The British Sector on the Western Front, 1914 - 1918 Flashcards

1
Q

In what year was the Ypres Salient?

A

1914-15

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2
Q

In what year was the second battle of Ypres?

What was important about this battle?

A

1915

It was the first time the Germans used Chlorine gas

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3
Q

What is a ‘Salient’?

A

Where one side’s line pushes into the other side’s line - their territory gets surrounded by the enemy on three sides

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4
Q

What was ‘Hill 60’?

A

A hill in which the German’s held during the Ypres Salient. It gave the German’s a height advantage but British soldiers mined underneath it and blew up German defences to capture it.

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5
Q

In what year was ‘The Somme’?

A

1916

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6
Q

Why was the Somme significant?

A

1) The first use of tanks - used but not yet effective

2) Use of creeping barrage - Artillery bombardment that moved towards the German trench as the Brtish approached it.

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7
Q

In what year was ‘Arras’?

A

1917

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8
Q

What did the British do at Arras?

A

They built over 2 miles of tunnels as shelter to prepare to attack the German line.
They could shelter 25,000 men, contained accommodation, a railway, water and electrical supplies and a hospital big enough for 700 beds.

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9
Q

In what year was ‘Cambrai’?

A

1917

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10
Q

Why was ‘Cambrai’ significant?

A

It was the first large-scale attack by British tanks to attack the German front line, over 450 tanks were used

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11
Q

What is a parapet?

A

It was built in a similar way to the parados on the front side of the trench. It was meant to be bulletproof and was lined with wooden planks, netting or sandbags.

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12
Q

Describe the breastworks

A

In wet areas, trenches were built upwards using sandbags full of clay - these were called breastworks.

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13
Q

Describe the parados

A

The parados was a mound of earth or sandbags that raised the height of the back of the trench. It was designed to protect soldiers from shell explosions behind the trench.

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14
Q

Describe the firing step

A

Men could stand on here behind the bulletproof parapet and fire their rifles into no-mans land.

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15
Q

Describe duckboard

A

The floors of trenches in wet areas were often lined using wooden boards called duckboards

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16
Q

Describe the support trench

A

80m behind the frontline trench. Troops would retreat here if under attack. Soldiers spent about 10% of their time here.

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17
Q

Describe the communications trenches

A

Trenches that run between other trenches, linking them together

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18
Q

Describe the Frontline trench

A

Where attacks were made from, the most dangerous area. Only 15% of the soldiers’ time was spent here.

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19
Q

Describe the reserve trench

A

100m behind the support trench. Where troops would be mobilised to counter-attack the enemy if they captured the frontline. 30% of time spent here.

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20
Q

Give 3 advantages of The trench system

A

1) Simple to make and cheap to build
2) Easy to defend with few men using barbed wire, artillery, concrete bunkers and machine gun fire
3) Provided some shelter/protection

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21
Q

Give 4 disadvantages of The trench system

A

1) Hard to attack as had to cross no man’s land which has been destroyed by shell fire and was a mass of mud and craters.
2) Trenches were very dirty and unhygienic as there were no running water or flushing toilets.
3) In summer, sewage, dead bodies and heat led to horrific smell and disease everywhere.
4) In winter, bad weather led to flooding, frostbite (6000 cases in December 1914

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22
Q

State the four types of trench

A

1) Support trench
2) Communications trenches
3) Frontline trench
4) Reserve trench

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23
Q

Why was using horse-drawn carriages a mistake to treat people on the front line?

A

They could not cope with the number of wounded, whilst the shaky transport often made injuries worse. A lack of ambulances meant many men were left to die

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24
Q

When were motor ambulances implemented onto the front line?

A

1914

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25
Q

Why were motor-ambulances better than horse-drawn ambulance wagons?

A

They were much more efficient and gave a smoother ride than horses, although horses continued to be used due to the horrendous conditions. Sometimes up to 6 in horrendous conditions!!!

