Civil War Hospital Ship

The U.S.S. Red Rover, a captured Confederate vessel, was refitted as a hospital ship.

Evolution of Civil War Nursing

The evolution of the nursing profession in America was accelerated by the Civil War.

The Practice of Surgery

Amputations were the most common surgery performed during the Civil War.

Army Medical Museum and Library

Surgeon-General William Hammond established The Army Medical Museum in 1862. It was the first federal medical research facility.

Civil War Amputation Kit

Many Civil War surgical instruments had handles of bone, wood or ivory. They were never sterilized.

Showing posts with label Casualties. Show all posts
Showing posts with label Casualties. Show all posts

Sunday, April 24, 2016

George Townsend Describes the Wounded on the Peninsula

From: civilwarhome.com

[George Alfred Townsend was only twenty when he began to report the Civil War for the New York Herald, but he quickly established himself as one of the most brilliant of all the many war correspondents.   There are few more graphic accounts of wounds, disease and death than those from his gifted pen.]

It was evening, as I hitched my horse to a stake near-by, and pressed Up to the receptacle for the unfortunates. Sentries enclosed the pen, walking to-and-fro with loaded muskets; a throng of officers and soldiers had assembled to gratify their curiosity; and new detachments of captives came in hourly, encircled by sabremen, the Southerners being disarmed and on foot.

The scene within the area was ludicrously moving. It reminded me of the witch-scene in Macbeth, or pictures of brigands or Bohemian gypsies at rendezvous, not less than five hundred men, in motley, ragged costumes, with long hair, and lean, wild, haggard faces, were gathered in groups or in pairs, around some fagot fires. In the growing darkness their expressions were imperfectly visible; but I could see that most of them were weary, and hungry, and all were depressed and ashamed. Some were wrapped in blankets of ragcarpet, and others wore shoes of rough, untanned hide. Others were without either shoes or jackets, and their heads were bound with red handkerchiefs. Some appeared in red shirts; some in stiff beaver hats; some were attired in shreds and patches of cloths and a few wore the soiled garments of citizen gentlemen; but the mass adhered to homespun suits of gray, or "butternut," and the coarse blue kersey common to slaves. In places I caught glimpses of red Zouave breeches and leggings; blue Federal caps, Federal buttons, or Federal blouses; these were the spoils of anterior battles, and had been stripped from the slain. Most of the captives were of the appearances denominated "scraggy" or "knotty." They were brown, brawny, and wiry, and their countenances were intense, fierce, and animal. They came from North Carolina, the poorest and least enterprising Southern State, and ignorance, with its attendant virtues, were the common facial manifestations. Some lay on the bare ground, fast asleep; others chatted nervously as if doubtful of their future treatment; a few were boisterous, and anxious to beg tobacco or coffee from idle Federals; the rest-and they comprehended the, greater number-were silent, sullen, and vindictive. They met curiosity with scorn, and spite with imprecations.

A child-not more than four years of age, I think-sat sleeping in a corner upon an older comrades's lap. A gray-bearded pard was staunching a gash the tail of his coat. A fine-looking young fellow sat with face in his hands, as if his heart were far off, and he wished to shut out this bitter scene. In a corner, lying morosely apart, were a Major, three Captains, and three Lieutenants,-young athletic fellows, dressed in rich gray cassimere, trimmed with black, and wearing soft black hats adorned with black ostrich-feathers. Their spurs were strapped upon elegantly fitting boots, and they looked as far above the needy, seedy privates, as lords above their vassals....

I rode across the fields to the Hogan, Curtis, and Gaines mansions; for sonic of the wounded had meantime been deposited in each of them. All the cow-houses, wagon-sheds, hay-barracks, hen-coops, Negro cabins, and barns were turned into hospitals. The floors were littered with "corn-shucks" and fodder; and the maimcd, gashed, and dying lay confusedly together. A few, slightly wounded, stood at windows, relating incidents of the battle; but at the doors sentries stood with crossed muskets, to keep out idlers and gossips. The mention of my vocation was an "open scsame," and I went unrestrained, into all the largest hospitals. In the first of these an amputation was being performed, and at the door lay a little heap of human fingers, feet, legs, and arms. I shall not soon forget the bare-armed surgeons, with bloody instruments, that leaned over the rigid and insensible figure, while the comrades of the subject looked horrifiedly at the scene.

