WAR DEPARTMENT MJUTARY HOSPITAUZATION AND EVACUATION OPERATIONS UNITED STATES GOVERNMENT PRINTING OFFICE WASHINGTON : I»42 RESTRICTED Headquarters, Services of BmaS Washington, D. C. WAR DEPART MEM September 15. 1942. SPOPH 322.15 SUBJECT: Military Hospitalisation and Evacuation Operations. TO: Tbe Commanding Generals and Commanding Officers: Service Comnumds. Ports of Embarkation. The Surgeon General. 1. In accordance with letter from The Adjutant General (AG 704 ( 6-17-42)) MB D-T8-M. subject: “War Department hospitalization and evacuation policy,” The Surgeon General is hereby charged with the maintenance of basic plans for military hospitalization and evacuation operations, and tbe coordination of the plans therefor of all commands concerned. Rapid submission of essential Infor- mation and adherence to limiting dates by all concerned are essential to permit compliance by Tbe Surgeon General. 2. It is desir»d that plans he submitted and operations effected in accordance with directives contained in Inclosure No. 1. By command or Likcit-yant Gknckai SOMERVELL: (Signed) LxR. LUTES, Brigadier General. O. 8. C., A»»i»tant Chief of Staff for Operation», 8. O. 8. 3 Incls: #1 Hosp. 4 Evuc. Ops. Sept. 15. 1942. #2 Ur AO 704 ( 6-17-42) MB D-TS-M, “WD hosp. 4 evac. policy.” #3 Ltr SP PMO 381. 4M70.V** 42 —1 MILITARY HOSPITALIZATION AND EVACUATION OPERATIONS SERVICES OF SUPPLY (September 15, 1942) Snnos I HOSPITALIZATION 1. Plana for operations.—a. Operations plans for military hospitalisation within the continental United States will be maintained as follows; (1) By service commands and ports of embarkation submitted in triplicate to The Surgeon General prior to December 15, 1942. (2) By The Surgeon General a basic directive, submitted in triplicate to the Commanding General, Services of Supply, prior to February 1, 1943, which will coordinate operations under the plans submitted by service commands and ports of embarkation. The original and one carbon copy of each subordinate plan will be forwarded with The Surgeon General’s basic directive. The Commanding General. Services of Supply, will return the original of each subordinate plan to the service command or port concerned. 6. The Surgeon General is charged with administration and processing of plans as outlined herein. He will report to’ the Commanding General, Services of Supply, deficiencies the correction of which are beyond his control or authority. The Surgeon General will also submit with the basic directive for operations a report upon and recommendations for such additional requirements in facilities, personnel, or equipment as may be necessary to Insure adequate military hospitalization within the continental United States. c. Reporting offices will call upon other offWvs for the information required at such time as to insure preparation and maintenance of plans as prescribed herein. Those offices from which Information may be requested will promptly submit the required information. Air station surgeons will furnish to the commanding gen- erals of service commands the essential information required to complete opera- tions plans as prescribed herein. • rf. Information will be submitted in annexes attached to each plan concerned as follows: (1) Annex A.—Information in the form of table I and as required by table I. (2) Annex B.—The Surgeon General will submit annex B, including informa- tion required in the form of table II. (3) Annex C.—Specific report as annex € will be made by service commands and ports of embarkation (debarkation) as to sources of existing buildings for increase of bed capacities as prescribed herein. Apartments, hotels, schools, dormitories, or other buildings which might he made available will be surveyed and reported. Owners will be listed and their willingness or lack thereof to cooperate will be indicated. No schools of high school (or lower) grade will be surveyed. No buildings surveyed by or tentatively allocated for other Govern- ment or Office of Civilian Defense hospitalization will be surveyed or listed. Incl. #1 3 14) Annex D.—Detailed report will be made as annex D by service commands and ports of embarkation (debarkation) concerning the relations which have been established with other Government hospitalization agencies, the Office of Civilian Defense or others, under which unilateral or mutual hospitalization support may be planned. This report will clearly show how plans have been coordinated with other agencies’ plans. No hospital beds which other agencies plan to employ will be included as assets in plans for military hospitalization. 2. Responsibilities.—a. Under the Commanding General, Services of Supply: (1) The Surgeon General will control the allocation of beds and determine staff allotments in all named general hospitals in the United States. He has technical administration of all medical activities. (2) The commanding general of each service command has responsibility for the hospitalization of all troops within his service command, except for those in staging areas and ports of embarkation, for Army Air Force personnel at Air Force station hospitals, and for hospitalisation in tactical hospitals operating under tactical control. (8) The commander of each port of embarkation (debarkation) is responsible for the hospitalisation of all troops in staging areas and the port of embarkation. h. The Commanding General, Army Air Forces, is responsible for air station hospitals. r. The Commanding General. Army Ground Forces, is responsible for tactical hospitals operating under tactical control. d. The commanders of defense commands and theater of operations in the continental United States are responsible for such hospitals as may be designated by the War Department. e. All commanders (In emergency) are responsible for medical attendance (including civilian physicians and hospitalization) as provided by AR 40-506. Commanders are reminded of the heavy burdens being placed upon civilian medical services and the shortages thereof due to current requirements of thb armed services. 