| A | B |
|---|
| A DD Form 1380 is called the US _______ Medical Card | Field |
| The combat medic enters his _____ in the far side of block 11 | initials |
| A medical _____ will complete DD 1380 or supervise its completion | officer |
| When evacuated, the DD 1380 will be attached to the casualty's ______ | clothing |
| In CZ the DD 1380 will be sent to MED C2 HQ or CMD surgeon for _____ coding if not admitted to hospital | statistical |
| Block _____ of DD 1380: Name, rank, SSN, MOS/AOC, religion, and sex | one |
| Block ____ of DD 1380: use figures to show location of injury(s) | three |
| Block ____ of DD 1380: Pulse rate and time measured | five |
| Block ___ of DD 1380: morphine yes or no dose administered and time and date given | seven |
| Block ____ DD 1380: treatment, observations, current meds, allergies, NBC information | nine |
| Block ____ of DD 1380: signature and unit of medical officer completing form and date, combat medic initials | eleven |
| Authorized abbreviation on DD 1380 for slight | SL |
| Authorized abbreviation on DD 1380 for perforating wounds | PREF W |
| Authorized abbreviation on DD 1380 for multiple wounds | MW |
| Authorized abbreviation on DD 1380 for closed fracture | FS |
| Authorized abbreviation on DD 1380 for compound fracture | FC |
| Authorized abbreviation on DD 1380 for abraded wound | ABR W |
| Blocks 1, 3, 4, 7, 9, and 11 are the _____ blocks that should be completed on the FMC | minimum |
| If morphine is given to a casualty a _____ on the casualty's forehead and hour of injection | M |
| When DD 1380 was initiated by a medic the superivsing ______ officer will complete review and sign | AMEDD |
| If the casualty dies, the DD 1380 will remain attached to the ________ until internment | body |
| The ____ DD 1380 used to record outpatient TX in TRG exercises will be forwarded to patient's HREC or OTR | orginial |
| Block ____ of DD 1380: unit and country, branch of military | two |
| Block ____ of DD 1380: level of consciousness | four |
| Block ____ of DD 1380: tourniquet yes or no and time placed | six |
| Block ___ of DD 1380: IV initiated and time started | eight |
| Block ____ of DD 1380: Date and time of disposition | ten |
| Block ___ of DD 1380: Use this block if there is not enough room in block 9 to write extra information | fourteen |
| Authorized abbreviation on FF 1380 for severe | S |
| Authorized abbreviation on DD 1380 for penetrating wound | PEN W |
| Authoriazed abbreviation on DD 1380 for lacerated wound | LW |
| Authorized abbreviation on DD 1380 for contused wound | CONT W |