The grating of the murderous saw drove me into the open air, but in the second hospital which I visited, a wounded man had just expired, and I encountered his body at the threshold. Within, the sickening smell of mortality was almost insupportable, but by degrees I became accustomed to it. The lanterns hanging around the room streamed fitfully upon the red eyes, and half-naked figures. All were looking up, and saying, in pleading monotone: "Is that you, doctor?" Men with their arms in slings went restlessly up and down, smarting with fever. Those who were wounded in the lower extremities, body, or head, lay upon their backs, tossing even in sleep. They listened peevishly to the wind whistling through the chinks of the barn. They followed one with their rolling eyes. They turned away from the lantern, for It seemed to sear them. Soldiers sat by the severely wounded, laving their sores with water. In many wounds the balls still remained, and the discolored flesh was swollen unnaturally. There were some who had been shot in the bowels, and now and then they were frightfully convulsed, breaking into shrieks and shouts. Some of them iterated a single word, as, "doctor," or "help," or "God," or "oh! " commencing with a loud spasmodic cry, and continuing the same word till it died away in cadence. The act of calling seemed to lull the pain. Many were unconscious and lethargic, moving their finger, and lips mechanically, but never more to open their eyes upon the light; they were already going through the valley and the shadow.

I think, still, with a shudder. of the faces of those who were told mercifully that they could not live. The unutterable agony; the plea for somebody on whom to call; the longing eyes that poured out prayers; the looking on mortal as if its resources were infinite; the fearful looking to the immortal as if it were so far off, so implacable, that the dying appeal would be in vain; the open lips, through which one could almost look at the quaking heart below; the ghastliness of brow and tangled hair; the closing pangs; the awful quietus. I thought of Parrhasius, in the poem, as I looked at these things:-

"Gods!
Could I but paint a dying groan-"

And how the keen eye of West would have turned from the reeking cockpit of the Victory, or the tomb of the Dead Man Restored, to this old barn, peopled with horrors. I rambled in and out, learning to look at death, studying the manifestations of pain,-quivering and sickening at times, but plying my avocation, and jotting the names for my column of mortalities....

Ambulances, it may be said, incidentally, are either two-wheeled or four-wheeled. Two-wheeled ambulances are commonly called "hop, step, and jumps." They are so constructed that the forepart is either very high or very low, and may be both at intervals. The wounded occupants may be compelled to ride for hours in these carriages, with their heels elevated above their heads, and may finally be shaken out, or have their bones broken by the terrible jolting. The four-wheeled ambulances are built in shelves, or compartments, but the wounded are in danger of being smothered in them.

It was in one of these latter that I rode, sitting with the driver. We had four horses, but were thrice "swamped" on the road, and had to take out the wounded men once, till we could start the wheels. Two of these men were wounded in the face, one of them having his nose completely severed, and the other having a fragment of his jaw knocked out. A third had received a ball among the thews and muscles behind his knee, and his whole body appeared to be paralyzed. Two were wounded in the shoulders, and the sixth was shot in the breast, and was believed to be injured inwardly, as he spat blood, and suffered almost the pain of death.

The ride with these men, over twenty miles of hilly, woody country, was like one of Dante's excursions into the Shades. In the awful stillness of the dark pines, their screams frightened the hooting owls, and the whirring insects in the leaves and tree-tops quieted their songs. They heard the gurgle of the rills, and called aloud for water to quench their insatiate thirst. One of them sang a shrill, fierce, fiendish ballad, in an interval of relief, but plunged, at a sudden relapse, in prayers and curses. We heard them groaning to themselves, as we sat in front, and one man, it seemed, was quite out of his mind. These were the outward manifestations; but what chords trembled land smarted within, we could only guess. What regrets for good resolves unfulfilled, and remorse for years misspent, made hideous these sore and panting hearts? The moonlight pierced through the thick foliage of the wood, and streamed into our faces, like invitations to a better life. But the crippled and bleeding could not see or feel it,-buried in the shelves of the ambulance.

Townsend, "Campaigns of a Non-Combatant"

Source: "The Blue and The Gray" by Henry Steele Commager. His source was Townsend, Campaigns of a Non-Combatant

Monday, July 6, 2015

Gettysburg, Pa., July 6 (Monday), 1863

[by] Letterman, Jonathan, Surg., Med. Dir., Army of the Potomac, Gettysburg, Pa.

