
What was medical care like during the Civil War?
What was medical care like during the Civil War? Medical care was heavily criticized in the press throughout the war. It was stated that surgery was often done without anesthesia, many unnecessary amputations were done, and that care was not state of the art for the times.
What were the medical procedures in the Civil War?
Six Ways the Civil War Changed American Medicine
- Early Field Medics. When Hammond became surgeon general of the Union Army in 1862, he shook things up. ...
- Reshaping Surgery. Perhaps unsurprisingly, one of the most common surgeries conducted during the war was amputation. ...
- Prosthetics Boom. ...
- Airy Hospital Architecture. ...
- Ambulance Pioneers. ...
- Restocking the Pharmacy. ...
What medicines were used in the Civil War?
Medicine in the American Civil War
- Hospitals. At the onset of the war, makeshift camps and hospitals were set up to treat the injured. ...
- Transportation. The transportation of injured and ill soldiers went through many changes during the Civil War. ...
- Sanitation. ...
- Anesthesia. ...
- Amputations. ...
- Medications. ...
What was medical care in the Civil War?
Union medical care improved dramatically during 1862. By the end of the year each regiment was being regularly supplied with a standard set of medical supplies included medical books, supplies of medicine, small hospital furniture like bed-pans, containers for mixing medicines, spoons, vials, bedding, lanterns, and numerous other implements.

What was the treatment for a wounded soldier?
If his wounds demanded more attention, he was evacuated via Letterman’s ambulance and stretcher system to a nearby field hospital.
What was the effect of Hammond's design of hospitals during the Civil War?
The sheer quantity of those who suffered from disease and severe wounds during the Civil War forced the army and medical practitioners to develop new therapies, technologies and practices to combat death. Thanks to Hammond’s design of clean, well ventilated and large pavilion-style hospitals, suffering soldiers received care that was efficient and sanitary. In the later years of the war, these hospitals had a previously unheard of 8% mortality rate for their patients.
What did Walt Whitman see during the Civil War?
On his many tours of these improvised hospitals, the great American poet and Civil War nurse Walt Whitman noted in his Memoranda during the War the disorderly death and waste of early Civil War medicine. At the camp hospital of the Army of the Potomac in Falmouth, Virginia in 1862, Whitman saw “a heap of amputated feet, legs, arms, hands, &c, ...
What was the legacy of the Civil War?
Modern Medicine's Civil War Legacy. During the Civil War, both sides were devastated by battle and disease. Nurses, surgeons, and physicians rose to the challenge of healing a nation and advanced medicine into the modern age. Walt Whitman remarked on the plethora of hospitals around Washington D.C., calling them "grim clusters.".
How did the heavy and constant demands of the sick and wounded sped up the technological progression of medicine?
However, 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. Field and pavilion hospitals replaced makeshift ones and efficient hospitalization systems encouraged the accumulation of medical records and reports, which slowed bad practices as accessible knowledge spread the use of beneficial treatments.
How did the Civil War affect the wounded?
As battles ended, the wounded were rushed down railroad lines to nearby cities and towns, where doctors and nurses coped with the onslaught of dying men in makeshift hospitals. These hospitals saw a great influx of wounded from both sides and the wounded and dying filled the available facilities to the brim . The Fairfax Seminary, for example, opened its doors twenty years prior to the war with only fourteen students, but it housed an overwhelming 1,700 sick and wounded soldiers during the course of the war.
What relief organization was founded in 1861?
Organized relief agencies like the 1861 United States Sanitary Commission dovetailed doctors’ efforts to save wounded and ill soldiers and set the pattern for future organizations like the American Red Cross, founded in 1881.
How did the necessities of war affect the medical field?
The necessities of war actually spurred medical advances, especially in the field of prosthetics. It was a harbinger of the medical innovations that would take place during the world wars of the next century.
How many people died in the Civil War?
About 150 years ago, the United States was slogging through a Civil War that would claim more than half a million lives--the deadliest war in the nation’s history.
What was the Civil War medicine?
Medicine in the American Civil War. by Dr. Mary Williams, R.N. D.C. The Civil War came at a time when there were very few advancements in terms of medicine and the treatment of injuries and ailments. Even some of the most basic life-saving techniques, such as CPR, were not heard of or developed at that time.
