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Hospital corpsman

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116-685: A hospital corpsman ( HM ) or corpsman ( / ˈ k ɔːr m ə n / ) is an enlisted medical specialist of the United States Navy , who may also serve in a U.S. Marine Corps unit. The corresponding rating within the United States Coast Guard is health services technician (HS). The U.S. Navy Hospital Corps was created in 1898, with hospital corpsman used as a generic name for the applicable personnel while various other official names (including hospital apprentice , hospital steward , pharmacist's mate ) were used for

232-522: A Baltimore newspaper editor, Frank Key Howard , after he criticized Lincoln in an editorial for ignoring Taney's ruling. In Missouri, an elected convention on secession voted to remain in the Union. When pro-Confederate Governor Claiborne Fox Jackson called out the state militia, it was attacked by federal forces under General Nathaniel Lyon , who chased the governor and rest of the State Guard to

348-655: A Hospital Corps similar to the U.S. Navy's and sent pursers through this hospital corpsman training, to serve in a combined administrative and medical role on civilian tankers , freighters , and oilers . Prior to this, there were no competent trained personnel to perform first aid aboard these vessels. The purser-corpsman was trained in anatomy , physiology , pharmacy , clinical laboratory , hygiene and sanitation , emergency treatment , first aid , and nursing . They were taught how to administer injections , treat compound fractures , administer blood plasma , and suture wounds. The Maritime Service's Hospital Corps School

464-622: A Marine Corps unit in South Vietnam. In the United States Marine Corps , the colloquial form of address for a Hospital Corpsman who rate to wear the Navy's Fleet Marine Force (FMF) warfare device (showing they were or are attached to an FMF Unit) is "Doc", which is generally used as a sign of respect. Hospital Corpsman who are not authorized to wear the device would still be referred to by their rate and rank. Prior to

580-455: A U.S. Marine Corps general officer. This awarding authority cannot be delegated to U.S. Navy officers. However, obtaining the title of "FMF" is a rigorous procedure and not every hospital corpsman who has been with a Marine Corps unit will wear the FMF warfare device. U.S. Navy officers in the medical community (Medical Corps (doctor), Nurse Corps, Dental Corps, Medical Service Corps) can earn and wear

696-525: A blockade of the Confederacy to suffocate the South into surrender. Lincoln adopted parts of the plan but opted for a more active war strategy. In April 1861, Lincoln announced a blockade of all Southern ports; commercial ships could not get insurance, ending regular traffic. The South blundered by embargoing cotton exports before the blockade was fully effective; by the time they reversed this decision, it

812-426: A combat environment. Qualified hospital corpsmen may be assigned the responsibility of independent duty aboard ships and submarines , Fleet Marine Force , SEAL and Seabee units, and at isolated duty stations where no medical officer is available. Hospital corpsmen were previously trained at Naval Hospital Corps School , Great Lakes, Illinois , and the U.S. Naval Hospital Corps School San Diego, California, until

928-497: A course of ultimate extinction. Decades of controversy over slavery were brought to a head when Abraham Lincoln , who opposed slavery's expansion, won the 1860 presidential election . Seven Southern slave states responded to Lincoln's victory by seceding from the United States and forming the Confederacy. The Confederacy seized U.S. forts and other federal assets within their borders. The war began on April 12, 1861, when

1044-705: A draft law in April 1862 for men aged 18–35, with exemptions for overseers, government officials, and clergymen. The U.S. Congress followed in July, authorizing a militia draft within states that could not meet their quota with volunteers. European immigrants joined the Union Army in large numbers, including 177,000 born in Germany and 144,000 in Ireland. About 50,000 Canadians served, around 2,500 of whom were black. When

1160-483: A firm hand by Lincoln tamed Seward, who was a staunch Lincoln ally. Lincoln decided holding the fort, which would require reinforcing it, was the only workable option. On April 6, Lincoln informed the Governor of South Carolina that a ship with food but no ammunition would attempt to supply the fort. Historian McPherson describes this win-win approach as "the first sign of the mastery that would mark Lincoln's presidency";

1276-639: A hospital corpsman began at Basic Medical Technician Corpsman Program (BMTCP) located at Joint Base Fort Sam Houston in San Antonio, Texas. Because of the need for hospital corpsmen in a vast array of foreign, domestic, and shipboard duty stations, as well as with United States Marine Corps units, the hospital corps is the largest occupational rating (Navy Enlisted Classification-HM) in the United States Navy, with about 25,000 members active duty and reserve. The basic training for hospital corpsmen

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1392-479: A man until she died in 1915 at the age of 71. The small U.S. Navy of 1861 rapidly expanded to 6,000 officers and 45,000 sailors by 1865, with 671 vessels totaling 510,396 tons. Its mission was to blockade Confederate ports, control the river system, defend against Confederate raiders on the high seas, and be ready for a possible war with the British Royal Navy . The main riverine war was fought in

1508-451: A patriotic fire under the North. On April 15, Lincoln called on the states to field 75,000 volunteer troops for 90 days; impassioned Union states met the quotas quickly. On May 3, 1861, Lincoln called for an additional 42,000 volunteers for three years. Shortly after this, Virginia , Tennessee , Arkansas , and North Carolina seceded and joined the Confederacy. To reward Virginia,

1624-504: A physician assistant is promoted to the rank of lieutenant junior grade (O-2). Previously after graduating from civilian PA school, they had only been given the rank of warrant officer 2 (CWO2). Effective 2 April 1948 the Navy changed the names and insignia of the hospital corps. The new titles were Hospitalman Recruit, Hospitalman Apprentice, Hospitalman, Hospital Corpsman Third, Second, and First Class, and Chief Hospital Corpsman. The red Geneva cross, which had marked corpsmen for 50 years,