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26
Q

Describe train, barge and ship ambulances.

A

Specially designed ambulance trains were implemented from 1914.
Stretchers could fit down the side of the carriage and some contained operating theatres.
Canals were comfortable, slow, but could transport the wounded onto backs back to Britain

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27
Q

What was bad about train ambulances?

What replaced them?

A

They were criticised for damaging the war effort as trains were blocking supply routes in France and Belgium
They were replaced with Barge and Ship ambulances.

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28
Q

Give 5 medical problems on the Western Front

A

1) Trench foot
2) Trench Fever (PLO)
3) Shell Shock (PTSD)
4) New wounds
5) Gas Attacks

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29
Q

Describe Trench foot

Include what it is, and attempted solutions

A

1) It was a major problem caused by standing in waterlogged trenches for long periods of time.
2) Medical officers ordered soldiers should carry 3 pairs of socks and change them twice a day. They were also encouraged to rub whale oil onto their feet
3) Attempts were made to pump out trenches to reduce waterlogging and add duckboards, but constant bombing made this hard.

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30
Q

Describe Trench fever

Include what it is & symptoms, and attempted solutions

A

1) Flu-like symptoms with high temperature, headache and aching muscles
2) Spread by bodily lice
3) Delousing stations were set-up on the front; clothes were disinfected, men were bathed and sprayed with chemicals to prevent lice.

31
Q

Describe Shell shock (PTSD)

Include what it is & symptoms, and attempted solutions

A

1) Symptoms included tiredness, headaches, nightmares, loss of speech, uncontrollable shaking and complete mental breakdown.
2) This condition was not completely understood at the time. Some soldiers who experienced shell shock were accused of cowardice and many were punished, some even shot!!!

32
Q

What was Shell shock (PTSD) called?

A

‘NYD, N’ (Not Yet Diagnosed, Nervous)

33
Q

State some new wounds and how they were combatted.

A

1) Shrapnel wounds were common - Amputation
2) A high number of head injuries - Brodie Helmet
3) Most injuries often got infected due to bacteria in the soil, causing gangrene - Tetanus jabs from 1914

34
Q

State the three types of gas and how they were combatted.

A

1) Chlorine
2) Phosgene
3) Mustard Gas
Solution = British soldiers were given gas masks from July 1915, which became more sophisticated over-time.

35
Q

When was Chlorine gas most used?

How did soldiers avoid it?

A

Used in Ypres in 1915

Caused death by suffocation. Before gas masks, soldiers soaked cotton pads in urine and pressed them to their faces.

36
Q

When was Phosgene gas most used?

Describe it?

A

Used in Ypres in 1915

Faster acting than Chlorine; killing an exposed person within 2 days

37
Q

What year was Mustard Gas first used?

Describe it?

A

1917
Ourdourless gas that worked within 12 hours. Caused internal and external blisters and could pass through clothing to burn skin.

38
Q

State three medical advancements up to WW1.

A

1) X-Rays
2) Blood transfusions
3) Aseptic surgery

39
Q

Describe the invention of the X-Ray and give 3 problems with it.

A

X-Rays were discovered in 1895 by Wilhelm Roentgen

1) Not portable; not suitable for use on battle-fields
2) Health risks were not understood - radiation levels were 1,500x higher than today!!!
3) They took about 90 minutes to complete - too long for a battlefield!

40
Q

Describe the invention of Blood transfusions and give one problem with it.

A

1) In the 19th and 20th centuries, blood loss was a huge problem as surgery got more complex.
2) James Blundell did experiments on human-human blood transfusions
3) Karl Landsteiner discovered blood groups in 1901 - donor patients could now be matched.
Problem = Blood could not yet be stored so human-human transfusions were the only possible way.

41
Q

Describe the development of aseptic surgery.

