Showing posts with label WWII. Show all posts
Showing posts with label WWII. Show all posts

Friday, September 28, 2012

Medical Air Evacuation in World War II—Part 3

I am so so pleased to host amazing author and fellow research hound, Sarah Sundin, back to Redwood's this week. Sarah is a fabulous historical author whose novels highlight the WWII era. This week she is discussing her research into medical air evacuation and flight nursing.

Sarah has also graciously agreed to give away one copy of her newest release, With Every Letter, to once commentor on any of this weeks posts. Simply leave a comment with your e-mail address. Must live in the USA. Drawing will be midnight, Saturday September 29th. Winner anounced here at Redwood's Sunday, September 30th.

Welcome back, Sarah!



The broad grin on the private’s face didn’t reveal how serious his condition was. “Hiya, nursey.”
“Lieutenant,” Mellie said, but she smiled back. “How are you feeling?”

“Depends. How many girls you got at that hospital in Algiers?”


“Oh, not one of them is good enough for you.”


“She wears a skirt, she’s good enough.”


Mellie clucked her tongue. “Too bad. All the women wear trousers.”


In my novel With Every Letter, the heroine serves as a flight nurse. If you’re writing a novel set during World War II, a soldier character may get sick or wounded, and you might need to understand medical air evacuation.


On September 24th I discussed general principles of air evacuation, on September 26th we followed one patient in his flight experience, and today we’ll meet the flight nurse.


Training

The profession of flight nursing began in World War II. The US Army Air Force started the first training program at Bowman Field in Louisville, Kentucky in the fall of 1942. Training was haphazard at this point, and the first two squadrons (the 801st and 802nd) were sent overseas before training was complete. The formal program ran six to nine weeks, changing throughout the war. The first class of flight nurses graduated in February 1943.

The program was named the School of Air Evacuation in June 1943 and moved from Bowman Field to Randolph Field, Texas in October 1944. The US Navy started a flight nursing program in December 1944 in Alameda, California.


In training, the nurses studied academic subjects such as aeromedical physiology. They also learned field survival, map-reading, camouflage, ditching and crash procedures, and the use of the parachute. The program included calisthenics, physical conditioning, and a bivouac in the field with simulated enemy attack.


Organization


Each Medical Air Evacuation Transport Squadron (MAETS) was headed by a flight surgeon and chief nurse. The MAETS was divided into four flights, each led by a flight surgeon and composed of six teams of flight nurses and surgical technicians. A Headquarters section included clerks, cooks, and drivers.


Uniform

The typical Army Nurse Corps uniform of white dress or a skirted suit uniform did not work in flight. Although some resisted—including in ANC leadership—the women were allowed to wear trousers. The first few squadrons improvised uniforms, often cutting down the dark blue ANC service jacket and purchasing trousers. Eventually an official flight nurse uniform was authorized—a waist-length gray-blue jacket and matching trousers and skirt, with a light blue or white blouse. Depending on the climate, nurses also wore the combat airman’s heavy flight gear.

The official insignia of the flight nurse was a pair of golden wings with a maroon N superimposed. These wings were changed to silver later in the war.


Duties


The role of the flight nurse was revolutionary. No physician accompanied her on the flight, and she outranked the male surgical technician, who worked under her authority. She was trained to start IVs and oxygen, tasks reserved for physicians at the time. In addition, she was trained to deal with medical emergencies including shock, hemorrhage, and sedation. One flight nurse even performed an emergency tracheotomy using improvised equipment.


Dangers

The primary responsibility for the lives of the patients rested on the shoulders of the flight nurses. Their emergency training was put into use in many cases throughout the war. Flight nurses and technicians successfully evacuated patients into life rafts after a ditching in the Pacific, unloaded patients from a burning plane after crash landing in North Africa, and loaded patients under enemy fire in the jungles of Burma.

One flight nurse was taken prisoner briefly by the Germans after crashing behind enemy lines, and another parachuted to safety in the mountains of China. In one dramatic incident, a plane carrying a dozen nurses from Sicily to Italy was blown off course and crash landed in Nazi-occupied Albania. With the help of their survival training and Albanian partisans, the crew and nurses all evaded capture and crossed snowy mountains to be rescued at the coast—a two-month ordeal.


Seventeen flight nurses lost their lives during the war. Lt. Ruth Gardiner, 805th MAETS (pictured), was the first flight nurse killed, in a plane crash in Alaska.


