Medicine on the British sector of the Western Front, 1914-1918Caring for the wounded on the Western Front

World War One presented new medical challenges for the British army. Fighting in the trenches and developments in weapons led to new illnesses and wounds that needed to be treated.

Part ofHistoryMedicine in Britain, c.1250 to the present day

Caring for the wounded on the Western Front

High numbers of led to fast-paced developments in the care of the wounded on the Western Front.

The chain of evacuation

An evacuation route was used to treat injured soldiers quickly because this increased their chances of survival. was used at the dressing stations to organise the wounded and treat the more serious injuries most quickly.

Stage of treatmentDescription of treatment
1. Stretcher bearersStretcher bearers recovered the dead and wounded from No Man’s Land. They would go out at night and during breaks in the fighting. This led to them having to overcome mud, shell craters and crowded trenches, sometimes in darkness. It took four men to carry a stretcher, sometimes more in deep mud. They would carry basic medical supplies, such as bandages.
2. Regimental aid post (RAP)A RAP was close to the front line, such as in a dugout (a hole dug in the side of a trench). Here light wounds would be treated so that soldiers could return to the front line. Those who needed more treatment were moved on to a dressing station.
3. Dressing stationA dressing station was often set up in a tent behind the trenches. Seriously injured soldiers were moved to a casualty clearing station by a motor or horse-drawn ambulance.
4. Casualty clearing station (CCS)A CCS was the first medical facility in which the moderately seriously wounded would receive treatment. Here, soldiers were treated by doctors, nurses and surgeons. A CCS contained operating theatres, mobile X-ray machines and hospital ward beds.
5. Base hospitalsA base hospital was where civilians and serious injuries were treated. They were usually in large converted buildings. A base hospital had operating theatres, X-ray departments and specialist centres for treatment of specific problems, such as gas poisoning. The wounded would arrive here by train or motor ambulance.
Stage of treatment1. Stretcher bearers
Description of treatmentStretcher bearers recovered the dead and wounded from No Man’s Land. They would go out at night and during breaks in the fighting. This led to them having to overcome mud, shell craters and crowded trenches, sometimes in darkness. It took four men to carry a stretcher, sometimes more in deep mud. They would carry basic medical supplies, such as bandages.
Stage of treatment2. Regimental aid post (RAP)
Description of treatmentA RAP was close to the front line, such as in a dugout (a hole dug in the side of a trench). Here light wounds would be treated so that soldiers could return to the front line. Those who needed more treatment were moved on to a dressing station.
Stage of treatment3. Dressing station
Description of treatmentA dressing station was often set up in a tent behind the trenches. Seriously injured soldiers were moved to a casualty clearing station by a motor or horse-drawn ambulance.
Stage of treatment4. Casualty clearing station (CCS)
Description of treatmentA CCS was the first medical facility in which the moderately seriously wounded would receive treatment. Here, soldiers were treated by doctors, nurses and surgeons. A CCS contained operating theatres, mobile X-ray machines and hospital ward beds.
Stage of treatment5. Base hospitals
Description of treatmentA base hospital was where civilians and serious injuries were treated. They were usually in large converted buildings. A base hospital had operating theatres, X-ray departments and specialist centres for treatment of specific problems, such as gas poisoning. The wounded would arrive here by train or motor ambulance.
A photograph of injured soldiers being taken to hospital during the First World War. One Indian soldier is in a stretcher and other soldiers are wearing slings
Image caption,
Soldiers on the Western Front evacuate a wounded soldier on a stretcher

The Royal Army Medical Corps and the First Aid Nursing Yeomanry

All medical officers and men who cared for the wounded on the Western Front belonged to the Royal Army Medical Corps (RAMC). They included doctors, stretcher bearers and ambulance drivers.

Women who travelled to the Western Front to care for the wounded joined the First Aid Nursing Yeomanry (FANY). Initially, the army only accepted well-trained nurses from the Queen Alexandra's Imperial Military Nursing Service. However, as the need for nurses increased, volunteers were also accepted. Nurses on the Western Front would carry out the following work:

  • providing professional nursing care
  • driving motor ambulances
  • cleaning hospitals
  • washing clothes
  • bathing the wounded
A photograph of two nurses driving an ambulance on the Western Front
Image caption,
Nurses on the Western Front driving a motor ambulance

By 1915, there were 250 motor ambulances in France with more arriving. However, horse-drawn ambulances continued to be used as they were more effective when travelling over mud and shell holes.

The underground hospital at Arras

During the Battle of Arras in 1917, the wounded were treated in an underground hospital. This had been built in the tunnels that existed in the chalky ground. The hospital had 700 beds and several operating theatres. This was effective as it enabled the wounded to be treated quickly because it was close to the battle site.