3. Operations (see chart 1).—a. Military hospitalization will be provided In accordance with the Services of Supply Organization Manual, 1942, and with this directive. Hospitalization operations will be coordinated with evacuation operations. b. Plant farilitir*.—(1) Type*.—(a) Station hospitals are established and maintained to provide immediate medical care and treatment for those cases not ordinarily requiring prolonged hospitalization. Station hospitals will be pro- vided in accordance with current |>ollcy, as approved by the Commanding General, Services of 8u|iply. (6) Named general hospitals (see chart 2) are established and maintained to afford better hospital facilities than ordinarily would he provided in station hospitals for observation, treatment, and disposition of complicated or obscure cases: for performance of certain elective surgical procedures; to provide beds for the evacuation of other hospitals, thereby increasing the number of beds available in the hospitals concerned: to provide beds for patients requiring prolonged hospitalisation; and to provide beds for treatment of patients evac- uated from overseas for whom further treatment In the United States is required. Named general hospitals will be provided in the continental United States for 1 percent of the total strength of the Army plus any additional capacity required for actual medical care of military evacuees from overseas, continued until such personnel may be returned to duty or separated from the military service. 4 (c) Field camp hospitalisation will consist of the following: J. For 2.87 percent of camp capacity, theater of operations type con- struction with running water and the simplest type of water-borne sewerage. t. For 1.3S percent of camp capacity, heavy tentage, floored and screened to be operated by field medical units with no water-borne sewerage provided unless the camp proper is so served. (2) Bed credits.—(a) The Surgeon General will control the allocation of bed credits In named general hospitals to the following: 1. Larger station hospitals upon recommendation of commanding generals of service commands or the Commanding General, Army Air Forces. t. The commanding generals of service commands for disposition of patients from smaller stations, except air stations. S. The Commanding General, Army Air Forces, for disposition of patients from smaller air stations. 4. The commanders of ports of embarkation (debarkation I for imtients from overseas, staging area and port hospitals, and such additional requirements as may be reported by port commanders. 5. The Commanding General, Army Ground Forces, for tactical hospitals operating under tactical control. 6. The commanding generals of defense commands or theaters of opera- tions within the continental United States, as necessary. (b) The Surgeon General will revise bed credits, when necessary, advising all commanders concerned following each revision, particularly commanding generals of service commands. The commanding officers to whom bed credits have been allotted require no further authority to transfer patients to the designated named general hospitals, provided allotments are not exceeded. In order to control bed credits in general hospitals. The Surgeon General will deal directly with general hospital commanders with reference to allocation of bed credits. (c) A record of debits and credits against bed allotments will be maintained by all concerned. Bequests for changes in allotments will be made to The Surgeon General through the commander concerned except in emergencies, when direct iommunication with The Surgeon General Is authorised. Recommenda- tions for decreased allotments will be submitted when indicated. The Surgeon General will reduce consistently excessive allocations of bed credits. (g) Special.—Patients will be transferred In accordance with existing regu- lations to the Fltzslmons General Hospital for treatment of tuberculosis, to Darnall General Hospital, and to the Army and tfavy General Hospital. The availability of beds for neuropsychiatrlc patients will be established by com- manders concerned prior to transfer of such patients to general hospitals. (e) Transfer of patients.—In accordance with current directives, commanding officers concerned will be responsible for the proper selection of cases to be transferred to general hospitals, consideration being given to— I. Distances to be traveled. t. Transportation medium to be employed. S. Routing. 4- Crowding of local hospital facilities. Sufficient beds will be held avail- able in station hospitals to meet the needs of immediate emergencies. (8) Capacity of plant facilities.