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Books and Documents

MEDICAL DEPARTMENT, UNITED STATES ARMY

SURGERY INWORLD WAR II
ACTIVITIES OF SURGICAL CONSULTANTS

Volume II

Prepared and published under the direction of

Lieutenant General LEONARD D. HEATON
The Surgeon General, United States Army

Editor in Chief
Colonel JOHN BOYD COATES, Jr., MC, USA

Editor for Activities of Surgical Consultants

B. NOLAND CARTER, M.D.

Associate Editor
ELIZABETH M. MCFETRIDGE, M.A.

OFFICE OF THE SURGEON GENERAL
DEPARTMENT OF THE ARMY
WASHINGTON, D.C., 1964

Contents

FRONT MATTER

AUTHORS

FOREWORD 

PREFACE

Part I

EUROPE

Chapter

I. Surgical Consultants in the European Theater of Operations (Col. James C. Kimbrough, MC, USA, Ret.) 

Consultant System in World War I
Consultant System in World War II
Summary 

II. The Chief Consultant in Surgery (Elliott C. Cutler, M.D.)

Prologue 
1942: Getting Started
1943 to Early 1944: Planning, Building Up, and Waiting 
Normandy 
Northern France
The Rhineland 
Campaign in Central Europe 
V-E Day
After V-E Day: Getting Out 
Epilogue I
Epilogue II 

III. General Surgery (Robert M. Zollinger, M.D.) 

Appointment as Senior Consultant 
Organization, Functions, and Activities 
Preparations for Normandy Invasion 
Activities During Normandy Invasion 
Activities on the Continent 
Conclusions 
Recommendations 

IV. Neurological Surgery (Loyal Davis, M.D.) 

Getting Acquainted 
Analysis of the Situation and Recommendations 
The Surgeon General`s Visit 
Attempts To Improve the Consultant Group 
Year`s End 
1943: First Half 
Surgical Mission to the U.S.S.R.
Washington and Release From Service 

V. Ophthalmology (James N. Greear, Jr., M.D.)

Organization 
Policies and Procedures 
Hospital Centers 
Supplies and Equipment 
Optical Supply 
Training
Summary and Conclusions 

VI. Orthopedic Surgery and Rehabilitation (Rex L.Diveley, M.D., and Mather Cleveland, M.D., Sc.D.) 

Orthopedic Surgery, August 1942-May 1944 
Orthopedic Surgery, May 1944-July 1945 
Rehabilitation 

VII. Otolaryngology (Norton Canfield, M.D.) 

The Chief Surgeon 
Activities and Observations 
Reassignment in the United States 
Summary 

VIII. Plastic Surgery (Eugene M. Bricker, M.D.) 

Introduction 
Administration 
Professional Responsibilities and Problems 

IX. Urology (John N. Robinson, M.D.) 

Justification for a Senior Consultant in Urology 
Activities of the Senior Consultant in Urology 

X. Anesthesia (Ralph M. Tovell, M.D.) 

Call to Active Duty 
Orientation in the United Kingdom 
Early Activities and Recommendations 
Consultant Duties 
Extension of Activities in 1943 
Preinvasion Activities 
D-day and Its Aftermath 
Visit to Normandy 
Move to the Continent 
Activities During the Final Campaigns
Victory in Europe 
After V-E Day 

Part II

THE PACIFIC AND ASIA

XI. Pacific Ocean Areas (John B. Flick, M.D., Forrester Raine, M.D., and Robert Crawford Robertson, M.D.) 

Surgical Consultants 
Duties of the Consultant 
Personnel 
Education and Training 
Centers for Specialized Treatment 
Directives Concerning Professional Practice 
Visits to Hospitals 
The Okinawa Operation 
Hospital Center at Tinian 
Notes and Formal Reports 
Central Pacific Area 
Consultation in Orthopedic Surgery 

XII. Southwest Pacific Area (Wm. Barclay Parsons, M.D., I. Ridgeway Trimble, M.D., and George O. Eaton, M.D.) 

July 1942 Through August 1944 
August 1944 Through January 1946 
Orthopedic Surgery

XIII. From Auckland to Tokyo (Ashley W. Oughterson, M.D.) 

Introductory Note 
Lessons of the New Georgia Campaign 
Management of Casualties in the New Georgia Campaign 
Utilization of Medical Facilities in a Theater of Operations 
Summary of the Fiji Tour 
Notes 
Summary of Medical Care and Evacuation During the Lingayen Campaign 
Notes on Recommendations for Major General Kirk 

