A major contribution to our understanding of America's bloodiest conflict: surgeon and medical historian Rutkow argues that it is impossible to grasp the realities of the Civil War without an awareness of the state of medicine at the time. The use of ether and chloroform remained crude, and they were often unavailable--so many surgical procedures were performed without anesthesia, on the battleground or in a field hospital. This meant that "clinical concerns were often of less consequence than the swiftness of the surgeon's knife." Also, the existence of pathogenic microorganisms was still unknown, as was disinfection. From the soldiers who endured the ravages of combat to the government officials who directed the war machine, from the good Samaritans who organized aid commissions to the nurses who cared for the wounded, this book presents a story of suffering, politics, character, and, ultimately, healing.--From publisher description.