Medical Services in New Zealand and The Pacific
VI: Appendices
VI: Appendices
Description | Weight lb. | Cubic Ft. | Contents |
Case | 100 | 3 | Table, operating FA, 1. |
Case | 85 | 4½ | Steriliser, HP portable, 1. |
Steriliser drums, 3. | |||
Procaine soln, cartons, 4. | |||
Pentothal sodium amps., 20. | |||
Case | 60 | 4½ | Towels, hand, 72. |
Gowns, operating, 15. | |||
Gowns, nursing orderlies, 12. | |||
Masks, anaesthetic, 4. | |||
Masks, theatre, 1. | |||
Case | 60 | 4½ | FA Box No. 6, 1. |
Case | 100 | 3 | FA Box No. 7, 1. |
Case | 55 | 4½ | Tulle gras, tins, 4; dressings, sterile, tins, 3; vaseline gauze, tins, 19; bandages M/tailed, 6; elastoplast 3-in., tins, 22; sulphanilamide, tins, 12; stretchers ambulance, cushions, 2. |
Case | 60 | 4 | FA Box No. 5, 1. |
Pannier | 60 | 4 | FAP No. 1, 1. |
Pannier | 60 | 4 | FAP No. 2, 1. |
Pannier | 55 | 4 | Transfusion pannier, 1. |
Case | 50 | 4 | Head mirror, 1. |
Blood plasma, sets, 17. | |||
Sodi cit, amps., 15. | |||
Pannier | 50 | 4 | RMP, 1. |
Pannier | 80 | 4 | RFMP, 1. |
Pannier | 50 | 4 | Fracture pannier, 1. |
Case | 25 | 2 | FA Box Nos. 1 and 3, 1. |
Case | 50 | 4 | FA Box No. 4, 1. |
Case | 60 | 4 | FA Box No. 8, Dettol, 1; bleaching powder, tins, 4; companions, medical, 1; instruments, operating, case, 1; clippers, hair, 1. |
Case | 25 | 1½ | Reserve dressing box, 1. |
Case | 50 | 4½ | Dressings, shell, 7. |
Dressings, sterile, tins, 22. | |||
Crate | 80 | 5 | Splints, Thomas, 14. |
Crate | 60 | 4 | Bars, suspension, 14. |
Stirrups and clips, 14. | |||
Pillows, stretcher, 12. | |||
Cases (10) | 48 | 4½ | Blankets, 10 in each case. |
Case | 80 | 4½ | Pyjamas, prs., 40. |
Case | 80 | 4½ | Pyjamas, prs., 36. |
Bottles, HW, 16. | |||
Bottles, HW covers, 14. | |||
Case | 100 | 4½ | Sheets, ground, 34. |
Case | 100 | 4½ | Sheets, ground, 33. |
Case | 100 | 4½ | Sheets, ground, 34. |
Case | 35 | 4½ | Basins, IE, 13; scissors, stretcher bearers, 24; brushes, shaving, 4; brushes, tooth, 6; sponges, bath, 2; funnel IE, 4-in., 1; brushes, feeder, 11; towels, bath, 24. |
Case | 35 | 4½ | Nets, mosquito, 15. |
Case | 35 | 4½ | Nets, mosquito, 15. |
Case | 30 | 4½ | Nets, mosquito, 20.page 65 |
Case | 30 | 4½ | Bedpans, IE, 6; feeders, 12; measures, IE, 4; bottles, water, FP, 8; buckets, canvas, 4. |
Pannier | 40 | 4 | Medical comforts pannier, 1. |
Case | 35 | 4½ | Lamps, hurricane, 12; funnel IE, 4-in, 1; torches, electric, 10. |
Case | 30 | 4½ | Lamps, hurricane, 9. |
Case | 35 | 4½ | Spare globes, 2; mantles, spare, 7; lamps, paraffin, pressure, 6; torches, button, 6; burner washers, 53; meth. filler can, 1. |
Case | 120 | 4½ | Plates, ST, 50; bowls, soup, 50; pannikins, 50; knives CS, 50; forks NS, 50; spoons, dessert, 50; forks, meat, 2; knife, bread, 1. |
Case | 60 | 4½ | Stoves, oil wickless No. 5, 7. |
Case | 50 | 4½ | Brush, scrub, 3; brush, nail, 2; jugs, 2; kettles, camp, oval, 5; ladles, cooks, 2; openers, tin, mechanical, 1; buckets, canvas, 2. |
Case | 50 | 4½ | Stationery bundles, 1; Case WT, sterilising, 1; sprays, hand, pump, 6; slings, stretcher, 48; twine, rolls, 1; stools, camp, 2. |
