Topic: AIF - DMC - Medical
The Battle of Rafa
Sinai, 9 January 1917
RAMC, EEF, Unit History, Account
Transporting wounded men in camel cacolets
In 1918, Serjeant-Major, published a history of the Royal Army Medical Corps, EEF during the Great War called: With the R.A.M.C. in Egypt. The book included a chapter on the work performed by the Royal Army Medical Corps, EEF during the Battle of Rafa, Sinai, 9 January 1917 which are extracted below.
Serjeant-Major, With the R.A.M.C. in Egypt, (London 1918), Chapter 8, El Arish—Maghdaba—Rafa, pp. 128 - 137:
But the very magnitude and thoroughness of our action now lost us the chance, for the time being, of a grand decisive coup. The enemy got wind of our intention and wisely decided to retire. Our aircraft brought in the news that El Arish was being hastily abandoned. On receipt of these tidings, our mounted troops—cavalry, camelry, and horse-artillery—dashed forward, covering the intervening twenty miles of heavy desert country in a single night. The infantry followed, each man carrying two days' rations in addition to his fighting gear, the whole force reaching El Arish within eighteen hours of the start.
Vigorous pursuit of the retreating enemy was at once organised, and our flying column caught up with him at Magdhaba, twenty miles S.E. of El Arish, in less than four hours, and there inflicted on him a crushing defeat, taking 1,350 prisoners.
Eleven days later came the action at Rafa, thirty miles N.E. of El Arish, where another dashing raid by our troops resulted in an even larger haul of prisoners and still more damage inflicted on the foe.
The story of the Field Ambulances during this stirring time following so long a period of comparative inaction, is not easy to come by; but glimpses that have been obtainable here and there reveal it as one full of the usual dramatic incident, recurring risk, and hard incessant work. Here is an account, jotted down in the brief intervals of duty, by a member of one of the medical units chiefly engaged:"We arrived at El Arish on the 23rd December after a very trying march and enormous difficulty in getting our ambulance equipment through the sandhills. Here it became known that our mounted troops had succeeded in catching up at Magdhaba with a big lot of retreating Turks, and had managed to cut them off from the main body of the enemy. On the night of the 24th word came through that large numbers of wounded, both British and Turks, were lying at the Ambulance Station of the mounted force, and this Ambulance needed help. We sent three of our M.O.'s and 45 orderlies to assist. We also received a message that a camel convoy of wounded, on its way from this battlefield to our base, was held up a considerable distance off owing to the exhaustion of the camels. We sent two M.O.'s, a squad of orderlies, and 18 sand-carts, to bring these wounded in. It was no easy matter to find the convoy in the middle of the night amidst a trackless waste of hills, but our men succeeded in coming upon them about two o'clock in the morning. The wounded soldiers were transferred from the camel cacolets to our sand-carts and safely brought to El Arish.
"At this time we were rendering daily help to the overtaxed men of the Mounted Ambulance. We had, in addition, to attend to the wounded Turkish prisoners here at the base. Our Ambulance Convoys also did continuous duty conveying patients to the railhead twenty miles back on our lines of communication. It is interesting to note that one case, that of a wounded British officer, was evacuated from Magdhaba by aeroplane."
After the dash on Rafa, three of the Field Ambulances in El Arish received orders to turn out every available sand-cart in their equipment and to proceed to a place called Sheik Zowaiid, about twenty miles off, for the purpose of collecting wounded from the Rafa action. Between them, the three Ambulances got together a Convoy consisting of over fifty sand-carts, and a big detachment of nursing-orderlies and M.O.'s. The Convoy set out in the darkness of early morning on the 10th of January, reaching their destination about 11 a.m.
At Sheik Zowaiid some six hours were spent in dressing and bandaging not only our own wounded but many wounded Turks who had been brought in to the station. During this«.time numbers of the sand-carts were sent out to scour the country eastward for further wounded, four of these carts narrowly escaping capture by the enemy. It was late in the afternoon before the Convoy was fully loaded with the more serious cases, and could start on the homeward journey. El Arish was gained at two o'clock on the following morning, exactly 22 hours from the time the huge Convoy had set out.
