ROYAL ARMY MEDICAL CORPS Medical units in wartime were naturally scaled to cope with battle casualties but there was an on going commitment to the health and hygiene of the soldier as well as the normal accidents and illnesses. The Army Dental Corps also worked closely with the RAMC. MEDICAL UNITS Field Ambulance. War Establishment II/62/1. August 1942. Light Field Ambulance. War Establishment II/901/1. June 1944 Field Dressing Station. War Establishment II/301/1. August 1944. Field Hygiene Section. War Establishment II/299/2. May 1944. Field Hygiene Section. War Establishment XIV/1280/1. February 1945 Field Sanitary Section. War Establishment IV/161/1. June 1943. Field Surgical Unit. War Establishment III/168/1. July 1942. Traumatic Shock Team. War Establishment IV/270/1. August 1944. Maxillo-Facial Surgical Unit. War Establishment IV/47C/2. December 1943. General Hospital 600 Bed. War Establishment IV/226/1. December 1943. General Hospital 1200 Bed. War Establishment IV/227/1. December 1943. General Hospital 200 Bed. War Establishment IV/228/1. January 1944. Neuropathic Hospital. War Establishment IV/43A/2. January 1943. Neurosurgical Unit. War Establishment IV/135/1. February 1943. Convalescent Depot RAMC. War Establishment IV/44/2. May 1944. Officers Convalescent Wing. War Establishment IV/268/1. June 1944. Medical Platoon for a Motor Ambulance Company. War Establishment III/176/1. August 1942. Medical Platoon for an Ambulance Car Company. War Establishment IV/119/1. August 1942. Ambulance Train 360 bed. War Establishment IV/46/3. January 1943. Ambulance Train 250 bed. War Establishment IV/123/1. December 1942. Hospital Ship. War Establishment IV/47/3. January 1943. A Hospital Carrier. War Establishment IV/474/3. May 1943. Field Transfusion Unit. War Establishment IV/47D/2. April 1944. Base Transfusion Unit. War Establishment IV/220/1. December 1943. Advanced Depot of Medical Stores. War Establishment III/51/3. March 1944. Base Depot of Medical Stores. War Establishment IV/45/1. March 1944. Base Depot of Medical Stores, Civil Affairs Increment. War Establishment IV/247/1. April 1944. Captured Enemy Equipment Section (Medical). War Establishment XIV/1322/1. November 1944. Standing Medical Board. War Establishment XIV/1320/1. September 1944. Medical Evacuation Staff. War Establishment XIV/1321/1. September 1944. An Entomological Field Unit. War Establishment IV/201/1. September 1943. A Biological Research Section. War Establishment IV/192/1. October 1943. Port Detachment. War Establishment IV/204/1. November 1943. Field Dental Laboratory. War Establishment IV/239/1. February 1944. Field Dental Centre (Operational). War Establishment IV/240/1. March 1944. Field Dental Centre (Non Operational). War Establishment IV/242/1. March 1944. See also RASC ambulance units. Motor Ambulance Company Ambulance Car Company Infantry Divisional medical units included - A Field Ambulance per brigade. This gave three Field Ambulances for an infantry division. Non divisional units in the front line used the divisional medical facilities. - Two Field Dressing Stations which were independent of the Field Ambulance and provided a reserve capacity and put surgical teams nearer to the front line. - A Field Hygiene Section to care for the soldier’s health and prevent disease. Armoured Divisional medical units included - A Field Ambulance for the infantry brigade. - A Light Field Ambulance for the armoured brigade - Two Field Dressing Stations - A Field Hygiene Section. FIELD AMBULANCE War Establishment II/62/1. August 1942 Personnel Lieutenant Colonel 2 X Major 5 X Major, Captain or Lieutenant 2 X Subaltern (non medical) Quartermaster Regimental Serjeant Major Regimental Quartermaster Serjeant 2 X Staff Serjeant serjeant clerk serjeant dispenser 5 X serjeant 12 X corporal 9 X lance corporal 119 X private Total 162 Plus attached Captain RASC Company Serjeant Major RASC serjeant RASC 5 X corporal RASC 11 X lance corporal RASC 51 X driver IC RASC 2 X private RASC Captain or Lieutenant, Army Dental Corp corporal dental clerk, Army Dental Corp serjeant ACC corporal cook ACC 7 X private cook ACC Total including attached 245 Trades included carpenter and joiner corporal clerk 2 X clerk corporal nursing orderly 7 X lance corporal nursing orderly 14 X nursing orderly barber 10 X batman orderlies 4 X general duty orderlies anti gas corporal sanitary duties lance corporal stores corporal stewards stores corporal stewards stores lance corporal 6 X corporal stretcher bearer lance corporal stretcher bearer 79 X stretcher bearers 6 X ambulance orderlies water dutyman corporal chiropodist RASC trades included corporal fitter 2 X fitter lance corporal electrician 6 X driver mechanic 3 X corporal driver IC 46 X driver IC batman driver 8 X motor cyclist transport corporal First reinforcements included 7 X nursing orderlies RAMC 2 X driver IC RASC Weapons 24 X pistol, .38” 47 X rifle, .303” 22 X Sten gun Note: At the time this table was issued it was usual to show weapons carried by individuals. This table shows the following Pistols are carried by - all Officers - motorcyclists - transport corporal - Company Serjeant Major RASC - serjeant RASC Rifles are carried by - corporal fitter RASC - fitters RASC - lance corporal electrician RASC - driver mechanic RASC - 28 X driver IC RASC - 46 X driver IC RASC - serjeant ACC - cooks ACC Sten guns are carried by - batman driver RASC - 21 X driver IC Warrant Officers, non commissioned officers and other ranks of the RAMC and Army Dental Corp do not carry weapons. Stretcher bearers of infantry units carried pistols or Sten guns for self defence but RAMC did not. Medical Officers could be Subalterns, Captains or Majors and were regarded as equal and interchangeable as far as medical matters were concerned. This applied also to Medical Officers in units. Although they are often listed as Captain they could be also be Subaltern or Major. The Army Dental Corp officer served two functions - He cared for the dental health of the division, with the support of mobile dental units when not in the front line. It was a continuing function of the Field Ambulance to care for the health of the soldiers in the division. This was not confined to battle casualties. - He was available to assist and advise in the case of facial injuries. Note that it is not possible to move all the personnel of a Field Ambulance in unit transport. For long moves three extra troop carrying lorries were needed. ORGANISATION. The Field Ambulance consisted of a headquarters and two bearer companies. The Headquarters provided a Main Dressing Station. Bearer companies could each provided three sections. HEADQUARTERS The headquarters of a Field Ambulance provided not only the administration for the unit but also formed a Main Dressing Station which could accommodate a hundred to a hundred and fifty casualties. Six of the 3ton lorries were equipped with penthouses which could be erected to the side and rear to form a tented area. The lorry itself contained medical equipment. Lieutenant Colonel Major 2 X Major, Captain or Lieutenant Quartermaster Regimental Serjeant Major Regimental Quartermaster Serjeant serjeant clerk serjeant dispenser serjeant carpenter and joiner corporal clerk 2 X clerk 10 X nursing orderly barber 4 X batman orderlies 4 X general duty orderlies anti gas corporal sanitary duties lance corporal stores corporal stewards stores corporal stewards stores lance corporal 8 X stretcher bearer 6 X ambulance orderlies water dutyman corporal chiropodist RASC Captain Company Serjeant Major serjeant corporal fitter 2 X fitter lance corporal electrician 6 X driver mechanic 31 X driver IC batman driver 2 X motor cyclist transport corporal 2 X private Army Dental Corp Captain or Lieutenant corporal dental clerk Army Catering Corp serjeant corporal cook cook Organisation Motorcycle 1 transport corporal RASC Motorcycle 2 Motorcycle 3 The allotment of motorcycles 2 and 3 is not known. Car 4 seater 4 X 2 driver IC For the use of the Commanding officer Car 4 seater 4 X 2 driver IC For the use of the Major, Second in Command Car seater 4 X 2 Captain RASC, batman driver 15cwt water tank water dutyman, driver IC 3ton 4 X 2 GS lorry with pent houses 1 driver IC For stores and personnel 3ton 4 X 2 GS lorry with pent houses 2 driver IC For stores and personnel 3ton 4 X 2 GS lorry with pent houses 3 driver IC For cooks and rations 3ton 4 X 2 GS lorry with pent houses 4 driver IC For QM stores and personnel 3ton 4 X 2 GS lorry with pent houses 5 driver IC For baggage and personnel 3ton 4 X 2 GS lorry with pent houses 6 driver IC For artificers, personnel and tools. Motorcycle motorcyclist RASC Motorcycle motorcyclist RASC Ambulance, two stretcher, 4 X 2 1 2 X driver IC RASC Ambulance, two stretcher, 4 X 2 2 2 X driver IC RASC Ambulance, two stretcher, 4 X 2 3 2 X driver IC RASC Ambulance, two stretcher, 4 X 2 4 2 X driver IC RASC Ambulance, four stretcher, 4 X 2 1 ambulance orderly, 2 X driver IC RASC Ambulance, four stretcher, 4 X 2 2 ambulance orderly, 2 X driver IC RASC Ambulance, four stretcher, 4 X 2 3 ambulance orderly, 2 X driver IC RASC Ambulance, four stretcher, 4 X 2 4 ambulance orderly, 2 X driver IC RASC Ambulance, four stretcher, 4 X 2 5 ambulance orderly, 2 X driver IC RASC Ambulance, four stretcher, 4 X 2 6 ambulance orderly, 2 X driver IC RASC - Eight bicycles were provided for use round the site. They were carried in the transport for movement. - All the three ton lorries are listed as having penthouses. These served as wards and surgeries as well as for their designated role. BEARER COMPANY As well as providing stretcher bearers and ambulance cars the