Crates (15) | 110 | 3 | Containers, water 2-gal., 5 each. |
(ea.) | (ea.) | ||
Case | 100 | 4½ | Axes, 3; hooks, bill, 2; hooks, reaping, 3; knives, cane, 8; shovels, GS, 4; spades, 2; twine, balls, 1; taps, 2; pulleys, 1; ttrel, 1; adze, 3; pick, 2; slashers, 6. |
Bundles (5) | 180 | 13 | Tents IP 180, 1 each. |
(ea.) | (ea.) | ||
Bundles (4) | 300 | 11 | Tarpaulins, WP, 6. |
(total) | (total) | ||
Case | 30 | 3 | Ether, tins 1 lb., 28. |
Case | 100 | 5 | Plasma sets, 30. |
Bundles (12) | 24 | 4 | Stretchers, ambulance, 2 each. |
(ea.) | (ea.) | ||
Package | 28 | 3 | Hydro-burner, 1. |
Crate | 24 | 3 | Stands and plates, 4 each. |
Case | 100 | 3 | Batteries, 6-volt, 3. |
Case | 100 | 4½ | Surgical sponges; abdominal swabs; face masks; vaseline gauze, sterile, tins, 12; water, sterile, amps., 4; sulphanilamide powder, 5-gr. sterile packets, 48; sheet, WP, 1; tube, drainage; tube, suction; tetanus, toxoid, 300; procaine, spinal; quinine, intrav., amps., 24; atebrin, intrav., amps., 10; procaine 2 per cent, bottles, 5; sod. sulphathiazole, intrav., bottles, 6; sod. cit., amps., 12; soln. copper sulph., 2 per cent oz., 4; cannister dressing, 1; battery, lamp, 1; brushes, nail, 2; suture, dermal boxes, 3; washer, autoclave, spare, 1; applicators, wood, boxes, 1; tabs pot. permang., 200; procaine and adrenalin, amps., 25; tincture benzoin co., oz., 4; liq. iodi. mit., oz., 4; soln. acriflavine, oz., 4; phenol liq., oz., 4; collodion flex, oz., 2; blades, razor, pkts., 3; safety pins, tin, 1; note book and pencil, 1; tab azochloramide, 100; soluble M. and B. amps., 5; matches, pkt., 1. |
Description | Weight Ib. | Cubic Ft. | Contents |
Case | 60 | 3 | Laboratory equipment. |
Case | 40 | 4½ | Orderly room equipment.page 66 |
Case | 40 | 4½ | Pentothal, sodium; ether; chloroform ethyl chloride; syringes and needles; face masks; adhesive plaster. |
Case | 50 | 4½ | Ether; dressings. |
Case | 60 | 4½ | Sterile dressings; gauze swabs, tulle gras; guards; gowns, operating; plaster. |
Case | 60 | 4½ | Thermette; steriliser; instrument trays; bowls IE; dixie. |
Case | 70 | 4½ | Primus; Coleman double burner; instrument table; steriliser; SVM. |
Case | 120 | 6 | Pharmaceutical supplies. |
Pannier | 80 | 5 | FAP No. 1. |
Pannier | 60 | 5 | FAP No. 2. |
Case | 100 | 5 | Plasma sets, 30. |
Pannier | 50 | 5 | Fracture pannier, 1. |
Pannier | 80 | 5 | Medical comforts pannier, 1. |
Crate | 80 | 3 | Tables, folding, 3. |
Crate | 28 | 3 | Hydro-burner, 1. |
Bundle | 20 | 2 | Thomas splints, 5; Kramer wire, pieces, 16. |
Bundles (12) | 20 | 3 | Stretchers, 2; cushions, 2; slings, 4 each. |
(ea.) | (ea.) | ||
Crates (12) | 85 | 2½ | Water cans, full, 2-gal, 4 each. |
(ea.) | (ea.) | ||
Crates (2) | 85 | 2½ | Petrol tins, 2-gal., full, 5 each; kerosene tins, |
(ea.) | (ea.) | 2-gal., full, 3. | |
Bundles (2) | 180 | 13 | Tents, IP 180, 1 each. |
(ea.) | (ea.) | ||
Case | 60 | 4½ | Cooking equipment. |
Pannier | 70 | 4½ | RMP, 1. |
Pannier | 70 | 4½ | Medical comforts pannier, 1. |
Cases (2) | 100 | 4½ | Tools: Rake, 1; slashers, 8; shovels GS, 6; shovels LH, 5; picks, 4; axes, 5; handsaw, 1; spades, 2. |
