American Civil War Medicine & Surgical Antiques

Surgical Set collection from 1860 to 1865 - Civilian and Military

Civil War:  Medicine, Surgeon Education & Medical Textbooks

 Dr. Michael Echols & Dr. Doug Arbittier

2011 - "The sesqui-centennial of the Civil War" -  2015

The 150th Year Celebration

 

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Stethoscopes and the Civil War

 

By Dr. A. Jay Bollet

From: The Society of Civil War Surgeons

The evidence that army physicians during the Civil War knew how to use a stethoscope can be found in numerous reports in the Medical and Surgical History of the War of the Rebellion. They are brief summaries, but with enough detail to know that physicians were skilled at physical examination.

 

Some examples:

"Case 4, Regimental Register, 28th Mass. April 11, 1863...dullness over left nipple; crepitant rÔles distinct...14th: rubbing sound heard over upper part of left thorax, rÔles below and dulness overall...17th...no rubbing sound, dullness less marked...26th...Sent to general hospital to-day."

"Case 9, from Third Division Hospital, Alexandria, VA: "Diminished resonance over right side anteriorly with subcrepitant ronchus [sic] below...""Case 10, Ladies' Home Hospital, New York City:...dullness posteriorly over the upper portion of the lower lobe of the left lung with feeble respiratory murmur and moist bronchial rÔles..

 

mvc-624s.jpg (13288 bytes)

 Cammann's Stethoscope above in this collection is the exact one shown in Tiemann's 1870's catalog with elastic band

 

 

 

Also see the 1866 Gemrig catalog on this website with drawings of a Cammann's stethoscope listed on page 12

 Miscellaneous Instruments

The stethoscope is needed to hear rales and rhonchi, and to detect a 'feeble respiratory murmur'. Notably, the findings were used to determine the specific location of the pathology in the lung and it is described in many of these case reports. In fatal cases the findings on physical examination were verified by the autopsy findings. Today physicians would rarely try to define the anatomic location of lung pathology without first seeing a chest x-ray. In other cases, the description of the examination of the heart mentions murmurs and friction rubs, which are heard only with the stethoscope. Note also in the cases listed above that the use of the stethoscope and other techniques of the physical examination which originated in Europe was widespread among the military units; it is documented in regimental and divisional field hospitals, as well as general hospitals.

 

The regimental surgeons in the field thus were skilled in the use of the stethoscope, not only specialists in the cities. Ladies' Home Hospital was a general hospital of 263 beds (according to the Surgeon General's annual report of 1862) and would be expected to have specialists in New York City functioning as contract physicians. It was on Lexington Avenue at the corner of 51st Street; initially all soldiers from the NYC area who needed trusses were sent there. This hospital was sometimes called the "Soldier's Home."The use of percussion, another component of the technique of physical examination, is documented by the descriptions of dullness and diminished resonance in these case reports. A statement attributed to General Robert E. Lee when he had the first of several illnesses during the war, describes what it felt like to be examined by percussion. His physicians, he said, were "tapping me all over like an old steam-boiler before condemning it."3

 

1 Holmes, Oliver Wendell. Poems. Boston: Tickner, Reed, and Fields, 1853.2 Barnes, Joseph K. Medical and Surgical History of the War of the Rebellion. Washington: Government Printing Office, 1883. Medical Volume 3.3 Foote, Shelby. The Civil War, A Narrative. New York: Random House, 1958, Vol. II, p 248.4

 

Dr. Bollet has written an excellent book on Civil War surgery

 

 

 

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Civil War Medical Collections 

Direct links to all medical & Civil War collections on this site

American Surgical Sets:

Pre-Civil War:  1 | 2  -   Post-Civil War:  3  -  Civil War 1861-1865:  4 | 5 | 6 | 7    INDEX

Medical Text-Books:

1 | 1a | 2 | 2a | 3 | 3a | 4 | 4a | 5 | 5a | 6 | 7 | 8 | 9 | 9a | 10 | 11 | 12    INDEX

Surgeon General's Office Library printed catalogues: 1840 | 1864 | 1865

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1 | 2 | 34 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21    INDEX

93 Navy Surgeon Exams:

1863 Navy Surgeon Applicant Exams with Biographies   INDEX ONE | INDEX TWO

Surgeon CDVs, Images:

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Hosp Dep't Bottles, Tins, 

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American Civil War Medicine & Surgical Antiques

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Last update: Friday, July 11, 2014