Bearer Company could provide two Advanced Dressing Stations. The third section was commanded by a non medical officer and could be used to provide a Bearer Relay Station or a reserve. Section 1 Major, Captain or Lieutenant serjeant lance corporal nursing orderly nursing orderly lance corporal stretcherbearer 12 X stretcher bearer batman orderly 3 X driver IC RASC motorcyclist RASC Motorcycle Officer Motorcycle motorcyclist RASC 15cwt GS driver IC 3ton 4 X 2 GS lorry with pent houses driver IC For stores and personnel Ambulance, two stretcher, 4 X 2, light 2 X driver IC RASC Section 2 Major, Captain or Lieutenant serjeant lance corporal nursing orderly nursing orderly lance corporal stretcherbearer 12 X stretcher bearer batman orderly 3 X driver IC RASC motorcyclist RASC Motorcycle Officer Motorcycle motorcyclist RASC 15cwt GS driver IC 3ton 4 X 2 GS lorry with pent houses driver IC For stores and personnel Ambulance, two stretcher, 4 X 2, light 2 X driver IC RASC Section 3 Lieutenant, non medical staff serjeant lance corporal nursing orderly nursing orderly lance corporal stretcherbearer 12 X stretcher bearer batman orderly 3 X driver IC RASC motorcyclist RASC Motorcycle Officer Motorcycle motorcyclist RASC 15cwt GS driver IC 3ton 4 X 2 GS lorry with pent houses driver IC For stores and personnel Ambulance, two stretcher, 4 X 2 2 X driver IC RASC Note: Although the original document shows Ambulance, two stretcher, 4 X 2, light this type was not in use in 1944. LIGHT FIELD AMBULANCE War Establishment II/901/1. June 1944 A Light Field Ambulance is intended to serve an armoured brigade and consists of a headquarters and four sections. Headquarters provide the personnel and equipment for a Main Dressing Station. Each section provides personnel and equipment for an Advanced Dressing Station. All stretcher bearers are shown in headquarters and are distributed to sections as required. The Light Field Ambulance was fully self mobile. HEADQUARTERS Lieutenant Colonel Major Major, Captain or Lieutenant Quartermaster Regimental Serjeant Major company quartermaster serjeant staff serjeant, stewards stores serjeant clerk serjeant dispenser serjeant nursing orderly duty serjeant 2 X clerk corporal nursing orderly 6 X nursing orderly corporal anti gas duties 5 X anti gas duties corporal general duties general dutyman corporal pack storeman pack storeman. 5 X batman sanitary dutyman corporal ambulance orderly 23 X ambulance orderly 2 X water dutyman serjeant stretcher bearer corporal stretcher bearer 24 X stretcher bearer RASC Captain Company Serjeant Major serjeant transport corporal corporal corporal driver 2 X lance corporal driver IC 29 X driver IC (includes a batman driver) 6 X driver mechanic corporal fitter lance corporal fitter 3 X fitter lance corporal electrician 3 X motor cyclist Royal Army Dental Corp Captain or Lieutenant corporal dental operating room assistant Army Catering Corp corporal cook corporal hospital cook 2 X cook Royal Army Chaplains Department (from corps establishment) Chaplain batman driver 6 X motorcycle 2 X light utility 1 X Car 4 seater 4 X 2 4 X ambulance 2 stretcher 6 X ambulance 4 stretcher 1 X 15cwt 1 X 15cwt water 7 X 3ton 4 X 4 GS including 2 for personnel 1 for office equipment 2 for personnel and stores 1 for tools 1 for cooks 1 for baggage and officers mess 1 for Quartermaster and anti gas stores Note: Although not mentioned in the document some of the 3 ton 4 X 4 GS would be fitted with penthouses. Organisation Motorcycle 1 transport serjeant RASC Motorcycle 2 Company Serjeant Major RASC Motorcycle 3 motorcyclist RASC Motorcycle 4 motorcyclist RASC Motorcycle 5 motorcyclist RASC Motorcycle 6 Allocation not known. Car 4 seater 4 X 2 driver IC For the use of the Commanding officer Car light utility Quartermaster, driver IC Car light utility Captain RASC, batman driver 15cwt GS Dental Officer, driver IC 15cwt water tank water dutyman, driver IC 3ton 4 X 4 GS lorry 1 driver IC For personnel 3ton 4 X 4 GS lorry 2 driver IC For personnel 3ton 4 X 4 GS lorry 3 driver IC For office equipment 3ton 4 X 4 GS lorry 4 driver IC For stores and personnel 3ton 4 X 4 GS lorry 5 driver IC For stores and personnel 3ton 4 X 4 GS lorry 6 driver IC For artificers, personnel and tools. 3ton 4 X 4 GS lorry 7 driver IC For cooks 3ton 4 X 4 GS lorry 8 driver IC For baggage and officers mess 3ton 4 X 4 GS lorry 9 driver IC For Quartermaster and anti gas stores Ambulance, two stretcher 2 X driver IC RASC Ambulance, two stretcher 2 X driver IC RASC Ambulance, two stretcher 2 X driver IC RASC Ambulance, two stretcher 2 X driver IC RASC Ambulance, four stretcher 2 X driver IC RASC Ambulance, four stretcher 2 X driver IC RASC Ambulance, four stretcher, 2 X driver IC RASC Ambulance, four stretcher, 4 X 2 4 2 X driver IC RASC Ambulance, four stretcher, 4 X 2 5 2 X driver IC RASC Ambulance, four stretcher, 4 X 2 6 2 X driver IC RASC - Eight bicycles were provided for use round the site. They were carried in the transport for movement. - All the three ton lorries are listed as having penthouses. These served as wards and surgeries as well as for their designated role. 4 X Section each Major, Captain or Lieutenant serjeant corporal nursing orderly 2 X nursing orderly corporal clerk 4 X driver IC RASC (including a batman driver) motorcyclist RASC cook ACC Motorcycle serjeant Motorcycle motorcyclist RASC Car, Light Utility batman driver RASC 3ton 4 X 4 GS lorry with pent houses driver IC RASC For stores and personnel Ambulance, two stretcher driver IC RASC Ambulance, two stretcher driver IC RASC FIELD DRESSING STATION War Establishment II/301/1. August 1944 Heavy Section Major, Officer Commanding 2 X Major, Captain or Lieutenant Subaltern, non medical Quartermaster staff Serjeant serjeant clerk serjeant dispenser serjeant hospital cook 2 X serjeant nursing orderly serjeant nursing orderly for duty as storeman for stewards store. cook hospital cook lance corporal nursing orderly 12 X nursing orderly 2 X ambulance nursing orderly nursing orderly as barber 3 X nursing orderly as batman 2 X corporal general duties lance corporal general duties corporal passive air defence and anti gas duties private passive air defence and anti gas duties lance corporal linen storeman corporal pack storeman stewards storeman sanitary dutyman water dutyman attached carpenter and joiner RE 15 X driver IC RASC electrician RASC motorcyclist RASC transport serjeant RASC transport corporal RASC corporal vehicle mechanic RASC 2 X cook ACC Total 78 Vehicles 2 X bicycle 2 X motorcycle 1 X car 2seater 4 X 2 1 X car 4seater 4 X 2 1 X 15cwt water 7 X 3ton 4 X 2 GS 2 X ambulance 4 stretcher. Note: The Medical Officers are listed as Surgeons in the War Establishment Table. When the unit forms part of a Mountain Division the ambulances will be 2 stretcher 4 X 4 light ambulances instead of 4 stretcher 4 X 2 heavy ambulance. Motorcycle 1 transport serjeant Motorcycle 2 motorcyclist Car 2seater 4 X 2 driver IC Car 4seater 4 X 2 driver IC 15cwt water water dutyman, driver IC 3ton 4 X 2 GS 1 driver IC Carries mechanical stores, quartermaster stores and personnel 3ton 4 X 2 GS 2 driver IC Carries mechanical stores, quartermaster stores and personnel 3ton 4 X 2 GS 3 driver IC Carries mechanical stores, quartermaster stores and personnel 3ton 4 X 2 GS 4 driver IC Carries mechanical stores, quartermaster stores and personnel 3ton 4 X 2 GS 5 driver IC Carries baggage and personnel 3ton 4 X 2 GS 6 driver IC Carries cooks and rations 3ton 4 X 2 GS 7 driver IC Carries artificers, personnel and tools. Ambulance 4 stretcher. nursing orderly, driver IC Ambulance 4 stretcher. nursing orderly, driver IC Light Section Major, Captain or Lieutenant serjeant nursing orderly cook corporal nursing orderly 5 X nursing orderly general dutyman 4 X stretcher bearer driver IC cook ACC Total 16 1 X 3ton 4 X 2 GS Note that Field dressing Stations were also allocated on the scale of one per corps. FIELD HYGIENE SECTION War Establishment II/299/2. May 1944. War Establishment XIV/1280/1. February 1945 Major, Officer Commanding (specialist in Hygiene) Advises the Assistant Director of Medical Services on hygiene matters staff serjeant sanitary assistant as duty NCO 2 X staff serjeant sanitary assistant as sanitary inspectors. clerk (RAMC duties) nursing orderly as batman 6 X corporal sanitary assistant as sanitary inspector 5 X sanitary assistant as sanitary dutyman Attached staff serjeant, workshop foreman, RE. (can be a carpenter and joiner, bricklayer or sheet metal worker). bricklayer RE 2 X carpenter and joiner RE painter and decorator RE sheet metal worker RE lance corporal driver IC RASC 3 X driver IC RASC cook ACC vehicles 2 X bicycle 6 X motorcycle 1 X car 2seater 4 X 2 1 X 15cwt 1 X 3ton 4 X 2 GS 1 X 3ton 4 X 2 disinfector By February 1945: The duty NCO had been replaced by a non medical Subaltern One driver IC RASC was added 2 X car 5cwt 4 X 4 were added 2 X 10cwt trailer were added The 3ton 4 X 2 disinfector was deleted. Note that Field Hygiene Sections were allocated one per division, one per corps, and to army or line of communication areas as required. ‘The personnel of a field hygiene section act as sanitary police and perform similar duties to those of sanitary inspectors in civil life. They supervise labour employed in the removal and destruction of excreta and refuse. They carry out sanitary measures requiring skilled knowledge beyond that possessed by regimental personnel and are available to give advice and instruction.’ Field Service Pocket Book, Pamphlet No10. FIELD SURGICAL UNIT War Establishment III/168/1. July 1942. Major, Specialist in Surgery Captain or Lieutenant, Graded Anaesthetist Lance corporal nursing orderly 2 X operation room assistant 2 X nursing orderly batman 3 X driver RASC 1 X Car 4 seater for officers kit, batmen and replenishment of surgical supplies. 1 X 3ton 4 X 2 GS for theatre, technical equipment and supplies, fitted with half a penthouse. 1 X 3ton 4 X 2 GS for beds, mattresses etc. Officers carry a pistol Drivers RASC carry rifle or sub machine gun Medical personnel are unarmed. TRAUMATIC SHOCK TEAM War Establishment IV/270/1. August 1944. Lieutenant Colonel, Specialist in Pathology 3 X Major, Captain or Lieutenant including 2 X specialist in pathology 1 X specialist anaethetist 3 X laboratory assistant including two serjeants clerk orderly (clinical), shorthand typist driver RASC 1 X 15cwt GS 1 X 3ton 4 X 2 BASE TRANSFUSION UNIT. War Establishment IV/220/1. December 1943. Consisting of a Headquarters, a Blood Collecting Section and a Forward Distributing Section. Headquarters Lieutenant Colonel Major Quartermaster Serjeant Corporal clerk 2 X clerk nursing orderlies for duty as batman corporal packer, storeman and general dutyman 8 X packer, storeman and general dutyman (may be local civilians) serjeant transfusion orderly corporal transfusion orderly 8 X transfusion orderly serjeant engine fitter RE batman driver RASC 6 X driver IC RASC 2 X relief driver RASC transport serjeant RASC corporal vehicle mechanic RASC officers mess cook ACC 2 X cook ACC 1 X car 2 seater 4 X 2 1 X 15cwt GS 1 X 3ton 4 X 2 GS 2 X 3ton 4 X 2 Blood Refrigeration 3 X 3ton 4 X 4 Blood Refrigeration Blood Collecting Section This will be deleted if blood can be supplied from the UK. Major, Captain or Lieutenant clerk serjeant nursing orderly corporal transfusion orderly 8 X transfusion orderly 1 X 15cwt GS Forward Distributing Section Subaltern, non medical clerk corporal transfusion orderly 3 X transfusion orderly corporal engine fitter RE batman driver RASC corporal driver RASC 2 X driver RASC driver mechanic 2 X motorcyclist 2 X motorcycle 1 X Car 2 seater 4 X 2 1 X 15cwt GS 3 X 3ton 4 X 4 Blood Refrigeration. One Base Transfusion Unit is provided for each theatre of operations. It is based on a force of one army of two corps. For each additional corps the following will be added. Headquarters 2 X nursing orderly as packer, storeman and general dutyman (may be local civilians) 4 X transfusion orderly driver IC RASC 1 X 3ton 4 X 4 Blood Refrigeration Forward Distributing Section transfusion orderly driver IC RASC 1 X 3ton 4 X 4 Blood Refrigeration. For each additional army of two corps the following will be added. 5 X nursing orderly as packer, storeman and general dutyman corporal transfusion orderly 5 X transfusion orderly corporal driver IC RASC 4 X driver IC RASC 1 X 3ton 4 X 2 GS 2 X 3ton 4 X 2 Blood Refrigeration 2 X 3ton 4 X 4 Blood Refrigeration One complete Forward Distributing Section FIELD TRANSFUSION UNIT War Establishment IV/47D/2. April 1944. For blood transfusion and resuscitation duties in the field. Will be attached to a medical unit. Captain or Lieutenant RAMC 2 X transfusion orderlies RAMC driver IC RASC 1 X 3ton 4 X 4 GS (blood transfusion) MEDICAL PLATOON for a MOTOR AMBULANCE CONVOY. War Establishment III/176/1. August 1942. Forms part of a Motor Ambulance Convoy and designed to provide necessary medical facilities for the collection and evacuation of casualties. serjeant nursing orderly 4 X corporal nursing orderly 29 X nursing orderly MEDICAL PLATOON for an AMBULANCE CAR COMPANY. War Establishment IV/119/1. August 1942. Forms part of an Ambulance Car Company and designed to provide necessary medical facilities for the collection and evacuation of casualties. serjeant nursing orderly 4 X corporal nursing orderly 29 X nursing orderly AMBULANCE TRAIN War Establishment IV/46/3. January 1943. To provide necessary medical facilities for a train carrying 360 laying cases. Lieutenant Colonel 2 X Major, Captain or Lieutenant Quartermaster Serjeant serjeant clerk clerk serjeant dispenser corporal hospital cook 3 X hospital cook 20 X nursing orderly batman corporal orderly 6 X orderly (including one trained in the use of carpenters tools) corporal pack storeman 7 X orderly for ward duties 2 X sister Queen Alexandra’s Imperial Military Nursing Service Officers carry revolvers. Cook carries a rifle AMBULANCE TRAIN War Establishment IV/123/1. December 1942. To provide necessary medical facilities for a train carrying 250 lying cases. Major 2 X Major, Captain or Lieutenant Warrant Officer Class I Nursing Orderly as Wardmaster and Regimental Serjeant Major corporal clerk clerk serjeant dispenser corporal hospital cook hospital cook corporal nursing orderly 13 X nursing orderly batman corporal general dutyman 4 X general dutyman corporal linen and pack storeman 5 X ward orderly (including one trained in the use of carpenters tools) fitter RE cook ACC 2 X sister Queen Alexandra’s Imperial Military Nursing Service Officers carry revolvers. RE and ACC personnel carry rifles. A HOSPITAL CARRIER. War Establishment IV/474/3. May 1943. This was intended to operate on a hospital carrier ship. In NW Europe these were small Landing Ship Infantry, ex cross Channel ferries. They were not strictly part of 21 Army Group since they were based in the UK but they did operate through Mulberry B and the Channel ports. Lieutenant Colonel 2 X Major, Captain or Lieutenant. serjeant clerk clerk serjeant dispenser 2 X mental nursing orderly serjeant nursing orderly corporal nursing orderly 2 X lance corporal nursing orderly 16 X nursing orderly Warrant Officer Class I Nursing Orderly as Wardmaster corporal nursing orderly as pack storeman nursing orderly as pack storeman corporal nursing orderly as linen storeman nursing orderly as linen storeman staff serjeant steward Sister in Charge QAIMNS 5 X sister QAIMNS The duty of batman will be carried out by ships personnel. (As was cooking etc) When operating in a special role (on a hospital ship with operating theatre) the following additions were made 2 X specialist or graded surgeon and specialist or graded anaesthetist 2 X corporal nursing orderly 15 X nursing orderly operating room assistant theatre assistant QAIMNS This was not usual in NW Europe since the sea crossing was short and emergency cases were evacuated by air. HOSPITAL SHIP. War Establishment IV/47/3. January 1943. For a Hospital Ship with 500 beds. Lieutenant Colonel Major second in command Major, Specialist Surgeon Major, Specialist Physician Warrant Officer Class I Quartermaster Serjeant serjeant clerk corporal clerk for pay duties 2 X clerk serjeant dispenser laboratory assistant 6 X mental nursing assistant operation room assistant radiographer 2 X special treatment orderly 2 X barbers corporal general dutyman 4 X general dutyman general duty man for dispensary corporal storeman, linen storeman, linen corporal storeman, pack storeman, pack staff serjeant steward Duties of batmen will be carried out by ships personnel. Since the size of ship varied the following increases will be allowed 600 beds Officer 2 X sisters and staff nurses 10 X nursing orderly 700 beds 2 X officer 4 X sister 2 X staff nurse 20 X nursing orderly 800 beds 2 X officer 6 X sister and staff nurse staff serjeant dispenser corporal operation room assistant radiographer mental nursing orderly special treatment orderly clerk 26 X nursing orderly 900 beds 4 X officer 8 X sister and staff nurse staff serjeant dispenser corporal operation room assistant corporal nursing orderly operating room assistant radiographer mental nursing orderly special treatment orderly clerk 35 X nursing orderly 1000 beds 5 X officer 10 X sister and staff nurse staff serjeant dispenser 2 X serjeant nursing orderly corporal operation room assistant 2 X corporal nursing orderly operating room assistant radiographer mental nursing orderly special treatment orderly 2 X clerk 44 X nursing orderly For smaller ships the following reductions will be made 400 beds sister 5 X nursing orderly 300 beds 3 X sister and staff nurse corporal general dutyman clerk 9 X nursing orderly 200 beds Officer 6 X sister and staff nurse serjeant dispenser corporal general dutyman clerk 11 X nursing orderly barber 2 X general dutyman 100 beds Lieutenant Colonel Officer 8 X sister and staff nurse Warrant Officer Class II serjeant dispenser serjeant clerk corporal general dutyman clerk special treatment orderly nursing orderly for dispensary 11 X nursing orderly barber 2 X general dutyman pack storeman GENERAL HOSPITALS. There were eventually 31 General Hospitals of various sizes. Nos 6, 8, 9, 20, 23, 25, 29, 30, 32, 39, 67, 74, 75, 77, 79, 81, 84, 86, 88, 94, 96, 101, 105, 106, 108, 109, 110, 111, 113, 115 and 121. A General Hospital is located in a base area or other sub area of the lines of communication. General Hospitals are usually in permanent buildings, requisitioned buildings or huts. Ward huts are designed to hold 35 beds, this being the most that can be conveniently looked after by one orderly. Less than 24 beds is uneconomical. Officers have separate, and smaller, wards. Huts are of a standard design, agreed between the RAMC and RE, and built by RE Works units. A GENERAL HOSPITAL (600 bed) War Establishment IV/226/1. December 1943. The Medical and Surgical Divisions of this unit will consist of 500 general medical and surgical beds together with one section of one hundred beds which may be General Medical and Surgical Orthopaedic Psychiatric VD or any other speciality Headquarters Colonel Major, Registrar, non medical officer RAMC Subaltern, Company Officer, non medical officer RAMC Quartermaster Regimental Serjeant Major Quartermaster Serjeant Warrant Officer Steward