The President of the United States of America takes pleasure in presenting the Navy Distinguished Service Medal to Lieutenant Commander James Burton Souder (NSN: 0-6829600), United States Naval Reserve, for exceptionally meritorious service to the government of the United States in a duty of great responsibility while serving as Group Medical Officer while a Prisoner of War in Hoa Lo Prison in North Vietnam from April 1972 through March 1973. Through his diligent and singular efforts, Lieutenant Commander Souder persistently demanded and obtained from his captors, improved medical treatment for his fellow American prisoners and wounded Airmen. While under constant threat of the enemy he commandeered and dispersed crucial medical supplies and allocated additional food to the sickest among them, several who might not have survived without his daring and heroic interventions. Under constant harassment and brutal treatment from his captors, many difficult situations arose requiring perseverance, endurance, and ingenuity from him in sustaining the health and morale of his comrades. Lieutenant Commander Souder redoubled his already vaunted efforts when 11 wounded, heavily guarded, and separately incarcerated Air Force B-52 aircrew arrived, three with life and limb-threatening injuries. By orchestrating a diversion that distracted the enemy guards, he established clandestine communications, surreptitiously entered the wounded men’s isolated quarters and examined heir wounds, then devised life and limb-saving treatment protocols – all in spite of no formal training to prepare him for the medical exigencies or the primitive circumstances. Lieutenant Commander Souder’s extraordinary personal courage, resourcefulness, and absolute fierce persistence, under brutally oppressive treatment and unsanitary conditions, in orchestrating and personally providing numerous life-saving treatments for many of his seriously wounded comrades is to be commended. By his remarkable courage, self-sacrificing actions, and exemplary devotion to duty, Lieutenant Commander Souder reflected great credit upon himself and upheld the highest traditions of the United States Naval Service.