XIV. India-Burma and China Theaters (A. Stephens Graham, M. D.) 

Historical Background 
Medical Service, U.S. Forces, India-Burma Theater 
Medical Service, U.S. Forces, China Theater 
Functions of the Surgical Consultant 
Surgical Personnel 
Education and Training 
Physical Facilities and Equipment
Special Problems 
Comments on Individual Hospitals 
Field Trips, India-Burma Theater 
Field Trip, China Theater 
Summary and Conclusions 

APPENDIXES 

A. Report, Surgical Mission to Russia 
B. Circular Letter No. 71, Principles of Surgical Management in the Care of Battle Casualties 
C. Circular Letter No. 142, Guidance to Disposition Boards 
D. Circular Letter No. 23, Care of Battle Casualties 
E. Evacuation by Landing Ship, Tank, From the Normandy Beaches 
F. Treatment of Maxillofacial Injuries (Manual of Therapy, ETOUSA) 
G. Treatment of Burns (Manual of Therapy, ETOUSA) 
H. Recommendation for Care of Hand Injuries in Zone of Interior 
I.  Treatment of Hand Injuries

Illustrations

Number

1. Col. James C. Kimbrough, MC
2. Maj. Gen. Paul R. Hawley 
3. Consultant group at Cheltenham, England, mid-1944 
4. Weekly meeting of consultant group in European theater 
5. Convalescent patients at 307th Station Hospital, England 
6. Professional Services Division, Office of the Chief Surgeon, ETOUSA 
7. Brig. Gen. Elliott Carr Cutler 
8. Headquarters, ETOUSA, at 20 Grosvenor Square, London 
9. Office of the Chief Surgeon, ETOUSA, London 
10. Col. Charles B. Spruit, MC 
11. Surgeon Rear Admiral Gordon Gordon-Taylor, Royal Navy, with General Hawley 
12. Blood transfusion kits being packed at British Army Blood Supply Depot 
13. Bottled wet plasma being prepared at British Army Blood Supply Depot 
13b. Bottled wet plasma being prepared at British Army Blood Supply Depot (cont.)
14. Royal Navy cruiser Aurora, escorting a convoy to North Africa 
15. The beach at Saint-Leu, Algeria, North Africa, on D-day 
16. Maj. Gen. James C. Magee, The Surgeon General, visiting Stonehenge
17. Hospital Ship No. 38, the Newfoundland of Liverpool 
18. Interior of the Newfoundland 
19. Headquarters, V Corps, U.S. Army, at Clifton College, Bristol, England 
20. Colonel Kimbrough congratulating Colonel Cutler upon his being made an Honorary Fellow of Royal College of Surgeons 
21. Lt. Col. William F. MacFee, MC 
22. Medical Field Service School, ETOUSA, at Shrivenham Barracks, England 
23. Maj. Bernard J. Pisani, MC 
24. Transfusion set improvised by Capt. Richard V. Ebert, MC, and Capt. Charles P. Emerson, MC 
25. Col. Walter L. Perry, MC 
26. 36th Station Hospital, Exeter, England 
27. Maj. Robert M. Zollinger, MC 
28. A U.S. Army Air Forces patient at Royal Cornwall Infirmary, Truro, England
29. Maj. Gen. Max Page, RAMC, and Air Commodore Geoffrey Keynes, RAF, with Col. Oramel H. Stanley, MC 
30. Transport for a mobile surgical unit 
31. Equipment and supplies for a shock team, mobile surgical unit 
32. Chest containing orthopedic supplies and equipment for a mobile surgical unit
33. Tray used by the anesthetist of a mobile surgical unit 
34. Suction apparatus used by a mobile surgical unit 
35. Expendables and a sterilizing drum of a mobile surgical unit 
36. Pitching an operating room tent of a mobile surgical unit 
37. Portable operating light equipment of a mobile surgical unit 
38. Arrangement of the operating tables of a mobile surgical unit 
39. John G. Winant, U.S. Ambassador to the Court of St. James`s, and Mrs. Winant with Gen. Dwight D. Eisenhower 
40. American members of the surgical mission to the U.S.S.R. with Surgeon Rear Admiral Gordon Gordon-Taylor, RN 
41. Copy of Academician Lt. Gen. Nicolai N. Burdenko`s speech upon his being made an Honorary Fellow of American College of Surgeons 
42. Copy of Prof. Serge Yudin`s speech upon his being made an Honorary Fellow of American College of Surgeons 
42b. Copy of Prof. Serge Yudin`s speech upon his being made an Honorary Fellow of American College of Surgeons (cont.)
43. Maj. Gen. Albert W. Kenner 
44. Demonstration of an improvised splint for a fractured jaw
45. Training in the application of plaster at the 298th General Hospital, Bristol, England
46. Hospitals established primarily to serve Army Air Forces in England 
47. Maj. Gen. Carl Spaatz awarding the Purple Heart to men of the 97th Bombardment Group
48. Col. David E. Liston, MC 
49. A clearing station of 85th Infantry Division in Italy 
50. Part of transport network in the North African theater, Oran Harbor, Algeria 