(ea.) | |||
Crate | 40 | 3 | Cooking stands, 4. |
Bundles (3) | 180 | 11 | Tarpaulins, including Red Cross, total, 4. |
(total) | (total) | ||
Bundles (3) | 30 | 3 | Tent poles, operating theatre. |
Pannier | 70 | 4½ | RMP, 1. |
Comment on Medical Equipment by OC 7 Field Ambulance
Syrettes are greatly preferable to morphia in solution. All medical officers are in agreement with this, one reason being that morphia in solution seems to deteriorate, and that syrettes are much easier to give under adverse conditions. In our opinion they should replace morphia tablets and solution in all panniers and packings.
Plasma was of course of great value. We felt the need at times of whole blood, and in two cases whole blood was given. The difficulty is to procure donors who can reasonably spare the blood under active-service conditions.
I have discussed the question of a blood bank at some length with the medical officers concerned in the evacuation of our initial casualties and they feel also that something should be done in regard to blood in the forward zone. In an initial assault landing the blood should be available in large quantities. To obtain it, it was suggested that a blood bank be established at Guadalcanal from whence it could be carried by LSTs. In later trips maintenance levels only to be carried. It would entail priority 1 for the Fd. Amb. refrigerator but this should not be an impossible task and at least 10–12 pints of blood could be stored in the refrigerator within 4 to 6 hours of landing. It would be taken off the LST just prior to the latter's departure.
page 67Field Ambulance Panniers: There are still a number of articles in them which appear to be of little use in the early stages of the operation, e.g. Tannafax, Spts. Amon. Aromat., Lysol tablets (which are neither on US nor NZ supply lines). Even early large amounts of Amytal, Sulphaguanidine and Phenobarbitone are in demand.
Plaster of Paris is required in large amounts and early.
Comment on Ordnance Equipment
Vehicles: Under Brigade instructions a minimum of vehicles was allowed, in our case the first echelon brought one 30 cwt. and 4 Jeeps. These vehicles were really sufficient though we would have welcomed an additional 30-cwt. and a water cart earlier in the picture, especially so in view of the fact that the 30-cwt. was called on frequently for a Brigade Transport pool. The water cart must be an early priority vehicle. It is of value as soon as roads of any sort exist.
Water Cans: These are required in large numbers, either 2 gallons or US 5 gallon pattern. Water may have to be carried by hand some distance through the jungle. Ours were crated in 5 tins (2 gal.) crates with rope handle. This was a mistake, they would have been better carried singly.
Medical comfort panniers are invaluable. Large quantities of sugar and tea should be carried. There is a big demand for these and they are not available from ASC sources for some days.
Hot water bottles were taken in early priority. They are unnecessary in tropical warfare except possibly one or two.
