Science
Q&A: How American medical institutions helped make D-day a success 80 years ago today
The beginning of the end of World War II occurred 80 years ago Thursday, when roughly 160,000 Allied troops made landfall in Normandy on D-day. The initial battle against some 50,000 armed Germans resulted in thousands of American, British and Canadian casualties, many with grave injuries.
Who would care for them?
By June 6, 1944, the United States medical establishment had spent years preparing to treat these initial patients — and the legions of wounded warriors that were sure to follow.
The curriculum for medical schools was accelerated. Internship and residency training was compressed. Hundreds of thousands of women were enticed to enroll in nursing schools tuition-free.
Conscientious objectors — and others — were trained to serve as combat medics, becoming the first link in a newly developed “chain of evacuation” designed to get patients off the front lines and into hospitals with unprecedented efficiency. Medics capitalized on tools like penicillin, blood transfusions and airplanes outfitted as flying ambulances that hadn’t existed during World War I.
“The nature of warfare was very, very different in 1944,” said Dr. Leo A. Gordon, an affiliate faculty member in the Cedars-Sinai History of Medicine Program. “Therefore, the nature of medicine was very, very different.”
Gordon spoke with The Times about an aspect of World War II that’s often overlooked.
How did you become interested in the medical aspects of World War II?
In my surgical training, I spent a lot of time in a [Veterans Affairs] hospital in Boston. That was probably the start of what has really become a career-long interest in World War II in general and the medical aspects of how America prepared for the invasion.
As veterans aged and the memory of June 6, 1944, has lessened its impact, it just stimulated me to keep up that particular interest.
How did the U.S. gear up to handle the medical aspects of the war?
After the Pearl Harbor attack on Dec. 7, 1941, it was clear to the medical establishment that we were going to need more doctors, more nurses and more front-line combat medics.
The U.S. surgeon general established a division to speed up the medical educational process. The 247 medical schools that existed at that time all had accelerated graduation programs that shrunk a year [of instruction] down to nine months. In addition, the Assn. of American Medical Colleges shrunk down the internship year to nine months, and all residencies were abbreviated to two years maximum, no matter what the specialty was.
When you were done with your training, there was the 50-50 program — 50% would be drafted and 50% would be returned to the community.
Since most of the injuries were going to be traumatic injuries, you had a very active role by the American College of Surgeons. They established a national roadshow and showed doctors how to deal with the injuries with which they were going to be confronted — fractures, burns and resuscitations.
How did they know what kinds of war wounds to prepare for?
They prepared for dealing with similar trauma to what they had seen in their practices, but on a larger scale. There were also other developments that were going to aid them in their ability to take care of wounded soldiers.
What kind of developments?
Number one was the availability of penicillin. Infection after wounds was a terrible problem in World War I and early in World War II until penicillin became widely available in 1943.
The problem was you had 200,000 men between 45 and 18 — many of whom were 16 and lied about their age to get into the military — who were headed to Europe to liberate the women of Europe. So venereal disease became a widespread and debilitating problem for the Army, the Navy and the Air Force. The dilemma for penicillin was, do you bring it to the battlefield or do you bring it to the bordello?
There was a large public relations poster effort throughout the country and on Army bases throughout Europe for preventing venereal disease because penicillin should go to wounded soldiers.
Were there other changes in the way injuries were treated?
In World War I, a guy gets shot and you put him on a stretcher, and it’s a long trek to the nearest hospital.
For World War II, the armed forces developed the chain of evacuation. It started with a combat medic. That fed into a system that went from a field hospital to a larger hospital to a general hospital and ultimately, if needed, to evacuation to England. It saved a lot of lives.
Were combat medics new in World War II?
The job existed before, but it became formalized. It was a very interesting nine-month tour of duty in military service, tactical training, and of course the medical aspect of evaluating injuries, administering morphine, splinting and stopping bleeding. They had the availability of plasma transfusions to support shock.
A lot of them were conscientious objectors. They were in basic training next to people who are going to carry a rifle and kill people. There was a friction between the two up until the time somebody got injured and started yelling, “Medic!”
What about nurses?
Frances Payne Bolton was a congresswoman from Ohio. She said essentially, “The doctors are going to do this and that. What about the nurses?” So she put through the Bolton Act of 1943, which created the U.S. Cadet Nurse Corps. It was essentially a GI Bill for nurses. This was a focused, expedited program, free of charge.
Prior to Pearl Harbor, there were only about 19,000 Army nurses. By the end of the war, if you combine the European theater with the Pacific theater, there were hundreds of thousands of nurses.
Lt. Stasia Pejko makes a last-minute check on blood bound for France on June 14, 1944.
(Associated Press)
What about other new roles?