51. Air evacuation from Fifth U.S. Army area by C-47 aircraft 
52. A tented expansion area of the 21st General Hospital, Italy
53. Seriously wounded soldier receiving transfusion while his gastric contents are aspirated, 33d Field Hospital, Italy 
54. 94th Evacuation Hospital, Fifth U.S. Army, Italy 
55. Maj. Gen. Malcolm C. Grow, Maj. Gen. David N. W. Grant, Maj. Gen. Paul R. Hawley, and Maj. Gen. Norman T. Kirk 
56. Col. James B. Mason, MC 
57. Col. Angvald Vickoren, MC 
58. Mobile bleeding team, beginning first collection of blood for European theater blood bank, Shoot end Camp, Wiltshire, England, March 1944 
59. Whole-blood service in Mediterranean theater 
60. Bottled whole blood from Blood Bank, ETOUSA, ready for delivery or storage
61. European theater blood bank truck at an airfield in England 
62. Convalescent patients at 203d Station Hospital, surmounting a wall in obstacle course
63. Lt. Gen. John C. H. Lee, SOS, ETOUSA, observing a surgical team from 3d Auxiliary Surgical Group
64. Training at Assault Training Center, ETOUSA 
65. Special slings on LST`s for handling litter patients
66. Litter patients in an LST that had been converted with wall brackets to hold litters 
67. U.S. Army hospital train ward cars in United Kingdom 
68. Lt. Col. Fred H. Mowrey, MC 
69. 46th Field Hospital at Chandler`s Ford, Hampshire, England, June 1944 
70. Exercise SPLINT in and about Newquay, Cornwall, England, April 1944
70b. Exercise SPLINT in and about Newquay, Cornwall, England, April 1944 (cont.) 
71. Marmite cans adapted for transporting whole blood 
72. Medical service on Normandy beachhead, D-day, 6 June 1944 
73. American equipment, ships, and men at Plymouth, England, awaiting orders 
74. 50th Field Hospital at Weymouth, England, during Normandy invasion 
74b. 50th Field Hospital at Weymouth, England, during Normandy invasion (cont.)
75. Unloading of hospital train at Sherborne 
76. Portland area and Weymouth, South Dorset, England 
77. Ambulances on a dock at Weymouth awaiting unloading of casualties
78. U.S.S. LCT 217, beached at Weymouth, England 
79. Unloading of LST`s by transfer to an LCT and direct beaching of the LCT, Weymouth 
80. Wounded German prisoners being unloaded on Normandy beachhead 
81. Reception of air-evacuated casualties at Membury airfield 
82. Omaha Beach, 23 June 1944
83. Whole blood being loaded on evacuation aircraft returning to Normandy beachhead 
84. Blood being administered at 128th Evacuation Hospital, Normandy, 12 June 1944 
85. An aid station and rest point in captured farmhouse, 14 July 1944 
86. Facilities aboard a converted hospital carrier 
87. Care aboard hospital trains during Normandy campaign 
88. Unit of the Blood Bank, ETOUSA, hitching a storage refrigerator, mounted on an artillery carrier, to a cargo truck 
89. Line of German prisoners of war being marched ashore at Weymouth 
90. A "Buzz Bomb" cutting its motor and diving into Picadilly 
91. Maj. Gen. Norman T. Kirk visiting the 160th General Hospital, Cirencester
92. Air evacuation to the Zone of Interior from Prestwick, Scotland 
93. Office of the Chief Surgeon, ETOUSA, at Valognes, France 
94. Office of the Chief Surgeon, ETOUSA, Paris 
95. The stage of an amusement hall being utilized by a surgical team 
96. 108th General Hospital, Paris 
97. Interior of a loaded C-54 aircraft evacuating casualties from Paris 
98. Inter-Allied Consultants` Conference, Paris, France 
99. Litter bearers bringing in wounded soldier in southern France 
100. Casualties being sorted at a clearing station in France 
101. A shock tent of 34th Field Hospital, First U.S. Army 
102. Col. Frank B. Berry, MC, speaking at Inter-Allied Consultants` Conference, Paris, 15 October 1944 
103. Colonel Cutler, Colonel Osipov, General Hawley, and Major Birch-Jones in General Hawley`s office, Paris, France 
104. 194th General Hospital arriving in Paris, January 1945 
105. The Siegfried Line 
106. Higgins boats bringing casualties of Seventh U.S. Army to U.S. Army Hospital Ship Shamrock
107. Col. Charles F. Shook, MC 
108. Destruction in Antwerp, Belgium 
109. Delivery of whole blood under freezing conditions, 16th Field Hospital 
110. Caring for immobilized casualties in a hospital train 
111. 91st Medical Gas Treatment Battalion operating as an air evacuation holding unit
112. Lt. Gen. George S. Patton, Jr., with some members of his staff, and other key officers 
113. Armored medical vehicles 