What was the drug used in the Civil War?
In fact, opium had many uses during the Civil War, as it was used not only to treat pain but also in the treatment of severe diarrhea, pneumonia, and bronchitis. Quinine, another common drug at the time, was used to treat common deadly diseases such as malaria.
How did the Minie ball affect the Civil War?
New types of ammunition during the Civil War, like the Minie ball, created injuries with damage that had never been encountered during wars of the past. The extent of destruction from this slug was massive, as it would not only crush the bone at impact but also destroy the bone three inches around the impact. Because of the extreme damage, surgeons often felt removing a limb was the best way to quickly save a life. In addition, gangrene also played a major role in the high number of amputations that took place. There were an estimated 50,000 amputations made over the course of the war, leaving many soldiers without arms, legs, or feet. At the beginning of the war, many of the surgeons were unfamiliar and inexperienced with performing amputations. The sheer number of amputations quickly changed this, and doctors were soon doing numerous surgeries daily. There were two surgical techniques, or methods, that were employed when performing an amputation. The most beneficial technique in terms of speed and convenience was the circular method. This method allowed the surgeon to cut right through the limb and could be done even in dim lighting. While this method left the amputated site open, the fish-mouth flap method did not. With this method, the surgeon made a flap of skin that resembled the mouth of a fish and used it to cover the amputation site.
What were the problems of the field hospitals?
Although hospitals underwent some advancements, sanitation continued to be a problem, particularly in field dressing stations and field hospitals. Doctors did not have a concept of germs and bacteria or how they spread infection. Surgeons often tended one patient after another without use of gloves or proper cleansing of the hands or equipment. Sterilization of instruments did not occur, and when instruments were wiped off, it was often with soiled surgery aprons, soiled cloth, or even the surgeon's dirty boot strap. Thick and creamy pus, which was referred to as laudable pus, from wounds was mistaken as a good sign of healing and was not recognized as a sign of infection. It, along with blood and other bodily fluids, could be found on surgical aprons, bedding, and even the floors. Soldiers who received care often remained in their filthy uniforms while in field hospitals, even after treatment. In terms of healing, poor sanitation often led to infection, which was a significant hurdle for injured soldiers at the time. In addition to infection, poor sanitation was also commonly the cause of disease among the troops.
What were some examples of Civil War pain medications?
These medications were used to treat disease, infection, and pain. An example of a medication for the relief of pain was Dover's Powder. This was a mixture of ipecac and opium.
What hospital provided care for soldiers during the Civil War?
Civil War Medicine and the RCH: Rochester City Hospital was one of the hospitals that provided care for soldiers in the later years of the Civil War. Click this link to read about their most notable Army surgeons as well as the health threats they faced, including diseases. They also talk about issues concerning battlefield surgery.
What was the first stop for the wounded soldiers?
As the war continued, the use of these centers and hospitals changed and became increasingly more organized. Field stations, which were located near battle, were a first stop for the injured. Here, the wounded soldiers received some form of help for pain, typically whiskey.
What were the medical practices of the Civil War?
Initially, barns, homes and tents were used to treat soldiers and even perform surgeries. Having little understanding of hygiene, doctors would often move between patients without washing their hands or medical instruments and even use dirty rags to cover wounds. Do you think this make doctors in the Civil War irresponsible or even at fault for many of the deaths? Although these practices seem crazy by modern standards, remember that without the knowledge of disease that we have today, doctors were doing their very best to treat and help as many injured soldiers as possible!
How did medical practices improve during the Civil War?
Medical practices have greatly improved since the Civil War. Doctors had a difficult task ahead of them in using homes, barns and tents as their hospitals and treating patients without the understanding of disease and hygiene . Union soldiers had better chances of surviving because of the availability of medicine. The efforts and courage of doctors (called Sawbones because of the number of amputations they performed), nurses like Clara Barton and the Union Surgeon General William Hammond greatly improved the conditions of hospitals and the practices of medicine over the duration of the war. Additionally, the Ambulance corps, U.S. Sanitary Commission, and triage system were Civil War innovations that gave soldiers a better chance of surviving. Today, many of our medical practices and standards come from discoveries in the Civil War.
