1st Medical Brigade
The 1st Medical Brigade is a medical brigade of the United States Army. It is located at Fort Hood, Texas, providing health care and medical services to the Fort Hood community, and continuing training in its combat support mission.
History
World War I
The 1st Sanitary Train, as originally organized, was composed of two battalions—one motorized and one animal drawn. The companies of the battalions had all been raised well before the start of the war, and were assembled as an organization upon arrival in France. Each battalion was composed of two field hospital companies and two ambulance companies. The first elements of the train—composed of ambulance company 6 and field hospital company 6 began movement to Hoboken, New Jersey, where they embarked for Europe on 14 June 1917, arriving in the port of St. Nazaire on 26 June. On 13 August, field hospital companies 2 and 12 and ambulance companies 2 and 12 landed on 1 and 3 September in Liverpool, England, and later moved to La Harve. On 1 December field hospital company 3 departed Fort Bliss, Texas and ambulance company 3 departed Fort Oglethorpe, Georgia, sailed from Hoboken on 5 December, and arrived at St. Nazaire on 22 December, among the last elements of the 1st Division to arrive in France. The 1st Sanitary Train was assembled, finally, in the Gondrecourt training area, where the division trained for combat operations.The table of organization for a sanitary train called for a total of 927 officers and men. Each ambulance company had 12 ambulances; the animal drawn companies each had 70 mules to pull their ambulances, as well as 24 riding horses. Each field hospital company could hold 236 patients, although it was authorized no nurses; the animal drawn field hospital companies also had 30 mules and 22 riding horses each. In column, the sanitary train stretched for 1,160 yards—more than half a mile.
Sommerville Sector
Ambulance Company 13 of the 1st Sanitary Train was the only American ambulance company operational in the Sommerville sector and furnished litter bearers for duty in the trenches, evacuating patients to Field Hospital 13 and from it to Base Hospital 18 at Bazoilles-sur-Meuse, and to Camp Hospital 1 at Gondrecourt. It did not establish a dressing station, as patients were moved direct by litters and by vehicles from the battalion aid stations to the field hospital. Because of road conditions near the front, the ambulance company's collecting point was some distance in the rear of the aid stations, so the wounded were carried through the trenches to the battalion aid stations and then back an additional 3 km to the collecting point at Bathelemont.Field Hospital 13 was the only field hospital established for the 1st Division in the Somerville sector. Half of it, including X-ray and other necessary equipment, was located in a residence and two pavilions at Einville; the other half was in part of a hospital at Dombasle. As the base and camp hospitals to which this hospital was to evacuate were 81 km to the rear by road, patients were retained with the portion of Field Hospital 13 at Einville.
Ansauville Sector
The division surgeon's office, headquarters of the sanitary train, and headquarters of the train's field hospital and ambulance sections were at Menil-la-Tour.Medical Department personnel established an aid station at each regimental headquarters and battalion aid stations in battalion areas. The most advanced battalion aid stations were located in dugouts at Seicheprey. Because the village was under direct enemy observation and was shelled frequently, patients had to be evacuated at night, when ambulances could travel the road from Beaumont. Evacuation to the regimental aid stations often required that patients be carried a kilometer or more through trenches which often were knee deep in mud and water. Patients were usually suffering from disease, although a moderate number of men suffering from shell wounds, and on occasion a fairly large number of chemical casualties.
Infantry regimental aid stations were first established Beaumont and Mandres, but on 1 March the station Mandres moved to Bouconville. The aid stations at Beaumont and Bouconville were in basements of partially destroyed buildings and were made provided additional protection from indirect fire using logs, sandbags, and stone. The road between Beaumont and Mandres was especially dangerous, as it was shelled day and night, causing many casualties. The regimental aid station of the 16th Infantry at Mandres had at first functioned also as a dressing station, but on 1 March 1918, this service was taken over by Ambulance Company 2, until they, in turn, were relieved by Ambulance Company 3 on 27 March. The station treated chemical casualties as well as other cases and to a limited degree acted as a triage point. It was on the axial road and occupied a building whose walls had been protected by thick sandbags, but occasionally when receiving indirect fire it utilized a dugout which it had constructed nearby.
Ambulance Company 13 operated ambulances from Menil-la-Tour and provided litter bearers to forward units until relieved by Ambulance Company 12 on 21 March 1918. That ambulance company, augmented by vehicles from other companies, maintained headquarters and an ambulance park at Menil-la-Tour, dispatching ambulances to the dressing station at Mandres and to forward units. Other ambulances were attached to unit aid stations at important points in rear areas of the sector.
Evacuation Ambulance Company 1 from the Services of Supply maintained two ambulances at Field Hospital 13 for evacuation to Sebastopol, where twenty ambulances were available for use during periods of heavy casualties.
