Field hospital

Also: field infirmary, mobile hospital, MASH

A temporary or mobile hospital set up near the fighting to treat casualties who could not yet be moved farther back, often in tents, barns, churches or whatever stood nearby.

Questions this entry answers

  • What is a field hospital?
  • Did the Roman army have hospitals?
  • What was a MASH unit?

Definition

A field hospital is a temporary medical facility set up close to military operations to treat the wounded and sick before they can travel to permanent hospitals. The term is used loosely for any improvised hospital near a battle, and precisely, in some armies, for a specific unit with its own staff, equipment and size.

Historical context

The Roman army had medical staff, and its stone fortresses include buildings long interpreted as hospitals (valetudinaria), though scholars debate how confidently they can be identified. Temporary infirmaries on campaign are much harder to trace.

In the American Civil War, under Jonathan Letterman's system, Union divisions set up field hospitals behind the lines, often in barns, churches and houses. In the First World War the British chain ran through dressing stations and casualty clearing stations. In the Korean War, the US Army's Mobile Army Surgical Hospitals put surgeons close to the front, and helicopters brought patients to them.

How it worked

  1. Siting. Close enough to receive casualties quickly, far enough to be out of direct fire, near water and a road.
  2. Shelter. Tents where they could be carried; existing buildings where they stood.
  3. Work. Surgery for wounds that could not wait, dressings, splints and sorting.
  4. Moving on. Patients went to larger hospitals as soon as they could travel, so the field hospital could take the next arrivals, or the hospital itself moved with the army.

What it meant for the patient, the soldier, the civilian

The wounded arrived at places never meant for them. A barn floor, the pews of a church, a schoolroom, a tent in the rain. Surgeons worked through the night by lamplight while stretchers waited outside.

Patients were moved on before they had healed, because the space was needed. For the soldier this meant being lifted, carried and jolted again, days after an operation, toward a hospital they had never seen.

Examples from history

  • Vindonissa, about AD 35. Museum Aargau identifies a large hospital at Vindonissa, built first in wood and later in stone. Whether a permanent hospital stood there in AD 35, or only a timber predecessor or field infirmary, is an open question in The Hands That Survived Rome.

Sources

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Primary source

  1. Letterman, Jonathan. Medical Recollections of the Army of the Potomac. D. Appleton, 1866.

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Scholarly secondary source

  1. Baker, Patricia A. "The Roman Military Valetudinaria. Fact or Fiction?" View source

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  2. Cowdrey, Albert E. The Medics' War. United States Army in the Korean War. U.S. Army Center of Military History, 1987.

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Reference work

  1. Museum Aargau, Military hospital (valetudinarium), Vindonissa. View source

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