Medicine The Western Front

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What were some problems with the terrain on the western front?

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What were some problems with the terrain on the western front?

Land was farmland with fertilisers in the soil which caused gangrene, land was uneven

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Consequences of the problems caused by the terrain

few places for soldiers to hide, wounds became infected from the fertilisers, landscape made it hard to transport wounded soldiers

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Problems with the weather on the western front

In winter in France and Belgium the weather was cold, wet and snowy

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Consequences of the weather on the western front

Soldiers were at risk of illness, morale was low

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Effects on the landscape of fighting

Shells made the ground irregular

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Consequences of the effects of fighting on the landscape

Floods could drown soldiers, horses and carts couldnā€™t cross the battlefield to transport the wounded

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Frontline trench was

Closest to the enemy

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How long could soldiers spend in the front line

Up to ten days

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How was the front line built

In zigzag formation

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How far behind the front line were the support trenches

80 metres

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What were support trenches used for

A fallback if front line was destroyed by shells

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How far behind support trenches were reserve trenches

100m

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What were reserve trenches used for

Counter attacks

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When was the first battle of Ypres

1914

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when was the battle of hill 60

1915

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How many soldiers were lost in the first battle of Ypres

Over 50,000

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When was the second battle of Ypres

1915

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How many men were killed in the second battle of Ypres

59,000

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When was chlorine gas used for the first time by the Germans

The second battle of Ypres

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When was the battle of the Somme

1916

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How many casualties were there on the first day of the battle of the Somme

57000

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How many casualties overall in the battle of the Somme

400,000

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What were used for the first time in the battle of the Somme

Tanks

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When was the battle of Arras

1917

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How many casualties were there in the battle of arras

160,000

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What did the people of arras do during the battle

Tunnelled underground and created a network of tunnels including a hospital

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When was the third battle of Ypres

July-Nov 1917

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How many casualties were there in the third battle of Ypres

245000

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What happened to many men during the third battle of Ypres

They drowned due to extreme weather conditions

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When was the battle of Cambrai

October 1917

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How many casualties were there in the battle of Cambrai

40,000

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What big event happened at the battle of Cambrai?

Blood banks were used for the first time

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What was trench foot caused by

Standing in muddy water for too long

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What happened to your feet with trench foot

They would swell up and cause gangrene

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How could you prevent trench foot

Changing socks and keeping your feet dry

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What was trench fever

An infection caused by lice causing high temperatures and aching muscles

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What reduced the amount of trench fever cases

Delousing stations that were set up

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How many soldiers died from trench fever

Half a million

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What was shell shock caused by

Constant exposure to gunfire and bombardments

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What were symptoms of shell shock

Mental breakdowns, nightmares, muteness

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What happened to some soldiers due to shell shock

They were shot for believed ā€˜cowardiceā€™

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How many soldiers suffered from shell shock

80,000

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What did bullets and shrapnel cause

Death from bleeding or infection

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What invention reduced the number of head injuries

The Brodie helmet in 1915

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By how much did the Brodie helmet reduce head injuries

80%

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What was wound infection caused by

Gas gangrene and tetanus from the soil

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When was the tetanus vaccine developed

1914

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What did tetanus cause

Fever

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How many deaths did gas attacks cause

6000

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When were gas masks given to troops

1915

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When was phosgene gas first used

Near Ypres in 1915

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What did phosgene gas cause

Quick suffocation

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When was mustard gas first used

1917

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What did mustard gas do

Caused internal and external blisters, could penetrate clothes

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How many of the doctors in England were called to serve on the western front

Almost half a million

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Royal army medical corpse members

Surgeons, doctors, nurses, medical officers and field ambulance

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What did the field ambulance do

Transported injured soldiers off the battlefield (stretcher bearers)

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First Aid Nursing Yeomanry (FANY)

Women who became nurses for the RAMC

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When did women become ambulance drivers?

1916 A

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when were motor ambulances introduced

october 1914

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How far from the front line were Regimental Aid Posts built?

200m in communication trenches

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How many medical officers staffed the RAPs?

One

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What sort of aid was given at RAPs?

Immediate first aid treatment

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How far from the front line were Advanced Dressing Stations located?

400m

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Where were advanced dressing stations usually set up?

In abandoned buildings/tents

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How many medical officers staffed ADSs?

10 medical officers

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How many men could Advanced Dressing Stations house at a time?

150 men

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What was the maximum stay at ADSs?

One week

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How far from the front line were casualty clearing stations?

Far enough to be safe from enemy bombardments

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What buildings were CCSs set up in?

Permanent buildings like Churches/schools

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What were CCSs located close to to transport patients?

Railways

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What was set up in CCSs to decide who was urgent, who wasnā€™t and who was going to die?

A triage system

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How long could soldiers stay in CCSs?

An extended period of time

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After CCSs, where did patients with serious injuries go?

Base hospitals

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how far from the battlefield were Base hospitals located?

Far from war

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Why were base hospitals located close to the coasts?

So patients could be transported to England

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What did base hospitals become due to development of the CCS?

Places where new medical techniques were experimented with

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Why was transporting wounded soldiers to safety so problematic?

The landscape was full of craters and many roads had been destroyed

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At the beginning of the war infectionā€¦

Was rife due to unhygienic conditions and soldiers would die quickly

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At the beginning of the war why was aseptic treatment not used even though it was available?

CCSs were too crowded and dirty for it

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At the end of the war what technique was used in treatment of infection?

Debridement

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Debridement

Removing infected tissue before stitching wounds

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When was the Carol Dakin method used first?

1917 CD

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Carol Dakin method

Dressing wounds with a sterilised salt solution to prevent and fight infection

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Disadvantage of Carol Dakin method

The solution needed to be made regularly, didnā€™t work for deep wounds

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What treatment also became common during WW1?

Amputations

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At the start of the war, what was the chance of men with leg injuries surviving?

20%

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Why was the chance of men with leg injuries surviving low?

Fractured bones would pierce the skin and damage blood vessels especially during travel

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What was the solution to increase the chance of survival with leg injuries?

The Thomas Splint

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What did the Thomas splint do?

Kept legs still when travelling

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When were medics trained to use the Thomas splint?

December 1915

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What did the survival rate rise to for leg injuries after the invention of the Thomas splint?

82%

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When were x-rays developed?

1895

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What were x-rays commonly used for at the beginning of the war?

To find shell fragments in bodies

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What were the downsides of x-rays at the beginning of the war

Slow, unreliable, overheated quickly, hard to transport

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When did American Tech improve X-rays?

1917 XR

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How did American tech solve the issue of X-rays overheating

3 machines were used in rotation

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What did the RAMC develop to transport x-rays and increase the chance of survival?

Mobile X-rays

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Why couldnā€™t blood transfusions be used at the beginning of the war?

There was no way of storing blood for long periods of time

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Why did many patients die from the shock of a blood transfusion at the start of the war?

They had to be done directly from donor to patient

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