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 Weapons. Show all posts
Showing posts with label Weapons. Show all posts

Wednesday, May 3, 2017

The Gatling Gun: A Civil War Innovation

By A.B. Feuer, 12-16-15

“If war was made more terrible, it would have a tendency to keep peace among the nations of the earth.” - Richard Gatling, Inventor of the Gatling Gun

Richard Gatling was born in Hertford County, NC, on December 12, 1818. His father was a prosperous farmer and inventor, and the son was destined to inherit the “invention bug.”

After three of his sisters died at a young age from disease, Richard Gatling decided to study medicine, and graduated from the Ohio Medical College in Cincinnati in 1850. He moved to Indianapolis the same year, and in 1854 married the daughter of a prominent local physician. There is no evidence that Richard Gatling ever practiced medicine after leaving medical school, but he was always referred to as “doctor.”

Gatling was a born inventor. Between 1857 and 1860 he patented a steam plow, a rotary plow, a seed planter, a lath-making machine, a hemp rake, and a rubber washer for tightening gears. One day in 1861, with the Civil War only a few months old, Dr. Gatling’s inventive fervor suffered a shock that would turn his mind from machines of peace to machines of war. From his Indianapolis office window, Gatling watched in horror as wounded and maimed soldiers were unloaded from a train—casualties from the southern killing fields.

The doctor was aware that the conflict was being waged in Napoleonic fashion. Men faced each other in solid ranks—aimed, fired, reloaded—and, on command, charged headlong into the blazing guns of the enemy. For several nights Richard Gatling could not sleep. A single idea occupied his thoughts. What if a few soldiers could duplicate the firepower of a hundred men? Troops would no longer be able to stand still and shoot at each other. And the running charge would be impossible, because the attacking force would be mowed down like tall grass.

Gatling reasoned that if he were able to invent a machine that could plant seeds swiftly, accurately, and in precise rows, he should be able to devise a mechanical gun that would spray bullets like water from a garden hose.

Invention of the Gatling Gun
Within a few weeks, the doctor had completed the drawings for his innovative weapon, the “Gatling gun,” and took the sketches to a machinist to manufacture.

The first Gatling gun consisted of a cluster of six rifle barrels, without stocks, arranged around a center rod. Each barrel had its own bolt, and the entire cluster could be made to revolve by turning a crank. The bolts were covered by a brass case at the breech. Cartridges were fed into a hopper, and as the cluster revolved, each barrel was fired at its lowest point, and then reloaded when the revolution was completed.

The gun was mounted upon a wheeled carriage. Two men were required to operate the weapon—one to sight the target and turn the crank, the other to load the ammunition.

A working model was completed within six months, and a public demonstration was held across Graveyard Pond in Indianapolis. The abrupt, rapid noise of gunfire could be heard for five miles and, at 200 rounds per minute, the bullets cut a 10-inch tree in half in less than 30 seconds.

Dr. Gatling patented his gun on November 4, 1862, but he had a difficult time selling it to the Army. General James Wolfe Ripley, chief of ordnance, was not impressed with the weapon and remarked: “You can kill a man just as dead with a cap-n’-ball smooth-bore.”

Gatling was unperturbed, however, and took his diagrams to a manufacturing company in Cincinnati. Twelve of the Gatling guns were built, and a few of them were sold to General Benjamin Butler for $1,000 each. Butler later used the Gatlings to hold a bridgehead against Confederate cavalry at the James River.

In early trials of the Gatling gun, it was regarded by the military as a supplement to artillery. The tests that were conducted compared the range and accuracy of the machine gun with the range and accuracy of grapeshot fired by artillery pieces.

Richard Gatling continued to modify and improve the weapon, and in 1865 patented a model that was capable of firing 350 rounds per minute. A demonstration was held at Fortress Monroe. This time the ordnance department was impressed and ordered a hundred guns. The Gatling gun was officially adopted by the U.S. Army on August 24, 1866. It was first manufactured by Cooper Arms in Philadelphia, and later by the Colt Arms Company of Hartford, Conn.