Through professionalism and courage, the five hundred women who served as flight nurses in World War II saved many hundreds of lives and comforted over a million sick and wounded servicemen.


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Sarah Sundin is the author of the Wings of Glory series from Revell: A Distant Melody (March 2010), A Memory Between Us (September 2010), and Blue Skies Tomorrow (August 2011). She has a doctorate in pharmacy from UC San Francisco and works on-call as a hospital pharmacist.

Wednesday, September 26, 2012

Medical Air Evacuation in World War II—Part 2

I am so so pleased to host amazing author and fellow research hound, Sarah Sundin, back to Redwood's this week. Sarah is a fabulous historical author whose novels highlight the WWII era. This week she is discussing her research into medical air evacuation and flight nursing.

Sarah has also graciously agreed to give away one copy of her newest release, With Every Letter, to once commentor on any of this weeks posts. Simply leave a comment with your e-mail address. Must live in the USA. Drawing will be midnight, Saturday September 29th. Winner anounced here at Redwood's Sunday, September 30th.

Welcome back, Sarah!


Mellie smiled at her patient. “Are you enjoying the flight?”

“Sure.” Corporal Fordyce stared at the fuselage curving over his head. Mud from the battlefield speckled his hair, and dark stubble covered his cheeks.


Mellie settled her hand on his blanketed arm. “How does your leg feel?”


“It’s gone,” he said through clenched teeth.


“I know,” she said softly. Now was no time for platitudes.


In my novel, With Every Letter, the heroine serves as a flight nurse. If you’re writing a novel set during World War II, a soldier character may get sick or wounded, and you might need to understand medical air evacuation.


On September 24th I discussed general principles of air evacuation, today we’ll follow one patient in his flight experience, and on September 28th we’ll meet the flight nurse.


Pre-Flight

Let’s follow my fictional patient, Corporal John Fordyce. While retaking Sbeïtla, Tunisia from the Germans in March 1943, Fordyce steps on a landmine. Medics perform first aid and take him from the battlefield to the battalion aid station, where he’s stabilized. An ambulance carries him to a field or evacuation hospital, where his right leg is amputated below the knee. Since the corporal will receive a medical discharge, he will return stateside. An ambulance will take him to the airfield at Youks-les-Bains, Algeria. A C-47 will fly him to Algiers. Later he’ll fly to Casablanca in French Morocco, where he’ll take a hospital ship home for convalescence.

At Youks-les-Bains he arrives at a tent hospital at the airfield. The flight surgeon evaluates the patients to decide which are good candidates for air evacuation. Due to high altitude, the doctors prefer not to send patients with serious head injuries, sucking chest wounds, or severe anemia. Each combat theater has different policies on “neuropsychiatric” patients, but if they’re allowed, an extra technician will attend these patients.


At the airfield holding unit, the physician briefs flight nurse Lt. Mellie Blake on each patient. Mellie in turn orients the patients—most of whom have never flown—on what to expect. Corporal Fordyce wears an Emergency Medical Tag (EMT) which summarizes his condition and treatment. A large envelope with his medical records and X-rays rests beside him on the litter.


Loading the Plane


The surgical technician and medics from the holding unit carry the litter patients onto the plane. At the cargo door, Mellie checks the EMT against the list of patients on her flight manifest and directs the tech where to place each patient based on his medical needs.


The litters are clamped into aluminum racks along each side of the fuselage, stacked three litters high. Later versions of the C-47 will come equipped with lightweight web-strapping systems to hold litters. Fordyce is placed in the top tier with his bandaged stump facing the aisle for easier access. Lower tiers are reserved for patients with heavy casts or needing more intense care.


Flight


After the patients are secured, the C-47 glides down the runway. When the plane levels off, the flight nurse and technician see to the patients’ needs. They record Fordyce’s “TPR” (temperature, pulse, and respiration) on the flight manifest, and check for signs of bleeding and infection. Mellie is trained to treat shock, hemorrhage, pain, air sickness, and other medical emergencies, but Fordyce is stable and needs little care.

The flight team also provides water and food if needed. They converse with the patients, a voice of calm for the anxious and of encouragement for the depressed. If no patients are on oxygen, the men are allowed to smoke.


The interior of the C-47 is poorly ventilated and heated, and becomes stifling in hot weather and frigid in colder climates or higher altitudes. Smells can become overwhelming, especially when burn patients are aboard or someone becomes airsick. Surprisingly, air sickness occurs in less than 1 percent of flights. Corporal Fordyce is thankful his flight is in the 99 percent.


