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