The President of the United States of America, authorized by Act of Congress, July 9, 1918, takes pleasure in presenting the Distinguished Service Cross to Private Joseph A. Madden (ASN: 1335), United States Army, for extraordinary heroism in action while serving with Medical Detachment, 125th Infantry Regiment (Attached), 32d Division, American Expeditionary Forces, near Cierges and Fismes, France, July 31 to 4 August 1918. Throughout the advance by Company D, to which he was attached, his conduct, in treating the wounded under fire, afforded an inspiring example of devotion to duty. He was in the front lines at all times, administering relief not only to men of his company but also to the wounded of other organizations in his vicinity. He voluntarily searched the woods and fields to give first aid to the wounded. In spite of heavy and continuous shell fire, he continued working untiringly day and night until exhausted.