Civil War Amputations

Medicine played and still plays a major part in the world. However, modern medicine did not prosper until long after the civil war, which we can assure are some of the reasons many soldiers and residents lives were compromised. From amputations, sanitation, a lack of surgeons and supplies with, contagious fevers and diseases a great deal of people went long winters and summers suffering from things that doctors were incapable of curing solely based on the fact medicine had not reached the level of quality and quantity it needed to be at the time.

World War I was a war of innovation with new artillery and tactics, but also a deadly war in which approximately ten million soldiers died in or injuries sustained from battle. As injuries increased throughout the war, the need for medical assistance was constantly growing. Surgery is considered an art and like art, it evolved and new techniques were developed, making an injury that could kill someone survivable. For instance, in the Civil War most surgeons would immediately amputate and in World War I surgeons began trying much harder to save limbs. Blood transfusion allowed surgeons to reduce patient death from blood loss because of the ample supply of blood from fellow soldiers. Sanitation improvements led to fewer deaths from infection

Even though there was not any sanitation the chance of survival for stretched then pervious wars. Doctors had medical kits, which included different tool for cutting such as knives, scalpels, bone saws, chain saw, suture and bandages. Thermometers were rarely used. Doctors did have some painkillers, but they were not always given to all soldiers. The most effective were morphine and opium. What happened after the surgery? Soldiers were transported to a hospital by ambulance. Soldiers were normally in horrible pain making the trip almost unbearable to deal with. The greatest risks for soldiers were now infection.

The Civil War had a tremendous death toll. In fact, it had more deaths than any of the previous wars combined. At the time, it was thought that the soldiers in battle died from the wounds or amputations they received. The true cause of death came from disease. These harsh conditions were contributed by unqualified doctors and non-sterile equipment. During the Civil War, the true issue was not only the wounds received in battle but the infectious diseases that ultimately led to the soldier’s death. When this was discovered, doctors knew some action needed to take place. Hospitals and sanitation standards were improved. The Civil War contributed to an evolution of medicine and how to combat victims plagued with disease.

The medicines and medical techniques used during the Civil War were very primitive for their time. Extremely little was known about germs and the dangers of infections. In Recovery, it is stated that, “Treating wounds and illnesses with medication had become common—opiates, stimulants, sedatives, diuretics, purgatives, and more were widely available and used. The first pills had been made in the early 1800s. The stethoscope and the

During the Civil War, they had to have many medicines, operations, and surgeries done to themselves or others in order to survive (Jenny Goellnitz, Paragraph 1). Some of these medicines we still use today. Medical technology and scientific knowledge have changed dramatically since the Civil War, but the basic principles of military health care remain the same. The deadliest thing that faced the Civil War soldier was disease. For every soldier who died in battle, two died from disease.

During the Civil War the only major problem second to getting shot in the face, was a shot to the chest. At the time doctors did not really understand how to treat a wound of that type, and usually the major issue was the negative pressure exerted outwards, leading to the collapse of the lungs and soon after, suffocation. Contributing to this problem, the doctors observed that during their war, the french had an 8 percent survival rate from major damage to the chest, leading to many medical practitioners to simply refuse treating chest wounds. Early into the war, however, soldiers would be blessed with the miracle of knowledge, knowledge of how to close chest wounds. Benjamin Howard, a young assistant surgeon, otherwise known as a cub surgeon,

In the Battle of Gettysburg that took place on July 1, 1863, and ended on July 3, many casualties and injuries resulted from the fighting between those few days, leading to the victory of the Union Army. As mentioned in the Killer Angels, the hospitals were tents where soldiers were treated for their wounds on the battlefield, in the view of anyone and everyone. Amputations were almost every physician’s immediate response to bullet wounds shattering bones, amongst other types of injuries. Medicine was not as advanced back then as it is now, especially in the battlefield. Often, physicians and other medical professionals did not use proper hygienic techniques, which led to further complications due to bacteria and

The Civil War had lasting historical impacts on America. Many medical, technological, military advances happened during or after the war and are still impacting The United States today. According to civilwar.org, out of the “...the heavy and constant demands of the sick and wounded sped up the technological progression of medicine, wrenching American medical practices into the light of modernity.” (Dixon). This quote shows just how much the Civil War forced these advances. Many things that are normal to us today, came around during the Civil War. Jonathan Letterman, the Medical Director of the Army of the Potomac, gave us the idea of a modern day ambulance system. In Letterman’s system “the ambulances of a division moved together...with two stretcher-bearers...” (civilwarhome.com). These ambulances would gather wounded men from the field, and then dress their wounds on their way to the field hospital. Because of the Civil War and because of how many deaths came out of the Civil War, we are still using Jonathan Letterman’s system.

The American Civil War was a horrible time of pain and suffering, especially to those who fought in the war. The Civil War caused hundreds and thousands of deaths, yet many of these were not the result of battle wounds. About two thirds of deaths from the Civil War were attributed to disease. Of course, even though the majority of soldiers that did not die during the war left without limbs, and left with trauma and disabilities, the results could have been much worse without the medical advancements we gained during the war. Technical advances in hygiene, surgery, and medical efficiency all became substantial outcomes that furthered medical practices and helped shape medicine in the modern age.

Imagine going through all the pain in surgery and infections. Medicine during the Civil War can be compared to today’s medicine. For instance the surgical instruments, infections, where surgeries took place and where they take place now, sanitized and unsanitized tools and equipment. Today’s infections have changed greatly over time due to the change in sanitary conditions and the equipments surgeons use today.

A. Plan of Investigation This investigation will assess the impact of amputations on the American Civil War from 1861 to 1865. The practice of amputations during the Civil War is perceived as a failure due to the high amount of casualties, uneducated practitioners, and attitudes towards medicine, but there were also limited successes in the practice of amputations. Primary documents and individuals directly involved in the conflict will be investigated to determine the impact of amputations during the conflict to analyze the arguments. Also, statistics and historians’ interpretations will be examined to analyze impact of amputations and different perspectives.

The battle of Shiloh was a bloody battle that caused roughly 23,746 soldiers deaths. Almost 14,000 of them died of diseases caused by untreated infections. Anesthesia was used as much as 90% of the time during surgeries such as amputations of the leg, arm, hand or foot. Hospitals were either set up in a barn or in homes nearby the battlefield. One of the biggest concerns for the wounded was infection, due to the poor sanitary conditions of the hospitals and the doctors supplies. Majority of the doctors who served during the battle had very little training and they were unaware of the different diseases and how they were spread.

Prosthetics has always been part of most of our history, and it has come a long way since then. Forms of prosthetics date way back to the Civil War, and has made a lot of progress throughout the years. During the Civil War, many soldiers would have to be amputated everyday to save their lives. For example, in the text “I Will Not Get Out of Heart Yet,” it states that “Soldiers shot in the arm or leg on the battlefield were highly likely to develop potentially fatal infections, and the only way to prevent a painful death was to cut off the damaged body part.” Despite this fact, prosthetics were extremely uncomfortable to wear and were considered “crude contraptions” and “ were usually made of wood or steel --- that were awkward and painful to wear.” Many soldiers did not like having prosthetic limbs, as they were uncomfortable to wear and awkward to move around with.

Although most people would not object to the idea that diseases played some sort of role in the Civil War, few truly realize the extent of their influence. As it was stated previously, diseases affected the Northern soldiers and the Southern soldiers in different ways and to different extents. Those differences will be examined later in this paper. There are some issues relating to diseases, however, that affected soldiers in general, not particularly one side of the war. Those factors will be observed here.