Warrant Officer Clerk 3 X serjeant clerk 2 X corporal clerk 6 X clerk serjeant hospital cook 2 X corporal hospital cook 8 X hospital cook staff serjeant nursing orderly for regimental duties nursing orderlies for duty as 6 X batman serjeant general dutyman cororal general dutyman 9 X general dutyman 2 X officers mess orderly 5 X nursing officers mess orderly serjeants mess orderly postman 2 X sanitary dutyman 3 X servants for nursing officers quarters corporal clothing storeman 2 X clothing storeman corporal linen storeman linen storeman serjeant pack storeman 2 X pack storeman 2 X corporal stewards storeman 2 X stewards storeman sanitary assistant Medical and Surgical Division 2 X Lieutenant Colonel 13 X Major, Captain or Subaltern 2 X corporal clerk for clinical duties 4 X clerk for clinical duties staff serjeant dispenser serjeant dispenser serjeant laboratory assistant laboratory assistant 2 X corporal masseur (one trained in occupational therapy) (May be civilians) 3 X mental nursing orderly 2 X serjeant nursing orderly corporal nursing orderly 16 X nursing orderly nursing orderlies for duty as laboratory orderly 2 X staff serjeant wardmaster 20 X ward orderly corporal operating room assistant 2 X operating room assistant serjeant radiographer radiographer 2 X transfusion orderly serjeant for general or special section corporal for general or special section 8 X for general or special section Note: the personnel of the special section remained the same in number but varied in specialisms according to function. Chaplain RAChD carpenter and joiner RE electrician, wireman RE engine hand RE 3 X driver RASC Major, Captain or Subaltern AD clerk orderly AD Corp corporal dental mechanic AD Corp officers mess cook ACC 2 X nursing officers mess cook ACC serjeants mess cook ACC corporal cook ACC 3 X cook ACC batman for chaplain, from any arm. Matron QAIMNS Assistant Matron QAIMNS 3 X Theatre Sister QAIMNS 45 X Sister QAIMNS 3 X bicycle 1 X 15cwt GS 1 X 15cwt water 1 X 3ton 4 X 2 GS A GENERAL HOSPITAL (1200 bed) War Establishment IV/227/1. December 1943. The Medical and Surgical Divisions of this unit will consist of 1000 general medical and surgical beds together with two sections of one hundred beds which may be General Medical and Surgical Orthopaedic Psychiatric VD or any other speciality Headquarters Colonel Major, Registrar, non medical officer RAMC Subaltern, Company Officer, non medical officer RAMC Quartermaster Regimental Serjeant Major Warrant Officer Steward Warrant Officer Clerk 4 X serjeant clerk 3 X corporal clerk 9 X clerk staff serjeant hospital cook 2 X serjeant hospital cook 2 X corporal hospital cook 14 X hospital cook staff serjeant nursing orderly for regimental duties nursing orderlies for duty as 8 X batman serjeant general dutyman cororal general dutyman 20 X general dutyman 3 X officers mess orderly 7 X nursing officers mess orderly serjeants mess orderly corporal postman 2 X sanitary dutyman 4 X servants for nursing officers quarters serjent clothing storeman corporal clothing storeman 2 X clothing storeman serjeant linen storeman corporal linen storeman 2 X linen storeman serjeant pack storeman corporal pack storeman 2 X pack storeman serjeant stewards storeman 2 X corporal stewards storeman 4 X stewards storeman corporal sanitary assistant Medical and Surgical Division 2 X Lieutenant Colonel 23 X Major, Captain or Subaltern 2 X corporal clerk for clinical duties 4 X clerk for clinical duties staff serjeant dispenser 2 X serjeant dispenser serjeant laboratory assistant corporal laboratory assistant serjeant masseur (may be civilian) corporal masseur trained in occupational therapy (may be civilian) masseur (may be civilian) corporal mental nursing orderly 4 X mental nursing orderly 2 X serjeant nursing orderly 2 X corporal nursing orderly 26 X nursing orderly nursing orderlies for duty as laboratory orderly 3 X staff serjeant wardmaster 40 X ward orderly corporal operating room assistant 2 X operating room assistant serjeant radiographer 2 X radiographer 2 X transfusion orderly 2 X serjeant for general or special sections 2 X corporal for general or special sections 12 X for general or special sections Chaplain RAChD carpenter and joiner RE electrician, wireman RE engine hand RE 3 X driver RASC Major, Captain or Subaltern AD orporal clerk orderly AD Corp serjeant dental mechanic AD Corp 3 X dental mechanic 2 X officers mess cook ACC corporal cook nursing officers mess cook ACC 2 X nursing officers mess cook ACC 2 X serjeants mess cook ACC corporal cook ACC 4 X cook ACC batman for chaplain, from any arm. Matron QAIMNS Assistant Matron QAIMNS 3 X Theatre Sister QAIMNS 74 X Sister QAIMNS 3 X bicycle 1 X 15cwt GS 1 X 15cwt water 1 X 3ton 4 X 2 GS A GENERAL HOSPITAL (200 bed) War Establishment IV/228/1. January 1944. Including 20 beds for offices and an ophthalmic section. This small General Hospital was intended for use in a Corps area and in practice functioned as a Casualty Clearing Station. Lieutenant Colonel 7 X Major, Captain or Lieutenant Subaltern, Company Officer, non medical officer RAMC Quartermaster Regimental Serjeant Major, acts as chief wardmaster Warrant Officer Steward staff serjeant clerk 2 X corporal clerk 2 X clerk corporal clerk for clinical duties clerk for clinical duties staff serjeant dispenser serjeant dispenser serjeant hospital cook corporal hospital cook 4 X hospital cook corporal laboratory assistant laboratory assistant corporal masseur (may be civilian) 3 X mental nursing orderly 2 X corporal nursing orderly 18 X nursing orderly nursing orderlies for duty as 4 X batman 4 X batman for nursing officers serjeant general dutyman cororal general dutyman 10 X general dutyman officers mess orderly (may be civilian) 2 X nursing officers mess orderly (may be civilian) corporal clothing storeman 2 X clothing storeman corporal linen storeman linen storeman pack storeman 2 X serjeant wardmaster corporal wardmaster 10 X ward orderlies 2 X operating room assistant serjeant radiographer radiographer transfusion orderly sanitary assistant 2 X special section orderly Ophthalmic Section Major, Captain or Lieutenant, Graded or Specialist Ophthalmologist clerk serjeant optician Chaplain RAChD electrician, wireman RE engine hand RE 5 X driver RASC Major, Captain or Subaltern AD clerk orderly AD Corp corporal dental mechanic AD Corp officers mess cook ACC nursing officers mess cook ACC serjeants mess cook ACC 2 X cook ACC batman for chaplain, from any arm. Matron QAIMNS Assistant Matron QAIMNS 2 X Theatre Sister QAIMNS 18 X Sister QAIMNS 4 X bicycle 1 X 15cwt GS 1 X 15cwt water 3 X 3ton 4 X 2 GS A NEUROPATHIC HOSPITAL War Establishment IV/43A/2. January 1943. 600 beds including 60 officers. Headquarters Colonel Registrar, Non Medical Quartermaster Warrant Officer Class I Mental Nursing Orderly and Regimental Serjeant Major Warrant Officer Class II Steward and Quartermaster Serjeant carpenter and joiner staff serjeant clerk serjeant clerk, orderly room duties clerk orderly room duties serjeant clerk pay duties clerk pay duties serjeant clerk 2 X corporal clerk 6 X clerk serjeant hospital cook corporal hospital cook 6 X hospital cook 7 X batman 6 X batman for nursing sisters serjeant general dutyman 3 X corporal general dutyman 9 X general dutyman 2 X general dutyman for officers mess corporal sanitary dutyman sanitary dutyman corporal storeman, clothing 2 X storeman, clothing corporal storeman linen storeman, linen serjeant storeman, pack 2 X storeman, pack 2 X corporal steward 2 X steward 3 X Chaplain electrician RE engine hand IC RE Major, Captain or Lieutenant RADC serjeant dental mechanic RADC serjeant dental clerk orderly RADC corporal cook ACC 5 X cook ACC batman for chaplains Matron QAIMNS Assistant Matron QAIMNS 40 X sister and staff nurse QAIMNS All QAIMNS trained in mental nursing duties Psychotic and Neurotic Division Lieutenant Colonel, Specialist in Psychiatry in charge of Psychotic Division Lieutenant Colonel, Specialist in Psychiatry in charge of Neurotic Division Major, Specialist in Medicine Major, Specialist in Pathology 6 X Major, Specialist in Psychiatry 6 X Major, Captain or Lieutenant experienced in Psychiatry staff serjeant dispenser 2 X serjeant dispenser laboratory assiatant masseur 2 X serjeant mental nursing orderly 20 X mental nursing orderly 2 X corporal nursing orderly 14 X nursing orderly 2 X special treatment orderly 2 X staff serjeant ward orderly as wardmaster 20 X ward orderly For each additional 100 beds in excess of 100 the following additions to the establishment may be made 2 X officer serjeant mental nursing orderly corporal mental nursing orderly 4 X mental nursing orderly clerk hospital cook 3 X nursing orderly 5 X sisters QAIMNS NEUROSURGICAL UNIT. War Establishment IV/135/1. February 1943. Major, Neurosurgical Specialist Major, Anaesthetist Major, Neurologist 2 X Major, Captain or Lieutenant 2 X operation room assistant 2 X batman 2 X theatre sister QAIMNS A CONVALESCENT DEPOT (2,000 MEN) RAMC War Establishment IV/44/2. May 1944. Consisting of a Headquarters and two divisions, each of 4 companies of 250 men. RAMC Lieutenant Colonel Major, Captain or Subaltern, Medical Officer serjeant dispenser corporal masseur (may be civilian) 2 X masseur (may be civilian) corporal nursing orderly 3 X nursing orderly Attached 3 X Chaplain 2 X Major, Captain or Lieutenant RADC 2 X clerk orderly RADC corporal dental mechanic RADC serjeant instructor APTC officers mess cook ACC staff serjeant cook ACC 2 X serjeant cook ACC 4 X corporal cook ACC 23 X cook ACC Captain, Adjutant Captain or Subaltern, Duty Officer Quartermaster Regimental Serjeant Major Regimental Quartermaster