INSTRUCTIONS FOR USING DD FORM 1380

# FRONT OF CARD

Battle Roster # - Write first letter of casualty’s first name, then first letter of casualty’s last name, then write the last four numbers of casualty’s Social Security number. For example, John Doe 123-12-1234 is Battle Roster # “JD1234”.

Evacuation (EVAC) - Mark an “X” on the casualty’s evacuation priority/precedence (Urgent; Priority; or Routine).

Name - Write casualty’s name (Last, First).

Last 4 - Write last four numbers of casualty’s Social Security number.

Gender - Mark an “X” on the casualty’s gender (Male (M) or Female (F)).

Date - Write date of injury in DD-MMM-YR format. For example, “29-JUN-13”.

Time - Write 24-hour time of injury, and indicate whether local (L) or zulu (Z) time. For example, “1300Z”.

Service - Write casualty’s branch of service (USA, USAF, USCG, USN, USMC). For U.S. civilians, write “US CIV”. For non-U.S. personnel, write “NON US” or a standard abbreviation for casualty’s nationality.

Unit - Write casualty’s unit name.

Allergies - Write casualty’s known drug allergies. If no drug allergies, write “NKDA” (no known drug allergies).

Mechanism of Injury (MOI) - Mark an “X” on the mechanism or cause of injury (artillery, blunt, burn, fall, grenade, gunshot wound (GSW), improvised explosive device (IED), landmine, motor vehicle crash/collision (MVC), rocket-propelled grenade (RPG), other (specify)). Mark all that apply.

Injury - Mark an “X” at the site of the injury(ies) on the body picture. For burn injuries, circle the burn percentage(s) on the figure. If multiple mechanisms of injury and multiple injuries, draw a line between the mechanism of injury and the anatomical site of the injury.

TQ: R Arm (tourniquet, right arm) - If a tourniquet is applied to the right arm, write type of tourniquet used and the time of tourniquet application.

TQ: L Arm (tourniquet, left arm) - If a tourniquet is applied to the left arm, write type of tourniquet used and the time of tourniquet application.

TQ: R Leg (tourniquet, right leg) - If a tourniquet is applied to the right leg, write type of tourniquet used and the time of tourniquet application.

TQ: L Leg (tourniquet, left leg) - If a tourniquet is applied to the left leg, write type of tourniquet used and the time of tourniquet application.

Time, Pulse (rate & location), Blood Pressure, Respiratory Rate, Pulse Ox % O2 Sat, AVPU, Pain Scale (0-10) - Record vital signs (pulse rate and location, blood pressure, respiratory rate, oxygen saturation), level of consciousness (AVPU: Alert, responds to Verbal stimulus, responds to Pain stimulus, Unresponsive), and level of pain (on numeric rating scale of 0 to 10, with 0 being no pain and 10 being the worst pain) with time.

# BACK OF CARD

Battle Roster # - Write first letter of casualty’s first name, then first letter of casualty’s last name, and then write the last four numbers of casualty’s Social Security number. For example, John Doe 123-12-1234 is Battle Roster # “JD1234” .

Evacuation (EVAC) - Mark an “X” on the casualty’s evacuation priority/precedence (Urgent; Priority; or Routine).

C - Mark an “X” for all Circulation hemorrhage control interventions. For tourniquets (TQ), mark category (Extremity, Junctional and/or Truncal) and write name of TQ(s) used. For dressings, mark category (Hemostatic, Pressure, and/or Other) and write name of dressing(s) used.

A - Mark an “X” for all Airway interventions (Intact, NPA (nasopharyngeal airway), CRIC (cricothyroidotomy), ET Tube (endotracheal tube), SGA (supraglottic airway) and write type of device(s) used.

B - Mark an “X” for all Breathing interventions (O2 (oxygen), Needle D (needle decompression), Chest Tube, Chest Seal) and write type of device(s) used.

C: Fluid - Circulation resuscitation interventions. Write name, volume, route, and time of any fluids given.

C: Blood Product - Circulation resuscitation interventions. Write name, volume, route, and time of any blood products given.

Meds: Analgesic - Medications. Write name, dose, route, and time of any analgesics given.

Meds: Antibiotic - Medications. Write name, dose, route, and time of any antibiotics given.

Meds: Other - Medications. Write name, dose, route, and time of any other administered medications.

Other - Mark an “X” for other treatments administered (combat pill pack, eye shield (mark right (R) or left (L)), splint, hypothermia prevention) and type of device(s) used.

Notes - Use this space to record any other pertinent information and/or clarifications.

First Responder Name - Print the first responder’s name (Last, First).

First Responder Last 4 - Write last four numbers of first responder’s Social Security number

# ABBREVIATIONS & DEFINITIONS

AVPU - alert, verbal, pain, unresponsive

CRIC - cricothyroidotomy

IFAK - individual first aid kit

JFAK - joint first aid kit

MTF - medical treatment facility

O2 - oxygen

POI - point of injury

TCCC - Tactical Combat Casualty Care

TQ - tourniquet

area of responsibility. The geographical area associated with a combatant command within which a geographic combatant commander has authority to plan and conduct operations.

clinical provider. Any individual permitted by law and Service regulations to provide care, treatment, and services, without direction or supervision, within the scope of the individual’s license and consistent with individually granted clinical privileges. This term is equivalent to healthcare provider.

first responder. Medical or non-medical personnel who provide initial and/or immediate self-aid, buddy aid, POI care, and/or tactical field care and stabilization for evacuation to the next health service support capability in the roles of care, and treats Service members for common minor illnesses.

roles of care. A characteristic of health service support is the distribution of medical resources and capabilities. Role 1 is the first medical care military personnel receive, also referred to as unit-level medical care; Role 2 provides advanced trauma management and emergency medical treatment, including continuation of resuscitation started in Role 1; Role 3 is care provided in an MTF that is staffed and equipped to provide care to all categories of patients, to include resuscitation, initial wound surgery, and post-operative treatment; and Role 4 medical care is found in U.S. base hospitals and robust overseas facilities.

TCCC. A set of trauma management guidelines customized for use in the operational setting that maintains a focus on the most common causes of preventable deaths resulting from combat.