: yuth: ♦ ; Date , ...... f : initials...* HE DC.TJ RTERS UNITED STATES STR TEGIC AIR FORCED IN EUROPE Office of /sstf Chief of Staff, ->2 AAF Sta. 379 apo 633, us Amy 16 August 194-5 Air Staff post Hostilities‘Intelligence Requirements on 'Force' Aviation Me dicjne * • Section ~l!?C This report covers the subject of thr/‘Medical Services of the Herman Air Force, and has boon prepared in compliance with the requirements of Section TX! of the / ir Staff, Head- quarters, AAF, Post''Hostilities fntr Hi gene 0 Requirements, The following officers’ ab the he'd to Hqf TJSST'T, fron Hq. rAF, for this purpose, have participated in the preparation of such report; Otis B. Schreuder, Colonel, MC, 0-1628? Usorge L. Ball, Colonel, MC, 0-296981 Faul A. Cmipbfell, Colonel, MC, 0-256795 Paul M> Fitts, Lt. Col., AC, 0-902054 Ullliiua F. Bilde ley, Major, MC, 0-478019 Ce.rel Van dor Hoido, Captain, MC, 0-5184-58 imdex (1) Air Staff Post Hostilities Intelligence Requirements Outline , Page P ~ b (2) Actual Outline «... • Pago 7 11 (3) Summary, Conclusions, and Recommendations Page 12 - ib (4) Body of Report ~ (3) Bibliography 93 - 1C (6) Appendices Page 101 (a) Appendix I page 102 (b) Appendix II >. .... Page 103 ' (0) Appendix III ........., .., . ., Page 104 ( d) ; ppendix IV , . . .,. .. . Page 103 ( ö ) / ppendix V .. ..., page 106 (f) Appendix VI Page 107 (g) Appendix VII . Page 108 (h) Appendix VIII .. ............. Page 109 (1) Appendix IX •............... .,. f.... page 110 (j) Appendix X ............. * Page 111 (k) Appendix XI .. Page 112 (l) Appendix XII • Page 113 (n) Appendix XIII ........ f.... Page 114 (n) Appendix XIV . .. Page 113 (0) Appendix XV Page 116 (p) '.ppendix XVI .. Page 117 (q) 'ppendix XVII Page 118 (r) Appendix XVIII Page 119 OUTLINE AS SET FORTH BY THE AIR ST^FF• ' — — i ,i «■ * 111 '■■■ IX, AVIATION MEDICINE. A. ;viation Physiology, 1, Physical requirements for flying personnel, 2, Method of processing physical examinations of flying personnel, 3, Reviewing authority on all physical examinations affecting flying personnel. 4, Oxygen equipment, a. Type, design and material used in oxygen masks, regulators, and generators. b, Type and design of oxygen installation in various airplanes, 3. . - nti G Suits, a. Principles involved, and design and material used, - • a ... 6, Visual 'ids. .a. Type and design and material used in goggles, b. Illumination of cock pits, instrument panels, etc, 7, Special Drugs, a, For combating air sickness. b. For combating fatigue. 8, Special Diets. a. available to air crew, b. In-flight mrals.t c. Long range type. 9, High Altitude Chambers, av . Research laboratories, b. Field equipment. 10. Flying Fatigue, a. Experience and, experiment on operational limitations of flying personnel with regard to altitude, type and design of planes and com- . , pensating, faptors used aboard planes, B, Aviation Psychology. 1. Major problems and procedures of selection and * classification of air cr&w personnel by mrans of aptitude, 2; Selection and classification of personnel. a. personnel for jet and rocket propelled planes. b. Personnel for long range fighter pilots, c. Personnel for air crew commanders. d. Personnel for airborne radar operators. c. Initial procedures selecting personnel as air crew candidates, fighter pilots, bomber pilots, navigators, bombardiers, radio operator gunners, air mechanic gunners, armament gunners, career gunners, and radar operators. 3« Evaluation of training proficiency and combat effectiveness, 4. Statistical procedures used in scoring of the individual tests. 3. Statistical procedures employed in arriving at the final scores by which aptitude is measured. • i» 6*- Detailed description of the use of individual te*st scores, interview results and general over- all aptitude scores derived from a battery of tests for rejecting applicants* If Description of procedures Utilized in checking the predictivchess of individual tests or battery / of tests in forecasting success or failure, in training and combat.* • ‘*'*4*■*••• • ■*•'** • • I my ii>H Statistical statement of re suits, obtained. j* bV Description of procedures employed in aval- ' uating conbat effectiveness, such as obtaining ■ ratings- from squadron leaders and employing bombing accUracy records, o. Description of statistical procedures, employed in evaluating data, d. Steps taken to revise selection tests and develop new screening .procedures on this basis of training and combat validation studies C• Medical Personnel. • J * ■ • ■ • 1* Source rind training, both military and professional. ; * JU . ; '* *' ’ ' f* . i • *' -g- J »•-» » . * . % 2* Ralntionahip between G7 Medical Service and that of the /rny, Navy, public Health Service, Veterans administration, and »other government agencies* V. Rqlationship. bc tw.con N\T Medical Officers and university Vicdlcal 'clinics, etc• W?'T-T ■ - mi' 1 T: 4V Trainins'pollcjT wi-th *regard- to nedical enlisted personnel. _ . F v •• -■ 5* . Training withregard to physiology, psychology, 1 §ahifepry>ioffifporsv’ ficticians, JSÄyslcäL therapy, nurses, etc, —nS" Fj "€»• —R-' -3fr-, T D. Hospitalization, 1. Policy with regard to hospital construction on air bases both in the combat areas, communication zone and zone of interior, 2. B-sic policy regarding the number of hsopital beds required. 5* Utilization of hospitals assigned to the Navy, Army, or other government agencies. 4. Establishment of special clinics and examining units exclusively for aviation medical problems. 3. Specialized hospitals in the zone of interior. 6. Provisions for convalescent hospitals and habilitation hospitals in the zone of interior. 7. Relationship between the ; ir Forces and the civilian agency in placing handicapped veterans in aircraft industry, etc. 8. Relationship between civilian agencies and GAF with regard to veterans. E. Air Evacuation, 1. Responsibility for the development and operation of the air evacuation service as well as the - tactical units and medical units employed. 2.. Patient care cn route, 3.. Responsibility for patients at debarkation and • embarkation, F, Medical. Reports, 1. Responsibilities for medical reports of all types, 2, Me thods of consolidation and evaluation of medical statistical reports concerning ‘.ir Force personnel. G, Control of Disease. 1, ' irplane Movement, 2, ,'ir Troop Movement. 3 * Rest and C onva lesoent A r c a a, 4, . quarantine Measure* 3, Insecticides, Drugs,‘etc. H, Medical Service Organization. 1,' Relationship between OAF doctors and G-AF Commanders, 2. Organization of the medical service in the various echelons of command. Medical personnel assigned to tactical units. 4* /gency in GIF responsible for sanitation, hygiene and military government. X. Relationship between Aviation Medicine and Flying Safety, 1, Role of medical officer in accident investigation. a. Methods and forms used. b. Scope and purpose of report, c. Report channels, 2/ Use of 'medical investigation analysis and research in safety work, 3, Medical methods used to prev(3nt accidents, 4, Medical methods used (to prevent injuries in crashes bailing out and ditching. 4f protective equipment and efficiency thereof, a. Shoulder harness, b. Harness locks. c. Beat specifications, d• Beat belts. ACTUAL OUTLINE. The. outline as set forth by the / lr Staff has been re- arranged and altered to some extent largely for the purpose of expansion and simple categorization. 1. General St-a tenant, 2« O-rganization of the German ir Force Medical Sr r vie es, a0 Relation to the Wehrmacht. b. R- lationship of the burgeon General of the G'F to the Luftwaffe Staff.' c. Organization of the Staff of the surgeon General of the G'F. d. : Chain -of command in Operation and Administration, e* Medical Manning. 3• Medical pepartnsnt personnel0 a. Recruiting and Induction. hi Classification. q. Administration and 'ssignment. d. Hanks, Grades and Promotions. 4, Profosslonal. a. Major Infcctious Oise ases. b. Interesting Observations Concerning the Diseases Listed. c * Innuniaa t i on s, d. Sanitation and Hygiene, e. Dental Service. f. Veterinary service. gf Physical Standards, h. Care of Flying Personnel. 3. Training of Medical Service and Affiliated Personnel. at Training of Regular German 'ir Force Medical Officer b. Specialized Training of German Mir Force Medical Officers. c. Other Schools Conducted for Luftwaffe Medical Personnel. d. Training of Medical Department Enlisted Men. e. Medical Training of Flying Personnel. f. .Altitude Training Program, 6, German Air Force Hospitalsa a. General Statement. b. Hospital Planning. c. Hospital Construction. d. Internal Organization of G'F Hospitals. e. Specialized Hospitals. f. Convalescent Hospitals (JCurlazarett). 7* Air 'Evaouation, a. General. b. Organization. c. Equipment. d. ' Operation. 8. Medical Reports, a. - Gen< ral. b. Basic Report. c. Specific Medical Reports, 9. Safety. a. investigation and Coordination. b. Safety Aspects of rronautical Design, c. Aircraft Accident Report. d. Disposition of Accident Reports. e. Classification of 'ocidents, f. Frequency of Types of Accidents. g. Correlation of Physical Standards. h. Flying Safety Training. i. Research on Flying Safety. 10. /viation Psychology program. n* Introduction, b„ Development of Psychology in the German Armed Forces. o. Development of /viation Psychology, d* Organization. e. - Personnel. f. Relation to Other Branches, g. Tests, , ’■ \ h. Principles of Psychological Testing. ”i. Test ..«ministration Procedures. j, Final Recommendations, k. Research in Psychology. 11, ' Ne ur qp s yc hi a t ry, ‘a* Organization, b, Training, o. Selection. d. Fatigue, Combat-Fatigue, ‘nxiety Reactions and Ps ychonearosgs, c. Neurology, 12* Military Mental Hygiene and Morale, .> .».nr fmnmm Iff vwvh nT/r Mr r-11" r » % .»rw a. General, b. Suicide, c. Medical Officers for Mental Hygiene, d. Military Courts. e. Morale at the End of the VTar, 13, Aero-Medical Research in the G'F, M a. Scope, b, Fundamental Research. o. Organization of' Aero-Medical Rese arch Facilities, d, Budget, *. • ■ ■ | , , . . ef Facilities for Research, f. The Typo of Research, g. Ititude A cclimatization. h. Treatment of Shock Following Prolonged Exposure to Cold by Rapid Rewarning. i. -'The Paradox Effect. j. 'Study of Time Periods-Flying Personnel can Remain at Extrexie Altitudes with 100fo Oxygen. k. Speed in x.ir War and Physiological Latent period, l. ‘Night Vision. . . m. Use of Aluminum Inpregnatcd Cloth for Fire Protective Clothing, n. Research on Insectides, o. Research of Infectious Hepatitis, p. Resfarch in Malaria Propylaxis with Drugs, q. Cause of Death in uimafs Following Simulated Long Ranges Parachute Drops, r. Bacteriological- Marfarc, s« Use of Long Metal Pins in Treatment of Fracture ’ of Long Bones, t. Bombing Deaths, ut- vibration Effects, v, F1e c t ro e no epha1ography. 14,- P- rsonal Equipment. .„y,,, ■ r»- . -- «* >■ av Belts & Harnesses. b. nnti-rG Suit. c. Oxygen Equipment, I df Ejcctable Pilot Seat, e. Ribbon Parachute, 13. Nutrition. af .Garrison Rations, b. In-Flight Heals, c* Emergency Rations, 16. ;.ero Medical Intelligence. a, German Knowledge of American Research. b, Japanese and German Medical Cooperation. c, Progress of Japanese Aviation Medicine, SUMMARY, CONCLUSIONS AND RECOI-E5ENT) ATIOKS. SECRET 1. SUMMERY. a. In the attached re.port an attempt has been made to present a picture of the organization and function of the Medical Service of the German ir Force during Morld Mar II. Certain of the aspects of the subject ate treated graphically and in detail in the appendices. b. This study is the result of investigation per- formed by a team of six officers assigned to the project by the /.ir Surgeon. The groundwork was laid in the United States through the consultation of documents and individuals of experience. The Group was then sent to the European Theater of, Operations eo extend and continue its studies under the guidance of the Assistant Chief of Staff, Intelligence and the Surgeon, Headquarters, United States Strategic ir Forces in Europe, c. During the course of the investigation' various high Staff Officers as ™:cll as many personnel of the lower echelons of the Medical Service of the German ir Force, were interrogated, Trips wore made to important hospital installa- tions, research establishments, universities, medical schools, industrial concerns, airfields and aviation research centers. I. list of the major installations visited, documents consulted and the personnel interrogated, is attached. 2. CONCLUSIONS. af It is the opinion of this Group that with the exception of a few isolated instances the organization and the function of t_Ac Medical Service of the German ir Force was inferior to that of the United States 'rmy ir Forces. b. In general, the organization of the Medical Service of the German ’.ir Force closely paralleled that of the American Air Force, However, there were three major points worthy of note. (!) The rrchrmacht (overall German Military COn land encompassing the 'rny, Navy and ir Force) had, at a high staff level, a Surgeon General, The three Surgeon Generals, those of the 'rny, N-avy and the ‘ ir Force, were under him from the standpoint of overall policy and for the purpose of coordination of the various pro- fessional functions of the three services. (2) The Surgeon General of the German /ir Force had jurisdiction of all hospitals in the German ir Force areas. These included hospitals in combat zones. (3) The Surgeon General of the German ir Force, during the- last phase of the war, functioned through the quartermaster General and was not directly under the Chief of Staff. c. The first two points mentioned above arc worthy of consideration and study. VTith refer' nee to the third point the staff relationship of the dir Surgeon of the .'ncrican Air Force to the Chief of Staff is considered superior to the staff rclatioj snip of the Surgeon General of the German Air Force. d. A,seniority list for the promotion of officers as well as a closely followed policy of a minimal period in grade, did much to Keep up the morale of German medical officers. e. Tne elastic tafele of Organization, field.and fixed organizations, whereby an eligible individual might be promoted to the next higher grade irrespective of the existence of a position vacancy, also helned morale. f. The maintenance of highly trained medical personnel and other professionally trained individuals in officer status, of administrative officers on semi-officer lesser pay status, and of nurses and nodical technicians on civilian status, placed each of the specialized groups in a proportionally equitable position. g. In the professional care of personnel there was little that the German Air Force employed that was not equalled or .bettered by comparable .American Army professional services. Tne lack of penicillin was most keenly felt by the hospital staff: and it was particularly missed in the treatment of Gonorrhea, The hospital st .tus treatment of all Venereal Diseases by tne Medical Service of the German ir Force seemed particularly to result in wasted manpower. h. From the standpoint of disease control Malaria, Typhus, Venereal Disease and, to a lesser extent, Infectious Hepatitis, seemed to have offered the greatest problems to the German Air Force, In the civilian populations, Scarlet Fever, Diphtheria and Pulmonary Tuberculosis, were of greatest concern. Epidemics of respiratory diseases were never a menace. i. Physical standards for flying duty wore much less rigid than those of the. American Air Force. At the discretion of the examining surgeon defects might be waived and a candidate accepted for flying training, or a trained flier continued in flying duty despite relatively major defects. j. Care of flying personnel was centralized in special- ized medical installations remote from actual bases of operation. This frequently resulted in the disadvantage of lack of constant observation of flying personnel by a medical officer trained and experienced in viation Medicine as well as in the early initia- tion of preventive measures in the care of fliers. k. Training of re dical officers in aviation medicine was poorly consisting of brief courses held at irregul intervals at various research centers. However, frequent meeting wore held whereby an effort was made to keep medical officers who had been trained in Aviation Medicine, well informed concerning recent advances in their field. 1, ir evacuation was well organized and used exten- sively with excvllent benefit to the Army, Vi K.j M n. The medical aspects of Flying Safety were thorough and v»e 11 organized. n. The organized care of ncuropsychiatric casualties in the G-crnan 'ir Force was efficient. However, there was a rcry definite shortage of psychiatrists especially of trained psycho- therapists. Neuropsychiatric selection on the basis of personality scorned to have been intelligently handled and not ruled by rigid regulation. o. Flying fatigue, combat fatigue, anxiety reactions, and psychogenic disturbances occured and presented problems. In research and therapy emphasis was placed on tin organic aspect of these disorders. The utilization of specially trained psychia- trists as Mental Hygiene and Morale Officers in all probability did not free military personnel from emotional conflict disturbance..' This is exemplified in the large incidence of psychosomatic disease abnormal behaviour and suicide. However, no evidence that weakliest of morale in the Orman .dr Force had contributed to the defeat of Germany, ‘could bo elicited. p. Neurosurgical care of casualties from br'in injuries, and their after-care, seemed to have been an excellent develop- ment, Tae increased incidence of neuritis as a complication of various diseases, insufficiently explained but evident, rendered diphtheria and typhus problems of ncurolo ical importance. q. The; German conception of aviation Medicine was very broad. It embodied -11 phases of-ahe care, physical, mental and psycnologioal, of the personnel of all categories of the German ir Force. ‘ ‘ r p ' ~ r. The scope of German ‘ir Force-Medical Research was also very broad. Their research program, in addition to the usual aviation medical subjects, included investigations of many diseases such as Malaria, Typhus and Infectious Hepatitis, as well as sub- jects such as bomb injuries, the psycholo ical effects of terror bombs, the psychological ’aspects of g'uix sighting, development of gun sights etc. If r problem developed relative to the care of German ir Force personnel or to the tasks they performed, the Surgeon General of the G,F was free to direct any r< search that he felt necessary. * ... s, German viation Medical Investigators, >except in a few instances, did not appear to apply such rigid controls to their experiments as nave been demanded by ideals of scientific approach. t, Several Geman electrophysical laboratory techniques were excellent, and can be applied to hierican studies. ./ mong thes techniques is the magnetic oxygon analyser developed by Prof. Rein of Göttingen, u. In general, German viation Medical investigators were extending their studies to greater extremes of speed, altitude accelerative forces, etc., than has been the ease among American Investigators. v V e Y-* * v v, fpiong the noj5t.r in tn r e si i ng research performed were the investigations concerning altitude acclimatization, re-warming of individuals who were in a state of shock following prolonged exposure to cold, the paradox effect, tine periods that flying personnel can remain at extreme altitude, DPT paint, aluminium impregnated clothing for fire and heat protection, ejection parachute scats, and those concerning parachutes which allow slow deceleration during opening. w* The Germans had developed a RDT paint which is des- cribed in the- body of this Report, The paint is easy to apply and for a period of 8 to 12 weeks kills flies and mosquitoes* x. ;n extensive psychological testing procedure for the selection of S'F officers, and for the selection and class- fication of specialists, existed from th. time of the creation of the Luftwaffe until February 1942, on which date uhe entire program was discontinued. This program was administratively seper- ate from the GhF Medical. Service, y. Psychological testing, as it existed prior to 1942, was very thorough, ;:,s many as three days were devoted to the examination. Examiners attempted to evaluate the total ability and personality of the candidates. There was no uniform'objeetive method of administering and scoring tests or of arriving at numeri- cal aptitude ratings. z. No uniform procedure existed for securing follow-up data or for validating the psychological testing procedures. Mode: methods of statistical analysis were not empl )ycd. The net result was that little or no worthwhile research data on selection tests were aceumu1 ■ ted. 3. HSOQMI-IENT)/. TIONS« a. It cannot bo recommended that any broad changes be ..ado in the organization or function of the Medical Cervicc of the A’F as a result of the Study, Mow vc r, ce rtain of the conclusions listed above and certain factors brought out in the oody of this report should be studied for possible application. b. Several 'viation Medicine research projects which were bt ins carried on jin Germany at the end of the war arc con-* corned with important problems of direct interest to the /rT. In view of the possibility of securing unique and valuable findings, it is recommended that a number of ahesc res apeh studies be con- plotcd under direction of ’ 'T officers* c. The use that the Surgeon General of the (VF made of outstanding rest.arch specialists, allowing those men to continue work in t mir own laboratories but rith official status in the Gr F medical, research program, offers many advantages. It is recom- mended that this plan be studied, especially with respect to the post war medical research program of the JLf. BODY OF EFFORT 1» GENERAL STATEMENT a. This report embraces ait attempt to construct a picture of the organization» the function and chief activities of' the Medical Service of the German i*ir Force during World War II* In compiling it the authors have tried to maintain strict objectivity * bo The structure end policy of the GMF Wes quite flexible end was varied from time to time to meet military de- mands. The structure end policy found to have been pursued one year was not alleys applicable to other years. The picture therefore of necessity is c. general one. Furthermore» it is the impression of this group' that the Medical Service of the GMF did nob depend to any great extent upon a well defined set of regulations» Emphasis seems to have been placed upon the careful selection of men for key positions and then these men were depended upon for interpretation and enforcement of policy. Consequently, the procedures followed by one man varied at times from those followed by others in similar position*. This factor has also made it difficult to deal other than in general terms with certain subjects discussed in this report. 2 • QFGaNIEMTIOi: CF THS GSR IMF MJR FORCE METICAL SERVICES a* Relation to the Wehrmacht (1) The Wehrmacht contrary to rather common im- pression was the highest overall German military command, encompassing all three services - the Mirny» the Navy and the Mir Force• (2) On a high staff level of the Wehrwacht there was an office of Wehrmacht Sanitatsinspektion (Surgeon General of the Wehrmacht) who formu- lated and directed overall ne died policies for all three services of the Wehrmacht, namely, the Mrmy, Navy and Mir Force. In respect to medical matters he had command jurisdiction over the burgeon General of the three services under him. h* Relationship of the Surgeon General of the GIF to the Luftwaffe Staff f (1) The rosdiced service cf the Gemen dir Fcrce was re organized severed times from 1939 to 1.945* This was in keeping with the reorgan- ization of the Luftwaffe as a whole. The last reorganization placed the Chef des 6cni-r tetswesen (Surgeon General cf the GIF) under the Quartermaster General who in turn wcs under the Chief cf Staff* 4 history of the development of the m dice! services as given by the Surgeon General of the G*F is attached as appendix I* The Quartermaster General of the Luftwaffe differs from the Quartermaster General of the U*S. Irmy in that ho hed many of ; the - functions, of. G-2 ..end .G-4 of the Army General- be side s having, under hi s duri s- diction the GAF Engineers and GAF Ground Forces,.. .' . \ (2) 'The functions of the Quartermaster General together complete organizational charts ■are being reported in detail by the Personnel 'end Management Control Sections of the • m. Exploitation-Team ,*•*1, US Strategic Air •. Forces in Europe, Attached in Appendix II is an abbreviated Organizational chart of • the Luftwaffe shoving the staff position and various relationships of the' Surgeon General to other functions of the, German Air Force, , c# Organization of the Staff of the Surgeon General of the GAF, '.. ' ' • v": t (l) In spite of the organization as shovrn, ‘the Surgeon General of the 'GAF vas giyen relc- tively free rein on all medical matters. All- administrative matters such as construction of hospitals and supply per© taken’up vith, the Quartermaster General, rhereas all. import- ant medical matters requiring final deci- sion mere taken up kith the Supreme Commander of the Oi*F or his Chief of Staff, (2) The Staff cf the Surgeon.General cpnsisted of the Surgeon General, a Chief cf. Staff, and Chiefs cf four departments, each depart- ment having a number of divisions. The four departments vere t Department/*, Organiza- tion? Department B> Medical Professional Services? Department C, Air Raid Protection? and Department Dr, Administrative Board♦ (3) The De pertinent of Organization wa.s divided - into three mein sections» namely ,■ a) Organi - action end Ope ret ion, b) Personnel end a) Supply, The DQpr.rtn.ent of M e d i c cl Pro f e s si on - el Services tics else divided into three sec- tions., r.) Convalescent end Hygiene , b) Aviation medicine,. end c) Statistics, The Air Reid Precaution Department had c .sub- division for protection against gas v/hich formula ted plans for gas protection, in ad- dition to protection against bombs end fire» The Administrative Board Department took • cere of f inance., and-budget of the GAF Medical . ■ . Service insofar -ae, the Surgeon General of . >• the Luftvaff e. tia s.re spans i ble♦ This depart- yi, ment also cared for.--local office necessities. iki "i The~0$eenizatipnoend -Punetlemcl chart of the Surgeon Generol’s office cf the GAF is at- > tacaed es Appendix III# d* Chain of Command in Operation rnd Ldminis trat ion. (1) Below the level of the Surgeon General of the GtiF were the surgeons of the Luftflotten ‘ (lir Force), Fliegerkorps (Divisions), Luftgau’s (Service Ccmcands),, and Gruppen (Groups). The Flckkorps was on an equal level with the Fliegerkorps. L chart show- ing the chain of command at various levels ' is attached as Appendix IT. It will be noted that no surgeons were assigned to the Gesch- wader (V/ings) and only Medical Department enlisted inen were"assigned to the Staffeln (Squadrons), ' ■ • (2) Germany was divided into a number of Luftgau headquarters and as more territories were conquered Field Luftgaus' were established in the newly acquired territory. In general, the Luftgau had jurisdiction and responsi- bility over all permanent G£F hospital's in the Zone' cf Interior and over the field GIF • ’hospitals in their respective domains. (3) L further breakdown of the organization of specific functions such as research will be found in later chapters of this report. ' Go Medical Henning» (1) Luftflotte hecdquerters ; The manning of the office of the surgeon of a. Luftflotte head- quarters included seven medical corps officers. Their specific assignments wore as follows} the senior surgeon; an adjutant wher took care of administration and was in charge of * personnel j a flying accident officer? a'medical officer who held sick call for the headquarters per- sonnel; end three consultants, one each in , internal mediqine, surgery and sanitation end hygiene. The surgeon held the rank of Generalarzt. Total personnel of the head- quarters* numb9red about 3,COO individuals. (2) Luftgau headquarters ; The Stoff of the sur- geon of the Luftgau headquarters consisted of six medico! officers who were respectively the surgeon, the* cdjutent, the convalescent*..end rehabilitation officer,, the sanitation ond hygiene officer, the plans ond organization officer, ond the radical officer who held sick coll for hecdquerters personnel. In addition there was one dental corps officer, one administrative officer end one pharmacist who controlled supply. Personnel'of the Luft- gau headquarters were about 1,000 in number• The’ surgeon held the rank of Generalarzt or Oberstarzt (Colonel)“. (3) Fliegerkorps headquarters j The surgeon’s staff of the Fliegerkorps consisted of the surgeon, an adjutant and a doctor assigned for care of headquarters personnel* The strength of the Flic gerkorp headquarters was about 1,000» The surgeon held the rank of Oberfeldarzt (Lt. Colonel)» 3* MEDICAL IKPARTLIENT FERSCNNSL. a• Re bruiting and Induction. (1) Enlisted personnel of the German dir Force lledicel Department were obtained through the Luftgau Recruiting Centers (Annahme und Entlassungstollen) 'where all individuals were called up for activexservice * They re- ceived regular basic training under juris-r „ diction of the Luftwaffe as did all inductees entering the GAF» Subsequent to the basic training they were sent to various service schools through the different Luftgau for spec- iclized training in medical subjects* (2) Medical end Dental officer personnel were obtained from two sources, first from those students trained under the supervision of the medical training department of the Luft- waffe and second from graduates of other medical and dental schools called to active service« (3) Veterinary officers were for the most part officers who had hed service with the -Army end had been transferred to the Air Force» (4) Administrative officers er Beemte who per- formed functions of administration, end the keeping of statistics v/ere for the most pert obtained from long service enlisted men# (5) Civilian specialists such es Nurses, X-Rcy end Laboratory technicians, end’ anesthetists were ellotted by quote to eech of the three services, (the Limy 3 the Nevy end the Air Force), fron the limited supply of such sps c<- ielists completing civilian training» b • Clessificeticn« (1) Officer' personnel,. Major clessification of officer’ personnel .with the epproximete number of such personnel cs of January 1945 wes es follows{ Medical Officers 6c?0 Defitel Officers 1418 pharmacy Officers ?50 Administrative Officers 25O Tactical Officers 40 Records were maintained in the office of the Surgeon General and in each Luftgau Surgeon’s office concerning specialized training of each medical officer, but no attempt was made to classify them into spe cialty serial numbers such as in the Medical Department of the United,States Army. (2) Enlisted personnel. The number of eniisted personnel in the Medical Department fluctuated considerably during the period of the War. As • the need for more combat soldiers developed in, 1943 end 1944 large numbers of enlisted men were required to be transferred to combat troops* These, were replaced as well as possible by physically unfit enlisted men and by civil- ians , c• Administration and Assignment. (i) Assignment of medical personnel was adminis- tered in the office of the Chief of Personnel, Luftwaffe General Staff (0*K*L.). A medical officer assigned to this office processed personnel work concerned with the Medical Department, coordinating all important matters with the Surgeon General of the Luftwaffe. However, personnel in scientific work were assigned directly by orders published in the Surgeon General’s office. It was the general policy of the Surgeon General to continue medical officers engaged ijr a professional specialty in the same hospital facility and to rotate frequently these assigned to tactical organization and staff headquarters. d» Ranks„ Grades and Lromotions, (1) Officers1 ranks can best be understood by tabulating with the. Mnerican army equivalent and the approximate period an officer re- mained in grade : U&A.F GAF Time in Grc.do Cadet Unteramt It 2 years 2nd Lieutenant Assistenzarzt) 1st Lieutenant Oberarzt ) 3 years Captain • Stabsarzt 5 years Major Oberstabsarzt 4 *’* 5 years Lieutenant Colonel Oberfeldarzt 3 years Colonel Oberstarzt 4 years Major General Generalarzt '2-3 years Lieutenant General Generalstebamt Genera 1 Ge ne rt» lobe rstabarzt (2) Promotion In the medical service was constant end percllel to promotion in the line, usually being determined by length of service, Cadets (Untereernte) were required to have front line field service prior to consideration for promotion to officer grc.de» Promotion of mediccl officers was controlled by the Surgeon General although all recommendations for promotion were sent through’ command channels and processed in the Personnel Section of the General Staff, (3) Enlisted grades are comparable to those of the U •S * Medical Department although occupancy of technical specialist positions by civilians made less necessary the pro- curement of highly intelligent and profi- cient individuals in the r;e died, service, promotion of enlisted personnel was controlled at organization level. 