Serjeant 4 X bandsmen or entertainer barber 4 X batman serjeant carpenter and joiner 2 X serjeant clerk 3 X clerk driver IC officers mess orderly 2 X postman serjeant regimental policeman 3 X regimental policeman serjeant sanitary dutyman 4 X sanitary dutyman 1 X 3ton 4 X 2 GS A fire fighting sub section Type B is attached. Each division Major RAMC 4 X serjeant instructor Captain or Subaltern Duty Officer Regimental Serjeant Major 4 X Company Serjeant Major company quartermaster serjeant batman clerk OFFICERS CONVALESCENT WING. War Establishment IV/268/1. June 1944. For 100 officers. Will be attached for all purposes to a Convalescent Depot. Major Subaltern, Adjutant company quartermaster serjeant corporal cook 4 X cook driver IC RASC corporal general dutyman 24 X general dutyman 2 X instructor APTC 2 X masseurs RAMC (may be civilian) 6 X mess orderly corporal nursing orderly nursing orderly serjeant officers mess steward 1 X motorcycle 1 X 3ton 4 X 4 troop carrying For each additional 50 officers Cook 10 X general dutymen 3 X mess orderly masseur nursing orderly A BASE DEPOT OF MEDICAL STORES. War Establishment IV/45/1. March 1944. Major Quartermaster Quartermaster Serjeant serjeant clerk corporal clerk serjeant dispenser serjeant instrument mechanic surgical operating room assistant batman corporal storeman 10 X packer and storeman Optical section clerk nursing orderly staff serjeant optician serjeant optician carpenter and joiner RE cook ACC A fire fighting section Type B is attached. When a store is selected to hold sera and vaccines, or for the provision of nitrous oxide gas, the following may be added serjeant nursing orderly corporal nursing orderly 2 X nursing orderly BASE DEPOT of MEDICAL STORES, CIVIL AFFAIRS INCREMENT. War Establishment IV/247/1. April 1944. To be attached for all purposes to a Base Depot of Medical Stores. Quartermaster staff serjeant dispenser clerk nursing orderly as storeman AN ADVANCED DEPOT OF MEDICAL STORES War Establishment III/51/3. March 1944. Captain (non medical officer) corporal clerk serjeant dispenser nursing orderly as batman 3 X nursing orderly as packers and storeman attached carpenter and joiner RE driver IC RASC 1 X 15cwt GS CAPTURED ENEMY EQUIPMENT SECTION (MEDICAL) War Establishment XIV/1322/1. November 1944. To be administered by a base depot medical stores. Quartermaster RAMC 2 X serjeant dispenser RAMC corporal clerk RAMC clerk RAMC 7 X driver IC RASC 1 X 15cwt GS 6 X 3ton 4 X 2 GS Pioneer, civilian or Prisoner of War labour may be attached up to a total of 26. STANDING MEDICAL BOARD War Establishment XIV/1320/1. September 1944. To be administered by a convalescent depot. Lieutenant Colonel, President Medical Officer 2 X clerk RAMC batman driver 1 X car 2 seat 4 X 2 MEDICAL EVACUATION STAFF War Establishment XIV/1321/1. September 1944. Assistant Director of Medical Services, Lieutenant Colonel 3 X Deputy Assistant Director of Medical Services 2 X serjeant clerk RAMC 2 X corporal clerk RAMC 5 X clerk RAMC 2 X batman driver 2 X car 2 seat 4 X 2. Headquarters Attached to Rear Headquarters 21 Army Group Assistant Director of Medical Services, Lieutenant Colonel Deputy Assistant Director of Medical Services serjeant clerk RAMC corporal clerk RAMC 2 X clerk RAMC batman driver 1 X car 2 seat 4 X 2. Air Evacuation Section Attached to the airfield being used for casualty evacuation Deputy Assistant Director of Medical Services clerk RAMC Embarkation Section Attached to the authority controlling the port being used for casualty evacuation. Deputy Assistant Director of Medical Services serjeant clerk RAMC corporal clerk RAMC 2 X clerk RAMC batman driver 1 X car 2 seat 4 X 2. MAXILLO-FACIAL SURGICAL UNIT War Establishment IV/47C/2. December 1943. 2 X Major, Captain or Lieutenant Specialist or Graded Surgeon RAMC Major, Captain or Lieutenant Specialist or Graded Anaesthetist RAMC corporal operating room assistant RAMC operating room assistant RAMC 2 X Major, Captain or Lieutenant Specialist or Graded Maxillo-Facial Dental Surgeon ADC 2 X corporal clerk orderly ADC staff serjeant dental mechanic ADC serjeant dental mechanic ADC Theatre Sister QAIMNS AN ENTOMOLOGICAL FIELD UNIT War Establishment IV/201/1. September 1943. 2 X Major, Captain or Lieutenant (specialist or graded specialist in hygiene) 2 X serjeant laboratory assistant 2 X nursing orderly for general duties driver IC RASC 2 X motorcycle 1 X car 2 seater A BIOLOGICAL RESEARCH SECTION War Establishment IV/192/1. October 1943. Type A Major or Captain (may be specialist or graded officer as required) clerk (shorthand typist) RASC driver IC RASC 2 X staff serjeant, Interviewing NCO. 1 X motorcycle 1 X car 4 seat 4 X 4 Type B 2 X Major or Captain (may be specialist or graded officer as required) clerk (shorthand typist) RASC driver IC RASC 1 X motorcycle 1 X car 4 seat 4 X 4 Type C Lieutenant Colonel Major or Captain (may be specialist or graded officer as required) clerk (shorthand typist) RASC driver IC RASC 1 X motorcycle 1 X car 4 seat 4 X 4 PORT DETACHMENT RAMC War Establishment IV/204/1. November 1943. serjeant nursing orderly 2 X nursing orderly To be attached to a Docks Operating Company RE. Personnel may be of low medical category. FIELD DENTAL LABORATORY. War Establishment IV/239/1. February 1944. Major staff serjeant dental technician serjeant clerk orderly corporal dental mechanic 6 X dental mechanic clerk orderly general dutyman 1 X motorcycle FIELD DENTAL CENTRE (OPERATIONAL) War Establishment IV/240/1. March 1944. A Major Captain or Lieutenant Corporal clerk orderly B 2 X Major, Captain or Lieutenant corporal clerk orderly clerk orderly C Major or Captain 2 X Major, Captain or Lieutenant corporal clerk orderly 2 X clerk orderly D Major 3 X Major, Captain of Lieutenant serjeant clerk orderly 3 X clerk orderly FIELD DENTAL CENTRE (NON OPERATIONAL) War Establishment IV/242/1. March 1944. 60% of personnel may be of low medical category. 1 X Dental Chair Captain or Lieutenant clerk orderly 2 X Dental Chair 2 X Captain or Lieutenant corporal clerk orderly clerk orderly 3 X Dental Chair 3 X Captain or Lieutenant corporal clerk orderly 2 X clerk orderly 4 X Dental Chair 4 X Captain or Lieutenant corporal clerk orderly 3 X clerk orderly 5 X Dental Chair Major 4 X Captain or Lieutenant serjeant clerk orderly 4 X clerk orderly 6 X Dental Chair Major 5 X Captain or Lieutenant serjeant clerk orderly 5 X clerk orderly 7 X Dental Chair Major 6 X Captain or Lieutenant serjeant clerk orderly corporal clerk orderly 5 X clerk orderly 8 X Dental Chair Major 7 X Captain or Lieutenant serjeant clerk orderly corporal clerk orderly 6 X clerk orderly 9 X Dental Chair Major 8 X Captain or Lieutenant serjeant clerk orderly corporal clerk orderly 7 X clerk orderly 10 X Dental Chair Major 9 X Captain or Lieutenant serjeant clerk orderly corporal clerk orderly 8 X clerk orderly 11 X Dental Chair Major 10 X Captain or Lieutenant serjeant clerk orderly 2 X corporal clerk orderly 8 X clerk orderly 20 X Dental Chair Colonel 2 X Major 17 X Captain or Lieutenant staff serjeant clerk orderly serjeant clerk orderly 3 X corporal clerk orderly 5 X clerk orderly OPERATIONS (Military not surgical) When planning an operation the General Staff gave a forecast of anticipated casualties. On this basis the Adjutant Generals Staff and medical staff estimated the number of medical units that should be opened and the amount of transport required. There were tables which predicted the probable proportions of lying, sitting and walking wounded. If the calculations showed a need for more transport then the Quartermaster Generals Staff should provide it. The divisional Assistant Director of Medical Services (ADMS) made his plan based on the staff calculations. The plan would show what proportion of the division’s medical resources would be opened and what proportion should be kept in reserve. Medical units in the field cannot respond very rapidly. They take some time to open, about an hour for an Advanced Dressing Station and two hours for a Main Dressing Station. More significantly they take a long time to close. The actual dismantling and packing up takes about the same time as the opening up but once there are casualties in the system they must be treated, processed and evacuated before the unit can start to close down. It is important that no more medical units should be opened than are actually required. At the same time there must be reserves to meet unexpected demand. The location of the dressing stations was important. They must be close enough to the front for casualties to reach them quickly, but not so close as to be in great danger from enemy action. Once the locations were decided then the arrangements for evacuating casualties to and from the dressing stations could be made. These arrangements together with the times when various units would open and close would be included in orders issued to all units. Most of the work in the forward areas concentrated on evacuation of casualties. Every fighting unit will had a Regimental Aid Post. This was manned by the battalion or regimental Medical Officer. Unit stretcher bearers, often aided by jeeps, carriers, scout cars or half tracks would evacuate casualties to the Regimental Aid Post. It was a principle that casualties should be collected by the next higher formation and forward personnel should not go back to the rear with casualties. A thousand yards is the maximum practical distance that stretcher bearers can carry a casualty. This meant that a Car Post should be established some thousand yards behind a Regimental Aid Post. This was the point to which ambulance cars could operate. If it was not