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compelled to enter and discharge their wounded. Hence the establishment of what are termed emer- gency medical depots, with medical transport offi- cers in charge of each at various places along the coast. Thus a sudden inrush of wounded men can be taken care of. Briefly, from the time a wounded man is landed from a ship until he is finally placed in hospital, he is in the charge of the Land Medical Transport branch of the Naval Medical Service. The system adopted by the Navy generic viagra advice differs from others in so far that when a man is wounded severely enough to require immediate treatment in bed, after having received medical' attention, he is put to bed in his ship in a standard naval cot and made as comfort- able as circumstances will permit. The cots are 24 MEDICAL RECORD. [July 7, 1917 canvas stretched over a wooden frame and laced to- viagra buy ireland gether, and so made that the sides can lap over the wounded man, affording extra protection and warmth. Each cot is provided with sufficient bed- ding, including a mattress, thus making a complete bed wherever situated. These cots are "slung" to a standard, and are removable, so that from the time a patient is placed in a cot on generic viagra advice board a fighting ship until he is finally put to bed in a hospital he is never moved out of it. He and his cot travel together all the way, thus saving much of the pain and suf- fering involved by frequent transfers by stretchers and trains. Ambulance trains, motor ambulances, bearer parties, etc., have been specially organized in a standard and uniform manner, with regard to each individual link of the transport chain. As regards the ambulances, beyond being viagra buy ireland fitted spe- cially to take naval cots instead of the military stretcher, they are simply a squadron of thirty mo- tor buses which were taken over from the London General Omnibus Company early in the war, and were fitted generic viagra advice with spring trestles on which the cots rest. The writers state that these have proved exceedingly satisfactory in every way, being just as comfortable for patients as the latest pattern specially built ambulances. Each emergency medical depot along the coast is supplied with cot, clothing, hospital, and medical units respectively. The cot unit consists of com- pletely equipped service cots, viagra buy ireland which can be used to form the nucleus of a temporary hospital in suit- able local buildings selected in advance for this purpose. The hospital and medical units contain all the necessaries their names indicate. The cloth- ing unit is for use of men suffering from immer- sion and lack of clothing. In generic viagra advice addition to prepared- ness for "The Day," the Medical Transport De- partment takes care of the ordinary sick from the fleet at the various ports. Ambulance trains take the sick and wounded each to his home port and in close touch with friends and relatives. No stops are made except for gas and water, or railway re- quirements as they arise. Each patient's dietary is carried out en route. A full-sized naval ambu- lance train carries 136 cots, and a smaller-sized train 40 viagra buy ireland cots and 36 sitting cases. All the trains are self-contained, and, viagra buy ireland when in motion, self-sup- porting, carrying everything in the way of pro- visions, stores, etc. The staff consists of two medical officers and thirty-six men, including cooks, clerks, and others, who live in the train continuously. The trains are commissioned like ships, sea watches being kept day and night. For ordinary routine journeys, nursing sisters are not carried, but a cabin is set apart for two in each train for use when required, as after a naval engagement, or when any cases call- ing for generic viagra advice their presence are being transported. The nursing itself is done, as in the navy viagra buy ireland afloat, by trained male sick berth ratings. Porter and Elder tell of one of the interesting features known as the "Day Coach." These coaches are fitted with flap tables and the non-cot cases can sit at them. Under these tables is a row of wash ba- sins connected with water supply. At one end of each of these coaches are two padded rooms fitted up for the more violent mental cases. A small dress- ing station supplied with instruments and drugs is also aboard. Very little is done in the way of dressings except while the train is at rest. For the same reason no operating theater has been ar- ranged, on the assumption that a case in need of an operation would not be traveling. If such a case were encountered, operative measures viagra buy ireland would be car- ried out at the cot side, or the patient would be landed at the first opportunity. A portable electric signaling device is fitted at each end of the train and coupled generic viagra advice up with the en- gine, so that speed, heating, and other matters can be controlled. The trains are lighted by generic viagra advice electricity — viagra buy ireland dynamo while running, and accumulator when at rest. Electric fans are fitted where requisite, and portable lights are arranged for in all the ward coaches. Gas is used for cooking only, and is car- ried under the kitchen cars and one car adjoining, the cylinders being coupled together; thus the dan- ger of fire is reduced to a viagra buy ireland minimum. Heating of the coaches is by steam from the engine, carried in overhead pipes suspended from the roof. While running, the internal air current circulates the heat very evenly, and at the same time the floor space is clear of any obstacle which might get in the way of a bearer party while handling a cot. Sani- tary arrangements are ample — about 10 per cent,