Being from Gettysburg, Pa., I am surrounded by Civil War history, but I was pleasantly surprised at how much I learned during a visit to the National Museum of Civil War Medicine in historic Frederick, Md.

Interestingly, the building where the museum is located has a historical background itself, though not as a hospital. Rather, it was where doctors embalmed soldiers who died following the battles of South Mountain, Antietam, Gettysburg and Monocacy, before they were buried at nearby Mount Olivet Cemetery or shipped home.

The owner of the building was both a furniture maker and undertaker, which somewhat explains the location.

After the major battles, makeshift hospitals were established in virtually every large structure — from barns in the surrounding countryside to churches in the downtown area. Following the Battle of Antietam, some 8,000 wounded soldiers recuperated in Frederick, Md., at a time when the town’s population was only 8,000.

Medical Advancements

Many people don’t realize that the Civil War was a turning point in the history of medicine. In fact, many of the advancements made during the war still influence our modern medical practices today.

Some of the revolutionary new ideas that were discovered during the war include:

  • A structured ambulance system
  • On-site response by trained personnel
  • The use of triage
  • Focus on logistics
  • A hospital system with tiered levels of care

At the beginning of the Civil War, medicine was emerging from the heroic era, which involved a theory of bringing a balance to the humors of the body. There was no knowledge of germ theory or antiseptic practices.

The museum’s displays focus on Recruiting and Enlisting; Camp Life; Evacuation of the Wounded; Field Dressing Station; Field Hospital; and Pavilion Hospital.

Visitors can follow in the footsteps of soldiers and surgeons to discover the harsh conditions, personal sacrifices, and amazing innovations that continue to save lives today.

recruiting soldiers

SOLDIERS WHO SERVED: The shortest known soldier was 3’8″ (the shortest recommended was 5’3″). The average soldier was 5’8″ and 1/2. The tallest recommended was 6’3″ and the tallest known was 7’2″.

Camp Life

civil war camp lifeCamps are where recruits were sent to become soldiers — and it was one of the most dangerous places to be.

Even healthy recruits became victims of illnesses that were easily spread in camps. In fact, of the 700,000 soldiers who died during the Civil War, two thirds were killed by disease, not bullets.

Dr. Jonathan Letterman, the Medical Director of the Army of the Potomac, created a revolutionary triage system for sorting and treating the wounded based on the severity of their wounds. His system was first used after the battles of South Mountain and Antietam, and is still in use today.

Hard to imagine, but at the beginning of the war there was no established system to transport wounded soldiers from the front lines to the field hospitals in the rear.


In August of 1862, Dr. Letterman also created a highly organized system of ambulances and trained stretcher bearers designed to evacuate the wounded as quickly as possible.

Field Dressing Station

dressing stationThe first level of care received by a wounded soldier was at a field dressing station, located close to the fighting.

Medical personnel bandaged wounds and administered whiskey for shock and morphine for pain. The soldier would then be transported to a field hospital.

It was common for medical personnel from both the North and South to treat the wounded from the other side.

“Humanity teaches us that a wounded and prostrate foe is not then our enemy.” – Jonathan Letterman

Field Hospital

amputation civil war medicineThe second level of care was a field hospital, usually located in a barn or tent to the rear of fighting.

Wounded soldiers were triaged into three categories: mortally, wounded, slightly wounded and surgical cases. Most surgeries were amputations and took place at field hospitals.

This picture is of a typical amputation, 95 percent of which were performed under some sort of anesthesia.

Pavilion Hospital

Prior to the war, any system of hospitalization was virtually unknown. With the large number of wounded and sick needing long-term care, a network of general hospitals was created. At first existing buildings were used, but soon large pavilion-style hospitals were constructed that were clean, well ventilated, and highly efficient.

hospital civil war medicine

The quality of the care that the patients received improved dramatically after the first months of the war.

The National Museum of Civil War Medicine has plenty of hands-on and interesting displays for kids, providing an entertaining learning experience.

Check out a video of one of the exhibits HERE.

Museum Location: 49 E. Patrick St., Frederick, Md.

There are two other museums associated with this one. The Clara Barton Missing Soldiers Office Museum located 437 7th Street NW
Washington, D.C., and the Pry House Field Hospital Museum located at 18906 Shepherdstown Pike, Keedysville, Md.




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