Unloading

After an uneventful two-hour flight, the C-47 lands at Maison Blanche Airfield in Algiers, Algeria. Mellie and the technician unload the plane with the help of men on the ground. A trained flight team can unload a full plane in 5-10 minutes, which is crucial in case of crash landing, ditching in water, or landing at a field under enemy fire.

An ambulance ferries Corporal Fordyce to a hospital in the Algiers area while he waits for the next step in his journey home.


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Sarah Sundin is the author of the Wings of Glory series from Revell: A Distant Melody (March 2010), A Memory Between Us (September 2010), and Blue Skies Tomorrow (August 2011). She has a doctorate in pharmacy from UC San Francisco and works on-call as a hospital pharmacist.



Monday, September 24, 2012

Medical Air Evacuation in World War II—Part 1

I am so so pleased to host amazing author and fellow research hound, Sarah Sundin, back to Redwood's this week. Sarah is a fabulous historical author whose novels highlight the WWII era. This week she is discussing her research into medical air evacuation and flight nursing.

Sarah has also graciously agreed to give away one copy of her newest release, With Every Letter, to once commentor on any of this weeks posts. Simply leave a comment with your e-mail address. Must live in the USA. Drawing will be midnight, Saturday September 29th. Winner anounced here at Redwood's Sunday, September 30th.

Welcome back, Sarah!

“Do you have room for one more litter case?” the doctor asked. “Private Jenkins fell headlong on a landmine. The nearest hospital’s in Cefalù, a long ambulance ride over rough roads. By air he’ll be in Mateur in two hours. He needs a thoracic surgeon.”

Mellie stared at the unconscious patient. He lay on a litter, his torso swaddled in white gauze.
Bloody streaks painted his face, arms, and khaki pants. “We’re his only hope.”

In my novel With Every Letter, the heroine serves as a flight nurse. If you’re writing a novel set during World War II, a soldier character may get sick or wounded, and you might need to understand medical air evacuation.


Today I’ll discuss general principles of air evacuation and share resources, on September 26th we’ll follow one patient’s flight experience, and on September 28th we’ll meet the flight nurse.


History of Air Evacuation

As soon as the Wright brothers took to the air, clever minds thought of ways to use the new contraption. In 1910 two Army officers constructed the first ambulance plane, and during World War I the Army experimented with transporting patients by air.

The advent of large multi-engine cargo planes in the interwar years made these dreams realistic. In November 1941, the US Army Air Force authorized the Medical Air Ambulance Squadron. Air evacuation was first performed informally early in 1942 during the construction of the Alcan Highway and in Burma and New Guinea. The first official air evacuation with flight nurses was flown on March 12, 1943 in Algeria.


Advantages of Air Evacuation


Speed is the primary benefit of air evacuation. Planes can also traverse inhospitable terrain or dangerous seas. The military came to see that air evacuation required less equipment than ambulance transport, aided recovery, and increased morale on the front.

However, planes were unable to fly in bad weather, and planes were not reserved for ambulance use. Since top priorities for transport planes were airborne missions and carrying supplies, medical air evacuation depended on availability. Also, dangers existed from crashes and enemy planes. Since transports carried cargo and troops, they were not allowed to be marked with the Red Cross and were legitimate military targets. Fighter coverage was provided in some combat theaters.


Use of Air Evacuation in World War II


Thirty Medical Air Evacuation Transport Squadrons served in World War II in every combat theater. In all, 1,172,000 patients were transported by air. About half were ambulatory patients (the “walking wounded”) and half were litter patients. Only 46 patients died in flight, although several hundred died in crashes. By 1944, 18 percent of all Army casualties were evacuated by air.


Planes


The C-47 was the workhorse of air evacuation. This dependable two-engine plane was used for shorter flights within a combat theater and could fly into forward landing strips close to the battlefield. A C-47 carried 18-24 patients, depending on how many were on litters.

For transoceanic flights, the four-engine C-54 Skymaster was used. The preferred load for a C-54 was 18 litter patients and 24 ambulatory. These flights carried patients from the combat theater stateside when the patient required 90-180 days of recovery or was eligible for medical discharge.

The C-46 Commando was used less frequently. Although it could carry 33 patients, the cargo door made loading difficult, and the plane had an unsavory habit of exploding when the cabin heater was used.