A

1) Joseph Lister laid the foundations for aseptic surgery after Louis Pasteur’s publication of his Germ Theory in 1861
2) Aseptic surgery =
a) All medical equipment and the air in the room was steam sterilised
b) All medical staff had to wash and wear clean gowns and rubber gloves

42
Q

State the difference between aseptic and antiseptic surgery.

A

Antiseptic surgery = Killing germs in wounds
There are germs in the operating theatre, but surgeons use methods e.g. carbolic spray to stop open wounds becoming infected.
VS
Aseptic surgery = Preventing germs from reaching wounds
Cleaning and sterilising methods prevent there being any germs in the operating theatre to infect wounds in the first place.

43
Q

What does RAMC stand for and what did they do?

A

‘Royal Army Medical Core’
They were the branch of the army responsible for medical care. It organised and provided medical treatment to the wounded and sick.
They developed the ‘Chain of evacuation’

44
Q

What does FANY stand for and what did they do?

A

‘First Aid Nursing Yeomanry’

1) The first women’s organisation to send volunteers to the western front.
2) They drove ambulances, driving supplies to the front line and set up mobile bathing units that could bathe 40 men an hour!!!
3) They paved the way for VAD (Volunteer Aid Detachment) nurses to help medical services.

45
Q

State the four main stages of evacuation

A

1) RAP - regimental aid post
2) ADS and MDS - Dressing stations
3) CCS - Casualty Clearing Stations
4) Base Hospitals

46
Q

Describe the RAP - regimental aid post

A

1) Within 200m of the front line
2) To give immediate first-aid
3) Couldn’t deal with serious injuries, sent to ADS
4) Lead by a Regimental Medical Officer with some stretcher bearers.

47
Q

Describe the ADS and MDS - Dressing stations

A

1) Around 400-500m from the front line.
2) Could only look after men for a week
3) Could deal with 1about 150 men at once, but in Ypres, they dealt with 1,000 casualties in 2 days!!!

48
Q

State what ADS and MDS stand for

A
ADS = Advanced dressing station
MDS = Main dressing station
49
Q

Describe the CCS - Casualty clearing stations

A

1) Around 7 miles front the front-line

2) Contained several doctors, operating theatres, X-Ray machines and wards

50
Q

Describe the CCS’ triage system for assessment of casualties

A

1) The walking wounded - patch them up and sent back to the front
2) Those in need of hospital treatment - move to a Base Hospital
3) No chance of recovery - make them comfortable. :(

51
Q

Describe the Base Hospitals

A

1) Situated near the ports on the French/ Belgium coast on train lines and canal rivers
2) Had operating theatres, X-Ray machines, laboratories and even specialist centres for treating gas poisoning and head wounds.
3) Could treat up to 2,500 patients at once

52
Q

Describe the efficiency of the Chain of evacuation system.

A

As the war went on, it improved significantly.

67% of men that visited the CSS were sent back to the front again.

53
Q

What was Thompson’s Cave?

A

In 1916, tunnelling began under the town of Arras with a fully working hospital built out of 600m of tunnels. It was nicknamed Thompson’s cave after an RAMC officer

54
Q

Describe the Arras Underground hospital

A

In 1916, tunnelling began under the town of Arras with a fully working hospital built out of 600m of tunnels. It was nicknamed Thompson’s cave after an RAMC officer.
It was almost a fully working hospital but acted as a dressing station close to the front line.

55
Q

Why was it not possible to perform aseptic surgery in the dressing stations and CCS?

A

1) The contaminated conditions

2) The large number of wounded men.

56
Q

Describe Amputation

A

If antibiotics or wound excisions failed to stop the spread of infection, amputation was the last resort.
By 1918, over 240,000 men had been amputated to prevent death.