Why were amputations performed in the Civil War?
Due to unsanitary conditions, disease was so rampant in Civil War hospitals that even minor injuries often required amputation to prevent the spread of infection. Since antibiotics had not yet been discovered, once an infection started, there was little anyone could do to stop its spread other than removing the infected area. Fortunately, for soldiers requiring amputations, about fifteen years before the war doctors started using anesthesia (in the form of chloroform) when performing operations. Although not always available before surgeries, most patients were able to have this form of anesthesia to lessen the pain they endured. Whiskey and even opium were also used to help ease pain.
How did William Hammond change the hospital?
In the Union, the work of Surgeon General William Hammond revolutionized the conditions of hospitals by the war's end. Hospital buildings and tents were designed to have better ventilation so that the spread of disease was limited . Doctors were taught better hygienic practices so that they did not act as the carriers of disease between patients. Additionally, Hammond created standardized hospital inspections to ensure that all hospitals were being run to standard.
What was the most common cause of death in the Civil War?
In the Civil War, the most common cause of death was not related to battlefield injuries. Instead, disease was the cause of about two-thirds of casualties in the war. Cold winters, close living quarters, and a lack of understanding about hygiene and the spread of disease meant that illness like dysentery and malaria spread rapidly.
What was the triage system?
This was a ranking system that put soldiers into groups from those needing the most immediate care to those whose injuries could wait to be treated. This system is still used today.
How did the Ambulance Corps help soldiers?
First, the Ambulance corps helped get soldiers off the battlefield and to doctors. Additionally, hospitals (in tents, homes and barns) were selected and placed closer to the battlefield to help increase the likelihood of soldiers surviving.
What diseases did soldiers get during the Civil War?
The Civil War soldier also faced outbreaks of measles, small pox, malaria, pneumonia, or camp itch. Soldiers were exposed to malaria when camping in damp areas which were conductive to breeding mosquitos, while camp itch was caused by insects or a skin disease. In brief, the high incidence of disease was caused by a) inadequate physical examination ...
How many years of medical school did Civil War doctors go to?
Generally, Civil War doctors underwent two years of medical school, though some pursued more education. Medicine in the United States was woefully behind Europe. Harvard Medical School did not even own a single stethoscope or microscope until after the war. Most Civil War surgeons had never treated a gunshot wound and many had never performed ...
What was the deadliest thing in the Civil War?
The deadliest thing that faced the Civil War soldier was disease. For every soldier who died in battle, two died of disease. In particular, intestinal complaints such as dysentery and diarrhea claimed many lives. In fact, diarrhea and dysentery alone claimed more men than did battle wounds.
What was the treatment for bowel problems in the prisoner camps?
To halt disease, doctors used many cures. For bowel complaints, open bowel s were treated with a plug of opium. Closed bowels were treated with the infamous "blue mass"... a mixture of mercury and chalk.
What was the third leading killer disease of the Civil War?
Pneumonia was the third leading killer disease of the war, after typhoid and dysentery. Lack of shoes and proper clothing further complicated the problem, especially in the Confederacy. The diet of the Civil War soldier was somewhere between barely palatable to absolutely awful.
What did inspectors find in the camps?
An inspector who visited the camps of one Federal Army found that they were, "littered with refuse, food, and other rubbish, sometimes in an offensive state of decomposition; slops deposited in pits within the camp limits or thrown out of broadcast; heaps of manure and offal close to the camp.".
How many surgeons served in the Civil War?
Some 10,000 surge ons served in the Union army and about 4,000 served in the Confederate .
How effective was surgery in the Civil War?
A 2016 research paper found that Civil War surgery was effective at improving patient health outcomes. The study finds that "in many cases [surgery] amounted to a doubling of the odds of survival".
What was the state of medical knowledge at the time of the Civil War?
Medicine in the American Civil War. The state of medical knowledge at the time of the Civil War was extremely primitive . Doctors did not understand infection, and did little to prevent it. It was a time before antiseptics, and a time when there was no attempt to maintain sterility during surgery.
How many patients were in a field hospital?