Primus stoves are of great value, but hydra burners are still of more value. The extra weight is more than compensated for by the amount of heating that can be done with them.
Tentage cannot be reduced below present NZEFIP establishment, viz.: 7 IPPs and 45 IP 180 1b. These may not all be required in early stages but tents suffer in transport more than most articles and are more likely to be burned or damaged. Tarpaulins are of more value than tents for small dressing stations.
Tools: Cane knives are useless – they are far too light. Machetes are the tools required. Similarly G.S. shovels are no good in this soil – spades and hand picks are of much more value. Crowbars would be useful. All tools must be available immediately on landing as they are the first requirement.
Sheets were never used. We had hoped to put the more seriously ill cases in sheets in view of the climate, but this proved to be quite impossible because of the washing difficulty and water shortage. Sheets can never be used in an early stage until water is in free supply and washing facilities organised. The washing machine is worth its weight in gold and should be priority 1 even if it is a bulky article.
The refrigerator was a later arrival and was badly damaged in transit. It would have been very useful, and would be so now if it were functioning but it is not imperative. If a blood bank is to be instituted, the refrigerator must be priority 1.
Fuel (white spirit, kerosene), toilet paper and soap must be taken in large quantities early. Though the ASC carried supplies, there is little possibility of ever getting an issue from ASC sources for some days. They must be carried on the LCIs.
Tin mugs are very poor articles. They taint every drink, get extremely hot immediately hot drinks are put in them, while their sole virtue is that they are unbreakable.
page 68Jungle clothes: The NZ variety of jungle clothing is most unsuitable. It is heavier and hotter than its US counterpart and the camouflage paint stops what little aeration there might be in the fabric. It may be good camouflage; as physiological clothing it is very poor.
Mosquito nets: We carry large stocks of these, and would have been unable to manage without these reserves. In action patients never come in with their nets.
Clothing: As we anticipated, the salvage problem with regard to clothing, web, rifles, etc., was most unsatisfactory. No salvage unit was operating for at least ten days in spite of requests put in by us before the Brigade Group left Guadalcanal. The Medical Corps cannot be held responsible for this type of equipment. They have neither the personnel, space nor time to give to oiling rifles, sorting out soiled and damaged clothing, etc. A salvage group must be functioning right from the commencement of operations.
Description | Weight lb. | Cubic Ft. | Contents |
Case | 100 | 11 | Theatre lights, electric. |
Crate | 100 | 2 | 2 6-volt batteries. |
Case | 80 | 11 | Poison cupboard, containing large amount drugs, dressing trays, sterile water jars, sterile dressing drums. |
Case | 100 | 9 | Rubber aprons; caps; masks; towels; eye shields; French chalk; sterile drums; oil; PQP face cloths. |
Case | 80 | 9 | Assorted sutures, 20 doz.; antiseptics, 20 bottles; BP blades; sulphanilamide pulv. in tins, 4 lb.; phenol; sticking plaster. |
Case | 80 | 9 | Drums unsterile gowns; towels; sheets; basins IE 12 in.; soap; towels; gowns, operating, unsterile. |
Case | 150 | 11 | Cotton wool; bandages 3 in.; flannelette, 4 in.; gauze, POP, assorted; French chalk; vaseline; crinoline; rubber drainage; elastoplast. |