1740-421: A republic, but a third challenge faced the nation: maintaining a republic based on the people's vote, in the face of an attempt to destroy it. Lincoln's election provoked South Carolina 's legislature to call a state convention to consider secession. South Carolina had done more than any other state to advance the notion that a state had the right to nullify federal laws and even secede. On December 20, 1860,

1856-451: A separate officer category ranking above enlisted grades and below commissioned officer grades. In most cases, enlisted service personnel perform jobs specific to their own occupational specialty, as opposed to the more generalized command responsibilities of commissioned officers. The term "enlistment" refers solely to a military commitment (whether officer or enlisted) whereas the terms "taken on strength" and "struck off strength" refer to

1972-733: A service member being carried on a given unit's roll. In the Canadian Armed Forces , the term non-commissioned member (NCM) is used. For the ranks used by the North Atlantic Treaty Organization , non-commissioned ranks are coded OR1–OR9 (bottom to top), OR being an abbreviation for Other Ranks . The branches of the U.S. Armed Forces all use the same "E-" designation for enlisted pay grades, with service-specific names applied to each (e.g., chief petty officer, master gunnery sergeant, private first class). Each branch incorporates it as part of

2088-601: A service member's job specialty designator. In the United States Air Force , this job specialty designator is known as an Air Force Specialty Code , in the United States Army and United States Marine Corps , a Military Occupational Specialty , and in the United States Navy and United States Coast Guard , a rating . American Civil War The American Civil War (April 12, 1861 – May 26, 1865; also known by other names )

2204-736: Is conducted at the Medical Education and Training Campus , located in Texas at a joint military base. Originally one of the Navy's "A" schools (primary rating training). Upon graduation, the hospital corpsman is given the Navy Enlisted Classification (NEC) code of HM-0000, or "quad-zero" in common usage. Students go through a 14-week course that provides in-depth and extensive training into the application of emergency medical techniques, disease and pathologies, and nursing techniques. NECs are not as analogous to MOS in

2320-490: The 1860 presidential election . Southern leaders feared Lincoln would stop slavery's expansion and put it on a course toward extinction. His victory triggered declarations of secession by seven slave states of the Deep South , all of whose riverfront or coastal economies were based on cotton that was cultivated by slave labor. Lincoln was not inaugurated until March 4, 1861, giving the South time to prepare for war during

2436-541: The Battle of Appomattox Court House , setting in motion the end of the war . Lincoln led the nation through that victory but was shot by an assassin on April 14. By the end of the war, much of the South's infrastructure was destroyed. The Confederacy collapsed, slavery was abolished, and four million enslaved black people were freed. The war-torn nation then entered the Reconstruction era in an attempt to rebuild

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2552-637: The Dred Scott decision was proof the Southern states had no reason to secede and that the Union "was intended to be perpetual". He added, however, that "The power by force of arms to compel a State to remain in the Union" was not among the "enumerated powers granted to Congress". A quarter of the US army—the Texas garrison—was surrendered in February to state forces by its general, David E. Twiggs , who joined

2668-618: The Emancipation Proclamation went into effect in January 1863, ex-slaves were energetically recruited to meet state quotas. States and local communities offered higher cash bonuses for white volunteers. Congress tightened the draft law in March 1863. Men selected in the draft could provide substitutes or, until mid-1864, pay commutation money. Many eligibles pooled their money to cover the cost of anyone drafted. Families used

2784-483: The FMF Recon , Marine Division Recon and MARSOC units. They are trained and skilled in combat, including combatant swimming, opened/closed circuit scuba diving , military free-fall and amphibious operations. They act as advisers regarding health and injury prevention, and treat illnesses from decompression sickness as well as other conditions requiring hyperbaric treatment. Hospital corpsmen who have received

2900-514: The General Classification Test and interest in both administration and health care. Enlisted rank An enlisted rank (also known as an enlisted grade or enlisted rate ) is, in some armed services, any rank below that of a commissioned officer . The term can be inclusive of non-commissioned officers or warrant officers , except in United States military usage where warrant officers/chief warrant officers are

3016-627: The Korean and Vietnam wars. Fifteen hospital corpsmen were counted among the dead following the bombing of the Marine barracks in Beirut in 1983. Hospital corpsmen also served in the Iraq and Afghanistan wars providing corpsmen for convoys, patrols, and hospital or clinic treatment. Whether they are assigned to hospital ships, reservist installations, recruiter offices, or Marine Corps combat units,

3132-721: The University of Nebraska Medical Center (UNMC). It is conducted in two phases the first phase at the Graduate School and Academy of Health Sciences at AMEDDC&S, Fort Sam Houston, Texas and the second phase at various medical facilities and specialties. When training completed they become officers in the Medical Service Corps (MSC). Former Navy hospital corpsmen are also represented in many medical disciplines, as physicians, nurses, medical administrators and other walks of life. After completing their training,

3248-592: The Virginia to prevent its capture, while the Union built many copies of the Monitor . The Confederacy's efforts to obtain warships from Great Britain failed, as Britain had no interest in selling warships to a nation at war with a stronger enemy and feared souring relations with the U.S. By early 1861, General Winfield Scott had devised the Anaconda Plan to win the war with minimal bloodshed, calling for

