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Manual for the Medical Department

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Manual for the Medical Department This volume, prepared under the supervi- sion of the-Surgeon General, U. S. Army, and published by the War Department, is the property of the United States, and by direc- tion of the Secretary of War is deposited with for official use. Section 74 of the act of Congress approved January 12, 1895, provides as follows: “Government publications furnished to judicial and executive officers of the United States for their official use shall not become the property of these officers, but on the expiration of their official term shall be by them delivered to their successors in office, and all Govern- ment publications delivered to designated depositories or other libraries shall be for public use without charge. ” 3—1077 MAJSTTJA L FOR THE MEDICAL DEPARTMENT. COMPILED UNDER THE DIRECTION OE THE SXJRG-EON GENERAL. PUBLISHED BY AUTHORITY OF THE SECBETARY OF WAR, FOR USE IN THE ARMY OF THE UNITED STATES. WASHINGTON GOVERNMENT PRINTING OFFICE. 1898. WAR DEPARTMENT, Document No. 17. Office of the Stjrseon General. War Department, June 17, 1898. This Manual for the Medical Department is published for the information and guidance of all concerned ; it will not he modified except by specific authority given in each case. BUSSELL A. ALGBK, Secretary of War TABLE OF CONTENTS. Paragraphs. Appointment of Medical Officers 1-5 Army Medical School 0-10 Assignmentof Medical Officers 11-14 Examinations for Promotion 15 Chief Surgeons ofMilitary Departments 16,17 Duties of Medical Officers in the Field 18 Hospital Corps 19-29 Hospital Corps in Time of War 30-33 Instruction in First Aid 34,35 Hospital Matrons 36 Ambulance Service 37,38 Hospital Buildings 39-41 Army and Navy General Hospital 42-51 Service of Hospitals 52-54 Hospital Fund 55-58 Medical Attendance 1 59-61 Medical Supplies 62-80 UnserviceableProperty 81-83 Use of Medical Property I 84-114 Army Medical Museum 115 Reports and Returns 116-121 Record Books 122 Supply Depots 123,124 Information Slips 125 Register ofPatients 126-146 Register Field _ 147-154 Report of Sick and Wounded 155-158 Nomenclature of Diseases 159-161 Operations for hernia 161 Certificates ofDisability 162 Examination of Recruits 103-197 ArtificialLimbs 198 Blank Forms ; „„ 199 GenevaConvention 200 Supply Table , 201-208 Furniture and Appliances for Operating Room * , 209 Composition of Tablets 210 Bottlesand Jars Contained in Dispensing Set 211 Contentsof Cases, Library, Chests, etc 212-264 Field Supply Table 265-290 MANUAL FOK THE MEDICAL DEPARTMENT. APPOINTMENT OF MEDICAL OFFICERS. (See A. R. 1394, 1395.) 1. Appointments of assistant surgeons are made by the President, after the applicant has passed a successful exam- ination before a Medical Examining Board and has been recommended by the Surgeon General. Permission to appear before the board is obtained by letter to the Secretary of War, which must be in the handwriting of the applicant, giving the date and place of his birth and the place and State of which he is a permanent resident, and inclosing certificates based on personal acquaintance from at least two reputable persons as to his citizenship, character, and habits. The candidate must be a citizen of the United States, between twenty-two and twenty-nine years of age, of sound health and good character, and a graduate of some regular medical college, in evidence of which his diploma will be submitted to the board. The scope of the examination will include the morals, habits, physical and mental qualifications of the candidate, and his general aptitude for service; and the board will report un- favorably should it have a reasonable doubt in any of these particulars. 2. The physical examination must be thorough, and each candidate will be required to certify that he labors under no mental orphysical infirmity or disability which can interfere ■with the efficient discharge of any duty which may be required. Errors of refraction, when not excessive, when unaccom- panied by ocular disease, and when they can be corrected by appropriate glasses, are not causes for rejection. 3. The mental examinations are conducted by both written and oral questions, upon— (a) The elementary branches of a common-school educa- tion, including arithmetic, the history and geography of the 8 MANUAL FOR THE MEDICAL DEPARTMENT. United States, physics, general literature, and ancient and modern history. Candidates claiming special knowledge of the higher mathematics, ancient or modern languages, draw- ing, analytical chemistry or branches of natural science, will be examined in these subjects as accomplishments, and will receive due credit therefor according to their proficiency. (b) Professional branches, including anatomy, physiology, chemistry, hygiene, pathology and bacteriology, therapeutics and materia medica, surgery, practice of medicine, obstetrics, and the diseases of women and children. Examinations in medicine and surgery will also be con- ducted at the bedside and on the cadaver. Hospital training and practical experience in medicine, sur- gery, and obstetrics are essential. Candidates must present evidence that they have had at least one year’s hospital ex- perience, or the equivalent of this in practice. 