Abstract

Born into a respectable Scottish family in 1774, Charles Bell was an accomplished anatomist, surgeon, physiologist, author and artist. His highly successful civil medical career coincided with the Revolutionary and Napoleonic Wars of 1792–1815. In early 1809, Sir John Moore’s Peninsular Army landed on the South Coast following the desperate retreat to Corunna. About 28 000 ill and wounded soldiers disembarked, causing consternation in the local population. The army medical services were overwhelmed and Bell was among a number of civilian surgeons who volunteered to help. He performed a similar altruistic service 6 years later in the aftermath of the Battle of Waterloo where 55 000 dead and wounded were left on the field. These sudden transitions from civilian to military surgery were not straightforward and Bell’s operation results in the Brussels hospitals were not impressive. Only one of his 12 amputation cases survived—a mortality rate of 92% which was high even allowing for the more hazardous nature of secondary operations which had had to be delayed long after the initial injury.

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