LtGen Julian C. Smith Collection

This desperate scene hardly needs a caption. The Marine is badly hurt, but he’s in good hands as his buddies lead him to safety and shelter just ahead for treatment.

Casualty handling was the most pressing logistic problem on D+1. The 2d Marine Division was heroically served at Tarawa by its organic Navy doctors and hospital corpsmen. Nearly 90 of these medical specialists were themselves casualties in the fighting ashore. Lieutenant Herman R. Brukhardt, Medical Corps, USN, established an emergency room in a freshly captured Japanese bunker (some of whose former occupants “came to life” with blazing rifles more than once). In 36 hours, under brutal conditions, Brukhardt treated 126 casualties; only four died.

At first, casualties were evacuated to troopships far out in the transport area. The long journey was dangerous to the wounded troops and wasteful of the few available LVTs or LCVPs. The Marines then began delivering casualties to the destroyer Ringgold in the lagoon, even though her sickbay had been wrecked by a Japanese five-inch shell on D-Day. The ship, still actively firing support missions, accepted dozens of casualties and did her best. Admiral Hill then took the risk of dispatching the troopship Doyen (APA 1) into the lagoon early on D+1 for service as primary receiving ship for critical cases. Lieutenant Commander James Oliver, MC, USN, led a five-man surgical team with recent combat experience in the Aleutians. In the next three days Oliver’s team treated more than 550 severely wounded Marines. “We ran out of sodium pentathol and had to use ether,” said Oliver, “although a bomb hit would have blown Doyen off the face of the planet.”

Navy chaplains were also hard at work wherever Marines were fighting ashore. Theirs was particularly heartbreaking work, consoling the wounded, administering last rites to the dying, praying for the souls of the dead before the bulldozer came to cover the bodies from the unforgiving tropical sun.

Some seriously wounded Marines were evacuated from the beachhead by raft.

Department of Defense Photo (USMC) 63926

The tide of battle began to shift perceptibly towards the Americans by mid-afternoon on D+1. The fighting was still intense, the Japanese fire still murderous, but the surviving Marines were on the move, no longer gridlocked in precarious toeholds on the beach. Rixey’s pack howitzers were adding a new definition for close fire support. The supply of ammunition and fresh water was greatly improved. Morale was up, too. The troops knew the 6th Marines was coming in soon. “I thought up until 1300 today it was touch and go,” said Rixey, “then I knew we would win.”