Experts today know that the treatment in the first few hours often decides whether a severely injured person will survive.
On December 6, hospitals were overflowing in no time. Many people with relatively minor injuries were sent away to temporary wards and aid stations. These were ad hoc at first, and became more organized as the hours and days passed.
Military medical units from all forces complemented civilian resources.
By afternoon, doctors and nurses from Amherst, Truro, Kentville and New Glasgow came to Halifax. The trains they arrived on left loaded with casualties and refugees heading away from the horror.
American medical teams began arriving 48 hours after the Explosion, with relief for exhausted doctors, nurses and helpers.
Emergency medicine had yet to develop as a medical specialty, but battlefield practices were helpful in the Halifax crisis. Doctors used triage… the wartime practice of giving priority to patients, not just by how badly they were hurt, but by how likely they were to live.
Eye injuries were common, because so many people had been standing at windows, watching the fire on Mont-Blanc when the shock of the blast sent windowpanes flying in at them.
Dalhousie University's medical school rounded up all its students…even those who had arrived in September…and sent them out to help.
The Red Cross, Salvation Army and Saint John Ambulance shifted their war focus closer to home.
Halifax had four public, four military and seven private hospitals in 1917. They ranged in size from a few dozen to 200 beds, and they were soon overflowing.
The main civilian hospital in Halifax was the Victoria General. Doctors worked around the clock in its three operating rooms while stretchers crowded the sidewalks outside the building.
Behind the Citadel, Camp Hill Hospital had just been built for convalescent soldiers. It treated 1400 people in the first 24 hours.
Soldiers on the mend gave up their beds for injured civilians and stretchers crammed the corridors.
In his history of the Explosion, Archibald MacMechan called Camp Hill "a synonym for horror…broken bones, scalds, burns due to the contact with stoves or boilers, contusions, maiming, internal injuries--but undoubtedly the most ghastly wounds were those inflicted by the flying glass."
Dr. W.B. Moore of Kentville told MacMechan, “Men, women and children of all sorts and classes were literally packed in the ward like sardines in a box, the cots all occupied, and the floors covered so that it was difficult to step between them.”
Some battered survivors regained consciousness to find themselves left for dead in back rooms.
Doctors, nurses and orderlies worked without rest until outside relief arrived.
Dalhousie University and its medical school
Students at Dalhousie Medical School were rushed in to help in all areas. Some of them had started classes just three months earlier.
The school focused on training community physicians, who could practice in all areas of medicine. Medical specialists were still rare in 1917.
The students got some nerve-wracking on-the-job training.
Dalhousie medical student Florence J. Murray found herself administering anaesthetic for the first time. The next day she became the official anaesthetist at the YMCA emergency military hospital.
In Ground Zero, researcher Neena Abraham quotes Hector J. Pothier, who was a fourth-year medical student in 1917. He worked around the clock at the Victoria General Hospital.
He wrote, “When you face a problem yourself and you solve it yourself, it always stayed more embedded in your mind…The practical experience acquired due to the Explosion, although so dearly paid for by the people of Halifax, was a tremendous value for studies during the remainder of the semester.”
Aid stations & temporary hospitals
Dozens of aid stations sprang up around Halifax in the first hours after the Explosion. Local doctors performed surgeries on their own kitchen tables.
In his history of the Explosion, Archibald MacMechan tells how officers at the military hospital at Cogswell and Brunswick Streets worked at emergency first aid stations on the Halifax Commons:
As the days passed, temporary hospitals were set up at various locations like the YMCA, the Halifax Ladies’ College and the Academy of Music.
American Medical Teams
American military doctors, nurses and orderlies already in Halifax were part of the initial medical response to the disaster. Two vessels that had just left Halifax came back to offer help after they felt the explosion and saw the cloud.
Medical staff aboard US naval vessels in the harbour were part of the initial medical response to the disaster. Two other US warships homebound to American ports from across the Atlantic were close enough to the Nova Scotia coast that they heard the explosion and saw the cloud. They immediately changed course for Halifax and reinforced the US Navy response to the disaster.
The best-remembered American support came from government and other groups in Massachusetts.
On that first train, the Massachusetts government sent nurses, 13 doctors and surgeons and medical supplies. Much more would follow, from Harvard medical experts to social workers to household supplies for new homes.
Total relief contributions from the
State of Massachusetts alone eventually reached over