War Surgery 1914-18

The Great War, 1914-1918 resulted in enormous numbers of casualties who had sustained filthy contaminated wounds from high explosive shellfire, bomb and mortar blast, and from rifle and machine gun bullet. Such wounds were frequently multiple, severe, and almost invariably became infected. Surgical experience from previous conflicts was of little value, and it became quickly apparent that early surgical intervention with radical removal of all dead and devitalized tissue was absolutely vital to help reduce the chances of infections, especially the lethal gas gangrene, from developing.