3364-522: The Western theater , the Union made permanent gains—though in the Eastern theater the conflict was inconclusive. The abolition of slavery became a Union war goal on January 1, 1863, when Lincoln issued the Emancipation Proclamation , which declared all slaves in rebel states to be free, applying to more than 3.5 million of the 4 million enslaved people in the country. To the west, the Union first destroyed

3480-532: The command master chief program, the 11th MCPON , Joe R. Campa , was a hospital corpsman. On 29 September 2016, the Secretary of the Navy Ray Mabus terminated the corpsman rating along with all other U.S. Navy enlisted ratings. However, in late December 2016, the usage of ratings were restored by the Navy after much backlash by many in the enlisted naval ranks. As of April 2011, training to become

3596-526: The electrical telegraph , steamships, the ironclad warship , and mass-produced weapons were widely used. The war left an estimated 698,000 soldiers dead, along with an undetermined number of civilian casualties, making the Civil War the deadliest military conflict in American history. The technology and brutality of the Civil War foreshadowed the coming World Wars . The origins of the war were rooted in

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3712-406: The 168,649 men procured for the Union through the draft, 117,986 were substitutes, leaving only 50,663 who were conscripted. In the North and South, draft laws were highly unpopular. In the North, some 120,000 men evaded conscription, many fleeing to Canada, and another 280,000 soldiers deserted during the war. At least 100,000 Southerners deserted, about 10 percent of the total. Southern desertion

3828-647: The 2011 Base Realignment and Closure Bill caused Hospital Corps School to be relocated to the Medical Education and Training Campus (METC) at Joint Base San Antonio , Texas. Naval Hospital Corps School was also located at NRMC Balboa in San Diego, California. During the Vietnam War, many of the 16-week Naval Hospital Corps school graduates went directly to 8404 Field Medical Service School (FMSS) at Camp Lejeune , North Carolina, or Camp Pendleton , California, for nine weeks of field training, before deployment to

3944-601: The Atlantic and Pacific oceans. Insurance rates soared, and the American flag virtually disappeared from international waters, though reflagging ships with European flags allowed them to continue operating unmolested. After the war, the U.S. government demanded Britain compensate it for the damage caused by blockade runners and raiders outfitted in British ports. Britain paid the U.S. $ 15 million in 1871, but only for commerce raiding. Dinçaslan argues that another outcome of

4060-515: The Bahamas in exchange for high-priced cotton. Many were lightweight and designed for speed, only carrying small amounts of cotton back to England. When the Union Navy seized a blockade runner, the ship and cargo were condemned as a prize of war and sold, with proceeds given to the Navy sailors; the captured crewmen, mostly British, were released. The Southern economy nearly collapsed during

4176-400: The British response to the U.S. was toned down, helping avert war. In 1862, the British government considered mediating between the Union and Confederacy, though such an offer would have risked war with the U.S. British Prime Minister Lord Palmerston reportedly read Uncle Tom's Cabin three times when deciding what his decision would be. The Union victory at the Battle of Antietam caused

4292-621: The British to delay this decision. The Emancipation Proclamation increased the political liability of supporting the Confederacy. Realizing that Washington could not intervene in Mexico as long as the Confederacy controlled Texas, France invaded Mexico in 1861 and installed the Habsburg Austrian archduke Maximilian I as emperor. Washington repeatedly protested France's violation of the Monroe Doctrine . Despite sympathy for

4408-575: The Commonwealth, which at its greatest extent was over half the state, and it went into exile after October 1862. After Virginia's secession, a Unionist government in Wheeling asked 48 counties to vote on an ordinance to create a new state in October 1861. A voter turnout of 34% approved the statehood bill (96% approving). Twenty-four secessionist counties were included in the new state, and

4524-486: The Confederacy bombarded Fort Sumter in South Carolina . A wave of enthusiasm for war swept over the North and South, as military recruitment soared. Four more Southern states seceded after the war began and, led by its president, Jefferson Davis , the Confederacy asserted control over a third of the U.S. population in eleven states. Four years of intense combat, mostly in the South, ensued. During 1861–1862 in

4640-400: The Confederacy refused to exchange black prisoners. After that, about 56,000 of the 409,000 POWs died in prisons, accounting for 10 percent of the conflict's fatalities. Historian Elizabeth D. Leonard writes that between 500 and 1,000 women enlisted as soldiers on both sides, disguised as men. Women also served as spies, resistance activists, nurses, and hospital personnel. Women served on

4756-539: The Confederacy's river navy by the summer of 1862, then much of its western armies, and seized New Orleans . The successful 1863 Union siege of Vicksburg split the Confederacy in two at the Mississippi River , while Confederate General Robert E. Lee 's incursion north failed at the Battle of Gettysburg . Western successes led to General Ulysses S. Grant 's command of all Union armies in 1864. Inflicting an ever-tightening naval blockade of Confederate ports,

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4872-518: The Confederacy, France's seizure of Mexico ultimately deterred it from war with the Union. Confederate offers late in the war to end slavery in return for diplomatic recognition were not seriously considered by London or Paris. After 1863, the Polish revolt against Russia further distracted the European powers and ensured they remained neutral. Russia supported the Union, largely because it believed

4988-706: The Confederacy. As Southerners resigned their Senate and House seats, Republicans could pass projects that had been blocked. These included the Morrill Tariff , land grant colleges, a Homestead Act , a transcontinental railroad, the National Bank Act , authorization of United States Notes by the Legal Tender Act of 1862 , and the end of slavery in the District of Columbia . The Revenue Act of 1861 introduced income tax to help finance

