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Jan 15, 2021
The first medical system to care for soldiers wounded in battle was created by Dominque-Jean Larrey (1766-1842), a surgeon in Napoleon’s Grand Army. Larrey saw that men were dying of treatable wounds because there was no mechanism for retrieving them until the fighting was over. He organized an ambulance system that brought men from the battlefield to mobile hospitals behind the lines. Priority was given to soldiers who would die without immediate medical treatment. This was the first step in the development of medical triage from the French “trier,” to pick or sort. In 1846, British surgeon John Wilson (1780-1856) approached the sorting of wounded soldiers in a different manner with a different goal. Wilson believed army surgeons should initially focus on men who needed immediate treatment and for whom that treatment was likely to be successful that is, would save their lives. Of secondary importance were the less seriously wounded and those so gravel