Europe and Abroad
Dr. Gatling traveled throughout Europe selling his weapon, and new models were continually being designed. A short-barrel variety was purchased by the British and mounted on camels. This so-called “camel gun” was also used by the U.S. Army and Navy.

As settlers moved west after the Civil War, Army garrisons in forts along the frontier housed Gatling guns. Gatlings were also attached to cavalry expeditions. A Gatling detachment under Lieutenant James W. Pope accompanied General Nelson A. Miles’s campaign into west Texas. On August 30, as an advance party of Army scouts entered a trail that led between two high bluffs, about three hundred Indians charged down the cliffs. At the sound of gunfire, Pope quickly brought up his Gatling guns. The rapid, withering fire scattered the attacking warriors, and they fled in confusion.

During the same year, a battalion of 8th Cavalry, commanded by Major William R. Price, was ordered out to suppress an uprising by several Indian tribes, including Arapaho, Cheyenne, Comanche, and Kiowa. Price was able to successfully fight off several surprise attacks by hostile bands with two Gatling guns.

“If war was made more terrible, it would have a tendency to keep peace among the nations of the earth.” - Richard Gatling, Inventor of the Gatling Gun

But in the most famous battle of the Indian Wars, the Gatling was strangely absent. On June 22, 1876, Maj. Gen. George Armstrong Custer and his 7th Cavalry rode out from their Powder River camp and headed for the Little Big Horn River. Custer had been offered three Gatling guns but refused them. He felt that the Gatlings—mounted on horse-drawn carriages—would slow his cavalry troop down in rough country. Custer also believed that the use of such a devastating weapon would cause him to “lose face” with the Indians. Whether or not the Gatlings could have saved Custer and his 200 men is questionable. Some accounts report the column of Indians that retreated after the battle as being three miles long and a half-mile wide.

During the next few years, the Gatling gun participated in a number of battles, including those with the Nez Perce. The warriors under Chief Joseph fought 13 engagements against the U.S. Army, many of which were standoffs. Finally, on September 30, 1877, in the Bear Paw Mountains of Montana, General Nelson Miles, with 600 men and a Gatling gun, attacked Chief Joseph’s camp. After four days of bitter fighting, Chief Joseph could hold out no longer. As he surrendered his rifle to Miles, the valiant Indian leader said, “My heart is sick and sad. From where the sun now stands, I will fight no more forever.”

The Gatling Gun In Africa
During the latter part of the 19th century, Gatling guns became more and more popular, and were used in the many wars that flared during the 1880s and 1890s. The 1879 war between England and the African Zulu tribes was the first major land action in which the Gatling gun proved to be a deciding factor. A small British army, commanded by Lord Chelmsford, defeated a much larger Zulu force under King Cetywayo. In one encounter, a single Gatling mowed down more than 400 tribesmen in only a few minutes.

After his victorious campaign, Lord Chelmsford wrote: “They [Gatling guns] should be considered essentially as infantry weapons. They can be used effectively, not only in defense, but also in covering the last stage of an infantry attack upon a position—where the soldiers must cease firing and charge with the bayonet.”

By the time Dr. Gatling died in 1903, the automatic machine gun had arrived on the scene. It was powered by the discharging gases of its fired cartridges, and was simpler and more economical to use than the manually operated guns. In 1911, the U.S. Army declared the Gatling gun obsolete.

But Richard Gatling’s legacy did not die with him. In September 1956, the General Electric Company unveiled its 6-barrel aerial cannon called the Vulcan. For several years, General Electric had made a detailed study of every rapid-fire gun, and its engineers had found that Dr. Gatling’s original patents offered the most promise for the development of firepower necessary for fast jet fighter aircraft. The Vulcan was also put to use on attack helicopters and gunships.

From: warfarehistorynetwork.com

Sunday, August 30, 2015

A Surgeon’s Sword

By Chuck Franson, Registrar, AMEDD Museum, Summer 2013

Beginning in 1840 and continuing for 62 years, U.S. Army Medical Officers were required to purchase a dress sword. This sword was completely ceremonial in purpose and was not considered an implement of war, unlike cavalry sabers or foot officer’s swords. The regulations called for a “small sword and scabbard, according to pattern in the Surgeon-General's office.” Even though the published details are vague, the M1840 sword is easily recognized.