—(o) Bed capacities will be made available for hospitalisation of approximately 15 percent of the command as follows: 5 /. For actual medical care of hospital canes, beds for approximately 5 percent of the command by the utilisation of the following: Existing hospitals. Additional hospital construction to full S percent of bousing capacity at theater of operations type camps (to be provided without any action by the commanding generals of service commands). Mobilisation type hospital barracks at mobilisation type camps. * Existing housing for field units adjacent to hospitals. t. For care of ambulant convaleacents and for treatment of ambulant pa- tients requiring minor attention other than bed space and mess facilities, beds for approximately 10 percent of commands by utilisa- tion of barracks; the barracks will be preselected by post, camp, or station commanders upon recommendation of their respective sur- geons, and will be those most suited to the purpose; the sources for beds, bedding, and messing facilities for the convalescent housing will be specifically listed In writing by each commander concerned to minimise confusion at such time as emergency dictates actual operations; the convalescent housing will be administered as an- nexes to the hospitals by medical officers under the poet, camp, or station surgeons. (4) Expansion of plant facUitie*.—(a) For addition to bed capacity as pre- scribed in (3) above, facilities will be expanded when necessary by the following means'and In the order listed: I. By temporary utilisation of barracks (only ambulant patients will be placed above the first floor of cantonment camp barracks). i. By rental or lease as may be required by and as authorised for meeting suddenly increased admission rates due to epidemic, temporary dis- position of troops, enemy action, or localised disaster. 3. By ronolmrtion.—For station hospitals, only when increases of garrisons are permanent and not for tactical disposition of troops temporarily at or in the vicinity of the station concerned, except when authorised by the t'ommanding General. Services of Supply. For general hospitals, at least 9 months prior to the need thereof. The Surgeon General will estimate and report additional require ments to the Commanding General. Services of Supply. At the time of reporting estimated additional requirements. The Surgeon General will submit specific recommendations as to the general locations of and capacities required for the additional general hospitalisation. Except for those general hospitals required for support of port evacuations, construction for new general hospitals will be located within areas bound by the general line: SPOKANE—PHOENIX— EL PASO—TEMPLE- ATLANTA--CLEVELAND, .additional gen- eral hospitals will be so located as to properly support evacuation from other general hospitals, and on main line railroads unless otherwise approved In each case by the Commanding General, Serv- ices of Supply. J. By utilization of theater of operations hospitals which are under the control of the Commanding General. Services of Supply. No issue of unit assemblages for this purpose will be anticipated at this time, the capacity of these units us a source for expansion of facilities being limited to utilisation of personnel within the units. In order 6 to derive the maximum benefits from training and operations, theater of operations hospitals will be utilized as complete units and not as individuals, when employed in actual care of the sick. (b) As may be necessitated by enemy action in the following States, provision will be made for alternate location of existing hospitalization by removal of exist- ing equipment to preselected buildings: Maine Maryland New Hampshire District of Columbia Vermont Virginia Massachusetts North Carolina Rhode Island South Carolina Connecticut Georgia New York Florida Pennsylvania California New Jersey Oregon Delaware Washington Plans for such expansion will be included In annex C (see par. ld(3), sec. I). e. Medical equipment and supplies.—(1) From currently authorized sources. The Surgeon General will insure the availability of adequate medical equip- ment and supplies at such times and places as they may be required (or opera- tions prescribed herein. (2) In emergencies, required supplies which have not been made available by The Surgeon General may be purchased locally in accordance with current directives. d. Funds.—(1) Funds for the lease of buildings and the payment of utilities will be provided by commanding generals of service commands in the manner prescribed by current regulations. (2) Funds for the purchase of medical supplies and services locally will be provided by The Surgeon General In the manner prescribed by current direc- tives. (3) Funds for the hire of necessary civilian personnel for the expansion of hospital facilities as prescribed herein will be provided by the commanding generals of service commands. e. Medical personnel.—The commanding generals of service commands and the commanders of ports will submit requests to the Commanding General, Services of Supply, for additional medical personnel required to meet serious epidemic’s or other major disasters. /. Aid to civilian defense.—(1) Extent of aid,—Assistance will he given to the Office of Civilian Defense within the means available and when Justified by the immediate military situation. Civilian patients so admitted to military hospitals will be transferred to civilian hospitals designated by the Office of Civilian Defense at the earliest practicable date, or will be* otherwise disposed of as directed by the Office of Civilian Defense. (2) Means for aid.