114. Colonel Middleton, Colonel Kimbrough, General Hawley, and Colonel Cutler at Colonel Kimbrough`s farewell dinner 
115. First U.S. Army pouring across the Remagen Bridge 
116. Fifth and Seventh U.S. Armies meeting at the Brenner Pass 
117. Delousing Soviet-recovered prisoners at Prisoner of War Exchange Camp 
118. Holding and evacuation facilities of the 91st Medical Gas Treatment Battalion, Euskirchen airstrip 
119. Glider evacuation of wounded 
120. First U.S. Army medical troops using captured launch to transport casualties 
121. Four-tiered compartments in a so-called hospital ward, Buchenwald 
122. Evidence of starvation policy at Buchenwald Concentration Camp 
123. Colonel Shook, General Hawley, and Brig. Gen. Elliott C. Cutler 
124. Inter-Allied Consultants` Conference, May 1945, 108th General Hospital 
125 General Cutler being decorated with Distinguished Service Medal 
126. Lt. Col. Ambrose H. Storck, MC, at reception for General Rankin 
127. Col. Maxwell G. Keeler, MC, on occasion of The Surgeon General`s visit to 5th General Hospital 
128. Lt. Col. William A. Howard, MC, lecturing at Medical Field Service School
129. One of first classes to graduate from Medical Field Service School 
130. Rubberized sheets replacing cloth drapes in a mobile surgical unit 
131. Ample stores of sterile goods being prepared for Normandy invasion 
132. The reception and transportation of casualties from Normandy invasion 
132b. The reception and transportation of casualties from Normandy invasion(cont.)
133. Field hospitals functioning 
134. 9th Evacuation Hospital 
135. First hospital train movement on Continent 
136. Lt. Col. Robert M. Zollinger, MC, Commanding Officer, 5th General Hospital
137. Entrance to 5th General Hospital 
138. Lt. Col. Loyal Davis, MC
139. Tanks of 29th Infantry Division on maneuvers 
140. A flash radiograph of a German HEI shell, Mk. 1
141. Protective helmet for flyers 
142. Waist gun position in the B-17 bomber 
143. Flyers` clothing 
144. Mena House Hotel at Al Jizah, Egypt 
145. Hon. Alexander C. Kirk, U.S. Minister to Egypt, and Maj. Gen. Russell L. Maxwell 
146. Maj. Gen. Donald H. Connolly and Soviet officers 
147. Capt. "Eddie" Rickenbacker in Teheran, Iran, July 1943 
148. Headquarters of U.S. Army Forces in the Middle East
149. A parting look at the airfield at Heliopolis, Egypt 
150. Col. R. Glen Spurling, MC 
151. Col. Derrick T. Vail, MC 
152. Lt. Col. James N. Greear, Jr., MC 
153. Ophthalmological service in a general hospital 
153b. Ophthalmological service in a general hospital (cont.)
154. St. Dunstan`s Institute for the Blind, Shropshire, England 
155. Eye clinic in an evacuation hospital 
156. Technician in a mobile optical repair unit checking a lens 
157. Nurses receiving instruction at the Medical Field Service School, ETOUSA 
158. Lt. Col. Rex L. Diveley, MC 
159. Brigadier L. E. H. Whitby, RAMC, Brigadier R. W. Bristow, RAMC, and Maj. Gen. D. C. Monro, RAMC, at reception given by General Hawley and consultants 
160. Maj. William J. Stewart, MC 
161. Surgery in the North African theater
161b. Surgery in the North African theater (cont.)
162. Instruction in plaster technique 
163. Col. Mather Cleveland, MC 
164. Orthopedic casualties in a general hospital 
165. 198th General Hospital arriving in Paris 
166. 25th General Hospital at Lison, France, September 1944
167. 221st General Hospital on the move, January 1945 
168. Maj. Frank E. Stinchfield, MC, at All-Saints Hospital, England 
169. Capt. Marcus J. Stewart, MC 
170. Remedial exercises at Rehabilitation Center No. 1 
171. Lt. Gen. Omar N. Bradley, at 307th Station Hospital, 1943 
172. Full-scale rehabilitation activities at Rehabilitation Center No. 1 
172b. Full-scale rehabilitation activities at Rehabilitation Center No. 1(cont.) 
173. Rehabilitation in hospitals 
173a. Rehabilitation in hospitals (cont.)
174. Maj. Gen. Norman T. Kirk inspecting the 307th Station Hospital 
175. Lt. Gen. Carl Spaatz listening to an explanation by Colonel Stinchfield of treatment being provided 
176. Major Stinchfield at demonstration for student officers at Bromsgrove
177. Class in anatomy for physical training instructors at 307th Station Hospital
178. Construction of a tented rehabilitation area at 108th General Hospital 
179. Col. Norton Canfield, MC 
180. Otolaryngologic clinic in a general hospital 
181. Audiometric testing for hearing acuity 
182. Lt. Col. James B. Brown, MC 
183. Lt. Col. Eugene M. Bricker, MC 
