When the Civil War began in 1861, the United States faced challenges it had never experienced before. The war’s scale and destruction were unlike anything the country had seen, and its medical system was far from ready. Thousands of soldiers fell ill in overcrowded camps where sanitation was poor and clean water was scarce. Diseases such as dysentery, typhoid, and malaria spread faster than doctors could treat them, claiming more lives than gunfire or combat ever did.
At the time, medical understanding was still developing. Germ theory was not widely accepted, antibiotics didn’t exist, and infection control was mostly guesswork. Doctors relied on experience rather than science, and hospitals were temporary and poorly supplied. Yet, in the middle of this chaos, people adapted. Surgeons, nurses, and volunteers began to organize care more efficiently, learning from the countless injuries and illnesses they faced every day.
By the end of the war in 1865, medical practice in the United States had transformed completely. The experiences of countless doctors, nurses, and patients reshaped how the country approached surgery, emergency response, and hospital care. What began as a desperate struggle for survival became one of the most important periods of medical innovation in American history, a reminder that progress often comes from the most painful moments.
(Reilly, 2016; Goniewicz et al., 2021; Bollet, 2002)
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