MSTC, FT LEWIS WAMSTC, FT LEWIS WA

Field Medical CardField Medical CardDD Form 1380DD Form 1380

Lesson SevenLesson Seven

Purpose of the US Field Purpose of the US Field Medical Card (DD Form Medical Card (DD Form

1380)1380)► Provides medical personnel with essential Provides medical personnel with essential

information about the casualty’s injury and information about the casualty’s injury and treatment giventreatment given

► Used in forward combat areas by North Used in forward combat areas by North Atlantic Treaty Organization (NATO) troopsAtlantic Treaty Organization (NATO) troops

► Instructions in French and EnglishInstructions in French and English

► Prepared on any casualty treated within a Prepared on any casualty treated within a theater of operationstheater of operations

FMCFMCFMCFMC

10 sets in a pad10 sets in a pad•original with attached wireoriginal with attached wire•protective sheetprotective sheet•duplicate paper formduplicate paper form

Must fill at a minimum block Must fill at a minimum block 1, 1, 3, 4, 9 and 113, 4, 9 and 11

Attached to casualty

Receipt copy left in book setProtective Sheet

Block 1Block 1

Name Enter casualty’s name in last name, first name, middle initial format

Rank Enter abbreviation of casualty’s rank (SGT, CPT)

SSN Enter Casualty’s social security number. If the casualty is a member of a foreign military, or prisoner of war, enter military service number instead. Leave blank if not in military

MOS Enter casualty’s military occupation specialty (MOS) code if enlisted or area of concentration (AOC) if an officer in the box titled “SPECIALTY CODE/GPM”

Sex Mark the appropriate box to the left of “MALE / HOMME” “FEMALE / FEMME

Religion Enter the casualty’s religious preference in box titled “RELIGION”

Block 3Block 3If casualty is suffering trauma (battle casualty), mark box “BC/BC”

If nuclear, biological, or chemical casualty, mark box “NBC/NBC”

If casualty is ill and is not classifiable as one of the other three categories, mark box “DISEASE/MALADE”

If casualty is suffering from combat stress or other psychological injury, mark box “PSYCH/PSYCH”

Mark figures to show location of injuries (entry and exit)

Mark appropriate box or boxes to describe casualty’s injuries

If “OTHER” is marked, explain injuries

Block 4Block 4

Check appropriate box for level of consciousness

AVPU system

Block 9Block 9

Enter a brief description of the treatment given

Use approved abbreviations if possible

If needed, use block 14 for additional space

Authorized AbbreviationsAuthorized Abbreviations► Abraded wound – Abr WAbraded wound – Abr W► Contused wound – Cont WContused wound – Cont W► Fracture (compound) open – FCFracture (compound) open – FC► Fracture simple (closed) – FSFracture simple (closed) – FS► Fracture (compound) open comminuted - FCCFracture (compound) open comminuted - FCC► Gun shot wound – GSWGun shot wound – GSW► Lacerated wound – LWLacerated wound – LW► Multiple wounds – MWMultiple wounds – MW► Penetrating wound – Pen WPenetrating wound – Pen W► Perforating wound – Perf WPerforating wound – Perf W► Severe – SVSevere – SV► Slight - SLSlight - SL

Block 11Block 11

Enter your initials (not your name) in the far right of the signature box of Block 11

This will let medical personnel know who initially treated the casualty and still leave room for the medical officer to sign the card

Secondary Information Secondary Information (Front of Form) (Front of Form)

If you have time, you can also fill If you have time, you can also fill out some of the other blocks on out some of the other blocks on the front of the form the front of the form afterafter you you have filled in the primary five have filled in the primary five blocksblocks

Block 2Block 2

Enter the casualty’s unit

Enter the casualty’s country, for example “USA”

Check the appropriate armed service element. Mark the “A/T” box for Army, “AF/A” for Air Force, “N/M” for Navy, and “MC/M” for Marine Corps

Block 5/6Block 5/6

Skip Block 5 since you have not been taught to take an accurate pulse and record it properly

BLOCK 6: If a tourniquet was applied, mark the YES block. If not applied, leave blank

If you checked “YES”, enter date in YY/MM/DD format and the time in 24-hour time that the tourniquet was applied

Block 7Block 7

Skip this block

Used by Combat Medic to record the administration of Morphine

Block 8Block 8

If an intravenous infusion (IV) has been initiated:

Write the type of IV fluid (Hextend) in the “IV/IV” box

Write the date and time that the IV solution was begun in the “TIME/HEURE” box. Write the date in YY/MM/DD format and the time in 24-hour time format

Block 10Block 10

Check the box in front of the appropriate disposition (Return to Duty or Evacuated)

Enter the date (YY/MM/DD) and time (military) of the disposition in the “TIME/HEURE” box

Reverse Side of the Field Reverse Side of the Field Medical CardMedical Card

The reverse side of the Field Medical The reverse side of the Field Medical Card is normally filled out by medical Card is normally filled out by medical personnel or other personnel once the personnel or other personnel once the casualty reaches a medical treatment casualty reaches a medical treatment facility, such as a battalion aid station facility, such as a battalion aid station (BAS). Your self study book contains a (BAS). Your self study book contains a discussion on these blocks. Since you discussion on these blocks. Since you will not be involved in filling them out, will not be involved in filling them out, they will not be covered in this lesson they will not be covered in this lesson

FMCFMCFMCFMC

Go over practice scenarioGo over practice scenario

Questions????Questions????Questions????Questions????

MSTC, FT LEWIS WAMSTC, FT LEWIS WA

MEDEVAC RequestMEDEVAC Request

Lesson EightLesson Eight

MEDEVAC Request MEDEVAC Request ObjectivesObjectives

MEDEVAC Request MEDEVAC Request ObjectivesObjectives

►Move casualties by air or ground Move casualties by air or ground to a Medical Treatment Facilityto a Medical Treatment Facility

Format makes it faster, clearer Format makes it faster, clearer and more accurateand more accurate

2 Formats: peacetime and 2 Formats: peacetime and wartimewartime

Medical EvacuationMedical Evacuation

► Movement of casualties by Movement of casualties by medical ground/air medical ground/air ambulances to a medical ambulances to a medical treatment facilitytreatment facility

► The term MEDEVAC is used The term MEDEVAC is used when military medical when military medical vehicles (medical personnel vehicles (medical personnel aboard) are used for aboard) are used for transporttransport

► The term CASEVAC is used The term CASEVAC is used when non-medical vehicles when non-medical vehicles are used to evacuate are used to evacuate casualtiescasualties

MEDEVAC RequestMEDEVAC Request

► Transmitted over radioTransmitted over radio

► Makes transmission of information faster, Makes transmission of information faster, clearer, and more accurateclearer, and more accurate

► Same format for both air and ground evacSame format for both air and ground evac

► Helps medical units determine correct Helps medical units determine correct priority for committing evacuation assetspriority for committing evacuation assets

► Helps to ensure that the casualty receives Helps to ensure that the casualty receives appropriate evacuationappropriate evacuation

MEDEVAC RequestMEDEVAC Request► Proper casualty Proper casualty

classification is needed to classification is needed to ensure that casualties are ensure that casualties are evacuated according to evacuated according to their needstheir needs

► Casualties are picked up as Casualties are picked up as soon as possible, consistent soon as possible, consistent with available resources with available resources and pending missionsand pending missions

► Over classification: The Over classification: The tendency to classify a tendency to classify a wound or injury as being wound or injury as being more severe than it more severe than it actually isactually is

Preparing a MEDEVAC Preparing a MEDEVAC RequestRequest

► Special 9-line formatSpecial 9-line format

► Rather than stating type of information, a line Rather than stating type of information, a line number is givennumber is given

► Brevity codes usedBrevity codes used

► Transmitted in sequence (line 1, then line 2, and Transmitted in sequence (line 1, then line 2, and so forth)so forth)

► Two formats, one for combat and one for Two formats, one for combat and one for peacetime peacetime

Lines 1 through 5Lines 1 through 5

► Must be transmitted Must be transmitted before the evacuation before the evacuation mission beginsmission begins

► Remaining lines Remaining lines should be transmitted should be transmitted at the same time if at the same time if possible, but can be possible, but can be transmitted to the transmitted to the ground or air ground or air ambulance en routeambulance en route

Line 1: Location of Pickup Line 1: Location of Pickup SiteSite

Using a map, determine Using a map, determine the grid coordinates the grid coordinates (eight digits) of the site (eight digits) of the site where the air or ground where the air or ground ambulance will pick up ambulance will pick up the casualties the casualties

This information allows This information allows the unit coordinating the unit coordinating evacuation to plan the evacuation to plan the ambulance's route so it ambulance's route so it can pick up casualties can pick up casualties from more than one site, from more than one site, if appropriate if appropriate