—Until such time as service command emergency medical units (mobile) may be authorized, organized, and equipped In accordance with approved tables, each service command will organize medical units In accord- ance with attached table III. Currently available personnel and motor vehicle's will be selected and detailed. Units will be actually trained for the purpose' Intended and will he sufficiently Inspe'cte'd to insure their rendlne*ss at all time's for operations. Units will be In accordance with attaches! equipment 7 list (table IV). The commanding general of each service command will deter- mine the number of such units required, based upon the military strengths and density of population of target areas within the service command area, the geography and the distance involved, reporting the number and locations of the units to The Surgeon General prior to October 15,1942. g. Disposition of patient* unfit for further military service.—Military per- sonnel who are disabled for further military service will be hospitalised in a military hospital in the United States until it can be determined that the disability is such that physical rehabilitation for military service is not feasible. When rehabilitation for military service is not feasible and further hospitali- sation is necessary, the military personnel will he separated from the military service and transferred to a Veterans’ Administration facility, provided the disability was incurred in line of duty. SEcnoa II EVACUATION 1. Plans for operations.—a. Operations plans for military evacuation will be maintained as follows: (1) By service commands, ports of embarkation (debarkation), other com- mands within the continental United States, each submitted in triplicate to The Surgeon General prior to December 15, 1942. The commanding generals of service commands will request commanders of ports and defense commands within their respective areas to submit evacuation plans of their respective commands. This wili insure that provision has been made for support for evacuation of those commands to the control of the Services of Supply, and that such support required has been included in the operations plans of the service command concerned. (2) By Hie Surgeon General after collaboration with the Chief of Trans- portation. Services of Supply, a basic directive coordinating all plans submitted in accordance with (1) above. This directive will be submitted in triplicate to the Commanding General, Services of Supply, prior to February 1, 1943. The original and one carbon copy of each subordinate plan will be forwarded with The Surgeon General's basic directive. The Commanding General, Services of Supply, will return the original of each subordinate plan to the commander concerned. b. The Surgeon General is charged with the administration and processing of plans as outlined herein. He will report to the Commanding General, Services of Supply, deficiencies the correction of which are beyond his control or au- thority. The Surgeon General will also submit with the basic directive a report upon and recoinmendutIons for such additional requirements in facilities, per- sonnel, or equipment as may be necessary to insure military evacuation as prescribed herein. c. Reporting offices will call upon other offices for the information required at sucii time as to insure preparation and maintenance of plans as prescribed herein. Those offices from which information may be requested will promptly submit the required information. Air station surgeons will furnish to the com- manding generals of service commands concerned the essential Information required to complete operations plans as prescribe herein. 4H7055° 42 2 8 d. Information will be submitted in annexes attached to each plan as follows: (1) Annex E—Patients to he evacuated.— (a) Estimates as to the numbers of patients to be evacuated will be listed In table V classified as follows; i. Mental.—Those patients who require security accommodations aboard a ship or a hospital train which may be moving patients to ulti- mate hospital destinations. Male. Female. i. Hospital litter (bed) patients.—Those patients requiring to remain In bed with services rendered by other individuals. Male. Female. S. Hospital ambulant paiients.—Those patients who, while ambulant, will require hospital (medical) care en route and who in addition will require services from other Individuals. Male. Female. 4. Troop class patients.—Those patients who will need little medical care en route and who will be able to take care of themselves, even in emergencies. Male. Female. (k) Estimates as to individuals to be evacuated who are not sick or wounded but for whom medical care must be prearranged. 1. Dependents of military personnel and War Department civilian em- ployees. Male adults. Female adults. Infants. t- Others. Friendly—I'ngua rded. Enemy—Guarded. (2) Annex F—Equipment.- Estimates as to equipment required for military evacuation and sources from which It may be made available will be tabulated as follows: (a) For transport (table VI). 1. A utomotive. * Ambulances. Buses. Trucks. Automobiles (Taxicabs and privately owned). t. Rail Hospital trains (276 iiarlents—12-hour trip: 200 patients— 24- or more hour trip). • Sleepers (Pullman coaches, 27 patients each) ; passenger coaches (52 patients each). 5. fthip (by port commanders; oversea commanders will report Imme- diately any known requirements for ship hospital space to the port of embarkation charged with supply of the command con- cerned). 9 Hospital ship. .Shiiw' hospitals aboard transports. 4. Air.—Ail requirements for air evacuation will be presented to the Commanding General. Army Air Forces, unless otherwise pre- scribed by him. (6) For operation* (table VII).—Requirements of individual, organizational, and other equipment and supply (medical and nonmedical) in excess of that available within the command concerned. (3) Annex G—Pemonnel.