Western Front Flashcards

1
Q

Date and describe ‘the battle of mons’

A

.August 1914 the British Expeditionary Force (BEF) crossed the English Channel to intercept the German army in Belgium, this was known as ‘The Battle of Mons’
.The English were outnumbered at roughly 3:1, they managed to delay the Germans long enough to make a quick victory far less likely, by September 1914 the British and French managed to make the Germans to retreat at the River Marne
.Eventually both sides reached the North Sea coast of Belgium, at a stale mate

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2
Q

Name 3 defensive features of a trench

A

trenches defended by artillery, machine guns and barbed wire

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3
Q

Where was the britis army situated and which battles did they take part in?

A

The British Army was largely stationed north of River Somme, in Flanders in Northern France. They took part in battles in Ypres Salient, Arras, Cambrai and the Somme Region

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4
Q

What happened to the trench systems as the war went on?

A

They got more complex and defensive

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5
Q

Describe the front line trench

A

.The nearest trench to the enemy is the ‘front line’, which faced no man’s land and was between 30m and 200m away from the enemy

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6
Q

Describe tthe support trench

A

The support trench was behind the front line and could be accessed by communication trenches

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7
Q

Describe no man’s land

A

.No man’s land was incredibly dangerous, prime targets for artillery shells and bullets from machine guns and rifles
.Those that survived the defensive onslaught were still met with dozens of feet of barbed wire before meeting the opponents trench system

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8
Q

How did soldiers bypass the defensive trench features?

A

Tunneling underneath no man’s land

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9
Q

Who tunneled underneath no mas lan?

A

sappers

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10
Q

Who were sappers

A

men that worked on mines when they were not at the western front

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11
Q

Where were explosives usually placed and with what intention

A

Explosives were often placed below enemy positions with the intention of blowing up their defence systems

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12
Q

Describe the battle of messines ridge

A

.Battle of the Messines Ridge, near Ypres in 1917, over 450,000 kg of explosives were detonated on the 7th of June beneath hill 60, one of the largest explosions in the history of warfare and obliterated most of the area. It killed 10,000 German soldiers and helped the British to capture objectives

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13
Q

What was underground arras?

A

.In Arras the underground structure was so great that it was like a mini city, it stretched 12 miles and could house 25,000 allied soldier,

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14
Q

What happened 1917 in Arras?

A

April 9th 1917 they burst out of these underground trenches to take the Germans by surprise, this allowed them to advance further than in any previous major battles, pushing the Germans back by 11Km

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15
Q

Why was the terrain bad for medics?

A

Difficult to get across and life threatening (dangerous)

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16
Q

What did the thick mud do full of manure?

A

The thick mud full of manure highly increased the chances of becoming infected, this made the difficult job of fixing mutilated bodies even more difficult

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17
Q

What did stretcher bearers do?

A

.Stretcher bearers collected and carries injured soldiers from dangerous areas, where they would also be under heavy fire,
.After the stretcher bearers had gotten away from the enemy fire they made their way through busy communications trenches to aid posts near the front line

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18
Q

Why was the land difficult to get across?

A

, the land itself was uneven and difficult to get across due to the shell holes full of rain fall

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19
Q

Apart from the fighting why was life dangerous for the soldiers?

A

.The trenches exposed the soldiers to extreme weather in different seasons, for example snow and rainfall
.Soldiers could also be plagued by insects, vermin and parasites

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20
Q

Trench foot, cause symptoms and cure

A

.If it rained the trench would become water logged which means the soldiers would have to stand with the feet submerged in deep, wet and cold mud – this would cause their feet to become numb, swollen and blistered, if left too long they could turn blue and turn into an infection called ‘trench foot’. If this was left too long it could turn gangrenous and would have to be amputated

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21
Q

Trench foot response

A

.To combat trench foot the army asked soldiers to change their socks 3 times a day, and to insure their feet were kept dry, they were also told to cover their feet in wale oil at least once a day – due to these problems trench foot became much less of a problem after 1915

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22
Q

Lice, where found? Spread what? Symptoms?