4. To save unnecessary expense to candidates, those who so desire may have a preliminary physical examination and an examination in the elementary branches of a common-school education by a medical officer stationed most conveniently for this purpose, who will act under instructions from the Medical Examining Board. 5. The merits of the candidates in each of the several branches, and also theirrelative merit as evinced by the results obtained from the entire examination, will bereported by the board, and in accordance with this report approved Candidates will be appointed to existing vacancies, or to such as may occur within two years thereafter. A candidate failing in one examination may be allowed a second after one year, but not a third. ARMY MEDICAL SCHOOL. 6. The Army Medical School at Washington, D. C., is gov- erned by special regulations, and has the following organi- zation : (1) The faculty consists of four or more professors selected from the senior officers of the Medical Department stationed in or near the city of Washington, and such associate profes- sors as may be required. The senior officer is president, and the junior, secretary of the faculty. MANUAL, FOR. THE MEDICAL, DEPARTMENT. 9 (2) The student officers are those medical officers who have been appointed since the last preceding term of the school, and such others as may be authorized to attend. (A. R. 468.) 7. The course of instruction covers a period of fivemonths, and is given annually at the Army Medical Museum, in Wash- ington, D. C., commencing on the first Monday of November. It includes lectures on and practical instruction in— (a) The duties of medical officers in war and peace. (6) Military surgery, the care of the wounded in time of war, and hospital administration. (c) Military hygiene. (d) Military medicine. (e) Microscopy, sanitary and clinical; pathological histol- ogy, bacteriology, and urinology. (/) Hospital corps drill, and first aid to wounded. 8. By permission of the Surgeon General, medical officers of the Army who desire to avail themselves of the course of instruction, and who are stationed in or near the city of Wash- ington, or who have a leave of absence which enables them to attend the course, may he admitted as pupils. 9. At the termination of the course of instruction the stu- dent officers will be examined by the several professors, and their relative proficiency in each branch will be reported by the president of the faculty to the Secretary of War, through the Surgeon General. 10. (a) The president of the faculty will be responsible for the discipline of the school. (h) The junior professor will act as secretary, and will be responsible for all property pertaining to the school. (c) A faculty meeting will be held in the office of the secre- tary on the first Monday of each month from October to April, inclusive, and whenever called by the president of the faculty or the Surgeon General. (d) Resolutions adoptedby the faculty relating to the course of instruction, the purchase of books and instruments, etc., will be submitted to the Surgeon General for his approval. (e) The president of the faculty will submit to the Surgeon General on or before the first day of May of each year, a detailed report of the condition of the Army Medical School, 21205—2 10 MANUAL FOR THE MEDICAL DEPARTMENT. including an account of the instruction given and the profi- ciency of the several student officers, as shown by an examina- tion made hy each professor at the termination of his course. (/) The hours of instruction will he from 9 to 13 a. m., and from 1 to 4 p. m., daily, during the months of November, December, January, February, and March, inclusive, with the exception of Saturdays, Sundays, legal holidays, and the week commencing December 30. (g) Student officers will be required to be present during the hours designated, unless specially excused by the presi- dent of the faculty or by orders from the War Department. (h) When necessarily absent on account of sickness or other emergency, student officers will, as soon as practicable, send a written statement to the secretary of the faculty, explaining the reason for such absence. (i) The laboratories and library of the Army Medical School will be open for the use of student officers during the hours of instruction designated. (j) Student officers will be held strictly accountable for all instruments and apparatus issued to them for their personal use during the course of instruction, and for any loss or injury to books or apparatus belonging to the Army Medical School, when such loss or injury is due to carelessness or neglect.
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