Field hospitals were initially in the open air, with tent hospitals that could hold only six patients first being used in 1862; after many major battles the injured had to receive their care in the open. As the war progressed, nurses were enlisted, generally two per regiment. In the general hospitals one nurse was employed for about every ten patients. The first permanent general hospitals were ordered constructed during December 1861 in the major hubs of military activity in the eastern and western United States. An elaborate system of ferrying wounded and sick soldiers from the brigade hospitals to the general hospitals was set up. At first the system proved to be insufficient and many soldiers were dying in mobile hospitals at the front and could not be transported to the general hospitals for needed care. The situation became apparent to military leaders in the Peninsular Campaign in June 1862 when several thousand soldiers died for lack of medical treatment. Dr. Jonathan Letterman was appointed to succeed Tripler as the second medical director of the army in 1862 and completed the process of putting together a new ambulance corps. Each regiment was assigned two wagons, one carrying medical supplies, and a second to serve as a transport for wounded soldiers. The ambulance corps was placed under the command of Surgeon Majors of the various brigades. In August 1863 the number of transport wagons was increased to three per regiment.
What were the diseases in the South during the war?
Operations in the South meant a dangerous and new disease environment, bringing diarrhea, dysentery, typhoid fever, and malaria. There were no antibiotics, so the surgeons prescribed coffee, whiskey, and quinine. Harsh weather, bad water, inadequate shelter in winter quarters, poor policing of camps and dirty camp hospitals took their toll. This was a common scenario in wars from time immemorial, and conditions faced by the Confederate army were even worse.
What happened after the Battle of Bull Run?
After the Battle of Bull Run, the United States government took possession of several private hospitals in Washington, D.C., Alexandria, Virginia, and surrounding towns. Union commanders believed the war would be short and there would be no need to create a long-standing source of care for the army's medical needs.
Why were the divisional hospitals placed in safe locations?
Although the divisional hospitals were placed in safe locations, because of their size they could not be quickly packed in the event of a retreat. Several divisional hospitals were lost to Confederates during the war, but in almost all occasions their patients and doctors were immediately paroled if they would swear to no longer bear arms in the conflict. On a few occasions, the hospitals and patients were held several days and exchanged for Confederate prisoners of war.
Why was the medical corps at a disadvantage during the Civil War?
The Confederacy was quicker to authorize the establishment of a medical corps than the Union, but the Confederate medical corp was at a considerable disadvantage throughout the war primarily due to the lesser resources of the Confederate government. A Medical Department was created with the initial army structure by the provisional Confederate government on February 26, 1861. President Jefferson Davis appointed David C. DeLeon Surgeon General. Although a leadership for a medical corp was created, an error by the copyist in the creation of the military regulations of the Confederacy omitted the section for medical officers, and none were mustered into their initial regiments. Many physicians enlisted in the army as privates, and when the error was discovered in April, many of the physicians were pressed into serving as regimental surgeons.
Why did diseases kill so many soldiers during the Civil War?
The reason diseases killed so many soldiers during the Civil War was the lack of basic sanitary and hygiene practices. For example, surgeons would not clean their equipment between patients often leaving the blood from the previous patient on their tools when moving on to the next patient.
Why was hygiene important during the Civil War?
Unfortunately doctors and nurses during the Civil War just did not know that hygiene [the practice of keeping clean to stay healthy and prevent disease] was important for health . Most of the medical people cared for the sick and dying and often risked their own lives in do so, they just did not know any better at that time in history.
Why were amputations so effective?
This number of amputations earned surgeons throughout the armies a reputation of being “butchers” when, in fact, amputations were one of the quickest, most effective ways for surgeons (in the Civil War) to treat as many patients as possible in a short amount of time.
Where did most amputations occur during the Civil War?
Many amputations over the Civil War occurred at the fingers, wrist, thigh, lower leg, or upper arm. The closer the amputation was to the chest and torso, the lower the chances were of survival as the result of blood loss or other complications.
What were the conditions in the Army hospitals during the war?
Army hospitals, especially at the beginning of the war, were overcrowded and poorly ventilated; conditions which allowed airborne diseases to spread rapidly. Patients would sneeze and cough into the air releasing small droplets filled with viruses or bacteria into the air; other patients who inhaled these water droplets could get tuberculosis or other infectious diseases. As the war progressed hospitals with better ventilation were constructed, especially in the North.