5104-755: The Confederate capital was moved to Richmond . Maryland , Delaware , Missouri , West Virginia and Kentucky were slave states whose people had divided loyalties to Northern and Southern businesses and family members. Some men enlisted in the Union Army and others in the Confederate Army. West Virginia separated from Virginia and was admitted to the Union on June 20, 1863, though half its counties were secessionist. Maryland's territory surrounded Washington, D.C. , and could cut it off from

5220-542: The District of Columbia by seizing prominent figures, including arresting one-third of the members of the Maryland General Assembly on the day it reconvened. All were held without trial, with Lincoln ignoring a ruling on June 1, 1861, by Supreme Court Chief Justice Roger Taney , not speaking for the Court, that only Congress could suspend habeas corpus ( Ex parte Merryman ). Federal troops imprisoned

5336-594: The Marine Corps. In the United States Navy in World War II , hospital corpsmen assigned to Marine units made beach assaults with the marines in every battle in the Pacific. Corpsmen also served on thousands of ships and submarines. Three unassisted emergency appendectomies were performed by hospital corpsmen serving undersea and beyond hope of medical evacuation. The hospital corps has the distinction of being

5452-634: The Marine rank chevrons, and collar rank insignias, and wear those instead of traditional Navy uniforms. The Navy's new digitized camouflage working uniform are worn by sailors stationed at other naval facilities. Hospital corpsmen going to units within NECC (Navy Expeditionary Combat Command) such as Seabees, Riverines (Now called MSRON), and Explosive Ordnance Disposal (EOD) also have to go to FMTB. Hospital corpsmen can further specialize; they may undergo further training to become Special Amphibious Reconnaissance Corpsmen , or SARC . They are usually found in both

5568-596: The Marines. A bond and mutual respect is often formed between Marines and their assigned hospital corpsmen, earning respect apart from their Navy shipmates. FMF hospital corpsmen are issued the Marine Corps service uniforms and camouflage uniforms (MARPAT) while assigned to the Marine Corps and also have the option to go Marine Corps Regulations. They are then issued a new seabag containing the Marine uniforms (except dress blues) with uniform matching Navy rate chevrons instead of

5684-479: The North, where anti-slavery sentiment had grown, and for the South, where the fear of slavery's abolition had grown. Another factor leading to secession and the formation of the Confederacy was the development of white Southern nationalism in the preceding decades. The primary reason for the North to reject secession was to preserve the Union, a cause based on American nationalism . Background factors in

5800-658: The North. It had anti-Lincoln officials who tolerated anti-army rioting in Baltimore and the burning of bridges, both aimed at hindering the passage of troops to the South. Maryland's legislature voted overwhelmingly to stay in the Union, but rejected hostilities with its southern neighbors, voting to close Maryland's rail lines to prevent their use for war. Lincoln responded by establishing martial law and unilaterally suspending habeas corpus in Maryland, along with sending in militia units. Lincoln took control of Maryland and

5916-461: The South's post-war recovery. Cotton diplomacy proved a failure as Europe had a surplus of cotton, while the 1860–62 crop failures in Europe made the North's grain exports critically important. It also helped turn European opinion against the Confederacy. It was said that "King Corn was more powerful than King Cotton," as U.S. grain went from a quarter to almost half of British imports. Meanwhile,

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6032-545: The South. The Confederacy turned to foreign sources, connecting with financiers and companies like S. Isaac, Campbell & Company and the London Armoury Company in Britain, becoming the Confederacy's main source of arms. To transport arms safely to the Confederacy, British investors built small, fast, steam-driven blockade runners that traded arms and supplies from Britain, through Bermuda, Cuba, and

6148-571: The U.S. Army had established an enlisted hospital corps in 1887. Navy Surgeon General J.R. Tryon and subordinate physicians lobbied the Navy administration to take action. With the Spanish–American War looming, Congress passed a bill authorizing establishment of the U.S. Navy Hospital Corps, signed into law by President William McKinley on 17 June 1898. Three ratings were created therein—hospital apprentice, hospital apprentice first class (a petty officer third class ), and hospital steward, which

6264-500: The U.S. and Britain over the Trent affair , which began when U.S. Navy personnel boarded the British ship Trent and seized two Confederate diplomats. However, London and Washington smoothed this over after Lincoln released the two men. Prince Albert left his deathbed to issue diplomatic instructions to Lord Lyons during the Trent affair. His request was honored, and, as a result,

6380-471: The Union Army or pro-Union guerrilla groups. Although they came from all classes, most Southern Unionists differed socially, culturally, and economically from their region’s dominant prewar, slave-owning planter class. At the war's start, a parole system operated, under which captives agreed not to fight until exchanged. They were held in camps run by their army, paid, but not allowed to perform any military duties. The system of exchanges collapsed in 1863 when

6496-456: The Union blockade. The Confederacy purchased warships from commercial shipbuilders in Britain, with the most famous being the CSS ; Alabama , which caused considerable damage and led to serious postwar disputes . However, public opinion against slavery in Britain created a political liability for politicians, where the anti-slavery movement was powerful. War loomed in late 1861 between

6612-464: The Union hospital ship Red Rover and nursed Union and Confederate troops at field hospitals. Mary Edwards Walker , the only woman ever to receive the Medal of Honor , served in the Union Army and was given the medal for treating the wounded during the war. One woman, Jennie Hodgers, fought for the Union under the name Albert D. J. Cashier. After she returned to civilian life, she continued to live as

6728-484: The Union marshaled resources and manpower to attack the Confederacy from all directions. This led to the fall of Atlanta in 1864 to Union General William Tecumseh Sherman , followed by his March to the Sea . The last significant battles raged around the ten-month Siege of Petersburg , gateway to the Confederate capital of Richmond . The Confederates abandoned Richmond, and on April 9, 1865, Lee surrendered to Grant following

