Nurses in the Vietnam War – Trauma Nurse Deanna McGookin

The Vietnam War remains probably the most important war for America since World War Two. In the battle to contain communism, hundreds of thousands of American soldiers went to Vietnam – and many nurses were closely involved with them. In the concluding article of the ‘Nurses in War’ series, Matt Goolsby tells us about trauma nurse Deanna McGookin.

The previous articles in the series are on US Civil War nurses Clara Barton (here) and Cornelia Hancock (here), World War One nurse Julia Catherine Stimson (here), World War Two nurse Reba Z. Whittle (here), and the Chief Nurse for the US in the Korean War, Eunice Coleman (here).

A US Army hospital in Vietnam.

The Years before a ‘Police Action’

After the Korean War had ended, an unstable peace existed in Asia. America was reeling from the McCarthy probes that seemed to take place under every nook and cranny, the purpose of which was to expose potential communists.

The United States had helped stop the communist aggression in South Korea. Now there were two independent countries on the Korean Peninsula, and an uneasy truce.

The threat of nuclear war was also very real as the Soviet Union possessed radioactive material and had built, as well as detonated, multi-kiloton platform devices. 

As China and the Soviet Union were expanding their territories, the United States was highly concerned about the potential fall of nations to Marxist doctrines. 

The heightening tensions of a further ‘Red Scare’ increased both locally and globally.

Americans were not ready for another declaration of war, so a looming ‘Police Action’ was on the horizon.

French Occupation in Southeast Asia

During World War II the Japanese had met with strong resistance from the Viet Minh when they invaded Southeast Asia. The Viet Minh had been assisted by China, the Soviet Union, and the United States with arms and military training since they had a shared purpose.

Once the war had ended, the Viet Minh set their sights against the French occupying forces. Ho Chi Minh, himself a communist, was the leader of these guerilla armies.

French Indochina, which was largely comprised of modern-day Vietnam, Laos, and Cambodia, had been a French colony since the late 19thcentury. As many countries learn the hard way, nations often don’t want to be under the rule of a foreign occupier.

From 1946 until 1954, the French battled the ever-strengthening forces of the Viet Minh, who had been trained by the People’s Republic of China from 1950. This was called the First Indochina War.

American involvement with Vietnam had started back in 1946 to thwart the ever-expanding communist influence.

The French forces had been bruised and battered by the Viet Minh for almost a decade and finally surrendered at the Battle of Dien Bien Phu on May 7th, 1954, negotiating peace as well as granting sovereignty to Laos, Cambodia, and Vietnam.

Vietnam was still considered two independent nations by this time as the Geneva Accord signed by the belligerents split the country at the 17thparallel for 300 days with the guarantee of a ‘free’ election being held.

This sounds eerily reminiscent of the Korean peninsula. The oft-quoted words that Winston Churchill said in a 1948 speech to the House of Commons: “Those who fail to learn from history are condemned to repeat it”, has been demonstrated repeatedly in East and Southeast Asia. 

America’s ‘Police Action’ Begins

On November 5th, 1955, the United States’ conflict, or what is known as the Second Indochina War, began. 

Just two years after the Korean War ended, America was again involved in an armed ideological conflict with communism. Many Americans were highly concerned and tense because of nuclear proliferation and the growing ‘commie’ scare.

The belligerents on the communist side were: North Vietnam, China, and the Soviet Union along with their allies. The allies involved on the anti-communist side were: South Vietnam, South Korea, the United States, Australia, the Philippines, Thailand, and several others.

Since this war was never officially declared by the United States Congress, it remains a military ‘police’ action that has caused much angst and a continued rift to this day.

History will eventually render a judgment as to whether or not this conflict was necessary, but in my opinion, as somebody who has met many people who participated in the war, it has left an indelible scar permanently on America’s national psyche.

As an example of the wounding it caused, many veterans either became mired in drug abuse to escape the pain or took their lives because of the moral conflict it caused.

America as a nation must continue to help and wisely counsel those who fought in this war so that they can experience some level of healing.

United States’ involvement escalates

In December of 1960, the Viet Cong or what was officially called the National Liberation Front, was created to be the anti-government disrupter of South Vietnam and to disrupt and render ineffectual American military advisors. Their aim was also to drive out foreign influence with the eventual goal of uniting the North and South under communist rule.

The Republic of South Vietnam at this time was being governed by Ngo Dinh Diem, who had been appointed Prime Minister during the 1954 Geneva treaty. Mr. Diem was a Roman Catholic, anti-communist, nationalist, and social conservative.

The Vietnamese people were mostly followers of Buddha and had a deep suspicion of Diem’s government. Unfortunately, many of their suspicions were proved correct as Diem governed with more of an autocratic bent and whose administration was rife with corruption.

