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Last year marked the 150th anniversary of the first gunshots of the Civil War -and the first gunshot wounds. As it turns out, the bloodiest war in American history was also one of the most influential in battlefield medicine. Civil War surgeons learned fast, and many of their MacGyver-like solutions have had lasting impact. Here are some of the advances and the people behind them.
Life Saving Amputation: The General who Visited his Leg
The old battlefield technique of trying to save limbs with doses of TLC (aided by wound-cleaning rats and maggots) quickly fell out of favor During the Civil War, even for top officers. The sheer number of injured was too high, and war surgeons quickly discovered the best way to stave deadly infections was to simply lop off the area -quickly.
Among those saved by the saw was Daniel E. Sickles, the eccentric commander of the 3rd Army Corps. In 1863, at the Battle of Gettysburg, the major general’s right leg was shattered by a Confederate shell. Within the hour, the leg was amputated just above the knee. His procedure, publicized in the military press, paved the way for many more. Since the new Army Medical Museum in Washington, D.C. had requested battlefield donations, Sickles sent the limb to them in a box labeled “With the compliments of Major General D.E.S.” Sickles visited his leg yearly on the anniversary of its emancipation.
Daniel Sickles' leg on display at the the National Museum of Health and Medicine.
(Image credit: Wikipedia user Nis Hoff)
Amputation saved more lives than any other wartime medical procedure by instantly turning complex injuries into simple ones. Battlefield surgeons eventually took no longer than six minutes to get each moaning man on the table, apply a handkerchief soaked in chloroform or ether, and make the deep cut. Union surgeons became the most skilled limb hackers in history. Even in deplorable conditions, they lost only about 25 percent of their patients -compared to a 75 percent mortality rate among similarly injured civilians at the time. The techniques invented by wartime surgeons -including cutting as far from the heart as possible and never slicing through joints- became the standard.
As for the nutty-sounding behavior of the leg-visiting commander, Sickles can be justifiably accused. In 1859, while serving in Congress, he shot and killed U.S. Attorney Philip Barton Key for sleeping with Sickles’ wife. Charged with murder, Sickles became the first person in the United States to be found not guilty by reason of temporary insanity.
The Anesthesia Inhaler: A Knockout Breakthrough
In 1863, Stonewall Jackson’s surgeon recommended the removal of his left arm, which had been badly damaged by friendly fire. When a chloroform-soaked cloth was placed over his nose, the Confederate general, in great pain, muttered, “What an infinite blessing,” before going limp.
This is a story too gross to make up. A plastic surgeon in Beverly Hills is in trouble for modifying his engine to run on liposuctioned fat. Several ex-patients are suing Dr. Craig Bittner because they did not agree to having their excess used for his benefit. Apparently this isn’t the first time something like this has happened or else California wouldn’t already have a law on the books banning people from using human medical waste to power vehicles.
Whatever happened to appreciating the search for alternate fuel sources?
Link Via Consumerist, Photo by dotbenjamin [Flickr]