Line 2: Radio Frequency, Line 2: Radio Frequency, Call Sign, and SuffixCall Sign, and Suffix

► Radio frequency, call signal, and Radio frequency, call signal, and suffix of signal operation suffix of signal operation instructions can be obtained instructions can be obtained from the Signal Operating from the Signal Operating Instruction (SOI) or from the Instruction (SOI) or from the Automated Net Control Device Automated Net Control Device (ANCD) or from the radio (ANCD) or from the radio supervisor supervisor

► This information is needed so This information is needed so that the evacuation vehicle crew that the evacuation vehicle crew can contact the requesting unit can contact the requesting unit while en route. For example, while en route. For example, when you pop smoke, the air when you pop smoke, the air ambulance will call to verify the ambulance will call to verify the color of the smoke you initiated. color of the smoke you initiated. (The enemy may also produce (The enemy may also produce smoke to try to confuse the air smoke to try to confuse the air ambulance.) ambulance.)

Line 3: Number of Line 3: Number of Casualties by PrecedenceCasualties by Precedence► Classify your casualty or casualties based Classify your casualty or casualties based

upon your evaluation of the casualty or upon your evaluation of the casualty or casualties casualties

► UrgentUrgent.. Emergency case that should be Emergency case that should be evacuated as soon as possible and within a evacuated as soon as possible and within a maximum of 2 hours in order to save live, maximum of 2 hours in order to save live, limb, or eyesight limb, or eyesight

► Urgent SurgicalUrgent Surgical.. Emergency case that Emergency case that should be evacuated within 2 hours to the should be evacuated within 2 hours to the nearest surgical unit nearest surgical unit

Line 3: Number of Line 3: Number of Casualties by PrecedenceCasualties by Precedence► PriorityPriority.. Sick or wounded person requiring prompt Sick or wounded person requiring prompt

medical care and who should be evacuated within 4 medical care and who should be evacuated within 4 hours or his medical condition could deteriorate to hours or his medical condition could deteriorate to such a degree that he could become an urgent such a degree that he could become an urgent precedence precedence

► RoutineRoutine.. Sick or wounded person requiring Sick or wounded person requiring evacuation, but whose condition is not expected to evacuation, but whose condition is not expected to deteriorate significantly. Should be evacuated within deteriorate significantly. Should be evacuated within 24 hours 24 hours

► ConvenientConvenient.. Person who is being medically Person who is being medically evacuated for medical convenience rather than evacuated for medical convenience rather than necessity necessity

Line 4: Special Line 4: Special Equipment RequiredEquipment Required

► Determine what special equipment, if any, Determine what special equipment, if any, will need to be placed aboard the will need to be placed aboard the ambulance before it begins the mission ambulance before it begins the mission

► Required so that the equipment can be Required so that the equipment can be placed on board the evacuation vehicle placed on board the evacuation vehicle prior to the start of the missionprior to the start of the mission

► Most common items for an air ambulance Most common items for an air ambulance are hoist, Stokes litter, and forest are hoist, Stokes litter, and forest penetrator. Another common special penetrator. Another common special equipment requirement is a ventilator equipment requirement is a ventilator

Line 5: Number of Line 5: Number of Casualties by TypeCasualties by Type

► Determine the number of Determine the number of casualties that will casualties that will evacuated on a litter and evacuated on a litter and the number of casualties the number of casualties that are able to sit that are able to sit (ambulatory) (ambulatory)

► Needed to determine the Needed to determine the appropriate number of appropriate number of evacuation vehicles to be evacuation vehicles to be dispatched to the pickup dispatched to the pickup site site

► Needed to configure the Needed to configure the vehicles to carry the vehicles to carry the casualties requiring casualties requiring evacuation evacuation

Line 6: Security of Pickup Line 6: Security of Pickup SiteSite

Determine whether proposed pickup site is secure Determine whether proposed pickup site is secure

* No enemy troops in area* No enemy troops in area

* Possibly enemy troops in area; approach with * Possibly enemy troops in area; approach with cautioncaution

* Enemy troops in area; approach with caution * Enemy troops in area; approach with caution

* Enemy troops in area; armed escort required* Enemy troops in area; armed escort required

Line 7: Method of Line 7: Method of Marking Pickup SiteMarking Pickup SitePanelsPanels

Pyrotechnic signalPyrotechnic signal Smoke signalSmoke signal Signal personSignal person