4* PHOFEssioiaL, a* Major infectious diseases. The incidence of the diseases which have been a concern to the Surgeon General of the Luftwaffe are best demonstrated by graphs attached as appendix V. These give rates per 1*000 troops per month and actual number of cases for all tactical organizations of the entire Luftwaffe from the 1st of September, 1939» thru July, 1944 for the following diseases; Malaria Typhus Typhoid & paratyphoid fever Bacillary Dysentery Gastro-enteritis Pulmonary and Pleural Tuberculosis Syphilis Gonorrhea Diphtheria Scarlet Fever Skin Diseases b * . In ore stingy observe tions concerning the di sea se s listed above as well as other common diseases have been obtained from various medical officers of the Luftwaffe hospitals and tactical organizations» (1) Malaria wos constantly c problem- in Southern Russia, Italy, the Balkans end Ifrice end rauch effort was expended in its control * Extensive research was raede in the study of prophylactic drugs, inmates of an insane hospital in Muhlhausen being used in this ej> perimentcl work. Mabrine in doses of 0*6 grams daily was considered to be the most effective prophylactic drug studied* Ex- cessive rate of Malaria as shown in Appendix T are partially due to the reporting of recurrent cases as an original incidence as well as to the relaxation of Malaria discip- line with progressive military confusion occurring toward the end of the war* (2) Typhus was also a problem in the Balkans and on the Eastern Front, Typhus vaccine, not being available in sufficient quantity to edmihister to all troops. Much time and effort were, given to problems of sanitation and insect control and to the indoctrination and training of troops in personal hygiene. The occurence of Typhus was much greeter in the Army, in the civilian population end in prisoners of war than in Luftwaffe troops, The low incidence in the Luftwaffe as compared to the Array was credited to the direct medical supervision of insect control in the Luftwaffe in contrast to the line or administrative supervision in the Army* (3) Infectious Hepatitis known as Hepatitis Epi- demica was endemic on the Eastern Front, begin- ning in September each year. Outbreaks also occured in North Africa and lybia during 1942 and 1943* Many factors were blamed as contri- buting to the incidence of the disease, such as high fat diet, climate and unsatisfactory sanitary conditions, but direct association with any of these conditions was never proven. Many authorities believed that Catarrhal Jaundice and Infectious Hepatitis were the same conditions. Treatment was symptomatic in ■ the absence of discovery cf any specific etio- logical factor. The mortality from Infectious Hepatitis was extremely low although the time lost from duty was very high due to the pro- tracted course of the disease and frequency of relapses• (4) V/ar Nephritis (Kriegs Nephritis) was quite frequently seen during the ajar, especially on the Eastern Front, It was considered to he of an acute infectious nature and most closely resembled an acute Gloreerulo-Nephritis, Jvlort- ality was low hut the disease resulted in ex- tensive time lost from duty and many discharges from service duo to its chronic nature. (5) Typhoid Fever, Although sporadic nild epi- demics occured in Poland and France the inci- dence of Typhoid Fever was very low, Immuni- zation provided adequate protection for troops except when overhwdming contamination occurred. (6) Bc.cille.ry Dysentery, In the Polish campaign this was widespread, hut the disecse wes nild clinically, Sulpha nomi des readily controlled the disease» improvement in sqa itcry control resulted in e lower incidence of the disecse. The incidence of Gcstro-r enteritis paralleled the occurence of Beciliary Dysentery end it was difficult to instruct the field medical officers concerning the criteria, for differen- tiation of the two conditions. (7) Scarlet Fever, 1 considerable increase in the incidence of Scarlet-Fever occurred during the mar, both in military -personnel and civilians. 'Crowded living conditions v;ith constant travel of large groups of people mas believed to be the contributing factor. (8) Diphtheria was prevalent in the youth organ- izations and in the civilian population» L great many civilicn deaths occurred in rural regions for lack of antitoxinr (.9) lulmonery Tube rculosis occurred less frequently in the Luftwaffe throughout the war than in the civilian population in peace time. This was believed to bo due both to the prirxiy selection of only healthy individuals as well as to proper sanitary measures in tho billet- ing* feeding and general care of military per- sonnel» L much higher rate of disease existed in tho civilian population, particularly in displaced persons. (10) The rate of Syphilis in the Inftmaffe climbed progressively throughout the period of the mar» Infection mashighest in Itcly end Greece* end less high in France. The incidence mas extremely lov; on the Bussirn front. Efforts v;ere directed tov/erds education of the troops end control of the sources of infection. Severe penc.lties mere imposed on individuels not using prophylactic measures. . „ (11) The rate of 'Gonorrhea, similarly increased progressively during the war with the same major areas of high infection as for Syphilis. Sulfa, resistant strains of tho infection were a problem in Italy due to .the» indiscrimina te sale and use of sulfonamides in that country. Initial treatment of both Syphilis and Gono- rrhea were always effected in a hospital. Medical officers apprehended giving duty status treatment were severely punished. (12) L high rate of Skin Diseases existed through- out the period of the war, the most prevalent diseases being Scabies and Trichophytoses. (13) Tjiflu enza end Pneumonic . The incidence of these diseeses remained surprisingly lorn end ho epidemic of Influence., even remotely re- sembling the severity of 7/or Id v/cr X Influenzc occurred# (14) The incidence of Gastric and Duodenal Ulcers were generally agreed to have increased dur- ing the war. Ln interesting point is that the frequency of Gastric Ulcer as compared with Duodenal Ulcer was exactly the reverse to that of normal tim.es. That is, the inci- dence of Gastric Ulcer greatly exceeded that of Duodenal Ulcer. Such increase in Gastric Ulcers is believed to be. a pqy chosomctic manifesta.tion of the increased stress accom- panying war service« (15) No increesedincidence of Meningitis, Polio- myelitis t Totems, Choi ore, or pie mo emongst military personnel during the period cf the war was reported* e» Immunizations« The following immunizations were required for service in the Luftwaffe; XX) Sng.llp.oxc Vaccination was performed upon in- duction end repeated every six years* (2) Typhoid, Paratyphoid 1 & B» immunization was re peated at six monthly intervals* (3) Te.tc.nus» Active immunization was given all members of paratroop organizations. Passive immunization was given as indicated to other members of the Luftwaffe. (4) Typhus» Due to limited supply of vaccine, administration was limited to only those Luftwaffe personnel who were most exposed to the disease# (5) Dysentery, Immunization was given annually to all troops ns directed by the Wehrmacht» Vaccination wes not desired by the Surgeon General of the Luftwaffe nor his senior officer in matters of preventive medicine# (6) Choi ore. At one tine Cholerr, wes included in the Typhoid, Paratyphoid vaccinations,_ but this T7.es later discontinued* with the development of e soperate vaccine only those troops on the Ec. stern front were immunized« d• Sanitation and Hygiene• (X). Each major commend was responsible for the sanitation of an cree which w;as exclusively occupied by a particular force. In areas occupied by two or more-major forces, a joint commission of services was formed with the senior medical officer of the group as the responsible sanitary control officer. In 1943 after several discrepancies had arisen in the sanitary, procedures cf the various armed forces, a spscfal department for control of field san- itation was established in the V/ehimacht General Staff, This group considered major policy matters such as area sanitation., and changes in design of standard sanitary equipment. (2) The Luftgau Commanders, advised by Luftgau surgeons, controlled i*ir Force policy of sani- tcticnx on problems which might arise at station or organization level (26). e« Dentel kcrrioo (1) Organization. A specie! Corps of Luftwaffe Dentists wes erected ct the beginning of the wer» Policy netters relctive to dentistry were decided upon by Obersteberzt Fritz V/itt9 who wes on the staff of the Surgeon General* Dental research was carried cut under the supervision of Stabarzt Freitag in the Flu gme d iz i ni sc ho Institut of Berlin, A dent- al officer was on the medical staff of each Luftgau (Sachbearbeiter)o Thjs officer ad- ministered the activities of dental instal- lations’ minder jurisdiction of the Luftgou as well as rendering service of dental care to personnel of the headquarters*. His duties included assignment of dental personnel, re- view and consolidation of dental records, and approval of requisitions for ma terial such as instruments and equipments. He also supervised the Luftwaffe Lazaroot dental de- partment end the numerous dental stations of his command« There were two types of stations, large and small. In all Luftgeus there were a total of fifteen; large stations and fifty-five small stations. Besides these fixed installations there were certain mobile units (Sanitets Bereitschafte) which functioned under the direction of the dentist of the Luftwaffe hospital in the area* In addition, the work of the military dentists was comple- mented by use of civilian contract dentists in Germany proper* ‘ . (2) Assistants included both specially trained medical department enlisted men and civilians who had had training with dentists in civilian life • (3) Dentists serving with troops were charged with the responsibility of instruction in dental hygiene* In the absence of a dental officer in a unit it was the medical officer's responsibility to recognise the need of dental care and to send the individual to the nearest dental station* (4) Care authorized, provisions were made for the treatment of military personnel and their dependents as well as civilian employees* When civilian personnel were treated, the Reich’s Health Insurance, an obligatory inr surance organization in Germany, reimbursed the Luftwaffe for the expense of the treat- ment • However, only the cheapest minimum dental care was authorized* Very little gold was used, and this only on approval of © central Luftwaffe institution. (Luftwaffe Inspection Number 14)* • • (5) Hospital dental service. In soli© Luftwaffe Lazaretts there was a section number VII which included facilities for the treatment of me xillo-fecial. injuries and dented diseases. This section is staffed by either a mediccl officer or a dental officer, attached to it was a section for ambulatory patients« The hospital dentist’s duties consisted of care of pa.tients and of the hospital staff? end the dental examinations for the examining section (9)* f• Veterinary Service. (l) Organization, The Luftwaffe Veterinary Service was headed by a Chief Veterinarian,at Luftwaffe headquarters* Each Luftgau headquarters also had a staff veterinarian and veterinary offic- ers were assigned to cl 1 of the higher tact- ical echelons9 as well as to personnel instal- lations* (2) Food inspectiona Basic G*.F regulations provided that veterinary officers would conduct the supervisory insps ction of all foods of animal origin (these foods are exactly the same as those inspected by US/h-F Veterinary Service). The inspection included supervision pf handling- rooms and of all the equipment and procedures with which foodstuffs were secured, prepared, measured, packed» preserved, transported and issued, h surprise inspection was directed once a month. In addition, the veterinarians supervised the. slaughtering, and sausage-making activities of the unit* they also conducted courses and lectures on meat, fish and poultry handling, and the preservation and conserva- tion of foodstuffs in their '’battle against waste”• (3) In Leals (e) The veterinary and animals service were combined in the German hir Force.* Veter- inary personnel were not only in charge of the care and treatment of sick and wounded animals, but were also charged with the su pervision of cere, management and utilization of all the animals belong«- ing to an organization. (b) . hnimcls were used quite extensively by the Luf twsf f e * The large number, of GhF horses were mostly for vehicular trans- portation» but they were else used to a greet extent in connection with the GhF's farming activities on the more permanent installations, Other farm animals (cottle, sheep, hogs, etc) were also kept on Luftwaffe ferns. (c) GhF also controlled Flak, Signal, prisoner of Wer, and other units tfhioh had animals of their own, g* physical Standards, (p) physical Standard for ground duty services v/ith the Luftwaffe were those established by the Wehrmacht for military service in any of the three major armed forces. These standards are set forth in detail in service regulations (32)0 This regulation establishes five main physical groupings and tabulates various pos- sible defects end*diseases as to acceptability in each grouping» The main physical classifi- cations are as followsf (a) Fit for general duty without limitation (L.V • Kfiagsve rwendungsfchi g ) * (b) Fit for general duty under certain con- ditions (used as supply troops, rear* areas, home front, etc») (Bed. Kef, Bodingtkriegswendungs'fahieg), (c) Fit for general labor (home frontP head-' quarters labor, air raid harden) (l,V, n rb ei t sv a roe ndung sf c.h i g) * (d) Individuals temporarily unfit, to be re- examined at a later date (B,U, Saitlieh untauglich), Ä *• •* (c) Individuals completely unfit. («#Uf ’.Tchrun tauglich), (2) The physical standards'for flying duty were established in the Luftwaffe regulation L.Dv 94* This regulation defines two main physical classes for flying duty. They are; (a) Vbhrf liegen - military If i a tor * (b) p 11 g ge rs c hu tae - Leri a 1 Gunner, (3) Qualification'in the first group signifies physical fitness for flying duty a§ a .pilot ’ > or navigator, Qualification in -the 'Second giroup permits flying duty as 6 in*chan ic- gunner, rsdio-cperctor-rgunner .or capeep' gupner, (4) In the early years of the war whan it was believed that sufficient numbers of flying candidates might not be aval labls the ,'puftwcffe v General Staff ordered a relaxation of the strict standards of .peace-time* ,,.1‘t was soon found however, that the lowered, .standards were unsatisf ccrtory. With the limiting fee tors of fuel end aircraft production there leter existered cn excess of trained cir crew members end the original more- rigid physical standerds were resumed# (3) Physical examinations for selection for flying training were conducted in the Fliegerunter- suchungsatellen (Flyer examining stations) of which there were approximately seventy, located throughout the various Luftgcus. Sech station was staffed by two medical officers, usually an internist and an ophthalmologist, and by several enlisted personnel assistants, all of whom had received special training in aviation medicine. Equipement consisted of only the minimum of examining instruments. Each station performed fifteen to twenty examinations daily. The thoroughness and detail cf the physical examination for flying varied widely during the war# In peace time the exem inctiori ex- tended through a period of two to throe days, utilizing the consultant services of various specialists in completing the examination of each physical system# In war time it was nec- essary to conduct the complete exemination in the examining station; consequently the services of the various consultants were dispensed with, accordingly the format .of the examination re- cord was reduced in size, Appendix VI# (6) The specific examination performed consisted of a thorough history, general physical exam- ination* examination of special senses* includ- ing eye, ear, sense of balance, examination of heart and lungs, Schneider test, test of. vital capacity, chest X-ray, blood serology, urinalysis and a concluding personality esti- mate somewhat comparable to the United States u-J This lest p/as not, me de by a psychia- trist but by the senior officer of the exam- ining station* Psychological testing of flying candidates which was performed until 1942 was not accomplished at these stations. (7) The surgeons of the examining stations gener- ally were allowed certain lattitude' in select tiorr gf applicants and night waive reesonebly minor deficiencies if they believed the indiv- idual to be a particularly apt candidate. (8) Specific values of physicd. standards were frequently changed during the war? However, approximate values for qualification for flying training end.flying duty cs e military,, evietor (Wehrflieger) nay be summarized as follows t (a) Wgo 1? to 26 years inclusive# (b) He ight 1.6C cm. to Il8c cm. (c) Veight. No rigid maximum or minimum weight was prescribed and it was within the discretion of the examining medical officer to disqualify the excessively overweight or underweight individual. (d) Occular Standards. In peace time a visual acuity of 5/5 in one eye end 5/7 correctibäble to 5/5 in the other 7/as required. During the war this require- ment was lowered to acceptance of candi- dates with 5/15. L1* correctable--to 5/5»13 in each eye. 1 spherical correction up to 2*50 D and cylindrical correction up to 1.00 D was permitted* There was no specific standard for muscle balance other than a statement that high degrees of esophoria* exophoria or hyperphoria "/ere disqualifying. The Pulfrich test was used for measuring depth perception. Color vision was tested with Stilling’s charts end questionable candidates were retested using a color vision lantern developed by Dr. Xngebord Schmidt* Night vision was not tested except in selection of individuals for night flying organi-'. zatigns. (q) Acuity of hearing mas tested by using the whispered voice* Early requirements were that the candidate correctly inter- pret the whispered voice at four ne ters ’with each ear* Later this mas reduced to acceptance of individuals with complete deafness in one car end ability te hear the whispered voice at t;.o meters in the other. Individuals with dry central per- foration of the tympanic membranee were not rejected* (f) Vestibular standards. No precise standard '7as ever f allowed, the examiner me rely being required to perform the more simple tests to insure that the sense of equi- librium wosroughly mithin normal limits. (g) In the study of the Cerdiq-Vascu1or system broad requires© nie of efficiency were set forth, no fixed limitation of pulse: rate or blood pressure values being established* L Schneider test was accom- plished early in the wex but was deleted from la ter examination ’requirements • (h) Careful. evaluation of the Nervous system was attempted vitb e general estimate of personality made by the examining he dical officer* (9) physical examination records were forwarded to the Central.-Statistical Archive, Berlin, where an effort was made to keep current a file showing exact physical qualifications of each flying officer. (10) Physical standard for flying duty as aerial gunner (Fliegorschutze) were less stringent then those for militari' aviators, A flyer might serve as a pilot until a certain physical deficiency precluded such assignment when he would not infrequently become a gunner. Visual acuity standards for gunners were 5/36 zru vision correctible to 5/5 vision in each eye. No discriminating color perceptions were necessary. (11) In general, physical standards for all flying personnel were much le ss rigid than those of the American Army or Air Force, h• Care ofFlyjng Personnel• (X) Inasmuch as no routine training in aviation medicine existed in the Luftwaffe, most medi- cal officers with flying units had little or no training in the specialized care of flying personnel. It was therefore necessary to es- tablish a form of adjunctive lie diced service for the purpose of treating, evaluation, and making decisions concerning dispositions and duty status of flying personnel. This was accom- plished by the establishment of three distinct types of installations: (c) The FIdefy runtrrsuchnnrsatelle, Here the candidate for flying training was given his first examination end the trained flyer received periodic reexaminations. (b) The Sichtung® Abteilung for screening or examination was'a section of an Air Force hospital. This section accomplished the study and examination of flying personnel. The section was staffed by a medical of- ficer usually an internist who had been given specialized training in aviation medicine. He was assisted by one or two company grade radical officers end by several enlisted assistants. More elab- orate equipment was provided in such centers than in the FIlegsruntersuchungs- stellen, A standard type altitude chamber was included in the equipment. (c) The Sichtungsstelle, In certain situations there-existed s Sichtungsstelle operating independently ss a smell medical unit, usually where there was no Air Force hospital available in an area* Such units were necessarily better staffed and equipped then the Sichtungs Abteilung» which was an integral pert of e hospital* These units frequently had jUray equipment end smell clinicel laboratories as well as the usual altitude chamber and exam- ining equipment. Their functions were identical with those of the Sichtungs Abteilung* (2) The chief of the Sichtungs Abteilung enjoyed the advantage of morking as an integral part- of a large hospital vhere consultations mith chiefs of various professional services mere constm tly cvd. lable * Thus in his examination of flying personnel he had available the opinion of ophthalmologists, otolaryngologists, psychiatrists end surgeons in the evaluation of flyers cs mell. as in provision cf defini- tive therapy. (3> Disposition of an individual mas made after such study and treatment as considered necessary* Such disposition usually included one of the follomingj (a) Return to flying duty, (b) Grounding, temporary or permanent f (c) Hospitalisation♦ (d) Rest leave or treatment in a Kur- laxarett or Erholungsheim, (4) On return of a grounded flyer to flying duty, it mas usually the practice to have him re- examined at the Sichtungsstelle mhere his removal from flying mas accomplished* (5) Decisions, of chiefs of examining stations mere respected by line commanders es mell es by unit surgeons end there existed little or no controversy concerning tho disposition recommended* Somemhat more then $0% of ceses considered by the station chief were ceses under clessificetion of nervous diseases, the majority of these being stress reactions. These esses mere .treated by temporary mithdremel from flying, either by transfer to e rest hOm©| granting of rest leaves or by;reassign- ment to grourd duty* The 'number of volunteers for flying duty'almeys exceeded the require- ment -consequently* there res never” e need to force the lesser physically fit individuals to fly* Inasmuch as the great majority of air creft members held non-commissioned grades there was no problem in assimilation of rank their transfer to other,duties, (6) Records. Certificates concerning medical examinations of. the types described above-were sent to the following individuals.. (a) Medical officer of the organization '• of assignment of the individual, dio in turn informed the commanding officer of the unit,. (b) Medical officer vho sent the individual * to the examining station for study (c) Xuftgeu medical officer* (d) .Certificate IrchivevS of the HIM Big, 86, Columbia Berlin, 3 29* (.7) Each medical officer serving vith a* flying unit maintained a card concerning the physical fitness of flying personnel under his supers vision... Each physical examination accomplished at the various exanining stations was recorded on the card. - ‘ 5. aSAffiPiEJS-ffPICAL SERVICE AID AFFILIATED PER&CMpi,. 01 Training of Regular german lir Force Medical Officers. (1) Early in the establishment rf the German Air Force a Medical Training Department wesfaimed* This department was established for the express purpose of contro Hing the education of all the doctors and othe r ms diced personnel required by the Luftwaffe. The trainees were care-r fully selected end then ordered to Sealow where they were given eight months general military training and elementary studies in hygiene* Upon completing, this training they were, transferred to the jurisdiction cf the Luftwaffe medical school at Berlin, Y/ittenau (The Aerztliche Akademie der Luftwaffe), Under guidance of the staff of that organi- zation, they completed a full curriculum of medical studies at three university centers* Berlin, Wurzburg and Prague. Studies lasted six years in peace time end were reduced to five years in war time. They were never reduced below this period although towards the end of the war many students were ordered to service with line troops prior to thair graduation, Tanns of study-were divided into six month periods. After the fourth term the student sat for a preliminary examination in medicine end. after ten tents' took the ord- inary state eb died examination. During re- cent years specid attention was given to training in medical problems of aviation* This training was directed by prof*. Strughold, who was also Director of the Luftwaffe Modizen- ische Forchungs Institut-, Berlin* , (2) The student doctor successfully completing his state medical examination was given a one year internship in the rm h’of "Unter- arzt" after-which he was required to complete a period of field service prior to appointment to officer grade» puring the entire period of training the German Air Force provided food, quarters, clothing, pry and allowances but required student cadets to pay their own univer- sity fees, A military unifoim was worn through- out training. (3) In peace time all Xuftwaffc medical officers were required to puraie the equivalent of primary flying training after which they were given pilot wings and designated in cannrnr— sation among military personnel as a "flicgor- arst"* This was used in contradistinction to the "Truppenarzt" wTho might very easily have had more training in aviation/ medicine but who was not a flyer. The ten; "Flieger- arzt" however; was never an accepted entity of military nomenclature in the sense of the American use of the terra Flight purgoon. (4) approximately four to five hundred medical students entered training each year but demands of the other services and particularly of the S.“S0 forced the Surgeon General to release graduates prior to their service with the puftwoffe. Pt the conclusion of the war about 800 students were undergoing training. b*. Specialized training of Gemen j>ir Force Medical Officers» (1} Training in Evict ion lie di cine. Medical officers whose assignment made then directly respons- ible for care of flying personnel were given special courses in aviation medicine. Included in this group were doctors working in examining stations (Hohenprufestollen, Sichtungsstellen* end Fliegeruntersuohungsstellen) aviation med- ical research institutes, end those serving in the Fliegerkorps wi th flying organizations. (2) The Aviation Medical Training was originelly established at the radical research end teach- ing section (Senltats Versuch und LehrAbteilung) et Jüterbog under direction of professor Piringshofent Other training however, was conducted at Prof* Btrughold’s laboratory in Berlin end at various other research centers. / ■ Instruetors enployed at the schools were author- ities in aviation medicine who came to the schools to give lectures. Instruction for the most part was in high altitude physiology end centered about methods of* altitude indoc- trination and related subjects. Other instruc- tion was given relative to dh othing and equip- ment, accelerative end deceleretive forces, end the use of parachutes. There was little instruction in psychiatry or in other profess sionel specialties. The course of instruction Tested for e period of about two weeks.. (3) There..*763 never a special, well organized school of evietiqn medicine comparable to that of the junericen &Tu.y idr Force. In oddition to the above studies certain Luftwaffe doctors were celled to special meetings et Berlin or at university research centers from time to time? (every 3 er 4 months) where programs concern' ing developments iir aviation redicine were pres- ented. Meetings lasted for 2 cr 3 days. c • Other Schools conducted for Luftwaffe II3 die el personnel» (1) Reserve medical officers of the Luftwaffe had four months basic army medical training upon entering service* They then spent two months at Get tow ir. Berlin et the Kriegs Schule, studying military» tactical, and sanitation subjects« (2) Informal training in specialties was rontinuous- ly maintained for Luftwaffe medical officers. If an officer had some background in a specialty and desired additional training he might make application to the gurgeon General who would approve his detached service at a University Center. Junior grade re diced officers were constantly studying under senior professors of the type of the physiologist Dr. Rein of Gottingen* the pathologist Dr. Buchner at Rreibuxrg, etc. (3) Statistics were maintained' in' the office of the Surgeon General relative to all specialized training of medical officers and attempts "/ere made toward proper and efficient classification •and assignment of the officers* d. of Medical Dope rodent c.nlistod men». (1) enlisted man assigned to service with the medical department of the Luftwaffe was always ■ given a course of medical instruction. Ln enlisted man's medical school (Sanitate Schule) was. conducted in each Luftgou. The course included instruction in anatomy, phsyiology, pharmacology., first aid, bandaging, end field sanitation-. • No- specialized training as labor» story technician, K»ray technician, or dental technician was conducted since such positions • were held by civilian workers. eT raining, of ,f.ly jn^.perypnnel 0~) In peace time about tvfc hours of medical training was given weekly to all students undergoing any type of flying training* In war titoe* with contraction of the flying training program, less and less time was allotted to this subject* Instruction for air crews was in altitude physiology, use of oxygen mask and equipment* flying safety and first aid. f• Altitude Training Program (l) The various fixed altitude chambers installed at Air Force hospitals, those at research instututes and the several mobile units were used by the GAF for el titude indoctrination and examination* It was believed that alti- tude indoctrination was a very important function of aviation medicine. (2) Each Exanination and Indoctrination unit had one medical officer attached,, one or tvm non commissioned officers and two or three other personnel. Three different types of indoctrin- ations and eramination-runs were performed depending upon the category of the personnel and the stage of their training. (3) Examination end Indoctrination Hun No«1» This procedure was performed in the early stages of training of all flying personnel# The same run T/as often repeated in later stages of flying v/hen if possible entire crews 77ere exam- ined and indoctrinated together in order that they could watch each others reactions and thus gain confidence in each others ability, At the beginning of the test a personal mask was care- fully fitted. Then the subject 77as directed to breathe a mixture of 93% nitrogen and 7% oxygen while beginning simultaneously to 7/rite numbers backward from one thousand - the so called Lottig test. The record of his handwriting along with clinical notations made pn the mar- gin by the ne diced officer was included as a part of his file. As soon as the. subject be- came anoxic pure air v;as turned into the breath- ing system and he 77as allowed to recover. His student friends or fellow crew members were al- lov/ed to watch the procedure ar they might understand the symptoms of anoxia, -It was believed that the average normal person should be able to undergo the test for a period of at least five minutes before requiring a shift to air, ■ (4) Examination and Indoctrination Run No.2. This run was performed on flying personnel who might at some time be required to fly at high1 alti- tude* If the subject had not been given Run No *1 *• within a period of six months that wTas first repeated. The No. 2 run was an ascent to 10,000 meters then remaining there for a period of five minutes then ascent to 12,000 meters where various, individual reactions and the use ofnev; types of oxygen equipment were demonstrated# The general purpose was to demonstrate spectacularly that a person could live without serious manifestations at 12,000 meters. (5) Examination and Indoctrination Run No. 3. This run wes introduced early in 1945 end was given to all personnel who might be subject to rapid ascent in jet propelled or rocket aircraft. This run consisted of -an ascent to 12,000 meters in 3 tp 4 minutes, The subjects would then remain at 12,000 w ters for Jive minutes end then ascend until symptoms of anoxia, decom-r pression sickness or abdominal gas developed# This development usually took place at alti- tudes of from 13,500 meters to 14»5^0meters# V/hon- symptoms v/ere severe the subjects were rapidly descended. (6) A .typo k Run was under contemplation at the end cl che rar. This run was being designated to inncctrinete personnel concerning explosive decompression (27), g# Night Vision Training. The only night-vision train- ing employed by the Germans was in connection with their night vision testing program. At the time of the test the efficient use of the eyes at night was explained. No night vision trainers were in use (27)# 6* ammi aih forge hop mis. a, General Statement. Prior to 193there were no . hospitals under the jurisdiction of the Luftwaffe. In the. years preceeding 193& hospitalization for GAF personnel was accomplished in Amy hospitals. From 1936 to 1938 a hospital construction program was instituted* After 193® the Luftwaffe hospitals were considered to be on equal footing wi th the Army end Navy hospitals. Luftwaffe hospitals were established wherever the troops of the vicinity were predominantly Air Force personnel* . This policy was also followed in the activation of Aimy and Jtfevy hospitals. In view of this policy, personnel of the Wehrmacht needing hospitali~ zetion were hospitalized in the nearest military hospital regardless of whether it, was GAF, Army or Navy,' According to avd-lpble in- formation there was a spirit of mutual cooperation (although at times competitive) among the hoop it else cf the three services. By agreement specialized sections of hospitals (i.e, section of Neuro-surgery etc*) would not be reduplicated in a Luftwaffe Hos- pital if that specialized section existed in a nearby Army or Navy hospital* b# Hospital planning# (1) With reference to the’planning of the.number of hospitals. and hosp ital'beds needed, there has existed tor the past hundred years in the German Wehrmacht definite plans relative to the number required. In the year l850, ‘the number required was based on 6% of the strength of the command. During the present war the number required was considered to be l\% of the strength of the command. However, experience of the Luftwaffe during the present war disclosed that the figure of l\% of the strength of command was too high and conse- quently, thisfigure-wes reduced to 2 to 2\%* (2) The general policy was that construction of the hospitals in the Zone of Interior (Germany proper) was to be on a permanent basis. These hospitals v/ere to be supplemented by the use cf large buildings in the various Spa areas when required. As Germany expanded, additional hospitals were established in the Zones of Communication usually by taking over hospitals or suitable buildings in the newly acquired territories, When necessary, semi-permanent or temrDrary types of hospitals similar to our cantonment type of hospital were constructed. As a last resD rt field hospitals were established in tents. (3) According to information received fron the Surgeon General of the GAF the budget allowed for constructions and current expenses of hospitals was sometimes inadequate. An example of the funds authorized was given for the year 1943 *7hen ten million marks were allotted for . new construction and seven million marks for current expenses. c. Hospital construction. In the establishment of the GAF Hospital System high ranking German medical officers had definite ideas concerning construction. Consequently ell hospitals were built in accordance with certain principles of design. These principles were that hospitals should have the form of a HT" with the long leg cf the "T" pointing north and containing administrative offices, treatment and consulting rooms, while the top of the wTrt should face south and constitute the main portion of the, hospital proper, containing ell the wards. Southern exposure in Germany afforded better protection and in addition gave the patients a maximum of sunlight* The ßurgepn General of theGAF was asked to prepare a on the construction of Military Hospitals, It is attached as Appendix VJI. d• Internal Organization of GAF Hospitals. (1) Luftwaffe hospitals were divided into seven to nine Abteilungen or sections, An example is shown below in the list of divisions of the Luf twaff enlazarett of Hslle-D&hlcu, a 5&5 bed hospital. Section X Internal Diseases (Medicine) l6c beds Section XX Surgery 19c beds t . Section III Skin and Venereal Diseases 55 beds Section, XV Ophthalmology 40 beds •« Section V Otolaryngology 30 - 40 beds Section VI neuropsychiatry 30 beds Section VII X-Ray, Dentistry etc, ... Section VIII,Aviation Medicine 40 - 80 beds. (.2) Each, of the above sections had a chief with such assistants as were required. The basic requirement for the dental service of each hospital was one dental officer and two assis- tants,' The basic requirements for administra- tion (not including the Commanding Officer who was always a Medical Officer) ware as follows: 4n Executive Officer or Adjutant; a Mess Officer; a Finance Officer; pnd a Supply Officer, In addition there ‘was a Pharmacy Officer who had dual responsibility of operating the phamac and taking care of all medical supplies, hny non medical' supplies such as chairs, paper, typewriters, desks and tables were requisitioned by the officer. (3) Each Luftwaffe Hospital as noted above has a special Aviation Medical section (Sichtungs- abteilung) wherein all flying personnel with any problem related to flying were placed. The chief of this section was always a medical officer well trained in aviation medicine. If the individual hospitalized presented any part- icular problem related to a special field such as for instance an 6303 condition or a neuro- logical condition, he was referred in consulta- tion to the head or chief of that section. all Luftwaffe hospitals had low pressure chambers installed for use by the section of Rviation Medicine, , * (4) attached as appendix 71IX is shown an abbrevi-r ated Table of Organization Chart of a typical 500 bed' GIF Hospital, e. Specialized Hospitals.. ( Sonder Lazaretts) The Luftwaffe did not operate specialized h spitrls although in many instances s£)ecial sections of certain GIF hospitals* were enlarged for the treatment of specific types of cases, in example of this is the section of Heuro-surgery, headed *oy of. Tennis, at the Luftwaffe Lazarett, Berlin, The irny, on the other hand, did have hospitals which specialized in such conditions as.orthopedic surgery and plastic surgery. It:was pointed -out that during the Russian Campaign certain ground force field hospitals were organ- ized primarily to take care of typhus fever cases. f. Convalescent Hospitals (ivurlazarett) Two types of convalescent hospitals were operated b3r "the Medical service of the Gh-iP, One t3rpe was that which admitted patients needing further medical care. The other trqpe was for those requiring no additional medical care but mainly exercise, good food and fresh air for com- plete rehabilitation. The latter type at times were operated as Rest Homes and were not unuer medical control. However, during the last year of the War there was a movement to place this type of unit under complete medical control. 