Medical air evacuation revolutionized the care of the wounded. Gen. Dwight Eisenhower credited air evacuation, sulfa drugs, penicillin, and the use of plasma and whole blood as key factors in the significant drop in the mortality rate among the wounded from World War I to World War II.


Resources:


Sarnecky, Mary T. A History of the U.S. Army Nurse Corps. University of Pennsylvania Press, Philadelphia. 1999.


Links, Mae Mills & Coleman, Hubert A. Medical Support of the Army Air Forces in World War II. Office of the Surgeon General, USAF. Washington, DC. 1955.


“Winged Angels: USAAF Flight Nurses in World War II.” On National Museum of the US Air Force website.
http://www.nationalmuseum.af.mil/factsheets/factsheet.asp?id=15457

The World War II Flight Nurses Association. The Story of Air Evacuation: 1942-1989. Taylor Publishing Co., Dallas TX, 1989. [Source of most of the photos used in this article]


Website of the World War II Flight Nurse Association.
http://www.legendsofflightnurses.org/ Contains photos, news clippings, and PDF of The Story of Air Evacuation.

Futrell, Robert F. Development of Aeromedical Evacuation in the USAF: 1909-1960. USAF Historical Division, Research Studies Institute, Air University, 1960. Available free online at
http://www.ibiblio.org/hyperwar/AAF/AAFHS/AAFHS-23.pdf


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Sarah Sundin is the author of the Wings of Glory series from Revell: A Distant Melody (March 2010), A Memory Between Us (September 2010), and Blue Skies Tomorrow (August 2011). She has a doctorate in pharmacy from UC San Francisco and works on-call as a hospital pharmacist.

Friday, April 8, 2011

Medications in WWII: Part 3/3

Today is Sarah's final post on medications used during WWII. I think this has been a fantastic overview for any historical writer. Thank you, Sarah, for all your hard work.

Medications in World War II (Part 3)

Illness and injuries are a great way to build conflict and drama in your novel—but they’re hard on your characters. Be a nice author and learn how to treat them properly. In my World War II novels, A Distant Melody, A Memory Between Us and Blue Skies Tomorrow (coming August 2011), my characters suffer from pneumonia, combat injuries, and burns, plus the heroine in the second book was a nurse. Researching medical treatment of the time allowed me to include accurate period details.

On April 4th  I covered the basics of medication use during the war years, and then on April 6th and today I’m reviewing categories of medications available at the time.

Infectious Disease

During World War II, the death rate among the wounded who made it to field hospitals was significantly lower than in earlier wars, due to the availability of plasma and antibiotics.

Sulfa Antibiotics

Sulfa medications were introduced in the 1930s. Those available during the war included sulfanilamide, sulfaguanidine, sulfadiazine, sulfathiazole, and sulfapyridine. Sulfas were used to treat pneumonia, dysentery, infected wounds, gonorrhea, and other infections. All soldiers carried a first aid kit containing twelve tablets of sulfanilamide as well as sulfanilamide powder. If wounded, the soldier poured the powder directly onto the wound and started taking the tablets. This reduced the rate of wound infection significantly.

Penicillin


PCN WWII Advertisement. (Credit: Schenley Laboratories, Inc., Lawrenceburg, Indiana)


Penicillin was discovered by accident in 1928 by Scottish scientist Alexander Fleming, but scant attention was paid to this discovery. In 1940, scientists isolated the compound, and on May 1, 1941, the discovery of a wondrous new antibiotic was announced. However, the complicated manufacturing process slowed production.

Penicillin was first tested in military hospitals in North Africa in April 1943 by Fleming himself, and experiments expanded to soldiers hospitalized in England in May 1943. On November 25, 1943, a new manufacturing process was announced. By December 1943, penicillin was available to Allied soldiers for life-threatening, sulfa-resistant infections, and by April 1944 was widely available in military hospitals. Civilian hospitals began to receive it in May 1944, and a new oral formulation was available in civilian pharmacies in August 1945.

Penicillin was used for a variety of infections, such as pneumonia, wound or surgical infections, and gonorrhea and syphilis.

Anti-malarials

Quinine was the drug of choice for prevention and treatment of malaria. However, the Japanese conquered the countries where quinine was produced. The US military requisitioned most of the civilian supply, but it wasn’t enough. Atabrine, a synthetic substitute, was used by the millions of military men and women serving in the Pacific or Mediterranean Theaters. Atabrine produced unpleasant side effects, including diarrhea—and it tended to turn the skin yellow. Quinine was reserved for treatment of patients who could not tolerate atabrine.

