Initiating a Field Medical Initiating a Field Medical CardCard

PurposePurpose-- Prepared on any soldier who sustains -- Prepared on any soldier who sustains wounds in the theater of Operationswounds in the theater of Operations

-- Designed to be used in forward combat -- Designed to be used in forward combat areas by NATO troops, that’s why areas by NATO troops, that’s why instructions are in French/Englishinstructions are in French/English

-- Field Medical Card provides medical -- Field Medical Card provides medical personnel where casualty is evacuated to personnel where casualty is evacuated to with the information regarding basic with the information regarding basic information for Theater tracking purposes.information for Theater tracking purposes.

-- Minimum blocks to fill out are blocks 1, -- Minimum blocks to fill out are blocks 1, 3,4, 9, and 113,4, 9, and 11

The Field Medical Card (DD-1380), is part The Field Medical Card (DD-1380), is part of official and permanent medical of official and permanent medical treatment recordstreatment records

Provides medical treatment staff with an Provides medical treatment staff with an accurate, standardized record of the accurate, standardized record of the patient care initiated, prior to the patient's patient care initiated, prior to the patient's arrival to the medical facilityarrival to the medical facility

This record alerts the receiving medical This record alerts the receiving medical facility to any special patient care needed facility to any special patient care needed for treatment and helps prevent delaysfor treatment and helps prevent delays

IntroductionIntroduction

Initiating a Field Medical Card (Cont’d)Initiating a Field Medical Card (Cont’d)

Block 1Block 1 NameName RankRank SSN ( if casualty is member of a foreign SSN ( if casualty is member of a foreign

service, enter their military number in this service, enter their military number in this block—if they are civilian, leave it blank)block—if they are civilian, leave it blank)

MOS MOS SexSex Religion ( important for critical casualties Religion ( important for critical casualties

so that they can notify appropriate religious so that they can notify appropriate religious personnel.) personnel.)

Block 1Block 1

Full nameFull name Rank/gradeRank/grade Social security number (SSN)Social security number (SSN) Military occupational specialty (MOS) Military occupational specialty (MOS)

or area of concentration for specialty or area of concentration for specialty codecode

Religion and sexReligion and sex1. LAST NAME, FIRST NAME / NOM ET PRENOM RANK/GRADE MALE/HOMME

FEMALE/FEMME

RELIGION/RELIGIONSPECIALTY CODE / GPMSSN / NUMERO MATRICULE

Initiating a Field Medical Card (Cont’d)Initiating a Field Medical Card (Cont’d)

Block 3Block 3 Mark the appropriate block which shows type of Mark the appropriate block which shows type of

injury above block 3 ( e.g. BC=Battle casualty; injury above block 3 ( e.g. BC=Battle casualty; NBI=Non Battle Injury ; Disease=illness ; NBI=Non Battle Injury ; Disease=illness ; Pysch=Battle Stress, or other)Pysch=Battle Stress, or other)

Mark the figures on the Left portion with a small “x” Mark the figures on the Left portion with a small “x” to indicate where the wound, or wounds are located. to indicate where the wound, or wounds are located. Be sure to check casualty for entrance and exit Be sure to check casualty for entrance and exit woundwound

Check the box on the right to annotate location Check the box on the right to annotate location where medical person should check : Airway, Head, where medical person should check : Airway, Head, Wound, Neck/Back Injury, Burn, Amputation, Stress, Wound, Neck/Back Injury, Burn, Amputation, Stress, or other ( for illness and anything not covered). or other ( for illness and anything not covered).

Use the figures in the block to show the Use the figures in the block to show the location of the injury or injurieslocation of the injury or injuries

Check the appropriate box(es) to describe Check the appropriate box(es) to describe the casualty's injuriesthe casualty's injuries

Block 3Block 3

BC / BC NBI / BCN DISEASE/MALADIE PSYCH / PSYCH

AIRWAY / TRACHEE

HEAD / TETE

WOUND / BLESSURE

NECK/BACK INJURY /BLESSURE AU COU/AU DOS

BURN / BRULURE

AMPUTATION / AMPUTATION

STRESS / TENSION

OTHER (Specify) / AUTRE (Specifier)

Initiating a Field Medical Card (Cont’d)Initiating a Field Medical Card (Cont’d)

Block 4Block 4 Check Casualties Level of Consciousness ( this Check Casualties Level of Consciousness ( this

helps them determine if it has changed by the helps them determine if it has changed by the time he arrives at the MTF-Medical Treatment time he arrives at the MTF-Medical Treatment Facility)Facility)

A = AlertA = Alert V = Verbal ( responds to just verbal commands) V = Verbal ( responds to just verbal commands) P = Pain ( body responds to painful stimuli ) P = Pain ( body responds to painful stimuli ) U = Unresponsive (There is no response from U = Unresponsive (There is no response from

the casualty)the casualty)

Check the appropriate box for Check the appropriate box for level of consciousnesslevel of consciousness

Block 4Block 4

4. LEVEL OF CONCIOUSNESS / NIVEAU DE CONSCIENCE

ALERT / ALERTE

VERBAL RESPONSE / REPONSE VEBALE

PAIN RESPONSE / REPONSE A LA DOULER

UNRESPONSIVE / SANS REPONSE

Initiating a Field Medical Card (Cont’d)Initiating a Field Medical Card (Cont’d)

Block 9Block 9 Enter a Brief description of treatment given. Enter a Brief description of treatment given.

