Jonathan Letterman Essay

Thursday, October 14, 2021 3:50:02 PM

Jonathan Letterman Essay

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Dr. Jonathan Letterman’s Civil War

Gross misrepresentations of the conduct of medical officers have been made to those who had friends or relatives in the army, who might at any moment require the services of a surgeon. But we perform these surgeries for the greater good. The operating rooms are quoted to resemble Hell. On October 16, , Harvard Professor of Surgery John Collin prompted a patient to inhale an anesthetic substance prior to an operation. The results of this breakthrough saved thousands of lives during the Civil War, despite common misconceptions about war surgery.

In , Vesalius published De humani corporis fabrica, illustrating a series of dissections and drawings. In the 16th century, the publication of a book provided one of the greatest breakthroughs in the understanding of the human body. The book demonstrated the precise circuit that blood is pumped in. For centuries nations have looked for ways to meet military, and public health needs, as well as providing care to rural and underserved areas where physicians did not exist.

The coming about of the physician assistant brought with it a way to solve some of these problems in a more immediate way. I think the Roman advancement that had the greatest impact in humanity was battlefield surgery and I believe that for a few reasons. Before this was invented, if you were in the military, went off to fight in a war, and got badly injured, you would probably just die. This problem started to become really common and caused the military to lose a lot of people to fight. In addition, being a soldier became the most dangerous job. So Romans eventually came up with the idea of performing surgery and having a medic off the battlefield for soldiers who were hurt really bad.

He grabs our attention by using Pathos effectively. This introduction grabs the attention of the people who are against supporting his belief, because it shows us. During the Renaissance health and medicine changed considerably. There were many important changes to the understanding of anatomy and surgery. Important doctors and surgeons discovered different ways of understanding to body and different ways of operating. For example how Vesalius in the 15th century dissected the human body to learn more about anatomy. During this essay I will investigate how far health and medicine improved during the Renaissance by focusing on anatomy and surgery.

There was a massive change in the understanding of anatomy during the Renaissance. Claudius Galen was a Greek doctor who became the most respected doctor in the Roman Empire. He discovered the importance of understanding the functions of the parts of the body. Yet, they remained committed to saving the lives of their fellow soldiers despite the risk of being in battle without the ability to properly defend themselves. In , Cincinnati, Ohio formed the first civilian ambulance service, and New York City followed suit in These officers were engaged assiduously, day and night, with little rest, until the 6th, and in the Second Corps until July 7, in attendance upon the wounded.

The labor performed by these officers was immense. Some of them fainted from exhaustion, induced by over-exertion, and others became ill from the same cause. The skill and devotion shown by the medical officers of this army were worthy of all commendation; they could not be surpassed. Their conduct as officers and as professional men was admirable. Thirteen of them were wounded, one of whom Asst. The idea, very prevalent, that medical officers are not exposed to fire, is thus shown to be wholly erroneous. First Rural Service Launches in From the turn of the 20th Century through to the s, emergency services spread across the United States.

In the absence of formal organizing principles, localities implemented these services in a variety of ways and with varying levels of effectiveness. The result was a hodgepodge of emergency services operated by fire departments, hospitals, funeral homes, towing companies, independent operators, and volunteers. Furthermore, across the nation, ambulances were equally varied in quality because there were no standards for safety or equipment. In these formative years, most emergency service workers had little or no training. They were primarily tasked with transporting people to the hospital as fast as they could.

What little help they could give, though well-intentioned, frequently caused additional injury and disablement to the people they were helping. These led to the watershed developments of the s and s that launched the modern US EMS service. This landmark report would radically change emergency services and help launch the modern EMS system. It pulled no punches about the state of emergency services at that time:. From to , improvements in emergency medical services remained spotty. But the visibility of the situation remained high, and numerous organizations continued to work the issues.

In , the National Academy of Science—National Research Council analysis showed that the federal government had yet to develop a cohesive policy, nor had it sufficiently advanced EMS. The Springfield musket fired a soft lead ball that tore fist-sized holed in flesh and pulverised bones. Canister and grapeshot fired from cannons would split open, flinging iron pellets at the advancing troops like some kind of giant shotgun. The Army medical corps were sadly understaffed and under-supplied and were no match for the streams of wounded carried from the battlefields.

This situation meant that the Army relied on physicians who were poorly trained and mostly inept, following outdated procedures taught at unregulated schools. Most of these doctors had never treated gunshot wounds or carried out any kind of surgery and now they were faced with the most horrendous of wounds. The only saving grace was that chloroform, morphine, and opium were available to treat pain. Prior to Letterman taking over, any wound to the head, chest, or abdomen was considered fatal and left untreated except for the supply of morphine.

Musket balls caused horrendous wounds to arms and legs and the most common procedure carried out in field hospitals was the amputation of limbs. This was a situation Letterman was determined to remedy. The physicians used the same saw over and over again, leading to all kinds of post-operation complications. Gangrene, tetanus, and blood poisoning were common and accounted for untold numbers of deaths. Not only did the wounded soldier have to face the horrors of the field hospital but it was not even certain that he would get there in the first place. At the Battle of Second Manassas in August , over 22, men were wounded; strewn across the battlefield, it took over a week for the Union soldiers to get the help they needed.

This was the level of inefficiency that Letterman inherited. This was a remarkable turnaround. Letterman realized that strong organization was required to ensure that battlefield injuries were treated quickly and efficiently, and that by doing this the soldiers had the best chance of survival.

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