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September 13, 1941

Field Surgery in Total War

JAMA. 1941;117(11):973. doi:10.1001/jama.1941.02820370069032

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The author discusses his experiences in a forward surgical unit with the Republican army in the recent Spanish civil war. In recording his experiences he has divided his work into two sections, the first dealing with organizational and tactical matters, for the initiating of early definitive treatment and rapid evacuation, while the second section deals with the technical care of the wounded in the forward area. The tactical and organizational section stresses the importance of evacuating all wounded from the battalion aid stations to a classification post, where they are immediately separated into three classes: those requiring operative work within five hours from the time of injury, those not so seriously injured who must be treated within ten hours after injury, and those who can be transported directly to the evacuation hospital. Here the author has developed his "three point forward system," which consists of the classification post, the No. 1

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