In this period our R.A.M.C. men had marched 20 miles over soft, deep sand—the most tiring walking in the world—had done six hours' hard work, and had then marched back again without a minute's rest all the time—a performance whose merits need no comment. Such incidents in the daily work of the Medical Corps, however, have been far from uncommon during the Campaign.
At El Arish, in the meantime, the hospital sections of the Ambulance had been making ready for the Rafa wounded. Here is a brief account of the doings of one of them:—"After preparing our hospital so as to accommodate a total of 350 patients, the wounded commenced to arrive; and an incessant flow of them continued all night, some arriving on camel cacolets, and others—stretcher cases mostly—reaching us in the sand-carts. In addition to the hospital-marquees, three reception-tents and three surgical and dressing tents had to be used to cope with the number of admissions. Curiously, the first wounds treated were mainly of a slight nature, but later on many exceptionally serious cases were admitted, several of which required immediate operation.
"As well as our field-hospital work we also undertook the duties of a Casualty Clearing Station, evacuating the patients to the hospital-trains at railhead for transmission to the Stationary Hospitals at the base on the Canal. Our total admissions of wounded from the Rafa stunt were 309. The system we worked upon was to evacuate all the less gravely wounded cases at the earliest opportunity, while the more serious cases, such as thorax or abdominal wounds, were retained in the hospital and treated until fit to stand the journey in the train."
In regard to this Rafa engagement, the following extract from an eye-witness's article published in the Egyptian Press at the time, will be of interest:“Special mention deserves to be made of the gallantry of the stretcher-bearers. They went out into this absolutely open country (the exposed ground in front of the enemy position, over which our troops had charged). They took no notice of the heaviest fire, but coolly picked up the wounded, and bore them away to the ambulance wagons. It is pleasant to be able to add that, in spite of the great distance at which the Force was operating (nearly thirty miles), the hospital arrangements were admirable.
Our wounded and the Turkish wounded prisoners travelled comfortably to El Arish, and 24 hours after the capture of the Rafa position, all were housed under canvas."
It is interesting to compare the hospital-train service at this stage of the operations with that in force during the battle of Romani five months earlier.
Whereas at the earlier engagement the wounded were conveyed in common ration or munition trucks hastily and imperfectly fitted up for the occasion, and attached to the ordinary trains, to the acute discomfort, and often downright torture of the patients, now a thoroughly well organised and efficient train-ambulance system had come into being.
Two complete and well-appointed hospital trains were in readiness at the railhead. Each train had its Medical Officer and special staff of R.A.M.C. orderlies.
The carriages were well sprung and properly coupled, to ensure smooth and easy running. There were comfortable bed-bunks for the lying-down cases, and equally comfortable sitting accommodation for the rest. Each train had its travelling kitchen and staff of cooks, so that not only the usual meals but special invalid diet could be prepared en route. There was also a plentiful supply of medical and sick-room comforts, not omitting the inevitable tobacco and cigarettes, always on hand. In fact, the suffering passengers were as well looked after as in a permanent hospital ward.
The service had also been expedited in a remarkable degree. During the Romani engagement the improvised ambulance trucks attached to the ordinary trains were subject to endless stoppages and delays, and commonly took four or five hours to negotiate the distance of about 25 miles to Kantara. Now, in spite of having many more miles of Desert railroad, wherein were many steep gradients to traverse, the hospital trains landed their helpless human freight at the Base on the Canal within five to eight hours.
At Kantara a fleet of motor ambulances awaited each train, and the wounded were swiftly conveyed either to the steamers on the Canal, which took them to Port Said, or to the station of the Egyptian State Railway on the other side of the water, whence other equally well-appointed ambulance trains transported them to the Base hospitals.
The net result of this greatly accelerated and perfected service was that valuable lives were often saved by bringing the seriously wounded betimes within reach of proper surgical aid and appliances. Thanks alone to the energy and resource of a hard-worked Medical Staff, the country was at last doing its best for those who had given their best for their country.