A

.Soldiers called lice ‘chat’, they lived in the seams of clothing and in their bedding, the close conditions of the trenches was ideal for the parasites to breed and spread, they spread an illness called ‘pyrexia’, more commonly known as trench fever, men who caught it suffered headaches, rashes, swollen eyes and pain in legs for about a week, it was not uncommon for severe sufferers to be hospitalised for up to a month

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23
Q

Lice response

A

Although not life threatening, it took a lot of men out of the war, which meant the army high command had to address it, the connection to lice wasn’t proven till 1918 but there was growing suspicion that they were the cause, clothing was disinfected when they left the front line and soldiers had to visit the bath houses where they would wash in hot water

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24
Q

What was the main threat to soldiers and why?

A

.Main threat although was always enemy fire power, including rifles, machine guns and artillery shells, all of these could cause devastating and potentially fatal wounds to soldiers, artillery shells had the power to rip limbs from bodies, disfigure faces or completely obliterate a human body, rifles and machine guns could smash bones or damage important organs

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25
Q

Shrapnel, describe

A

Shrapnel was intended to explode in mid-air, sending their little pieces in all directions, most effective against troops in no-man’s land as the shrapnel would cause casualties in all directions

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26
Q

What did the army do to combat shrapnel? Were these effective?

A

the use of shrapnel shells led to the army wearing steel helmets from the autumn of 1915 rather than the cloth ones worn at the start of the year, even though these were effective against shrapnel more than 60,000 men still suffered head injuries which included the loss of noses, eyes and jaws

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27
Q

If you didn’t die straight away from artillery shells could you still die?

A

.Even if you didn’t die straight away from artillery shells you would from blood loss, shock or infection during the week after

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28
Q

What is shell shock?

A

.Shellshock (which is now seen as an acute stress disorder) caused psychological damage and trauma to men exposed to warfare for too long, sufferers often had panic attacks and the inability to talk, sleep or control their bodies

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29
Q

How was gas gangrene contracted? How would medics limit the damage?

A

The bacteria from fertiliser caused gas gangrene and could cause wounds to become infected, often resulting in amputation for the wounded soldier, to limit the damage the medics would cut away the infected tissue and soak the wound with iodine

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30
Q

When was gas first used? Symptoms of both

A

.Poison gas was first used by the Germans at Ypres in 1915, chlorine gas suffocated anyone who breathed it in, and Mustard gas (used in later battle) caused burning of eyes, throat and skin

31
Q

Response to poison gas

A

.Gas masks helped protect soldiers from the effect of these gases, and doctors were on hand to administer oxygen and wash poison gas from their face, due to these measures less that <5% of British soldiers died of gas attacks, however the weapons did use up a lot of resources and medical personnel

32
Q

Who were RAMC?

A

The Royal Army Medical Corps were leaders in developing a chain of evacuation and were in charge of the
staging posts where some of the soldiers may have been treated

33
Q

When were RAMC formed?

A

The RAMC were formed 16 years before the start of WW1 (1898)

34
Q

Were RAMC expeirenced?

A

.They knew about the damage war could do to a human body through their experiences in the Boer War (1899-1902)
.They weren’t prepared for the nature and scale of the injuries from WW1

35
Q

During the war how did RAMC expand?

A

.RAMC gained more experience and grew in size during WW1, by 1918 they were 10x the size of 1914
.They expanded their contribution to transportation and sanitary inspection

36
Q

Who were FANY?

A

.First Aid Nursing Yeomanry, formed in 1907, they were actively involved in rescuing the wounded from the battle field

37
Q

Why were FANY initially barred from helping the British army?

A

Initially barred from assisting the British Army as they were made up entirely from females
.Although they became accepted by the British from 1916

38
Q

Who accepted Fany’s help?