184. Col. Roy A. Stout, DC 
185. Extensive injury, associated with extensive loss of tissue 
186. Powder "tattooing," associated with blindness 
187. Blast injury resulting from mine explosion 
188. Treatment of a compound facial wound at evacuation hospital 
189. Casualty with severe wound of the chin 
190. Major facial wound with loss of nose, maxilla, and mandible 
191. Compound injury with fracture and loss of bone and overlying soft tissue 
192. Results of early definitive treatment of compound facial injuries 
193. Penetrating wound of the antrum with infection 
194. Compound facial wound with loss of maxillary alveolus and overlying soft tissue and a fracture of the mandible 
195. Secondary closure of a compound facial wound 
196. Poorly advised secondary closure of a soft-tissue wound of face 
197. Major facial defect at time patient arrived at a general hospital 
198. Burn centers with corpsmen trained to handle patients in baths and to handle dressings
199. Ectropion from burns requiring correction by grafting before evacuation from theater 
200. A needlessly applied eyelid graft 
201. Futility of trying to control lid contraction, following burns, by the formation of interpalpebral adhesions 
201b. Futility of trying to control lid contraction, following burns, by the formation of interpalpebral adhesions (cont.)
202. Case illustrating principle of active motion and early grafting forburned hand 
202b. Case illustrating principle of active motion and early grafting forburned hand (cont.)
203. Result of early radical graft to the dorsum of severely burned hands 
204. Case illustrating possibility of secondary closure of large, soft-tissue defects by extensive undermining and direct wound approximation 
205. Result of closure of large defect by mobilizing the skin edges and by free skin-grafting that portion of the wound which could not be closed
206. Ideal illustration of type of injury in which pedicle grafting should be done without delay
206b. Ideal illustration of type of injury in which pedicle grafting should be done without delay (cont.)
207. End result of replacement of large soft-tissue loss of upper arm by use of undelayed pedicle graft from the chest wall 
208. Compound fracture with extensive loss of overlying tissue is converted into simple fracture by use of undelayed pedicle graft  
208b. Compound fracture with extensive loss of overlying tissue is converted into simple fracture by use of undelayed pedicle graft (cont.)
209. Pedicle graft 
209b. Pedicle graft (cont.)
210. Cross leg pedicle graft covering a compound defect of the tibia 
211. Soft-tissue loss from dorsum of hand, associated with underlying bone injury
211b. Soft-tissue loss from dorsum of hand, associated with underlying bone injury (cont.)
212. Illustration of urgent demand for palm covering in relation to subsequent function 
213. Maj. John N. Robinson, MC 
214. Portable tidal drainage-cystometer set
215. Improvisation to permit complete cystoscopy with retrograde pyelography 
216. Genitourinary clinic at the 45th General Hospital 
217. Hospital train being loaded at Lige, Belgium 
218. Col. Ralph M. Tovell, MC 
219. British anesthetic apparatus supplied to U.S. military hospital units 
220. Portable British anesthetic equipment supplied to U.S. Army hospital units in September 1942 
221. "Marriage" of anesthetic machines and expendable rubber parts shipped separately 
222. Adaptable substitute expendable anesthetic equipment from British sources 
223. Adapters obtained from British sources to permit utilization of British cylinders on American anesthetic machines
224. Primitive preparation in 1942 against gas attack 
225. An ETOUSA resuscitator and ether vaporizer, developed at Depot M-400
226. Student officers attending a second course in anesthesia, 1944 
227. Central oxygen and nitrous oxide manifolds at 298th General Hospital 
228. Col. John B. Flick, MC 
229. Col. Paul H. Streit, MC, and his staff 
230. 76th Field Hospital, Okinawa, June 1945 
231. Medical Library, 39th General Hospital, Saipan, 1945 
232. Living conditions and recreational facilities 
232b. Living conditions and recreational facilities (cont.) 
233. Exhibit of an operating room set up in the field, Hawaii 
234. Nurse administering ether anesthesia by the open-drop method, Okinawa
235. Patients at 218th General Hospital, after having been fitted with plastic eyes, August 1945 
236. Debarkation activities at Tanapag Harbor, Saipan, spring 1945 