Over six hundred and fifty medical officers are reported as present for duty at that battle. These officers engaged assiduously, day and night, with little rest, until the 6th, and in the Second Corps, until the 7th of July, in attendance upon the wounded.

The labor performed by these men was immense. Some of them fainted from exhaustion induced by overexertion, and others became ill from the same cause . . . Thirteen of them were wounded; one of whom, Surg. W.S. Moore, 61st Ohio, Eleventh Corps, died on the 6th of July, from the effects of his wounds.

Sourced from: "Civil War Medicine: Care & Comfort of the Wounded" by Robert E. Denney


July 5 (Sunday), 1863: With the Retreat of the Wounded From Gettysburg, Pa.

Imboden, John D., Gen., CSA,

Daybreak on the morning of July 5th found the head of our column at Greencastle, twelve or fifteen miles from the Potomac River at Williamsport, our point of crossing. Here our [perceived] troubles from the Federal cavalry began. From the fields and crossroads they attacked us in small bodies, striking the column where here were few or no guards, and creating great confusion.

. . . After a great deal of harassing and desultory fighting along the road, nearly the whole immense train reached Williamsport a little after the middle of the day. The town was taken possession of; all the churches, schoolhouses, etc, were converted into hospitals, and proving insufficient, many of the private homes were occupied.

Straw was obtained on the neighboring farms; the wounded were removed from the wagons and housed; the citizens were all put to cooking, and the army surgeons to dressing wounds.
The dead were selected from the train__for many had perished on the way__and were decently buried. All t his had to be done because the tremendous rains had raised the river more than ten feet above the fording stage, and we could not possibly cross . . .

Sourced from: "Civil War Medicine: Care & Comfort of the Wounded" by Robert E. Denney

Image: Lee's Retreat from Gettysburg

Monday, April 13, 2015

The Ten Costliest Battles of the Civil War

From: acws.uk.co
(Based on total casualties killed, wounded, missing, and captured)

#1
Battle of Gettysburg;  July 1-3, 1863
Location:  Pennsylvania;
CSA Commander:  Robert  E Lee;
Fed. Commander:  George G Meade;
CSA Forces 75,000; Union Forces 82,289
Winner Union; Casualties 51,112
Union 23,049, Confederate 28,063

#2
Battle of Chickamauga; September 19-20 1863
Location:  Georgia
CSA Commander:  Braxton Bragg
Fed. Commander:  William Rosecrans
CSA Forces 66,326; Union Forces 58,222
Winner Confederacy; Casualties 34,624
Union 16,170, Confederate 18,454

#3
Battle of Chancellorsville; May 1-4 1863
Location: Virginia
CSA Commander:  Robert E Lee
Fed. Commander:  Joseph Hooker
CSA Forces 60,892; Union Forces 113,868
Winner Confederacy; Casualties 30,999
Union 17,278, Confederate 12,821

#4
Battle of Spotsylvania; May 8-19 1864
Location: Virginia
CSA Commander: Robert E Lee
Fed. Commander: Ulysses S Grant
CSA Forces 50,000; Union Forces 83,000
Winner Confederacy; Casualties 27,399
Union 18,399, Confederate 9,000

#5
Battle of Antietam; September 17 1862
Location: Maryland
CSA Commander: Robert E Lee
Fed. Commander: George B McClellan
CSA Forces 51,844; Union Forces 75,316
Winner Union; Casualties 26,134
Union 12,410; Confederate 13,724

#6
Battle of The Wilderness; May 5-7 1864
Location: Virginia
CSA Commander: Robert E Lee
Fed. Commander: Ulysses S Grant
CSA Forces 61,025; Union Forces 101,895
Winner Inconclusive; Casualties 25,416
Union 17,666; CSA 7,750

#7
Battle of Second Manassas; Aug.  29-30 1862
Location: Virginia
CSA Commander: Robert E Lee
Fed. Commander: John Pope
CSA Forces 48,527; Union Forces 75,696
Winner Confederacy; Casualties 25,251
Union 16,054; CSA  9,197