In 1961, after the election of John F. Kennedy, who decided to draw a ‘line in the sand’ against communism, troops began to be authorized for the increasing conflict between the North and the South. 

By 1963, there were 16,000 U.S. troops in Southeast Asia. This was in contrast to the 900 ‘advisers’ that President Eisenhower had sent starting in 1955.

Also in 1963, the Army Nurse Corps (ANC) established Operation Nightingale to recruit nurses for the ever-increasing conflict.

The Nursing Field expands

Deanna McGookin was born on February 1st, 1941 in Toronto, Ontario, Canada to Samuel and Violet McGookin. She was the oldest of three girls, which included Violet and Judith.

The family immigrated to the United States through Detroit, Michigan in June 1950

They settled in Phoenix, Arizona where she went to West Phoenix High School, graduating in 1958.

By 1965, Deanna had become an Assistant Head Nurse in the local Phoenix hospital emergency room. This experience helped her learn how to take care of traumatic injuries and assist with the associated shock.

She joined the Army Nurse Corps (ANC) in 1968 and was given an assignment to Vietnam because of her Emergency Room experience. 

Deanna, like many women during the Vietnam War era, felt an obligation to serve others who may not have had a choice as to whether to go to war or not.

The Vietnam War had more than 5,000 American nurses who served during its entirety. For the first time, 21% of them were men serving as officers in the ANC.

Of these more than 5,000, most had less than 2 years of practice in their profession. The average age of a nurse during the war was 23.6 years. 

The horrors of war must have compounded the already difficult task at hand, especially for those who hadn’t experienced traumatic injuries.

Deanna’s experience was the exception: “. . . I spent my year in Vietnam at the 67th evac in Qui Nhon, which was the headquarters of II Corps. The conditions were pretty much what I expected - but not the bulk, the quantity of the wounded. In Phoenix [Arizona, hospital emergency room], we were used to seeing one or two come in at a time. Now you were talking 50 or 60 at a time, with a wide variety of traumatic wounds. I had seen traumatic amputations of extremities from cotton-picking combines in Arizona. So that was not a horrendous sight for me, as it was for some others. The bulk . . . that there were just so many of them coming in at once . . . that was the issue for me. You had these helicopters land and there could be 60-70 casualties with various stages of injuries. Some of them might not have been as serious as others. It depended on the season. In Tet of '69 we were getting 200-300 patients coming in a day.”

As her tour progressed, Deanna, like so many others had before, began to question the sanity and morality of the Vietnam War: “We all had questions as to what we were doing in Vietnam, why we were there. We didn't seem to be getting anywhere. Day after day, things seemed to be pretty much the same . . . they'd take a hill, lose a hill, take a hill, lose a hill. Being in the age group where motherhood and children were a big factor, I think you do think: "What are we doing to the future generations of this country? What sort of genius would this blond young man have been had he been allowed to go about his life and do his own thing?" Most of the time you were so busy, just literally, physically busy that--although these thoughts stayed with you for awhile--you soon forgot about them, because it always seemed like there was someone else coming in to take the previous patient's place.”

In salute to the ‘Nightingales’

American nurses found different ways to deal with their pain and the emotional wear and tear they experienced. Some found solace in sex, drugs, or alcohol. Most of them just suppressed the pain until they could deal with it later. 

One of the more positive ways of dealing with pain was the way Deanna handled it: “It wasn't so depressing all the time, I must admit. We went on medcaps, medical missions to remote villages, places where there was no regular medical care. We did reconstructive surgery on children, gave them false limbs, and taught them how to get around. These kinds of things helped relieve some of the frustrations I was feeling.”

After her tour had ended, Deanna came back to the states and settled back in Phoenix, Arizona. As with all veterans of war, Post Traumatic Stress Disorder (PTSD) haunted her. 

She describes the affects PTSD had on her: “the young boy down the block had a car that backfired all the time. Every time it backfired, I was on the floor and under the bed."

Deanna would go on to serve in Afghanistan and attain the rank of Colonel in the Army Nurse Corps. There’s no evidence that she ever married, a common thread with the other nurses researched for these articles. 

Colonel Deanna McGookin passed away on September 14th, 2013 at the age of 72, having served her country for many years. 

She represents the best of what America has to offer and her life is a tribute to the sacrifices that so many made to help the men and women who’ve faithfully served our country.

May they never be forgotten.

What do you think of the article? Let us know below.

References

Dan Freedman and Jacqueline Rhoads, editors, “Nurses in Vietnam: The Forgotten Veterans.”, Austin, Texas: Texas Monthly Press, Inc., 1987.

