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On 26 October 1854, following the retreat of the Light Brigade at the Battle of Balaclava, Lieutenant-Colonel William Morris of the 17th Lancers lay severely wounded in an exposed position under direct Russian fire. Surgeon James Mouat of the 6th Dragoons, who was managing a general field hospital nearby, voluntarily rode out onto the field to reach the fallen officer. Joined by Sergeant-Major Charles Wooden, Mouat dressed Morris's injuries under continuous small-arms and artillery fire. The surgical intervention succeeded in arresting severe arterial hemorrhage. Once the officer was stabilized, Mouat helped carry him out of range of advancing Cossack patrols and back to safety within British lines. When questioned later about his conduct, Mouat remarked that the entire action had taken less than twenty minutes.
Mouat was born in London in 1815, the son of Dr. James Mouat, an army medical officer. He completed his medical studies at University College and Hospital, London, qualifying as a Member of the Royal College of Surgeons in 1837 and gaining election to the Fellowship in 1852. He entered the British Army Medical Department as an Assistant Surgeon in 1838.
During the Crimean War, Mouat served through major combat engagements, including the battles of Balaclava, Inkerman, and Tchernaya, as well as the long siege of Sebastopol. His operational duties involved establishing and managing field hospitals amidst severe outbreaks of disease, extreme weather, and medical supply shortages. His wartime contributions were recognized internationally by the French government, which appointed him a Knight of the Legion of Honour, and by the Ottoman Empire, which awarded him the Order of the Medjidie. On 2 June 1858, Mouat became the first medical officer awarded the Victoria Cross for his actions at Balaclava.
Promoted to Deputy Inspector General of Hospitals in 1858 and Inspector General in 1864, Mouat was dispatched to New Zealand as Principal Medical Officer during the New Zealand Wars, serving from 1863 to 1865. In this capacity, he directed medical support and field surgery across difficult jungle terrain, earning formal commendations from the local government.
Later in his career, Mouat reached the rank of Surgeon General. He was appointed Honorary Surgeon to Queen Victoria in 1888 and made a Knight Commander of the Most Honourable Order of the Bath in 1894. He died in London on 4 January 1899 at the age of 83. His decorations were bequeathed to the Royal United Service Institution and are preserved at the Army Medical Services Museum in Mytchett, Surrey.
The citation for his Victoria Cross was published in The London Gazette on 2 June 1858:
"For having voluntarily proceeded to the assistance of Lieutenant-Colonel Morris, C.B., 17th Lancers, who was lying dangerously wounded in an exposed situation after the retreat of the Light Cavalry at the battle of Balaklava, and having dressed that officer's wounds in presence of the enemy, and under a heavy fire, by which act of devotion, the life of Lieutenant-Colonel Morris was saved."
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