A

.France and Belgium were less restrictive about the role of women in the military from the start and gratefully accepted help

39
Q

What did FANY do?

A

.FANY drove ambulances and ran casualty clearing stations, they also supplied mobile kitchens and baths

40
Q

What did the likelihood of surviving depend on?

A

The likelihood of surviving an injury greatly depended on how quick you got treated

41
Q

Why was a chain of evacuation developed and by who?

A

.The quicker you got treated the quicker you were back on the battle field so a chain of evacuation was developed by the RAMC

42
Q

Name 4 parts of evacuation chain

A
  1. A regimental aid post
  2. Dressing station
  3. Casualty clearing station
  4. Base hospital
43
Q

Describe transportation within the evacuation train

A

Stretcher bearers started the chain by collecting wounded soldiers from the battle field, they would then be transferred between stages by horse and cart or motorised ambulance, and if they needed to go to hospital they would be loaded onto a hospital train

44
Q

Describe job of the stretcher beaerers

A

Stretcher bearers, they had to retrieve the wounded from the battle field, 4 man carried a stretcher and they would enter no man’s land as soon as there was a lull in the fighting, once an injured soldiers location was discovered the stretcher bearers would apply basic medical care, they would then carry the solider through the crowded trench system to the regimental aid post

45
Q

What happened at the regimental aid posts?

A

.Regimental Aid post, a regimental medical officer would apply treatments such as bandages to people with light wounds and send the more seriously wounded to dressing stations further behind the lines

46
Q

What happened at the dressing stations?

A

Dressing stations, the wounded would go through triage, a system where soldiers are separated according to the seriousness of injuries, lesser injuries would wait longer to be treated, more serious ones would be tended to quickly

47
Q

How would people get to the casualty clearing stations?

A

.If soldiers were in desperate need of a lot of treatment a mobile medical unit, known as the field ambulance, would transport them approximately 10 miles behind the lines, to the casualty clearing station, the ambulance could be horse drawn or motorised

48
Q

What were Casualty clearing stations like after 1917

A

.Casualty clearing station, by 1917 it had wards, operating theatres, x-ray machines and kitchens, wounded soldiers would receive surgery inside these stations

49
Q

Describe base hospitals

A

.Base hospitals, where the most serious or long term casualties were taken, these were often near railway lines, main roads or canals, they had specialist departments which included wards for patients suffering from poison gas, x-centres and laboratories to help specifically identify infections, some base hospitals were even underground

50
Q

Describe the complex under Arras

A

.In 1917 25,000 British and Commonwealth soldiers lived in an underground complex beneath the French town of Arras, the hospital in it was proven to have had its own operating theatre, the underground complex also had canteens, electric lighting, latrines, chapels, power stations and a light railway

51
Q

Why were aseptic methods impossible on no-mans land?

A

.Aseptic methods were almost impossible in no-man’s land, if an open wound was exposed to soil it was at high risk of becoming infected with bacteria, this was how gas gangrene was caused

52
Q

What was gas gangrene?

A

Gas gangrene, fast spreading and deadly, it gave off a foul-smelling gas, often by the time a soldier reached hospital amputation was the only option

53
Q

Who was Alexis Carrel and Henry Dakin, what did they do and when?

A

.1916, British chemist Henry Dakin, French surgeon Alexis Carrel, founded a new technique that drastically reduced the need for amputation, they experimented by flooding an open wound with a highly diluted antiseptic solution, the Carrel-Dakin method was a huge success in reducing the cases of gas gangrene

54
Q

What did the Carrel-Dakin antiseptic solution contain?

A

containing sodium hypochlorite and boric acid

55
Q

What was the thomas splint, when was it made and by who?