7. MR EVACUATION. a. General, Air evacuation in the Luftwaffe was 'well organized and extensively used on all fronts. During the period 1939 to 1943 over two million wounded and sick were evacuated by- air, General Handlöser, surgeon of the Wehrmacht, and former surgeon of the Army was generous with praise for the assistance provided by the Luftwaffe in evacuating casualties. He felt, he stated, that during the last period of the war when .ground trans- portation channels were disrupted a chaotic situation in the evacu- ation and care of the wounded would have developed had not the service of air evacuation been available. b. Organ!zation. Air evacuation units were set up as special medical commands, the Sard.tats Plugbereitschaft, One or more of such units were assigned to each Luftflotte although the policjr concerning their utilization remained a function of the Surgeon General of tne GAD. At the period of maximum expansion there were eleven such units in the Luftwaffe, Each Plugbereitschaft was commanded by a medical officer who had command jurisdiction over flying and line personnel as well as medical troops. c. Equipment, Each unit was equipped with six Junker 52:s and four Storch 156's as well as ten ambulances. Performance speci- fications of the aircraft were as follows: kra/ph Plight Runway Capacity for time required patients. Sanitats Ju 52 200 4-i hrs 500-600 m 12 litter & "• 6 ambulatory or 24 ambulatory. Sanitats Storch 156 140 lp2 hrs ICO m 2 litter or 2 ambulatory. Reports state that the Junkers 52 was a transport aircraft especially adapted for air evacuation. Work in modification and equipment of fittings had been performed at the Sanitats Versuch und Lehr Abteilung at Jüterbog* The Storch 156 wa:: a single engine lev/ horsepower aircraft similar to the USAA31 L.5* The normal transport and troop carrying aircraft employed for tactical purposes 'were available when occasion demanded. These aircraft had special fittings which they carried at all times, HE 323’s were occasion- ally used in evacuation although no special fittings -were provided in this aircraft, Sanitats aircraft were at all times unarmed. They were originally painted white with a large red cross but according to an informant, subsequent to unfortunate experience when aircraft were destroyed both in the air and on the ground, a dull greyish blue camouflage aint was used. Oxygen equipment was not standard in aircraft ambulances since operation was usu- ally at low altitudes. One unit operating between Germany and Italy was equipped' with oxygen fittings since evacuation required flying at altitude while crossing the Special heating systems were installed in the JU 52’s and were considered to he of importance in the care, of the patients. d. Operations, The Flugbereitschaft were used in evacu- ating all types of troops but array personnel comprised by far the majority of patients carried. The Surgeon of the Luftflotte to which the unit was assigned exerted direct control of the tactical use of the unit, A system of communication with head- quarters of the unit, kept the commanding officer informed of numbers of aircraft needed in specific areas for evacuation, ill types of casualties were accepted for evacuation but preference was given to those cases which would benefit most by return to treatment centers in the Lone of Interior, Very few deaths oc- curred in flight since only those cases were selected who were considered in good enough physical condition to be moved. In flight each aircraft hod one medical department enlisted man as attendant for the patients. Ho administration of blood or fluids in the form-of intravenous injections was attempted, neither medical officers nor female nurses flew regularly os crew members, Ai.r evacuation was further employed in the removal of patients from hospitals being closed as a result of a retreat of the Rrmy. attacks by enemy aircraft and weather were the two 1actors making operation most difficult. Toward the end of the war, tht entire area of Germany was so closely patrolled by allied fighter air- craft that flight of air ambulances were not attempted except at early dawn or at twilight, with occasional flights at night. Flights were always made at two to three hundred meters of alti- tude to avoid detection, Storch aircraft were used in short hauls between advanced areas and Corps on .Regional Command Sta- tions where patients were transhipped into Junkers 52's and flown to the Zone of Interior, 8, ISDIOhL REPORTS, a. General. The medic-1 reporting system of the German Force was very similar to the reporting system' of the American .array. Unit Surgeons and Commanding Officers of Luftwaffe Hospitals were responsible for the rendition of the reports, Medical reports from hospitals were rendered through medical channels to the Luftgau Surgeon where they were consolidated and forwarded to higher headquarters. Medical reports from Unit iurgeons were forwarded through command channels to the Luftgau headquarters where they were consolidated by the Luftgau Surgeon and forwarded to higher headquarters, 4II medical re- prots finally reached the office of the Surgeon General of the \7here they-were analyzed and statistical studies accomplished by the statistical division (medical reports) of that office. . - --b, The Surgeon General of the GRF made the statement that it was his desire to keep reports to a minimum and make them as simple as possible. He further stated that as far as medical reports of the Luftwaffe were concerned there was one basic report, . This report was rendered monthly by medical officers of tactical units, and by commanding officers of hos- pitals. This basic monthly report ’when rendered by a unit medical officer was called the Unit Sick Report (Truppenkrankennachweis) SECRET and when rendered hy a hospital was called Hospital lick Report (Lazarettkrankennachweis), The reports were quite similar. During the early part of the war they were rendered every ten days. A copy of the Unit Sick Report is attached as .Appendix IX. c. Specific Medical Reports. The unit Sick Book was kept by all units and from it data were available for the formu- lation of the Unit Sick xleport, Likewise, in a hospital a Sick Book was maintained the data forming the source of the hospital Sick Report, Other reports were as follows: (l) Flying .Accident Reports, These were rendered as special reports after flying accidents had been investigated. The medical aspect of these accident reports were reviewed for the Surgeon General 137- Dr, Ruff, Director of the Deutsche Versuchsanatalt fur Luftfahrt, Berlin- (2) quarterly Report of Flying Personnel. This report was similar to the Care of Flyer Report in the It contained the following information*. (a) Information on Casualties (including wounded and missing), (b) Certain activities of the Unit. This section contained information relative to quarters and billeting, medical officer’s observations during combat and special observations and certain information relative to flying accidents. It was rendered in narrative form which allowed the unit medical officers con- siderable latitude in its preparation. (3) V/ith reference to nir Evacuation Reports the following is quoted from hI-'l2/u3SThf/y, 21 3; (Zj.) "A, Air Transport Report l) Duty ambulance flights (lanitats- flugbereitschäften) keep no hospital sick books and prepare no hospital sick reports. 2) For the transportation of wounded or sick by air, an Air Transport Report must be rendered. The Report is prepared by; a) the leader of the duty ambulance flight when the transportation is , directed through him, when his air- craft is used, or when an aircraft is set at his disposal for such cases b) the medical authority of the unit in individual cases not handled hy the duty ambulance flight, c) the medical officer of -the airfield to which the patient is brought if he is transported outside the juris- diction of the duty ambulance flight. 3) The air transport report is made out in duplicate. The original copies are sent collectively on the first of every month by the duty ambulance flight through the usual channels to the Director of Gd? Medical Services, The same reports prepared by the other authorities (b and c above) are also sent on the same day to the competent medical officer of the area, who directs them to the Director of GdP Medical Services, «11 second copies are sent to the Central archive for Medical Matters of the firmed Forces (.army and on the first of and first of October of every year or when the organization is disbanded’*, (d copy of the dir Transport "Report is attached as appendix X. ) ”4) In addition to the monthly air transport report, the dut; ambulance flight must send the following; a) d report of experiences concerning important findings. b) x» weather report covering the area of flight at the average altitude, (altigraphs ore issued to each duty ambulance flight, although their use will generally be limited to flights over 2000 meters.) 3, Transport Report dfter a medical transport unit has been em- ployed, it reports to its competent superior medical officer concerning the length of activity, approximate number and place of stay of the wounded, and the number and nature oC operations performed. If the unit is.employed over a longer period of time, •this’report is made daily”, dppendix XI. (4) In spite of‘the statement by the Surgeon General of the GdP to the effect that' only one "basic medical report was required, the German Luftwaffe Medical Service required many other medical reports of subsidiary nature, d portion of the required G«? medical reports are listed, the titles "being self explanatory: SUCHET (a) Serai annual reports of high ranking medical officers (example; reports ren- dered by Luftgaucrzt and Luftflottearzt).' (b) Semi annual reports of consultants, (c) Monthly Personnel Reports, (d) Reports of special communicable diseases, (e) Monthly Venereal Report, l) The monthly Venereal Report was initia- ted by the unit surgeon and forwarded to the commanding officer who in turn transmitted the report through command channels. Control of Venereal Disease according to the Surgeon G-eneral of the GUP was a command function and responsi bility. (5) Por complete data relative to the dip Medico! reports, the reader is referred to D (.rift) 2301 (Restliches Bericht und Meldewese?, dor Luftwaffe im \riege) (8)? 9. 5T.YIKG SiiFSTY. T—,, i . , i ■» ■■ a. Investigation and coordination of the medical problems of flying safety were conducted at the Plugmedizinische Institut, xidlershof, Berlin under the direction of Dr, Siegfried Ruff, Dr, Ruff's institute was dix-ectly under the supervision of the D.V.L. (Deutche Versuchsanstalt für Luftfahrt) and was a civilian organi- zation, The research conducted was not only for the Luftwaffe, but also for civil and naval aviation. Direct liaison was main- tained by Dr, Ruff with the Safety and Equipment Division of the Luftwaffe General Staff, the Surgeon General of the Luftwaffe, and the various research institutes performing work for the airforce as well as with the many technical divisions working under the D. V. L. b. In changes in aeronautical design and in development of hew designs, full specification and reports were forwarded to the Plugmedizinische Institut for criticism and comment on the medical and physiological.consideration of the new design. o. The aircraft accident investigation department of the Plugmedizinische Institut mode a careful study of each aircraft accident report and maintained statistics in order that they might recognise difficulties either in aircraft design, ’equipment or in training of crew members proving to be frequent factors in aviation accidents. (l) Statistics concerning aircraft accidents, although kept by the institute, were not pub- lished since it was believed that publication of such figures would have on adverse effect on the morale of flying personnel and of the public and be of value to the allied powers. (2) A card file system of the Occidents of each pilot was maintained in peace time at the institute. Entries were made concerning each aviation accident. In the event 0 re- cord showed repeated accidents the individual was ordered to an examining station for a complete physical examination. In war time it was difficult to maintain individual records in the central institute consequently the responsibility of study of individual records was delegated to the unit surgeons. d. The standard aircraft accident reports (ärztliche Plugunfallmeldung) .appendix XII wert kept in file in the institute. This report was accomplsihed by the unit medical officer subse- quent to each accident. One copy was forwarded to Or, Ruff, one cop3r to the Luftgau Surgeon, and one to the Luftflotte Surgeon, e, Aviation accidents were classified into (1) Technical failures, (2) Personnel failures (aircrew or ground 0-0.7), f, Prequency of types -of accidents was given in the following order: (1) Landing and take-off accidents resulting from personnel or material failure, (2) Occidents in flying resulting from "blackout or disorientation of pilot* (3) Occidents resulting from "blinding by sun glare, (4) accidents resulting from oxygen failure. g. Correlation of physical Standards with flying safety received careful attention, A close study was made of physical standard requirements and if the Luftwaffe G-eneral Staff lowered a requirement below that 'which was considered to be,, a safe level, objection was made to the appropriate author ty. However, many trained individuals were permitted to fly despite serious physical defects. It was estimated that approximately one hundred and fifty pilots with a major amputation were permitted to fly as were perhaps six or seven pilots who had lost the sight of, one eye, Mil such individuals were given a strict performance test at the Medical Research and Training Center cd .J.uterbog,. prior to being permitted to return to flying duty. Dr, Ruff did, not believe that trained personnel with an amputation or with loss of sight in one eye were any more prone to accidents than individuals having their full faculties. He based this assumption on his belief that a highly trained, highly motivated individual with many years of flying experience, is better equipped to handle an aircraft and make the proper responses in an emergent situation than an individual with less flying experience and motivation, but possessing his full faculties. h. Flying Safety Training. Forty hours of flying safety instruction were given to students during their period of flying training. Subject mater included use of- oxygen equipment, parachute training (without jumping), training in escape from aircraft, positions to be taken in aircraft to avoid injury, main- tenance of physical fitness as well as the use of each item of standard equipment such as safety belts and harness. Publications concerning flying safety.for the information of all flying personnel were issued regularly by the Educational Division of the General Staff, i. personnel of the Flugmedizi. dache Institut were continuously engaged in research concerned with improvement of flying safety. Hesearch included investigation of seat belts and shoulder harness, ejection seats, standardization of instruments, deceleration studies, parachutes, flying clothing, and such other subject matter as might .be ordered by .theD,V*L. ' » 1°. hVIüTIQH PSYCHOLOGY PROGRAM. a. Introduction. The following sub-section is based upon information secured from interviews with seventeen German psycholo- gists, twelve of whom had served as GIF or hr y psychologists, and from the examination of various documents. The interviews were conducted in the offices or homes of the iruormants. Chief emphasis is given to the use of tests .and other*psychological techniques for the selection and classification of GnF personnel. This work of psychologists was not done in the Medical Department, as it is in the a.A.F. However, since the iviation Psychology program of the- -iüP-ig the responsibility of the hir Surgeon, inclusion of this sub-section in the present report is justified. "b. Development of Psychology in the German hrmc-d Forces, lifter a brief beginning in World War I, psychological work in the present German was renewed in 1920 with the publication by the G-erman War ministry of a directive on nPs5rchoXogy in the Anny" (30), A center for direction of ps3rchological research was estab-A lished during the same year at the University of Berlin, with Prof, Dr, J.B. Rieffert as its head. In Hoy, 1922 there was formed a "psychotechnical Laboratory of the G-erman War Minis try" in Berlin. Later, in 1925, Dr, Rieffert, Dr, Lersch and Dr* Rudert were ap- pointed to a "Commission.for Questions of irmy Psychotechnique". This committee planned procedures for selecting officers, non- commissioned officers, and technicians. In 1925 there was also .established at Stuttgart, under direction of Dr, Shmke, the first psychological examining center. The work during this period was on an experimental basis. Finally, on 1 1927, the G-erman War Ministry directed that all officer aspirants be given a psycho- logical examination,. The Hayy, which had been developing a psycho- logical program under Dr, Mierke,foilowed with a similar requirement in 1928, g. Development of Aviation Psychology, As the GejmaVi Air Force grew, special tests were devised to select men for pilot and other aircrew positions. 3y 193& a number of these aircrew tests were in routine use, but all testing for the .Air Force was done by the, Awny, ns the Luftwaffe became more independent, so did the psychological testing program, until by 1939 an entirely independent program had been established. Dr, Faul Hetz was made of training; for Fliegertruppe, whether pilot, observer, bombardier, gunner or technician; for Flaktruppe, ’whether height finder or sound operator. There was one such testing center in each of the nine Luftgaus or air districts in greater G-ermany.' (3) Regimental Psychologists, Soon after the beginning of the war psychologists were assigned to.the four types of basic training regiments (xiir Force, Flak, Communications and Paratroop), Final classification of personnel was accomplished in these regiments rather than at the recruiting centers. Men who had been drafted were tested for the first time, and in many cases volunteers who had been examined at an earlier date were re-tested. Examinations also -were given to some of the men who had seen active service and been recommended by field commanders for officer training. In some coses the latter men were examined at officer candidate schools. ' e. Personnel. Officers for the psychological units were selected carefully in the early days of the program but after the beginning of the war professional standards were greatly lowered. Initially the Ph,D degree and a year of training as an assistant at a psycholigical unit was required. Later men with training in fields such as education, philosophy and even theology were given a short period of training and assigned to conduct psychological examinations. No exact figures on the number of psychologists assigned to the G-üF were obtained. Estimate swere that about 150 psychologists were employed in the last stage of the program. There were about 8 to 10 psychologists in Berlin; 1 or 2 in each Luftgau headquarters; 4 to 8 in each Luftgau recruiting center; a total of from 5 to 8 in the training regiments of each Luftgau; and from 4 to 5 in each Recruiting Center for Officers, Almost all psychologists were Vfehrmacht Beamte (officials) with a status* , which resembled in many ways that once planned for the Rrrny Specialists Corps in the American 4rny, Some enlisted men and some civilians were used as assistants. f, Relation to Other Branches« although the close relationship of psychological and physical selection of aircrew personnel has "been recognised by both the .American -array and Navy Rir Forces, the two programs were entirely separate in G-ermany, At the officer recruiting centers one medical officer and two army officers together with several psychologists formed a com- mission which made recommendations to the Director of the Center, who in turn made all final decisions* At the Luftgau recruiting centers the medical and psychological sections were often housed in the same building and often worked closely together. On the whole, however, there, was much duplication of efforts,, lack of cooperation and lack of understanding between the psychological and medical selection programs. The relation of the psychological program to other branches of the also -was not sound. In the status of Wehrmacht Beamte, psychologists had no command responsi- bility, The final decision regarding selection and classification was always made by a regular Rir Force officer. Examining centers worked without knowledge of quotas and exact training needs and without final responsibility for classification. ...... • 1 " • ' ’ g. Tests. ‘ No uniform test battery for all candidates, such as is used by the was employed. The; tests varied with the testing centery ‘the type of candidate examined, • and with the individual psychologists in a center, A', few tests were mandatory, others were used more or leiss regularly. The following list includes the most Important tests available for use. This entire list was never given to anyone man. The names of the tests are / not always literal translations of the German name, but are des- criptive of the nature of the test. The grouping of tests under six main headings is that of'the writer. A description of each of these tests is given in Appendix XIII, (1) Tests of I.tdiligence, Judgement and Proficiency. Writing an essay,. '• Verbal memory. Mental arithmetic. Arithmetic‘problems, ■ 1 J udgement, . Mechanical comprehension «- moving picture test. Mechanical comprehension interpreting drawings,- Mechanical assembly,. (2) Tes ts of Perceptual Ability. - General observationmoving picture test. Distance perception - horopter scope Distance perception - Herring’s falling marbles test, Exner’s spirale - Sifter image test* Hubert’s test (Korrekturbrille) - curved space problem. Orientation test - memory for absolute and, "relative directions, Reyolving chair - ability to use visual and auditory cues in conflict with sensations of movement. (3) Tests of Coordination and Reaction ability. Coordination test - manipulation of stick and rudder in response to a pattern of lights, • Complex reaction test - reaction with hands and feet to visual and auditory signals. Vertical wheel - reaction while in a rotating wheel. Balancing on an unstable platform. Battery of sports tests - running, jumping, obstacle course, chin up, shot.put. (**■) Tests of Personality, Character and Leadership Ability, Personal questionnaire, Analysis of handwriting, , ... i analysis of speech and voice. ; Analysis of facial expression - tiption pictures. Group discussion r- ability to lead a discussion. Orders test - ability to direct a group of men on a practical problem, / Obstacle course - study of behaviour as the candidate neared physical exhaustion. (5) Tests of Special Aptitudes. 7 •Code recognition test - phonograph records., Code reproduction test - reproducing code sounds, ' v .. .. (6) Exploitation (Final interview), h. Principles of Psychological Testing, as practiced by military psychologists in Germany, were completely at variance with principles observed in the American •. T/hereas American - methods are standardized, objective and quantitative, the.methods in Gknriany were clinical, subjective’ and non-quantitative (17). The German point of view was that clinical observations of the candidate's behaviour while taking a test were more important than the actual test scores,- This attitude, is illustrated by the • statement of a man who was formerly assigned to a Luftgau head- quarters with responsibility for’ training and■supervising new psychologists. He reported that the chief fault of the new examiners was that they paid too much, attention, to objective test scores and not enough'attention to the candidate's reactions and Expressions, Individual units and individual psychologists were permitted to emphasize the testing procedures which they liked best. One man, for example, who had written his dissertation for the,doctorate.on ’’The First Impression",- said that in examining candidates he found that,he was always right if he followed hi*s own first impression, another examiner said he had specialized in the study of graphology and relied chiefly on hand- writing analysis. The leaders of German military g)sychology were men of theoretical training and were not outstanding experi- mental or applied .psychologists. Few of 'then knew even the simple rudiments of statistical or research methods. To under- stand this failure to use exact scientific test:methods requires also a reference to the social and political philosophy which developed in Germany after the first Vo rid bar. Popular opinion was strongly opposed to "psychotechnics". It was proposed that qualities of the German mind could not be studied scientifically. Educators and other leaders supported this romantic point of view and many of then strongly opposed scientific study or analysis of individual abilities. The idea was fostered that the important thing was not aptitude or ability, but qualities of personality, belief in Goman ideals-and loyalty to party and authority. i. Test .administration Procedures« vre re supervised by central offices in the Jjuftgau headquarters and.in Berlin, Each, candidate was given an opportunity to state his preference for a special type of training before testing was begun and procedures were governed in part by the desires of the nan for different typos of assignments. The length of testing varied fron 1 to 3 days depending upon the specialty, the testing load, and the stage of the war. More tine was given to testing officers, pilots and navigators than to other specialties. The intelligence and pro- ficiency tests, and,group tests common to all specialties, were usually given on the first day. The sports tests were also fre-, quently given the first day, aptitude tests for particular, specialties, such as tests of perceptual or coordination ability, were usually given later. .The complete batteries for testing aircrew volunteers and whibh.we.'e in use* at the luftgau Recruiting Center in Hamburg in 194-0, are given in appendix: -it the end of the first day the results of the testing were assembled and ten to twenty per cent of the poorest candidates were either eliminated or told that they must try for a lower specialty. For the individual tests each candidate was assigned to one examiner, 4t first each psychologist examined only one or two men a day, and group conference of all psychologists at a center were held on each man* f Later in the War as many as 10 to 15 men were tested each day by.each examiner, and he alone made the final decision regarding each of these candidates. j, Pinal recommendations were based upon the clinical judgement of the examiner and not upon any standardized procedure for weighting and combining test scores. There was general agrees ment, but,no'published directive, concerning £he special abilities desired,for the various specialties. Extreme personality types were considered unsatisfactory, Effort and motivation were thought to be more important than achievement. In the selection of pilots emphasis was placed on alertness/ quick reactions, intelligence, orientation ability, motivation and coordination. Observers were selected for good intellectual ability, plus orientation and mathe- matical aptitude. Standards for bombardiers were lower than for. pilots and observers and no specific aptitudes were looked for. Gunners were selected for strength, practical ability, normal re- action tine and normal coordination. Men were given four ratings for the specially in which they were -applying; (l) Fully qualified; (2) Qualified; (3) Minimally qualified, or (4) Not qualified* .4 summary, about a half page in length and containing the most import- ant findings of the examinetion, was prepared for each man. Copies of two ', such reports'are attached as appendix XV, k. Research in Psychology, The research program in psychology was centered in the Central Psychological Laboratory in Berlin, and local units, were not permitted- to engage in research. The records of the Central Laboratory have not been examined, but the assistant Director was interviewed, (the Director was killed while on active duty as a pilot during the latter part of the war), 411 informants stated-that research publications were not issued by the laboratoiy. It was reported that occasional follow-up studies of the validities of individual tests and of the recommendations regarding training were made. Reports of .such studies have not been located. No procedure existed for routinely securing criterion data on success in training or in combat for ’ all men. (1) Validation. Several of the informants reported that at annual meetings of Wehrmacht psycholo- gists in Berlin, reports were made concerning the success of the program during., the proceeding year, At various times it was reported that between 73 and 9Q per cent;agreement had been found between examinotion finding's and later success in the G-4F, No explanation could be given of How these percentage figures were ob- tained, One informant referred to a- short research report, se§njiji 1957.which he f emetv- bered as stating that 93 per cent of men rated as fully qualified or qualified on the basis of the examination were successful, whereas only 50 per cent of men rated minimally quali- fied or not qualified, were successful. He did not recall the number of cases or the criterion of success. The official monthly classified publication of the .army Pssrcholo*? gists, "Wehrpsychologische Mitteilungen’1} has been examined. -Xt contains no validation reports on dir Force personnel. Two issues in 1939, devoted to the* Force program, contain only articles describing the organization and the tests used, Some validity studies on Officer selection are reported but the criteria used are Judged to be entirely inadequate. (2) Test Development was based upon Job analysis and on theoretical considerations. The selection tests for officers were the same as those used by the dray. These tests and examination pro- cedures changed very little after 1928, when, according to- one of the three men responsible for starting the program, it was felt that procedures were ’’satisfactory”. The special tests for aircrew personnel were developed before 1939 and during the war only minor changes were introduced, such as those made to accommodate more candidates, or such os the use of different mathematical problems or differ- ent passages for the memory test, or elimination of the use of motion pictures of facial ex- pression due to shortage of film, i-fter 1942 no agency in the G-dF was responsible for, or undertook to develop selection tests, except for the work on remote controlled bomb opera- tors described below. (3) Research on Training Problems was contemplated in the original plans for ps3rchological work in the dir Force. It was proposed to place psychologists in all of the specialized train- ing schools. However, this was never done, and as far as could be determined no research on training methods, training devices, or on the measurement of proficiency was undertaken. (4) Problems of Utilization of personnel, after original classification, were not a concern of the psychological program. In the selection of pilots for special such as Jet plane pilots, night fighter pilots or instructors, no use was made of aptitude or proficiency tests rand as far as is known no research on these problems was undertaken. (5) Development of Selection Tests for Remote Controlled Bomb Opex-ators was undertaken by the Medical Research Institute at Garmisch- Partenkirchen, Three tests mere used; a simple coordination test; a visual acuity test; and a test of ability to discriminate ’’minimal movements”. The training records of one hundred men selected with these tests were examined by the Institute, but no quantitative validity study of the data was made. It was reported that the ’’minimal test was the best of the three. (6) Research on Fatigue and Efficiency, utilizing psychological tests in an effort to measure decrement in performance, was carried on in several laboratories in Germany„ This work was not connected with military psychology, but Is included in this section because of rovelance to MF problems« (a) It the Psychological Laboratory of the University,of Gottingen a technique' was develop! by Dr, Ducken föir measuring fetigue by ns ans of difficult mental . arithmetic problemsThe subject was seated before a screen oh which problems similar" to the following v/epe projected«. 