237. Postoperative care after thoracic surgery, 148th General Hospital 
238. 39th General Hospital, Saipan, 1945 
239. Exterior view of a sterilizer and steam boilers at 148th General Hospital 
240. Fluoroscopy facilities at 148th General Hospital 
241. Exterior installation of air-conditioning equipment at 148th GeneralHospital, Saipan, 1945 
242. Nurse on Okinawa checking the administration of whole blood 
243. Treatment at 69th Field Hospital, Okinawa, May 1945 
244. Patients being prepared for air evacuation by converted C-54, Okinawa 
245. The Surgeon General, making ward rounds in the 147th General Hospital 
246. Litter bearers of 7th Infantry Division, bringing in wounded soldier,Kwajalein 
247. Courtyard of 147th General Hospital 
248. The landing on Guam, 23 July 1944 
249. An operating room, established in a building that had been recapturedfrom the Japanese, Guam 
250. Casualties being loaded on DUKW`s for evacuation 
251. Shoreline of Leyte Island at invasion point, 20 October 1944 
252. Casualties aboard the U.S.S. J. Franklin Bell, Leyte, October 1944 
253. Church used by 7th Medical Battalion as collecting and clearing station, Leyte 
254. 7th Infantry Division and XXIV Corps medical installations on Leyte 
255. Surgical ward of 165th Station Hospital, Leyte, November 1944 
256. Maj. Gen. Norman T. Kirk, touring the Middle Pacific 
257 An orthopedic ward at 39th General Hospital, Saipan 
258. The ships that carried men and supplies to Okinawa, 4 April 1945 
259. An aid station on beach at Okinawa, L-day, 1 April 1945 
260. Whole blood being administered to casualty at clearing station of 102d Medical Battalion, Okinawa, April 1945 
261. 8th Station Hospital, Hawaii 
262. Col. Wm. Barclay Parsons, MC 
263. Wounded, being transferred to C-47 aircraft at Dobodura, New Guinea 
264. Portable surgical hospitals on New Guinea
264a. Portable surgical hospitals on New Guinea (cont.) 
265. Australian soldiers wounded in action near Sattelberg, New Guinea 
266. Base area at Oro Bay, New Guinea, December 1943 
267. Development of a major base at Milne Bay, New Guinea 
268. 118th General Hospital, Sydney, Australia, July 1943 
269. 47th General Hospital, Milne Bay, New Guinea, May 1944 
270. 10th Evacuation Hospital, Port Moresby, New Guinea, February 1943 
271. 27th General Hospital, Hollandia, New Guinea, 1944 
272. Col. I. Ridgeway Trimble, MC 
273. Development of portable surgical hospitals 
273b. Development of portable surgical hospitals (cont.)
274. Colonel Trimble and General MacArthur on a visit to hospital in Australia
275. Maj. Gen. Guy B. Denit receiving the Legion of Merit 
276. Japanese emissaries arriving aboard U.S.S. Missouri to sign surrender terms
277. 10th Evacuation Hospital, Oro Bay, New Guinea, December 1943 
278. Hospital sites on Leyte, Philippine Islands, December 1944 
279. Invasion fleet in harbor, Leyte Gulf, October 1944 
280. 8th Portable Surgical Hospital at Yellow Beach, Zamboanga, March 1945
281. Methods of evacuation in Southwest Pacific Area, 1945 
281b. Methods of evacuation in Southwest Pacific Area, 1945 (cont.)
281c. Methods of evacuation in Southwest Pacific Area, 1945 (cont.)
282. Headquarters, Philippine Base Section, Manila, 25 May 1945 
283. Col. Dwight M. Kuhns, MC, Commanding Officer, 19th Medical General Laboratory, Hollandia, 1945 
284. Captured Japanese armored vest 
285. Metal plates designed by Colonel Trimble for a protective vest 
286. Red Beach, Los Negros Island, Admiralty Group, October 1944 
287. American casualty being loaded aboard ship in Leyte Harbor, October 1944 
288. First aid measures at an aid station on beach at Leyte 
289. Difficult litter carry on Leyte
290. 58th Evacuation Hospital at Tacloban, Leyte, October 1944 
291. Definitive surgery in a portable surgical hospital, Leyte 
292. LST handling a surgical load during the Leyte invasion 
292b. LST handling a surgical load during the Leyte invasion (cont.)
293. 49th General Hospital, Tokyo 
294. Prison Camp No. 1 at Canlubang, Luzon 
295. Japanese prisoner patients and ward attendants in New Bilibid Prison, Luzon 
296. Serving a meal at Prison Camp No. 1, Canlubang, Luzon 
297. Base 7, Sydney, Australia, and 118th General Hospital, 1943 
298. Station hospitals in Southwest Pacific Area 
299. An orthopedic casualty in 54th General Hospital, Hollandia 
300. Col. Ashley W. Oughterson, MC 
301. Tontouta Airfield, New Caledonia, August 1943