practical to establish a Car Post then a Bearer Relay Post should be established. Stretcher bearers from the Field Ambulance would take over the casualty and carry him to the Car Post. Motor ambulances should be sent forward automatically, but a concentration of cars should be avoided. Thus every time a motor ambulance arrived at an Advanced Dressing Station a replacement should be sent forward. The Advanced Dressing Station should be only a few minutes from the Regimental Aid Post. This distance varied with the extent to which motor ambulances could approach the front. Light Ambulances were four wheel drive and could usually get well forward. The Advanced Dressing Station was the collection point from Regimental Aid Posts. Normally only one company would open at a time, leaving the other in reserve to move forward if necessary. Only very urgent treatment was carried out here. Dressings were adjusted and hot drinks were provided. Casualties were collected from the Advanced Dressing Station and taken to the Main Dressing Station. Usually the larger 4 stretcher ambulance cars were used here. The pace was more leisurely but still only urgent treatment was carried out. Anti tetanus injections were given. However at this point the casualty’s details were taken and record keeping began. Also there was a salvage point where weapons and ammunition were collected. In theory the casualty’s weapons should have been evacuated with him. In order to relieve the pressure of the dressing stations there was a separate system for the walking wounded. Less serious cases were directed to a Walking Wounded Collection Post some two miles behind the front line. Troop carrying lorries transported walking wounded direct to a Casualty Clearing Station, missing out the Advanced Dressing Station and the Main Dressing Station, and avoiding the use of ambulance cars. From Casualty Clearing Stations casualties could follow one of several routes: - Lightly wounded might be returned to their units after a brief period of treatment and rest. - More serious cases might be taken to a convalescent hospital before being sent to a reinforcement centre for return to a unit. - The most serious cases would be evacuated to the UK. When possible air evacuation was used. Otherwise evacuation was by hospital train and hospital ship. As the campaign progressed it was found that the balance of medical services needed adjustment. When units were permanently part of a division or corps there was an obvious danger that some would be overworked when the parent formation was in action, or underused when the parent formation was out of the line. The obvious answer would be to transfer units from one formation to the other but commanders always resisted releasing any units. The Casualty Clearing Station was generally the most useful medical unit and as a temporary measure spare Field Dressing Stations were routinely attached to Casualty Clearing Stations in order to increase their capacity. In early 1945 the Casualty Clearing Station was enlarged and made Army troops rather than Corps troops. It now could provide for 80 casualties in beds and 120 on stretchers. It was given more Medical Officers, Nursing Officers QAIMNS and extra transport. This gave greater flexibility. In a large set piece action Casualty Clearing Stations were used in pairs with each receiving casualties alternately. A Field Dressing Station acted as a buffer, sorting out less serious cases. The Field Dressing Station was very mobile and flexible. However its flexibility led to its being misused. They were very effective when working as Advanced Surgical Centres with a Field Surgical Unit and a Field Transfusion Unit attached. These were particularly useful in mobile operations. Field Dressing Stations were also useful when increasing the capacity of Casualty Clearing Stations. All too often they were used as centres for minor sick and exhaustion cases, prisoner of war hospitals and camp reception centres. The scale was changed from two per infantry division to one per division, two per corps, one per army and one per corps held as GHQ troops. Light Field Ambulances were underused. Initially each Independent Armoured Brigade had one. However when assigned to a division the divisional resources were generally adequate. From early 1945 one Light Field Ambulance per two brigades was held as Army troops. The Advanced Depot of Medical Stores was given a mobile element of two 3ton lorries to carry a store of essential supplies within a Corps. In practice the General Hospital of 220 beds was used as a Casualty Clearing Station. In this role a Field Surgical Unit had to be attached. In the assault stage of the D Day operation Field Ambulances landed with brigades and battalions and each beach group landed on D-day with a self-contained medical organisation comprising two Field Dressing Stations, two Field Surgical Units and a Field Transfusion Unit supplemented by small surgical teams. Field Dressing Stations were working and surgeons were performing operations in all the beach groups by H+90. By D+2 it was possible to concentrate the Casualty Clearing Stations and the hospitals which began to arrive at the beach-head into three principal medical areas. The Field Dressing Stations within the corps were situated near the casualty clearing stations and attended to the lightly wounded, exhaustion cases and sick, leaving the Casualty Clearing Stations clear to handle major casualties. The hospitals in the rear medical areas received casualties from the corps Casualty Clearing Station. Casualty Evacuation Posts were established on each of the three beach sectors on D-day. Later the evacuation of casualties was simplified by concentrating the casualties in Jig and Mike beaches. This central Casualty Evacuation Post at Courseulles was enlarged and formed out of two Field Dressing Stations, two Field Surgical Units and one Field Transfusion Unit. It had accommodation for 1,500 casualties and held cases until shipping and weather permitted evacuation. Evacuation to UK was by means of LSTs modified to carry stretcher cases, hospital ships and medically manned LSTs for walking wounded. These were loaded initially off-shore by DUKWs specially allotted for medical purposes. Evacuation by air began on 13 June, but was at first uncertain. A week later a more formal organisation was introduced. A Medical Air Liaison Officer was attached to 83 Group RAF. 81 General Hospital was made the principal collecting centre for casualties to be evacuated by air, and a single air strip was selected for evacuation purposes. RAF Casualty Air Evacuation Units began to arrive at this time and assisted in holding casualties on the airfield until aircraft were available. To meet the expected demands for transfusion fluids in the early days of the operation, the following arrangements were made:- (i) Special issues of blood were made to the assault forces. (ii) Field Transfusion Units landed with an estimated supply to last two days. (iii) Transfusion fluids were included in the maintenance blocks. (iv) Two Advance Blood Banks were landed on D+3 and allocated to each of the corps fronts. (v) Supplies of whole blood were sent initially from UK by naval despatch launch and later from D+16 by air. With one exception all hospitals at this stage were tented. Major medical installations in the bridgehead on 26 July amounted to twelve Casualty Clearing Stations and nineteen General Hospitals. In addition three Base Depot Medical Stores had arrived for the supply of medical equipment. By 26 September another seventeen General Hospitals and two additional Base Depot Medical Stores had arrived. When the break-out occurred the evacuation line lengthened and a period of rapid movement and development of an air shuttle service began. As far as Falaise all corps casualties were cleared by ambulance car company. By the time the SEINE was reached the distance was far too great for large-scale evacuation by road and an ambulance railhead opened and daily ambulance trains were organised. During the pursuit to the Dutch frontier hospitals moved rapidly along the axes of both of the armies and by continually leap-frogging each other, ensured that the major medical services were always within reach of the forward troops. After the advance had gone beyond the Seine and until Brussels was reached, the chief method of evacuation was by Sparrow aircraft (the Sparrow flight consisted of six obsolete bomber Harrow aircraft). When Brussels was reached most cases went by Dakota aircraft to UK. At a later stage casualties were despatched from Brussels by rail. For operation Market Garden 500-700 casualties were evacuated daily by air from Brussels to UK, and in addition a rail lift to Amiens for 200-300 daily was organised. An ambulance train formed from recaptured British and Belgium stock and staffed by Belgian Red Cross personnel made its first run from Brussels to Amiens on 20 September. The advanced depots medical stores could not move at the speed required to maintain a satisfactory supply system. To overcome this, mobile elements were formed from the depots, consisting each of two three-ton lorries and a supply of medical equipment. The quick advance of the armies had left the majority of the hospitals in the RMA. It was necessary to provide hospitals in the advanced base and with winter approaching these could not be tented. The problem was solved by taking over all existing civilian and German military hospitals and by converting many large schools and convents Gradually convalescent depot facilities were increased and it was eventually possible to hold in theatre