9 4-8-5 ~ 6 ~ 2 v- 3 « . ' His task was, to compute the answers to the • first line, remember this number Grille computing the second line % then add or subtract the two resultant numbers de- pending on which .was. larger and call out the result. Problems were presented auto- matically« The number of problems com- pleted and the number of errors made were recorded by the examiner« Individual differences in ability to perform this task "/ore great* The technique was em- ployed with yell trained subjects to study the effects of various stimulants« It yas reported that doses of pervitin produced from 20 to i|0 per cent increase in perform- anna * lasting up to 2l\. hours 0 with no period of decreased efficiency afterwards* (b) The Medical Research Institute at Gemisch— Partenkirchen used eight short tests (breath holding* chin-up. strength test» simple reaction time, simple coordination * tracking tests, cancellation test9 numerical opera- tions) which required 25 minutes to bdninister* in studies of fatigue« This battery yes administered to a very small group of men eight times a, day for a month and then the effects of various drugs on test performance were studied« £11 results were reported to be negative. Next the effects of drugs on performance in sports such rs skiing rere. studied.,'by securing subjective reports end by observing and taking movies of the men'in action» The latter me thod* although more subjective, tres reported to have re- vealed definite effects from several drugs. (c) It the Psychologien Lc bore to ry of the Technic cl High 'School ct Danmig a technique yes developed by Dr». Ehrenstein for measur- ing fetigue by the use of opticcl illusions (l6)c In o study cf 80 shipyard workers, tested ct the ‘beginning cid ct the end of a 9 hour dey of exhausting physical work, it yes found that the illusions were con- siderably greeter ct the end of the dry. The original dctc have been examined and the difference found to be significant at the 1 per cent level. This technique is of special interest because the test itself is not fatiguing and require s only a few minutes to administer. (7) Development of Hew Clinical Tests, in Germany has been limited chiefly to projective techniques. One of these tests requires the completion of drawings. It con- sists of a sheet divided into eight ij- inch squares, each containing a few straight or curved lines. The candidate is told that these lines are part of a picture which he is to complete, An elaborate scoring method is used. In another test, called the ’'Impressions Test”, six figures resembling in some ways the Rorschach plates, are presented by means of slides. These figu -es*are more varied . than are the Rorschach cards, and several are partially structured. The administration and scoring is somewhat simplified but - resembles the Rorschach method,. Both of these tests were used at the German Institute for Psychological Research and Psychotherapy in Berlin, at hospitals for brain injury cases, and at various clinics. (8) The Design of Sights and Controls was studied by the Medical Research. Institute, Garmisch-Partenkirchen in an effort to provide data for adapting s eh equipment to the capacities of the operator. This work was done by medical officers, physicists and a psychologist, Comparisons were made between various reticle designs, and between various types of control devices. On the basis of very small numbers of cases and without statis- tical treatment of the data it was concluded that controls operated by the feet were many times less accurate than hand.controls; that movements utiliz- ing hands, arms and shoulders were more precise than movements utilizing only.the hands and fingers; and that a single control moving in several dimen- sions was superior to several controls each of which moved in only one dimension. 1* Evaluation, .A "basis for the evaluation of the German Rir Force psychological program could be a comparison of its success in the selection of good officers and'effective- specialists with' the success of the program, However, in the absence of any data concerning the validity of the tests 'and procedures used by the Germans, such a com- parison is not possible. To evaluate German psychological testing methods by making comparisons between quality of German personnel admitted during and after the existence of a psychological selection program is not a legitimate procedure, because of the many changes in conditions within Germany after 1942. It remains, then, to summarise observations regarding the prac- tical or military aspects of the program, and to review critically the soundness of the techniquesand procedures used, as judged by .American standards. (l) Practical and Military Effectiveness of German aviation psychology was limited, as indicated by the fact that it was discontinued before the end of the war# indicates that the elaborate clinical testing procedures were impractical. Other reasons indicate that psjrchology, as a liberal science of the individual, was never fully accepted by the Nazi party or by the German military caste. The reasons for discontinuing the program are listed below. (a) Selection and classification on the basis of individual aptitude was opposed by many German officers, In numerous Prussian families it was mandatory that at least one son become on army officer. It was traditional for the commanding officers of Army units to perpetuate their own "caste b}? nominating officer 'candidates from these and the. . officers were jealous of any program which inter- fered with this system. (b) The Mazi party placed great importance upon party affiliation, and on membership in one of the youth organizations. It was directed that men who had belonged to the Plying Corps or the Motor Corps be given preference, by the'GAP* The party con- sidered it more important that men with this background be selected as officers and air- crew members in order.to increase the conr trol of the party over the .army, than that men be selected whom the psychological exam- ination showed to have the most aptitude, Por this reason the party never supported the psychological program. (c) The examination procedures developed for the peace time Army were not suitable for war • conditions. There were not sufficient trained psychologists to continue the ela- borate testing procedures, Mith the use of untrained examiners and with heavy testing loads the testing procedures, which were always subjective and unstandardized, be- came increasingly unreliable. (d) Military organization of the psychological program was poor, especially the relation- ship with the medical department. Testing was carried out by a semi-military group without any authority for disqualifying can- didates or for actual classification, without direct contact with practical pro- blems of training and of utilizing personnel and without coordination with the medical selection and research program. (2) Scientific Evaluation of testing procedures can ,be made by reference to recognized American standards. Judged by these standards German methods are infer- ior, Specifically, the following criticisms can be made. (a) Procedures were subjective and depended on the skill of the individual examiner. There was little recognition of the problem of re- liability, Procedures were uhstandardized and there was little uniformity in testing different candidates. (b) The program was static. In the absence of an effective research program or plan for constantly refining procedures on the basis of accumulated data, few advances were made in testing procedures over a period of almost twenty years. (3) The greatest advantage of the German method was its comprehensiveness and thoroughness, A systematic effort was made to observe a great variety of individual aptitudes and abilities. Some of the testing procedures deserve systematic try out and validation with *-.*7 personnel,. and should be of value in so far as they furnish ideas for future research, xk few recent projects concerned with important problems such as the measurement of fatigue and efficiency, and the design of equipment for more efficient operation, reveal a more quantitative approach, but have not yet produced conclusive findings. 11. i^UROPSYCHInTRY. a. Organization, In January 1941 a psychiatric consultant to the Surgeon General of the GAP in the person of Professor Dr. Hans Luxemburger, was appointed. Prior to this, the special position had not existed. It was his task to advise on psychiatric problems in aviation medicine, to prepare certain circular letters for medical officers and to select psychiatrists for the following types of as- signment; (l) Luftwaffe Lazarett, .All the larger hospitals, in and outside Germany, had a neuropsychiatrist, with the rank of Major or Captain, in charge of the section for psychoses and neurological.dis- eases, The psychiatrist served as consultant to other sectionsincluding the Sichtungs Abteilung, except in rare exceptions, where the latter was provided with-‘a psychiatrist (Hnile-Lohlau). (2) Luftgau* attached to each Luftgau and also to some Fliegerkorps there was a psychiatrist with responsibility for matters concerning mental hygiene and the morale of the troops (Mehrbet- reuungs-SanitSts Offizier or Medical Officer for-Mental Hygiene), In small Luf tgau's he could be the Lazarett-ps chiatrist. Moreover, neuro-psjoahiatric administrative assistant was sometimes assigned to the staff of a Luftgau ' for handling of records which were forwarded to the Office of the Surgeon of the G-^F, ( 3) Sichtungsstelle, This station, was independent of the Luftwaffe Lazarett. It was set up chiefly for the screening of fatigued or otherwise-dis- turbed flying personnel, # neuropsychiatrist was attached or could if he had additional experiences :• in. internal-medicine, be chief of the center, -This was the case, for example, in a 40 bed hos- pital at Oslo, Norway, where examinations for • flying fitness of new candidates, usually the task of the Untersuchungsstelle, also .were per- formed. (4) Untersuchungsstelle« In centers.where many examin- ations for flying fitness were performed, particu- larly before the war, a neuropsychiatrist was assigned. If this was not the case, the psychia- trist of the nearest Luftwaffe Lazarett assisted, or the leader of the Untersuchungsstelle took it on himself to evaluate personaler,-v b. Training, There ’was no special training for psychiatrists in the Luftwaffe except for the Officers for Mental Hygiene (see Fart 12, Rental Hygiene and Morale), The teaching of neuropsychia- try to other medical officers was greatly encouraged. The Lazarett psychiatrist gave clinical demonstrations for the members of the staff, and outstanding men were invited to lecture at Berlin and Jüterbog, It was stated by several informants that the Luftwaffe had the better neuropsychiatrists but that the number of well trained men was by far too small to meet the needs. c, Selection. The neuropsychiatric examination to deter- mine fitness for military aviation was performed at .the Untersuch-» ungsstelle, It was intended that this would- be done by specialists, but often, and especially during the latter port of the war, the equivalent of the American was given by other Luftwaffe medical officers. In the opinion of many-.informants, this led sometimes to faulty selection* Candidates were applicants from the 4rmy or from ground personnel of the Luftwaffe, many of them.with combat-experi- ence, Long standing interest in especially as evidenced by participation in the Lvi at ion. (glider), branch of the Hitler Youthvllovement, was considered .favourable. - a-vr, v . (1) The criteria for psychiatric selection and the methods of examination were set forth in a general directive which was published by the .aviation Ministerium and the O.K. L. in 194-2 do). translation of this document has been distributed by the Kero-Medical Intelli- gence Section of U iSTKF* It provided that an evaluation of personality, character and in- telligence be obtained by means of a personal interview. Simple methods were employed to test retention and memory, arithmetical and technicalskill and sense of spatial orienta- tion. Finally, the military and sports accom- plishments record, the analysis of handwriting, the candidate’s previous history, family and racial origin were reviewed. It was emphasized that a good personal history, healthy ambition, sense of comradeship, and manual skill hold better promise for success in aviation than intellectual accomplishment, n point score system was not used in the evaluation of these functions. (2) K candidate could be rejected,'temporarily rejected or accepted for military ■avaiation» In the last case he could be declared suitable as radio-operator, engineer-gunner and aerial, gunner (Fliegerschutzentauglich), or in addition as pilot, observer and bombardier, (Wehrflieger- tauglich). These conclusions were submitted to the training unit commander who was limited only in so far as he could not employ an indivi- .. dual of the first category for pilot, observer or bombardier. Upon later re-examination, as after a period of combat, it occasionally occurred that temporarily a pilot was no longer acceptable in the second category and hence fox'* some time flew as a gunner. (3) Besides the directive mentioned, no other out- line has "been found* It is believed that a rigid system of psychiatric selection in all probability did not exist, For some time it was thought by many ps chiatrists that the body-character-con- st! tution system of classification (Kretschmer) would be of value in selection and that the . athletic and asthenic types would make better fliers than the pycnic* However, this idea was later abandoned. Several opinions, many contra- dictory, were given regarding the reasons for discontinuation of the separate and pureply psycholo- gical test-examination which formerly’ in some cases led to rejection of medically acceptable candi- dates,. Nevertheless with or without psycholo- gical tests, it was claimed that flying"personnel was the very best of German military manhood. (4) With regard to neurological selection, a history or evidence of organic disease of the nervous Sjrsten was definite ground for rejection os was also a history of psychosis or a clinically mani- fest psychoneurosis. Special attention was given to the detection of any signs of epileptic predisposition but electro-encephalography was not used. On the other hand it was emphasized that several minor abnormalities in the neuro- logical examination, such as slight asymmetry of pupils and reflexes, had no clinical signifi- cance. and should not be cause for rejection* d, Fatigue. Combat-Fatigue. .Anxiety. Reactions and Psychoneuroses. Concerning the incidence of this type of disturbance, a great variety of opinions existed. The attitude encountered varied according to political orientation level and type of profes- sional training. Among these attitudes were noted an unwillingness to admit that such pathology occured, a tendency "to minimize the importance of the problem, overemphasis of the organic approach (often based upon poor understanding of emotional motivation), and finally objectivity and realism. a) A typical .study of "over-fatigue" can be found in a report on 83 cases hospitalized at the Luftwaffe Kurlazarett Oberschreiberhau (24). The disturbance of these men, chiefly pilots, is called by the author "having flown too much" (llberflogensein) or "having lost zest through exhaustion in flying" (.Abgeflogen sein), nevertheless, it is pointed out that there was. no correlation between the number of hours in the air end the severity of the condition which in all cases developed follow- ing an emotional trauma. The clinical des- cription, otherwise, has much in common with Armstrong’s aeroneurosis to v/hich reference is made. The most outstanding symptoms were irritability, sleep disturbance (with dreams about the traumatic episode), sweating, head- ache, anorexia, loss of weight, hyperreflexia, tremor of the hands, dermographism, eosinophilia and cardiovascular lability (often with brady- cardia), The series of 8p cases are composed of; instructors (30); bomber pilots (28); reconnaissance fliers (5); fighter pilots (8); transport pilots (4); and aviation students (lO), (2) It is commented that'the students had gone through an rigid and hurried course' and that the instructors ha.d suffered ■ greatly from the hazards of flying with beginners. Of the remaining'patients, some had crash landed ’ in combat several times, others had been wounded and some had been prisoners of war in France, In spite of the appreciation of these experiences as probable causative factors, psychotherapy is not even mentioned in the treat went which con- sisted merely of sedation, sports, hydro-and heliotherapy. (3) Fathophysiology. of the vegstive regulating nervous system was considered, generally, the essence of this fliers disease. Characteristic of the organic approach is also the research done hy Ko 11 wich who used capillary microscopy as a diagnosticum for flying fatigue. This SECRET condition, according to him, is "based on increased permeability of the capillaries which results from moving at great speed, "Auxine- substances'* which decrease the permeability, were thought to be of therapeutic value. Another method of recording the physiological substrate of.fatigue in fliers, though by no means specific, was electro-encephalog- raphy. (4) Nomenclature, The report from Cchrcdberhau is the only clinical publication on the subject of fatigue-reactions which could be found in Germany, Officially it was agreed among military psychiatrists in 1944 to elimin- ate the word psychoneurosis, including anxiety reaction* Instead, one of two diagnoses had to be used, first: psychic condition, psychoge- nic and psychologically fixed (abnormal reaction to external situations and inner conflict re- actions) and second; physical conditions of psychic origin, including organic neuroses and primitive conversion neuroses. This to some extent explains the claim that there were no neuroses in the German military organization* Certainly, the classical war-neuroses with conversions, severe tremors and so on, were rarely seen in the Luftwaffe and considerably less frequently in the than in World War I* ’‘Psychic conditions, psychogenic and psy- chologically fixed“ however, were by no means rare and a large machine was set up to deal with them. Whereas the expression of complaints in the emotional sphere in all probability was greatly suppressed, anxiety and conflict mani- fested themselves indirectly as prolonged disability following brain concussion, psychoso- matic conditions, sexual anomalies and suicide. ( 5) Occurrence and Causes, 0ombot-fatigue was’’seen in the beginning and'with increasing frequency in the later stages of the war* - At first, flights over water were feared, in general, more than flak* Later, when bombing missidns were no.longer made, the fighter pilots were affected more frequently/. Many hours of alert, spent in the aircraft waiting in readiness for attacks which often did not materialize, and several combat missions daily for weeks in a row, were the best known causes for breakdown. In addition, non-military/ conflicts, such as worry about home, had a bad Influence, Accord- ing to Prof, Luxemburger, the condition was en- countered more often in officers than in the non-commissioned, An exception in this respect were discouraged radio-operators who after 200- 300 missions had lost their confidence and ambition* . 3 S C R 3 T- ** (6) Symptomatology. In addition to the ordinary symptoms mentioned in the Schreiberhau report, the following.was observed: a particularin- fantile, oversensitive behaviour which was called “Verprelltheit”, severe depressive states; psychopathic sreactions; marked gastro- intestinal disturbance, particularly gastric dysfunction; neuro-oirculatory asthenia, aero- cyanosis and vasomotor rhinitis. (7) Prevention* ter some experimentation, the use of lervitin was completely discontinued. The effects of the drug were, found to be un- predictable, ä caffeine-cnrdiazol tablet (,0,05 and 0,1 gram respectively) for combating sleep was" available but it was not popular, Knowledge of any other drug which was used to improve, performance or to counteract physical fatigue, was denied* The commanding officer of the unit, the Mental hygiene Officer, and the field medical officer, were primarily responsible for the prevention of emotional disturbance leading to fatigue reactions, ifter severe experiences, especially grave losses in the outfit, a furlough (at a rest- home or with the family) was recommended. The alert periods of fighter pilots were limited to 4 hours-, and one day per week wo-s set aside on which the individual under no circumstances would take to the air. Shortly before the end of the war, plans were ready which pro- . vided for longer rest periods after a cex'tain number of missions. (8) Treatment and Recommendations» Individuals suspected of combat fatigue were referred by. the field medical officer to an Untersuchungs- stelle, or, if hospital-observation seemed indicated, to a Sichtungsstelle, or Sichtungs .Abteilung (12). The physician in charge of the station made one of the following recommen- dations: (a) Return to duty, (b) Furlough at home, 2-4 weeks* (c) Erholungsheim (Kurheim) for a period of 3 ’weeks. The treatment was predominantly •medical, plus a healthy diet, and sport in the open air. Convalescent installs- tions of this, kind were in Berwang (Tyrol), KitzbÜhl (Austria) end Bad Schachau (near Bodensee)* each with 200-400 beds;- The duration of • the. could be prolonged on advice of the Kurheim physician. Psy- chiatrists were not assigned but the chief medical officer had received sojgo special training and did superficial psychotherapy "when necessary”. SUCHST (d) Nurlazarett lest in bed, intensive medical treatment and a stricter regime than in the Erholungsheim, were the polic3r here, A psychiatrist was not attached and psycho- therapy, if performed at all, was super- ficial, There were two Kurlazaretts, Oberschreiberhau and l/ildbad. (e) Treatment in the Sichtungsstelle (or Abteilung),' The ’medical officer in charge could keep a patient at these stations for treatment, but this 'was the exception. (f) psychotherapy* Fithin the GAF installation, only at the Sichtungs-Abteilung at Halle Döhlau was more extensive psychotherapy per- formed, (Stabsarzt Hattingberg), Here there were 30 beds for patients receiving catharsis, hypnosis, brief analysis and group ps3^ohotherap3r. Narcosis 'was not used in psychotherapy, nor was shock-treatment. Severe psTrchoneurotic conditions 'with fixed symptoms (stuttering) were referred for psychotherapy to Prof, Goring in Berlin, Approval by the Surgeon General of the GAP was needed and the number of cases thus referred was claimed to average only per month. (g) Suspension from flying» This could be recommended b3r the leader of one of the examining stations for a certain period of time (approval by a higher medical authority was needed if for more than 2 weeks), or permanently (only if upon re- examination other measures were found to hove been ineffective), personnel sus- pended from flying because of a diagnosis of fatigue were kept in the Luftwaffe and were re-examined when the period of tem- porar suspension expired. However, indivi- duals whose primary intent seemed to be avoidance of hazardous duty and who failed to present objective evidence of pathology could be transferred to the Infantry. This was rpeant and understood as punishment. Furthermore, a directive of the Surgeon General of the GAF (14-) advised that individuals "of good will but handicapped by psychogenic disturbances" be transferred for military therapeutic re-indoctrination to a special Flak Replacement Unit, (9) Rate of incidence. Ho statistical records on the incidence of the above reactions, hove been found* The following estimates were produced from memory by the principal informants: (a) 2y of all flying personnel were hospitalized because of combat fatigue, and 10y of these became permanently unfit for flying (Luxemburger). (b) 15N of all permanent disqualifications for flying were on a basis of combat fatigue (Geyer). (c) 20-301 of 'the: flying personnel on the Hussian front received medical attention "because of marked fatigue reactions. In general 15, of those hospitalized for this disturbance were ultimately disquali- fied for all flying (Villinger)r. (d) Every month 2-5 cases from the Sichtungs- stelle in Oslo were transferred to Halle Bohlau for psychotherapy (Bingel). (l0) Host informants expressed the opinion that, except for ver3r rare cases,'conditions of ' fatigue or psychogenic reactions due to combat flying, never were so severe as to dis- able an individual permanently for any type . of military duty. • e. Neurology. (l) During the war accidents in aviation as well as from missiles rendered head and brain injury a problem of the utmost importance.%,Tonnis, Chief-Neurosurgical Consultant to the Surgeon General of the GLF, who also served in the irmy in the same capacity, was the organizer of a comprehensive program. Groups of specialists (in neurosurgery, psychiatry - S. E,N. T. , pathology and maxillo-facial surgery) called "Tönnis-r Bereitschafte11 were sent by air to forward lazaretts in active theaters, ifter initial treatment lasting 3-4 weeks patients were flown back to special hospitals inside Germany (for instance to the "Fach-Lazarett" with 2,000 beds for brain injuries which was located in Berlin • and was later moved to Bad Ischl), (2) The principles of war-neurosurgery were laid down by Tonnis in a manual (29) and were didac- tically treated in a series of excellent films. These were distributed to each Luftgau and special Lazarett, Early and vigorous antiseptic treatment (sulfanilamide, tibatine and cibazol), extensive cleansing of the border.regions of the wound and complete spinal fluid drainage under evipau-narcosis at the earliest, sign of meningitis were held responsible for the good resuits„achieved. Of 929 cases of brain wound 33;’. died, remained in need of care, but the remainder (returned to either full duty or labor in the service. Only 10; of 120 cases of brain wound with primär- opening of the ventricle, died. (3) Exte sive r.f ter care-was given to those patients with residual defects* In special installations (at Bad Ischl, Bamberg and Lohr) a program of occupational therapjr, elementary instruction, speech lessons, calisthenics, sp>orts and electro- therapy was of great value in attempts to reduce the number of cases disable as a X’esult of aphasia and paralysis* The ability to relearn and other phenomena demonstrated in these patients, promoted a skeptical attitude towards the rigid theories of brain-localization advanced by Kleist and other neurologists after World -War I* Closed head injury* particularly brain concus- sion, presented the next important subject. In a directive dated December, 1944, the Surgeon G-eneral of the GAP re-emphasised that all flying- personnel having suffered from concussion of the brain must be given absolute rest in bed for at least three weeks (14). Neglect of this rule had caused unfitness for flying which in many cases lasted for one half to one year, Post- concussional headache and oversensitivity to acceleration accounted for 164 of all admissions to the Sichtungsstelle* (5) The clinical differentiation of the post- cbncussionsl state from psychogenic conditions was a frequent difficulty. During the war an estimated 500 cases yearly were referred to the Kaiser Wilhelm Institute for Brain Research at Berlin-3uch, The bio-electrical recording of pre-epilepsia often furnished evidence of traumatic brain damage. (6) The pathological examination of gross cerebral specimens obtained through death from head injury was also performed at Berlin-Boch, where all such specimens were sent* The pathologist Hugo Spatz reported the findings at a meeting of the Luftwaffe pathologists (23)• The most frequent complications he mentioned were, first, Abscess, second, Polioencephalitis and third, Pyocephalus,; Others discussed the high incidence of traumatic meningitis following head injuries in which the impact comes from the front, and traumatic meningitis referred to by then as Hthe second week cause of death” in cases of gunshot wounds of the skull. (7) The diagnosis of tetany as the*basis for reject- ion of 23 candidates out of 1050 examined at the Untersuchungsstelle Xl/lV-during 1942, caused considerable concern and resulted in an investi- gation being ordered by the Surgeon G-eneral of the GmTV This investigation by Roeder brought out that the diagnosis had been made on insuf- ficient grounds, namely a positive facialis sign 5 2 0 2 T (Chvostek), This, and disturbances following five minutes of hyper-ventilation were consid- ered to'justify a diagnosis of latent tetany., But it was argued that these phenomena in the absence of other signs, might-be merely evidence of a vegetative labile constitution with ten- dency to tetanoid reactions. They then were not to be' considered a basis for declaring the in- dividual unfit for flying, unless the altitude test Which in such cases was immediately indic- ted, justified rejection. (8) A new problem was presented by the high inci- dence of cerebral haemorrhage at early ages (20- 35 yrs) of which hypertension or kidney disease was not the cause. The possibility that the condition resulted from severe emotional trauma' of war, perhaps superimposed on vascular weak- ness was stressed. (9) .Arteriography was widely accepted as a valuable diagnostic method, ',/hereas paravenous:particles of thorotrast were believed to demonstrate carcinogenic potentialities, its administration was temporarily prohibited. Later however, it was again given preference over ”7asoselectanH, another contrast preparation. (10) Polyneuritis, primary, or as a complication of diphtheria, (also, woundrdiphtheria',, typhus and other infectious diseases, was frequent and of a severe type, Especially post-diphtheritic neuritis was feared because of its often fatal course or residual and' irreparable muscular atrophy, which developed in spite of timely and adequate treatment with‘therapeutic serum, Several neurologists were of the opinion that malnutrition and the abuse of alcohol of poor quality, had lowered the resistance of tne peripheral nervous system of the people affected. The high incidence- of benign polyneuritis after immunization against typhoid and paratyphoid, as well as neuritis of the shouldor plexus after treatment..with tetanus serum, was explained on the same bas^s*- (ll) Insulin subshock treatment and sympathectomy for Oausalgia were regarded as the most-^ectocu- lar therapeutic developments in the treatment of -peripheral nerve-injuries. 12, immL HY&I5K3 m^LE, a, General; It has been stated in the part on neuro- psychiatry of this report that the absence of classical symptoms öf war neuroses coincided with the appeara-nce of other manifesta- tions of disintegration of emotional life,' (l) ils an example can be mentioned the paralyzing and disabling fear or belief of having acquired a venereal disease. This abnormal■concern, known as caused considerable loss of days of duty* Hospital admissions because of per- sistent itching'in the absence of organic skin disease, but associated with the particular phobia were frequent* 4t the Luftwaffe Lazarett of Paris-Clichy therefore, the routine was estab- lished that every case of itching in which a dermatological diagnosis could not be made readily, was referred for psychiatric consultation. (2) Sexual inrpotency, experienced in particular when horn©on furlough, was a wide spread disturbance, Psychogenic factors played as much a role in the causation of this disturbance as did physical exhaustion which often was suggested as an ex- planation, That the latter was not accepted can be derived from the fact that strange rumors found many believers, enough to endanger the morale of large units. For instance, among troops it was told that substances which reduces sexual libido was put in the food. (3) Homosexual acts, their medical evaluation and prevention, were subjects of a special directive from the Surgeon General of the GhF, The marked increase of incidents of this nature, together with prejudiced handling and insufficient con- sideration of medical psychiatric aspects in the military courts, were said to have resulted in unjust sentences and had become a serious concern. Gases of young, psycho-sexually ii> mature individuals, whose behaviour was to a large extent the result of environmental factors and depression, were frequent. b. Suicide was1 a grave and most alarming phenomenon. In October 1940 Prof. Goring reported that in the Luftwaffe during a period of 1-g months not less than 79 suicides and suicide-attempts had occurred, Elsewhere reference (15) was made to a study on ’’Several hundred” of cases of suicide in the militaxy service, n special directive from the Surgeon General of the GaP in 1941 (ll) deals exclusively with the prevention of suicide. It was reprinted and distributed again in 1942, (1) Absolute figures on the rate of suicide have not been found, (2) The incidence of suicide was relatively higher in the 4rny than in the Luftwaffe, (3) Causes for suicide in the military service prior to 1942 were: ‘Army £ G4F G4P alone. insanity.,. ... ... 