— estimates as to personnel required for military evacuation will be tabulated in Table VIII as follows; (•) Total requirements by grade and qualification. (6) Available personnel by grade and qualification. (c) Shortage of personnel by grade and qualification. S. Responsibilities. —Under the Commanding General, Services of Supply, for military evacuation operations within the United States and from oversea theaters of operations to the United States; (1) The Chief of Transportation. Services of Supply, is responsible for— (а) Water, rail, and automotive traffic control. (б) The adequacy of shipping for oversea evacuation. (c) Coordination with— 1. War Shipping Administration. 2. Navy. .1. Office of Defense Transportation. , .). Association of American Railways. 5. Highway transportation organizations. id) Under the Chief of Transportation, operations of commanders of ports of emlwrkation (debarkation) for the evacuation of patients from those oversea forc«*s charged to their respective ports for supply. Commanders of ports will call upon commanders of oversea forces for any information required and will' arrange directly with the* commanding general of the service command in which the is»rt is located for any sup|M»rt required from the service command for evacua- tion of the port Itself or for jmtients received through the port from overseas (see jiar. 1«(1), sec. II. and (2)(c) below). (2) Tlie commanding general of a service command is responsible for the following: («) Arrangements for transportation originating within the geographic limits of the service command, including any evacuation from ports that may be requested by port commanders, ex«ept for the control over hospital trains exer- cised l»y the Chief of Transportation (see par. 3o(l)lb), sec. II). (6) Arrangements with The Surgeon General for allocation of bed credits in general hospitals for the disposition of patients from service command installa- t ions. (r) Requesting commanders of ports and defense commands within the service command to present their requirements for support from the service command for military evacuation. (8) The Surgeon General has the following responsibilities; (a) Chief medical rrpulator.—The Surgeon General by virtue of his control over the allotment of bed credits In general hospitals will be the chief medical regulator. In order to carry out his functions with reference to military evacua lion. The Surgeon General, as chief medical regulator, will deal direct with the general hospital commanders in matters pertaining to bed credits and will obtain 10 such information direct from general hospital commanders and port commanders as may be required to properly control the transfer of patients. All commanders concerned will be informed of action taken by The Surgeon General. (ft) Assurance of adequacy of the following: t. Medical personnel for the care of patients while beiug transported. t. Medical supplies and equipment. S. Railway cars for evacuation of patients. (e) Recommendations concerning procurement of: 1. Railway cars for evacuation. 2. Hospital ships. (4) The Chief of Administrative Services. Services of Supply, has supervision of the following operations so far as they may be concerned with plans for military evacuation of sick and wounded: (a) Preparation of War Department plans and policies relating to civilian defense evacuation. (ft) Coordination of matters pertaining to civilian defense measures for evacu- ation. ft. The Commanding General. Army Ground Forces, is responsible for— (1) All evacuation within Army Ground Forces under his control. (2) Coordination with the Commanding General, Services of Supply, for evac- uation from Army Ground Force units to Services of Supply installations, facilities, or control. c. The Commanding General, Army Air Forces, is responsible for— (1) All evacuation within Army Air Forces under bis control. (2) Air evacuation. (5) Coordination with the Commanding General, Services of Supply, for evacu- ation from Army Air Forces control to Services of Supply Installations, facilities, or control. d. Commanders of task forces and theaters of operations overseas are responsi- ble for— (1) All evacuation within the command concerned. (2) Coordination of requirements for evacuation from overseas with the com- mander of the port of embarkation charged with supply of the command concerned. (8) Coordination with the Commanding General. Services of Supply, for evacuation beyond the limits of the command concerned to the control of the Commanding General, Services of Supply. e. Commanders of defense commands are responsible for coordination with the Commanding General. Services of Supply, for evacuation beyond the limits of the respective commands to the control of the Commanding General. Services of Supply. 3. Operations (see chart 3).—a. Rail— (1) Honpilal train.—(a) Attachment of hotpital cart.—For rail movements of stifle lent numbers of patients to Justify their use, currently available hospital train curs will be attached to and detached from service commands by the Chief of Transportation, the commanding amentia of service commands involved being advised thereof by the Chief of Trans- portation. (ft) Misvcmentt.—For movements within the service command the transporta- tion officer of the service command will arrange for routing. For movements to or through other service commands routing instructions jo cover each movement will be obtained from the Chief of Transportation. Movement orders for all movements, except In emergencies, will be Issued by the Chief of Transportation. 11 (o) Rail equipment.