6844-440: The Union would win if it could resupply and hold the fort, and the South would be the aggressor if it opened fire on an unarmed ship supplying starving men. An April 9 Confederate cabinet meeting resulted in Davis ordering General P. G. T. Beauregard to take the fort before supplies reached it. At 4:30 am on April 12, Confederate forces fired the first of 4,000 shells at the fort; it fell the next day. The loss of Fort Sumter lit

6960-433: The Union, this was never likely, so they sought to bring them in as mediators. The Union worked to block this and threatened war if any country recognized the Confederacy. In 1861, Southerners voluntarily embargoed cotton shipments, hoping to start an economic depression in Europe that would force Britain to enter the war, but this failed. Worse, Europe turned to Egypt and India for cotton, which they found superior, hindering

7076-408: The Union-held Fort Sumter. Fort Sumter is located in the harbor of Charleston , South Carolina. Its status had been contentious for months. Outgoing President Buchanan had dithered in reinforcing its garrison, commanded by Major Robert Anderson . Anderson took matters into his own hands and on December 26, 1860, under the cover of darkness, sailed the garrison from the poorly placed Fort Moultrie to

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7192-462: The Union. A February peace conference met in Washington, proposing a solution similar the Compromise; it was rejected by Congress. The Republicans proposed the Corwin Amendment , an alternative, not to interfere with slavery where it existed, but the South regarded it as insufficient. The remaining eight slave states rejected pleas to join the Confederacy, following a no-vote in Virginia's First Secessionist Convention on April 4. On March 4, Lincoln

7308-442: The United States Army and Marine Corps, or AFSC in the Air Force as the rating in the Navy. There are primary NECs, and secondary NECs. For example, a hospital corpsman who completes Field Medical Training Battalion (FMTB) and earns the NEC HM-L03A, moves that NEC to primary and has a secondary NEC of HM-0000. If that hospital corpsman attends a "C" School, then the NEC earned at the "C" School becomes their primary and HM-L03A becomes

7424-426: The West, where major rivers gave access to the Confederate heartland. The U.S. Navy eventually controlled the Red, Tennessee, Cumberland, Mississippi, and Ohio rivers. In the East, the Navy shelled Confederate forts and supported coastal army operations. The Civil War occurred during the early stages of the industrial revolution, leading to naval innovations, notably the ironclad warship . The Confederacy, recognizing

7540-421: The Western territories destined to become states. Initially Congress had admitted new states into the Union in pairs, one slave and one free . This had kept a sectional balance in the Senate but not in the House of Representatives , as free states outstripped slave states in numbers of eligible voters. Thus, at mid-19th century, the free-versus-slave status of the new territories was a critical issue, both for

7656-462: The blockade was the rise of oil as a prominent commodity. The declining whale oil industry took a blow as many old whaling ships were used in blockade efforts, such as the Stone Fleet , and Confederate raiders harassed Union whalers. Oil products, especially kerosene, began replacing whale oil in lamps, increasing oil's importance long before it became fuel for combustion engines. Although the Confederacy hoped Britain and France would join them against

7772-407: The class to 600 students, to cycle in 50 student classes starting on a weekly basis. Training stations were instructed to provide careful scrutiny by examining boards for all candidates. Pursers on sea duty started arriving at the station on 10 August 1943. By 1 January 1944, there were 600 purser-corpsmen at sea, with 1,324 graduates in the Maritime Service. Selection required an above average mark on

7888-508: The convention unanimously voted to secede and adopted a secession declaration . It argued for states' rights for slave owners but complained about states' rights in the North in the form of resistance to the federal Fugitive Slave Act, claiming that Northern states were not fulfilling their obligations to assist in the return of fugitive slaves. The "cotton states" of Mississippi , Florida , Alabama , Georgia , Louisiana , and Texas followed suit, seceding in January and February 1861. Among

8004-431: The country, bring the former Confederate states back into the United States, and grant civil rights to freed slaves. The war is one of the most extensively studied and written about episodes in U.S. history . It remains the subject of cultural and historiographical debate . Of continuing interest is the fading myth of the Lost Cause of the Confederacy . The war was among the first to use industrial warfare . Railroads,

8120-418: The crisis was Secretary of State William H. Seward , who had been Lincoln's rival for the Republican nomination . Embittered by his defeat, Seward agreed to support Lincoln's candidacy only after he was guaranteed the executive office then considered the second most powerful. In the early stages of Lincoln's presidency Seward held little regard for him, due to his perceived inexperience. Seward viewed himself as

8236-461: The de facto head of government, the " prime minister " behind the throne. Seward attempted to engage in unauthorized and indirect negotiations that failed. Lincoln was determined to hold all remaining Union-occupied forts in the Confederacy: Fort Monroe in Virginia, Fort Pickens , Fort Jefferson , and Fort Taylor in Florida, and Fort Sumter in South Carolina. The American Civil War began on April 12, 1861, when Confederate forces opened fire on

8352-529: The desire of the Southern states to preserve the institution of slavery . Historians in the 21st century overwhelmingly agree on the centrality of slavery in the conflict. They disagree on which aspects (ideological, economic, political, or social) were most important, and on the North 's reasons for refusing to allow the Southern states to secede. The pseudo-historical Lost Cause ideology denies that slavery