Other Antibiotics

Before penicillin was available, syphilis was treated with mapharsen or with sobisminol. Amebic infections were treated with carbarsone or chiniofon, and worm infections with arecoline, hexylresorcinol, or Santorin. A new class of antibiotics was introduced in May 1945 when streptomycin came to the market.

Resources:

US Army Medical Department Office of Medical History. http://history.amedd.army.mil (Official site with full textbooks about military hospitals and medical treatment from 1775 to present).

WW2 US Medical Research Centre. http://www.med-dept.com (A large and thorough website containing lots of information about military medicine during World War II.)

Worthen, Dennis B. Pharmacy in World War II. New York: Pharmaceutical Products Press, 2004. (A comprehensive account of pharmacy practice in the military and on the home front.)

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Sarah Sundin is the author of the Wings of Glory series from Revell: A Distant Melody (March 2010), A Memory Between Us (September 2010), and Blue Skies Tomorrow (August 2011). She has a doctorate in pharmacy from UC San Francisco and works on-call as a hospital pharmacist.


Wednesday, April 6, 2011

Medications in WWII: Part 2/3

Today, we're continuing with Sarah's series on medications used during WWII.

Medications in World War II (Part 2)

Illness and injuries are a great way to build conflict and drama in your novel—but they’re hard on your characters. Be a nice author and learn how to treat them properly. In my World War II novels, A Distant Melody, A Memory Between Us and Blue Skies Tomorrow (coming August 2011), my characters suffer from pneumonia, combat injuries, and burns, plus the heroine in the second book was a nurse. Researching medical treatment of the time allowed me to include accurate period details.

On April 4th I covered the basics of medication use during the war years, and then today and April 8th I’ll review categories of medications available at the time.

Pain and Fever


WarCorr/PhotoBucket
Aspirin was used for minor pain and for fever. “APC capsules” for pain were compounded by pharmacists from aspirin, phenacetin, and caffeine. Ergot and ergonavine were used for migraines, but wartime shortages affected the supply. Narcotic analgesics included morphine, apomorphine, hydromorphone (Dilaudid), and as of 1942, meperidine (Demerol). Military medics and some officers carried morphine syrettes, small tin tubes with an attached needle containing half a grain (32 mg) of morphine. On the battlefield, prompt treatment of pain decreased deaths from shock.

Cough, Cold, and Allergy

Cough syrups contained codeine or terpin hydrate with codeine. Ephedrine, phenylephrine, and phenylpropanolamine were available as nasal decongestants. Treatment of severe allergic reactions, such as anaphylactic shock, involved the use of adrenaline and morphine. Antihistamines and corticosteroids were not on the market yet.

Gastrointestinal

For nausea, sodium bicarbonate (baking soda) with or without peppermint was used. Laxatives included cascara, senna, castor oil, and mercurous chloride. Diarrhea was treated with belladonna or homatropine, but shortages of belladonna occurred due to the war.

Endocrine and Metabolic

For diabetes, insulin was available, but no oral medications. For hypothyroidism, thyroid tablets were given. Vitamins A, C, D, E, K, and the B vitamins were used, as were electrolytes such as sodium, potassium, magnesium, and calcium. IV fluids, such as dextrose 5%, normal saline, and lactated Ringer’s solution were also used.

Dermatology

Itching was treated with menthol, camphor, or calamine. Burns were treated with boric acid solution or ointments, and with petroleum jelly (Vaseline) pressure dressings.

Respiratory

Asthma attacks were treated with aminophylline, which was subject to shortages, and epinephrine (adrenaline). Ephedrine was used as a long-acting oral bronchodilator for asthma. Corticosteroids such as prednisone were not on the market yet, nor were inhalers.

Cardiovascular

Digitalis was used for congestive heart failure, amyl nitrate for chest pain, and quinidine for heart arrhythmias. Shock could be treated with adrenaline, ephedrine, or vasopressin. Heparin was used to dissolve clots, but oral anticoagulants such as warfarin were not available. For diuretics, doctors turned to theobromine and mersalyl-theophylline.

Psychiatric Medicines

Severe depression and schizophrenia were treated with electric shock therapy, or as of May 1940, insulin shock therapy. Camphor and metrazol were used for psychiatric illness, and lithium for manic-depression (bipolar disorder).