—The transportation officer of the service command will obtain the necessary rail equipment In addition to currently available hospital train cars including diners, sleepers, tourist cars, passenger coaches, baggage and refrigerator cars. (d) Menninp.—The commanding general of each service command will insure provision of adequate rations and messing facilities as determined by the medical personnel and the type and number of iiatieuts involved In each movement. When necessary, the commanding general of each service command will effect prelimi- nary arrangements for dining car facilities to include tray service from dining cars to bed patients. (e) fund*.--The commanding officer of the hospital train will be designated class B agent finance officer for the disbursing of such funds as may be necessary. (f) Ptrmnnel.—In the event no hospital train units are available, the com- manding general of each service command will staff trains with personnel in accordance with T/O &-820. ig) Equipment - The Burgeon General will equip hospital trains and will main- tain sufficient medical supplies therefor in accordance with basic equipment lists for hospital trains. (2) Rail movement* other than bp hospital train.—For individuals or for parties of patients and medical personnel totaling less than 50, rail transportation under current arrangements and agreements with the railroads will be arranged by local transportation officers and agents of carriers involved. b. Water.—(1) Commanders of ports charged with supply of oversea forces will arrange for evacuation from those commands to the continental United States. Control of hospital ship and ship hospital personnel and supply will be as provided In (2) and (S> below. (21 Medical supplies will be supplied from port reserves. The port commander will fill requisitions submitted by ship surgeons In accordance with basic equip- ment lists furnished by The Surgeon General. (3) The commander of each port of embarkation and debarkation in the con- tinental United States will operate ship hospitals with such Medical Department personnel as may be made available to him. Until such time as approved Tables of Organisation may be established to provide adequate personnel within the troop basis, an effort should be math* to provide personnel for ships’ hospitals in accordance with the Table of Medical Department Personnel for Ship Medical Service (table furnished to port commanders by The Surgeon General). The M«dical Deportment personnel will be placed on duty at ports or in staging areas when not actually on ship duty. Ships which have insufficient medical personnel or equipment to care for casualties that are to be evacuated thereon will be sup- plied with such personnel as may be available to the port commander. Medical personnel required to be attached by oversea commanders, in an emergency, for medical care of patients returned from theaters of operations will be replaced by personnel sbip|ied on the first returning transport. (4) Port commanders will immediately transmit to the Chief of Transportation all Information received from commanders concerning patients to be evacuated from oversea forces. c. Automotive.—In order to conserve gasoline and robber, motor vehicles will he used only when other means of transportation would be impracticable for military evacuation by the Services of Supply. Government ambulances. Army trucks, buses and commercial vehicles will he utilized in the order named. d. Air.- Military air evacuation will be effected as directed by the Commanding General, Army Air Forces, and requests therefor will be addressed directly to the 12 Commanding General, Army Air Forces. Commercial air evacuation may be arranged by commanders concerned, ns may be necessary. e. Aid to civUian defense.—As pifescribed by letter dated April 9,1942 (SP PMO 381), subject: War Disaster Relief Plans (see incl. #3). (Fill in proper designation) 1 3 8 «<*) 5(d) #(«) 7(/) 8(g) Geographic designation Number of normal beds Number of emer- gency beds Maxi- mum possible bed capacity Number of beds author- ised (or hospital Shortage of author- ised bed capacity Bed credits allotted to hospital Total beds available A. Stations (listed alphabeti- cally): 808 hospitals (») Air station hospitals (6) , C. General hospitals (») Total lor Service Com- mand (teas staging area bos- Table I.—Hospital facilities NOTES (•) Report will be submitted to The Surgeon General. (ft) Report will be submitted to service command.' (c) Immediately available within each command and without augmentation of medical personnel. (d) For station hospitals. 4 percent of permanent garrison: for general hospitals and staging areas, as authorised («) Provide evidence of permanence of increase of garrison strength (copies of orders, etc.). if) List general hospitals where credits are established and number allotted at each hospital It) Column 4 plus column 7. Table II.—Requirement« for additional h»»pitali:ntifm 1 I } 4 ft Geographic area Existing normal bed capacity Shortage of authorised bed capacity (a) Actual au- thorised bed capacity (ft) Additional bed capacity rec- ommended by The Surgeon General (f) Service Command 808 hospitals Air station hospitals General hospitals Total (or. Service Command Grand total NOTES (a) As reported to The Surgeon General. (ft) Based upon housing capacities. (c) Attach detailed justification for each hospital in which column 2 Is equal to column 4. 13 Tabi.e III.