181 Airlanding Field Ambulance
R.A.M.C.
Living History Group
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Medical Operation Instruction No.1
This is a copy of the orders given to all 1st Airborne RAMC units for Operation Market-Garden.

My thanks to Rene Swankhuizen for providing me with a copy of an original.
To visit Rene's Market-Garden website see the link on the Links page.

(Note. The Reserve Section was No.5 Section of 181 A/L Fld. Amb., under Divisional control.)
TOP SECRET.
Annexure �L�
M/TS/600/2
OPERATION �MARKET�

1 AIRBORNE DIVISION

MEDICAL OPERATION INSTRUCTION NO.1.
Maps 1/25,000 CSGS 4427
          GINKEL 388 ARNHEM 6NW
I.          INFORMATION.
         Issued verbally at Bde. �O� Gps. No supporting medical units
under command.
II.          INTENTION.
         To collect treat and hold wounded and sick of the Division until
such times that they can be evacuated by air or rd.
III.          METHOD
         Fd Ambs under comd Bdes.

1st LIFT - 1 Para Bde and 1 Airlanding Bde.
(1)








(2)		 181 (Airlanding) Fd Amb est a D.S. in area WOLFHEZEN 6680.
To remain open until evening of D + 1 when Airlanding Bde
withdraw to ARNHEM. This D.S. will deal with cas from all
D.Zs. and L.Zs. and from Airlanding Bde and 1 Para Bde in
their initial tasks.

Surgery to be kept to absolute minimum as D.S. is only open
for 36 hours.

16 (Para) Fd. Amb. establish C.C.Ps as required. Evacuate to
181 (Air Ldg) Fd. Amb. D.S. at WOLFHEZEN in early stages.
Establish D.S. at ARNHEM when town is captured. St.Elisabeth
Hospital may be recced and used if suitable.
2nd LIFT. - 4 Para Bde and 1 Air Ldg Bde.
L.Z. and D.Z. casualties to D.S. at WOLFHEZEN in early stages.

C.C.Ps established as required.

133 (Para) Fd Amb D.S. to be established in 4 Bde Area in ARNHEM. (Municipal Hospital may be used if suitable)

181 (Air Ldg) Fd. Amb. D.S. to close at WOLFHEZEN as soon as possible after casualties have been evacuated to 16 (Para) Fd. Amb. D.S.
at ARNHEM. A small medical party may have to be left to deal with serious cas. unfit for moving.

D.S. re-opens Air Ldg Bde area ARNHEM (Deaconess Hospital may be used if suitable.)
(1)

(2)

(3)


(4)
3rd LIFT. - Polish Para Bde

C.C.PS to be established as required.

D.S. opened in Bde Area. A.D.M.S. will recce area in advance and meet
S.M.O. on arrival in ARNHEM.
RESERVE SECTION.

Report to D.S. at WOLFHEZEN and move with this unit into
ARNHEM.
EVACUATION.
May be by air or by road not before D + 3. POW will NOT be
evacuated from the area.
IV.          SPECIAL TREATMENT.

SURGERY

Life saving operations only will be performed in the initial
stages; otherwise casualties will be prepared for evacuation.

EXHAUSTION CASES

Will be evacuated to D.Ss in early stages and later to Corps
Exhaustion Centres if necessary.

V.D.

Will be treated in unit lines.

BLOOD

Whole blood may be available on D + 3. It must be used
within 36 hours of receipt. It is hoped to establish a
Small Divisional Blood bank in the local Refrigerated Store.
V.          MEDICAL SUPPLIES.

As for previous planned operation. There will be no medical
re-supply on D day.
VI.          AIR EVACUATION - TRANSPORT - HYGENE.

Same arrangements as for Operation 'Linnet'.
VII.          SIGN POSTING.

D.Ss will be clearly marked as soon as they are est. Main
crossings and entrances to the town should be suitably marked.
Pro will assist.
VIII.          LIASON WITH CIVIL MEDICAL AUTHORITIES.

Full co-operation must pertain between British and Dutch. If
hospitals are full, alternative accommodation must be found.
IX.          INTERCOMM.

A.D.M.S. at Div. H.Q. ARTILLERIE PARK 7378. Communication by
D.R. from Fd. Ambs. At 0800 and 1800 hrs daily.
X.          ACK.
(sgd)         G.A. Warrack

Colonel.
A.D.M.S.,
1 AIRBORNE DIVISION.
APO ENGLAND
14 Sep 44
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