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DD Form 1380
Lesson Seven
MSTC, FT LEWIS WA
Purpose of the US Field
Medical Card (DD Form
1380)
► Providesmedical personnel with essential
information about the casualty’s injury and
treatment given
10 sets in a pad
• original with attached wire
• protective sheet
• duplicate paper form
Name Enter casualty’s name in last name, first name, middle initial format
Rank Enter abbreviation of casualty’s rank (SGT, CPT)
SSN Enter Casualty’s social security number. If the casualty is a member
of a foreign military, or prisoner of war, enter military service number
instead. Leave blank if not in military
MOS Enter casualty’s military occupation specialty (MOS) code if enlisted
or area of concentration (AOC) if an officer in the box titled “SPECIALTY
CODE/GPM”
Sex Mark the appropriate box to the left of “MALE / HOMME” “FEMALE /
FEMME
Religion Enter the casualty’s religious preference in box titled “RELIGION”
Block 3
If casualty is suffering trauma (battle
casualty), mark box “BC/BC”
If nuclear, biological, or chemical
casualty, mark box “NBC/NBC”
If casualty is ill and is not classifiable
as one of the other three categories,
mark box “DISEASE/MALADE”
If casualty is suffering from combat
stress or other psychological injury,
mark box “PSYCH/PSYCH”
Mark figures to show location of
injuries (entry and exit)
Mark appropriate box or boxes to
describe casualty’s injuries
If “OTHER” is marked, explain injuries
Block 4
AVPU system
Block 9
Enter your initials (not your name) in the far right of the
signature box of Block 11
Write the date and time that the IV solution was begun in
the “TIME/HEURE” box. Write the date in YY/MM/DD
format and the time in 24-hour time format
Block 10
Lesson Eight
MSTC, FT LEWIS WA
MEDEVAC
MEDEVAC Request
Request
Objectives
Objectives
► Move casualties by air or ground
to a Medical Treatment Facility
► Helps
to ensure that the casualty receives
appropriate evacuation
MEDEVAC Request
► Proper casualty classification
is needed to ensure that
casualties are evacuated
according to their needs
► Remaining lines
should be transmitted
at the same time if
possible, but can be
transmitted to the
ground or air
ambulance en route
Line 1: Location of Pickup
Site
Using a map, determine the
grid coordinates (eight digits)
of the site where the air or
ground ambulance will pick
up the casualties
Smoke signal
Signal person
Open flame
Line 8: Casualty
Nationality and Status
► Number of casualties in each
category does not need to be
determined
US civilian
► Ifthere is no contamination,
this line is not transmitted
Procedure Words
(prowords)
Keeps voice transmission short and concise
► “ROGER”
► “WILCO”
► “WAIT”
► “SAY AGAIN”
► “CORRECTION”
► “OVER”
Phonetic Alphabet and
Numbers
Used to avoid confusion and errors during transmission
ALPHA WUN
BRAVO TREE
CHARLIE FOWER
DELTA FIFE
ECHO NINER
FOXTROT
► After
transmitting request, state “HOW COPY,
OVER” and wait for acknowledgement
9+LINE MEDEVAC
LINE 1 (8) Digit Grid: _________________________________________________________________
A-ambulatory ______________________________________