#8
Battle of Stone's River; December 31 1862
Location: Tennessee
CSA Commander: Braxton Bragg
Fed. Commander: William S Rosecrans
CSA Forces 37,739; Union Forces 41,400
Winner Union; Casualties 24,645
Union 12,906; CSA 11,737

#9
Battle of Shiloh; April 6-7 1862
Location: Tennessee
CSA Commanders: Albert Sidney Johnston & P G T Beauregard
Union Commander: Ulysses S Grant
CSA Forces; 40,335
Union Forces; 62,682
Winner Union; Casualties 23,741
Union13,047; CSA 10,694

#10
Battle of Fort Donelson; Feb. 13-16 1862
Location: Tennessee
CSA Commanders: John B Floyd & Simon B Buckner
Union Commander: Ulysses S Grant
CSA Forces; 21,000
Union Forces; 27,000
Winner Union; Casualties 19,455

The above article first appeared in the ACWS Newsletter, June 2002

Learn more about Civil War casualties at www.CivilWarRx.com

Tuesday, March 31, 2015

Charles "Charley" King, the Youngest Casualty of the Civil War

From: pacivilwar150.com

Great sacrifices were made at the Battle of Antietam. And one very small one.

Charles "Charley" King loved playing music. When war broke out, the West Chester, Pa. 12-year-old begged his father to let him enlist in the army as a drummer boy. He earned the backing of Company F Captain Benjamin Sweeney by practicing his drumming near the military camp where the company was being trained. Sweeney, who was recruiting soldiers to serve in the Forty-Ninth Pennsylvania, was impressed.

Sweeney convinced Charley's father that "drummer boys were non-combatants, who generally were safer behind the lines than on the battle line and helped with the wounded." He said Charley would be kept out of danger and would be looked after.

The family agreed to let the oldest of their five children enter the war.

Charley performed well as a musician-drummer boy with the company, impressing the men and officers so much with his drumming that he was promoted drum major of the field music of the Forty-Ninth Pennsylvania Regiment. It was a distinct honor for such a young volunteer. After participating in the 1862 Peninsula Campaign, Charley was a veteran, something that few of his age could claim.

With the movement of Lee's Confederate Army of Northern Virginia into Maryland in September of 1862, Charley marched with the rest of the Federal Army toward Western Maryland and a showdown with the enemy: The Battle of Antietam - the bloodiest single day of fighting in the Civil War.

During that battle on Sept. 17, 1862, enemy artillery exploded near the Forty-Ninth Pennsylvania, wounding several men including Charley, who was shot "through the body" by a piece of shrapnel.  He was carried back to a field hospital in the rear of the lines.

When that day ended, almost 25,000 lay dead or wounded on the peaceful farm fields surrounding the small village of Sharpsburg. Three days later, Charley died of his wounds, as the youngest soldier of either army to fall during the four years of Civil War.

Charley's father retrieved his body after the battle and laid him to rest near his home in West Chester, at Old Cheyney Cemetery.



Monday, March 2, 2015

Civil War Casualties

By Robert Jones
Author & Online 19th century and Civil War antiques

Trying to understand Civil War casualties today is almost beyond the average person’s comprehension. During the mid-19th century death was a part of everyday life – being common for both old and young, usually by disease. But no one was prepared for what the Civil War would inflict upon the country.

Two and a half percent of the population would die – the battle of Antietam alone had more than all previous wars combined. It is estimated at over 650,000, but if you add in the veterans who would later die as a result of the war, it would be closer to 1,000,000. Today it would be like losing seven million – like I said, hard to imagine.

The average soldier was far from home and family and all he had was his comrades and perhaps a picture of a loved one. He would often form a pact with a friend in the event he was wounded or killed. They would write to each other’s family to let them know what happened and to make sure their love was of them when they passed.

On the evening of May 10th, 1864, as the Civil War ground on into its fourth straight year, 26-year-old James Robert Montgomery, a private in the Confederate Signal Corps, wrote a letter to his father back home in Camden, Mississippi, dripping blood on the paper as he wrote, from the horrific arm wound he had sustained a few hours earlier during the Battle of Spotsylvania, Virginia.

“Dear Father. This is my last letter to you. I have been struck by a piece of shell and my right shoulder is horribly mangled and I know death is inevitable. I am very weak but I write to you because I know you would be delighted to read a word from your dying son. I know death is near, that I will die far from home and friends of my early youth but I have friends here too who are kind to me.