8468-493: The ensuing guerrilla war engaged about 40,000 federal troops for much of the war. Congress admitted West Virginia to the Union on June 20, 1863. West Virginians provided about 20,000 soldiers to each side in the war. A Unionist secession attempt occurred in East Tennessee , but was suppressed by the Confederacy, which arrested over 3,000 men suspected of loyalty to the Union; they were held without trial. The Civil War

8584-430: The essential role of cotton in the European economy. The European aristocracy was "absolutely gleeful in pronouncing the American debacle as proof that the entire experiment in popular government had failed. European government leaders welcomed the fragmentation of the ascendant American Republic." However, a European public with liberal sensibilities remained, which the U.S. sought to appeal to by building connections with

8700-535: The establishment of the hospital corps in 1898, enlisted medical support in the U.S. Navy was limited in scope. In the Continental Navy and the early U.S. Navy, medical assistants were assigned at random out of the ship's company. Their primary duties were to keep the irons hot and buckets of sand at the ready for the operating area. It was commonplace during battle for the surgeons to conduct amputations and irons were used to close lacerations and wounds. Sand

8816-629: The first PA class at Duke University . The Navy trained its own physician assistants drawing from the ranks of qualified petty officer second class corpsman, as well as independent duty hospital corpsmen at the Naval School of Health Sciences in Portsmouth, Virginia until 1985, then at San Diego, California and current the Interservice Physician Assistant Program (IPAP) with a university affiliation of

8932-575: The fundamentals of Marine Corps life, while emphasizing physical conditioning, small arms familiarity, and basic battlefield tactics. FMTB locations are at Camp Pendelton and Camp Johnson , where sailors bound for service with USMC operating forces earn the NEC HM-L03A (formerly 8404), Field Medical Service Technician. As of 2010, this rigorous training is 8 weeks. Training for the Fleet Marine Force (FMF) familiarizes navy corpsmen with

9048-439: The homefront economy could no longer supply. Surdam contends that the blockade was a powerful weapon that eventually ruined the Southern economy, costing few lives in combat. The Confederate cotton crop became nearly useless, cutting off the Confederacy's primary income source. Critical imports were scarce, and coastal trade largely ended as well. The blockade's success was not measured by the few ships that slipped through but by

9164-554: The international press. By 1861, Union diplomats like Carl Schurz realized emphasizing the war against slavery was the Union's most effective moral asset in swaying European public opinion. Seward was concerned an overly radical case for reunification would distress European merchants with cotton interests; even so, he supported a widespread campaign of public diplomacy. U.S. minister to Britain Charles Francis Adams proved adept and convinced Britain not to challenge

9280-607: The movement to abolish slavery and its influence over the North. Southern states believed that the Fugitive Slave Clause made slaveholding a constitutional right. These states agreed to form a new federal government, the Confederate States of America , on February 4, 1861. They took control of federal forts and other properties within their boundaries, with little resistance from outgoing President James Buchanan , whose term ended on March 4. Buchanan said

9396-476: The need to counter the Union's naval superiority, built or converted over 130 vessels, including 26 ironclads. Despite these efforts, Confederate ships were largely unsuccessful against Union ironclads. The Union Navy used timberclads, tinclads, and armored gunboats. Shipyards in Cairo, Illinois, and St. Louis built or modified steamboats . The Confederacy experimented with the submarine CSS  Hunley , which

9512-418: The new Confederacy sent delegates to Washington to negotiate a peace treaty. Lincoln rejected negotiations, because he claimed that the Confederacy was not a legitimate government and to make a treaty with it would recognize it as such. Lincoln instead attempted to negotiate directly with the governors of seceded states, whose administrations he continued to recognize. Complicating Lincoln's attempts to defuse

9628-401: The officer equivalent to this insignia. Additionally any sailor attached to a USMC unit can earn and wear an FMF warfare device. (e.g., administrative rates such as logistic specialists) provided they complete all the qualifications for the FMF warfare specialist. The first physician assistants were selected from Navy corpsmen who had combat experience in South Vietnam. They made up members of

9744-695: The only corps in the U.S. Navy to be commended, in a famous speech by Secretary of the Navy James Forrestal after the conclusion of the war. Following the war, the hospital corps changed its rating title to the generic term it had used all along—hospital corpsman. The rates of hospital corpsman third class (HM3), second class (HM2), and first class (HM1), and chief hospital corpsman (HMC) were supplemented by senior chief hospital corpsman (HMCS) and master chief hospital corpsman (HMCM) in 1958. Hospital corpsmen continued to serve at sea and ashore, and accompanied marines and Marine units into battle during

9860-417: The ordinances of secession, those of Texas, Alabama, and Virginia mentioned the plight of the "slaveholding states" at the hands of Northern abolitionists. The rest made no mention of slavery but were brief announcements by the legislatures of the dissolution of ties to the Union. However, at least four—South Carolina, Mississippi, Georgia, and Texas —provided detailed reasons for their secession, all blaming

9976-461: The petty officers, and chief pharmacist's mate (CPhM) was the chief petty officer. This structure remained in place until 1947. A total of 684 personal awards were awarded to hospital corpsmen, including 23 Medals of Honor , 55 Navy Crosses , and 237 Silver Stars . During World War I , hospital corpsmen served throughout the fleet, earning particular distinction on the Western Front with

10092-429: The prevention and treatment of disease and injury and assist health care professionals in providing medical care to sailors and their families. They may function as clinical or specialty technicians, medical administrative personnel and health care providers at medical treatment facilities. They also serve as battlefield corpsmen with the Marine Corps, rendering emergency medical treatment to include initial treatment in