Sedatives and Stimulants

To treat anxiety or combat fatigue, various barbiturates were used, such as phenobarbital, amobarbital (Amytal), secobarbital (Seconal), and pentobarbital. These were also used for schizophrenic or manic patients when agitated. Chloral hydrate was used for sleep.

For pilots making long flights, the Army Air Force distributed Benzedrine (amphetamine) tablets and inhalers. Air crew escape kits also contained Benzedrine tablets.

Resources:

US Army Medical Department Office of Medical History. http://history.amedd.army.mil (Official site with full textbooks about military hospitals and medical treatment from 1775 to present).
WW2 US Medical Research Centre. http://www.med-dept.com (A large and thorough website containing lots of information about military medicine during World War II.)

Worthen, Dennis B. Pharmacy in World War II. New York: Pharmaceutical Products Press, 2004. (A comprehensive account of pharmacy practice in the military and on the home front.)

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Sarah Sundin is the author of the Wings of Glory series from Revell: A Distant Melody (March 2010), A Memory Between Us (September 2010), and Blue Skies Tomorrow (August 2011). She has a doctorate in pharmacy from UC San Francisco and works on-call as a hospital pharmacist.

Monday, April 4, 2011

Medications in WWII: Part 1/3

I'm so pleased to have Sarah Sundin back this week. Her WWII research posts are always very popular. This week, she'll be focusing on medications used during WWII. Welcome back, Sarah!

Medications in World War II (Part 1)

Illness and injuries are a great way to build conflict and drama in your novel—but they’re hard on your characters. Be a nice author and learn how to treat them properly. In my World War II novels, A Distant Melody, A Memory Between Us and Blue Skies Tomorrow (coming August 2011), my characters suffer from pneumonia, combat injuries, and burns, plus the heroine in the second book was a nurse. Researching medical treatment of the time allows you to include accurate period details.

Today I’ll cover the basics of medication use during the war years, and then on April 6th and April 8th  I’ll review categories of medications available at the time.

Generic vs. Brand Name

Most medications have a generic name and a brand (or proprietary) name. The generic name is not capitalized, but the brand name is. For example, Seconal (brand) and secobarbital (generic), Pitressin (brand) and vasopressin (generic). Today many medications are available from the original manufacturer and from generic manufacturers, but before 1984, most medications were manufactured by a single company. Therefore, the issue of picking a cheaper generic over a pricier brand name didn’t exist in the 1940s.

Dosage Forms

By the 1940s, more and more medications were commercially produced as pre-made tablets, but pharmacists still compounded a large percentage of prescriptions from raw ingredients. Compounded prescriptions included cough syrups, elixirs, antiseptic solutions, capsules, suppositories, powder papers, powders, creams, and ointments.

Administration


robthecubehead/PhotoBucket
Intravenous medications and fluids were used during the war years. However, our disposable, “Universal Precautions” age would seem foreign to the health care professional of the 1940s. Syringes and IV bottles were made of glass, and IV tubing and gloves out of rubber. Everything (even gloves) was cleansed and sterilized for re-use.

Measurements

Today most doses are expressed in metric units (milligrams, milliliters, etc.). In the 1940s the metric system was used to a lesser extent, and the term “cc” (cubic centimeter) was preferred over “ml” (milliliter).

In the 1940s most medications were measured in apothecary units. Weight was measured in grains (abbreviated “gr” while gram is “g”), scruples, drams, ounces, and pounds. The apothecary ounce (31.3 g) is fairly close to the avoirdupois ounce (28.4 g). For comparison purposes, one grain is approximately 65 milligrams. Therefore a five-grain tablet of aspirin is equal to 325 mg.

Fluids in the apothecary system are measured in minims, fluidrams, fluidounces, pints, quarts, and gallons. The apothecary fluidounce equals 29.6 ml.

Resources:

US Army Medical Department Office of Medical History. http://history.amedd.army.mil (Official site with full textbooks about military hospitals and medical treatment from 1775 to present).

WW2 US Medical Research Centre. http://www.med-dept.com (A large and thorough website containing lots of information about military medicine during World War II.)

Worthen, Dennis B. Pharmacy in World War II. New York: Pharmaceutical Products Press, 2004. (A comprehensive account of pharmacy practice in the military and on the home front.)

***********************************************************************


Sarah Sundin is the author of the Wings of Glory series from Revell: A Distant Melody (March 2010), A Memory Between Us (September 2010), and Blue Skies Tomorrow (August 2011). She has a doctorate in pharmacy from UC San Francisco and works on-call as a hospital pharmacist.