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Published byClaude Harrington Modified over 9 years ago
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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.
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EIGHT EXTERNAL POUCHES
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DETATCHABLE FLAP
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ONE DETATCHABLE I.V. BANDOLIER
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DRESSING, BURN 4X16 SATURATED WITH WATER/GEL
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DRESSING, CHEST WOUND SEAL
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LARYNGOSCOPE
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CHEMICAL COLD PACK, REUSABLE, DUAL ICE
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BASIC CORPSMAN ENT KIT
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VORTEC HEADLAMP
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Minor Surgical Set Used for the emergency treatment of battle and non-combat casualtiesUsed for the emergency treatment of battle and non-combat casualties
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SURGICAL INSTRUMENT SET, MINOR SURGERY, WITH NON-RIGID CASE
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DD Form 1380
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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
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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
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Disposition of the DD Form 1380
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Combat Situation Original: With patient to medical records Duplicate: Health record/BAS
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Outpatient Treatment Original: BAS Duplicate: Enter in Health record. Copy to Adjutant
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Non-Combat Situation Original: BAS Duplicate: BAS
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Transfer Original: To receiving facility Duplicate: BAS
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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
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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
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Accuracy The DD Form 1380 is the first and sometimes the only record of combat casualty treatment Accuracy and completion is of utmost importance
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Completion of the DD Form 1380
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Block #1 Personal Identification: –Name –Rank –SSN –Sex –Specialty Code –Religion
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Block #2 Unit Information: –Unit –Nationality –Force
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Block #3 Injury identification: –Mark appropriately on diagram
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Block #4 Level of Consciousness –Mental status –AVPU
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Block #5 Pulse: –Record time Block #6 Tourniquet: –Indicate with yes or no and time if applied
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Block #7 Morphine: –Record dose and time Block #8 I.V.: –Record start time
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Block #9 Treatment Block #10 Disposition Block #11 Provider: –M. O.’s Signature, unit and date
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Block #12 Reassessment: –Record status, date and time Block #13 Clinical comments/diagnosis Block #14 Orders/antibiotics
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Block #15 Provider: –Signature and date Block #16 Disposition –Duty status, Evac or Deceased
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Block #17 Religious Services: –Chaplain services and entries
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MORPHINE
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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
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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
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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
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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
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Dosage Adult dosage is 8 to 16 mg, repeated if necessary every 4 hours
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Usage Morphine is a very effective pain reliever Proper administration in selected patients will relieve distressing pain and aid in the prevention of shock
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Precautions Causes mental confusion Respiratory depression Increases intracranial pressure Constrictive Pupils Morphine poising and habituating
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Administration Precautions LOC Head injuries Airway and respiratory related injuries Massive hemorrhage
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Any casualty having fewer than 16 respirations per minute should NOT be given any morphine Evidence of severe or deepening shock Administration Precautions
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Recording Morphine usage will be recorded on the DD Form 1380 in block #7 to include dose and time
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Morphine Poisoning Constricted pupils Slowed respirations Progressive fall in blood pressure
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Treatment Oxygen Pain stimulants Administer Narcan
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Narcan Drug of choice Located in the BAS Adult dosage is.4 mg via I.V. repeated every 2 -3 minutes
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