10208-432: The rating of hospital corpsman is the most decorated in the United States Navy and the most decorated job in the U.S. military, with 22 Medals of Honor, 179 Navy Crosses since World War I, 31 Navy Distinguished Service Medals , 959 Silver Stars, and more than 1,600 Bronze Star Medal 's with combat V's for heroism since World War II (as of 2016). Twenty naval ships have been named after hospital corpsmen. Prior to selection to

10324-503: The rating; after World War II, hospital corpsman became the official name for the rating. Hospital corpsmen work in a wide variety of capacities and locations, including shore establishments such as naval hospitals and clinics, aboard ships, and as the primary medical caregivers for sailors while underway. Hospital corpsmen are frequently the only medical care-giver available in many fleet or Marine units on extended deployment . In addition, hospital corpsmen perform duties as assistants in

10440-427: The run up to the Civil War were partisan politics , abolitionism , nullification versus secession , Southern and Northern nationalism, expansionism , economics , and modernization in the antebellum period . As a panel of historians emphasized in 2011, "while slavery and its various and multifaceted discontents were the primary cause of disunion, it was disunion itself that sparked the war." Abraham Lincoln won

10556-841: The secondary. Some hospital corpsmen go on to receive more specialized training in roles such as medical laboratory technician , optometry technician , radiology technician , aerospace medicine specialist, pharmacy technician , operating room technician , etc. This advanced education is done through "C" schools, which confer 39 additional NECs. Additionally, hospital corpsmen (E-5 and above) may attend independent duty corpsman training, qualifying for independent duty in surface ships and submarines, with diving teams, and Fleet Marine Force Recon teams, as well as at remote shore installations. In addition to advanced medical training, these hospital corpsmen receive qualification in sanitation and public health. The Field Medical Training Battalion (FMTB) provides specialized training in advanced emergency medicine and

10672-636: The southwestern corner of Missouri (see Missouri secession ). Early in the war the Confederacy controlled southern Missouri through the Confederate government of Missouri but was driven out after 1862. In the resulting vacuum, the convention on secession reconvened and took power as the Unionist provisional government of Missouri. Kentucky did not secede, it declared itself neutral. When Confederate forces entered in September 1861, neutrality ended and

10788-532: The stalwart island Fort Sumter. Anderson's actions catapulted him to hero status in the North. An attempt to resupply the fort on January 9, 1861, failed and nearly started the war then, but an informal truce held. On March 5, Lincoln was informed the fort was low on supplies. Fort Sumter proved a key challenge to Lincoln's administration. Back-channel dealing by Seward with the Confederates undermined Lincoln's decision-making; Seward wanted to pull out. But

10904-446: The state reaffirmed its Union status while maintaining slavery. During an invasion by Confederate forces in 1861, Confederate sympathizers and delegates from 68 Kentucky counties organized the secession Russellville Convention, formed the shadow Confederate Government of Kentucky , inaugurated a governor, and Kentucky was admitted into the Confederacy on December 10, 1861. Its jurisdiction extended only as far as Confederate battle lines in

11020-457: The substitute provision to select which man should go into the army and which should stay home. There was much evasion and resistance to the draft, especially in Catholic areas. The New York City draft riots in July 1863 involved Irish immigrants who had been signed up as citizens to swell the vote of the city's Democratic political machine , not realizing it made them liable for the draft. Of

11136-451: The thousands that never tried. European merchant ships could not get insurance and were too slow to evade the blockade, so they stopped calling at Confederate ports. To fight an offensive war, the Confederacy purchased arms in Britain and converted British-built ships into commerce raiders . The smuggling of 600,000 arms enabled the Confederacy to fight on for two more years, and the commerce raiders targeted U.S. Merchant Marine ships in

11252-430: The war created jobs for arms makers, ironworkers, and ships to transport weapons. Lincoln's administration initially struggled to appeal to European public opinion. At first, diplomats explained that the U.S. was not committed to ending slavery and emphasized legal arguments about the unconstitutionality of secession. Confederate representatives, however, focused on their struggle for liberty, commitment to free trade, and

11368-478: The war due to multiple factors: severe food shortages, failing railroads, loss of control over key rivers, foraging by Northern armies, and the seizure of animals and crops by Confederate forces. Historians agree the blockade was a major factor in ruining the Confederate economy; however, Wise argues blockade runners provided enough of a lifeline to allow Lee to continue fighting for additional months, thanks to supplies like 400,000 rifles, lead, blankets, and boots that

11484-603: The war. In December 1860, the Crittenden Compromise was proposed to re-establish the Missouri Compromise line, by constitutionally banning slavery in territories to the north of it, while permitting it to the south. The Compromise would likely have prevented secession, but Lincoln and the Republicans rejected it. Lincoln stated that any compromise that would extend slavery would bring down

11600-559: The warfare designator of enlisted fleet marine force warfare specialist are highly trained members of the Hospital Corps who specialize in all aspects of working with the United States Marine Corps operating forces. Attainment of this designation is highly prized among all corpsmen. The enlisted fleet marine force warfare designation for hospital corpsmen is the only U.S. Navy warfare device awarded solely by

11716-436: The winter of 1860–1861. Nationalists in the North and "Unionists" in the South refused to accept the declarations of secession. No foreign government ever recognized the Confederacy. The U.S. government, under President James Buchanan , refused to relinquish its forts that were in territory claimed by the Confederacy. According to Lincoln, the American people had shown they had been successful in establishing and administering

11832-478: The world" within a few years. Some European observers at the time dismissed them as amateur and unprofessional, but historian John Keegan concluded that each outmatched the French, Prussian, and Russian armies, and without the Atlantic, could have threatened any of them with defeat. Unionism was strong in certain areas within the Confederacy. As many as 100,000 men living in states under Confederate control served in

