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Ford Collection · September 3, 2026

How it worked: opening a casualty clearing station under pressure

A documented glimpse of transport, construction, specialist teams and patient flow at No. 1 Canadian Casualty Clearing Station.

Complete Ford Collection typescript page describing No. 1 Canadian Casualty Clearing Station at Pernes in April 1918
Complete selected page, shown without cropping or alteration. Ford Collection, “1918 Mar Pernes,” typescript p. 3.

In April 1918, No. 1 Canadian Casualty Clearing Station at Pernes faced a serious transport shortage. This Ford Collection typescript records that equipment was moved by hand on borrowed machine-gun carts.

The station then opened in stages: walking cases on 13 April, surgical teams arriving on 15 and 16 April, and all classes of cases from 17 April. Admissions were shared in rotation with neighbouring casualty clearing stations.

It is a revealing picture of wartime medicine as a coordinated system—transport, construction, specialist teams and patient flow had to come together before full service was possible.

Which mattered most in making this work: improvisation, staged opening, or cooperation between stations?

Source: Ford Collection, “1918 Mar Pernes,” typescript p. 3 (PDF p. 3 of 9).

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