This was the first time in warfare that air evacuation was used to a large degree. That gave rise to the creation of the flight nurse, who had to be aware of many things other than caring for a patient on the ground. They had to learn crash survival. They had to learn how to deal with the effects of high altitude.
Did any of these innovations in medical care return to the States after the war?
The overarching theme in the history of military medicine is that once a war ended, there was very little interest in using that event for military progress — except for World War II.
The advances that came out of World War II start with penicillin. Number two was the management of chest injuries, abdominal injuries and vascular injuries.
Number three was advances in the use of plasma and blood banking, particularly through the work of Dr. Charles Drew, which is a story in and of itself. His contributions saved innumerable lives.
Number four was the explosive growth of the Veterans Administration and the veterans hospitals. You had tens of thousands of people who served the country coming back home, and the VA system was going to have to take care of them.
Number five was the involvement of the government in medical research. Before World War II, it was unusual for the government to fund medical research.
And the sixth advancement was the increase in knowledge of the neuropsychiatric effects of war. It started off as battle fatigue, and then it evolved into shell shock. Later it morphed into PTSD.
Has the U.S. medical establishment accomplished anything of this magnitude since World War II?
I’m not an expert in military warfare, but now with drones and computers and special operations, I can hardly imagine so many people headed for a beach in hand-to-hand combat.
This interview has been edited for length and clarity.
Science
Video: NASA Announces Artemis III Crew
new video loaded: NASA Announces Artemis III Crew
transcript
transcript
NASA Announces Artemis III Crew
NASA announced the crew of Artemis III mission, which will fly to low-Earth orbit to test rendezvous and docking maneuvers with one or two lunar landers.
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“I am excited to welcome you as the next crew in the Artemis journey to successfully return to the moon — this time to stay.” “I’m honored by the role that I’ve been given. I’m also very humbled by the task in front of us. But first and foremost, I’m grateful.” “So with that, the Artemis II crew, comrade, hands you the baton. You got the controls.” “As you know, we had a significant anomaly at our Launch Complex 36A on May 28. We’ve redoubled our efforts and are moving forward.”
By Alisa Shodiyev Kaff
June 9, 2026
Science
Santa Monica Mountains’ last steelhead trout survived the Palisades fire — and even had babies
Scientists feared the Santa Monica Mountains’ last remaining steelhead trout were dead, smothered by debris flows unleashed by the Palisades fire.
But the endangered fish surprised them: A team of biologists recently spotted 30 of the rare trout — and 21 babies — in Topanga Creek.
“There was a lot of happy dancing in the creek,” said Rosi Dagit, principal conservation biologist for the Resource Conservation District of the Santa Monica Mountains, which works with public and private landowners to conserve natural resources.
That’s because the steelhead here are endangered, at both the state and federal levels. Once, they swam in most streams of the Santa Monicas, but their numbers plummeted amid overfishing and coastal development. Increasingly frequent wildfire has further stressed their habitat. Topanga Creek, a biodiversity hot spot, is home to their last known population in the mountains that stretch from the Hollywood Hills to Point Mugu in Ventura County.
The trout that were spotted, including this one, are part of a distinct Southern California population that’s listed as endangered at the state and federal levels.
(RCDSMM Stream Team)
The California Department of Fish and Wildlife spearheaded a complex mission to rescue trout threatened by the Palisades fire that sparked in January 2025.
Time was of the essence. The fire hadn’t yet been fully contained. But rain was on the way, which would sweep massive amounts of sediment from the denuded hillsides into the water. Fish are often killed this way.
Crews stunned the fish with electricity, scooped them up in buckets, trucked them to a hatchery and ultimately moved them to Arroyo Hondo Creek in Santa Barbara County.
Within days, Topanga Creek was choked with mud. Some assumed the fish left behind were goners.
But in March, the conservation district’s team found four. The following month, when water conditions were clearer, they saw more.
“These fish continue to amaze me,” said Kyle Evans, environmental program manager for the state Department of Fish and Wildlife, who had seen the damage to the creek. “I had seen populations get wiped out in similar situations. So when I heard, I was thrilled.”
Evans surmises the fish that survived were in an area of the creek where less charred material and sediment were swept in.
“These fish likely hunkered down, were hiding under some rocks or places to try to get away from the main concentration of flow,” he said. “And luckily they weren’t buried.”
The ones that were spotted were fairly small, around 6 to 14 inches. Rainbow trout and steelhead trout are the same species, but with different lifestyles. If the fish remain in freshwater, they’ll be considered rainbows. However, they can migrate to the ocean and become steelhead, where they typically grow larger before returning to their natal waters to spawn.
