The Unit One was last reviewed in 1965 and it was never kept up with the increased training and skills demands of the Hospital Corpsman.

EIGHT EXTERNAL POUCHESEIGHT EXTERNAL POUCHES

DETATCHABLE FLAPDETATCHABLE FLAP

ONE DETATCHABLE I.V.ONE DETATCHABLE I.V. BANDOLIERBANDOLIER

DRESSING, BURN 4X16 DRESSING, BURN 4X16 SATURATED WITH WATER/GELSATURATED WITH WATER/GEL

DRESSING, CHEST WOUND SEALDRESSING, CHEST WOUND SEAL

LARYNGOSCOPELARYNGOSCOPE

CHEMICAL COLD PACK, REUSABLE, DUAL ICECHEMICAL COLD PACK, REUSABLE, DUAL ICE

BASIC CORPSMAN ENT KITBASIC CORPSMAN ENT KIT

VORTEC HEADLAMPVORTEC HEADLAMP

Minor Surgical SetMinor Surgical Set

• Used for the emergency treatment of Used for the emergency treatment of

battle and non-combat casualtiesbattle and non-combat casualties

SURGICAL INSTRUMENT SET, MINOR SURGICAL INSTRUMENT SET, MINOR SURGERY, WITH NON-RIGID CASE SURGERY, WITH NON-RIGID CASE

DD Form 1380DD Form 1380

PurposePurpose

• Furnishes the attending physician with Furnishes the attending physician with

essential information about the diseases, essential information about the diseases,

injuries and treatment provided the injuries and treatment provided the

casualty during evacuation through the casualty during evacuation through the

various echelons of carevarious echelons of care

• Serves as a record of injury, illness and Serves as a record of injury, illness and treatment during combattreatment during combat

• Records disposition of patient, including Records disposition of patient, including deathdeath

• Serves as a record during outpatient Serves as a record during outpatient visits when medical record is not visits when medical record is not availableavailable

• Utilized by all U.S. And Nato ForcesUtilized by all U.S. And Nato Forces

PurposePurpose

DispositionDisposition of the of the

DD Form 1380 DD Form 1380

Combat SituationCombat Situation

• Original: With patient to medical records

• Duplicate: Health record/BAS

Outpatient TreatmentOutpatient Treatment

• Original: BAS

• Duplicate: Enter in Health record. Copy to Adjutant

Non-Combat SituationNon-Combat Situation

• Original: BAS

• Duplicate: BAS

TransferTransfer

• Original: To receiving facility

• Duplicate: BAS

Transferred CasesTransferred Cases

• Remains with the patient when

transferred from one MTF to another

• It should be attached to patient or with

established health record until the patient

reaches hospital, dies and is buried or

returns to duty

Carbon CopiesCarbon Copies

• In the U.S., the Senior Command

Surgeon prescribes the use of these

through the SOP or the administrative or

logistics order

• Overseas commands they are used as the

Senior Command Surgeon prescribes

AccuracyAccuracy

• The DD Form 1380 is the first and

sometimes the only record of combat

casualty treatment

• Accuracy and completion is of utmost

importance

CompletionCompletion of the of the

DD Form 1380 DD Form 1380

Block #1Block #1

• Personal Identification: – Name

– Rank

– SSN

– Sex

– Specialty Code

– Religion

Block #2Block #2

• Unit Information:

– Unit

– Nationality

– Force

Block #3Block #3

• Injury identification:

– Mark appropriately on diagram

Block #4Block #4

• Level of Consciousness

– Mental status

– AVPU

Block #5Block #5

• Pulse: – Record time

Block #6Block #6• Tourniquet:

–Indicate with yes or no and time if applied

Block #7Block #7

• Morphine: – Record dose and time

Block #8Block #8• I.V.:

–Record start time

Block #9Block #9

• Treatment

Block #10Block #10

• Disposition

Block #11Block #11• Provider:

– M. O.’s Signature, unit and date

Block #12Block #12

• Reassessment: – Record status, date and time

Block #13Block #13

• Clinical comments/diagnosis

Block #14Block #14

• Orders/antibiotics

Block #15Block #15

• Provider: – Signature and date

Block #16Block #16

• Disposition

–Duty status, Evac or Deceased

Block #17Block #17

• Religious Services:

– Chaplain services and entries

MORPHINEMORPHINE

MORPHINE:MORPHINE:

Not normally issued with the Unit One, but is issued prior to going on patrol. Usually you get issued 3 packages.

EACH PACK OF MORPHINE CONTAINS 5 SYRETTES OF 16 MG

AccountabilityAccountability

• During time of war, you will be issued

Morphine syrettes under very strict

controlled procedures. Possession is a

medical responsibility and must not be

taken lightly

Morphine SyrettesMorphine Syrettes

• Composed of a collapsible tube fitted

with a hypodermic needle, with a stilt

insert and a plastic needle cover.

• Each syrette contains 16 mg of Morphine

Use of the SyretteUse of the Syrette

• Remove the needle cover

• Grasp the stylet and push into tube until

stopped by the opening guard

• Remove the stylet and inject

DosageDosage

• Adult dosage is 8 to 16 mg, repeated if

necessary every 4 hours

UsageUsage

• Morphine is a very effective pain reliever

• Proper administration in selected

patients will relieve distressing pain and

aid in the prevention of shock

PrecautionsPrecautions

• Causes mental confusion

• Respiratory depression

• Increases intracranial pressure

• Constrictive Pupils

• Morphine poising and habituating

Administration PrecautionsAdministration Precautions

• LOC

• Head injuries

• Airway and respiratory related injuries

• Massive hemorrhage

• Any casualty having fewer than 16

respirations per minute should NOT be

given any morphine

• Evidence of severe or deepening shock

Administration PrecautionsAdministration Precautions

RecordingRecording

• Morphine usage will be recorded on the

DD Form 1380 in block #7 to include

dose and time

Morphine PoisoningMorphine Poisoning

• Constricted pupils

• Slowed respirations

• Progressive fall in blood pressure

TreatmentTreatment

• Oxygen

• Pain stimulants

• Administer Narcan

NarcanNarcan

• Drug of choice

• Located in the BAS

• Adult dosage is .4 mg via I.V. repeated

every 2 -3 minutes