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Medical Services in New Zealand and The Pacific

VI: Appendices

VI: Appendices

EQUIPMENT CARRIED AS FIRST PRIORITY BY 7 NZ FIELD AMBULANCE AT LANDING ON TREASURY ISLANDS
Headquarters Company
Description Weight lb. Cubic Ft. Contents
Case 100 3 Table, operating FA, 1.
Case 85 Steriliser, HP portable, 1.
Steriliser drums, 3.
Procaine soln, cartons, 4.
Pentothal sodium amps., 20.
Case 60 Towels, hand, 72.
Gowns, operating, 15.
Gowns, nursing orderlies, 12.
Masks, anaesthetic, 4.
Masks, theatre, 1.
Case 60 FA Box No. 6, 1.
Case 100 3 FA Box No. 7, 1.
Case 55 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 Reserve dressing box, 1.
Case 50 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 Blankets, 10 in each case.
Case 80 Pyjamas, prs., 40.
Case 80 Pyjamas, prs., 36.
Bottles, HW, 16.
Bottles, HW covers, 14.
Case 100 Sheets, ground, 34.
Case 100 Sheets, ground, 33.
Case 100 Sheets, ground, 34.
Case 35 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 Nets, mosquito, 15.
Case 35 Nets, mosquito, 15.
Case 30 Nets, mosquito, 20.page 65
Case 30 Bedpans, IE, 6; feeders, 12; measures, IE, 4; bottles, water, FP, 8; buckets, canvas, 4.
Pannier 40 4 Medical comforts pannier, 1.
Case 35 Lamps, hurricane, 12; funnel IE, 4-in, 1; torches, electric, 10.
Case 30 Lamps, hurricane, 9.
Case 35 Spare globes, 2; mantles, spare, 7; lamps, paraffin, pressure, 6; torches, button, 6; burner washers, 53; meth. filler can, 1.
Case 120 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 Stoves, oil wickless No. 5, 7.
Case 50 Brush, scrub, 3; brush, nail, 2; jugs, 2; kettles, camp, oval, 5; ladles, cooks, 2; openers, tin, mechanical, 1; buckets, canvas, 2.
Case 50 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 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 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.
A Company
Description Weight Ib. Cubic Ft. Contents
Case 60 3 Laboratory equipment.
Case 40 Orderly room equipment.page 66
Case 40 Pentothal, sodium; ether; chloroform ethyl chloride; syringes and needles; face masks; adhesive plaster.
Case 50 Ether; dressings.
Case 60 Sterile dressings; gauze swabs, tulle gras; guards; gowns, operating; plaster.
Case 60 Thermette; steriliser; instrument trays; bowls IE; dixie.
Case 70 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 Water cans, full, 2-gal, 4 each.
(ea.) (ea.)
Crates (2) 85 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 Cooking equipment.
Pannier 70 RMP, 1.
Pannier 70 Medical comforts pannier, 1.
Cases (2) 100 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 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 67

Field 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 68

Jungle 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.

EQUIPMENT OF 2 FIELD SURGICAL UNIT
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.

EQUIPMENT OF LOGAN FORCE
Description Weight Ib. Cubic Ft. Contents
Case 30 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 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 Blankets; biscuits; stirrups; tea; medical companion; Millbank clips; pup tent.
Crates 2 80 3 Water tins, full, each 4.
(ea.) (ea.)
Case 30 Medical comforts, splints and tools.
Tin 20 Kerosene, 2-gal. tin, full.
Bundles 2 20 3 Stretchers, 2 each,
(ea.) (ea.)
Case 30 Plasma sets.
Bundle 180 13 Tent, IP 180.
Pannier 50 4 RMP.