The system of transport and the stages of treatment

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  • The system of transport and the stages of treatment
    • Regimental Aid Post (RAP)
      • within 200 m of the front line, in communication trenches or deserted buildings.
      • A Medical Officer and stretcher bearers with basic first aid training/ knowledge
      • gave immediate first aid and get as many men back to the fighting as possible.
        • didn't have enough skill to deal with serious injuries.
    • Dressing Stations (ADS and MDS)
      • in theory, Advanced D.S. should have been within 400m from the RAP and a main D.S. a further half a mile back.
        • not usually the case - may have been only one D.S.
      • located in abandoned buildings, dug-outs or bunkers in order to offer protection from enemy shelling.
      • staffed by 10 medical officers, plus medical orderlies and stretcher bearers of the RAMC
        • from 1915 onward there may have been nurses
        • Those from the RAMC in D.S. were called Field Ambulance.
          • each F.A. could deal with 150 men, but would have to deal with many more in major battles.
          • didn't have the facilities to tend to wounded men for more than a week: either returned to the fighting or sent to the next stage of treatment.
      • walk in or brought in by stretcher bearers
    • Casualty Clearing Stations (CCS)
      • located a sufficient distance from the front line to provides some safety against attack, but close enough to be accessible by ambulance wagons.
      • CCS closest to the front line would specialise in the most critical injuries.
      • set up in buildings and often located near to a railroad line to allow the next stage of evacuation to happen quickly.
      • Patients divided into three groups
        • The walking wounded: patched up and returned to fighting.
        • Those in need of hospital treatment: transported to Base Hospital once treated for immediate life threatening injuries.
        • Those who were so severely wounded that there was no chance of recovery: made comfortable.
      • The role of FANY
        • drove ambulances, replacing Red Cross male ambulance drivers.
        • opened the way for other women who were attracted to other organisations to participate in the front line.
      • started to do more serious operations as the war progressed as it was released that the soldiers were more likely to survive the sooner they were treated before infection killed them.
    • Base Hospitals
      • located near the French Belgian coast: close to ports
      • treated until fit to return to fighting or returned to Britain to receive further treatment
      • became increasingly responsible for continuing treatment that was begun in the CCS
        • other roles emerge: experiments for new techniques etc.

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