The 1840 medical sword in the collection of the AMEDD Museum has a blade marked “Solingen” indicating that it was manufactured in Solingen, Germany, a city with a long history of cutlery manufacturing. The imported blade was transformed into a sword by the G. W. Simons & Brother Company of Philadelphia Pennsylvania. This company began in 1839 and by 1860 was manufacturing a diverse array of gold and silver items including gold and silver thimbles, pencil cases, tooth and ear picks, cane heads, bracelets, studs, seals and badges. With the expansion of the Army due to the outbreak of the American Civil War in April 1861, Simons added officer’s swords to their product line.

The sword has a double-edged straight blade, etched “United States Medical Staff” on the obverse, and on the reverse an eagle and a banner with “E Pluribus Unum.” The hilt has an English style “M S” (for Medical Service) in silver on a shield-shaped langet, sitting above 13 stars enclosed by a wreath. The hilt has an acorn-shaped pommel, with scroll shaped double quillon. The hilt and scabbard are decorated with acanthus leaves, a very popular decorative motif of the period. The hilt, scabbard and fittings are made of gilt over brass, with the blade being of steel. The reverse langet was frequently engraved with the name of the officer purchasing the sword. The langet on this sword is unfortunately blank The Medical Officer’s sword was discontinued in 1902, when regulations prescribed the M1902 sword for all officers except chaplains.

From: history.amedd.army.mil/newsletters

Wednesday, August 5, 2015

Civil War Ordnance Department

From: illinois.gov

During the Revolutionary War, the Commissary of Military Stores was established and responsible for purchasing and supplying weapons for the United States Army. Two federal armories manufacturing small arms were established by George Washington: the Springfield Arsenal in Massachusetts, originally established in 1777, and the United States Armory at Harpers Ferry, Virginia. At this time all weapons were hand made and the production and repair of these one-of-a-kind items was time consuming.

As a means of organization, the Commissary of Military Stores was renamed the Ordnance Department in 1812 and was charged with providing military supplies to the army and militias. Other responsibilities included design and adoption of new weapons, inspection of arms and other ordnance produced by contractors, storage, distribution, upkeep and repair of weapons, and supplying units in the field with ordnance.

When the Civil War broke out, the government couldn’t supply enough guns for its early recruits, although the United States government had weapons left over from the Mexican War. Many
volunteer soldiers brought their weapons from home. Old-fashioned muskets, shotguns, handguns (pistols and revolvers), and rifles are examples of the different kinds of guns that were used to fight the war. This lack of uniformity in small arms required different sizes of ammunition, creating confusion and a supply and standardization nightmare.

The Ordnance Department early in the Civil War issued guns to soldiers that were primarily smoothbore muskets stored in arsenals across the country. Smoothbore muskets, very effective for mass volley shooting during frontal assaults by the infantry, were the standard guns used during the Revolutionary War. Smoothbores had an advantage of quick and easy loading (up to 4 shots a minute), but their effective range was only 100 yards and their ability to hit a single target was negligible.

Rifled muskets had greater range and accuracy and made superior weapons, but there were not enough on hand to furnish the troops. During the war, experiments, alterations, and innovations were frequently made to the technology of firearms and eventually the U.S. Army adopted a standard muzzle loading rifled musket and upgraded ammunition with the adoption of the conical-shaped minié ball.

After the first Battle of Bull Run proved to be a disaster for the Union, the United States government beefed up its procurement of weapons by purchasing firearms from Europe while also contracting with private companies to manufacture weapons, and ramping up production at government-run armories.

Initially, the Confederacy’s Ordnance Department was hampered by lack of skilled manpower,
procurement and distribution problems. Not able to produce enough guns and ammunition for their
soldiers, the Ordnance Department relied upon three supplemental methods for obtaining weapons:
battlefield capture, imports from blockade runners, and domestic production. The Confederacy’s chief of Ordnance was Josiah Gorgas. He was instrumental in increasing the South’s industrial capacity that supplied munitions to the army.