Case | 80 | 11 | Hurricane lamps, 10; Coleman lamps, 3. |
Case | 60 | 6 | Tools; picks; shovels; spades. |
Case | 30 | 3 | Medical comforts; tea; cocoa; etc. |
Bundle | 30 | 3 | Tent poles, IPP. |
Case | 100 | 9 | Ward equipment; sterile swabs; shaving gear; dressings; swabs; guards; antiseptics; hair clippers. |
Case | 65 | 4 | Sterile drums; ctg. guards; swabs; 1 6-volt battery. |
Drum | 60 | 3 | 5-gal. drum SVM. |
Crate | 80 | 4 | 4 2-gal. water tins filled in crate. |
Crate | 80 | 4 | 4 2-gal. water tins filled in crate. |
Crate | 80 | 4 | 4 2-gal. water tins filled in crate. |
Crate | 80 | 4 | 4 2-gal. water tins filled in crate. |
Crate | 80 | 4 | 4 2-gal. water tins filled in crate. |
Crate | 60 | 4 | 2 folding tables, small. |
Case | 120 | 10 | Saline, 6 bottles; glucose, 12 bottles; shell dressings, 26. |
Drum | 60 | 2 | 5-gals. kerosene. |
Drum | 60 | 2 | 5-gals. kerosene. |
Drum | 60 | 2 | 5-gals. kerosene. |
Pannier | 80 | 6 | Complete set surgical instruments. |
Pannier | 80 | Transfusion apparatus, comp.page 69 | |
Case | 70 | 10 | Kramer wire; Thomas splints; light switches on stand; brooms base. |
Case | 5O | 6 | Tools, assorted. |
Case | 60 | 6 | Rubber tubing, all sizes; gloves, surgeons, 8 doz.; rectal tubes; rubber bandages; ether; chloroform; ethyl chloride; pentothal. |
Case | 120 | Autoclave; sterilisers, Shimilbush; vaseline gauze; nail brushes; POP. | |
Case | 100 | 8 | Operating table and case; pillow; sheet; blanket. |
Package | 60 | 4 | Two folding tables, Mk IV. |
Case | 60 | 4 | 1 6–volt battery. |
Package | 70 | 8 | Tarpaulin QOD. |
Package | 100 | 12 | ½ of 1 IPP. |
Package | 180 | 12 | 1 tent 180 Ib. |
Package | 180 | 12 | 1 tent 180 Ib. |
Package | 100 | 12 | ½ of 1 IPP. |
Package | 60 | 7 | Bag ctg. 2 IPP sides. |
Package | 60 | 7 | Bag ctg. 2 IPP sides. |
Package | 70 | 10 | Peg bag and mallets. |
Package | 80 | 10 | 44–gal. drum w/tap, buckets inside, and 1 bath IG. |
Package | 60 | 3 | Transfusion standards 3. |
Comment by OC 2 Field Surgical Unit
(1) |
The weight allowed for first priority equipment was 2 tons. |
(2) |
The allowance adequately covered theatre equipment. There was a minimum of nursing equipment, sufficient to prepare patients for operation, reliance being placed on 7 Fd. Amb. for the balance, an arrangement which worked out well. |
(3) |
Of particular value were the IPP tent for theatre, electric lights and batteries, drums of kerosene, dieselene spirit and water. In spite of their bulk and weight these were just portable and proved indispensable. |
(4) |
A shortage developed in prepared plaster-of-paris bandages and iodine. More should be brought another time in first priority. |
Description | Weight Ib. | Cubic Ft. | Contents |
Case | 30 | 4½ | Ether; WSP; Carlisle dressings; jungle kits; liq. iodine; towels; torch batteries; POP bandages; cotton wool; pentothal and sterile water; ung. salicyl; torch; masks. |
Case | 50 | 4½ | Mugs; vaseline gauze; pulv, sulphaguanidine; towels; shell dressings; hurricane lamp; mess gear; basin, IG; hammer; calamine; tabs quin. bisulph; Horrocks box; jungle kits; surg. haversack; primus; ground sheets; pup tents. |
Case | 30 | 4½ | Blankets; biscuits; stirrups; tea; medical companion; Millbank clips; pup tent. |
Crates 2 | 80 | 3 | Water tins, full, each 4. |
(ea.) | (ea.) | ||
Case | 30 | 4½ | Medical comforts, splints and tools. |
Tin | 20 | Kerosene, 2-gal. tin, full. | |
Bundles 2 | 20 | 3 | Stretchers, 2 each, |
(ea.) | (ea.) | ||
Case | 30 | 4½ | Plasma sets. |
Bundle | 180 | 13 | Tent, IP 180. |
Pannier | 50 | 4 | RMP. |