57
Q

Describe Wound excision or debridement

A

This was cutting away the dead, damaged and infected tissue from around the wound to prevent infection.
All bullet/shell fragments were also removed
Often, antiseptics were used to kill the infection

58
Q

Describe the Carrel-Dakin method of treatment of wounds

A

1) Antiseptics such as carbolic lotion were ineffective when treating gas gangrene.
2) By 1917, the Carrel-Dakin Method was the most effective solution, this involved putting a sterilised salt solution in a wound through a tube.
3) This solution only lasted for 6 hours and had to be made as soon as it was needed = This was a problem if large numbers of soldiers needed treatment.

59
Q

Describe ‘The Thomas Splint’

A

1) The current splint used did not keep the leg straight so by the time injured soldiers reached the CCS, they were close to dying.
2) Hugh Thomas invented the Thomas Splint which was tested in a base hospital in London.
3) It kept the leg straight so the bone healed in the correct position.

60
Q

Describe the effects of ‘The Thomas Splint’

A

From December 1915, medical practitioners on the front line were trained in on how to use the Thomas Splint.
Survival rates from this type of wound increased from 20 - 80%!!!

61
Q

Describe Mobile X-Ray units

A

1) Used from the start of the war to find bits of shrapnel and identify them.
2) 6 mobile vans were used throughout the British sector of the Western Front
3) The vans were called ‘Petit Curies’, named after MarieCurie who created them

62
Q

State 4 disadvantage of mobile X-Ray units

A

1) They couldn’t detect all objects in the wound
2) It took a long time (90 minutes!!!)
3) The glass tubes overheated quickly - so they were used in rotation
4) Took a while to set up and picture quality wasn’t as good as in Base hospitals.

63
Q

Who introduced blood transfusions and in what year?

A

Lawrence Robertson in 1915

64
Q

Describe Blood transfusions in terms of new techniques in the treatment of wounds

A

1) Introduced by Lawrence Robertson in 1915in a base hospital in Boulogne
2) Used the human-human method to prevent blood loss and shock
3) Geoffrey Keynes designed a portable blood transfusion kit - this was used extensively throughout the Western Front from 1915 onwards.

65
Q

Who developed the portable blood transfusion kit?

A

Geoffrey Keynes, doctor and lieutenant in the RAMC.

This kit could store blood.

66
Q

Describe the Blood bank at Cambrai

A

1) It was described as ‘The first blood depot’.

2) The first time blood was used to treat soldiers in shock and it showed its potential to save lives.

67
Q

Who discovered how to stop blood from clotting.

State the year, ingredients used and the name of the person.

A

1915, Richard Lewisohn found that adding sodium citrate to blood stopped it clotting so it could be stored

68
Q

Who discovered how to store blood for a long time.

State the year, ingredients used and the name of the person.

A

1916, Francis Rous and James Turner found that adding a citrate-glucose solution to the blood meant it could be kept refrigerated for up to 4 weeks.

69
Q

Why was Brain Surgery almost fatal at the start of the war?

A

1) Very few doctors had experience of neurosurgery before the war
2) Infection in the head was common and it was difficult to move men through the chain of evacuation

70
Q

Who was the American neurosurgeon who developed new techniques to improve Brain surgery?

How did he improve brain surgery? (2 points)

A

Harvey Cushing

1) He experimented with magnets to remove metal from the brain
2) He used a local anaesthetic instead of a general one, this avoided brain swelling

71
Q

What is the difference between a local and a general anaesthetic?

A
Local = patient awake but wounded area numb
General = Patient asleep
72
Q

There was a move from ______ and _______ anaesthetics to ___ and _______ which was safer and gave better results

A

There was a move from ether and chloroform anaesthetics to gas and oxygen which was safer and gave better results

73
Q

Who developed the use of plastic surgery during the war?

A

Harold Giles

74
Q

Harold Giles devised new operations to overcome what problems?

A

1) Delicate surgery could not be completed in France - opened a hospital in Kent in 1917
2) Using skin grafts (taking skin from one area to graft onto the wounded area)
3) Using jaw splints, wiring and metal replacement cheeks for facial reconstruction