38 25 psychopathic personality 17 27 exaggerated sense of • honor ...... 2 7 fear of punishment ... 10 19 irny & GAP GAP alone. .alcohol intoxication 19-- 12 others , .,.. 14 10 The lower, percentage of suicide on the basis of insanity was interpreted by Prof, Luxemburger as evidence of the better psychiatric selection in the Luftwaffe, That individuals with a strong drive for personal dominance ("Geltungs- bedürfnis") willfully had worked their way into the G-.-iP, was offered by him as an explanation of the figures on the second and third line. The inflated sense of honor which rendered even the slightest failure in military conduct un- bearable, and incompatible with life, was a noticeably frequent cause among young and in>- mature officer Candidates. (4) In the Luftwaffe of all suicides were commit- ted by non-officer personnel* (b) .After elimination of the cases of insanity, the statistics showed that 60, of the individuals involved had military service records with above- , average rating. c. Medical Officers for Kent a 1 Hygiene, (ri ehrb e tr euungs- SanitÜts Offiziere) (x) pining, Those specialists were trained at the Deutsche Institut' für psychologische Porschung und Psychotherapy in Berlin, The four-weeks course for'psychiatrists and Luftwaffe physicians with some psychiatric experience was initiated in 1940, Prof, Dr, Goring, ’Oberstarzt and member of the advisory Council of the 0,ILL. was in charge, ■ Teaching was done by outstanding Luftwaffe psychiatrists and by staff members of the Institute, which was a center for training of civilian psycho-therapists and for psycho- logical research. The subject matter included; (a) Physical basis of emotions, (b) Psychology and character, (c) Social psychology, (d) Psychology of motivation, (e) Psychoneuroses* (f) : Marital hygiene, (g) “ ’psychology and military mental hygiene, (h) Educational.programs at an air base. (i) Military psychiatric reports, (3) Mental deficiency, . (k) Suicide and its prevention. (2) The duties of the German Officer for Mental Hygiene corresponded for the greater part, to those of the psychiatrist in the Army of the United States as outlined in W.D, Circular Wo,31, par. Ill,3 13 March 1945* He advised the Command on matters of job assignments, furloughs, training schedules, motivation of A.H.O. L, cases, prevention of psycho- genic reactions and suicide. In addition every three months, and later every month, he had to prepare a statistical report on the incidence of venereal disease, court martial offenses, suicide and other manifestations of poor morale in the area under his care. These reports were sent to the Advisory Council of the O.K, L. to "be used "by Prof. Goring and his staff as material for quarterly bulletins containing statistics and instructions on policies of mental hygiene. These bulletins were classified "secret”; they were sent to the Luftgau Officers for Mental Hygiene and were said to have been destroyed. (3) The semi-political mission of the Medical Officer for Mental Hygiene, however, became quite obvious in 1944» .At that time the course in Sanitats- ¥ ehrbe treuung was reorganized under Prof, Goring in Munich, The attendance was restricted to Mental Hygiene Officers who had been members of the M, 3. D, A,P, since 1934* Upon completion of the course, these men were assigned to the special task of strengthening morale; they were given the title of National Socialistic Puhrungs Sanitaits Offizier, abbreviated as N. 3,F. San, Offizier (Medical Officer with the function of National-Socialistic Leader). d. Military Courts, continuous source of concern to the Mental Hygxene Officer and other Luftwaffe psjz-chiatrists were the Special Courts ("Sondergerichte") which dealt with military personnel accused of political disloyalty. In addition, trials because of serious charges such as repeated 0, L, , insubordina- tion towards superiors, rope and desertion, routinely required a psychiatric examination of the accused with a rexDort for use in court, manual for this, procedure of military psychiatry was written by Prof, Luxemburger (20), The booklet contains a technical discussion of psychiatric and psychological factors which should be taken into consideration when ap individual was to be tried in a military court. e. Morale at .the end of the V/ar, (1) The common opinion of the psychiatrists inter- viewed was that in view of the severity of the losses suffered and the evidence of defeat, the morale in the GAT1 had remained at a high level surprisingly long, According to then prior to the collapse, the overage GAF personnel had been carried morally by the proud assumption that he was a member of the best part of the best army in the world, by his political ambition, or by both. Direct and indirect manifestations of a break of morale were admitted but did not allow conclusions because of the absence of accurate information regarding the rate of incidence. (.2) It was claimed that the fighting spirit was as a rule on a high level. The team-spirit of aircraft crews was much praised, As a con- structive element in this respect, was consid- ered the fact that a man's position in the crew was not related to his military rank. The morale of the G4F furthermore was promoted by the extra pay for flying personnel; this was, regardless of rank, 75 marks per month, which was granted primarily to allow for adequate food. It was staled that similarly the good medical core had a morale-building effect. In spite of all shortcomings, the psychiatric service of the GAP was superior to its equiva- lent in the Army, (3) According to the statement of most informants the final collapse in the G*iP did not occur until late. About the question of what events were actually most detrimental to morale, the psychiatrists were divided into, two groups. The first claimed that the belief in the leader- ship was unimpaired, that the fighting spirit never went down, but that the GAP was forced to give up because of lack of fuel and the superior ity of Allied fighters. The second group in- sisted that obvious misinformation by high authorities, like that about Stalingrad and the impregnability of the Atlantic lall, previously •had destro.yed the last remnants of confidence in the regime. This, however, it was said, affected only to a minor degree the spirit of those GAP members who were more devoted to the military profession than to the cause of the wo r • 13. RESSäRCK E;tTIiE 0, Scope, According to the . Surgeon General of the the German conception of the scope.of Aviation Medicine was very broad. It encompassed all those conditions which might in any way affect the physical or mental well being of GnP per- sonnel as well as those which might in any way be. connected with the task performed by Air Force personnel,- Thus in addition to the usual aviation Medical Hesearch the GAP actively supported in their own'facilities research on such subjects as the effects of bomb blast, Malaria and Typhus control, infectious hepatitis, physiological and psychological aspects of the aircraft gun sights, physiological and psychological aspects.of glide bomb sighting, psychological effects of terror boobing and many other subjects often considered renote fron Aviation Medicine, b. Fundamental Research was always encouraged as, according to their ideas on the subject, very often those problems which appeared only remotely connected with .Aviation Medicine at one time night with the rapid advancement of the Science of aviation furnish very important data for use in. connection with new techniques which could not have been contem- plated at on earlier dtte, It was their policy as far as possible to have basic data at hand which could be applied in any contingency, c. Organization of Aero-Medical Research Facilities, Aero-medical research was sponsored and directed by two high . x echelon agencies - the office of the Surgeon General of the GnP and the Morse hung- f uhrung d, Luftwaffe, Appendix XVI0 The Porschungsführung d, Luftwaffe was a general civil aviation research organization functioning directly under the Ministry for Aviation and interested in all phases of the Science of Aviation« Its director was Prof, Georgii, This organization corresponded in many respects to the N.A.G,*», of the United States, Coor- dination between the research activities of the O.ffice of the Surgeon General of the GAP and the Porschungs- führung d, Luftwaffe was accomplished by a "Referat1' or consultant in the person of Stabsarzt Becker-Preyseng* In addition to the research performed directly by the facilities of the Surgeon General'of the GAP and the Forschungsführung d, Luftwaffe many problems were, allocated to civilian installations operating under the Ministry for Education, In these installations which in most instances were Universities, Medical Schools, or Institutes, comparatively small groups were formed for research in Aviation Medicine, The members of the groups were- given commissions in the Medical Service of the Luftwaffe, and furnished with apparatus and material. They were supervised by the Office of the Surgeon General of the GAP* Often they would carry on with their usual teaching and research activities devoting only part of their time and effort to problems of .aviation Medicine, Often technical personnel were paid by the Ministry of Education while materials etc,, were furnished by the Office of the Surgeon General and the Pcrschungführung d, Luftwaffe, Thus much of their work was decentralized into many areas and there was much overlapping of jurisdiction. However, the organization seemed to function without too much friction. (l) # list of Research installations, their location and the person in charge is attached in .appendix XVII, d, Budget» The amount of money spent by the German Government for research in aviation Medicine is very difficult to ascertain due to the overlapping of the function of the Ministry for Education. Office of the Surgeon General of the Luftwaffe, the Porschungfuhrung and certain endowed institu- tions. The Surgeon General’s budget was about 60.0,000 Marks per annum* This did not include .any money for personal equip- ment research as that expenditure was carried by the Technicalste of Research on Protective Equipment* Personnel were paid partly from the budget of the Surgeon General but also at times from the budgets of the Ministry for Education and other branches of the Luftwaffe and by endowments such as those of the Kaiser Wilhelm Institute and the Hohert ICoch Institute, e. Facilities for Research, In general those facilities for eviction Medical Research visited during this investigation scened quite .good. The personnel employed seen- to have "been well selected and highly motivated. The ability of such men ns General Rose, Prof. H0 Rein, Prof, Strughold, Dr, 1, Ruff and many others cannot be doubted. There were isolated-instances in which certain individuals who were interviewed seened more enthusiastic than brilliant, However, such individuals can be found in'many research establishments and their enthusuasn unrestricted by dogna has at tines proven of value. (l) Documents furnished by the Engineering firm of J, 0, Zouzem who built altitude chambers for the GaF lists chambers constructed for the Luftwaffe between the years of 193d and 1945« Two included expdosive decompression looks and several included temperature control, In addition 4 motorized mobile chambers were built, 41so chambers were captured fror.l the Russians and placed in operation by the Germans, Four of the’Luftwaffe chambers could be cooled to -55°Co, ; 4 list of the chambers, their type. and location is attached in appendix XVTII, f. The Type of Research performed in the field of aviation Medicine closely paralleled that performed in the U, 3, However, os has been stated their scope was somewhat broader than ours, n description of their work and findings which exactly paralleled that in the U, 3. has been deleted and only those studies and findings of particular interest described. Host of the important and interesting research in psychology has been described in part 10 of this report. Likewise that in neuropsychiatry has been treated in part 11, g, altitude acclimatization. (1) 4 s it was generally believed that indivi- duals living at high altitudes develope a certain degree of acclimatization Dr, 4* V- Frank and co-workers of the GuF. observed the effects of living at high altitude upon a group of GjhF flying personnel. Selected individuals who were expected to be used for reconnaissance and photographic missions were allowed to live under excellent conditions in the mountains at an altitude of 3,000 meters (10,000 ft.) for periods of at least 10 days. During this period the personnel were given much physical exercise such -as skiing, mountain climbing, hiking and other types of * physical conditioning« Their food was of - the best obtainable and was especially' high in butter and egg components, Wine and beer consump- tion was limited, They wero forced to get long hours of rest. At times they were allowed to have their wives with them for.at least a part of the period. (2) It was demonstrated that such a procedure increased altitude tolerance about 1,000 meters (3,300 ft). Handwriting (the Lottig test) was used as the criterion* It was further believed to have been demonstrated that such on increase in tolerance could be n intained by daily exposure to 5,000 meters (16,700 ft,) altitude in an altitude chamber for a period of one hour. It -was believed that such acclimatization would last as long as six months in some individuals, „ed blood cells were increased in number and hemoglobin in concentration* It was considered adequately demonstrated that incidence of aero embolism at altitude was reduced. O) Some of the German investigators questioned about their impression of the procedure pointed out that the ideal living conditions the forced rest cand physical conditioning undoubtedly plashed a part in the beneficial results achieved. h. Treatment of Shock Following Prolonged Exposure to Cold by Rapid Howarming« (l) In the opinion of the Surgeon General of the Luftwaffe one of the most important achievements of the Luftwaffe research was the work which pointed the Way to the rather revolutionary procedure of rapidly rewarning those individuals who were in a state of collapse following exposure to cold, .According to Lrof. G.ü. Weltz, he himself became very much interested in the .problem‘in 1942 because there was no standard method for treatment of those individuals taken .from the, sea who were in serious condition* The work of Lutz . and von T/erz prepared the way when they demonstrated that animals cooled to from 13°6 to l6°0 could be revived by rapidly rewarding them in a bath of water heated to from 40°C to 45°C. In the severe cases the heart has to be aided by electrical stimulation and anoxia prevented by rythmic artificial resuscitation using.air under one atmosphere of positive pressure. (2) to Lutz and Ueltz cases of recovery of OAF and Marine personnel following such methods of treatment are known to have occured but no careful compilation of case studies could be made because of the break- down in communication in the latter port of the war„ These same investi- gators stated that their was a directive from Luftwaffe headquarters instructing personnel that rapid reworming in a water bath at 40°C to 45ct0 should be..at temp ted in those individuals suffering from severe exposure to cold. (3) It was the opinion of those investi- , gators interrogated that the method should always be tried and that those dying from the so called rewarming shock would die anyway, consequently nothing was to be lost and much was to be gained. Major Leo .Alexander has compiled an extensive report following his investigation of the subject (7). i. The Paradox Effect. (1) The so called paradox effect is a phenomena which can he demonstrated in certain individuals after they have "breathed a gaseous mixture of 93/ - nitrogen and 7f' oxygen for a period of from three to five minutes t. following which they are suddenly switched to the breathing of pure air or pure oxygen* In about %- of personnel studied by investigators, in the GA? tetany, carpel spasm and unconsciousness occured in ten to twenty seconds after began to breathe pure air or oxygen. (2) The same phenomena can be produced in the altitude chamber if the 7y oxygen 93f nitrogen breathing pro- cedure is replaced by a chamber flight, without oxygen, to a level of about 18,000 to 22,000 ft, for a period of time followed by a sudden switch to pure air or oxygen. It SEC was believed by many responsible investigators in the GAP that such a situation occured in flying personnel after they had been flying for periods of time or for some reason or other had become slightly anoxic and then switched on pure oxygen or high content oxygen mixtures. Consequently they selected out individuals so effected. They believed that individuals demonstrat- ing this reaction were poor risks as flyers. (}) The scientists interrogated were at a loss for an explanation concern- ing the reason why the American Air Force had never experienced such situations but believed it to be due to the fact that similar studies were not made at levels of 18,000 to 22,000 ft, or with a gas mixture of the exact type they had employed. (4) The German investigators had never found a correlation between suscep- tibility to the paradox effect and any other physical finding. They stated that in their studies they had carefully ruled out hyperventi- lation. j. Study of Time periods Flying Personnel Can Remain ot Extreme Altitudes with 100:" Oxygen« (1) The advent of the jet and rocket propelled aircraft brought about a rather profound change in aviation medical studies relative to high altitude operation. Aircraft of "Natter" type (experimentally flown) were single seater, rocket propelled aircraft capable of climbing to extreme altitudes at rates up to 37,400 ft, per minute but capable of remaining in the air only for a few minutes. Maximum sea level speed was 620 miles per hour. Take off was with rockets and a force of 1,5 g* was experienced. The -"Natter" aircraft was designed for ramming attacking aircraft and thereby destroying them. There was no landing gear consequently . the pilot after his mission had to parachute to earth. He was well pro- tected' during his crash and left the aircraft simply by pulling a lever which allowed the craft to disinte- grate in sections about him. The tail section which contained the rocket mechanism was also brought to earth by parachute. Due to this arrangement, the function -of the aircraft and' the weight restriction, pressurization was out of the question» therefore the problem was what flight pattern must a pilot follow if he is to return safely from sudh an extreme altitude mission*- (,2) The results of the ■ study to solve this problem are presented in on excellent diagram’by Prof* Strughold* This diagram illustrates the necess- ary speeds of.ascent and decent ond the: length of time the individual can remain at the selected altitude as’Well as the state of his con- sciousness which can be expected under the circumstances. Leichtere Störungen » mid disturbances, Bewusstlosigkeit = unconsciousness, T/3 - KS =• increasing mental disturbance, El - E2 Decreasing men- tal disturbance. k* Speed in Air’.Vor and the Physiological Latent Period, (l) According to G-erman investigators (28), the great increase in speed of modern aircraft-must focus more and more attention upon whot they.speak of as the XJhysiological Latent period which corresponds very closely to our conception of reaction time* It . is their belief that we must consider in our personnel selection this latent 'time interval between percept tion of a stimulus by the receptor and the final, action which the stimulus provokes. They believe one must study the effects of anoxia and various forms of acceleration on reaction time. Their statement of the importance of reaction time is exemplified as follows: (2) If the two aircraft are approaching each other at a speed of 300 miles per hour and one sights the other to shoot, the aircraft will be hundreds of feet away from the spot where he sighted it when the bullet arrives because his physiological reaction time will be about l/$ of a second , the trigger mechanism reaction time another 1/5 of a second the speed of the bullet another fraction of t ime • (3) This conception of course is an old one but the greet re~emphesis placed on it by the Germans is of interest, i.lso of interest are some of their ner techniques employing muscle action potentials for the measurement of the sot-called physiological latent period* Their particular studies were relative to the effect of altitude, acceleration, darkness etc*® on the factor* 1 ♦ Night Vision» (1) The German investigators by direction of the G«1F devoted much energy to the study of night visual efficiency* The group at the medical Research Institute at Germisch-*Ra■ tenkirchen had ■ studied especially cockpit lighting and monocular dark adaption. They con-r eluded that dark red was not the color of choice for the maintenance of night visual efficiency but that a red of a wavelength about 65C0 was best. (2) They also concluded that monocular dark adaption was worth while and practical as continuous occlusion .of one eye for hours or,days gave better re suits than binocular occlusion for short periods of time - that is under one hour. i*lso of interest is their conclusion'that dark adaption in winter is better than in, summer and that heating the dein of the areas in the region of the eyes en«d forehead increases the speed of dark adaption. (3) Brfs Ingeborg Schmidt end H.W. Rosa (25) performed en excellent study fron the standpoint of experimental design end control relative to the use of many substances which other investigators had from time to time claimed would improve night vision. They concluded that caffeine 'card- iazol* strychnin* ephedrine, octin»vitamin h in oleous solution» muscular exercise, suprasonic waves end stimulants of taste neither improved nor caused deterioration of n:.gat vision in norms! subjects« m. Use of Aluminum Impregnated Cloth for Fire Protective Clothing• (l) Dr* T• Bensinger end co-workers have studied the use of an aluminum cloth for fire)f protective clothing. Dr. Konrad Buttner is given credit for the design. The cloth appears to be a light weight aluminum foil pressed into a light weight cloth. The theory upon which the suit was designed was that aluminum reflects radiant heat. Glass goggles.were built into the loose fitting hood, it was '.vorn with oäoestos shoes and gloves. It is stated that with the suit which is light and inexpensive’ one can approach to within a short distance of fires of very great v : intensity. They also studied the use of the material for tents to be placed above aircraft during mech- anical repair in the ifcropics. xu Research on Insecticides. ,(l) Although five targets were visited, information on insecticides was ob- tained mainly from only one source, This target was the center for fever therapy located at Pfafferpde bei llulhausen, The institution- was formerly located at the Tropical Medicine Division of the Robert Koch Institute at Berlin. (2) Geserol ..or DDT was manufactured by the I*G* Ferbenindustrie in their plant at Leverkusen near Cologne in two forms} Glz» e liquid} end Lauseto, o powdered fom» The Gemens leerned of our use of DPT in the eerly pert of 1943 end sterted producing end ex- perimenting with DDT at that time. SECRET (3-) Gesarol (or DDT) Substitutes are as follows* (l) Delicia, manufactured by Freiburg at Delitsch Saxony ; (2) Busslo powder, manufacturer unknown; (3) Duolit, menufacturered by "Degesch (Deutsche Geselschaft f. Schädlings- bekämpfung)., of Friedberg, Upper Hessen; and (4.) Xcnthogenor,. manufactured by Frieberg at Delitsch Saxony. (4) Experiments accomplished-. The main experimentation accomplished at the laboratory visi ted was the use of DDT for the impregnation of clothing end the use of DDT in paint- The mmpreg- nati.rn.--cf clothing had been qu ,re suc- cessful and was used operationally by personnel of the Wehrmacht in the field for lice control. (5) The use of DDT in paint was still in the ‘process of experimentation end accord- ing to preliminary results was very successful* DDT in paint» applied to the surface of plastic boards» killed flies, and mosquitoes for a period of 8 to 12 week So Several mixtures were tried but the best results were obtained with the following; Ge Sc.ro! fur Mischung (Pre-mixture of 33%° Geserol by Schering) 10 parts; chalk 20 parts; water 70 parts and glue 4 parts. (6) Toxicity ~ of DDT* The toxicity of DDT was tested by injectingDDT into nice, intraperltoneally* intrathoracically, intracerebrally and by giving it orally* The only toxic results were found when DDT was given by mouth and in oil* It was found that it required 4*0 to 5*c mg to kill, a mouse and 25D*D mg to kill a guinea pig* DDT was believed to be a nerve poison. From other «curces it was learned that one worker had voluntarily taken 2*0 gn by mouth "1th no toxic rer suits. It was also reported that.a farmer had taken 13*0 gp (by mistake) as a vermi- fuge with no toxic results. From other Sources it was reported that DDT was toxic’in milk and workers handling IDT were advised to abstain from drinking milk. ... (7) Toxic Effects of DDT on Insects a Dissection of insects killed by DDT resulted in,the conclusion' that DDT is found in the, glands, of internal secretion „ suparenal, testes» etc)* Insects ere•particularly vulnerable because of the fact that there is considerable lipoid or fatty tissue in their outer coating* 0 • He search- on 'Infectious Hepatitis. (1) Generalarzt Rose (27) stated that German re- search during the.war had in his opinion estebl lished that catarrhal jaundice and infectious hepatitis "/ere one and the same entity. Al- though much investigative effort was made to correlate incidence of the disease with sani- tation, with climate, 77ith diet and various other factors no correlation which could not be offset by other evidence, was ever found. (2) The most infectious period was determined to be during the pre-jaundice stare. Ninety different viruses wereobteined from patients with infectious hepatitis. However, there is no definite evidence according to General Rose that any one virus was the causal agent or that any of them were connected with the disease other then to have been present in the seme individual. (3) At Bucharest a group used the peritoneoscope to.remove smell bits of liver oubstence from patients. This material was dmoonstrated to contain inclusion bodies. (k). One complete episode of the disease was believed to confer permanent immunity although there wepe often exacerations of the original epi- sode, Many tests including blood tests, liver tolerance tests and various physical studies were used in an attempt to find a usable criterion for return to duty, but none was ever found. The most reliable criterion was found to be good clinical judgement of the observing physician. The average case requiring hospitali- sation T/as lost to troop duty for a period of from six to eight weehs. (5) Home German investigators believed that jaundice following heavy metal treatment of syphilis was due to the provocation of a latent infectious hepatitis. They did not study the possibility that this observation might be due to infection from sypinges which had been used on infected people. p*- Be search in Malaria BraphyUcxis i7ith Dru^.s. (1) Twenty-one drugs were studied relative to malaria Of these, atabrine given in dosage of .6 grams immediately after the, evening meal (never on an empty stomach) was the drug of choice because there;were fewer toxic reactions ana it gave good protection. (2) Atabrine was found to have no effect on altitude tolerance and no effect on flying efficiency. SECRET (3) Flying qt altitude, was found not to cause malaria relapse. q« Cause of Death_ in Animals Follosing Simulated Long Bange Parachute Drops. (l) Animals subjected to a simulated parachute fall from 30,000 m (.100,000 ft.) died when reaching a level of 16,000 m* (53>000 ft.) to 12,000 m (/j.0,000 ft.) Autopsy showed gas embolism of the heart. r • Bscteriolo gie&l. W erf ere • (1) Those persons interrogated all stated that studies relative to bacteriological warfare were concerned only with the defensive aspects. It was stated that an order signed by Hitler forbade the study of offensive bacteriological warfare. They feared most and consequently placed most emphasis on their studies against typhoid (they felt that the usual' immunization measures would not protect against massive contaminant:.on), Cholera which could be spread very rapidly , end most of ell rindtsrpest. 'Foot and mouth disease virus was considered so stable that it could have - •• been possible to use it as a weapon of' war. It was believed rinderuest could have been spread from aircraft. Certain agriculture pests were considered and feared - most of all the potato Beetle• s• Long Metal Pins in Treatment of fracture of Long Bones. (1) Almost without exception the use cf long pe tal spikes (called Kürschner Nails) driven down inside the shafts of long bones after proper allignment was volunteered as a major war-time achievement. Indications for use of the nail ere, a) pseudoarthrosis, b') nal-aligned fractures requiring refracture or operation end c) shorten- ing of limb due to a pathological process. In the latter case the limb was lengthened and grafts from the norma3. limb inserted while the noil held the parts in place. t • Bombing Deaths • (D Bombing deaths according to Dr. Dessaga who was charged with a study concerning them were due to* (a) Blast effect» Often the lung tissues were injured so severely that massive air em- bolism in the circulatory system caused death* (b) Fragile nt et ion injury. (c) Carbon monoxide. HeIf of those who died during bombing and fire of Homburg died from carbon monoxide poisoning, (d) Other poisonous products from burning such as acrolein carried into the lungs on dust particles, (e) Crushing by falling debris« (f) Dust» Dust concentration after explosion was thought to reach concentrations as high-as 200-300 grams per cubic meter. One,hundred grams of dust per cubic meter causes death in from 30-40 minutes» Thirty to forty grams of dust in the respiratory system can cause death. (g) Burning. u• Vibration Effects* (1) Vibration levels from jet engines of the type used in buzz; bombs are said to reach lßO-240 phons (this was said by two investigators to be correct although it seems very doubtful) at a frequency 50-80 cycles per second. The vir- bration produces loss of patellar reflex in per- sons standing within an area of 3-4 meters. (In animals the cutting of the nerve fibres along the regional blood vessels prevents the loss of the reflex)* according tp Dr. De saga the effect upon the respiratory system is a feeling of suffocation* the body tingles as though the parts are going to sleep and the head is vibrated in a manner which cau ses .double vision. w• Electroencephalography. Electroencephalography and its clinical application were further developed by Kornmuller at Kaiser Wilhelm Institut for Brain Research, Berlin-Buch, Compre- hensive information regarding the normal and abnormal E*E.G, and its experimental foundation can be found in Korroiller’ s book (18), Research in electroencephalography of interest 'to aviation medicine was performed on: (1) Acute Anoxia (Kornmuller, Palme, Strughold). Activation of alpha waves, followed by the appearance of 6 waves and finally 3 Hz. waves and the seme phenomena ir. reversed se- quence upon breathing pf oxygen was considered characteristic. It was shown that the bio- electrical changes were actually caused by lack of oxygen and not by hypercephy though this, as well as hypocaphy did influence the E*E.-C, In animal experiments it was noted that even when anoxia is increased to the point of causing death, spikes do not occur. When inter- viewed Kornmuller stated that he would consider changes in the human E*E*G* at altitudes below 20*000 feet or.after i minute of hyperventila- tion as abnormal end ground for rejection* The E*E*G* end these criteria however* were not used in the examination for flying fitness* (2) The paradox effect* After anoxia the amplitude of the elphawevec (which reappear as a insult of oxygen breathing) is reduced during the period of clinical' symptoms of paradox effect* The bioelectrical changes# in harmony with other manifestations of this condition point to the diencephalon (hypothalamus) as the site of the disturbance. (3) Fe-tigne« Although not specific for any particu- lar type of fatigue, the following electro**,- encephalogrephic findings in conditions of fatigue (also present in so-..e post-concussional statbrs) are interesting* Contrary to the normal elimination of elpheweves through visual stimulation, it was found that when the fatigued individual open's his eyes, these waves - (a) do appear if previously not present» (b) ©re ectiveted if previously weak or, (c) are reduced to © lesser extent than normal if previously they were well developed* (d) Xn addition to this phenomenon* the poorly developed alpheweves in the E*E.G# with eyes closed and their- Tepid diseppesrsnce after having been reactivated by opening of the eyes were consider~d)( evidence of more. severe fatigue* . Kornmuller points* .