A

.The Thomas Split, by Hugh Owen Thomas, the splint was a metal frame that would hold a protect a fractured limb such as a broken leg, before this the transportation of soldiers with fractures sometimes tore muscle and occasionally arteries which was highly damaging (as well as increasing risk of infection from gas gangrene)

56
Q

Did the thomas splint help? figures

A

in the first few years of the war 80% of men who broke their femur died from wound shock caused by pain, but then from 1917 more that 80% of these injuries were likely to survive

57
Q

What could x-rays be used to look at? who discovered their uses and when?

A

.X-ray machines, used to look at internal tissues, organs and bones, were still a relatively new form of technology at the start of the war. Wilhelm Rontgen only discovered the phenomenon of x-rays in 1895, so research wasn’t even 20 years old at the start of the war

58
Q

Why did the Army use x-rays?

A

Despite this the army realised their usefulness, they could identify shrapnel and bullets which enabled their quicker removal from the body, and this also decreased the danger of infection

59
Q

Why were the uses of x-rays negated and how was this combated?

A

.But the benefits were negated by the time it took the casualties to get to base hospital, in response to this mobile x-ray units were introduced along with the auto-mobile, the French were very active in the development of these radiology vehicles

60
Q

Name 2 improvements to x ray machines

A

.example cellulose-based films coated in photographic emulsions replaced the fragile glass photographic plates
.the invention of the hot cathode x=ray tube replaced the cold tube which had a short life

61
Q

What had the French and Americans managed to make by the end of the war? to do with xrays

A

.By the end of the war the French and Americans had collaborated to create a flying x-ray unit which could take the machines to wear it was most needed

62
Q

What was discovered to do with blood in 1914?

A

.1914, it had been discovered that blood could be preserved by adding the anti-coagulant sodium citrate and refrigerating it, this made the introduction of blood banks possible

63
Q

Who pioneered the idea of blood banks?

A

.The idea was pioneered by an American medical scientists Oswald Robertson

64
Q

What did Oswald Robertson see blood banks as?

A

.He saw blood banks or ‘blood depots’ as a way of getting blood to injured soldiers before they suffered wound shock, which was highly likely if they had to travel to hospital

65
Q

When did Robertson get a chance to prove his ideas usefulness?

A

His chance to demonstrate their usefulness came in 1917, before the battle of Cambrai Robertson used a citrate-glucose solution to store type ‘o’ blood and packed it in ice filled ammunition cases

66
Q

How do we know Robertsons idea was beneficial and liked?

A

.The success of his idea in the battle of cambrai meant he was put in charge of the training of new transfusion teams for the British Army

67
Q

When did people move on from Lister’s ideas and to what?

A

By 1900 people had moved on from Lister’s anti-septic methods and instead opted for more aseptic ones, by attempting to make the operating theatre completely germ free, the focus went from killing germs to preventing them getting there in the first place

68
Q

How were people using aseptic methods in hospitals?

A

.This involved sterilising instruments and applying sterile dressings to wounds
.Surgeons began dressing in gowns, putting on masks and wearing gloves

69
Q

How did Wilhelm Rontgen discover x-rays?

A

Wilhelm Rontgen in 1865 discovered that electrical rays passing from an induction coil of light through a light tube illuminated a screen covered in florescent material, he later experimented and discovered that x-rays pass through flesh but reveal the opaque bones underneath

70
Q

Why were x-rays good?

A

.X-rays meant that the internal structure of a human could be seen without invasive surgery

71
Q

Who established a radiology department and what did they use it to find?

A

.Glasgow Royal Infirmary established a radiology department, using the technology to find a kidney stone, a penny in a child’s throat and a needle in a women’s hand

72
Q

When had blood transfusions been happening? human to sheep, human to human

A

.Sheep blood had been passed successfully to humans in 1660’s, first successful human to human was in the early 19th century but it was difficult and didn’t always work

73
Q

Who came up with a solution to blood transfusions not always working? What was it?

A

Solution came in 1901 from Karl Landsteiner, he discovered blood groups, and he said that blood types should be cross-matched against donors to improve safety and success