This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1918. Excerpt: ... THE CASUALTY CLEARING STATION. The casualty clearing station is, to medical activities, the "great divide." On the side toward the front, professional interests are subordinated to the urgent necessity of keeping the lines clear of sick and wounded. This means the retention only of those who can quickly return to the fire trench or other duty, and the expeditious, though careful, evacuation of those whose man-power value is partly or wholly erased. On the side toward the base technical considerations are predominant, with the result that the special care and treatment of several types of injury and disease are begun. From a practical point of view, that of the patient, this arrangement is agreeable, for the quicker he gets out of shell fire, over the hump of the casualty clearing station and down the more peaceful lines of communication, the better is he pleased. This position between front line and hospital conditions continually recurs to the mind when studying the administration and work of a casualty clearing station. At first called a "clearing hospital," its functions of rapidly sorting and evacuating casualties soon altered it to "clearing station,"1 The pendulum of its work now swings between the two; during quiet times, when only the sick 1 Such a unit is termed an "Evacuation Hospital" by the Americans. and wounded incident to ordinary trench warfare arrive, it is much a hospital, its work resembling that done in stationary or general establishments; while during an offensive, with the inflow of battle casualties, it is very much a station, for like a field ambulance, but on a larger scale, it only holds for treatment certain selected cases (about i0 per cent.) and evacuates the remainder as quickly as possible. With these varying conditions its...
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