in the Mediterranean Theater to carry litters in rocky, mountainous terrain.

Litter-bearers in Italy's mountains, WWII (US Army Medical Dept.)

Litter-bearers in Italy’s mountains, WWII (US Army Medical Dept.)

Motor Transport

Ambulances were used to transport patients, usually from an aid, clearing, or collecting station to a field hospital, or for transport further to the rear. Ambulances could carry seven seated patients or four patients on litters.

Dodge WC9 1/2 ton ambulance, 15 May 1941 (US National Archives)

Dodge WC9 1/2 ton ambulance, 15 May 1941 (US National Archives)

Jeeps were often used, both on the battleground and to transport further to the rear. Rugged and maneuverable, jeeps could cover terrain inaccessible to ambulances. With litter brackets, a jeep could carry two or three patients. Armored divisions also used light tanks to transport their wounded.

US medics administer plasma to a patient in a jeep ambulance, Italy, 1944 (US Army Medical Dept.)

US medics administer plasma to a patient in a jeep ambulance, Italy, 1944 (US Army Medical Dept.)

Water Transport

During an amphibious landing, the best way to handle the wounded was to send them back on departing landing craft, which carried them to transports or hospital ships off-shore. Patients could be removed from danger and transported quickly to get needed care.

Wounded American soldiers being evacuated by landing craft (LCVP) off Salerno, Italy, 9 September 1943. (US Army Medical Dept.)

Wounded American soldiers being evacuated by landing craft (LCVP) off Salerno, Italy, 9 September 1943. (US Army Medical Dept.)

Hospital ships were used offshore after an invasion to care for the wounded before field and evacuation hospitals could be set up. They also transported patients who needed long-term care to general hospitals further to the rear. Another use of hospital ships was to transport to the US any patients who needed long-term convalescent care or those who qualified for a medical discharge. They carried several hundred patients and delivered full medical care, but transport took a long time and carried the danger of enemy attack at sea, even when marked with the Red Cross.

Hospital ship USS Tranquillity arriving at Guam with survivors of sinking of USS Indianapolis, 8 Aug 1945. (US National Archives)

Hospital ship USS Tranquillity arriving at Guam with survivors of sinking of USS Indianapolis, 8 Aug 1945. (US National Archives)

Rail Transport

Hospital trains were used within theaters of operation to transport patients from one hospital to another. They were used in the continental US, Britain, continental Europe, India, and North Africa. They could carry several hundred patients and provide excellent medical care.

US 41st Hospital Train running from the Italian front to the Army hospital complex in Naples, February 1944 (US Army Medical Dept.)

US 41st Hospital Train running from the Italian front to the Army hospital complex in Naples, February 1944 (US Army Medical Dept.)

Air Transport

Medical air evacuation was new and revolutionary, but by the end of the war, it proved successful. Planes can traverse inhospitable terrain or dangerous seas—and quickly. C-47 cargo planes carried 18-24 litter patients or a higher number of ambulatory patients. A team consisting of a flight nurse and a surgical technician cared for the patients in flight. The larger C-54 cargo plane was used for trans-oceanic evacuation. Danger still existed, both from the inherent risks of flight and also because the planes carried cargo, couldn’t be marked with the Red Cross, and were legitimate military targets.

(Read more in my blog series: Medical Air Evacuation in World War II).

Lt. Katye Swope of the 802nd Medical Air Evacuation Transport Squadron checks patients being evacuated from Agrigento, Sicily to North Africa for further medical treatment, 25 July 1943. (US Air Force photo)

Lt. Katye Swope of the 802nd Medical Air Evacuation Transport Squadron checks patients being evacuated from Agrigento, Sicily to North Africa for further medical treatment, 25 July 1943. (US Air Force photo)

Resources

Office of the Surgeon General. Medical Field Manual: Transportation of the Sick and Wounded. Washington, DC: US Government Printing Office, Feb. 21, 1941. Please note the date—some of the material, especially about air evacuation, became quickly outdated.

For better information on air evacuation, please see:

Links, Mae Mills & Coleman, Hubert A. Medical Support of the Army Air Forces in World War II. Washington, D.C.: Office of the Surgeon General, USAF, 1955.