„.out that in all probability those findings could render possible a quantitative method of measuring fatigue (and fetiguability). . (k) Low temperature (Noell) .The E.E*G. of rabbits showed- slow waves if the body temperature was decreased to 30°, and spikes developed if lower temperatures were reached* Comparing the E*E*G records with those of several forms of poison- ing, similarity was found with eserine- intoxication* The presence of spikes in the E*E*G* at low temperature was considered to be a warning against the use of cardiezol in attempts to revive near-drown:h lumen beings* (3) Diagnostic value of the Electweencepholographic procedure con be enhancer, if t. tar e lesion is grossly located by tneusual*technique of six leads, the abnormal lead area isfocussed down upon by placing six leads in a small circle 2-3 cm# in diameter around that area and then studying it in the usual manner* 14« PERSONAL EftUIHiENT. a* Belts and Harnesses, oo No unusual‘type of GAF safety belt or crash and ditching harness was found. (2) The safety belt, which was in general use among pilots, was a- combined waist and shoulder harness which was suspended from a single fastenerr i*e* when the fastener was released both the waist and the shoulder straps fell away • (3) The fastener consists of a "T" shaped spring wire, fastened at the and of the right waist strap* which is indented in such a way that it engages a ring on the- opposite waist strap. Pulling a webbed attachment disengages the fastener quickly and easily. It is possible that the fastener cannot withstand high de- celerative forces such as would be encountered in an airplane crash* However, the simplicity of this device v/ould justify its being ex- amined and tested for possible application to our needs. (4) The other crew members of multi-seeted air- craft employed harnesses which mere similar to those of the pilot, but adapted to the crew position* (5) No ditching belt, as such, was found. b# Anti-G Suit. (l) There is no evidence that the Goman Air Force planned to use an anti-G suit operationally. Early in the 7/ar a few models were tested and found to be unsatisfactory. Interest then switched to cockpit seats which were constructed to reduce the vertical height of the column of blood in the large vessels* end therefore, the hydrostatic pressure developed luring angular acceleration. Late in 1-944» models of the ÜSAAF Anti-G suit were captured and tested. The Germans decided that this suit did not provide enough protection from flGw effects to justify its adoption by GAF. Cm Oxygen mt. This jecm. lcs . covered by Col• 71# Randolph Lovelace end 1st Lt. Vernofi -T.. Wulid in two reports which they have- sremitted (19) (31)* {■ 'sur.m: ,*y extracted from their reports is jnc'iuded herewith/ (1) Generation of Oxy The production end d'. £ m lantion of liquid oxygen was preferred i-.i the G*T to the pro- duction of gaseous cxygea.-, For this purpose, both in Germany and in the occupied countries, SECRET liquid oxygen producing plants were operated, 3y this method oxygen which wes 9$#.8% pure could be produced* The liquid oxygen was dis- tributed to consumers by means cf specially built reilrood cers which ccrried it in the liquid form and by special trailers known es "Kesselwagens"* These "Kesselwagens" were combined storage tanks end vaporizers* They were sent by road from the airfield to a generating plant or to a: railroad kliere the liquid oxygen was poured into the Kesselwagen* while returning to the operational airfield, the oxygen began to evaporate. The oxygen servicing tanks on the airfield were then filled with gaseous oxygen directly from the Kessel- wagen* (2) ire raft Oxygen Systems. The oxygen systems used in the various types of aircraft were similar in lay-rout and component parts. The number of bottles used and the number of outlets and regulators installed varied with the way the aircraft was used operationally and the number of crew members aboard, but the type was the same for all ty es of aircraft. Usually the number of regulators and oxygen outlets corresponded exactly to the number of passengers normally carried in the aircraft, • If an addtional passenger or observer was taken along he used a special portable bottle*- regulator unit which had sufficient oxygen available to cover his needs for the whole mission* (5) Pay gen Bottles, Prior to about 1941, only the conventional high pressure cylindrical bottle was used in aircraft oxygen systems* ';ihen it was found that these bottles were liable to ex- plode or to come lose from their fastenings and rocket about the airplane if they were struck* by an enemy missile, the peculiar three*-spheroid shaped bottle was and adopted. -This bottle is said'to be much less apt to ex&ode than the old type and can be fastened very securely to prevent rocketing. (4) Regulators* Since about 1941r '-he GhF has employed a demand type regulator which is similar in principle and function to that used by the UBiu*F. ds originally designed this regulator included an aneroid controlled auto* feature which added air to the oxygen in - inverse proportion to'the altitude, dbove about 25,000 feet pure oxygen was furnished* about 1944 the eutomix feature has been c -■vmoned, This ~/as done because oxygen con .ervation wasnot necessary since most of GhF operations were interception requiring only a few minutes in the air. To minimize the possible effects of mask leakage at extreme altitudes the or 1’ was added to the standard demand regulator. The Blaser is aneroid controlled and,, above 25,000 ft* automatically releases additional pure oxygen into the mask to regulator tubing* This oxygetn flows constantly whether or not the user is inspiring*' Ngt e "pressurizing" device, the Blaser is intended to üjaintoin pressure of oxygen in the mask constantly at ambient pres- sure so that nitrogen-containing outside sir cannot enter the mask f It reduces the fall in pressure in the mask atten dm t to inspiration, thus increasing the effective-altitude to which the flier con ascend before feeling the effects of anoxia, and it minimizes smell leaks around the mask. (5) Oxygen Masks* The oxygen masks used in the GAF until the end of their operations were the so-called "non-freezing" end the . "fighter" mask* The fighter made was an older type mask which had.only a single valve, an expir- ation valve, to permit exhaled air to be passed to the outside and to prevent the entry of the outside* air into the made* Bvoi under the conditions of cold which we*e, compared to those encountered by bomber crews in the 8th lir Force, very mild, this mask tended to freeze very s readily end to be useless* Ccnsequently its use was forbidden in any except the acmpara- tively warm fighter aircraft* The second mask, called by the Germans the "non-freezing" mask, was developed and adopted. It employs both an inspiratory and an valve. The inspiratory valve is supposed to prevent the moisturerladen exhaled air from entering the me & tubing, thus preventing the formation of ice in that tubing* Is an added feature tie exhaled air, which has passed through the expiratory valve, is led out around the mesk- tvbing for a distance of about three centimeters. I’ was felt that this would warn the inspired oxygen and tend to, prevent freezing of the . - ins] iratory valve No date derived from tests of the an tiffreezing features of this mask - . have been found , .v (6). High Altitude Bail-Out Oxygen_-ystems, Of *; great interest is . the bail-out oxygen system * • which was developed by the GAF shortly before the end of the War in Europe.. This system ’consists of a set of six thin tubular oxygen bottles connected in series by high pressure tubing end arranged in.a fla' case about one in-?L thick» They are connec ed 'to a' s' ngle •'■•na.'vow gauge copper tube whi< h acts as on* oxygen flow regulator* A vcl*e is provided which permits a continuous flow of oxygen from the bailrout system directly into the mask tubing of the user as soon as he has been disconnected from the normal aircraft oxygen system* The oxygen supply an. regulator are ££ ££ El a compeet unit which is attached to the para- chute peck in e speciel pouch* It requires very little space end weighs only about five pounds*. In use, it is unnecessary for the flier to change, or even to disconnect, his ord incry oxygen mask before leaving the air- craft* As he bails out oxygen automatically begins to flow from the bail-out system into his mask end continues for about twenty minutes* 4« EjectabXe Pilot Seat« (1) The introduction of jet end rocket propelled aircraft* whose speeds exceed 500 miles per hour, posed the problem of escape from such el r- craft in emergencies* It was found that in climbing out of such aircraft in the usual manner, the pilot was usually thrown against the vertical stabilizer by the slip stream* To facilitate his escape* a device was created which should clear the vertical stabilizer* This device is the Ejectable Pilot Seat* (2) The seat is mounted in the aircraft in a track which is directed vertically from the cockpit* A piston abopt 3 feet in length drives the seat along the track end out of the cockpit* (3) It first compressed air was used as the motive force to operate the piston* Later, black powder was accepted for this purpose because it was found to be more certain in its action and to produce its force more rapidly than did compressed air* (4) The sect is operated as follows i first* the canopy is jettisoned; second, the pilot dis- connects his microphone and oxygen mask; third, he pulls the lever igniting the black powder and is thrown clear of the aircraftt fourth, the pilot releases his safety \mpiess and fells free of the seat* Finally, he opens his para- chute (19)« e• Bibboa p&rschute* (1) German studies of the aerodynamics of psrachutee revealed that wind currents striking a des- cending parachute from an oblique angle lead to negative pressure on one site of the canopy similar to those on the upper surface of an airplane wing* This pauses the parachute to pendulate* Prof* Madelung of Stuttgart con- structed a parachute which was very permeable to wind* and which tended to break up the flow of wind currents around the canopy* This in turn prevented the formation of negative pressure on one side of the canopy with its resultant pendulating* SECRET (2) The ribbon parachute is constructed of ribbons of silk or nylon, two inches wide, which are interwoven with cord to fom a net. The slits between these ribbons are made wide enough to prevent penduletion, but narrow enough to offer sufficient resistance to the air to re- duce the rate of fdll to safe levels. 13 f NUTRITION« &• Garrison Rations. (l) The garrison rations of both flying end other G£F personnel has been studied by Major Paul H. We swig, Nutrition Officer, Office of the Surgeon, US Strategic i*ir Forces in Europe, and compered with the US ration. Pn extract from his analysis as set forth in a memorandum is quoted below: "Proximate Nutritional Analysis Ration Scale No* 1 for Flying Personnel as Described in "Disarmament Equipment Memorandum No» 7* Nutrient Unit GAF Ration Scale I GAF Ration Scale I plus 1 kilo potatoes per day. US Amy Field Ration •A* Energy Celeries 2720 3hh0 4030 Protein Grams 87 104 133 Fat n 91 92 173 Carbohydrate n 339 549 485 Calcium n 0*31 0.39 1.02 phosphorus iim 1518 1925 • Iron n U 20 27 Ti tarnen I.Ü. 923 1225 6715 Thicroine Mgm 1.64 2.34 2.87 Riboflavin n 0.81 1.11 2.88 Niacin ir 3.6 13-7 30 Ascorbic Acid n - ICO 119 (2) Comments concerning the nutritional analysis* (0) The GAF ration supplies energy in quantities sufficient for moderate activity. Approxi- mately 3C% of the energy was obtained from bread alone. The GAF issue of breed is over three times that of Field Ration "A". 0») Y/hile the protein requirement of the G**F fulfills the recommended standard of the Notional Research Council of 70 grams per day» it is to he noted that only about 20% came from animd. sources. Ordinarily the quantity of animal protein in a diet is a good index to the pelstability end acceptability of a ration to the troops. SECRET This ration is far below the Imoricen ration is this respect* (c) The quantity of fat in the GAF ration is sufficient to meet any physical require- ments. (d) The iron content of the G&F ration is above recommended standards. They probably receive as much irop from their cooking vessels os they do from the ration. (e) The calcium content of the GAF ration is about one-half recommended standard* Possi- bly some of the Goman personnel were able to supplement the ration with fresh milk although there was no milk listed in the ration, scale. (f) The vitamin content of the Gi*F ration is extremely low as calculated* This cal- culated estimate is probably too low, for undoubtedly their ration contained carrots, greens such as turnip or kale, etc. which would increase the carotene content of the ration* There is the possibility that the ration is supplemented with vitamin capsules. (g) Another vitamin which is below even border- line standards is riboflavin* The calcu- lated value cf this vitanin should be quite accurate as the main classes of foods which contribute significant quantities of this vitamin to the ration are strictly rationed* hgain this deficiency may be alleviated with vitamin supplements* (h) The ascorbic acid content of the ration is calculated to be ample* However* all of this vitamin as calculated was derived from potatoes* hs potatoes lose about from 6o to &0% of this vitamin on storage, the G/*F ration would have considerably less total available ascorbic acid in the spring of the year* The National Research Council recom- mended standard of 75 mg per day of this vitamin for optimum health. Many people have subsisted on quantities of this vitamin far below this standard without showing symptoms of avitaminosis C (e*g* the. British ration). \3) Comment concerning the components of the ration scale*. (a) Xn the Gi*F, flying personnel on combat, transport or courier receive the best ration authorised. It differs from the other scales of Gi*F rations in that it contains the most neat, spreads (fats) and sugar* These items ere usually con- sidered to be the most desirable part of the ration* - (b) The following table lists the components of the GAF ration scale No. 1 in contrast with Field Ration ".A", Comparison of GAP Ration Scale No.l with Similar Components of Field Ration ".A" os Issued in March. 1943« Ration Component •Field Nation 'U” March 1945* GiF Ration Scale No.l Meat, fresh (carcass) Butter Other fats " J am äUggg now Grams/day • 330/(1) * 32 15 25 ■ 143 51 (2) 2 19 ■■,.40 , 7 (3oy* 700 (l) Conversion factor boneless to carcass meat is 1.4 (2) Issued os "spread”. May or may not be butter. (c) Field Ration "A" supplies considerably more meat, sugars and flour, while the GAF ration furnished over three time as much bread. There is very little differ- ence in the total fat issued. However, ; - most of the fat in the GAF ration is de- ■ f|ned os "spread” and is undoubtedly used.-* such on the large quantity of bread issued. Only two grams per day are speci- fied for cooking purposes, 'Boiling must be their-main;method of preparing food, * (d) The GAF has four scales of ration v/ith No,1 being the best. In the other scales there are proportionate reductions in each scale of ffesh meat, "spreads" and sugar. For instance, ration Scale IV provides less than one- pound of meat per week and about half as much "spread" as allowed in ration Scale I, . < (e) The sick and wounded in hospitals are provided with ration Scale No.l or No.Ill depending'on-location. The “best ration is provided for those farthest from home territory. ;; - . b. In Flight Heals, Due to the nature of GAF opera- tjioi>sf which wejre predominately short-time fighter sweeps, the peed for in-flight tyeals was not great and little work was done PI* the subject* v Those large airplanes making long flights over ijhe Atlantic Qnly the "Iron Ration-" (Eisenration) or sand- yfiohCf and hqt pgffoß in thermos bottles, •- Air crews were »advised SECRET to take candy with them to combat cold, fatigue and. latent anoxia, but no special high-dextrose or other diet was furnished for this purpose. c. Emergency Rations. The nature of the (CAP operations in the latter part of the war, once more, mode the development of emergency rations to be consumed while lost in the desert or while awaiting rescue at sea, superfluous. The few concentrates which were used are listed below: (l) Eisenrotion. This is the "Iron Ration", famous since the last war* It consists of 200 grams of pork which has been cooked and spiced. The ration is quite palatable and acceptable to the troops. This ration was token along in the aircraft by the troops operating over the desert in Africa and also by those who were flying over water. After a crash landing or ditching, the ration was taken out of the air- craft and consumed while awaiting rescue. (2) Bratling*s Pulver, This was a substance obtained from wood pulp as a by-product of paper manu- facture, Having a high protein content it was used in the same way as a boullion cube. (3) Zweibook, Was also issued to furnish carbohy- drates. 16. AERO MEDICAL INTELLIGK CB. a, One of the striking features of this investigation was the lack of knowledge on the part of the Germans of American developments and research in Aviation Medicine, The very few items concerning which they seemed to have any knowledge were received from unrestricted literature such as neTwspapers and periodicals. Certain items such as the "G" suit and aviation medical pamphlets had been captured, b, Japanese and German Medical Cooperation, General Rose stated that information had been sent to the Japanese con- cerning medical developments but chat such transactions were entire- ly in one direction as the Japanese never reciprocated by sending any information in return. He stated that at one time the Japanese requested yellow fever vaccine virus. This was sent to them but its receipt was never acknowledged. A year later an- other request was made by the Japanese for the same material. c, Relative to the progress of Japanese Aviation Medicine Prof#. Strughold gave the following information* A Lt, Col* Miura had been sent to Prof* Strughold’s Institute for a period of two years (1941-1942), This doctor studied all Luft- waffe Aero-Medical procedures and research*, He attended all lectures given by the various leaders in Aviation Medicine regard- less of how far he bad to travel to do so*. In 1942 at the request of the Japanese Government, Lt, Col,. Miura took copies of all records and of Aviation medical research documents and left Germany by submarine* After a period of time the Japanese Government re- quested a duplicate set of all records and research files which had been procured by Miura.. Strughold states that he believes for good reason that neither the submarine nor Miura ever arrived in Japan due to the loss of the submarine* He further states that it is his belief that Japan must be far behind Germany and the Allied countries in their development of Aviation Medicine and personal equipment, as Mxura was the only Japanese who had made any progress in Aviation Medicine, With his loss there were no consultants in this field to aid the Japanese Air Force, He further stated that the Japanese had sent 30 Aviation Engineers to Germany hat that the group contained no one interested in Aviation Medicine or personal equipment« B I B L I 0 0 Y A ? H Y INSTITUTIONS VISITED Aero-Dynamisehe Institut, Göttingen. Allgemeines Krankenhaus, University of Heidelberg. Allgemeines Krankenhaus, University of Tübingen. .fingen Klinik, Bad Nauheim. Augen Klinik, University of Frankfurt. Augen Klinik, University of Giessen Augen Klinik, University of Gottingen. Chirurgische Klinik fllr Hirnkrankheiten, University of Göttingen. Entomological Institut, near Dachau. Graf Zeppelin Institut. Stuttgart. Herman Göring Institut, VoIke nro de. Institut fdr Luftfahrtmcdizin, Freising. J. V. Zcuzem (Engineering Firm), Frankfurt. Kaiser Nilhelm Institut, Heidelberg, Kaist r Wilhelm Institut fdr Psychiatry, Munich. Kerckhoff Institut, Bad Nauheim. Luftfahrtmedizinische Forschungs Institut, Garmisch-Parten- kirchen. Luftfahrtmcdizinschc Forschungs Institut des PLCichsluf tfahrt- ministcrium, Brnnnenburg am Inn, Luftwaffe Lazarett, Brunswick, Luftwaffe Lazarett, Halle-Döhlau, Luftwaffe Lazarett, Ober-FÖhring near Munich. Luftwaffe Lazarett, Possenhofen on Starnberger See. Luftwaffe sender Lazarett for Brain injuries, Bad Ischl, Austria. ~' ' Nevsrn Klinik, University of Frankfurt. Nevern Klinik, University of Göttingen. Ncvern Klinik. University of Jena. Nevern Klinik, University 'of Munich. Neverg Klinik, University of VTUrzburg. enrol Klinik, University of Frankfurt. Qhrei Klinik, University of Göttingen, Pharir kologisches Institut, University of Innsbruck, Physiologisches Institut. University of Göttingen. Physiologisches Institut, University of Munich, Physiologisches Institut, University of Tubingen. Psychologisches Institut, University of Göttingen, Psychologisches Institut, University of Heidelberg, Psychologisches Institut, University of Jena. Psychologisches Institut, University of Munich. Zeiss Optical Company, Jena, PERSONS INTERVIEWED. Achelis. Prof* pr. J.p, Prof, of Physiology, Univ, of Heidelberg. Allesch. Prof* Dr. G.V. Psychologist, Univ. of Gottingen* Amelunxen. Oberstabsarzt Dr, Ernest von. Neuropsychiatrist, Luftwaffe Lazarett Oberi-Führing near Munich. Attwongcr? Oberarzt Dr. Hans. Assistant Pir. of Surgery, Univ, of Heidelberg 'So Bpital, Beckcr-Frcyscng, Stabsarzt Dr, M» Coordinator of Aviation Medical Research, Öfif'icc 'of Surgeon General of the GAP. Bensingcr, Pr. Theodor, Medical Res*arch Installation, Erprobungstelle der Luftwaffe, Rcchlin, Bingel, Stabsarzt pr, Ncuropsychiatrist, leader of the Sichtungsstelle and TJntersuchungsstcllc, Oslo, Norway. Busemann, Pr. A* Research Staff, Herman Göring Institut, Volkenrode. Buttner, Dr. Konrad* Biophysicist, Univ. of PUbingen, Cibls, Prof, pr. Paul* Ophthalnologist, Eye Clinic, Uhiv, of Heidelberg, Dach. Dr. P*. Psychologist, Kronberg near Frankfurt. Pcssaga, Pr. Hans* Helmholtz Research Institut, Brannenburg am Inn. Ehrenstein, Prof» Dr. M. Psychologist, Xerckhoff Institute, ~ Had Nauheim. Erenzel, Prof., Hr. H. Prof, of Otolarynology, Univ, of Heidelberg, Gaucr, Dr. Werner. Asst. Prof, of Physiology, Univ,. of ' Heidelberg. Geissenddrfer, Oberarzt RudolphT Assistant Dir, of Surgery, Univ. of Heidelberg Hospital. Gerathewohl, Ur. E« Psychologist, Medical Research Institute, GarnischAPart c nki r c h cn. Geyer, Stabsarzt Dr. Horst. Nouropsychiatrist, Luftwaffe Lazarett, "Hallc-töhlau, Heinrich, Hr, Helmut. Research Staff, Graf Zeppelin Institute, Hellpack, Prof, Ur. M. Psychologist, Univ, of Heidelberg. Hens dike, Prof. Dr. U. Director of the Medical Research Institute, Garmisch~Partcnkirchen. Herwig, Prof. Dr. B. Psychologist, Brunswick. Hollv/ich, Pr. Fritz. Ophthalmologist, Luftwaffe Lazarett, Ober-F&hring, Jarisch, Prof. Adolph. Prof, of Pharmacology, Univ, of Innsbruck. - Keidel, Dr. VJQlf-H)icter. Medical Res* arch Institute, Garni sch-Partenkirche n. Knacke, Dr. Theodor. Research Staff, Graf Zeppelin institute^ Knothe, Dr. werner, Chief of Research, Medical Research and Training Cent Jüterbog. Koch, Prof. Eberlord. Physiologist, Univ. of Giessen, Kornmüller Stabsarzt Dr. dE. Research Staff, Kaiser Wilhelm 1-istitute for Bin in Res., arch, Berlin-Buch. Krant, Dr. Heinrich. Biochemist, Kaiser Wilhelm Institute für Arbeitsphysiology, Dortmund. Kreipe, Ob#Reg.Rat. Dr. Karl. Psychologist, Güttingen. Kretschmer, Oberfeldarzt Dr, Ernst. Neuropsychiatrist, Univ. of Harburg. Kr o eber-Kenneth, DrT L. Psychologist, Messerschmitt Co,, Augsburg, Kyrieleis Prof. At Prof, of Ophthalmology, Univ. of Giessen. Lcinung, Oberstabsarzt Dr, Dir. of .Administration Office of the Surgeon General of the GAF. Lersch, Prof. Dr. P* Psychologist, Univ. of Ilunich. Lutz, Stabsarzt Dr. Molfgang. Research Staff, I- via t ion Medical Research Institute, Freising. Luxemburger, Oberstarzt Prof. Dr. Hans. Consultant for Psychiatry to the Surgeon General of the GAP. Matthes, Dr. M. Dept, of Internal Medicine, Univ. of Leipzig. Metzge, Dr, Erwin. Psychologist, Heidelberg. Middende,. f , Dr._ H. Psychologist, Ilunich* Mueller, Dr. 1,. a. Psychologist, Kaiser Milhelm Institute, Dortmund. Rein, Prof. Friedrich H. Prof, of Phjasiology, Univ. of Güttingen. Rocdor, Stabsarzt Do. Fritz. Kaiser Vilhelm Institute for Research in Netropsychiatry, Munich* ,(h Roso? G. Generalarzt, Chief of Preventive and Tropical Modi- cine, Office cY the Surgeon General of the G/F", Rose, Dr, H> Staff, Eye Clinic, Univ. of Güttingen, Ruff, Dr. S. Director of the *vi -virion Medicine Institute, German Research Center for . viation, Berlin. Sander, Prof, Dr. F. Psychological Institute, Univ, of Jena, Schaeffer, Dr. inns. Director of the Kerckhoff institute, Bad Nauheim. Schneider, Oberstarzt Prof. Dr. Kurt* Director of the Kaiser Mi In elm 'institute'1 f or'Psyc'h'iat r y, }-1 un i c h, Schocn, Dr. Rudolph.. Cnief of Medicine, Uniyr of Güttingen, Sehrooder. Generaloberstabarzt. Surgeon General of the German AirForcUT T ' Seiffert M. Prof. Prof. .Otolaryngology, Ear Clinic, Univ. Heidelberg. Spatz, Stabsarzt Prof* Dr. Hugo* Brain pathologist, Kaiser Milhclm 'Institute for Brain Research, Berlin? Störring, Stabsarzt Dr. Gustav. Neuropsychiatrist, Luftwaffe L a z a r o 11,r P r. r i s - C' 1 i c iiy. Oberstarzt Prof. Dr, H. Director of the Aviation Medicine' Rest arch Institute'' of the Rcichsluftfahrt- Ministerium, Berlin, Taggescllc, Oberstabarzt Ernst. Commanding Officer of the Halle-Döhlau Hospital of the OF. Tönnis, Oberfeldarzt Profv Dr. W. Consultimt for Neuro*- SUrgery to the Surgeon '(xcncral of the OAF. Tetter, Dr. August. Psychologist, German institute for psychological Research and Psychotherapy, Berlin. Voigt, Pr. H. Psychologist, Univ, of Jena. Villihgcr, Stabsarzt Dr. Uniter, Chief of Sichtungsstellc, Luftwaffe Lazarett, Ober»Föhring, rAigner. V; . J. Psychologist, Univ. of Frankfurt. Uecker, ( . Lerfe'.darzt Dr. H. Luftwaffe Erholungsheim, Kitzblihl. r.Terz, Dr. R.V. Staff Member, * viatlon Medicine R-search Institute:, Freising. r.Teltz, Oberfeldarzt '-'rof. c^/.. Chief of Wintion Medicine Institute, Munich. Ultte, Dr. VT, Psychologist, Univ, of Heidelberg. Zjclsc. Dr. L. Psychologist, Munich. . REFERENCES , 1. A.D.I.(K) Report No. 34-6/194-3. Tile GAF Medical Services "Y. (In German). 2. A.D.I.(K) Report No. 34-7/1943« The GrAF Medical Services II, (la German). 3. Aero-Medical Section. Office .of tlie- Surgeon, TJSSTAF (Rear). Preliminary Report of Interrogation of Certain High Staff Officers of the Luftwaffe Medical Service^. 16 July 1943. 4. A.I.12 y/21 Report, Organization of the GZF Medical Services, * [Tn Sc man). 3•'. A.1.12 Y/21A Report. G'F Dental Services. (In German) 6, A,1,12 Y/21B. G/F Medica 1 Reports. (In Gcman). 7, AlrxandcrMaJ.. Leo, Treatment of shock fron prolonged . Exposure to Cold, Especially in vTater. C.I.O.S. . Black List Item No,24, Medical. 8, Ärztliches, Bericht und Mcldowosen der Luftwaffe im Kriege DlLuft) 2?0X ' 9, /nwejsung für den Zahnärztlichen Dienst der Luftwaffe im Kriege. . 1 11 '* ' '' 1 " T rr* 10, Directions for the Selection of Flying Personnel. Published by the Oberkommando’ der Luftwaffe, May 194-3. (English translation), 11. Directive for the Field Medical Officer, Prevention of " iSuicidc, Issued by the1 Surgeon General of the G'F. May 1941. (Republished Oct, 194-2), (in Or.man). 12., Directive for the Field Medical Officer. Special Medical *7 Installations' for Flying Personnel, Issued by the . • . . Surgeon General of the G/F, Nov, 194-3. (in Goman). 13» Directive for the Field Medical Officer. The Evaluation of Homosexual cts, Issued by the Surge on General of , the G'F. June 1944. (In German) 14. Directive for the Field Medical Officer. Einzclanordnun- gcr No.11. Issued by the Surgeon General of the G'F, Dec. .194-4, (In German). 13. Driest, Oberstabsarzt Dr. Military Mental Hygiene. ' - (In German)', 16. Ehrenstein Prof. Dr. Malter F, 'Die Optischen Täuschungen als Kriterium der Ermüdung. Industrielle Psycho- technik. 1943/44.’ Heft 1/3, Seite l8 - 20. 17. Gcrathewohl. Dr. S. Das Personaleignungsprüfungswesen der Luftwaffe. 18, t KornnütXerrT)r.'':/r.3-« Clinical Electroencephalography, 1944* ( in German) • 19* Lovelace, QQ1, V. Randolph and Mulff, Lt, Vernon, Evalu- ' .ation of' Targcts^Invcs^igatecl7 and Sumiiary of Informa- tion Obtained Pertaining to Res» arch in Aviation Medicine for the German Air Force, July 1943* 20. Luxemburger, Oberfeldarzt prof. pr, Hans. Instructions for Writing Psychiatric Reports 'for Military Courts, 1943. (In German), n. Medical Research Institute, Garnisch-Partenkirchen, File of Res arch Reports, — 22.. Regulation of the Medical Examination for Flying Dutyf ■' L. Dv.' 94 (In Gcman). 1 • *’ . , 23- Report of Meeting of Luftwaffe Pathologists in Freiburg, . i 1; '" March 1942 . Brain Injury. aus dem Gebiet'der Luftfahrtmedizin, published by the Surgeon General G/F. 1942 (Ih,German)f 2.4., Research R.-port NO 18/43 from the Luftwaffe Kurlazarett, Oberschreiberhau, fratigue Conditions in'flyers. Mitteilungen aus dem Gebiet der Luftfahrtnedizin, published by the Surgeon General of the G/F, .1941 (In German), .... -A *J.-: ■ V1 i » m ’ ‘•t - •; « 23* Rose, H,M, and Schmidt, I, Influencing Park Adaptation, 26, Sammelheft; Markblflttor fur den Sanitüts Dienst* H.Dv.209; M.PV.2H4; L.Dv.HOO. ' 27, Schreuder, Col. Otis B.; Ball, col. George; Campbell, ' Col, Paul a. ; Fitts, ' Lt.' Col. Paul M, \ Sueeley', Maj. Milliam F.; Van dor leide, Cipt. Caret,. Assembled .. Interrogation Reports. '■ Ac romc. dicht Section, Office Of the Surgeon, TJSSTAF (REAR)» * < I ' V • ;A . • 28, Strughold, Prof. Dr, H. Speed in Mar and Physiological . » '• -Latent Periods, / 29, Tennis, Oberfeldarzt, Prof. Dr. M. Directions for the • A Pr( atment of bullet wounds of the Brain and the Evalu- ation of the Residual Condition, 1942, (In German), 30, Mehrpsyenologisehe Mittel1ungen. Inspection für Eignungs- untersuchungen (OKH) • Berlin EM 7: Published 1939 c thru 1942. (In German) ■-y~r: - 31, Mujff, Lt, Vernon I. Report of Investigation of Targets 'A pertaining -to Aviation Hedicine,. 32, Vorschrift über Militarflrztlicho Untersuchungen der G yMehrmhchtjr-.• H, Dv-* £3201, M.Dv, £4H-1, L,Dv# 399-1- APPENDICES 101 APPENDIX I HISTORY OF DEVEL0KI5NT ÖF TW. G. ..P MEDIO.'L SERVICES h IST GAT Of lidM/LOf 1MT 0/ THd G.J? / DDICML SAdVICMS 1 Ober Kommando der Luftwaffe Genst. Gen. gu/Ghef dos Sanitatswosons 23.7.1943. • •Subject: Sanithtswoson dor Luftwaffe. TO : O.K.L. Control Warty. In 1933 v.iion tho GAP being formed, tho r.iodio >1 service was under the Surgeon Go no ml of the . axiy. In the ’ dnistex-ium for dr, 1 noetic al depart- ment i,xd organized undor a colonel no "ho xd of tho department1'. In professional matters the Surgeon General of the -.my was hie superior and in .all others ho reported to the Chief of the Goner'.1 Staff of the. G f. As tho G.f? grow larger, tho professional cor:und-relation with tho Sur con General was resolved. ‘Thu r'.odic.al depart riant bcoano ‘Medical Inspektion” (abbreviated L. In. Id-) and the he ad of the * Iodic al department became Inspector of the Medical Service. At thi time tho nodical Inspectorate cane under the connand jurisdiction of the ■•'Goneralinspolrbcur” of the GTJ?, as did other Inspectorates mhiach were organized at tho sane tine, such as fighter and bonbor pilot con lands, .anti-aircraft and covxamicationc. This command relation changed during the •.rar at tho tine that tho office of tho Chief of the Luftwaffe was nade independent of tho Goneral- inspoktour and given command over several Inspectorates including L. In. 14. Tho connand relation changed again when the various Inspectorates ■ lentionod above boo ano organizations headed by Generals undor the Chief of the General Staff, and on 1st April tho Inspectorate of the jfodical Service bee ano uChof des Sanit dtsa/osens dor Luftwaffe" under corxiand jurisdiction of tho Quarte rmastor Go no r al. -ft the tine of the establishment of L.In. 14 the table of organization was as I have drawn it fron memory in a chart.’ ' .‘hen ’ ar broke out, six consu.lt.ant speci alists and in addition the nodical staff of the Inspectorate for .air Defense (L.In.13) wore assigned to L.In.14. During tho a rar the table of organization needed to. bo enlarged as the field of work extended. The gaps in tho chain of command were closed first; later on, positions ash ich thus had boon created are re fitted in with the plan of organization of 19-«-3* In it, all divisions are represented in a way commensurate arith tho extent and the t ask of tho 1 iodic al Service. There was no curtailment because of the - war. Therefore, one say consider this table of organization rightly .as a product of a. ar experience; it is co: iplote and has been prepared mmst thoroughly. i , / Tho further development of tho war necossitatpd economies in certain fields, /ill work which a.aas not os leirtial to tho war effort had to be discon- tinued. Tho numerical strength of all staffs as reduced continously so as to free officors\and men for service with tho troops. The various reductions made for this reason produced the organizational chart of 1943. The sections-report: .and statistics were eliminated. That department a:as intended to collect ' documents and to work them out after the war. Other sections wore stron ly o t/ curtailed as the Surgeon General was able to take over some parts of them and simply reduce others. The total of work became smaller vhon the fronts drew shorter, further economy was .achieved by having- one* medical officer cover both a section and a sub-section. It mail be noted that the six consultant special- ists to tho Surgeon General of the G/J? are no longer on the organizational chart of 1943. This does not mean that they fell victim to tho economy. To- gether with former consultant specialists of the commands, they are entered as a special group “Science mad Research" in tho 1 bdical Academy of the GAT. Tho •'Science ana mosearch group1' and it a consultant specialists and advising specialises ('./ho were called in for extraordinary projects) formed .a scientific advisory body to the Surgeon General of the GA7. moreover the Ac ado: ly had three teaching' group 3 for students and an ’'Institute for ’Hit ary Hygiene” which was in the process of being built up. Detailed information about the. training and positions of medical officers has been presented on a separ ito sn^oo. The scientific institutes together ,.lth their special field of work, loaders and co-workers are listed on .another page. The chain of coixiand and its relations in the Aodical Service also has been drawn up. In the nodical Service a differentiation should be made, between the ordinary "and professional nodical chain. All purely military natters folio'./ the former, all nodical matters the litter. The nodical officer can bo sii a unit and a professional commander; for instance ho can bo the loader af a nodical company, senior officer of a Lazarett, and com rand ant. of an ambulance group. Or, if ho has no nodical dctaohliont under his command, he would onl3r be the professional commanding officer, for instance as Luftlotte physician. This arrangement determined the channels through which a/question which could not be settled at the lower echelon was preferred for decision. A purely nodical question of prevention of disease would for instance pass from the local medical officer to she newt higher medical officer, for instance from the Luftg.au medic ■!1 officer to the medical officer with the Luftlotto to the Surgeon General of the GA?. a purely military natter, for example, guard duty, billeting, or ,a report on vehicles of the" unit, goes from the loader of the medical unit to the next higher commanding officer. In natters of personnel this can bo the Luftgau ■ iodical officer, who v/ould be both ordinary and professional commander. If he cannot decide ho consults the next higher echelon, in this case the Luftgau. The details can be seen in the chart. Signed Professor Schroder (Appcndico’ a removed) for complete report see Deport US ST. *37 (Dear) Aodical Services of the G.A? dated 12 July 19 Ap. ..PPENPIX XI OPq;.HIS. TION C:i RT OF P'F G f. « Oli GSP High Command Sir Officer Commanding in hief Drsatz GSP Chief of Dng GSP of GSP M/T Director o !