Larrey was soon organizing flying
ambulances for the entire French Army. This transport system served
not only as a boost in morale for the rank and file officers of
the French Revolutionary Armies, but it also effected a greater
and realistic opportunity for the treatment and survival of the
wounded.
Larrey was the first surgeon to treat battlefield casualties where
they were injured, rather than awaiting for the finish of the
battle at the end of the day, and also introduced the first descriptions
of triage:
'The best plan that can be adopted
in such emergencies, to prevent the evil consequences of leaving
soldiers who are severely wounded without assistance, is to place
the ambulances as near as possible to the line of the battle,
and to establish headquarters, to which all the wounded, who require
delicate operations, shall be collected to be operated upon by
the surgeon-general. Those who are dangerously
wounded should receive the first attention, without regard to
rank or distinction. They who are injured in a less degree
may wait until their brethren-in-arms, who are badly mutilated,
have been operated and dressed, otherwise the latter would not
survive many hours; rarely until the succeesing day. Besides with
a slight wound, it is easy to repair to the hospital of the first
or second line, especially for the officers who generally have
means of transportation. Finally, life is not endangered by such
wounds.
First reported successiful resuscitative
prehospital thoracotomy
Houston, Texas, USA
First successful resuscitative
thoracotomy for cardiac stab wound
London, UK