In the Hurtgen Forest the bloody battle that had been launched on the 16th continued. Casualties mounted on both sides, casualties that were extremely difficult to evacuate.
William S. Boice, a Chaplain with the 22nd Infantry Regiment describes the circumstances of just one wounded man, in an incident that happened a few days after the start of the battle. It didn’t matter how well protected your position was, fate decided whether you lived or died. Even with a survivable wound there were many more chances left for things to go wrong, as first aid men struggled over the impossible terrain of the dark and gloomy forest:
At 0200, a railroad gun had fired from Duren, some five miles away, and had hit upon a dugout occupied by three officers. The dugout had a heavy roof of two layers of six-inch logs, but the shell, having landed beyond the dugout, blew back in.
One officer was killed outright. Another, a TD officer, was wounded in the chest
The third, an infantry officer, had his right leg broken in a compound fracture, the shrapnel passing on through his left ankle, leaving a hole the size of an egg. Strangely enough, the pain came from the broken leg, and in the dark the officer put a tourniquet on the broken right leg, not even knowing his left foot was injured. And so he lay through the hours of the night — long, bitter, terrifying hours — while he constantly bled, growing weaker and weaker, and feeling the great grayness approaching closer and closer.
Nothing could be done, for in the hell of the inferno of artillery which continued minute after minute and hour after hour, no creature could move with impunity, and it would have been sheer suicide to attempt evacuation under these conditions. Indeed, the evacuation could not be effected until eight o’clock the following morning, when a litter party had to remove the two layers of logs in order to evacuate the two living officers to the aid station.
In the aid station, the battalion surgeons, working under strain, loss of sleep, and the pressure of increasing casualties, still continued to work quickly and effectively. Blood plasma, priceless life-giving fluid, was quickly rigged and administered. The wounded officer was given four bottles, and now for the first time some semblance of life began to appear in his ashen cheeks, but with it, stupefying and heartbreaking pain.
They were placed in the ambulance, these wounded, two litter cases, carefully slung in racks, with the wounded sitting on the floor and on the seat along the side. Then the ambulance started down the makeshift road toward the safety of the collecting station. A man with an arm off at the shoulder tried to sit erect. The ambulance lurched as it headed for the ravine and the bridge, which had been thrice blown out by enemy artillery.
The driver increased his speed, for he knew there was intermittent fire on this bridge and that it was by luck and a prayer that any vehicle got across without being hit. Ambulances, like any other vehicles, were fair prey for artillery. The increased speed over the rough roads, pockmarked by shell and mortar, had the effect of a medieval torture rack on the broken men within.
The collection station, set up in a German farmhouse, was busily working, since the wounded from the entire combat team were collected here. Every wound was quickly examined, and the wounded sorted into categories. The walking wounded sat in one room on the floor or on chairs or simply stood, staring vacantly at one another.
In the next room, the litters lay on the floor so close to one another that the doctors and the aid men frequently had to step on the litter itself. Aid men quickly and efficiently appraised wounds and brought into play their first and most efficient weapon, a pair of scissors, which they carried tied to their wrists or waists by a piece of Carlisle bandage. A sergeant took a quick look at the wounded captain’s feet and, grabbing his scissors, began cutting the clothing from the knee down.
The amount of clothing which the soldier wore was appalling. but he wore everything he could get his hands on in an effort to keep warm, since there were no blankets. The scissors cut through a pair of fatigues; beneath the fatigues, a pair of ODs [olive drabs]; beneath the ODs, long underwear and long socks. Now the sergeant saw the condition of the leg.
He cut the clothing completely open to the shoe, but the foot lay twisted in an odd and somehow horrible position. The slightest movement of the shoe or the litter caused the soldier to grit his teeth with the pain. The sergeant took a razor blade and began to cut the laces of the shoe and the pain became excruciating. It was necessary to remove the shoe from the broken foot, and the soldier fainted from the pain.
The sergeant had called sharply for plasma, and from a wire run across the center of the room between two windows, a T/ 5 had already hung a bottle and, with another stretch of bandage had twisted the tubing and had tried to insert the needle into the veins of the forearm, but the soldier had been through too much, and from lack of blood, the veins had almost collapsed.
The T/ 5 appraised the situation and called sharply, ‘Captain!’ A tired, hollow-eyed surgeon raised his eyes and, without a word, immediately saw the situation. He came at once and, calling for a scalpel, he slit the skin inside the elbow, exposed a vein and expertly slipped the needle into the vein itself. Then he stood and rested his back as he watched the plasma drop by drop giving life to the almost empty veins of the captain.