—Service command emergency medical unit (mobile) . Z 3 4 I Unit Tech- nician grade Total Remarks 8 Major , a Should have some general sur- s - gical ability. The aerial number symbol shown 4 In parentheses is an Inseparable part of the specialist designation. A number below 300 refers to an occupational specialist whose quali- fication analysis is found in AR 4 1 7 Medical (373) (1) s 1 y (1) to 8 military occupational special - 10 1 n Motor (813) (1) 67, War Department, 1343. 12 2 13 Medical (873) (2) 14 13 Technician, grade 41 Technician, grade 81^ 1 6 ■ 17 18 Private, flint daaa | Private J ( haufloor (246) 14 (6) 19 Clerk, admission (406) 1 0) X LiU«r bearer (857) (12) 21 ' Technician, medical (133) S (3) 22 (8) 28 Technician, surgical (22S< 4 (1) 5 (3) 2ft (8) X 40 27 44 2 3 » Q Truck, ZH-ton, 6x6, cargo . r Tabu: IV.—Equipment list—servin' command emergency medical unit—medical ' equipment Medical Depart- ment item No. Item Unit Amount mow Serum, normal human plasma, dried Package 35 74030 niao Battery, dry cell (lor items 78010 and 00340) 24 78010 Flashlight with lamp 07.10 Kit, medical, noncommissioned officer's 07115 07130 Kit. medical private's do 18 07405 Blanket set. small 07505 Chest, MD, No. 1. 07570 Chest. MD. No. 2 07757 Oas casualty set, complete 97815 Splint set 00175 Carrier, held, collapsible do 00226 Cup, paper, noncollapsible 1.000 OKMO 00045 Lantern, electric, lamp. do 00076 18 00410 Pad. heat, complete 00650 07825 07775 Flag (Red Cross), amublance and marker Noth.—In addition to the above, some provlalon should be made from equipment and 8U|>plioH on band to aerve hot coffer, tea. cocoa, aoup, etc., at the acene of the dlaaater. Quartermaster property Item Unit Amount A». handled, chopping Each 2 2 Cans, corrugated, nesting, galvanised with cover (32 gallons) *> 2 Ten', small wall, complete with fly. pins, and (wile 1 15 Patients to he evacuated' Ambulant well (r) Grand totals Geographic designation Mental patients (•) Hospital be Ppraunnrl authority!. unavailable hut rrqulnal. (6) 1’iTKinm l unaiilhoririHl. unavailable, and rrquinal. 'UUU NH W «1 , I Ur «—■«»» *. Ur r n>u- ■MflUU (k) TVaatars af Operations leap!tala under control af Sarriaaa af •wiy Bequests far ■upp^rt Oarer n—nt AfOMiea net otherwise listed Barela Coaaaandiaf General _ Samoa Cwsaai (bj I Stttia Kaapitala Chart 1.— Military hospitalisation within continental flatted States. JL Oanaral Rcapitals Control a allocation of Seda and the determina- tion of atnff allot- ■onto for jenoral hocpitola or SUfftr . I * Mraator of Oparatiana The Surface Inwral Reduceto far support United ttataa Iteajr I C—min; eoeral tart of Malta tian Area Baapjtala Part evacuation Kaapitala field • aaaraiaaa Cwlsil| General a»w Qraad faraaa 1 Tactical Icapita a under Tactical Control I Tralnlaf— taata — TACTICAL I •Mk Koopitala “ — Cmmami (a) Channels Indicated thus : Command channels: Support channels: Request Mutual (b) Preparation and main- tenance of the operational |4an for hospitalisation for the geo- graphic area within each serv- ice comma ml will he a respon- sibility of the commanding general of the service com- mand. Oalaral"* Dafeooo I r— OMwr«l Tkntar tf Operation. I •ms Kaapitala Ci—ni 19 mm QftMciriHi ■BtattM TW. me Int-IIM. l*tMto4 to hiw^WtUtl* Chart 2. General hospital* (a* of September 18. 1942). AIR EVACUATION I COMMANDING GENERAL ARMY AIR FORCES ▼ AIR „ STATION , HOSPITAL -.MUTUAL SUPPORT general hospital (G) COMMANDING GENERAL ARMY GROUND FORCES TACTICAL HOSRITAL —SUPPORT ARMY TRANSPORT SERVICE COMMANDING GENERAL SERVICE COMMAND ROST. CAMP OR STATION hosrital _ SERVICE A COMMAND the SURGEON GENERAL OH TFOFFIC cowmot I»1 - •«» * 0« 6ENCKAL hospital EMGARKAT ION OR OEGARKATION PORT OF EMGARRATlON OR OEGARKATIOM FOOT CVACUFTIOM HOSFlTAt I 23/ i| STAGING AREA STATION HOSPltAL ARMY TRANSPORT SERVICE PORT OF OEGARKATKHI . AIR STATION s HOSPITAL COMMANDING GENERAL DEFENSE COMMAND OR THEATER OF OPERATIONS (•) PORT evacuation HOSPITAL . NAMED k general hospital TACTICAL HOSPITALS f POST, CAMP OR STATION - HOSPITAL SERVICE COMMAND *“ 21 (*) This column illustrates • possible situation In which all facilities might be placed under command of a theater commander. (b) All passenger trallc flow la controlled by the Chief of Transportation who Issues all movement orders except in emergency. (c) This evacuation flow might be through a port of debarkation located in a theater of operations or a defense command. In such a situation the flow of casualties from overseas through that port and from within the theater of operations or defense command must be coordinated through the theater or defense commander. (d) The Surgeon (letters! is chief medical regulator by virtue of his control over the allocation of beds in general hospitals. WAR DEPARTMENT The Adjutant General's Office Washington AG 704 (6-17-42) MB-DT8-M June 18, 1942. SUBJECT: War Department Hospitalization and Evacuation Policy. TO: Commanding Generals: Army Gn*und Forces. Army Air Forces. Services of Supply. All Defense Commands. All Departments. All Theaters. All Separate Bases. 1. Responsibility of commanders.—a. The Commanding Generals of the Army Ground Forces, Army Air Forces, Services of Supply, defense commands, and oversea departments, theaters, and separate bases have command resjsai- sibility for the operation of all medical facilities under their control and for future planning in connection therewith. b. The Commanding General, Services of Supply— (1) Has administrative responsibility for the coordination of the plans of all commands for evacuation of the sick and wounded to he delivered to ids control, and for coordination of plans for hospitalization within the continental United States. (2) Will provide for the evacuation of sick and wounded delivered to his control ami will inform commanders concerned of the provisions made. (3) Will, in fulfilling his responsibilities, communicate directly wherever necessary and practicable to obtain such information as he may require. c. The Commanding General, Army Air Forces, is charged with the develop- ment and operation of air evacuation. He will at all times keep the Com- manding General, Services of Supply, informed of the status of such develop- ment. 2. Facilities.