11948-501: Was a chief petty officer . A revision in 1916 established a new rate structure. With the introduction of a second junior rate there were now hospital apprentice second class (HA2c) and hospital apprentice first class (HA1c). The rating title for petty officers was established as pharmacist's mate (PhM), following the pattern of some of the Navy's other ratings (boatswain's mate, gunner's mate, etc.). Pharmacist's mate third class (PhM3c), second class (PhM2c), and first class (PhM1c) were now

12064-488: Was a civil war in the United States between the Union ("the North") and the Confederacy ("the South"), which was formed in 1861 by states that had seceded from the Union. The central conflict leading to war was a dispute over whether slavery should be permitted to expand into the western territories, leading to more slave states , or be prohibited from doing so, which many believed would place slavery on

12180-573: Was founded at the Sheepshead Bay Maritime Service Training Station on 7 December 1942. Surgeon S.S. Heilwell (R), United States Uniformed Public Health Service , was placed in charge of training. The course was taught over four months, with a 12-week period of didactic classroom experience and four weeks of practical experience at a Marine hospital. The original class of 331 students resulted in 239 graduates on 12 March 1943, but demand saw an increase in

12296-408: Was high because many soldiers were more concerned about the fate of their local area than the Southern cause. In the North, " bounty jumpers " enlisted to collect the generous bonus, deserted, then re-enlisted under a different name for a second bonus; 141 were caught and executed. From a tiny frontier force in 1860, the Union and Confederate armies grew into the "largest and most efficient armies in

12412-468: Was introduced in 1841 and remained through the Civil War . Following the war, the title surgeon's steward was abolished in favor of apothecary , a position requiring completion of a course in pharmacy. Still, there existed pressure to reform the enlisted component of the Navy's medical department—medicine as a science was advancing rapidly, foreign navies had begun training medically skilled sailors, and

12528-405: Was made of bullion lost from mints. He stated that it would be US policy "to collect the duties and imposts"; "there will be no invasion, no using of force against or among the people anywhere" that would justify an armed revolution. His speech closed with a plea for restoration of the bonds of union, famously calling on "the mystic chords of memory" binding the two regions. The Davis government of

12644-566: Was marked by intense and frequent battles. Over four years, 237 named battles were fought, along with many smaller actions, often characterized by their bitter intensity and high casualties. Historian John Keegan described it as "one of the most ferocious wars ever fought," where, in many cases, the only target was the enemy's soldiers. As the Confederate states organized, the U.S. Army numbered 16,000, while Northern governors began mobilizing their militias. The Confederate Congress authorized up to 100,000 troops in February. By May, Jefferson Davis

12760-512: Was not successful, and with the ironclad CSS  Virginia , rebuilt from the sunken Union ship Merrimack . On March 8, 1862, Virginia inflicted significant damage on the Union's wooden fleet, but the next day, the first Union ironclad, USS  Monitor , arrived to challenge it in the Chesapeake Bay . The resulting three-hour Battle of Hampton Roads was a draw, proving ironclads were effective warships. The Confederacy scuttled

12876-460: Was pushing for another 100,000 soldiers for one year or the duration, and the U.S. Congress responded in kind. In the first year of the war, both sides had more volunteers than they could effectively train and equip. After the initial enthusiasm faded, relying on young men who came of age each year was not enough. Both sides enacted draft laws (conscription) to encourage or force volunteering, though relatively few were drafted. The Confederacy passed

12992-592: Was replaced in the rating badge with the misattributed mark of the winged caduceus . The rates of Senior Chief and Master Chief Hospital Corpsman were added in 1958. Reference: Dictionary of American Naval Fighting Ships Pre-World War I World War I World War II Korean War Vietnam War War in Afghanistan During World War II, the United States Maritime Service created

13108-769: Was sworn in as president. In his inaugural address , he argued that the Constitution was a more perfect union than the earlier Articles of Confederation and Perpetual Union , was a binding contract, and called secession "legally void". He did not intend to invade Southern states, nor to end slavery where it existed, but he said he would use force to maintain possession of federal property, including forts, arsenals, mints, and customhouses that had been seized. The government would not try to recover post offices, and if resisted, mail delivery would end at state lines. Where conditions did not allow peaceful enforcement of federal law, US marshals and judges would be withdrawn. No mention

13224-439: Was the principal cause of the secession, a view disproven by historical evidence, notably some of the seceding states' own secession documents . After leaving the Union, Mississippi issued a declaration stating, "Our position is thoroughly identified with the institution of slavery—the greatest material interest of the world." The principal political battle leading to Southern secession was over whether slavery would expand into

13340-525: Was too late. " King Cotton " was dead, as the South could export less than 10% of its cotton. The blockade shut down the ten Confederate seaports with railheads that moved almost all the cotton. By June 1861, warships were stationed off the principal Southern ports, and a year later nearly 300 ships were in service. The Confederates began the war short on military supplies, which the agrarian South could not produce. Northern arms manufacturers were restricted by an embargo, ending existing and future contracts with

13456-696: Was used to keep the surgeon from slipping on the bloody ship deck. Previously, corpsmen were commonly referred to as loblolly boys , a term borrowed from the Royal Navy , and a reference to the daily ration of porridge fed to the sick. The nickname was in common use for so many years that it was finally officially recognized by the Navy Regulations of 1814. In coming decades, the title of the enlisted medical assistant would change several times—from loblolly boy, to nurse (1861), and finally to bayman (1876). A senior enlisted medical rating, surgeon's steward,

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