Firearms larger than those that were carried by soldiers (small arms) were referred to as artillery and divided between smoothbore and rifled cannon. Most artillery was classified by the type of service it performed and the ease of mobility:

• Light Artillery: light and mobile enough to maneuver in battle and through difficult terrain, easily assembled and ready to use quickly, transported by mules and horses. Artillery guns were grouped into batteries and the number and types of guns in a battery varied.

• Heavy Artillery: Guns were heavier in weight and designed for stationary defense of key positions
(cities, ports, and harbors), but would be transported to different positions on siege lines or mounted in fortifications used to batter earthworks and fortifications. They were transported with difficulty. 

Image: 24 pound siege gun. Library of Congress

PLEASE CONSIDER HELPING TO MEMORIALIZE AN IMPORTANT CHAPTER IN AMERICAN HISTORY.

Civil War Medicine is a four-part series that honors the unsung heroes of the Civil War and celebrates our breakthrough period of medical advancement.

Your support will help to complete production and document a crucial chapter of America's heritage and of the history of medicine.All donors will receive screen credit.

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Tuesday, January 20, 2015

Civil War's Carnage Led to Medical Advances

By Dan Dearth, April 09, 2011

The carnage that was caused by weapons introduced during the American Civil War forced doctors to make advances in medicine that might have taken another 25 years to develop had the conflict not been fought.

"In many ways, the battlefield was the birthplace of modern emergency medicine," said George Wunderlich, executive director of the National Museum of Civil War Medicine in Frederick, Md., who also oversees the Pry House Field Hospital Museum on Antietam National Battlefield.

The 600,000 deaths attributed to the Civil War likely would have paled in comparison to the millions of people who would have died had doctors not been given the opportunity to hone their skills on diseased and wounded soldiers.

"Medicine might have waited another 25 years to catch up had it not been for the Civil War," Wunderlich said. "Large numbers of men fighting with these improved weapons caused the medical department to find new ways."

The advances in weaponry, such as grooved barrels that allowed cannons and rifles to fire farther and with more precision than their smooth-bore predecessors, permitted soldiers to hit their targets with greater effectiveness, Wunderlich said.

"Anything upward of 125 yards, a rifle was much more accurate than a smooth bore," he said.

The Minie ball, the state-of-the-art bullet of its day, was smaller than the circumference of the rifle barrel and made loading faster. When fired, the Minie ball expanded and engaged the grooving on the inside of the barrel, which made the projectile spin for greater accuracy and distance.

Sniper rifles with scopes made killing with small arms even more effective.

"You're seeing incredible shots being made during the Civil War," Wunderlich said. "Those things could reach out and touch you from 700 to 800 to 900 meters ... Entire regiments of sharpshooters were formed."

The bullets, which typically ranged in size from .54- to .58-caliber during the Civil War, were much smaller than the .69- to .75-caliber musket balls that were used in the Revolutionary War, Wunderlich said. A smaller bullet that didn't hit a vital organ or artery was more likely to wound than to kill, and that resulted in more patients for doctors to work on and enhance their skills.

The side with the most modern artillery also had the advantage, Wunderlich said. A good example was the Battle of Antietam, in which union guns firing from the area of the Pry House on the south end of the battlefield took a toll on Confederate guns that were deployed near the site of the current Visitors Center

He said the Confederate cannons had a shorter range, and as a result, many shells fell short of their targets, while the rifled Union guns fired with deadly accuracy. After the battle, Wunderlich said, dozens of Confederate shells were found at the bottom of a ledge in front of the house.

"(Union soldiers) fired at will without danger to themselves — at least in that case," Wunderlich said.

About 23,110 casualties were recorded at the Battle of Antietam, where, for the first time, Dr. Jonathan Letterman was able to enact his system of emergency medicine that is still used on the battlefield and in the civilian world today.