—a. All plans will contemplate, wherever Justified by predictable emergency conditions, the utilization of all fficillties of the areas involved, and will take cognizance of proliable requirements other than military. Com- manders designated in paragraph la are authorized in the preparation of their plans to deal directly with appropriate agencies not under their control. 6. Plans will be made for expansion beyond currently authorized capacity as Justified by predictable emergency conditions. Authority for the expnns'.m of fixed hospital facilities by new construction will, however, he granted only when all possibilities of expansion by other means have been exhausted. Bt ordek or the Secretary or War : (Signed) J. A. ULIO, Major General, The Adjutant General. Incl. #2 WAR DEPARTMENT Services of Supply Offlce of The Provost Marshal General Washington 81* PMO 381 April 9. 1942. SUBJECT : War Disaster Relief Plans. TO: Commanding Generals, All Corps Areas. 1. The Army must be prepared to aid the civilian population during major disasters resulting from either natural or war conditions. The primary respon- sibility for relief from either natural or war disaster is upon the local and State governments, including their civilian defense agencies affiliated with the national Office of civilian Defense and relief agencies, us the American Red Cross. 2. There is the possibility that communities along our land and coastal frontiers may be subjected to sporadic raids and bombing attacks. During and immediately following such attacks, the corps area commander must be prepared to assist the responsible local. State and civilian agencies until they are able to take over completely. In the extreme case where the responsible civilian agen- cies are unable to function, the corps area commander must be prepared to take control during the initial period. Therefore, you will prepare a plan providing for war disaster relief, forwarding one copy to this office not later than May 20, 1942. It Is suggested that the following be Included: a. Assisting local law enforcement agencies in establishing restricted areas and maintaining law and order in the affected areas. b. Plans for equipment and the necessary organization to rescue persons from heavily damaged or demolished buildings. c. Plana for medical services and supplies prior to evacuation. rf Plans for various types of transportation and selection of highways for evacuation. r. Plans for temporary maintenance of to include feeding, clothing and housing until relieved by civilian agencies. f. Plans to utilise communication systems or devices. f. Plans to protect against and suppress fire. *. Plans to utilize State, local, other Federal agencies and volunteer forces to the maximum. i. Plans to coordinate the relief agencies. f. Planning points or areas of release to civilian agencies. k. Plans for withdrawal of Army personnel. 3. The relief afforded by the Army will not extend beyond that initial period during which the civilian agencies are unable to fulfill their primary responsi- bility. Oearly, corps area commanders should neither obviate the necessity for nor replace complete plans by local. State and civilian organizations. The proper authorities should he consulted for the purpose of securing information on their capabilities and plans of action. Plans should contemplate the maximum utilization of State guard and local polio* forces. Incl. #3 24 4. During and Immediately following the occurrence of a major war disaster, the representative of the corps area commander should proceed to the disaster area and confer with the proper civilian authorities. Including the mayor, the head of the local civilian defense organisation and the Red Cross representative, offer- ing the assistance of the Army where needed. The corps area commander's repre- sentative should be the EPW-CFCP district commander of that area. 5. When sporadic raids occur, permanent mass evacuation from raided com- munities usually should not be required, as it is essential to the war effort that the able-bodied citizens remain in their home communities. However, the tem- porary evacuation of certain classee of civilians may be necessary. War Depart- ment pamphlet entitled “Evacuation of the Civilian Population,” Dec-ember 11VI1, was written to assist in planning for mass evacuation from a theater of operations and was not intended to assist in planning the dispersal of certain classes of civilians to protect them from sporadic air attacks. Therefore, the War Depart- ment pamphlet should he used only as a source for suggestions in preparing the plans here requested. 6. The corps area war disaster relief plan will he in addition to the peacetime disaster relief plan provided in AR .VXMIO and of special disaster plans wldch certain corps areas have been directed to prepare. Where practicable, the corps area organization for EPW and CFCP purposes with districts, headquarters and executives should be utilized for operations under this plan. This plan should be classified as restricted. By command ok Lieutenant General SOMERVELL: (Signed • ALLEN W GULLI<)N. , Major General. U. 8. A., The Provost Marshal General.