20TH (Light) Division Operations (Medical Arrangemenst). 15 Nov 1917

SECRET.
Copy No. 1
20th Div. No. G.32.

20TH (LIGHT) DIVISION OPERATIONS
INSTRUCTIONS NO. 4.
(MEDICAL ARRANGEMENTS).

LOCATION OF MEDICAL UNITS. 1. A Prior to Zero.
(1) Battle Aid Posts. Left R.20.a.2.9. (XVI RAVINE) Right R.25.d.4.9.
(2) Relay Posts. (1) R.25.a.8.4. (HOTEL CECIL)
(2) R.19.d.3.7. (near XV RAVINE).
(3) A.D.S. GOUZEAUCOURT, Q.36.d.6.9.
(4) Div. Walking Wounded Collecting Station GOUZEAUCOURT BATHS, Q.36.b.1.4.
(5) H.Q. 60th F.A. (O.C. Bearers) & Bearer Camp, FINS V.12.c.8.8.
(6) Corps Main Dressing Station V.18.c.0.7. FINS – NURLU Road.
(7) Corps Walking Wounded Collecting Station V.18.c.0.7. – FINS – NURLU Road.
(8) Corps Sick Collecting Station. V.18.c.0.7. FINS – NURLU Road.
(9) C.C.S’s. (1) YTRES Group.
(2) TINCOURT Group.

B. At Zero.
(a). An Advanced Battle Aid Post (Right) at R.20.d.7.4. will be taken into use by the right (61st) Bde. The QUARRY (R.25.d.4.9.) will continue to be used for the Reserve Battalion of the 59th Bde. until this is ordered up by B.G.C. 59th Inf. Bde.

(b). A Forward A.D.S. (left) will be established at original left battle aid post R.20.a.2.9. (XVI RAVINE).

(c). An Advanced Battle Aid Post (left) will be established at R.14.a.8.9. (SURREY RAVINE) – destined eventually to become one of the chain of F.A. Relay Posts.

(d). A Forward A.D.S. (right) will similarly be established later at the Advanced Battle Aid Post, R.20.d.7.4.

POSITION OF MEDICAL OFFICERS. 2.

On account of the more open nature of the operations, it has not been feasible to make arrangements for any but the initial positions of Regimental Medical Officers. It has been tentatively arranged that these will be as follows at Zero.
(a). Advanced Left Battle Aid Post. R.14.a.8.9. (SURREY RAVINE). One or more M.O’s of 60th Bde.

(b). Original Left Battle Aid Post. R.20.a.2.9. (XVI RAVINE) One M.O. of 60th Bde. in Reserve until ordered up.

(c). Advanced Right Battle Aid Post. R.20.d.7.4.
(i). One or more M.O’s of 61st Bde.
(ii) One M.O. 61st Bde. remaining here in Reserve until ordered up.

(d). Original Right Battle Aid Post. (QUARRY) R.25.d.4.9.
One M.O. of 59th Bde remaining in Reserve until ordered up.

With the exception of the M.O. of each Bde. whom the B.G’s C. desire to keep in Reserve at first, all R.M.O’s will be prepared to establish R.A.P’s as situation demands.

The Line R.10. central – R.5. central is suggested as possibly suitable as a route of evacuation of wounded, while it may be found convenient to establish posts at the two points mentioned.

Should a considerable advance take place the chain of Field Ambulance posts will be pushed up by the establishment of Relay and Bearer Reserve Posts as may be necessary. The successful accomplishment of this will be largely dependant on the regularity and promptness with which the O.C. Bearers at A.D.S. GOUZEAUCOURT, is kept informed of all changes of position. The paramount importance of the above, as also of maintaining touch with posts left behind, cannot be too strongly emphasised.

EVACUATION. 3.

Cases will be conveyed as usual by Regimental Stretcher Bearers as far back as R.A.P’s, where they will be taken over by the Field Ambulance bearers who have been placed under the orders of the R.M.O. at these posts. (8 bearers to each R.A.P. of 60th and 61st Bdes., 16 in the case of 59th. These bearers will be rationed by the Battalions).

Cases will be conveyed by Relays to the Forward A.D.S’s and back to A.D.S. GOUZEAUCOURT. Wheeled stretchers will be used as much as possible for conveyance of cases back to Ambulance Car Loading Posts, which will be pushed up as far forward as possible as soon as the situation permits.

A Trolley line is being repared, and will be used as soon as the Advanced Battle Aid Post at R.20.d.7.4.4. is taken into use. By means of 4 trolley cars (capable of holding 4 lying cases each) cases will be conveyed to a Relay Post which is being constructed in the Railway Cutting at R.19.d.3.7., whence they will follow the ordinary route of evacuation to GOUZEAUCOURT.

From the A.D.S. GOUZEAUCOURT evacuation will be as follows:-

A. Lying & Sitting cases.

(i). by DECAUVILLE. A service has been arranged for lying and sitting cases by special ambulance trains conveying –
(a) Direct admissions straight through to C.C.S. at YTRES. (As many as possible).
(b) All other cases to FINS detraining point, whence a ferry service of horse ambulances will convey them to the Corps M.D.S.
(ii). Failing the Decauville by Motor Ambulance Cars direct from A.D.S. GOUZEAUCOURT, to C.C.S. at YTRES.

B. Walking Wounded.
Walking wounded will be directed to Div. W.W.C. Station established in the GOUZEAUCOURT BATHS. From here they will be conveyed by charabancs and possibly by Decauville (empty ammunition trains) to FINS, and thence to the Corps W.W. Station which has been established next to the Corps M.D.S.

From the Corps W.W. Station evacuation will be by Decauville to C.C.S’s at TINCOURT. Failing the latter a ferry service of busses will be used.

DIVISIONAL STRETCHER COY. 4.

The Divisional Stretcher Coy. has been re-organised and instructed, and will be utilised, if required, to assist in the work of clearing the battlefield. They will be controlled by O.C. Collecting F.A. (60th ) at A.D.S. (GOUZEAUCOURT) – with the exception of the section drawn from and attached to 59th Bde., which will come under orders of B.G.C. 59th Bde. at Zero, and will be rationed by the 59th Bde.

Calls for the services of the Divl Stretcher Coy. (with the exception of the 59th Bde. Section above mentioned), will be addressed to O.C. Collecting F.A., GOUZEAUCOURT A.D.S., direct.

CORPS SICK COLLECTING STATION. 5.

A Corps Sick Collecting Station has been established next to the C.M.D.S. and C.W.W.C.S. on the FINS – NURLU Road, and will deal with ALL sick, both from the forward and surrounding areas. Cases will be conveyed by charabancs or busses to the C.R.S. at MOISLAINS.

DUMPS. 6.

Dumps of Stretchers, Blankets, extra Dressings etc will be formed at Relay Posts as early as possible.

ACKNOWLEDGE.

J. McD Haskard
Lieut. Colonel,
General Staff, 20th Division.
15th Nov., 1917.

Distribution overleaf.

Copies to:–
No 1. G.O.C.
2. “G”.
3. “A”.
4. 59th Inf. Bde.
5. 60th Inf. Bde.
6. 61st Inf. Bde.
7. B.G. R.A.
8. C.R.E.
9. Divl. Signals.
10. Divl. Pioneers.
11. Divl. M.G. Coy.
12. }
13. }
14. }
15. } A.D.M.S.
16. }
17. }
18. }
19. D.M.G.O.
20. A.P.M.
21. III Corps.
22. War Diary.
23. File.

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