Saving lives
Letterman, a surgeon in the Union army, invented a system to rapidly remove wounded soldiers from the battlefield. The first step was to take the soldier to an aid station about 75 yards from the fighting. The aid stations were staffed by surgeons who stabilized the patients. A horse-drawn ambulance then took the soldier to a field hospital, where he received more advanced care before he was taken to a hospital away from the fighting.

"It saved a boatload of lives," Wunderlich said. "We still use these principles today ... They brought the ambulance system and the emergency room system back to civilian life. They were the ones who pushed technology in the civilian world."

Wunderlich said the wounds that soldiers suffered during the Civil War spurred doctors to specialize in areas of medicine such as plastic surgery, orthopedics, neurology and the treatment of gunshot wounds.

Doctors found cures for infections as well, even though they didn't understand germs. Wunderlich said experiments with bromine and iodine to treat gangrene, for example, led from an abysmal cure rate before the war began in 1861 to a 96 percent cure rate by the time the war ended in 1865.

"They were shooting in the dark with a lot of it," he said.

Medical professionals discovered that cleanliness also produced positive results.

"They learned that people lived longer in clean hospitals and clean camps," Wunderlich said. "Hospitals became immaculately clean. They didn't know why, but when they did, people lived longer."

William Hammond, the U.S. surgeon general at the beginning of the war, ordered doctors to perform case studies to describe how wounds and diseases were treated in an effort to identify ways to save lives. In addition to recording the types of medicines and procedures that were used, doctors recorded such things as the soldier's race. The case studies that were found to be effective were compiled and published in "The Medical and Surgical History of the War of the Rebellion, 1861-1865," a six volume reference with thousands of pages.

"It was a treasure trove," Wunderlich said. "It documented diseases and wounds. It became a real textbook for future generations of military surgeons."

In a way, the Civil War was to medicine what Elvis Presley was to rock 'n' roll.

"He didn't invent it," Wunderlich said. "But he changed it a little and went wild."

From articles.herald-mail.com

Image: Illustration of a Gatling gun. (Illustrated London News/Hulton Archive/Getty Images)



Monday, July 14, 2014

The Effects of Bullet/Shell/Sabre

by Janet King, RN, BSN, CCRN.

The three primary causes of wounds in the Civil War were:
  • small arms ammunition: bullets, round balls, minie balls.
  • artillery fire: solid shot, case shot, canister; and
  • bayonet or sabre strokes.
It is said that the tactics of war always lag behind the weapons, and in the Civil War this was especially true. Soldiers were taught to fight as "massed" units and the range of the weapons and their destructive force was devastating on these masses.

The minie ball was a fairly recent invention at the onset of the war. Some 94% of the total combat injuries were attributed to this missile. It was designed to be fired from a rifled musket; was made of soft lead; traveled at a high velocity (for that era) of 950 ft/sec; and was accurate at 200 to 300 yards. As it traveled, it would spin from the rifled barrel of the musket and would deform and tumble on impact. Its effect on bone and tissue was incredibly devastating. It would smash, tear apart, and disintegrate what it hit. Most of the amputations that occurred were because of this great devastation.

Often there would be 1 or 2 inches of bone entirely pulverized or missing altogether after the ball impacted, and the only recourse the surgeon had was to amputate. One surgeon, describing such damage, wrote, "The shattering, splintering, and splitting of a long bone by the impact of the minie ball is in many instances, both remarkable and frightening." In addition to its destruction of bone and the mangling of skin and muscle, the ball would carry foreign material, i.e. pieces of uniform, bits of metal from belt plates, bone chips etc. into the surrounding wound and virtually guarantee an infected wound.

The other common small arms ammunition - round balls - were slightly less dangerous. The soldier might get "lucky" and the ball glance off the bone instead of shattering it. Also, if luck was with him, he would be hit in an extremity. Some 71% of Union wounded were so "fortunate." Why? Because, the lack of knowledge of bacteria and the difficulties of chest and abdominal surgeries in the Civil War era made the mortality very high for soldiers receiving wounds in those areas. For example - a soldier hit in the abdomen, where the ball struck the small intestine, and causing leaking of fecal material into the abdomen - had a 87% to 100% chance of his wound being a mortal one.