all cases likely to be returned to duty in 30 days. The medical area of the RMA was reduced to one general hospital and gradually all other line of communication hospitals moved into Belgium. Any cases in France were accepted by US medical services. Evacuation by hospital ship from the RMA continued from Arromanches until mid December. Hospital ships continued to evacuate casualties from Dieppe until mid November, but the main port for sea evacuation was Ostend. Movement to Ostend from other hospital areas was by hospital train. Air evacuation was through Brussels or, later, Bruges. In 1945 VAD and ATS personnel were posted to general hospitals in steadily increasing numbers from March onwards. In February the period for holding casualties and patients on the Continent was extended to forty-two days. Railway facilities were such that up to the time of the Rhine crossing casualties could be despatched almost direct from the fighting fronts to the various L of C hospital centres. There were eleven British ambulance trains and one Belgian Red Cross train connecting the main medical areas in the advance base. Within the L of C two diesel-engined ambulance rail cars, each with a capacity of about thirty patients, started to operate on 24 March and proved invaluable in collecting and distributing patients between the centres of air evacuation and outlying hospitals. The majority of road evacuation immediately behind the armies was undertaken by two RASC ambulance car companies, assisted by a third manned by American Field Service personnel who arrived from CMF in April. It was the responsibility of the Medical Services to examine all British and US PW and to dust them with de-lousing powder before they were evacuated to UK. In addition, by 8 May 919 ex-PW had been evacuated through medical channels. The responsibility for Displaced Persons was primarily that of the Military Government authorities, but great assistance was given by the military Medical Services in providing hospital facilities and in supervising the hygiene and sanitation of Displaced Persons camps. The German military hospitals which were over-run in the advance were full of wounded. As the German administrative system was completely disrupted groups of Wehrmacht hospitals were supervised by British medical units. Two Captured Enemy Medical Equipment Sections which had been formed earlier in the campaign and which had been sorting captured medical equipment in Belgium were brought into Germany to locate and concentrate the German medical store depots. British medical units were called in to provide hospital, nursing and hygiene facilities at the concentration camps. The British Red Cross Society and the Order of St John of Jerusalem provided extra comforts for patients. Lady welfare officers were attached to all hospitals, convalescent depots and later to CCSs. They provided a supply of books, toilet requisites, cigarettes and games, as well as small articles of furniture, clothing and equipment which were not usually obtainable from army sources. Three Red Cross ambulance car platoons assisted RASC ambulance car companies in carrying on casualty evacuation in the L of C areas. These were not all staffed by Red Cross personnel but included sections from other charitable institutions including St Johns Ambulance, Scouts International (including Girl Guides) and Friends Ambulance Unit. The work of a Red Cross chiropody unit working in the Ostend and Antwerp areas was so valuable that arrangements were made for two more to be sent from UK. The British Red Cross Society Commission established two hostels to accommodate the relatives of dangerously ill patients. By agreement with the War Office a scheme for bringing relatives of dangerously ill patients into the theatre commenced on 15 March. Two British Red Cross Society convalescent homes, one for male and one for female officers, were opened in Brussels and two further convalescent homes were set up on the Belgian coast in the second half of May. There were also British voluntary organisations working with the French Army. The Hadfield Spears Hospital Trust provided female nurses and drivers for the 1st French Division, helped by a section of the Friends Ambulance Unit. Another Friends Ambulance Unit section worked with the 2nd French Armoured Division. A unit of the American Field Service arrived in March from the 8th Army in Italy. BATTALION MEDICAL OFFICER All battalion sized units had a Medical Officer RAMC and a number of personnel from the unit who were trained as orderlies and stretcher bearers. In an infantry battalion the medical establishment was Medical Officer RAMC medical officers orderly/driver medical serjeant corporal stretcher bearer 19 X stretcher bearers. The Medical Officer was a fully trained doctor and held the rank of Captain. He was attached to the unit and not a part of it. He was responsible for all medical matters in the unit. When not in action he filled much the same role as a civilian General Practitioner, treating illnesses that were within his competence and referring others to military hospitals. In action he established a Regimental Aid Post to the rear of the unit’s position and made the location known to all personnel. Here first aid was given, dressings applied or adjusted and an evacuation sheet filled in if the casualty was being sent further to the rear. The Medical Officer was assisted by a medical serjeant who was trained in emergency treatment by the RAMC. He was normally a serjeant from the unit but in some cases might be medical student or officer candidate attached from the RAMC. He carried a medical bag with dressings and drugs and was responsible for the medical hamper which contained the units supply of drugs and instruments for use by the Medical Officer or medical orderly. There was also a Medical Officers orderly who was provided by the battalion and acted as driver and general non medical assistant. He should not be confused with the medical orderly. Working to the Regimental Aid Post were the stretcher bearers who were trained in first aid. They were allocated to companies as required. All stretcher bearers could be armed with a Sten gun for self defence. In peace time the battalion band doubled as stretcher bearers. The unit also provided a batman for the Medical officer. Medical Equipment A medical orderly carried the following equipment - A medical satchel with Picric Acid dressings for burns Bandages Bandages for burns Plasters Hydrophilic Plasters (waterproof) Evacuation tags – to be filled in by the Medical officer and tied to the casualties clothing - Water flask He might also carry the following anaesthetics intended for front line use - Chloroform. A glass phial in a cotton bag was broken so that the contents were released to be inhaled by the casualty - Morphine. A single injectable dose was supplied in a tube with a needle attached. When this was administered it had to be recorded on the evacuation tag. The Medical Orderly was also responsible for maintaining the Regimental Pannier. This was a wicker basket covered in canvas and containing the following A metal box containing Anti tetanus serum Anti cathar salts (for restoring consciousness) Mercury chloride (a purgative) Bicarbonate of soda (for indigestion) Disinfectants Cough drops Gentian violet (disinfectant) Sulfamides (antiseptic powder) Lysol tablets (for disinfecting instruments) Antiseptic cream Zinc oxide scarring cream Iodine Collyre (for eye burns) Ammoniac liquor Analgesic Aspirin Morphine Tournique Bandages Gauze Surgical scissors and instruments Needles and sutures These were not only for combat use. The Medical Officer cared for the unit personnel on a daily basis, holding sick parades and prescribing treatment that the nursing orderly dispensed. Each soldier carried a field dressing. This fitted in a pocket in the battle dress trousers. All army bandages, dressings and plasters were khaki coloured. Stretchers. Stretchers were fairly sturdy. There were two side members of stout square section wood. These were shaped into carrying handles at each end. Stout canvas was fixed between the side members. There were two collapsible metal struts, one close to each end, which held the stretcher rigid when in use but allowed it to be folded into a smaller space for carriage and stowing when not in use. There were four legs which allowed the stretcher to be placed on the ground while keeping the canvas and thus the casualty clear of it. These also fitted into channels in stretcher frames of ambulances. A stretcher could be carried by two men in which case there was one at each end. A strap attached to each handle and passing round the neck of the bearer could be used to take some of the weight. Alternatively four bearers could be used for longer distances. A Light Field Ambulance. An armoured division had a Light Field Ambulance to operate with the armoured brigade. It differed from the standard Field Ambulance in that it was organised to be more mobile and flexible to meet the requirements of a mobile unit. There was a headquarters and four sections which could operate independently. The headquarters was much as for the Field Ambulance in an infantry division and provided a Main Dressing Station. The four sections could operate well forward, one in support of each armoured regiment if necessary although it would generally be more efficient to centralise them and open only those that were required for a specific military operation. Obviously stretcher bearers were not suitable for an armoured battle where they would be too slow and very exposed. The work normally done by bearers was