Use appropriate medical abbreviations– if Use appropriate medical abbreviations– if not known, just use plain English. not known, just use plain English.

If a Tourniquet was applied, annotate that If a Tourniquet was applied, annotate that here , as well as the time it was applied, and here , as well as the time it was applied, and location. location.

If medications or Morphine were If medications or Morphine were administered, then annotate the time it was administered, then annotate the time it was given as well dosage. given as well dosage.

Block 9Block 9

Write treatment givenWrite treatment given Use block 14 for additional spaceUse block 14 for additional space

Multiple LW over anterior aspect of body due to hand grenade explosion. NKDA. Field dressings and pressure dressing applied.

9. TREATMENT/OBSERVATIONS/CURRENT MEDICATIONS/ALLERGIES/NBC (ANTIDOTE) TRAITEMENT/OBSERVATIONS/PRESENTE MEDICATION/ALLERGIES/ANTIDOTES

Abraded wound - Abr WAbraded wound - Abr W Contused wound - Cont WContused wound - Cont W Fracture (compound) open - FCFracture (compound) open - FC Fracture (compound) open Fracture (compound) open

comminuted FCCcomminuted FCC Fracture simple (closed) - FSFracture simple (closed) - FS Lacerated wound - LWLacerated wound - LW

Authorized Authorized AbbreviationsAbbreviations

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 Gun Shot Wound - GSWGun Shot Wound - GSW

Authorized Authorized AbbreviationsAbbreviations

Initiating a Field Medical Card (Cont’d)Initiating a Field Medical Card (Cont’d)

Block 11Block 11

Enter your initials in this block at the far Enter your initials in this block at the far right, and leave room for the following right, and leave room for the following medical officer to sign. Leave the date alone. medical officer to sign. Leave the date alone.

Block 11Block 11

Your initials on the Your initials on the far rightfar right of the of the blockblock

11.PROVIDER/UNIT / OFFICIER MEDICALE/UNITE DATE/DATE (YYMMDD)

Block 2Block 2 - enter the casualty's unit and - enter the casualty's unit and country of whose armed forces he/she is country of whose armed forces he/she is a member. Check the armed services of a member. Check the armed services of the casualtythe casualty

Block 5Block 5 - write the casualty's pulse rate - write the casualty's pulse rate and the time that the pulse was and the time that the pulse was measuredmeasured

Complete the Other Complete the Other Blocks As Time PermitsBlocks As Time Permits

Block 8Block 8 - write in the time, date, and - write in the time, date, and type of IV solution giventype of IV solution given

Block 10Block 10 - check the appropriate box. - check the appropriate box. Write the date and time of disposition Write the date and time of disposition

Block 12Block 12 - write the time and date of - write the time and date of the casualty's arrival. Record the the casualty's arrival. Record the blood pressure, pulse, and respirations blood pressure, pulse, and respirations in the space providedin the space provided

Complete the Other Blocks Complete the Other Blocks As Time PermitsAs Time Permits

Block 13Block 13 - document the appropriate - document the appropriate comments by the date and time of comments by the date and time of observationobservation

Block 14Block 14 - document the provider's - document the provider's orders by date and time. Record the orders by date and time. Record the dose of tetanus administered and the dose of tetanus administered and the time it was administered. Record the time it was administered. Record the type and dose of antibiotic administered type and dose of antibiotic administered and the time it was administeredand the time it was administered

Complete the Other Complete the Other Blocks As Time PermitsBlocks As Time Permits

Block 15Block 15 - the signature of the - the signature of the provider or medical officer and provider or medical officer and date is written in this blockdate is written in this block

Block 16Block 16 - check the appropriate - check the appropriate box and enter the date and timebox and enter the date and time

Complete the Other Complete the Other Blocks As Time PermitsBlocks As Time Permits

Block 17Block 17 - this block will be - this block will be completed by the United Ministry completed by the United Ministry Team. Check the appropriate box of Team. Check the appropriate box of the service provided. The signature the service provided. The signature of the chaplain providing the service of the chaplain providing the service is written in this blockis written in this block

Complete the Other Blocks Complete the Other Blocks As Time PermitsAs Time Permits

After Completing, After Completing, Attach It to the Attach It to the

CasualtyCasualty

SummarySummary

The Field Medical Card is a patient's The Field Medical Card is a patient's lifeline when passed from one Medical lifeline when passed from one Medical Treatment Facility to anotherTreatment Facility to another

Mistakes or omissions on this form Mistakes or omissions on this form can cost livescan cost lives

Be sure you have mastered this Be sure you have mastered this procedure wellprocedure well

QUESTIONS?QUESTIONS?