Topanga Creek hasn’t fully recovered from the damage it sustained, but scientists say it’s looking better. Surveys last year were “so depressing,” Dagit said, with very few animals, and stretches that were essentially transformed into flat roads from all the sediment buildup. Some of the riparian canopy burned right down to the creek.
Then came 32 inches of rain over the last nine months, scouring out and moving sediment, creating deeper pools. Dagit said they recently found newt egg masses for the first time in years, as well as a few adult newts and many frogs. Plants that provide cover are starting to recover.
She provided photos comparing certain pools last year and this year, some dramatically transformed. In September 2025, the Shrine Pool could have been an overgrown hiking trail. This April, it was filled with shallow water.
The Shrine Pool in September 2025, left, and the same location in April 2026, right, with RCDSMM’s Isaac Yelchin donning a wetsuit.
(RCDSMM Stream Team)
Topanga Creek is home to another endangered fish, the small but hardy northern tidewater goby, often described as cute. Not long before the trout operation, Dagit led a rescue of hundreds of these fish too. Many were repatriated to the lagoon at the mouth of the creek in a moving ceremony last June.
There’s still the matter of what to do with the trout that were moved to Santa Barbara County last year. Evans would like to bring them home to the Santa Monicas at some point, but isn’t sure if it will happen. On one hand, they could bolster the small, genetically isolated surviving population. On the other, they might inadvertently bring in a disease or bacteria. There is some time to decide. Evans estimates the creek still needs to recover for two to three more years.
For now, the fish are functioning fine in their adopted creek. Experts worried the trauma wrought by the move would disrupt their spawning process, but they had babies that spring. This year, they spawned again.
Science
Pacifica pier cracks, another coastal casualty as seas continue to rise
The Pacifica Municipal Pier was shut down and taped off Thursday after city workers noticed cracks running through the landmark structure and concrete chunks falling into the ocean.
It’s just one of many coastal California structures that have recently crumbled under pressure from a rising and relentless ocean.
Officials from the small, beach city south of San Francisco said the pier was closed due to “cracking, separation, and displacement of the concrete walkway and structural elements.”
It will stay closed while structural engineers asses its safety.
Photos taken by city employees show a wide crack that runs from top to bottom and across the structure as well. Other photos show a large horizontal crack under the foundation of a small restaurant on the pier, the Chit Chat Cafe.
The cafe was also shut down.
This is not the first time the 53-year-old pier has shown signs of stress. In 2021, part of it was shut down after handrails along the edge collapsed. And in 2023, after a series of storms pummeled the Central California coast, damaging parts of the pier, the structure was partially closed for more than year.
Those same storms caused extensive damage in Aptos and Capitola, 70 miles south, where piers and waterfront infrastructure were swept away or damaged.
In 2024, a 150- to 180- foot section of the Santa Cruz wharf was ripped off by powerful waves.
At least 10 of the state’s dozens of coastal public piers were closed for part or all of 2024 due to structural damage sustained in winter storms since 2022. At least five others have longer-term upgrades planned to address structural issues.
“These things are costly to maintain,” said Zach Plopper, senior environmental director at Surfrider. “They are a part of our California coastal culture in many ways, but we’re going to need to reckon with, one, the state that they’re in, and two, the continuous and worsening threats they’re going to experience,”
He said most of the piers were constructed in the early 1900s, and they weren’t built to withstand decades of rough seas, storms and rising sea level.
“With this incoming El Niño, which is forecasted to be significant, and this marine heat wave we’re in the midst of, we’re kind of in uncharted waters as far as what this winter could bring in terms of storms and swells to the California coast, and we’re likely going to see a lot more damage,” he said. “Not just piers, but roads and other coastal infrastructure up and down the state.”
There was no storm in Pacifica earlier this week, so no single event could be blamed for the destruction.
However, a 2025 report from an outside engineering firm, GHD, found that several sections of the pier were in “poor” or “serious” condition, and they recommended closure before anticipated storms or events that could “subject the piles to high winds, swells and large waves.”
The firm found several areas of the pier where concrete was missing and rebar was exposed and corroding.
“The pier has continued to experience high winds and large waves in a harsh marine environment,” the engineers wrote in the report, noting that continuous exposure to seawater or marine spray was “detrimental” to the structure.
A 2023 city report estimated it would cost $19 million to repair.
That same year, a state law was enacted to require local governments along the California coast to plan for sea level rise in the coming decades.
Sea level has risen some 8 inches, on average, along the coast in the past 150 years, Plopper said, and researchers anticipate another foot in the next 25 years.
“We’re going to see profound shifts on our coastline, none that we have ever experienced before, and building static structures on the coast just doesn’t work all that well,” he said. “We’re going to have to make some really hard decisions.”
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