spread between the increased provision of medical vehicles to an armoured regiment and the increased number of light ambulances in the Light Field Ambulance. Each armoured regiment had a halftrack for the medical officer plus two halftracks for collection casualties. These were in effect ambulances and usually marked as such. They could go out onto the battlefield and collect casualties direct the tanks. Each tank had a first aid kit and crew members trained in first aid. Labels were also provided and used to record what treatment had been given. The halftracks carried casualties to the Medical Officers halftrack which served as the Regimental Aid Post. Halftrack ambulances were normally M5 since these had a clear space in the body which was lacking in the M9 and had a rear door which was lacking on the M14. Generally the seats on one side of the halftrack were replaced with a rack for two stretchers. Two stretcher casualties and five seated casualties could be carried. The Medical Officers halftrack could also be used as an ambulance but was generally used to provide protection for the Medical Officer. Often some kind of shelter was carried, canvas penthouses or corrugated metal sheets. All halftracks could have a tilt erected. Ordinary stretchers were used but there were also specially designed flexible stretchers for lifting casualties out of tanks. Each of the four sections of the Light Field Ambulance had two 2 berth light ambulances. These were usually Humber FWD 4 X 4 light ambulances. There is some evidence however that some halftracks were used instead. Certainly some halftracks were modified as ambulances by having both fuel tanks located on the offside which left space for a frame capable of carrying four stretchers. Alternatively part of the frame could be collapsed to allow two stretchers and five sitting casualties to be carried. The Vehicles Heavy Ambulance 4 X 2 four berth The Austin K2 Heavy Ambulance was by far the most numerous vehicle in this class, and possibly the only one used in 21st Army Group. It was produced from 1940 to 1945 and 13,100 were built. Two ton vehicles were very rare in the British army, although the RAF used some. The Austin 2 ton chassis was the K2/YF which was used by the army as ambulance and GS. The ambulance body, Heavy Ambulance Body No2 Mk1, was a standard WD design which was fitted also to Morris CS11/30, Morris CD and Bedford ML chassis, though none of these served in NW Europe. The body was a wood frame covered with leather cloth. It was insulated and well ventilated. There were ventilators in both sides, in the rear doors and in the front panel. There were also ventilators/extractors in the roof. Early types were square scoops but later ones were circular rotating type. A heater was also fitted at the front of the body. Later types had the exhaust pipe extended to above roof level to take fumes away from the body. There were four stretcher racks, two on each side. The top racks could be raised and lowered. This made loading stretchers easier. The top rack was lowered and loaded, then raised so that the lower rack could be loaded. There were channels in the racks to accommodate the stretcher legs for easy loading and security. When lowered the top racks could be used as seats. The ambulance could carry various combinations of casualties in addition to the driver and medical attendant. - four stretcher cases - two stretcher cases and five sitting cases - ten sitting cases. Full width, wide opening, doors allowed easy access for stretchers and folding steps were provided for personnel. There was a door in the front of the body giving access to the drivers cab. There was a folding seat in the front of the body for an attendant. There were racks for two rifles in the cab. The Austin K2 Heavy Ambulance was also used by the USAAF who received them under reverse Lend Lease. Some were also supplied to other Allied forces. Many remained in British Army service until the 1970s. The British Army also used some CMP 3ton Ambulances with a similar specification but with four wheel drive. It is not known if these were used in NW Europe although they were used with the Canadian Army and the RAF, who used them in Normandy instead of their larger Fordson 6 X 4 ambulance. Ambulance 4 X 4 two berth The standard WD light ambulance was the Humber FWD which used the same chassis as the FWD Heavy Utility. It was 4 X 4 which made it possible to get to less accessible places. 1,144 were built. The crew was a driver and medical attendant. Two stretchers could be carried on racks, which like the Austin K2 could be raised and lowered. The Humber also had wide rear doors for easy access. The body was necessarily shorter than the Austin K2 and the stretcher racks extended into the cab. There was no seat in the offside of the cab and when the medical attendant was seated in the body there was room for only two sitting casualties. The top stretcher rack could be lowered and used to seat two casualties thus the alternative loads were - two stretcher cases and three sitting cases - five sitting cases. Some CMP light ambulances were also used. These were based on the 8cwt 4 X 4 Chevrolet Heavy Utility. The rear widows of the body were replaced by sheet metal and stretcher racks fitted on the nearside. Loading was awkward since there was a fairly small central rear door. The stretcher racks were pivoted at the front and the rear end was swung out allow the stretchers to be loaded. The racks were then swung back and secured before sitting patients could get in. Accommodation was as for the Humber. 3ton 4 X 4 with penthouses The 3ton lorries with penthouses were simply 3ton GS which carried large canvas sheets which stretched across the existing tilt and extended to the sides and rear where they were supported on metal frames which were hammered into the ground. These could then be used as wards, preparation rooms and operating theatres. A sketch of one such lorry being used as an operating theatre is included below. Jeeps (car 5cwt 4 X 4). Jeeps were available in considerable numbers and all units used them for casualty evacuation. They could be used unmodified but a stretcher frame kit was available and this could rapidly and easily be fitted to any jeep. All jeeps in NW Europe had fittings to accept these frames. Two stretchers could be carried on top of the frame and a third could be carried below, in which case there was room only for the driver in the front. This was a simple and effective means of casualty evacuation although it left the casualties exposed to enemy fire and to the elements. Jeeps with these frames have been seen with Field Ambulance Company markings. It is assumed that these were issued instead of the ambulance 2 berth, 4 X 2, light which is listed in the 1942 establishment. Universal Carriers. These maids of all work were often used by infantry battalions for casualty evacuation. They were very versatile and very mobile and if they were not needed for reconnaissance, flank guards and other such tasks then they were made available for delivering ammunition and food, and for evacuating casualties. Some units carried out modifications but most simply laid the stretchers on top of the rear compartment. There was a modification which removed the rear of the fighting compartment and lengthened the sides so that stretchers could be accommodated and protected from enemy fire. Jeeps and Carriers used in the evacuation role usually flew a small white flag with the red cross on it. Bedford QLT. These were standard troop carrying vehicles with wooden seats for thirty troops. Markings. In 21st Army Group ambulances were clearly marked with large red crosses, larger than applied to vehicles in the UK. All British red cross markings were on a white circle and not the white square used by US forces and by the British post war. The red cross was carried in the following positions On the Austin K2 - On each side of the body - On the cab roof - On each of the rear doors - On a small plate mounted centrally on the front of the cab roof. On the Humber FWD - On each side of the body - On the cab roof - On each of the rear doors - On a small plate mounted centrally on the front of the body roof. On 3ton lorries - On each side of the canvas tilt and the penthouse - On cab roof On vehicles being used for casualties but not RAMC (jeeps or QLT) - A white flag, often triangular, with a red cross. Note: In forward areas there was always a judgement to be made between clear red cross markings and camouflage. Even stretcher bearers and other medical personnel took to wearing khaki armbands with a red cross on them. The arm of service square for medical units was black with white numerals In the Infantry Division Field Ambulance 1 carried the number 75 Field Ambulance 2 carried the number 76 Field Ambulance 3 carried the number 77 Field Hygiene Section carried the number 78 Field Dressing Station 1 carried the number 82 Field Dressing Station 2 carried the number 83 In the Armoured Division Light Field Ambulance carried the number 89 Field Ambulance carried the number 90 Field Hygiene Section carried the number 92 Field Dressing Station carried the number 93 In a Corp Field Hygiene Section carried the number 66 Field Dressing Station carried the number 65 Vehicles were painted in dark earth or khaki drab, with the latter becoming more common as the campaign progressed. Camouflage patterns were rare. Interiors were off white but the insides of doors matched the vehicle exterior. White stars in circles were displayed on top surfaces but stars on vehicle sides seem to be rare. Possibly red crosses took all the space.