For Sally and for others preparing the station for business, doubt came with the news that the tsar had fallen and Russia was as good as beaten. Russia from where, said Freud, one of her grannies came, and was pleased to do so. The tsar was not an admirable man in the book of the Freuds. Other opinion in the nurses’ mess reasoned the Germans had still to keep their watch on the Eastern Front and that the Royal Navy had choked off German supplies for the west. Various soldiers they knew who had captured enemy dugouts said you could see how poor the supplies Fritz ate were compared to the good old days of the previous spring. And, said the This-Year-Is-It party, last year had indeed been bloody. But much had been learned.
A late winter letter from Charlie Condon found her. Charlie made no attempt to be prophetic about the war. He wrote a great deal about climate. The mud had frozen and the earth was suddenly ripe for sketching, he wrote, the black craters rimmed with snow. The air had cleared the week before, and an abnormal sun had appeared and the atmosphere had become vacant of gas—which cured everyone of the croaking tendencies they got from the usual lingering of the fumes. No slush lay in the trenches, which were frozen firm. Men had worked out that the regular puttees cut off circulation to their feet and caused frostbite, said Charlie. They were now using sandbags for gaiters. He liked these practical fellows, he said. Most of them had had hard lives. Yet one of them was a young Presbyterian minister who put up with the swearing of the others and did himself tend in that direction. There were some miners from the Hunter Valley who said they were communists and communism was the way of the future. The Irish—the Kellys and Byrnes and so on—were pugnacious and prideful but said the rosary like children every evening.
That was the sort of thing Condon wrote—not things to be embroidered on battle flags, or promises of an early close. Charlie defined a state of being and that somehow consoled Sally more than the hollow assurances she heard from others. The Kellys brawling and the miners arguing politics made the trench like something domestic and tedious. That was what—for Charlie’s sake—she wanted it to be.
A convoy of Ford motor ambulances arrived outside the admissions ward on the very first evening at Deux Églises and before all was ready. Duckboards were not yet laid down in the big marquee t o make a floor. The question of how many cots were needed was still being debated between the chief medical officer, Major Bright, and the matron—a seasoned-looking, robust woman named Bolger. From the numbers of ambulances appearing that night on the frozen road outside, it was now clear that if this was the season to let the armies settle into their miserable lines and simply outwait the cold, the generals had not taken the message.
In the great bare-floored admissions marquee, the neatly made little man Major Bright, wearing a surgical coat, moved about energetically with the ward doctor and inspected the men laid down on cots or on the ground. Bright walked around the tent of perhaps forty stretchers giving brisk instructions for the disposal of the stretchers. He needed to clear the tent so another forty or more could be brought in.
For the early phases of arrivals, a large number of the nurses, including Sally as a ward sister, were there to deal with what must be dealt with at once—hemorrhage or agony or the coldness of shock. Other nurses waited in the wards beyond this great tent in which the needs of the harmed would be decided. So from their tables stocked with medical equipment—from dressings to opiates to hypodermics and sphygmomanometers for blood pressure, which in the stretcher cases who had survived the ambulance might well be diving fatally—nurses moved under the measured orders of Major Bright, calm Matron Bolger, and the ward doctor to inject morphine or to fill in names and conditions and dosages and the ward destination of each case. Orderlies carried the uniforms and kit taken from the wounded and hurled them into the tented gear room attached to the main marquee, which was drenched in electric light from a generator thundering outside.
Some men brought into the reception tents were found by this hard light to have died on their stretchers and were taken out to the morgue shed. The gray, ageless, unseamed faces of the chest or stomach wounded raised in Sally the ridiculous but angry question of why they had been carried so far to die, as if the surgeons further forward at the main dressing stations—and the stretcher bearers—had deliberately passed them down the line rather than deal with the deaths themselves.
A small mess annex opened out within the marquee. The walking wounded—wearing tags which said “D”—were given hot tea and cocoa. Men with “NYD(S)”—the “S” signifying not physical but psychic shock—pinned to their uniforms by dressing station doctors stood shuddering amongst the walking but could not be trusted with scalding fluid.
On the main floor there was an attaching of labels. Bright and the ward doctor moved about allocating “A,” “B,” and “C” to the stretcher cases—but other labels were also attached—with notations reading “Urgent,” “Abdomen,” “Chest,” “Spine.” Sally remembered having read such scrawled notes pinned to men arriving in Rouen. A nurse must admire the system, though it was one whose structure was under great pressure from the time the first raving head-wound case was laid on a cot or the ground and a deathly abdominal case was placed beside him, and staff nurses rushed in to stem sudden hemorrhaging.
Sally found herself taken back also to the Archimedes—the fetidness of uniforms or bits of them—and the stink from souring blood and that general stench of wounds turning towards sepsis or gangrene or gas gangrene. There was also the threat of panic in the air, lacking at tidier Rouen.
Supervising the movement of the nurses and having now the eminence of being a sister—the subaltern of a matron—Sally had asked to be appointed to the resuscitation ward up the slight slope towards the tent she shared with Honora and Leo and Freud. Her motives—apart from the fact that new methods were used there—were not fully apparent to her. As soon as men began to be taken there she would need to leave the admissions tent and go with them.
The night outside—when she left the admissions hut—carried intimations of madness. There were continuing barrages at the front and planes could be heard overhead. Sally had charge of two young staff nurses who walked with strange calmness beside the stretcher of a chest wound being carried by orderlies to resuscitation. His blood pressure had plummeted and they were in a hurry to get him into a place of floorboards and stoves. They laid him on a bed and piled on the blankets. Sally cannulated his arm while the young nurses set up a frame and hung from it a saline solution they connected by tubing into the vein. The orderlies then covered his body with a canopy to retain all warmth. A little double Primus burner with a metal dampener on top of it to give safety to its flame was lit by an orderly and placed in a concave space at the bed end. And now all else must wait. A ward doctor appeared and the canopy was lifted so that he could consider the man’s pulse and ponder whether he would need to give the patient blood by transfusion. Plasma was promised, he said, but had not yet arrived.
Sally was busy in the resuscitation tent for twelve timeless hours. By then the numbers to do with wound shock—the expectations of anyone working there—had been established. There had been seven who could not be revived and eighteen sent on to surgery—where their fate would be a matter of margins. Four cases remained in the ward—their organs plugging along on the fuel of low blood oxygen.