The DD Form 1380, U.S. Field Medical Card

AUTHORIZED ABBREVIATIONS

1 Abr W - Abraded wound 2 Cont W - Contused wound 3 FC - Fracture (compound) open 4 FCC - Fracture (compound) open comminuted 5 FS - Fracture (simple) closed

Ask yourself the following questions (in order of severity) and then mark the appropriate box

1 Is the casualty alert and oriented? 2 Can the casualty respond verbally? 3 Does the casualty respond to pain? 4 Is the casualty unresponsive?

INJURY. The location of the injury or injuries is documented within this section

1 Mark the appropriate box or boxes to describe all of the injuries 2 If OTHER is marked, then clearly explain the injury

AUTHORIZED ABBREVIATIONS 2

6 LW - Lacerated wound 7 MW - Multiple wounds 8 Pen W - Penetrating wound 9 Perf W - Perforating wound 10 SL - Slight 11 SV - Severe

DD Form 1380 (U.S. Field Medical Card) comes in a pad that contains 10 carbon sets of the form

A copper wire is attached to each card for fastening to the casualty after the form is completed

Completed DD Form 1380, U.S. Field Medical Card

At a MINIMUM, ensure you complete Sections 1, 3, 4, 9, and 11 After completing the DD Form 1380, use the copper wire to fasten the card to the casualty

Required Entries

At a minimum, you will be expected to fill out Sections 1, 3, 4, 9, and 11 for each casualty These sections provide critical information to the medical staff The remaining sections of the form may be filled out ONLY if time permits

If the casualty has any type of trauma from battle (BC), then mark the appropriate box

BC.

Section 1, (Required Entries)

Casualty's name Rank Gender Social Security number (SSN). If the casualty is a member of a foreign military or prisoner of war, enter their military service number instead Specialty code. If the casualty's specialty code is unknown then annotate the word UNKNOWN in this block Religious preference. If the casualty's religion is unknown then annotate the word UNKNOWN in this block

First and sometimes only record of casualty treatment. As such, it is vital the information be as thorough and accurate as possible

Consists of 2 pages (front and back), and contains 17 sections

If the casualty is ill and is not classifiable as one of the other three, mark the DISEASE box

DISEASE.

Section 6, Secondary Information (Front) TOURNIQUET

If a tourniquet was applied, you MUST mark YES and record the date and time in the corresponding blocks

Signature block

If you are not a medical provider, place your initials (not your signature or name) in the far right hand side of the signature block If you are a medical provider, place your signature here

Date block

Leave the date box blank unless you are a medical provider If you are a medical provider, enter the date you initially provided treatment

Section 10, Secondary Information (Front) DISPOSITION

Mark the appropriate box to indicate the casualty's deposition Document the date and time of disposition Remember to enter the date as YY/MM/DD and the time in 24-hour form

Section 13, Secondary Information (Back) CLINICAL COMMENTS/DIAGNOSIS

Medical personnel will record the date and time clinical observations were made about the patient

If the casualty has a non-battle injury (NBI), then mark the appropriate box

NBI.

Section 11, (Required Entries)

PROVIDER/UNIT

If the casualty is suffering from combat stress or other psychological injury, mark the PSYCH box

PSYCH.

Section 5, Secondary Information (Front)

PULSE ONLY those members who have received professional training on how to record an individual's pulse rate will record information in this section

If a second tourniquet was applied

Record the date and time in Section 9 of the form Ensure you specify that a SECOND tourniquet was applied within this section

(6) Section 9, (Required Entries) TREATMENT/OBSERVATIONS/ ALLERGIES

Record the information requested Provide as much information as possible since this will enable medical professionals in treating the patient If additional space if needed, use Section 14 to record the information

Section 17, Secondary Information (Back) RELIGIOUS SERVICES

Religious services such as communion and prayer can be provided based upon the casualty's religious preferences from Section 1 The chaplain or spiritual advisor will document which service was provided, and sign and date in the CHAPLAIN data field

Section 2, Secondary Information (Front)

Section 2 is composed of various data blocks Unit Force Nationality

Section 3, (Required Entries)

Section 3 is where the casualty's injuries are documented

Section 4, (Required Entries) LEVEL OF CONSCIOUSNESS

Section 4 contains blocks for documenting the casualty's level of consciousness

Section 11 contains two data blocks

Signature block and Date block.

ATTENTION:

The DD Form 1380, U.S. Field Medical Card, is prepared for each casualty treated within a theater of operations. The DD Form 1380 is designed to provide medical information about the injury and the care provided to a wounded casualty.

Section 14, Secondary Information (Back) ORDERS/ANTIBIOTICS (SPECIFY)/TETANUS/IV FLUIDS

The provider will document their physician orders within this section Medical personnel who fulfilled the physician orders will document the date and time of their actions within this section as well

Secondary Information (Back)

The reverse side of the DD Form 1380 is normally filled out by medical personnel or other personnel This is accomplished once the casualty reaches a medical treatment facility, such as a battalion aid station (BAS)

Section 15, Secondary Information (Back) PROVIDER

The signature of the provider or medical officer is annotated in this block. They will sign and date (YY/MM/DD format) when appropriate

The remaining sections of the DD Form 1380 are for recording secondary information about the casualty

These sections are NOT mandatory You will complete these sections AFTER you have completed sections 1, 3, 4, 9, and 11, and only if time permits

Be sure to enter the date as YY/MM/DD and the time in the 24-hour format

This information is extremely important for the medical professionals to aid in the treatment of the casualties.

Section 12, Secondary Information (Back) REASSESSMENT

This section contains various data blocks Medical professionals at the next level of care will record the casualty's date and time of arrival, blood pressure, pulse, and respirations

Section 16, Secondary Information (Back) DISPOSITION

This section is composed of several data boxes Mark the appropriate box to indicate the casualty's disposition Document the date and time of the disposition. Remember to enter the date as YY/MM/DD and the time in 24-hour format

MOTIVATION:

Throughout this lesson, you will be given the information necessary to correctly complete the DD Form 1380, U.S. Field Medical Card. Accurately filling this out enables medical personnel to quickly treat casualties without delaying treatment.

TRANSITION:

We'll begin this lesson by discussing the purpose of the DD Form 1380, U.S. Field Medical Card.

If no tourniquet was applied...

leave Section 6 blank

The DD Form 1380 is used to...

prepare an inpatient treatment record once the casualty arrives at a military medical facility

The U.S. Field Medical Card

will be referred to as "DD Form 1380" throughout the remainder of this lesson