Strips of fabric or parachuteStrips of fabric or parachute Tree branches, wood, stones Tree branches, wood, stones Signal lamp, flashlight, vehicle lightsSignal lamp, flashlight, vehicle lights

Open flameOpen flame

Line 8: Casualty Line 8: Casualty Nationality and StatusNationality and Status

►Number of casualties in each Number of casualties in each category does not need to be category does not need to be determineddetermined

►Helps the unit coordinating the Helps the unit coordinating the evacuation to identify which facilities evacuation to identify which facilities should receive casualties and should receive casualties and whether guards are neededwhether guards are needed

Line 8: Casualty Line 8: Casualty Nationality and StatusNationality and Status

► The categories are:The categories are:

United States militaryUnited States military

US civilianUS civilian

Military other than US militaryMilitary other than US military

Civilian other than US civilianCivilian other than US civilian

Enemy prisoner of war (EPW)Enemy prisoner of war (EPW)

Line 9: NBC Line 9: NBC ContaminationContamination

►Determine if chemical, Determine if chemical, biological, and/or radiological biological, and/or radiological contamination is present contamination is present based upon the military based upon the military situationsituation

► If there is no contamination, If there is no contamination, this line is this line is notnot transmitted transmitted

Procedure Words Procedure Words (prowords)(prowords)

Keeps voice transmission short and conciseKeeps voice transmission short and concise

► ““ROGER”ROGER”

► ““WILCO”WILCO”

► ““WAIT”WAIT”

► ““SAY AGAIN” SAY AGAIN”

► ““CORRECTION”CORRECTION”

► ““OVER”OVER”

Phonetic Alphabet and Phonetic Alphabet and NumbersNumbers

Used to avoid confusion and errors during Used to avoid confusion and errors during transmissiontransmission

ALPHA WUNALPHA WUNBRAVO TREEBRAVO TREECHARLIE FOWERCHARLIE FOWERDELTA FIFEDELTA FIFEECHO NINERECHO NINERFOXTROT FOXTROT

(if multiple digits, say each number individually)(if multiple digits, say each number individually)

Transmitting RulesTransmitting RulesForbidden practices:Forbidden practices:

► Violation of radio silenceViolation of radio silence

► Unofficial conversation between Unofficial conversation between operatorsoperators

► Transmission on net without Transmission on net without permissionpermission

► Excessive tuning and testingExcessive tuning and testing

► Transmission of operators personal Transmission of operators personal sign/namesign/name

► Unauthorized use of plain languageUnauthorized use of plain language

► Use of other than authorized prowordsUse of other than authorized prowords

► Profane, indecent, or obscene Profane, indecent, or obscene languagelanguage

TransmittingTransmitting

► Transmit the opening statement: “I HAVE A Transmit the opening statement: “I HAVE A MEDEVAC REQUEST. OVER”MEDEVAC REQUEST. OVER”

► Break 1-3 seconds for acknowledgement by Break 1-3 seconds for acknowledgement by receiving operatorreceiving operator

► Transmit entire MEDEVAC request, line by Transmit entire MEDEVAC request, line by line, using phonetic letters and numbersline, using phonetic letters and numbers

► After transmitting request, state “HOW After transmitting request, state “HOW COPY, OVER” and wait for acknowledgementCOPY, OVER” and wait for acknowledgement

9+LINE MEDEVAC 

LINE 1 (8) Digit Grid: _________________________________________________________________ LINE 2 Your Call sign / Frequency: _____________________________________________________________ LINE 3 Category of Patient:

A: urgent ______ B: urgent-surgical______ C: priority______ D: routine_______ E: convenience_______ LINE 4 Special Equipment: A – none B – hoist C – extraction equipment  LINE 5 Patient By type: L-litter ______________________________________ 

A-ambulatory ______________________________________ 

LINE 6 Security of Pickup Site: N – none P – possible enemy E- enemy troops (proceed with caution) X – enemy troops (armed escort required) LINE 7 Method of Marking Pick up Site:

A: panels B: pyrotechnic signal C: smoke signal D: none E: other_____________________  

LINE 8 Patient Nationality and Status: A. US MILITARY _____________________________

 B. US CILIVIAN _____________________________

  C. NON US MILITARY _____________________________

 D. NON US CIVILIAN ____________________________

 E. EPW _____________________________

 LINE 9 NBC Contamination: N – nuclear; B – biological; C – chemical

LINE 10 SPECIFIC NATURE of INJURY(S) ________________________________________________

“ DUSTOFF”

QUESTIONS????QUESTIONS????