“The Vietnam War and its timeline”, https://en.wikipedia.org/wiki/Vietnam_War

“Nursing and Medicine in the Vietnam War”, https://ceufast.com/blog/nursing-and-medicine-in-the-vietnam-war

“Find a Grave: Deanna McGookin”, https://www.findagrave.com/memorial/119126532/deanna-mcgookin#source

“Deanna McGookin on Family Search”, https://www.familysearch.org/ark:/61903/3:1:33SQ-G5MV-9S4Y?i=5451&cc=1916040

“Women and War”, http://issues.texasobserver.org/pdf/ustxtxb_obs_1987_07_17_issue.pdf

“Winston Churchill 1948 House of Commons speech”, http://www.whiteboardbusiness.com/those-who-fail-to-learn-from-history-are-doomed-to-repeat-it-sir-winston-churchill/

Nurses in the Korean War – American Chief Nurse Eunice Coleman

The Chief Nurse for the US in the Korean War, Eunice Coleman, played a vital role in bringing a range of innovations in troop treatment, some of which put nurses in great danger. Matt Goolsby continues his series on Nurses in War and tells us about Eunice Coleman.

The previous articles in the series are on US Civil War nurses Clara Barton (here) and Cornelia Hancock (here), World War One nurse Julia Catherine Stimson (here), and World War Two nurse Reba Z. Whittle (here).

The innovative Mobile Army Surgical Hospital (or MASH) in Wonju, Korea. 1951.

Prelude to the Cold War

When World War II ended, the allies who had fought the war against the Axis Powers – Germany, Japan, and Italy – ultimately divided into two ideological camps. 

The first were the United States, Canada, Britain, Western Europe, Australia, and other like-minded nations. These would be the powers who believed in freedom through the rule of law as republics.

The second camp was made up of two large nations, both of whom believed that communism was the way to solve man’s problems. These two nations were: The former Soviet Union and China. 

As these two camps began to divide up the spoils of war in Europe and Asia, a coming ideological storm was looming.

Ideological warfare becomes the Cold War

Ever strategic in their control of power, Joseph Stalin and Mao Zedong looked to gain geographic strongholds - one in Eastern Europe and the other in Asia. Their interests were in expanding communism throughout as much of the world as possible through brute force and oppression.

During the post-war occupation, Germany was divided into Western and Eastern zones. The Western zone was administered by the United States and the Eastern by the Soviet Union. This would ultimately be the symbolic demarcation of the Cold War.

In China, Mao Zedong and the Communist Party of China resumed their dormant civil war with the nationalists led by Chiang Kai-Shek. Ultimately Mao Zedong and his revolutionaries would prevail, thus spreading communism through a vast swathe of Asia. 

The empire of Japan, in ruins after World War II, had occupied and controlled Korea during and prior to the war. Korea was now divided between the Soviet Union controlling the North, and the United States controlling the South.

The ones who suffered the most in these ongoing conflicts were those who had been caught in the middle with either no way of escape or very limited ability to flee.

After World War II, survivors of the Holocaust and other nations wanted to have a refuge for the Jewish people who had been so severely abused during the worldwide conflict. The State of Israel was established by the United Nations in 1947 with Israel itself propelled into an Israeli-Arab war in 1948. This led to conflict in the Middle East that has continued to this day.

By the start of the 1950s, international tension was again escalating.

Into War again

Korea was now a divided nation with separate republics each stating that theirs was the legitimate claim.

As tensions continued to escalate into 1950 between the North and South, North Korea, with the assistance of China and the Soviet Union, invaded South Korea. It hoped to take control of the peninsula, after the attack on June 25th, 1950.

The United Nations, now a full-fledged worldwide body, adopted UN Security Council Resolution 82 on the same day. This condemned the North Korean aggression. 

Two days later, UN Security Council Resolution 83 was adopted authorizing the use of military force to stop the invasion of a sovereign country. 

Acting on the adoption of these resolutions, President Harry Truman asked Congress for approval of funds to fight on the Korean peninsula and received approval in August of 1950. 

America and much of the world were again at war.

The ‘Lucky 13’

The U.S. found itself ill-prepared to go to war in Korea, but had learned a lot from its experiences only 5 years earlier, particularly in terms of trauma care. 

The US Army had drawn down much of its military to such minimum levels that getting nurses to take up the mantle took maximum effort. Most of those brought into active duty status were part of the Army Nurse Corps (ANC).

Deploying with the Army’s 7thInfantry Division were thirteen nurses who worked at the 1stMobile Army Surgical Hospital (M.A.S.H.) on September 15th, 1950. The Army had learned that the key to survival for severe injuries was to have a trauma team located close to their position. 

This led to added danger in the conflict, but the rate of fatalities from severe injuries was reduced to 2.5% from 4.5% during World War II.  

