Rarely had combat medical support been so thoughtfully prepared and provided as at Iwo Jima. Beyond the crude aid stations, further toward the rear, Navy and Army field hospitals arose. Some Marines would be wounded, receive treatment in a field hospital tent, recuperate in a bunker, and return to the lines—often to receive a second or third wound. The more seriously wounded would be evacuated off the island, either by direct air to Guam, or via one of several fully staffed hospital ships which operated around the clock within the amphibious objective area. Within the first month of the fighting on Iwo Jima, 13,737 wounded Marines and corpsmen were evacuated by hospital ship, another 2,449 by airlift.
Installed in an abandoned Japanese dugout several thousand yards behind the fighting, 4th Marine Division surgeons operated on those badly wounded Marines and Navy corpsmen who might not have survived a trip to the hospital ship.
Department of Defense Photo (USMC) 111506
For a wounded Marine, the hazardous period came during the first few minutes after he went down. Japanese snipers had no compunctions about picking off litter crews, or corpsmen, or sometimes the wounded man himself as his buddies tried to slide him clear of the fire. One of the most celebrated examples of casualty evacuation occurred after a Japanese sniper shot Corporal Edwin J. Canter, a rocket truck crew chief in the 4th Marine Division, through the abdomen. The rocket trucks always drew an angry fusillade of counterbattery fire from the Japanese, and Canter’s friends knew they had to get him away from the launch site fast. As a nearby motion picture crew recorded the drama, four Marines hustling Canter down a muddy hillside heard the scream of an incoming shell, dumped the wounded man unceremoniously and scattered for cover. The explosion killed the film crew and wounded each of the Marines, including Canter, again. The film footage survived, appeared in stateside newsreels—and eventually became part of the movie “Sands of Iwo Jima.” Canter was evacuated to a hospital ship, thence to hospitals in Guam, Hawaii, and the States. His war had ended.
Department of Defense Photo (USMC) 110852
As the fighting moved inland, the beaches of Iwo Jima became very busy places with the continual incoming flow of supplies. Note the many roads leading off the beaches over which trucks, LVTs, and DUKWs headed to the front lines.
Meanwhile the beachmasters and shore party personnel performed spectacular feats to keep the advancing divisions fully armed and equipped. It is difficult to imagine the scope of logistical management and sheer, back-breaking work required to maintain such a high volume of supplies and equipment moving over such precarious beaches. A single beach on the west coast became functional on D+11, but by that time the bulk of landing force supplies were on shore. General unloading ended the next day, releasing the vulnerable amphibious ships from their tether to the beachhead. Thereafter, ammunition resupply became the critical factor. On one occasion, well-aimed Japanese fire detonated the entire 5th Marine Division ammo dump. In another tense moment, the ammunition ship Columbia Victory came under direct Japanese fire as she approached the western beaches to commence unloading. Watching Marines held their breath as the ship became bracketed by fire. The ship escaped, but the potential still existed for a disaster of catastrophic proportions.
The 2d Separate Engineer Battalion and the 62d Naval Construction Battalion (Seabees) repaired and extended the captured runways. In short order, an entire Seabee brigade moved ashore. Marines returning to the beaches from the northern highlands could hardly recognize the place they had first seen on D-day. There were now more than 80,000 Americans on the small island. Seabees had bulldozed a two-lane road up to the top of Suribachi.