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 POUCHES

DETATCHABLE FLAP

ONE DETATCHABLE I.V. BANDOLIER

DRESSING, BURN 4X16 SATURATED WITH WATER/GEL

DRESSING, CHEST WOUND SEAL

LARYNGOSCOPE

CHEMICAL COLD PACK, REUSABLE, DUAL ICE

BASIC CORPSMAN ENT KIT

VORTEC HEADLAMP

Minor Surgical Set Used for the emergency treatment of battle and non-combat casualtiesUsed for the emergency treatment of battle and non-combat casualties

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

DD Form 1380

Purpose Furnishes the attending physician with essential information about the diseases, injuries and treatment provided the casualty during evacuation through the various echelons of careFurnishes the attending physician with essential information about the diseases, injuries and treatment provided the casualty during evacuation through the various echelons of care

Serves as a record of injury, illness and treatment during combatServes as a record of injury, illness and treatment during combat Records disposition of patient, including deathRecords disposition of patient, including death Serves as a record during outpatient visits when medical record is not availableServes as a record during outpatient visits when medical record is not available Utilized by all U.S. And Nato ForcesUtilized by all U.S. And Nato Forces Purpose

Disposition of the DD Form 1380

Combat Situation Original: With patient to medical records Duplicate: Health record/BAS

Outpatient Treatment Original: BAS Duplicate: Enter in Health record. Copy to Adjutant

Non-Combat Situation Original: BAS Duplicate: BAS

Transfer Original: To receiving facility Duplicate: BAS

Transferred 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 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

Accuracy The DD Form 1380 is the first and sometimes the only record of combat casualty treatment Accuracy and completion is of utmost importance

Completion of the DD Form 1380

Block #1 Personal Identification: –Name –Rank –SSN –Sex –Specialty Code –Religion

Block #2 Unit Information: –Unit –Nationality –Force

Block #3 Injury identification: –Mark appropriately on diagram

Block #4 Level of Consciousness –Mental status –AVPU

Block #5 Pulse: –Record time Block #6 Tourniquet: –Indicate with yes or no and time if applied

Block #7 Morphine: –Record dose and time Block #8 I.V.: –Record start time

Block #9 Treatment Block #10 Disposition Block #11 Provider: –M. O.’s Signature, unit and date

Block #12 Reassessment: –Record status, date and time Block #13 Clinical comments/diagnosis Block #14 Orders/antibiotics

Block #15 Provider: –Signature and date Block #16 Disposition –Duty status, Evac or Deceased

Block #17 Religious Services: –Chaplain services and entries

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

Accountability 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 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 Syrette Remove the needle cover Grasp the stylet and push into tube until stopped by the opening guard Remove the stylet and inject

Dosage Adult dosage is 8 to 16 mg, repeated if necessary every 4 hours

Usage Morphine is a very effective pain reliever Proper administration in selected patients will relieve distressing pain and aid in the prevention of shock

Precautions Causes mental confusion Respiratory depression Increases intracranial pressure Constrictive Pupils Morphine poising and habituating

Administration 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 Precautions

Recording Morphine usage will be recorded on the DD Form 1380 in block #7 to include dose and time

Morphine Poisoning Constricted pupils Slowed respirations Progressive fall in blood pressure

Treatment Oxygen Pain stimulants Administer Narcan

Narcan Drug of choice Located in the BAS Adult dosage is.4 mg via I.V. repeated every 2 -3 minutes