Upon deploying to Incheon and then moving to Pusan, the nurses who had journeyed with the infantry came under enemy fire and were forced to take cover. On October 9th, 1950, Chief Nurse Major Eunice Coleman wrote: “The whole sky was lit up by gunfire and burning vehicles. About sun-up we got out of the ditch and started treating the wounded. All that day, until 1500, we worked on the roadside; operating and treating for shock. We lost eight men and quite a number of supplies and vehicles. When all was clear, the convoy started again and arrived at Pusan by midnight.” After this event they began calling themselves the ‘Lucky Thirteen’.

Eunice Strange Coleman was born on March 21st, 1903 in Wilbarger County, Texas to Leonard Alvin and Mary Elizabeth Coleman. She was the 3rdof five children. 

She received her Bachelors of Science degree at the University of Minnesota and had been stationed in Duke, Oklahoma prior to the war.

As with many of the other nurses throughout the history of U.S. war, there’s no record of her ever marrying. She dedicated her life to serving others through the Army Nurse Corps.

Saving Lives at the front

When the Korean War started, only a small contingent of nurses were working in the combat theater. 

As the war progressed, it’s estimated that more than 1,500 nurses served on the Korean peninsula, all of them women since men were not allowed to serve as nurses in the Army Corps until 1955. 

Even though the women stationed in Korea were not trained or required to fight in combat, they still had to be ready to in case the fight came to them. 

As Mary C. Quinn, a First Lieutenant who served alongside Chief Nurse Coleman in the 1stM.A.S.H. unit said: “The nurse must be armed to fight just as the soldier, sailor, or marine. The nurse’s weapons are knowledge and skills that can be employed to wage war on disease and injury wherever these calamities have laid low a man, woman, or child."

Chief Nurse Coleman learned this lesson and many others during her tour in Korea. 

Having had her nurses treat 360 wounded when their capacity had been 60 and surviving their ‘Lucky Thirteen’ roadside episode, Major Coleman, a devout Catholic, was asked why she stayed in the Korean conflict. She answered: “Because if we are to impress Christianity on anybody out here, we must also live it.” Even the Chinese and Korean prisoners of war were amazed at how they were treated.

The Korean War led to great innovations for saving lives. 

The first was the use of helicopters to transfer wounded soldiers back to M.A.S.H. units.

The aircraft used in the majority of transfers was the UH 13 Helicopter called the ‘Sioux’. This method was a rapid way to assist traumatized and wounded patients to the mobile units. 

In fact, not only were American and allied UN soldiers transported, but also North Korean and Chinese prisoners of war were convoyed back where they could be cared for.

The nurses would often work twelve-hour shifts, only to continue on once their shift was over due to the numerous casualties coming into their units.

The second advancement in trauma care treatment was the transport of blood and blood banks to where it was needed most. It was in this conflict that the Army started using plastic instead of bottles to transport, store, and administer blood. 

Storage of blood in bottles often led to breakage in transfer or hemolysis, the destruction of red blood cells, because the bottles had to be stored in refrigerators prior to use.

The third major advancement came in vascular surgery. This led to a reduced level of amputations due to trauma from 49.6% in World War II to 20.5% in Korea. This was a significant reduction in long-term injury care.

The fourth and final advancement came in renal dialysis (kidney). Nurses were the ones to first use dialysis to save lives of those who had hemorrhagic fever thus keeping the severely wounded alive long enough for surgery.

Even while saving lives, Chief Nurse Coleman found humor. 

As the nurses were huddling in the roadside ditch in Pusan, Major Coleman called out their names twice for a response. One of her thirteen ‘Army Nightingales’, as they were fondly called, 1stLieutenant Marie Smarz didn’t answer.

Finally, Major Coleman went down the line touching each one to make sure they were safe. Why hadn’t Nurse Smarz answered? “I was afraid the Reds would hear me,” she replied. 

Major Coleman would go on to be awarded the Bronze Star with V bar for Army Nurse Corps valor. She would also go on to serve at the Kansas City General Hospital School of Nursing. 

Eunice Strange Coleman passed away on August 15th, 1983, living to the age of 80,having served her country for many years in the Army Nurse Corps. 

She exemplified the caring and nurturing spirit that the nurses in our military demonstrate to those in greatest need. The following nurses’ prayer is a testament to what these ‘Army Nightingales’ demonstrated during this conflict.

May they never be forgotten.

What do you think of the article? Let us know below.

The Army Nurse Corps Prayer

The Prayer of an Army Nurse.

References

Mary M Roberts, RN, “The Army Nurse Corps, Yesterday and Today”, United States Army Nurse Corps, 1955.

Margaret (Zane) Fleming Collection, Gift of Frances Zane, Women's Memorial Foundation Collection, “The Lucky Thirteen”, Pacific Stars and Stripes, Tom Hamrick, 1951 and other associated articles. (Many thanks to the Women’s Memorial Curator Britta Granrud for her assistance.)