Sarah Sundin's Blog, page 420
August 1, 2013
Today in World War II History

Published on August 01, 2013 01:00
July 31, 2013
Release Day Giveaway Winner

Using a random number generator, the winner of a copy of On Distant Shores or the following book, In Perfect Time (August 2014), is...Jenny (nightowlreading). Thank you for leaving your email address, Jenny! I'll contact you.
Published on July 31, 2013 02:00
Today in World War II History

Published on July 31, 2013 01:00
July 30, 2013
Today in World War II History

Published on July 30, 2013 01:00
July 29, 2013
Medical Air Evacuation in WWII - One Patient's Journey

evacuated from Sicily to Africa, July 1943. (USAF photo). Flight nurse Lt. Georgie Taylor smiled at Private Hawkins, who was recovering from abdominal surgery due to a rifle wound. “We’ll be in Tuni—”
He was too pale. Restless. His hand chilled her. Georgie leaned closer, her mind tingling with concern. “Are you all right?”“Thirsty.” He rubbed his throat with white fingers.She wrapped her hand around his wrist to measure his pulse—rapid as she feared. No doubt about it. He was going into shock, probably from postsurgical internal bleeding. (On Distant Shores, p. 55)
In my novel On Distant Shores, the heroine serves as a flight nurse. To celebrate the book’s release, I’m running a series on medical air evacuation in World War II.
Earlier I discussed general principles of air evacuation, today we’ll follow one patient’s flight experience, and then we’ll meet the flight nurse.

(US Army photo)Pre-Flight
Let’s follow my fictional patient, Private Hawkins. In the battle for Troina, Sicily in early August 1943, Hawkins is shot in the abdomen. 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 he undergoes abdominal surgery. Since he requires a long recuperation, after he’s stabilized an ambulance will take him to the airfield at Termini Imerese, Sicily, and a C-47 will fly him to the large US hospital complex at Mateur, Tunisia.

for patients awaiting air evacuation. (US Army photo)At Termini 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. Georgie Taylor on each patient. Georgie in turn orients the patients—most of whom have never flown—on what to expect. Private Hawkins 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.

being placed aboard a C-47 for air evacuation from Guadalcanal in 1943.
(U.S. Air Force photo)Loading the Plane
The surgical technician and medics from the holding unit carry the litter patients onto the plane. At the cargo door, Georgie 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. Hawkins is placed in the middle tier 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 Hawkins’s “TPR” (temperature, pulse, and respiration) on the flight manifest, and check for signs of bleeding and infection.
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.
Georgie is trained to treat shock, hemorrhage, pain, air sickness, and other medical emergencies. When Private Hawkins goes into shock, Georgie and her technician administer plasma and oxygen to keep him alive.
Unloading
When the C-47 lands at Mateur, 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.
Due to Private Hawkins’s condition, he is rushed to the shock ward to be prepared for surgery. He will recover.
Published on July 29, 2013 02:00
Today in World War II History

Published on July 29, 2013 01:00
July 28, 2013
Today in World War II History

Published on July 28, 2013 01:00
July 27, 2013
Today in World War II History

Published on July 27, 2013 01:00
July 26, 2013
Today in World War II History

Published on July 26, 2013 01:00
July 25, 2013
Release Day Giveaway (A Bit Early!)

To celebrate, I'm holding a giveaway! To go with the "Shores" theme, leave a comment mentioning your favorite vacation spot - or dream vacation spot - and I'll enter you to win your choice of either On Distant Shores (which I can mail to you now) or In Perfect Time , the third book in the Wings of the Nightingale series (available August 2014).

Lt. Georgiana Taylor has everything she could want. A boyfriend back home, a loving family, and a challenging job as a flight nurse. But in July 1943, Georgie’s cozy life gets more complicated when she meets pharmacist Sgt. John Hutchinson. Hutch resents the lack of respect he gets as a noncommissioned serviceman and hates how the war keeps him from his fiancée. While Georgie and Hutch share a love of the starry night skies over Sicily, their lives back home are falling apart. Can they weather the hurt and betrayal? Or will the pressures of war destroy the fragile connection they’ve made?

To enter the giveaway, leave a comment about your favorite vacation spot, along with your email address in the following format: sarah [at] sarahsundin [dot] com. US and Canada only, please. No purchase necessary, void where prohibited by law, etc, etc. I'll post the winner on Wednesday, August 31, 2013.
Published on July 25, 2013 09:50