How many horses were there in 1861?
Prior to 1861 there were approximately 3.4 million horses in the Northern states, 1.7 million in the Confederate states, and about 800,000 in the border states of Missouri and Kentucky.
What were the problems of the Civil War?
The drinking of contaminated water led to the spread of waterborne diseases and was a major problem at Civil War camps. Contaminated water can cause numerous diseases including dysentery and typhoid fever; two big killers of Civil War soldiers.
What were the most important advances in medicine during the war?
Advancement in medicine occurred during the war that led to today’s medicinal practices. Here are a few of the most important. 1. Ambulances . Ambulances today can be seen on an almost daily basis. Their significance is important. Before the invention of ambulances, the injured would be helped off the battlefield by whoever stopped to assist.
Who was responsible for the ambulance system during the Civil War?
Dr. Jonathan Letterman , responsible for a more modern ambulance system, that was highly effective in saving lives during the American Civil War. There were some basic ambulance systems in place. They would often do more harm than good, as they would overturn or those in charge of the ambulances would deny service.
How many patents were filed for prosthetic limbs during the Civil War?
As it so often does, necessity made way for invention, and 133 patents for prosthetic limbs were filed following the end of the war.
What was the purpose of the Zouave ambulance crew during the Civil War?
American Zouave ambulance crew demonstrating removal of wounded soldiers from the field, during the American Civil War. During the American Civil War, technology moved at a rapid pace. A war fought on America’s soil was the perfect breeding ground for innovations, particularly in any area that could help the war effort.
What to do before reusing bandages?
Before reusing, they washed them with hot water and soap. Those who received the reused bandages had lower infection rates. This was because those bandages had been sanitized, compared to newer bandages which had been exposed to all sorts of germs and bacteria before being placed on an open wound. 5. Prosthetics.
What was the purpose of ambulances before they were invented?
Before the invention of ambulances, the injured would be helped off the battlefield by whoever stopped to assist. Not only were men being distracted from the fighting, but they were not trained to help in any way once they moved the injured individual to safety.
Why were compartments added to ambulances?
Compartments were added to store all the supplies needed. Also, standards were put in place for ambulances, and they received frequent inspections, ensuring that those manning them were properly trained and not denying care. 2. The Anesthesia Inhaler.

Hospitals
- At the onset of the war, makeshift camps and hospitals were set up to treat the injured. These hospitals were generally warehouses, churches, barns, or other buildings that were confiscated for this purpose. They were often not large enough or equipped for meeting the needs of the injured. In addition, these camps and hastily created hospitals were often disorganized and chaotic. As t…
Transportation
- The transportation of injured and ill soldiers went through many changes during the Civil War. The beginning of an organized ambulance corps was developed to cart soldiers to hospitals. Hospital trains were also commonly used to carry soldiers to general hospitals. These could transport large numbers of injured people at one time, which made good use of the budding train system. …
Sanitation
- Although hospitals underwent some advancements, sanitation continued to be a problem, particularly in field dressing stations and field hospitals. Doctors did not have a concept of germs and bacteria or how they spread infection. Surgeons often tended one patient after another without use of gloves or proper cleansing of the hands or equipment. Sterilization of instrument…
Anesthesia
- In 1846, the first record of using anesthesia was made, just 15 years before the Civil War. Anesthesia was used as much as 90 percent of the time during surgeries such as amputations. The two most common types of anesthesia were chloroform and ether. Chloroform was used roughly 75 percent of the time during Civil War surgeries. It was often given to the patient by app…
Amputations
- New types of ammunition during the Civil War, like the Minie ball, created injuries with damage that had never been encountered during wars of the past. The extent of destruction from this slug was massive, as it would not only crush the bone at impact but also destroy the bone three inches around the impact. Because of the extreme damage, surgeons often felt removing a limb was th…
Medications
- There were a number of medications that were frequently used in the treatment of Civil War soldiers. These medications were used to treat disease, infection, and pain. An example of a medication for the relief of pain was Dover's Powder. This was a mixture of ipecac and opium. In fact, opium had many uses during the Civil War, as it was used not on...