* Supply Chief of Tech Sir Srmamcnt Organization ORGSHTRATIONSL CHART GSP (Sbbreviated) SUI'REivE GOimiSiiDER Of1' G A. P Roichministcr for Sir Sllocation of Supply ✓ i juartermaster General *i Sllocation of aircraft Director of Medical Services t GSP Ground or cos Director General of GSP Signals I OKL GSP High Command Chief of Mr Staff — i I Courier Service I Sir Transport 1 Chief of Operations Staff SECRET APPENDIX III PRO- M-TIZ.,TX0N. L NR FUNCTION L (EI RT: SURGEON GENERAL OR THE CVF. SECRET c* t? p T-i -p rp > Jit Vv JA i. APPENDIX IV c-i.in jp ;iedic;l coiaiand sioving CORRESPONDING- OPKR, .TIOP' L LEVELS SECRET | Flakkorpsarzt iHakdivtslonarzt r | Chef des San,Wesens der Luftwaffe b t e i lungs a r z t | O/R ledical • iff! 1 Ellegerkorpsa rzt i Luftflottenarzt j Grupp enarzt j I > GT7 O 'Rank! 4 GHRIN OF MEDICAL- COMMAND SHOWING CORRESLOLDILG OLERRTIONRL LEVEL! Luftgauarzt I Orderlies L-oxil# |Befehlshaber-Luftgau | Gruppe j • i 1 Staffel 1 v | Geschwader !— Jlakbatterie ! Oberbefehlshaber der Luftwaffe Oberbefehlshaber - Luftflotte j “ 1 jfflakabteilung Kdr. Gen. ILLiegerkorps or Division I 1 jfflakregiment I 1^.,. I I Kdr. Gen. Plakkorps! f (Extracted from (K) Report No, 346/1945 SECRET SECRET /PPENRII V t GRhPHS D'lG TNG INCIDENCE OF DISUSES IN THE GAF a. Techself iebcr (llalaria), b. Fleckflobor (Typhus). g. ’ Typhus unci Para typhöse Erkrankungen (Typhoid \ and Paratyphoid Fever). d. Ruhr ( (Bacillary Dysentery, e. Darnkatarrh und May on d arnk a tarrh (Gastro- enteritis), ) f. Tuberkulose d„ tnungsorgane u.d. Brustfells (Pulmonary and Pleural Tuberculosis), ßc Syphilis, ho Tripper (Gonorrhea), i. Diphtherie. • j. Scharlach (Scarl&t Fever) k. Erkrankungen der Haut (Skin Diseases), Note; The figures shown in these charts may be mislead- ing as the entries for the figure ’hone’1 appear very similar to entires for the figure "seven”• The seven may be identified by the crossed line similar to a capital ”F”, S E C R E Wechselfieber (Ma la ria) Flekfieber._ Typhus und paratyphöse Erkrankungen [ RuhHBaz/lten-Pseudo-ftuhrI7 Darmkatarrh und Mögendermkaiarrh. Tuberkulose d.Atmungsorgane u.d. Brustfells. SyppJliA,' , Tripper. Li ’ , : 1 Scharlach. Erkra< SECRET /-PFERDIX VI PHYSIC.'L EX'HINDTION ID CORD — - ■' SECRET SHefe# 3euqni# barf bem Unterfucfcten nicht ou#qcbänbtq( werben. Hnterfud)ung#fteUe: Nr. ♦ ♦ 2l*5tUd)e3 $auj)tunfer fud)ungS=3cuöttiS übet für £uftn>«ffe ttitb fibilc (SRotorfUtg) (in te *öon bem ju Umtetfm«rhä(fntffe ber Familie (ifctontfebe unb anöete »ifbtige Krankheiten finb omngeben, ebenfc bie rtroaige Cobesurfad>e unb bas Cobesalter): Cftern: öcftbroijler; ärogettern. Sinb insbefonbere in ber Familie oorgekommen: (abetkuMi? Heroen- ober äeifteskrankbeiten. Selbftmcröe, £runkfurf>f? 6eH mann ifl ber ju Untetfudjenbe oer betratet? TBieoiel Kinber bot er? @inb Cbefrau unb Kinber gef unb, ober rooran leiben fieY Ärantyeiten in bet Äinbbeit (Tnafetn, 6arlad> mit ober ohne 'Oeglehkrankbeiten, engliftbe Krankbeit, Keud>buften. ‘Driifenerkrankungen ufio.)? Äranfbetten im fpäteren *211 ter. 2 fUfrtftwfl! 9»b< frfgt ift »tätigt 3»it bet grftawt»»g, »»> frola— Um» feW^mal Ärantycitcn benkatarrb,Cungenkatarrb u(ro.)? '©rultfell-, Nippenfcllentjiinbung? Nftbma(aud) $}eufd>nupfen unb oerroanbte Krankheiten)? Nnbere Krankheiten her Nfmungsorgane: ©elenf-, Äer$- unb (jjier ift autb on)ugeben, ob mit Niidcfidjt auf bas f>erj oorubcrgebenb ober bauernb geroiffe Schonungen oerorbnet ober an- geroanbt rourbenl)? v2lnftecfenbc Äranfbetten (>. lö. 'Diphtherie, Nubt, Nlalaria, igpbus ufro.) (Eingaben ber Krankbeits- erfrbeimmgen unb ber Kuren?) Würbe eine Wutunterluchung gemacht? Wann unb mit toelcbem Ergebnis? (Erfranfungen ber öaucbetngeroetbc: Nlagen- unb ‘Darmerktankungen (auch geringe 1)? ftelbfucht? Nieren- unb Wafenleiben? Rubere Ceiben ber öaucheingeroeibc töallenltcine, öollenblafenenljünbung, Wurmkronkbett, Ceiflenbnuh ufro.)? Äautfranfbeiten: tn#befonbere; Krämpfe (auch auf einzelne Körperteile befcbrankte)? Obnmacbtsonfälle (aud) fogenanntes 6d>led)troerben ? ScbroinbekmfaUe ? Nligräne ober anbere Kopffchmerjen ? Sonflige Nervenkrankheiten (Zähmungen. Neuralgien ufro.)? acbtangl 3»be frraflc tft Urtcct)Iel)? s2lugenfranfbeiten? Unfälle, äußere 5?ranfbetten, 'Berwunbungen, Operationen? Sonffige nicht erwähnte ftranfbeiten i$üx b*n Gutachter kann aurb eine frtjeinhar geringe Krankheit toithfig feinl)? Ruraufenthalt in Jöetlftätten, Sanatorien, 33abe* orten ufw., wann, wo, au* welchen ©rttnben, auf welch« 3ett unb mit welchem Qfrfolge? ©ebiauch non $aba!, Morphium, Rofain ober bereit. V Welchen Sport bat ber Unterfucht« getrieben? i Sportab jeichen nnb befonbere Ceiftungenl 3ff ber Uuterfuchte bereit* geflogen? (j?ur>e Sthilberung feiner 51ieö«tgefcbiSal#umfanci: cm ©<$ilbbrüfe: (bei tpaaflereebt erhobenen ‘Jlrmen ju mellen) nad> ftorkfter Sinotmung : em nart) ‘Rusatmunfl; «m teibumfanti (übet bem “Robel gemeflen): cm Äbrperbau; ®anq unb Äaltunci: ftettpolfter: £>au( unb fltfctbare ©enbuna äußerlicher Heilmittel ober fönfpri jungen: Prüfen. ®elen(e: folgen früherer Unfälle, 93ernnmbungen, Operationen unb xSRißbilbungen: ober anbere ferologifcbe Unterfud>ungen: (io#an erforberlid)) Vvgenkfviib: : Unbebaut unb £ibränber: (Jortn unb ®ro&e autp im rieflcnfeitigen ‘öeraleid)); ‘Reaktion auf Citbteinfall: V.'.: beim Sebeo in 6ie “Kobe: ,CR.: : <‘2lccomcbatton ('Rnflabe 5er Unterfud>im{isarf unb bes £raebni|li‘s): 'Doppcltfeben; ®eftd)t*felb: 5 AV. 'T'atuin; Stilling }u prüfen. ‘B#i Reblern. ‘Angabe ber ‘Auflage unb bet tafeln, bie nid)f ober nict-.t richtig erkannt a>pri>»?n.> - '^Jitqoub’.ntcrarunb celjiciftung (b. b. ohne ©idler» 3*.: lJ.: fbfcbftrfc <5. b rorh Ausgleich burcb ©läjer); 9v.: Ü.: itat#», 9lafe«», Oftrtnbefttnbt Trommelfelle: ('Prüfung mil ,3äblen), Anjcichen für <5d>alleiUirigs* ober Sdiallempfinbtingsftorungen: A in C. in sp y<4vv 1 m Snlfernung m Sntfernung 5 iimciannng bet inneren Organe: £mtgenbefutib: (Srganjung ber fpejicllen QJorgefchichfe nach nochmaligem befragen; (5orm, ‘öerpleitbunfl betber Hälften, ‘fleftboffenbeit bet öcblüUelbeinflruben ufm.|: unb auSfultatorifcher 93efunb: urf: 9^5n(genbefunb: * £er*befuub x (Ergänzung ber fpejieÜen 93orgefd)i***) noc$***) nad)***) •) nart> 10-maligem ‘Selteigen eines Stuhles innerhalb 30 Sekunben. •*) in bet Tllitle bes Oberarmes in SVrjbche b. fyftolifthen ttnb biaftoliJd>en ‘Druck angeben. Angabe, ob in HjO ober Hg. *••) o*itobIldnbe nad) innefjen bes Unter|uchers. Nr. 9tame; Qatum: bet ©efäfcc D?önt aui 3ungenbij>norb»?n ad)t?nf) , . 3abuc (Angabe, ob geniigpnö ftaupinbpiten, oö*r b«banölungsb«öiir}tig* John* ootbonben. Umfang unö Si$ non feftpm oö*>r lo|pm oabnwfotj.) imbaut: l’bib: (‘QMbung und Spannung, ‘Druck- unö ftiopfmpfinMid)kfit, ‘HMbktflanbf, ((iSienjpn. SublbarkpiD: (&renjpn, •: bii»d)<: Bef «Hb bc» d«»li* Utib @effbled>Hot9<***«: CJVnwtkt» Störung*« 6*r ‘ftiptwr- oö«r anb Angaben bierüber) Äant: ftarbe unb $)urd)fid)tiqfett; öebiment; 0pe}tfi|'d)c* (Verriebt: (Jitoeifj: Sucfer: . Blutbcfunb; (roenn nbtiq): Nr, Earner 3)atum 9iettYolo0if$*d>aratter6lpgifd>e Untetfitdmng Qrrqäntfunq bet 93orqefd>icpte QtrbltCpe (l.KerDcn*eiben, ‘pfytbofen, 5runkfuirniwruen: 0pracbe: 9}ZotUität (probe Pfraft, TTIuskeltonus): 0cnftbilität: iSebnen- «nb yvautrrfiexf): befiele, (Vlotnberg. dang mit offenen unb ye[(bio|]eiten Vluyen, ,3eiye- oerjud) ufro.tr «Pf**«: 9\obuft ober fenfibel: l’abtl ober ftobil: Vebpaft ober qleicbmtitiq: 0d)laqfer(iq ober qcpemmt 9lufmerffamfet(: $lnpaf|unqtfäpiqfeit: jufaramenyefebte Subflantioe): Äcpfrecbnen: Untetierg. groben ou$ bem 0cbul- unb SUlqemeimmffen: Verhalten bet ber Unterfucbunq: 0onltiqe$ unb 3nteUtqenMaqe; Datum: Nr. Earner (£ltbtt7teil (au# 93br(*efd)td)te ben Ünteiiud)unq#eraebniffcn auf 6ette b unb ber mneren«neuroloqifcb-d>arafterolo9ifonuh*ben. nb 5ft llntetfutbte in allen "Dunklen ben Dorgelduiebenen entfpridit.) 9*rt »er (Strtetlung be# eine ‘■Racbuntcriucbunq erforberlid) eber ert ? <"}lngcbe. auf m'ltbem Äcbiet unb aus roeltben <$riin5ea.) Unterfcbrift öes 5er SHctferunlfrfurbimflsItelle S E 0 £ E T APPENDIX VII / k PRINCIPLES OF CONSTRUCTION OF LODERN MILIT RY NOSMT'LS i SECRET SZ C 2 A T on gongt auction on nod: an IIILITAAY HOST ' * Site. Tho sito of a projected hospital should be chosen so as to extend as far as possible to the South and amay fron military installations, factories, railway stations etc. Suitable mater and drainage facilities should bo con- sidered in the first instance* The size of the site rill bo determined by the number of bods required, a general omrking fomula being 200 square metros of land per bod projected. Sufficiently largo hospital grounds are important in the case of a military hospital because'a soldier unliho a civilian patient can only bo dis- charged rhon ho is comploioXy fit for duty and provision for sports and open- air games under medical supervision is of prime importance. Size of Hospital» ( \ N , / The number of bods should bo calculated on tho basis of the military units situated in tho region of tho hospital. This is generally calculated as follors: 4‘ of tho strength of tho nearest garrison: of the surrounding military units vho have no other modical facilities. Tad area covered by the hospital's responsibility rill depend on transport facilities, but tho tendency is to take in an area mithin fO kn. of the site. Hospital'Building. The trond in modern military hospital construction is amay from the pavilion systom and back to the block system. ..11 sick mards should bo located in tho same building* a/ith tho exception a small isolation ward ah ich should bo connected mith the main building* by a passageray. The sick a sards should face south, and should be fronted in the case of tho ground floor by a vide terrace and inNtho case of upstairs floors should be frontöd'by a balcony. These balconies should not bo Vidor than l.p/2 metros to prevent overohadoalng the ground floor. (See sketch at the end of this appendix). , Tho ring in ah ich patients are treated should be .at right angles to the sick mirg, generally at the middle, of the block, 1 i ‘m Ap far as possible architecture should conform to the surroundings, e.g. brick buildings ahoro this is cor.im.on, artificial stone ashore stone buildings predominate. Tho value of tasteful! decoration .of halls, staircases, etc., cannot bo over-emphasised. / Tho basic 'principles governing internal arrangements are that all avoidable noise, should be kept amay from she corridors occupied by the patients. To this end; it is .advisable to ensure that the main entrance* is not located at tho main southern frontage, that tho sick rooms are at least jjO metros from a road- may, that out-patient departments pith their inevitable traffic do not intrude upon the'mards, and that tho distribution of food and servicing* traffic does not interfere v/ith the patients. Ud)I (K) Sc port No. pAp/lG-m;) S ZT G A Z T q n r> p 4. ü. _ iS Ü. 1» In my viow it is absolutely essential that doctors* and nurses' living quarters should not bo located in corridors adjacent to the »octduns. Sections» The size of the section will dopend upon the size of the hospital but the following sections arc more or loss standard in the Luftwaffe. Section 1 - Internal diseases. 2 - Surgery 3 - Shin and V.D. 4 • - 4 - jdyos p - liar, nose and throat. 6 - Nervous and mental disorders» 7 ~ Dental and jaw injuries» 8 - Observation. In the Cr.A.3?» Sections are built up upon a unit of 35 bods called a :iPflo20einhcit‘' (nursing unit). a nor. lal ward consists of two aflame einlie it on, i.o. 70 bods. Nach Nflogeeirihoit consists of tpe nur.ber of roons necessary to accommodate 35 beds, the requisite number of nurses roons, 3 baths, 8-9 washbasins 4-3 lavatories, one storage roon, one room for the II.0» of the 3?f legcc inheit, one ■ rocn for his chief nurse, and one room for the day and night watches. S sc,. No oms« The 35 beds' of the fflogoeinhcit will naturally be accoir. 10dated in a number of rooms, each room being callod a “sich*’ roam. 35 cubic metros are given for oach bod, .and with an average ceiling height of 3*3 - 3*5 'metres, this corresponds to to square metres of floor space per bod. '/revision should exist for sub- dividing: a room, so that a sub-division housing one or two beds for officers or the the seriously ill, can be made. A sick roon has normally four to six bods, but with the original provision of 10 square'notroa floor space per bed, six bods nay be put into a four-bod room, and eight to ton bods can be placed in a six- bod room with safety. Treatment T'.'inrw This usually opens out from the middle of the block and perpendicular to it in such a way that treatment rooms arc on the same floor as the corresponding ward. Auxilliary accomodation for each of the eight types of wards already lists- arc as follows: » Section I. 1 examination room ' " ’ 11 % 2-3 1 ab o r at o r i a s / 7 ; ■ . 1 room for oloctro-cardio-aranhv ... 1 spare room. .... 1 q * i - 1 n —s -iL id. JL. SIC SIT Section II Operating theatre for sepsis, with 2*~3ö square metres floor space, and not roe high. 1 room for urclogical treatnont (largo hospitals only)* 1 room for pi actor dressings* 1 dressing roe-:::. x 1 sterilising room 2 rooms for preparing operations. 1 I'. 0' j roon and 1 Nurses* roon Section III 1 Dxasiin. alien roon. , i . 1 Dressing' roon (also minor,surgery) 1 laboratory 1 infection roon (gonorrhoea) ' Section IV, V & VII.' Dach has 1 examination roon and one ope r ating the atre. Section 'Vi & VIII 1 oxaninaticn reen each. '■ » Sffi v pa h Jt Section IX. 1 oza dnation roon. i 1 lying-in ro .::. (Wa,rd IX operations are carried out in Ward II). Physical Therapy Department.. / In this department all physical therapy is done. Depending-upon the sine of the hospital there arc either three or five baths for nodieInal or carbon- dioxide - oxygen air bubble baths, and one tub for under-as box* i.r~v»J kj rvvo * A bath- siso of 5x5 root res has been found host, and each bath is separated fron its neighbour by curtain. Boous path a single bath arc not considered advisable as ventilation is bettor and certain claustrophobia effects are avoided in a large roon with several baths, dm exception to this however is made in the case of sulphur baths where odours would bo objectionable in a communal roon. One type of medicinal bath had boon found extremely effective for rheumatism,’ neuritis and general exhaustion. This is called the ''Stangerbad". It is an electrical bath in which the patient sits in a solution of tanning bars, through which an electric current flows. \ - , . -V ‘3® The bathing departments in moat hospit.als also include one or two rooms for electro-therapy, a hot-air bath, a massage room, a small gymnasium and dressing: rooms. q -.1 p *n rp O Xu j.C -uj x ■ I s.21dl Pharmacy » t Tho pharroacy of a Luftwaffe ho a pit -.1 had to copo not only with the demands for medicino made by its own doctors, but also with tho requirements of troops in tho vicinity, (i.o. Air Force personnel). The pharmacy is run by a civilian *. ith the rank equivalent to Hauptmann. Tho location of the pharmacy should bo such that messengers calling for supplies for outside units do not have to traverse tho hospital. In modern hospitals, tho pharmacy is usually near tho main entrance. The pharmacist has a proscription room and tho necessary equipment for making up his medicines. Tho greater part of medical preparations however are- available in standard packages, tablets, tubes etc., and tho vor: of tho dispensing chemists is confined to special prescriptions. Tho pharmacy consists generally of ono room for the dispensing chemist, a smell chemical laboratory, a room vhorc bottles can be washed, and a special small store room for keeping inf1 a ratio liquids. Kitchen and Laundry.: Both of those should be located to ono side of the main building in order to avoid inevitable odors reaching thb sick block. The ideal arrangement is to, provide a passage-./ay - sometimes underground - from the kitchen and the laundry to tho collar of the sic]?: block. Beth food and linen can bo wheeled along this passageway to the sick block cqllar, end thence taken up by lift to the ward itself. In addition to tho general kitchen, a. special kitchen should be provided for patients requiring special cooking - up to one-third of the tot el of patients. This should bo completely separate from.- the general kitchen, and must bo entirely self-sufficient in equip»lent .nd stores. \ Tho 1 aundry should bo equipped v/ith the usum.l -ashing*, drying and pros sing machines, and should also have provision for repairing damaged laundry. mortuary. This should contain a small chapel for funeral services abutting on a parade ground whore tho parade- for a military funeral can take place. It should also bo equipped aith a post-mortem room, a small laboratory, and refrigerating plant. Tho Boiler House. t This should contain not only tho hot water system for heating wards And , quarters, but should also house the plant for producing high pressure steam for sterilisation purposes. The boiler house is -.Iso the/ best place for an incine- rator for the destruction of usod dressings and similar refuse. Tho boiler heuso should incorporate a ooal dump ',/ith a capacity of one-third, of tho yearly conou. ration. I quarters. . hAicro the isolated location of tho hospital makes this necessary, special quarters should be provided xof unmarried medical officers, nurse,s 'and civilian Jr omployoos. Tho folldairg particulars are regarded as fulfilling the require- ; :onts. O *1? n * •» rn O iJ ,,w J'J i q —1 n -? - > qi g g \j jX . _l For • bdieo.l Officers - 1 bodroou, 1 living* room, giving a total area of 35 square Metros. For Kurses - 1 bodroon, 1 living roon, total 30 squaro netre s. For nodical Orderlies- A single roon. Id- square uotros floor area, (Sorgoant rank) S helical Ordorlios (CorporpJL rank) - $*12 not res floor space in noons housing 2-4 Men. Apart fron the foregoing, it v\s gorpr.il practice to _ provide Military, quarters for contain Moi.ibors of the staff, v-hich had to bo paid for by the individual fron his Military pay. In this essay I have given i.hat I consider to bo she essential details in tho construction of a, :::olorn Military hospital. Those hove vor are the bare essentials and -a full description of such a hospital Mould necessarily extend far beyond the scope of the present paper. One basic principle should bo adhered' to on all quest! ns concerning a idlit .ry-hospital - to retain as far as possible a. Military' atmosphere. The soldier. :auot receive all that Modern medicine can offer hi::, but he Must not bt estranged frcM the Military it:..osphere into *iilch ho has boon conditioned. GSNER.iL LAYOUT OF A MILITARY HOSPITAL PXon of Ground Floor E = administration F = Chief MiQ, G- = Theatres for Curgical Ward H s X-ray J = Storerooms K = Ear Rose & Throat Clinic L ss Eye Clinic M = Recreation and Rest -dooms N sp Skin and V, D, Clinicj (Extracted from D, I. (k) Report No, 346/1945) SECRET SECRET ...PPENDIX VIII OHG- E:i2.VriQN 7.vND strength QE L 50Q BED L/Z .RETTE RECHET APPENDIX VIII Organization and approximate strength of a Lazarett with 500 Beds. Section I • . • « Internal Medicine ... * 150 Beds Section II • • • Surgery 150 »1 Section III . • • Dermatology and Venereal Disease 75 »,» Section XV . • • Ophtalmology ...... 50 «» Section V , f • Otoiarynology ■. I 50 n Section VIII • t Aviation Medicine (SichtiJngs Abteilung) . > 40 »1 TOTAL .. 515 Beds Section VII . * • X-Ray Department without beds# Personnel. He ef Off. -itin. e,nf *1 :pl. Assist. (Boy do : ] did. T bn. i Gornui Civil Pcf Unpl. G ro s 3 Nurses. Ldor ; e r 3 • Chief Physician (Colonel or General) 1 'Executive Officer (Gnpt .in) 1 Dentist {C vpt dn) 1 dinrnncist 1 let Staff Serponnt 1 Bookkeeper {3/Syfc.) 1 ' bfie d. Supply Clerk (T/Syt.} 1 Genord Supply Clerk (Gpl.) 1 ■>-ßoour ( j/S.pt*) 1 Sterilization roon dtcnf uit (3/s-t. s 1 Dent d Technician (T/Spt.) 1 Hyfro~thorvpist (T/spt.) 1 »ssistnnt Ph\mncist (T/Syb. ) 1 .issistnnt Phnrmcist (fordo) 3 Lebordory Assistent (T/Syt. ) 1 L ibor dory . ;soist.-mts (for de) 2 Dent d .ssistnnt (foi ide ) 1 1 Chief Kurse 1 Technicians (fr: do) 3 Dioticinn (ferde) l Phy eic d Ins brueto r l Attendnnt (fende) 1 Pin nice d'ployeos P Finnncc . \ 3 sist sat (T/Syb.) 1 1*033 Corpord 1- , dt ..nclnnts (fende) 2 Offioo Perconncl 2 Oherne of Puertors 1 G erfnor 1 Chief Housekeeper (fe.de) 1 Housekeeper (fo’ide ] 1 L '.borers SO Drivers 3 Soot ion I Intern d . .gficine o 1 l6 1 II Surpcry o P 3 13 1 III Dorndolopy f V.D. 1 3- 1 " IV Oohtdnoloyy n I 1 5 1 ” Vd.K.T. 1 1 6' 1 X~P\y Do pert; lent 1 1 r>\ , Section VIII Avidion No Heine {3 ichture; s Vote i lunp) o Cm 1 d* 2 13- 4- St'. 30 OO j 83 TOTAL: : 204 Persons. per every 100 bees, there ere 3 ? lolled interns mil 3- stufend nur SC 3 . SECRET /' F'PHNDIX IX Cö};Y OF TPIR UNIT SICK REPORT SECRET tefcfer irurbe an qefanbt. 21$. 4<>s ,>?i. 40 ach. Anlagen; jebntägiger l^onatlichcr OurrtijlrcuhCii Sruppenfranfennachioeie Dom 194 bi* 104 (i'cr utjnidaiae 3eifabfrf)nitt umtofif bie 2Jtonat«taue 1,-10., n -20. unb 2» bn* riona’atoluji) über Dm $r. ftr.Stadjtpeid ift tjier nur bie bee iruppenteile ober truppenoerbanbe? anuiacbcm 1. i)ie 3f!flörfe betrug: Offiziere i Beamte 2 Unteroffiziere unb DDIonnfdioffen 3 ineoefomt 4 barunter befanben fid) JJtonn. Rranfcntraae? ♦> 7 V II. ttron fcniiberfidrt i 25c(Tanb cparcn i 3uqdnq on ;Dcrtpunbun* acn unb (Sr* anberen franfunactK burd) lycinb' Slranfen citttpirfunq » * CU trurben bchanbclt I 4) 5 '■Jibqonq uu» Pci truDPrnarjfii-t'tM .'VbonMunq un£> ollr -Ti'N r’tiilr lot h.Do ■f'UoreUen in* anber. (rumme biemt* 33cr)lorbcne finb , . .. Hbit) in Meter ('Pulte «N«1'« •9 nubi retf fia*l h uia»ci'en) u 7 s u io 2Vtanb blnben a| Offiziere bl Beamte c) Unteroffiziere unb inonnfdioffcn d) (Summe e) txmmfer befanben fid) »mannldnjftcn unb Hraiifcii trover III. ©ie Sobcefol lobrofdll Ic oerteile 1 ill C n fid) ouf: ©er Sob trat ein infolge Offiziere 2 Beamte ♦ Unteroffiziere u. 3}tannfd>aften 4 (Summe 5 herunter befanben fid) -mann» ftbaften unb 9ran?cntraaer 6 a) IZenounbunq unb Otrfranfung burd) ftcinbcimoirfunq bl Unroll c) (cinfdjl. ifiimmcluna mit cm Slueqoru d) ftronfbcifen e) (Summe f) barunter burtb d)cmndje VTamPf* »Tctfc f£)iefe Zahlen muffen In be run ber jCuerfbalfe al enthalten 'em) IV. UeriniMe *1 bapon rourben öicnftunf<5if>iq entto >»■' Loaer Nr M47 k H«d 8; n jrschwci 3 Br-r'in 2 44 ? Ten: o mit * b) ohne JTe n'oeaunti Purser Bericht über 1. a) gehäufte* Iftuflreten ppn übertragbaren unb gemeinoef<5brlid>en (Srfronlungen, über ibre Urfadjen u:.b getroffenen 23orbcugung*mo£nobmen: bi allgemeine gcfunbbeitlitbc 3krbdltnitle unb JJiaHnabnen; - 1 » 2. Erläuterungen ber ftampfiloffberlefcungen. . 3lr.‘3i famen in Bugang megen; a) Stogenreijtfpffe c) erfliifenbc Rumpnloife b| 31afen* unb Ttacbenmjtforfc d) dfeenbe u, fontfige (^ittftoffc / 3. (frlduterung ber bei vXr. 3hi\ 3ir. 12 *ugcgangcncn wran!bcit*fdlle nod) ftranfbeiteart: Q „ m h * * rf b „ *> i * 4. E* »mb enthalten im 3tai1>a\ 34 Erfrantung on s>bbeUfranli>eit 5. Unter ben Begangen fmb enthalten; bei ttr. 3lu>. 37r. 13 unb 15 Dturffolle unb 5olgeerlranfungen 14 UMcberbolunqefuren. M *' ¥ , ben 1ienft#ra& un& 0«« ftomman&far^ ,Uf, Otfn'Uraf unt> OirnftrtclUmc C« hfn^trnNn ««(mitdWo^Uicr#) APPENDIX X AIR TRANSPORT RAPORT Original for director of G. .H. I Ad. Sorv. Copy for Central .archive for : odical 'JC GO 1*3 • rltondant. .0. or : .odical LI.C.O* .. X ........... Hounded or injured Sick * Paooorroro tod oittin. ; bed sittiny ,) aion-jij i voio ito ____ A-ZZZZZZZ3ZZZ H 6 t ¥ hot il Total Total Total t/j r: ü o i-j a s< rr 4 ooi pint ion ■ t.. Hunninp; Nano, first n a id, Er.to ITo. of Birth. In caao of nood, no. on idontificr- tion dine. i ~~ i 1 Tot a r Extracted fror. Ho port .■ üSSTPj3?/T 21b “'Ho die. ul Ho porting System of alic Gr.n.f. ■ SEC RET AI-FENDTX XI TRANSPORT REPORT SECRET Dispositions - Pesu.lt ant total fit for duty; to pother died b.ack to unit nodical o s t ab li shho nts Tho nunbor of PDA. ’s is to bo given in brockets in tho respective columns; tfroy are not included ?n tie other figures. ■ Nunbor and nature cf major surgical pporations if spaco is not sufficient, use back of page. To........ ( Signature and I., ink) in ........... fron ............... 80 ’clock to . t o’ clock Transport .do port Nature. Previous Attain slops Not fit for total * tr insport fit to Pit to bo tr imported ualk t sitting lying \ Designation of sending -authority to Luftgau. Deport 'founded Gas casualties Sick 1 Extracted fron Deport AI—12/U3ST-U1/Y 21 b n-oaical Deportj_ng -> v of tho G. v.P. q -p n r> y* rp Directions for filling out the form, the following is to be noted, * a) Designation of the number of the duty ambulance flight or the designation of the flying formation must always be shown under "Unit to which A/C belongs.” Field postal number is not to be given there. In case the A/C must start again before the form can be filled out, the information for the headings can be obtained from the log book. b) In cases where the patient is unconscious, and if there are no personal papers in his possession, at least the number of the indentificatlon disc will be put in column 2. q) Columns 4 to 7 are to be filled out with special care. In the appropriate column a nlM is to be placed. d) In cases of passengers, who are transported in a duty ambulance A/C, the names and units of passengers transported in duty » ambulance A/C must be placed in columns 2 and. 3. In columns 13, the reason for the transport must be given (for example, ''courier”, "for leave” etc.) and a ”1” must be placed in column 8). e) In column 9, general designation of illness is to be avoided if possible (for example, "kidney trouble”), and in its place, the specific diagnosis should be given (for example, "kidney stones, right", or ndphritis” ).. Only in this way is a scientific evaluation poss ible), f) The exact date in column 10 is only necessary for wounded cases, ■ g) It should be shown in column 12 to what hospital the wounded or sick is intended to be sent after leaving the A/C, since only in this way can track be kept of the casualty and information as to his whereabouts supplied. h) In each case the total of the appropriate vertical column should be placed over the word "Summe” (total). The remaining blanks at the foot of the form are also to be completed for each transport flight. SECRET APPENDIX XII AIPCR FT /CGIDENT REPORT SECRET Örtliche gtugunfaffmetöung. i f)| Oftuflcr; (ftohcit» i-wO (SrffnmmgiMriftjen) '2>or- unö 3uname öetf ftiuo^ugführerd: (Scburtötog unö -ott; 3)icnflgraö unö SDtovflfU’Rt: £cgtc Unterjochung ouf ftUpnertougf}d>feH on in Ö€T 3tugm« Olr. (Snöuiiril. A. ©d)iK>erung öeö l(nfnfft>ergangö: San. -W3} (ni*u 'Jteibwaim & . (Jrfuti ö. 33erfH*lteit öeä {JlugaeugfüfKecä: a) tufen d) SMegt dn Verflog gegen gef reiche ober fonfHge 3?odd)dfteii berl r fceidjtfinn c) 3fi ber Unfall ri getftigen obre tf)atof1eiUcf)en Unfähig Wl für We Xflttgfeit alo ? fj ©tmülgei. b) JJsilU- n) Me -Oerlenunglcn) fmrcf) beffm *nncb ftae öff ktjn. octjutn m. imo hm en tan ia\a Uh"0■•< un? Dutch (peldje d) v>t> roirft ök botauakcbtllrfK OUntoirfung III. ©or Miö im. bfffndltdje i>er£>cm6- n D. 0&5uftlon: il C- ■ )• ■ ;vUf*’ £ if;nr, ci*) (Unteriftjnft) Tlnmc, enftfec.^eicf)nutig, Pirnftfielfr v . v, ; fit mvr : fl ir. i-’Ulfi Pfitttf lecKbfnmfdU# au- UiuoQ'r SECRET AFPE! ID IX XIII DESCRIPTION. OF TESTS SECRET RESTRICTED APPENDIX XIII Description of Tests Used by GAP Psychologists 1, siting AN ESSAY Hypothesis. This test was thought to measure general intellectual ability and capacity for abstract thinking«. Description. One or more essays might be required. The candidate was permitted to select his subject from a list and was told he could write in any way he chose. Three distinct types of subjects were used: a, A list of abstract subjects such as "Plying with Gliders*' or "Culture and Civilization", from which the candidate could choose one; b, A series of pictures from which the candidate could choose one to write about; and c, List of subjects that wore very personal, such as "My most embarrassing moment", from which the candidate could choose opp, * Time Limit«, Twenty minutes was allowed for each essay. Scoring, The examiner spent from ten to fifteen minutes scoring each essay, Although no standardized grading system was used, the following outline includes the main points that the examiner tried to consider, a. Ability to organize and to use imagination. Understanding the theme« Organizing thoughts. Developing abstract ideas. Overall effect or Geslalt such as form, content and neatness, b. Type of thinking. Direction of thinking - concrete or abstract, subjective or objective. Umfang *- depth and flexibility of feeling. Course of thinking - logical, directed, intuitive or forceful, c. Style - simple, clear or complicated, d. Ripeness of thinking. Overall result. Balance between ability and will to express himself. Originality, e. Characterological analysis. The side of the personality most touched upon. Personal maturity. Sincerity, , 2, VERBAL MEMORY TEST Hypothesis«. This test was designed to measure verbal memory. Description» A paragraph containing twenty key words was read aloud twice to a group of applicants. The first time it was read slowly and special emphasis was given to the key words. The second time it-was read at normal speed and the meaning of the whole paragraph was emphasized, At the end of the second reading the candidates were given another test, usually the mental arithmetic test. After this test was completed, candidates were asked to write down as completely as they could the paragraph which had been read. An alternative memory tost of lessor difficulty containing only ten key words, was available* Equivalent forms of each test were also available. RESTRICTED R E 3 T R I_G TED Time Limit. Liberal. Scoring. One point was given for each key 'word reproduced exactly and one half point for each word for which the meaning only was remembered. Norms. Score,, Hating. 20 9 18 - 19 8 16 - 17 7 14 - 13 6 12 - 13 5 9-11 4 6-8 3 4-3 2 0-3 1 3. MENTAL ARITHMETIC TEST. Hypothesis. This test was designed to measure ability to concentrate and facility in numerical operations. Description* Ten problems in arithmetic, ranging in difficulty from ”8 + 4 3” to ”16 + 3", were read aloud rapidly to a group of applicants who wrote down the answers. Then the test was repeated with a second similar series of ten problems. Time Limit, The' first scries was read in thirty seconds; the second series in twenty-four seconds. Score was the number correct. Norms. Score. Rating, 19 - 20 9 17 - 18 8 15 - 16 7 13 - 14 6 11 - 12 5 9-10 4 7-8 3 5-6 2 0-4 1 4. ARITHMETIC PROBLEMS. Hypothesis. This test measured speed and accuracy in computation and in solving simple mathematics problems* Performance was thought not to be influenced by the amount of mathematical training in school. Description. The test comprised two printed pages. The first page contained twelve problems in addition, subtraction, multiplication and division. The second page contained eight problems such as the following; ”The price of an airplane is 6,000 marks. A man saves 120 marks a month. How many months will it take him to buy an airplane?” Time Limit.for the entire test was 8 minutes. Score. The number correct. RESTRICTED REST R_I CTED Norms« Score. Rating. 20 9 18 - 19 8 16 - 17 7 14 - 15 6 12 - 13 5 10 - 11 4 8-9 3 6-7 2 0-5 1 5. JUDGMENT TEST. Hypothesis. This test was designed to measure practical judgment Descriptionc A printed group test was used containing several items, each of which described a problem requiring practical judgment for its solution. An item, for example, might be the description of a problem facing a troop commander who must reach an objective, and who has three routes open to him: (l) a direct route which is under fire; (2) a longer route across a bridge that is partially damaged; and a route across a lake, where no boat is available. The candidate was required to write an account of what he would do in this situation, giving the reasons for his action. Time Limit. Liberal. Scoring. Subjective, No single choice was considered the correc answer to a problem, but emphasis was placed on the reasons given for a particular choice of action. 