"My friend Fairfax will write you at my request and give you the particulars of my death. My grave will be marked so that you may visit it if you desire to do so. It is optionary with you whether you let my remains rest here or in Mississippi. I would like to rest in the graveyard with my dear mother and brothers but it's a matter of minor importance. Give my love to all my friends. My strength fails me. My horse and my equipments will be left for you. Again, a long farewell to you. May we meet in heaven. Your dying son, J. R. Montgomery”

James Montgomery's friend, Fairfax, did write soon thereafter, forwarding some of his effects and assuring his father that he had been conscious to the end, and that he had died at peace with himself and his maker. But it was little consolation. Though the grave had been marked, the family was never able to find it, and was thus never able to realize their fond hope of bringing their dead son home.

Image: James Robert Montgomery Co. A, 11th Mississippi Infantry, and later detailed to the Signal Corps, serving with Major General Henry Heth: Written  May 10, 1864 this blood stained letter from Montgomery in Spotsylvania County, Virginia to his Father Allen V. Montgomery informing that he has been mortally wounded and expressing his desire to be re-interred in his home state of Mississippi. From Museum of the Confederacy Document of the Month.

Sunday, February 8, 2015

The Numbers Illustrated: Civil War Battle Casualties

From: civilwar.org

New military technology combined with old-fashioned tactical doctrine to produce a scale of battle casualties unprecedented in American history.

Consequences

From: civilwar.org

Approximately one in four soldiers that went to war never returned home.  At the outset of the war, neither army had mechanisms in place to handle the amount of death that the nation was about to experience.  There were no national cemeteries, no burial details, and no messengers of loss.  The largest human catastrophe in American history, the Civil War forced the young nation to confront death and destruction in a way that has not been equaled before or since.

Recruitment was highly localized throughout the war.  Regiments of approximately one thousand men, the building block of the armies, would often be raised from the population of a few adjacent counties.  Soldiers went to war with their neighbors and their kin.  The nature of recruitment meant that a battlefield disaster could wreak havoc on the home community.

The 26th North Carolina, hailing from seven counties in the western part of the state, suffered 714 casualties out of 800 men during the Battle of Gettysburg.

The 24th Michigan squared off against the 26th North Carolina at Gettysburg and lost 362 out of 496 men.  Nearly the entire student body of Ole Miss--135 out 139--enlisted in Company A of the 11th Mississippi.  Company A, also known as the "University Greys" suffered 100% casualties in Pickett's Charge.

Eighteen members of the Christian family of Christianburg, Virginia were killed during the war.  It is estimated that one in three Southern households lost at least one family member.

One in thirteen surviving Civil War soldiers returned home missing one or more limbs.  Pre-war jobs on farms or in factories became impossible or nearly so.

This led to a rise in awareness of veterans' needs as well as increased responsibility and social power for women.  For many, however, there was no solution.  Tens of thousands of families slipped into destitution.

Image: The Battle of Gettysburg left approximately 7,000 corpses in the fields around the town. Family members had to come to the battlefield to find their loved ones in the carnage. (Library of Congress)



Casualties of War

From: civilwar.org

There were an estimated 1.5 million casualties reported during the Civil War.

A "casualty" is a military person lost through death, wounds, injury, sickness, internment, capture, or through being missing in action.  "Casualty" and "fatality" are not interchangeable terms--death is only one of the ways that a soldier can become a casualty.  In practice, officers would usually be responsible for recording casualties that occurred within their commands.  If a soldier was unable to perform basic duties due to one of the above conditions, the soldier would be considered a casualty.  This means that one soldier could be marked as a casualty several times throughout the course of the war.

Most casualties and deaths in the Civil War were the result of non-combat-related disease.  For every three soldiers killed in battle, five more died of disease.  The primitive nature of Civil War medicine, both in its intellectual underpinnings and in its practice in the armies, meant that many wounds and illnesses were unnecessarily fatal.

Our modern conception of casualties includes those who have been psychologically damaged by warfare.  This distinction did not exist during the Civil War.  Soldiers suffering from what we would now recognize as post-traumatic stress disorder were uncatalogued and uncared for.

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