302. Noumia, New Caledonia 
303. Munda Airfield, New Georgia
304. Clearing station, 37th Division, August 1943 
305. Evacuation to beach by litter bearers and jeep, New Georgia, 1943 
306. A truck evacuating casualties to beach, New Georgia, 1943 
307. Screened underground operating room at 17th Field Hospital, New Georgia 
308. Surgical team completing a thoracic operation
309. Blood specimens being taken to determine index of malaria in native labor camp near military base, Guadalcanal, August 1944 
310. Casualty of jungle fighting being loaded aboard Higgins boat for evacuation by sea, New Georgia, July 1943
311. Evacuation by C-47transport plane from Munda Airfield, New Georgia,1943
312. Aid station on Rendova Island, Solomon Islands, July 1943 
313. Aerial view of 27th Station Hospital, New Caledonia, February 1943 
314. Staff of 142d General Hospital at New Caledonia, June 1943 
315. Construction of native-style barracks for 8th General Hospital, New Caledonia, September 1943 
316. Surgical team with equipment, Bougainville, December 1943 
317. Surgical team at work 5 days after landing, Bougainville, November 1943
318. The 24th Field Hospital, New Georgia, October 1943 
319. Screened and dugout operating room, Bougainville, December 1943 
320. Surgical teams, Bougainville 
321. Survivors of torpedoed U.S. Army Transport Cape San Juan 
322. Difficulties of litter carry over rugged terrain of Bougainville, 1944
323. Wound ballistics team at Bougainville 
324. Men of 129th Infantry Regiment, 37th Division, turning flamethrower on pillbox 
325. Casualty being transferred from jeep to halftrack, Hill 700, Bougainville 
326. Underground operating room, 21st Evacuation Hospital, Bougainville, 1944
327. Fiji Scouts returning from patrol into enemy territory, Bougainville,1944 
328. Patrol crossing the Piva River on Bougainville 
329. U.S. Army nurses participating in native dance at Saint-Louis Village, New Caledonia 
330. Training in how to live in and on the jungle, at Jungle Training School, Hawaii
331. U.S. Army Hospital Ship Mercy 
332. A-day, Leyte Island, Philippine Islands 
333. Brig. Gen. William A. Hagins, Surgeon, Sixth U.S. Army 
334. Scene at 116th Station Hospital, Leyte, December 1944 
335. Wards of 165th Station Hospital, Leyte, December 1944 
336. Troops of 37th Division coming ashore, Lingayen Gulf, January 1945 
337. Extent of supply operations, Lingayen Gulf, January 1945 
338. Ground being hollowed out for bomb shelter and beach aid station, Lingayen Beach, January 1945
339. Patients being transferred from ambulance to beached LST, Lingayen Gulf 
340. Aboard U.S.S. Blue Ridge, 3 January 1945 
341. Destruction in the Walled City, Manila, May 1945 
342. Quezon Institute, Manila 
343. The 120th General Hospital, Santo Tomas University, Manila, June 1945 
344. Main entrance of Philippine General Hospital, Manila, October 1945 
345. U.S. Army Transport General Sturgis departing Manila harbor for Japan, 26 August 1945 
346. Col. A. Stephens Graham, MC 
347. Brig. Gen. Raymond A. Kelser inspecting Ramgarh Training Center, India 
348. Lt. Gen. Joseph W. Stilwell with Brig. Gen. Frank D. Merrill 
349. Deogarh training camp of Merrill`s Marauders, Burma, December 1943 
350. Merrill`s Marauders moving up along Ledo Road 
351. Admiral Lord Louis Mountbatten 
352. U.S. convoy ascending famous 21 curves at An-nan, China, March 1945
353. High ranking Chinese and American officers, donating blood at K`un-ming
354. 73d Evacuation Hospital, Shingbwiyang, Burma 
354b. 73d Evacuation Hospital, Shingbwiyang, Burma (cont.)
355. Medical support of a jungle operation in Burma 
356. Light aircraft evacuating wounded from a makeshift airstrip near Hsamshingyang, Burma 
357. Airstrip at Myitkyina, Burma, May 1944 
358. Inadequate medical supplies being sorted at a Chinese medical collecting station 
359. Hospital construction in India 
359b. Hospital construction in India (cont.)
360. Locally reproduced apparatus designed to aid remedial exercises 
361. Improvised testing equipment used by ophthalmologists 
361b. Improvised testing equipment used by ophthalmologists (cont.)
362. Improvised baker and exercise weight and pulley arrangement at 14thEvacuation Hospital 
363. 20th General Hospital, Ledo 
363b. 20th General Hospital, Ledo (cont.)
364. 18th General Hospital 
364b. 18th General Hospital (cont.)
365. Chinese soldiers constructing an operating table for surgeons of a portable surgical hospital