6, MECHANICAL COMPREHENSION - MOVING PICTURE TEST. Hypothesis. This tost was designed to measure ability to understand mechanical principles. Description, A moving picture containing animated drawings of fifteen different mechanical devices was shown to groups of candidates. Afterwards each candidate was given schematic drawings of the devices and required to describe how each apparatus worked and to indicate the function of important parts. Time Limit for completing the answers was liberal. i Score. Credit was given for each item if the principle of operation was understood correctly. Half-credit was given in doubtful cases. Norms-, Number Correct, Ra tins. 15 9 14 8 12 - 13 7 10 - 11 6 8-9 5 6-7 4 4-5 3 2-3 2 0-1 1 7. MECHANICAL COMHIEHENSION - INTERPRET IRQ- DRAWINGS. Hypothesis. This test was designed to measure ability to understand mechanical principles. RESTRICTED RESTRICTED Description«, A simplified version of the motion picture mechanics' comprehension test, this test consisted of a schematic drawing of a rather complex mechanical device, accompanied by a brief description of the device. The candidate was required to write a general description of the device*; explain* ing how it worked and answering several general questions on its operation, .Alternative questions were available. This form was used at times as a substitute for the moving picture test. Time Limit, Twenty minutes. Score, Sub j ective, 8. MHCHriKICAL TEST. Hypothesis., This test was designed to measure practical mechanical ability. Description0 The candidate was shown a mechanical device which had been token apart except for one or two pieces. The general purpose of the device was explained. He was then required to put it together. The device was made from gears, levers and pulleys, but in its completed form was unfamiliai to the candidate. Several alternative tests were available. Time Limit, Liberal, Scoring., Subjective, • Emphasis was placed on the manner of work os well as on the final result. Several correct solutions were possible, 9. GENERAL OBSERVATION TEST, Hypothesis. The test measured ability to recall accurately observations of events and happenings. Description, Five minute sequences which had been seldctetjL from popular movies were shown to a group of candidates. The candidates then were asked to write a description of what they had seen, noting exactly what had happened, especially f .'temporal sequence of actions. Time Limit, Twenty minutes were allowed for writing the description. Scoring, Subjective, Maximum credit was given for exact observation of events rather than for description of individuals or places, 10, DISTANCE PERCEPTION - HOHQPTOSCOPE. / Hypothesisc This test had a dual purpose. It was designed to tost distance perception and was also believed to indicate lability of the personality structure as revealed by the Kovarianton Phenomena of Jaensch and Fisher, The apparatus consisted of an oblong box fitted with an eyepiece. The interior was uniformly illuminated. Three parallel black horse hairs were suspended inside the box. Two of these were fixed and the third could be moved toward or away from the observer by means of a wheel on the outside of the box. The test was given in two parts. In the first part the two fixed hairs were both 30 centimeters from the eyepiece and the task of the observer was to adjust the third hair until it was judged to be the same distance away. In the second part of the test, one of the two fixed hairs was at a greater distance from the eyepiece than the other, and the task was to adjust the movable hair until it was judged to be in the same plane with the,other two, i,e,, until all three hairs were judged to be on a straight line with respect to each other* .but at different distances from the eyepiece, I / RESTRICTED RESTRICTED Time Limit» Liberal, Score _was the average error in millimeters. H. DISTANCE PERCEPTION - HERRING-* 3 PALLING- ilPaRäTUS. Hypothesis» This tost was designed to measure the ability to judge distance from binocular cues. Description» The candidate observed through an eyepiece as marbles were dropped at varying distances from his eyes and estimated the distance of each. Ho could see only the marble as it fell and not the hole through which it was dropped«, This test was duplicated to some extent by tests given in the medical examination, and was later discontinued, probably for this reason* Score, was the average error of estimation. ; * T1 ,'“t ' 12, EXNSR’3 SPIRALE. Hypothesis. This test was used to study personality'structure. Description» The candidate was required to fixate on a black spiral (Exner’s or Plateau’s spiral developed about 1850) for three minutes while the spiral was rotated* He then was told to fixate on a white background and report what he saw. Score. The time of the beginning and end of the after image was recorded, in average duration of the after image was considered good and a: extremely short or extremely long duration was thought to bo bad, • 13, iUBERT TEST. Hypothesis, This test was employed by Jaensch over twenty years ago in the study of personality structure. Description. The candidate wore a pair of special lenses which made all straight vertical lines appear curved. His task was to adjust a line, which was actually vertical but appeared to be curved, until it was judged to be straight. This was done by operating a hand wheel. Time Limit. Liberal. Score was the amount of curvature put in the line. Certain limits were considered normal. More or .less than this amount was believed to indicate either an extremely labile or an extremely stable personality, both of which were considered undesirable in aircrew members. 14, ORIENTATION TEST1. Hypothesis. This test was designed to measure the ability to remember the direction of and relationship between various points that had been observed» Description» The test included a period of preliminary observation followed by two sub-tests. The candidate was first taken for a walk during which 10 to 12 points (targets) in the town were pointed out to him. He was then returned to the testing station and taken into a room in which there was a large circular tent. Examiner and candidate entered this tent and the entrance Was closed in such a manner that the point of entry could not be detected. In the first sub-test the candidate was required to indicate, by means of a large pointer located in the center of the tent. RESTRICTED RESTRICTED the exact direction of each of the targets that had boon pointed out to him, Ifext “he was told to imagine that he was at one of those points and to indicate the exact direction from this point to each of the remaining targets. In the second sub-test the entire tent was made to rotate in one direction while the candidate and examiner walked around in the other direction until the candidate was completely disoriented. The interior of the tent was relatively dark during this time. The entire test, as previously administered, was then repeated. Next the candidate was told that the first target was not where he had just indicated it to be, but in some other directior (this direction was shown). He was then required to re-orient himself and give again the direction of the other targets. Score was the number of degrees of error made in indicating each- target. Special attention was paid to the last port of the test, 15. REVOLVING CHAIR TR3T. Hypothesis, This test was designed to determine how well an individual could orient himself by the use of auditory and visual cues when these were in conflict with sensations of movement. It was on adaptation of the Barony chair, N ' . \ Description. The test was given in three parts. In Part 1, the candidate was blindfolded and seated in a chair which revolved around a vertical axis through its center. The candidate was instructed not to move his head. The chair was given an initial push of sufficient force to produce about thirty revolutions and allowed to coast to a stop. The candidate'was instructed as follows - ” During the test, tell us: 1, Whether you are in motion or at rcst$ 2, In which direction you are turning; and 3* What sensations you experience”. The chair was rotated several times in each direction. It was reported to be very difficult for the candidate to perceive the exact moment when motion stopped. It was normal to experience an after-sensation of turning in the opposite direction. The duration of the original sensation of movement of the actual turning and of the ofter-sensation was noted. In Part 2. the candidate was shown a metronome which was fixed to the wall and which ticked several times a second (a rote faster than the speed of rotation of the chair,) The test was repeated, and the candidate instructed to "talk about all you feel and hear". It was noted whether the sound of the metronome enabled the candidate to report correctly the moment when he stopped turning and to recognize the after sensation of movement as being false. In d'art 3. the candidate’s head was placed in a small lighted box which was fitted to his shoulders so that he could not see out. In the top of the box, but in his field of view, was a pointer, attached in such a way that it was "always stationary with respect to the rest of the room,. The candidate was shown that the pointer did not move when the choir was rotated and assured that v:there was no trick". The test was then repeated, ' It was noted whether the addition of the pointer enabled the candidate to report correctly his actual movements and to recognize the after-sensation of movement as false. Time Limit, Variable, but might be as long as X minutes, 16* COQRDIIiVTIGN TEST, Hypothesis, This test was designed to measure ability to coordinate hands and feet in response to a pattern of visual stimuli. r RESTRICTED RESTRICTED Description. Developed in 1938 after the first description of the original Machburn Serial Action Apparatus appeared in print, this test resembles the present 3.A.M, Complex Coordination Test of the AAP. Convent- ional stick and rudder controls are used to activate rows of lights arranged as a cross with a horizontal bar across the bottom*. o o o o - o o o o oooooooooo oooooooooo o o o o oooooooooo oooooooooo One light in each doubt row was lighted by an automatic control device and the task of the candidate was to match these lights by the appropriate movement of stick and rudder. The apparatus presented twenty stimulus patterns before repeating itself* A practice period was allowed during which the candidate could familiarize himself with the apparatus. Score. Time required to make forty settings, .Alternative Administration Procedures, This test was frequently administered immediately before and after the Vertical V/heol test. This was done in order to determine whether being rotated ih the wheel caused any decrement in performance on the coordination tost. The apparatus was also equipped with switches which enabled the operator to reverse the relation of the controls to the lights. The directions used when the test was used in this way were as follows; "You should try the apparatus once more. This time, after each reaction, I shall turn the switch-over button, so that the coordination of the lights to your controls is different. You must by experimentation, determine what you must do and thereafter react. There are four possibilities which I shall show you now, (Each of the four switch-oVer positions will be shown , and practiced. The trainee should not impress upon his memory the possible coordinations, but merely know them, .after each single reaction the switch- over button will be turned by the examiner, 'The candidate should not know what coordination is to be used. He should find out by experimentation what he has to do in order successfully to carry through the necessary reactions)0, 17. COMPLEX REACTION TEST. Hypothesis, This test was designed to measure speed of response to a variety/- of visual and auditory signals requiring discriminatory reactions of both hands and feet,. The variety of stimuli and controls made the task somewhat complex. Because of the pressure on the candidate to react correctly yet very rapidly, in a novel situation, the test was believed also to measure temperamental and personality characteristics. It was designed i originally by Rieffevt, Description, Cn a screen about one meter square could presented automatically a solid white circle, a solid red-circle, a solid blue circle, the black outline of a square or the black outline of a circle. A bell or buzzer could also be sounded. The candidate was seated facing i,ue screen at a distance of about four meters. Before him were three large hand levers and two foot pedals. One of these controls had to be operated in response to eqch of the different signals* One control could have npre than one signal,. RESTRICTED RESTRICTED Stimuli Were presented automatically and for only a limited interval. Whether or not the candidate responded correctly, the next signal appeared after this fixed interval. A total of 330 stimuli was presented during one sequence» Two complete sequences were usually given to each candidate, \ * Limit. Each sequence of 330 stimuli required eight minutes. Score. Number of correct responses. Subjective observations of test behaviour were also made, Validity. No validity data were available, but it was stated almost universally that this was the best of the tests for pilot selection* Portable Fornb A portable and revised model of the Complex Reaction Test.was developed by Dr, Mierke of the G-erman Navy, The apparatus was contained in a compact carrying case weighing less than tweniy pounds total. Behind a small glass stimulus panel a red, green, yellow, blue or white light could be made to appear. The candidate wore earphones and the sound of a buzzer could be given in either ear, Dive push buttons, corresponding in color to the stimulus lights, had to be pushed in response to the light signals, A right or a left toggle switch had to be thrown in response to the buzzer signals. The apparatus was capable of further variation by switching ‘ on an alternate panel of stimulus lights or a multi-colored drum, by changing the position of the 'five colored push buttons, and by substitution of two foot pedals for two of the buttons or for the two toggle switches. Stimuli were presented automatically for short fixed intervals of time and the score, which was scored” by a counter, was the number of correct responses, 18. VERTICAL V/HBEL TEST. Hypothesis. This test was designed to determine whether- a man was disturbed by being placed in a very unnatural situation, I’ Description, A largo vertical wheel, approximately ten feet in diameter and several feet wide was used. The candidate was placed inside the wheel, fcacing the center, and strapped securely to the rim. In each hand was placed a reaction key. He was then blindfolded and rotated. While being rotated he was required to say when his head was down and when it was up, to react with the hand keys to auditory signals, and to solve simple problems in mental arithmetic. This Test was also used in conjunction with the Coordination Test, Scoring, Subjective. 19. TEST. Hypothesis. This test was designed to measure agility. Description, The- candidate stood on on unstable platform and attempted to remain balanced and in an upright position. His coord- ination was observed, ' Scoring. Subjective 20. SPORT TESTS. Hypothesis. These tests were designed to measure, coordination, physical agility, strength and endurance, \ Description, The tests were given on an athletic field and included the following: RESTRICTED RESTRICTED 100 meter run Broad jump ' Jumping over obstacles Shot put Chin up I Obstacle Course 3,000 meter run In addition, taxing was sometimes included« Scoring. A point system fox* each event was used from which a total score was obtained. Observations of general performance and attitude, also were recorded, / # i 2!. PERSONAL QUESTIONNAIRE, _ • \ ' Hypothesis. This blank was used to secure perbonal data about the candidate. Description, The blank comprised two double pages and contained questions regarding the age, education and health of the candidate, his parents and family background, interests (especially in technical fields), special skills, flying experience, and similar biographical information. Answers were written out on the blank. Time Limite Liberal, About 13 to 20 minutes was required« Scoring, Subjective and unstandardized, 22. ANALYSIS OP HANDWRITING, ——■■— —» Hypothesis. Following the classic work of Id ages (Graphologie von Ludwig Id ages, 1932), 0 great deal of attention was given to studies of handwriting. Each year a special course was given in Berlin to train examiners in this art. It was believed that handwriting revealed intellect- ual ability, temperament, will, feeling and mood, maturity, pathological trends, and spiritual qualities, ("Nevoe"), Description, Samples of handwriting from the essays were used for this analysis. Scoring, Subjective and unstandardized, 23. ANALYSIS op speech and voice. Hypothesis. This yas part of the charactcrological examin- ation. % Description, The candidate's manner of speaking, voice quality, and other speech characteristics were observed. The impressions gained in this way were used in arriving at the final analysis of personality, 24. ANALYSIS OP FACIAL EXPRESSION- MOTION PICTURES. Hypothesis. The technique of photographing and analyzing facial expression followed the methods developed by Lersch and was employed chiefly for typological study, * Description-, A camera was operated from behind a one way screen and with a masking noise so that the candidate did not know he was being filmed. Pictures were taken during an anitial interview. An effort was made to create a vaiiurty of moods. At one point the candidate was required to withstand the shock from an indictoriurn, the strength of which was gradually RSSTK1CTED RESTRICTED 7 increased until he cried stop, At another point he was required to lift a heavy weight. His facial expression was filmed during these activities. Scoring, Subjective, 25. GROUP DISCUSSION, Hypothesis, Thistest was used in the study of personality and leadership ability. Description, The procedures used in administering the test varied. One method was to place a large picture on the wall and instruct the candidate to discuss this picture before four enlisted men "in such a way that the soldiers will contribute to the discussion". Other methods were to assign a general topic for discussion, or to have the candidate make a short talk on a semi-technical subject and then lead a discussion* after- ward. Time Limit, Variable, If the candidate did well and satisfied the examiner the tost might be terminated quickly. Scoring,,, Subjective, The candidate was judged on ability to express original ideas, to see things that others couldn’t, and to stimulate ideas in others, Attention was paid also to personality characteristics, 26. ORDERS TEST-, Hypothesis» This test was designed to test ability to direct the activity of other men, to secure their cooperation, and to accomplish a practical task. Description,/ The candidate was brought into a room in which there was on assortment of equipment and four enlisted men. He was told to take charge of the enlisted men and accomplish some practical task, such as constructing a bridge, or arranging the books in a library. Another variation of this test was for the candidate to bend a wire into a geometrical pattern, demonstrate the procedure, then have each of the soldiers make a similar pattern. Originally several observers wer? present, but during the war this test was given by the examiner. Time Limit, Liberal, Scoring. Subjective, Attention was paid not only to the outcome of the task, but to the manner df giving orders, the degree of cooperation secured from the men and the degree to which the candidate participated in the actual work himself, 27. OBSTACLE COURSE. Hypothesis, This test afforded an opportunity for judging the motivation and determination shown by the candidate in the face of obstacles and great physical exhaustion. Description, The candidate, dressed in full field equipment, was sent through an obstacle course. The course was such that no one could complete it. However, the candidate was expected to keep at the task until he became exhausted« He was deliberately criticised and various things were done to discourage hinu After the test was over, however, he was told that he did well, i N Scoring-. Subjective, Special attention was paid to the candidate's willingness to keep trying even when he became exhausted, to the reserve forces he could muster, and to whether he went to pieces at the.end, or retained control of himself. RESTRICTS!) RESTRICTED 28, CODE -APTITUDE TESTS. Description. Two code aptitude tests were used. One was recorded on phonograph records and could be used as a group test. Candidates judged whether two groups of code sounds were the same or different. The other test was given by means of a two way key and earphone set, . The examiner tapped out a signal, which the candidate attempted to repeat as exactly as « possible. Score, . The score of the first test was the number of correct items. In the seoond test the examiner made a subjective rating of performance* 29. EXPLORATION - FINAL INTERVIEW Hypothesis, This interview Was designed to permit the examiner to formulate a final impression of the candidate. It was scheduled last so that all of the information from the preceding tests would be available, and was supposed to provide the final opportunity for evaluating the "total personality". Description, The interview did not follow any fixed pattern and no set questions were asked« Many of the points covered in the personal questionnaire were discussed. Special interests, likes and dislikes were explored. In the examination of officer candidates substantial emphasis was placed on cultural experiences, knowledge of art, literature, and philosophy and upon socio-economic level. Educational background Was also studied carefully, ' Before the war it was customary for several examiners, including the medical officer at officer recruiting centers, to attend these final interviews. During the war, however, interviews were between one examiner and one candidate. Time Limit, Indefinite, but usually varied from 20 to 60 minutes. I RESTRICTED SECRET —■T —' —— •— —— APPENDIX XIV BATTERY OF TESTS USED AT LIJETa-.U RECRUITING CENTERS SECRET RESTRICTED APPENDIX XIV Battery of Tests used at the Luftgau Recruiting Center at Hamburg in 19^-0» 1, PILOT AID NAVIGATOR TEST BATTERY. First Day (G-roup Tests): Personal Questionnaire Verbal Memory Test Mental Arithmetic Test Mathematics Test Y/riting an Essay on a G-eneral Topic Observation - Moying Picture Test Mechanical Principles - Moving Picture Test Mechanical Assembly Test Code Recognition Test Sport Tests Second Day (individual Tests): Distance perception - Horopterscope Distance Perception - Herring’s Test Exner's Spirale Aubert’s Test Orientation Test Revolving Chair Coordination Test Vertical Y/heel Third Day (individual Tests and Final Interview): Complex Reaction Test Orders Test Exploration 2, BOMBARDIER, GÜNNEH AMD PARATROOPER TEST BATTERY. First Day (Croup and Individual Tost): Personal Questionnaire Verbal Memory Test Mental Arithmetic Test Mathematics Test Writing an Essay on a Ceneral Topic Mechanical Principles - Moving Picture Test Mechanical Assembly Code Recognition Test Code Reproduction Test Distance Perception - Horopterscope Distance Perception - Herring's Test Sport Tests Second Day (individual Tests and Pinal Interview): Coordination Test Vertical Y/heel Complex Reaction Test Orders Test Exploration RESTRICTED SECRET ; PPENBIX XV '.L REPORT SECRET 21. Rr.tr, < Aut fcxt.iismcpn. ±. Cfb, Pt. b. 0225/ Dr.IÜ/Re Beotb. Ot. M 34C/40. Rnnohme(telle 3 (üt Oflljlcconmäctcc Der Cuftrooflc fl b | ifa c 1H. München - 0.7.« , ben 22. Juni 1933« Bgnungsbeucteilung von B e r g. h steht haltungs- und nivssnmBesig Über des Durchschnitt »einer Altereksneraden. Er ist ein frischer, offener, stets einsatzfreudiger Jungs.Bit soldatischer Be» geisterung und soldatischem Empfinden. Der Sicherheit und Be üt Iran the it der Haltung nach süssen entspricht such innere Disziplin, Festigkeit und Beherrschtheit. So vorig er sieh f rlT elos durchzusetzer. und Geltung zu verschaffen. Von seiner guten geistigen Begabung nacht er selbständigen und regen Gebrauch. Ex- ist bei aller praktischen, aktivem Einstellung nicht ohne besinnliche Kote, die ihn nicht nur kritisch, sondern auch einfOhlend den Dingen nachgehen lleet. Aue' für kulturell-geistige Güter uad Tcrte let er auf to- se hloooen und empfänglich. Seine Arbeitsweise ist überlegt« gesarawlt und sachlich, eodeee ihm der entsprechende Erfolg nicht versagt bleibt. Er wird sich als Kamerad und Führer gut bewähren. name VOIi. B O T ß h Dotnome ’"Olfgftrg Geburtstag 22. C. 1921 Geb.-OrtR avolrlinua OWL, Ptüftogel9«J?0, ur.d 21. Jvr.i 1939 pcufott Künehen - Oh«?rw* c^erfeld. Beruf unb Rnfthcift bes Datecs ilauptcumn in Stabo der ?'chrei*rf*.ta-Inoi>cktion, U 1 ■ Denen. Gemelbet für Fliegertruppe. Ootgefehen für tn AitA|cluip; Ger.» Dr. Middendorf. BOß. Ret unb roiffmfdioftlichet Prüfet Gcz.» Dr. AmUd. Reg. Rat unb miffenfchaftlidier mUpcufn Jüt die Richtigkeit Rbfduift: München - o.V.,U 22, Juni 1939. .o. m Oberstleutnant und Selter der inn a line a telle. Cos.t A 1 s f a I 1. i"’® Ce>let b«t flnnahmeflelle Gcz. i Zcl'd ,;cr. Ob-tit. unb mililarifchcc TTlilptufer unb mililarifchcr niilptufet Eignungsgtab Voll geeignet. 3ut flusbilbung als Jlugjeugfühtet Geeignet. 4 Ausfertigungen t * Anaferttgwag« tfb. He b. G. 126 Dr.m/ße, Geatb. 11t. 11 174/40 H b | tb c H t. Riuiohme(tellc 3 (Ut OltWeconmBctet öec Cu|tmo|te München . ben 19. Ual 1939* (Orll eignungsbeudcilung Die intellektuell-geistigen Fähigkeiten von Weber sind ln ganzen ansreichend. Wenn er sieh über eine Sache Gedanken nacht, welea er selbständig zu urteilen und vaa er sum Thema vorbringt, 1st überlegt und hat Hand und Fuse. Das Gesamtniveau der Persön- lichkeit 1st als einfach anzusprechen. Was Weber fehlt, ist schnelle Wendigkeit und ra&ohea Anpassung*- vermögen. In seinen sehr ruhigen Temperament, das Ihn leicht matt und langwellig erscheinen lasst, aktiviert er sich schwer, seine zähflüssige Wesensart läset ihn nur langsam und allaähllch zur vollen Entfaltung und zu nachhaltigen Kräfteeinsatz kommen. Zumal als handelnder Mensch 1st er wenig fix und gewandt. Gerade in Situationen, wo es auf schnelle Umstellung und Reaktion «rf rasch wechselnde Umweltsverhältnisse ankomst, versagt er. Charakterlich 1st er offen, gefestigt und such seinen Pflichten unterzieht er sich willig und alt Hingabe. Die Hauptbedenken bei Weber richten eich gegen seine Einstellung speziell bei der Flieger- truppe. Da er Jedoch an einer Übernahme als Fahnenjunker bei ande- ren Waffengattungen keinerlei Interesse hat, sondern ausschliess- lich eine fliegerische Verwendung anctrebt, nass bei ihe von einen Tor ching ale Fahnenjunker bei der Luftwaffe abgesehen werden. Harne Weber (loinUitnnamti Botnome Walter Geburtstag 2.3« 1922, Geb.-Ort Hürnberg, p**. 10. U. — «• «* MM» M- « 1 n c h « a B„u, „„t flnlduijt *. Oatets Kfm. At,t.llun4mUltmr, äiümbmrg-H., rtm.8, Gemelbet für Fliegertrupp* Dotgefehen für V ... \ ’ Eignungsgcab Hloht geeignet. Dec nuefthup: t . A Ref'«Rat un& u)i(Ien(chaflichct Ptufet Reg.Rat unö tmfTenfchoftlidicc ITlitpcufer Jüc bie Richtigkeit bet flbfchcift; München J 19« Hai 1939. \7l Obstl. uni) feilet ÖMkRnnahmc(lellc Hauptm un® uiilitütifrtiec ITIitpri.fcr uni) mililöt>(chet Tllitpcujcr Jut flusbilbung ols Jlugjeugführer Wicht geeignet. SECRET APPENDIX XVI 1 / , r ORGANIZATION CF .TPHO-MEDIC.' L RFSI1 .RCH of germ/ NY SECRET i M— Rors ahungsf uhrüng d, Luftwaffe Irof, Georgii I- Installstions 27 £ 29 If Installation involved use of Ministry of Education funds, facilities and personnel, there was also coordination with that ministry. ORGANIZATION Q? AERO MEDICAL RESEARCH Q7 GIiai-ZAIT Coordinator of Research of Surg, General's Office Stabsarzt Becker-Rreyseng { AIR MINISTRY i 1natalla tlon 2o l Technical Section (See next page) I Installations 1 thru 6_ L _.t Surgeon General of Luftwaffe Gen* Schroder i —r r~: Luftwaffe i 7 * l SECRET PPEWDIX XVII RISE’RCH XiTHT LL/.TIOWS SECRET n-is?. jJj.pions *1. buftfnlartnodisiiiiochcs Forschungsinstitut dos HJi. Berlin ITZ 40 Scharnhorotstrasse 33° (Prof.Strughold) •:2. Aussenstollo dos Luftfajirtncdizinischon Forschur^asinstitut Berlin* ! Brannenburg an, Inn (Dr. Do saga) *3« Biysir-logisches Institut GÖttingen* (Frof. Fein) :;:4. nussonstollo für Gkhirnforschung des huftfahituodizinischon Forschungsinstitut Bex-lin in Kaixor-o ilho ln-Institut fur Hirnforschung. Berlin-Buch (Frof# Spatz 3# Zt.Iiüiohon) :3# AussonstoXlo dos Luftf ahrbriodizinischon Forschungsinstituts Berlin Physiologisches Institut Heidelberg’. (Dr.Gauer)n 6# Sanitüt s vor such s-und Lehrgruppo, Jüterbog, Altes Lager (Prof .Knothe) 7* Institut für Luftfahrtuodizin, HÜneben (Prof. Zeitz). 8. Institut für Luftf ahrtuo dis in Ha:nburg*Eppondorf (Dr .Schvarz). 9. IZnfeer-'’ilho lii-Institut für Arboitsphy sie logic Dortnund. (Prof .Lohmnn). 10. Biy3iologisches Institut Köln (Prof. Schneider). 11. Fließerunter suchuxigsstelle der Aed. Klinik Froiborg/Broisgau (Dezent Dr.’Froy)# 12. Institut für Luftf ehrt-, .10 dl zinischo Pathologie d. PLK an pathologischen Institut der Universität Proiburd/Broisgau (Prof.Büchner) 13. Physic logisches Institut Brosl.au, Fließe runtersuchungs stelle (Dr. Krcinnborg) 14. Physic logische s Institut Prag, (Pr og. Schubert) 13. Fhy sic logische s Institut Leipzig und Gebirgsskiitatsschnle St. Johann in Tirol. All'.- / ' t ' ■ \ * ’ l6. Korchkoff-Institut B-\d N.-auhoin {Prof • ScHdfor) 17« Physiologisches Institut Ooissen (Prof ..Po.Koch) J 1 18. Kaiser- ’ilholn-Institut für 'Bleche:cio Berlin-Dahlen (Dr,Unstruth) 18* Physiologisches Institut Danzig (Prof. Thauör z. Zt. Bid NauheinJlorchkoff Institut) 1 / ' 20. Biari.nkologischos Institut Innsbruck (Prof. J arisch) • 21. Prof. v. Diringshofcn, Fraifzdiirt/A.ain*nfaoro .Presse unbekannt. 22. ' iodizinische Klinik KOln-Lindbnthal (Prof. Ilnipping, Dr. Aaopcr, Dr.n.K.Kochl 23. Physiologisch. Cho: ilschos Institut Berlin und ihysick Ogisohos-Cho; dschos Institut Tübingen (Dr.Deiner). ; jjv 24. /uigenklinik Glossen (Prof. Kyrie io is) \ / 2p. Augenklinik Po stock (Prof, Braun) - 2b. Physiologisches Institut Posen (Prof. Aonjo Aufenthalt unbekannt). 27* Institut für Flug: 10 di zin der deutschen Versuchsanstalt fair Luftfahrt Borlin- Adlorshof (Dr.Puff) 28. Krprobüng.sstello Pr Luftv/affc> Pochlin. 29. Kodlcal Posearch Institut Gar dtch-Parten&orohen (Henschko) NOTA: Those JP.rkod - vore directly under Professor H. STPUGHOLD. STdJHP OP LUPTZdiPTADI INISCIUS POPSG:iUlP:SIIISTITUT RA . under Prof« {Oberst, nr st} 3TAUG-H0LD / Dr. Ola:lann, H.G. [Druekturzvorsuche, Drue? dcaixiorf lugz eugo, Konstruktion von Untordruckkanacrn). Dr. Luft, U. (HöhcnaklfLinatisation, Sauorstoffatnung in grossen Höhen) I I Dr. Opitz, A, (.deuter Sauerstoffuargol) Dr. 'Pali .io, P. (Pie kt re no o ph al ogr aph io) Dr.Gauor, 0. (piccoloration, Zontrifugenkonstruktion) Dr.Hanson, H. (Pliegordiit in \:ar. ion Lindern und grossen Höhen) Prs.Dr.Schmidt, I.(Parbensohon, Nacht sehen, Bibliographie) Dr.Poso, H. (Brillen, Nachsehen, Tiefensohon}. Prof. Schütz, P. (Ploktrokardiographioh. - Dr. Dosaga '(Luftsohutzfragen). Dr. Autru:i H. (Elektroretinographie, Kernphysik). Dr.Denser, H. (Vergleichende Physiologie, ‘ ihrenntordruckkarr ier). Dr. Such alia, H. (Wissenschaft liehe Prägen dos Vor stichst iernate rial s und Versorgung der *,.lssonachaftliohen" Institut und pharmazeutischen Industrie mit Versuchstieren) Dr. Be c kor-Proyscng bis Anfang- 1944 (hoher Sauerstoffdruck) SECRET APPENDIX XVIII LITT OF / LTIRirDR OR RBERS S K C nr T ALTITUDS AND CLIMATE CHAMBERS BUILT OH RENOVATED BY V. ZEUZEM Code to medel U.K. Without lock U.K.S. With lock T, Temperature K. Climate i Built for the Luftwaffe - Stationary No. Town & Location Size Mode 1 Year 1. Kerhoff-Institut, Bad-Nauheim (übernommen) 3,00 Ü.K. 1930 2, Ausstellungskammer Luftfahrt-Museum Berlin 3,00 Ü.K.S. 1934 3. Kriegsschule Dresden-Kletzsche 3,00 U.K.S. 1935 4. Kerkhoff-Institut Bad-Nauheirn (Umoau) 1,50 S 1935 5. Universitätsklinik Jena 3,00 K.K.S. 1936 6. Ausstellungskammer Strahlen und Heilkunde Müchen 3,00 K.K.S. 1936 7, Universitätsklinik Proiburg/brsg, 3,00 K.K.S. 1936 8:. Olympiade Berlin, später Garnisionslazarett 1,50 K.K, 1936 9:. Physiologisches Institut Güttingen 3,00 T.K.S. 1937 10-. Physiologisches Institut München 3,00 K.K.S, 1937 11. Universitätsklinik Kiel 3,00 K.K.S. 1937 12. Fliegerhorst Detmold / 3,00 U.K.S. 1938 13, Universitätsklinik Bfeslau 3,00 U.K.S. 1938 14. Luftwaffenlazarett Braunschweig 3,00 K.K.S. 1938 15. Universitätsklinik Halle 3,00 K.K.S. 1938 16. Luftwaffenlazarett Hallo 3,00 K.K.S. 1938 17, Universitätsklinik Wien 3,00 K.K.S. 1938 18, Deutsche Versuchsanstalt Berlin 3,00 T.K..S. 1938 19. n ii ti 1,00 U.U.T. 1938 20. Universitätsklinik Kiel 1,00 U.U.T. 1938 21. Pysiologisches Institut Glessen 3,00 K.K.S. 1939 22. Fliegeruntersuchungsstelle Frankfurt a.M, 3,00 K.K.S. 1939 23. Luftwaffenlazarett Nürnberg 3,00 K.K.S. 1939 24.. Universitätsklinik Prag 3,00 K.K» S. 1939 25. Luftwaffenlazarett Frankfurt a.M. 3,00 K.K.S. 1940 26, Luftwaffenlazarett Greifswald K.K.S,. 1940 27. Univer s it at sklin ik KBln-Lindenbur g 3,00 T.K.S. 1940 28. Phatalog,Institut Heidelbergs 1,50 U.K. 1942 29. Prof. Flchholz, Heidelberg 1,50 K.K, 1942 30. Segelflieger Forschungsstelle Ainring 3,00 K.K.S. 1942 31, Luftfahrtmed.ForschungssteIle Preising 4,00 U.K.S, 1944 32. ii ii n 0,70 Sturz 1944 33. Luftwaffenlazarett Gotha 1,50 K.K. 1938 NOBILE DJJO: ZESSION SHE.IBSN FOR THE A15 NONGN No. Tov.Ti and Location ; Size Ilodol Yogr 34. 4 Stuck fNirbn.ro Unterdrück-? 'otorioiorto uit Sturzknmor, Notetrorr r;n.t, Zuguaschino :.dt 2 Stuck Spozialv^gn. ' No* Typo and Nobuilt Nu Serial No. solan St ation \ry Ghanbor Delivered to 0 | Docor.iproGGion Yoar 1. V Nucjo U. Nr. 7093 1 E/st. Or anionburg 1J4,9 m Hq 1Q43 O <4 « XcUl 01-*0 U • Hr- 7056 1 E/St. T ilCtihl St. Johann 144,9 :i i o 4« Nuggo U Nr.7097 1 E/St. Ao.lbor- 144,9 ■' 4. Hug go II. Nr.709S 1 3/3t. Jovor, dann Dios 144,9 - f 1 9* Buggo U. Nr. 7099 1 E/St. Huguu 1J4,9 f if 6. SUGGC U. Nr. 7060 1 B/St. d oan.kon k . ' 1S4,9 •' 7- G G O u 0 Nr. 706l 1 E/St. Jdtcrboj- 144,9 " rt 3. 5u g ».> 0 L' • Nr. 7096 1 E/St. T.Nuhl St. Johann 144,9 ” " n 9- NitG GO U. 1 E/St. DVL Berlin .all 0 roh of 144,9 " " u ?Niv.iTN ddlivdny o? & ieg GAlciSSION OH. a -BADS Nr . 1 Digne Vor .ouch a nnl r\£0 Frankfurt .i,' H V* VI] 0 • 1928 2 Krankonhrvua Nonnhoid 1,30 " 1930 II 3 Dr. Stucky, Frankfurt n.k. 1,30 11 1931 ;r 4 Dr. Golclbory, Viocbndon 1,30 ” 1932 n 3 Junior V/iosbndon 1,30 " 1932 >1 6 ;aic Stellung; Knnpf don Verderb Köln 1,30 " 1933 tt 7 Stndt. Kliniken Du,ajoldori (Prof .Knippir^ 3,00 » 1934 if 8 Dr. SnndroT.-cky Berlin 1,30 ■' 1934 u 9 Porlonfoin, Nnnnhoir: 1,30 " 1933 10 Dr. Brpitnnior, Kiel {j nnntoriui :f 1,30 " 1933 if 11 Kupforboix* (Idi'‘.m.ml Soktlaihluny ) 1933 , / n 12 Dr. Hnppich, D ir: . :t ult 1,30 1936 u 13 Smntoriir.i Dbc rote infamy; 1,30 ■' 1937 n 14 , xdlcr.:orko (Thernoknebon 1930 13 Knicor r ilhcl: l-Institut, Frnn'rfurt n .N. 1,304' 1940 l6 Buryudieff, Sofi i, 3ul.;;iricn 1,30 " 1940 17 Auorverke Berlin-Or inimbury 3,00 U.K.3* 1942 lo Ncichnpoct Versuchennstnit, Berlin 1,30 T.KtVnl iTi’L 19 ?nrk S nnntoriui: Bnd^inukoiu 1,30 K.K. 1940 20 Klinik in Sccod Unynrn 1 ern tt- T- 1, pu .V. 1943 21 Boldrini, ’ 'nilend Itnlion 1,30 K.KA 1942 No. INBUILT NU3SIJN : PBi:;3 Type and Social No. Delivered to: UNITS Doc 01 rorgjoion Year 1. 0 Nu000 nmd 2 St. Kr.;7O30, 5,50 0/ L. 36790 Bnilopcl 144,3 nr *. % 1943 2. jCLtllG. <2 o'tCj,# Nr. 7051, f6 Dr. Auftrotor Obe rar at it i 1 S ? if O ,?• N11330 rund 2 Stek. Nr. 7052 1,50 /) L. 00343 H •'j.iburj .r 11 it n A Suaoc B/ 2 Stek. Nr. joy'- I,.p0 $ Dr. Baader r if :? • 9 5- Nuppc B/ 2 Stek Nr. 10y e/150 /) Obor; ;cfr. Schvrabo it :: :: a 6. Nuppg B/2 Stek Nr. 7062, $ Staboarat Weil lann n t? ;i i 1 -7 /• Nupoo N/2 Stek Nr. 7063, 1,30 Jj. 09>’B »I ;t it ?f 3. Nu3pc k/2 Stole. Nr. 7064, 1,30 0 L. >;603 Berlin !t i! It if 9. Nu3go B/2 Stek. Nr. 7063 1,30 i Bad- Sviochonahn it 11 it ?orei;:n deliveries Hun;: ary 1. Budapeat Aorodynaii.Voraudioanat.alt ‘-r. 00 r.K.s. 1940 2. " 11 11 AjiinaX 1.00 U.4. 1941 3- Fahrbare TCannc rani ago nit ICtihlanl\:e Clobilo unit v:ith refrigeration) bOo Italy 4. iailand Ital. Ludt* :xl i o, Guide nia bei ;dn 4.00 J.l.S. I9OI oOo Bui; ;ari a c: J' Hughaion ‘ rngdcbna bei Sofia _ Ofln rr 3,00 • T.K.S. I94X Suain 6. Sevilla Span. Luftaaffo' 3,oo U.l.S, 1941 • 7* :I " i? Aninal 1, 00 Ü 194-1 8. ’• Madrid 11 :I & explosive doconproanion 4,00 rrj *r 1 • n * :4 t 1942 O' >• " " ■’ .Alii i.al 1, 00 U.IC. 1942 Jugoslavia 10 Hughafon Senlin (Zouun) 3,00 t r O uv • tj %. 1940 Rebuilt PIughafon Lo Eougot •