To document medical care of MWDs by HCPs, all medical care provided in military medical facilities should be documented on the Canine Resuscitation Record. This new worksheet is included in this chapter. Input all relevant information to the best of your ability, recognizing the form has been revised for canine-specific information, and thus is significantly different from the DD Form 3019 used for human patients. Use a new worksheet each day the dog is an inpatient in the facility. Maintain the worksheets throughout the patient's care. Once care has been transferred to supporting veterinary personnel, either provide the worksheet to them, or scan and email it to dha.mwdtraumaregistry@health.mil.

 

The fillable electronic worksheet and instructions are available at:

https://jts.health.mil/assets/docs/forms/DD_3074_Canine_Treatment_and_Resuscitation_Record.pdf

https://jts.health.mil/assets/docs/forms/DD_3074_Canine_Treatment_and_Resuscitation_Record_Instructions.pdf