Charts

1. Organization of the Division of Professional Services, Office of the Chief Surgeon, ETOUSA, in 1942
2. Organization of the consultant system in ETOUSA, 1944
3. Disposition of 34,761 convalescent patients discharged from rehabilitation and reconditioning centers in the United Kingdom, 7 April 1943-31 December 1944 
4. Disposition of 14,247 battle casualties discharged from rehabilitation and reconditioning centers in the United Kingdom, 7 April 1943-31 December 1944.
5. Disposition of 1,637 officer patients (classified as disease, battle and nonbattle injuries), discharged from the 833d Convalescent Camp (Officers), 7 April 1943-31 December 1944 
6. Table of organization for consultants in surgery, U.S. Army Forces, Pacific 

Maps

1. Medical support in the United Kingdom for the Normandy invasion, 1 July1944 
2. Southwest Pacific Area 
3. Allied advance from Townsville, Australia 
4. Distances from mounting areas to Lingayen Gulf 
5. Medical units on Bougainville, March 1944 
6. India-Burma Theater, approximately January 1945 
7. Services of Supply hospitals in India, Burma, and China, early 1945 
8. Selected hospitals of the Services of Supply in India early in 1945,showing concentration in the Calcutta district 

Tables

1. Comparison of infection rates, with respect to wounds, in patients receiving penicillin prophylactically and in controls 
2. Average duration of hospitalization and convalescence, April 1943-June 1945, of trainees returned to duty from convalescent centers 
3. Shortages of surgical officers in AFWESPAC (including Sixth and Eighth U.S. Armies), 17 July 1945 
4. Medical Corps surgical officers in AFWESPAC (including Sixth and Eighth U.S. Armies), 15 July 1945, by specialty and rating 
5. Operations, blood transfusions, and deaths, by month, 148th General Hospital, Saipan, Philippine Islands, August-November 1944