The Evolution of Forward Surgery in the U.S. Army

August 30, 2019

As its title suggests, The Evolution of Forward Surgery in the US Army: From the Revolutionary War to the Combat Operations of the 21st Century from the Borden Institute describes forward U.S. Army surgery from the Revolutionary War to the present.

From a historical perspective, this comprehensive book explains the advances in medicine and forward surgical care provided to wounded and ill soldiers on the frontline. The book opens with the role of military medicine and its impact on casualty care from the Revolutionary War to the War of 1812. In particular, it discusses the impact of disease during the Revolutionary War through the post-Civil War period.

Advancements in medicine continued to progress after the Civil War into World War I. By the time the U.S. Army entered into WWI, the Army Medical Department had evolved considerably. The book explains how new technologies in forward surgery impacted the “great war.” Advances in medications, lifesaving transfusions, and transportation vehicles such as motorized ambulances were introduced during this period.

Additionally, the research further describes Army forward surgery in WWII and its impact on an international level as well the wars that followed. It discusses the medical and surgical care of the various theater campaigns during WWII, particularly the China-Burma-India Theater of Operations, focusing on forward surgery. Forward surgery continued to evolve during the Korean and Vietnam Wars which introduced the need for Mobile Army Surgical Hospitals (MASH) and helicopter medical evacuations. These advancements provided immediate accessibility to administer surgical care to wounded soldiers near the front lines.

More recent wars showcase advances in radiography, blood collection, pain management, MEDEVAC units, anesthesia equipment, and improved operating room lighting for better surgical conditions and outcomes.

The text concludes with the designation of a formal forward surgical team and its challenges during the Global War on Terrorism as well as a final chapter discussion on homeland defense, contingency operations, and future directions.

Evolution of Forward Surgery in the US Army: From the Revolutionary War to the Combat Operations of the 21st Century is available in a variety of formats from various outlets. To learn more click here.

Find more resources published by the U.S. Army Borden Institute

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About the author: Blogger contributor Trudy Hawkins is the the Sr. Marketing & Promotions Specialist in GPO’s Publication & Information Sales Division supporting the U.S. Government Online Bookstore.

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Posted by Trudy Hawkins

The Real stories of MASH and disease-fighting Armed Forces medical scientists

April 9, 2014
TV Week final episode cover depicting M*A*S*H television show cast

TV Week final episode cover depicting M*A*S*H television show cast. Did you know that the character of MASH 4077th’s head nurse “Hot Lips” Margaret Houlihan was inspired by two real-life Korean War Army MASH head nurses “Hotlips” Hammerly and Janie Hall?

The music starts. The lyrics to the haunting song “Suicide is Painless” play in your head. The sound and sight of helicopters enter and then you are looking down from the helicopters view on a village of tents and red crosses. The television series M*A*S*H, based on the 1970 movie that was set during the Korean War at the fictitious 4077th Mobile Army Surgical Hospital or M*A*S*H, established itself as one of the greatest shows in history. The show was on air from 1972-1983, and it still lives on today in syndication.

The series finale was broadcasted on February 28, 1983 to 105.9 million viewers, becoming the most watched television broadcast of all time. The record held for nearly three decades until the 2010 Superbowl surpassed M*A*S*H’s record with 106.5 million viewers. The show had the ability to make you cry from both a comedic and emotional standpoint striking a unique balance unlike many shows.

But sometimes real life can be as fascinating as fiction. Learn about the real-life exploits of a genuine Army MASH unit and of brave medical researchers fighting tropical diseases in southeast Asia with two recent Armed Forces medical history publications from the U.S. Army Medical Center and School’s Borden Institute.

Skilled and Resolute: A History of the 12th Evacuation Hospital and the 212th MASH, 1917-2006 ISBN: 9780160922534Skilled and Resolute: A History of the 12th Evacuation Hospital and the 212th MASH, 1917-2006 follows the 90-year history of a medical unit, the 12th Evacuation Hospital and its successor the 212th Mobile Army Surgical Hospital, which served in military engagements from World War I to Operation Iraqi Freedom as well as many peacekeeping and humanitarian missions. The unit’s goal is to be trained, equipped, and deployable at a moment’s notice.

There are some gruesome pictures in the Vietnam War section, but overall the book is a fascinating read about how medical techniques evolved with warfare practices in makeshift hospitals close to front lines. In 2006, the unit transformed once again to the 212th Combat Support Hospital and was deployed to Afghanistan.

Lt. General George S. Patton visits the US Army 12th Evacuation Hospital (MASH) to award decorations to the World War 2 wounded. (Photo courtesy U.S. Army Medical Department, Office of Medical History)

Lt. General George S. Patton visits the US Army 12th Evacuation Hospital (MASH) to award decorations to the wounded. Patton would later infamously get in trouble for slapping a soldier at another World War 2 hospital who was suffering from post-traumatic stress disorder (PTSD) or combat stress reaction (CSR), which was called shell shock starting in WW 1.  (Photo courtesy U.S. Army Medical Department, Office of Medical History)

The photos in the book look like scenes out of the M*A*S*H television series; you can picture Radar turning is head to the side, pausing to listen and exclaiming “Choppers!” to be followed by the sound of helicopters.

Getting the sick and wounded from the front to a MASH unit during the Korean War. (Image courtesy http://www.koreanwar60.com/army)

Army helicopters were critical for evacuating the sick and wounded from the front to a MASH unit ambulance during the Korean War. (Image courtesy http://www.koreanwar60.com/army)

The Armed Forces Research Institute of Medical Sciences (AFRIMS), 1960-2010: a 50th Anniversary Photographic History ISBN: 9780160918315The Armed Forces Research Institute of Medical Sciences (AFRIMS), 1960-2010: a 50th Anniversary Photographic History is a lean coffee table book organized by decade. The black and white and color photographs tell the story of AFRIMS – a medical military partnership between the United Sates and Thailand that was founded in response to a cholera epidemic in Thailand in 1959. Within 10 years, a laboratory was built and AFRIMS established the reputation of being a major force in tropical medical research. In the 1970s, the lab played a crucial role in researching and developing treatment for tropical diseases inflicting the military serving in the Vietnam War.

Technology advancements in the 1980s were adapted by AFRIMS and helped with storing and organizing research. In the 1990s and the first decade of the new century, AFRIMS conducted trials impacting the research on vaccines for hepatitis A, malaria, and HIV. The photographs are very compelling and effectively share history while showing the way they conducted research and interacted with the Thai community.

AFRIMS Captain Michael "Mike" Benenson (future USAMC director) returns a “wai” while the study team prepares medications in the 1973 malaria drug prophylaxis study. (Photograph courtesy of Dr. Michael Benenson)

AFRIMS Captain Michael “Mike” Benenson (future USAMC director) returns a child’s “wai” greeting while the study team prepares medications in the 1973 malaria drug prophylaxis study. (Book photograph courtesy of Dr. Michael Benenson)

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About the author: Our guest blogger is Emma Wojtowicz, Public Relations Specialist in GPO’s Office of Public Affairs. 

Additional images and content provided by Government Book Talk Editor Michele Bartram is Promotions and Ecommerce Manager for GPO’s Publication and Information Sales Division in Washington, DC, and is responsible for online and offline marketing of the US Government Online Bookstore (http://bookstore.gpo.gov) and promoting Federal government content to the public.

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Posted by Michele Bartram, U.S. Government Online Bookstore

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