 Some surgeons advised that "When balls are lost in the capacity of the belly one need not amuse himself by hunting for them." Still, there were surgeons who questioned this stance. Eventually the majority of doctors would try some type of repair, if for no other reason than to give the patient one last chance. Some treatments did succeed, and others were miserable failures. The trial of "hermetically sealing" certain chest wounds ended when the mortality was determined to be 100%. Sometime, the surgeons realized, it was best to "let nature run its course."

The surgeons attended soldiers wounded in every body part including: damaged eyes; faces torn apart; jaws broken into bits; pelvic wounds that, because the bladder had been hit, leaked urine constantly onto the skin; intestines protruding from the abdomen and many others. Some surgeries had been done seldom if ever in their civilian practices and thus they had much to learn. Artillery fire accounted for some 5.5% of the Union wounded in the Civil War. This included artillery projectiles such as solid shot; canister, and spherical case shot; as well as torpedoes and grenades.

One surgeon stated the primary effect of artillery was the "demoralization of the troops under fire." Here he noted the psychological effect of war injuries. In WW I this would come to be known as "shell shock" and today would be listed as "post traumatic stress disorder." In the 1860s these terms and syndromes were not understood, and often the soldier was simply considered to be "demoralized" or "unnerved." In some cases the soldier was accused of cowardice. ( A mistake General Patton of WW II fame, would also make).

One soldier described his feelings of being under fire as "...I feared that if I ever lost control of myself under shell fire my mind would be shattered...To be under heavy shell fire was to me by far the most terrifying of combat experiences...Fear is many faceted and has many subtle nuances but the terror and desperation endured under heavy shelling are by far the most unbearable."

That soldiers did suffer long term psychological wounds from shell fire is well documented. Drunkenness, severe depression or "melancholia," desertion and other manifestations of mental health problems can be found throughout unit histories and in reviewing soldiers lives after the war ended.

Although the wounds from artillery fire were less numerous than small arms fire, they were more often deadly. A single round cannon ball - in one instance - killed the captain of one company outright, severed the orderly sergeant's arm, a corporal's leg and a private's head before bouncing off into the woods!

Some artillery projectiles were designed to explode either in the air or on the ground, creating a shrapnel effect where hundreds of bits of heavy iron or lead would be thrown into or over a group of soldiers (who were in their massed formations), wreaking havoc.

One soldier described the bursting of a shell - "...Clouds of smoke shot out from the redoubt and out of these - large, black balls rose upward...passed, shrieking shrilly. Through the dust and uproar I saw men fall, saw others mangled by chunks of shell, and saw one, struck fairly by an exploding shell, vanish!"

The effect of this shelling upon the body was to tear off limbs, slice through tissue and scatter metal fragments throughout wounds. At times metal and other fragments the shell hit - i.e. nails, wood etc. would be carried into the wound as well. All in all, the wounds were often torn, lacerated and mangled.

Less than 0.4% of Union casualties were the result of sabre or bayonet wounds. This, however, did not make them less deadly. Approximately 50% of such wounds occurred to the scalp, skull, face or neck. Sometimes the victim had been involved in "fierce hand to hand combat", but a large number of the cases were found to be due to "private quarrels, brawls, or inflicted by sentinels in the discharge of their duty." The surgeons found these injuries tended to "excite inflammatory action in deep seated tissues and cavities, with the danger of formation and confinement of pus from the injury to blood vessels, nerves and viscera and the possibility of pyemia, gangrene, and tetatnus."

Sabre blows to the head often resulted in the brain itself being injured with problems of epilepsy (seizures), loss of hearing or vision, and "impairment of the mental faculties or insanity" sometimes resulting. These problems were sometimes short-lived, but often stayed with the soldier throughout his life.

If the sabre or bayonet cut into a vital organ or major blood vessel, the soldier often bled to death. Corpses of men killed in such fashion upon the battlefield were "rare and conspicuous by their peculiarly contorted look."

From: vermontcivilwar.org

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