The different ambulance circuits, in forward and rear areas, were established for dealing with battle casualties, with a third circuit for the routine sick. The front circuit was maintained by Ford ambulances working forward from Mandres and returning to deliver patients to the dressing station there. Pertaining to it were emergency ambulances stationed at Beaumont, Rambucourt, and Bouconville, and at times at Seicheprey, with reserve at Mandres. The advance point to which ambulances could go by daylight was on the Beaumont-Bouconville road paralleling the front line and 2 km from it. At night ambulances could be sent forward to Xivray-Marvoisin and Seicheprey, 1 km from the front line. When circumstances warranted the risk, ambulances stationed at Seicheprey could evacuate from Seicheprey by day, but not as a routine measure. The rear circuit of heavy G. M. C. ambulances began at Mandres, where patients were carried to a fixed evacuation hospital. In order to cut down transportation, patients who could stand the longer trip to Toul or to Sebastopol were sent directly from Mandres and were not required to stop at the triage at Menil-la-Tour. Patients were distributed from Mandres as follows: Seriously wounded and sick who could not stand long ambulance transportation, to Menil-la-Tour; chemical agent casualties to Menil-la-Tour; surgical cases to Sebastopol; and sick and contagious diseases to Toul. A few ambulances for this circuit were maintained at Mandres, with reserve at Menil-la-Tour. At times of expected periods of high casualties, the ambulance park was advanced to Hamonville, and ambulances and trucks were dispatched to Mandres as needed.
In quiet times a routine circuit of ambulances was maintained, daily calls being made at all aid stations within the division area that could be reached for the collection of sick and slightly wounded to be triaged at Menil-la-Tour, allowing placement of ambulances posted at outlying aid stations for emergency use.
Field Hospital 13 became operational on 17 January 1918 at Menil-la-Tour, in barracks taken over from a French field hospital and equipped for the care of 200 patients. This served at first as a divisional hospital and, after hospitals in the rear began functioning as a triage, for the reception of chemical casualties and some ill patients until relieved about 31 March by a field hospital of the 26th Division. The location was poorly suited for a hospital because of its proximity to a large supply dump and railhead subject to indirect fire. Several attacks occurred and missiles impacted within a hundred yards of the hospital, but no artillery fire was ever received.
Patients began to be received immediately after arrival of the 1st Division in the sector. Seven wounded were admitted on 21 January, and sixty-two chemical casualties on the 26th, the first chemical casualties in the division. Of the 674 patients received by Field Hospital 13, 323—nearly half of all patients treated—were due to chemical agents.
Field Hospital 12, after being held in reserve, became operational on 23 January at Sebastopol in large, permanent, stone barracks. It functioned as an evacuation and surgical hospital until relieved on 4 February by Evacuation Hospital 1, which then assumed responsibility for care of the seriously wounded. The field hospital personnel had been previously augmented by details from Ambulance Companies 3 and 13. Field Hospital 12 moved 6 February to a large stone barracks—Caserne la Marche—at Toul, where it established a 400-bed hospital for the divisional sick. Since the barracks were large and readily adapted for use as a hospital, the field hospitals here supplemented their normal equipment with the addition of large quantities of supplies suitable for the proper maintenance of a semi-permanent hospital.
Field Hospital 2 arrived at Toul on 18 February and established an annex to Field Hospital 12 for the care of contagious cases. It operated until 2 April, when the annex was turned over to a hospital of the 26th Division.
Field Hospitals 12 and 13 evacuated by train from Toul to base hospitals in the rear those cases which did not require surgical attention at Evacuation Hospital 1. This continued until about 3 April, when the facilities were turned over to hospitals of the 26th Division. In this sector Field Hospital 13 received 889 patients and Field Hospitals 12 and 2 received a combined total of 2,482 patients. As Evacuation Hospital 1 received most of the wounded, their patients were primarily those that were ill, and chemical casualties.
The sick rate of the division was three times that for battle casualties. More than two-thirds of those cases were minor, and most of the patients were returned to duty in a short time directly from the field hospitals. The prevailing diseases in the division in the sector were respiratory or intestinal. Sporadic cases of cerebrospinal meningitis, diphtheria, scarlet fever, mumps, and measles occurred, but no epidemic developed. A camp for venereal cases was established southeast of Raulecourt, and patients who were able to do so were put to work as laborers on road construction and similar heavy work.
The medical supply unit of the division, with a large stock, was maintained at Demange-aux-Eaux in the division rear. An advance medical supply depot was operated by Field Hospital 13 at Menil-la-Tour for issue to all organizations in advance areas. An advance subdepot was maintained at the dressing station at Mandres, for the distribution of supplies by ambulance or runners to front-line aid stations.
The 1st Division was relieved 1–3 April 1918, by the 26th Division and proceeded to the neighborhood of Chaumont-en-Vexin, where headquarters were established 8 April. For the next 10 days the division was trained in open warfare, activities consisting chiefly of brigade and division maneuvers. Regiments evacuated the disabled directly into the French hospitals at Gisors.