The lack of enough motor trucks for port operations was alleviated by the restoration of rail transportation much sooner than had been expected. Although the planners did not count on this factor before D-plus 30, the 2d Engineer Special Brigade rounded up Korean crews and speeded up the tremendous task of putting the Inchon-Seoul line back in working order. As early as D-plus 1 a switch engine and six cars were operating in the Inchon yards. Three days later the first train, carrying 1,200 Marines, was dispatched over the 5-mile run from Inchon to Ascom City. As the ground forces advanced, the engineers followed close behind the front with rail transportation which handled a total of 350,000 rations, 315,000 gallons of fuel, 1,260 tons of ammunition, and 10,000 troops before the Division was relieved.

Surgical Teams on the Beaches

Casualties of the Landing Force on D-day amounted to 20 KIA, 1 DOW, 1 MIA, and 174 WIA in addition to 14 of non-battle classification. Medical officers regarded the operation as a landmark because of the four Navy surgical teams, each composed of three doctors and ten corpsmen, which went in behind the assault troops on the LSTs. Similar teams had been employed in the later operations of World War II, but Inchon had the distinction of being the first amphibious assault in which carefully planned medical techniques were integrated with military operations.

The surgical teams had been drilled and rehearsed in Japan for their tasks. Patients requiring immediate surgery on the night of D-day were evacuated to LST(H) 898, where an improvised operating room had been installed. During the assault phase, 42 military and 32 civilian casualties were treated instead of the 300 which had been expected. Such an unqualified success was achieved that the teams were recalled to Japan afterwards to act as instructors. Within a year the numbers of Navy surgical teams had grown to a total of 22 on standby duty in the Far East.[178]

[178] Capt E. R. Hering, (MC) USN, memo to authors, 4 Apr 55; 1st MarDiv SAR, Annex How How; Lynn Montross, “They Make Men Whole Again,” in Marine Corps Gazette, 36, no. 12:42–49 (Dec 52).

Captain Eugene R. Hering, (MC) USN, had served in the Pusan Perimeter as the Brigade Surgeon. From a study of maps and intelligence reports, he tentatively selected a site for the Division hospital on the eastern outskirts of Inchon.

The 1st Medical Battalion, commanded by Commander Howard B. Johnson, (MC) USN, consisted of an H&S Company and five letter companies. Able and Baker were hospital companies, while Charlie, Dog, and Easy functioned as collecting and clearing companies. The last was organized for attachment to the 7th Marines when that regiment landed at Inchon.

Medical planning necessarily had to be hurried. In view of the unusual landing conditions at Inchon, it was decided to revert the clearing platoons, normally attached to infantry regiments, to Division control when they reached the transport area.

Three casualty teams, each consisting of a medical officer and six hospital corpsmen—one team from Able Company, and two from Baker—landed from separate LSTs on D-day with a mission of caring for initial casualties. Supporting collection sections of Charlie and Dog Companies landed with the assault troops of the two rifle regiments.

The reconnaissance group and the two hospital companies arrived on D-plus 1, followed by the H&S Company with equipment for the hospital set up in a schoolhouse. It was opened at 1500 on D-plus 2, with 47 casualties being received the first day.