Medical Report: 23-Year-Old Iraqi Male, Baghdad, Iraq re: Gunshot Wounds to Chest

Medical records of an Iraqi male, Enemy Prisoner of War (EPW) admitted to hospital with gunshot wound to chest and associated injuries. The medical records do not give any indication as to how the detainee received his injuries or what detention facility he came from. The medical report does not give any personal information on the detainee.

Doc_type: 
Medical
Doc_date: 
Saturday, November 1, 2003
Doc_rel_date: 
Monday, October 3, 2005
Doc_text: 

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MEDCOM - 17858
DOD-031432

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NSN 7540-01-075-3786
----I
TIME SEEN BY PROVIDER
MEDICAL RECORD EMERGENCY CARE AND TREATMENT
(Doctor)
TEST RESULTS
WBC
VBG/PULSE OX RADIOLOGY Check if read byradiologist .
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PROVIDER HISTORY/PHYSICAL

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DIAGNOSIS
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PATIENT'S IDENTIFICATION (For typed or written entries, give: Name -- last, first, middle; ID no. ISSN or other); hospital or medical facility)
'
cpct/ EMERGENCY CARE AND TREATMENT (Doctor) Medical Record
STANDARD FORM 558 (REV. 9-96)
Prescribed by GSA/1CMR FPMR 141 CFR) 10 1-11.203113)110) USAPA V1.00
MEDCOM - 17867
DOD-031441
510-112 NSN 7540-00-634-4123
MEDICAL RECORD NURSING NOTES
k.Digu cl ii notes) HOUR
DATE
OBSERVATIONS
A.M. P.M.
Include medication and treatment when indicated
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hospital or medical facility)

REGISTER NO.
WARD NO.
I
NURSING NOTES Medical Record
(w6 -Y
STANDARD FORM 510 (REV. 7-91)
Prescribed by GSA/ICMR, FIRMR (41 CFR) 201-9.202-1

MEDCOM - 17868
DOD-031442
NURSING NOTES
(Sign all notes)
HOUR I OBSERVATIONS
DATE A.M. P.M. Include medication and treatment when indicated

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STANDARD FORM 510 (REV. 7—'U.S. Government Printing Office: 1995 -404-763/20065
MEDCOM - 17869
DOD-031443
NSN 7540-00-634-4123
NURSING NOTES
MEDICAL RECORD (Sign all notes)
HOUR OBSERVATIONS
DA I L Include medication ana treatment wneri iriniceieu

A.M. P.M.
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PATIENT'S IDENTIFICATION (For typed or written entries give: Name—last, first, middl
NURSING NOTES
Medical Record
eUW
STANDARD FORM 510 (REV. 7-91)
Prescribed by GSA/ICMR. FIRMR (41 CFR) 201-9.202-:

MEDCOM - 17870
DOD-031444

NURSING NOTES
(Sign all notes)
HOUR
A.M. P.M. OBSERVATIONS
Include medication and treatment when indicated
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MEDCOM - 17871 (AWN-
6) - z
DOD-031445

NSN 7540-00-634-4123
NURSING NOTES
MEDICAL RECORD Sign all notes) HOUR OBSERVATIONS
DATE
A.M. P.M. Include medication and treatment when indicated
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PATIENT'S IDENTIFICATION (For typed or wri entries give: Name—last, first, middle; grade; rank; rate; REGISTER NO. WARD NO. acility
ii.
NURSING NOTES
Medical Record
STANDARD FORM 510 (REV. 7-91)
Prescribed by GSA/ICMR. F1RMR (41 CFR) 201-9.202-1

(6)(6)-V
MEDCOM - 17872
DOD-031446
NSN 7540-00-634-4123510-112
NURSING NOTESMEDICAL RECORD
(Sign all notes)
HOUR
OBSERVATIONS
DATE
A.M. P.M. Include medication and treatment when indicated
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(Continue on reverse side)
PATIENT'S IDENTIFICATION (For typed or written entries give: Name—last, first, middle; grade; rank; rate; REGISTER NO. WARD NO. igthialligfacility)
NURSING NOTES Medical Record
MEDCOM - 17873 STANDARD FORM 510 (REV. 7-91)
Prescribed by GSA/ICMR:F1RMR (41 CFR) 201-9.202-1
DOD-031447
PREOPERATIVE/POSTOPERATIVE NURSING DOCUMENT
MEDICAL RECORD
For use of this form, see AR 40.66; the proponent agency is The Office of the Surgeon General.
al 2. KNOWN ALLERGIC SENSITIVITIES (e.g., Iodine, Tape, Medication):1. AGE:
HEIGHT:
3. PREVIOUS SURGERY [ NO [ ] YES (type):
WEIGHT:

4.
PROPOSED SURGIC L PROCEpURE:

5.
ADDITIONAL INFORMATION: Last PO: Medical lis:(22,) Implants: Medications:

.7

Jewelry removed:Ono Family waiting: yes not
-40- 106
6. PATIENT PROBLEMS AND NEEDS 7. PATIENT GOALS AND EXPECTED OUTCOMES 8. OR NURSING INTERVENTIONS
cr. Allow pt. to verbalize
A. PSYCHOSOCIAL o/rpt. verbalizes any specific anxiety. free) .
o xplain OR environment
Potenti3.1_for anxiety
„...--- and answer questions
Pt. exhibits relaxed body posture.
related to\-traumatie initiry;-• re g surgery.
language barrier; laTily _ Offer comfort measures,
(e.g., warm blanket, touch)

separatiot surgical environment")
o Explain all nursing procedures before they are done.

o-Remain with pt. whenever possible.

o Maintain family interface.

T. will be able to breathe without
I Offer to elevate head of difficulty during immediate intra-litter or offer pillow.
B. AERN o
/ Potential for
operative phase.
025bserve pt. while awaiting
res irato tion due to surgery for signs of distress
ed.atio • ositionio. ; injury
g.--Assist anesthesia during

intubation and extubation
er--IDT. will not exhibit signs of impair-
Utilize pressure preventing
C. INTEGUMENT
ment of skin integrity (e.g., reddened devices on OR table and areas. acyessories.
/Potential impairment
Check for proper
of skin integuity due to 41E.
positioning and support to
(6eqftsgiii(71 fluid shift main in good body alignment.

o Pad pressure points.

o lace ESU ground pad on

on compromised skin surface area

o Keep prep fluids from ooling.

9. PATIENT'S IDENTIFICATION (For typed or written entries give: Name- last, first, middle; grade; date; hospital or medical facility)
/\\611111111111,
( °
DA FORM 5179, JUN 91 Previoius editions are obsolete. USAPA V1.01
"Petilts
MEDCOM - 17874
DOD-031448

6. PATIENT PROBLEMS AND NEEDS
D. CIRCULATION
.../ Potential for inade-
quate.tiss e perfusion_due-to

‘tisithesia-a IC innir •
position; shock; previous surgery

E. NEUROMUSCULAR
CONTROL.%
./ Potential impairment

E.1.
,---..---)
of mobility due to Clatioalo.!-'
injury
Potential discomfort
E 2
due to frjury)a i n

,
F. NEUROMUSCULAR
CONTROL
Disminished visual

F.1.
perception due to being injury;
sedation;

Potential for decreased
F 2 communictaion due to language barrier; sedation
F.3. Potential injury due to
dentures.

G. OTHER PATIENT PROBLEMS NEEDS. Or continuation of a ove / problems/needs.
10.
7. PATIENT GOALS AND EXPECTED OUTCOMES
0----Pt. will exhibit signs of adequate
tissue perfusion (e.g., color, warmth,
pedal pulse).
tr-Pt. will be transferred to OR table without difficulty. 2-4;17-Civil! not experience unnecessary
physical discomfort.

o Pt. will be made aware of surroundings prior to anesthesia induction.

o Pt. will be transferred safely to

OR
table.

o Pt. will be able to understand instructions.

o Minimize danger of injury during intraop period.

OTHER PATIENT GOALS Alf ID EXPECTED OUTCOMES. Or continu on of above goals and outcomes.
8. OR NURSING INTERVENTIONS
0 Check for support stockings or ace wraps. If none, check with doctors. e—eneck that safety straps are correctly applied.
o Offer pillow for under knees.
0 Place and take down legs from stirrups with slow bilateral motion.
0--Check that rings have been removed.
Have sufficient people available for transfer. Insure proper body ali nt.
o Allow patient to lie in position of comfort while waitin f .r surgery.
Offer support (i.e., pillows, bathtowels, etc.) for positioning.
o Introduce self. Keep pt. informed as to where he/she is and what is happening.

o Inform pt. in which direction to move and assist if necessary.

o Speak clearly and slowly.

o Address pt. from side.

o Validate pt.'s

understanding of verbal communications.

o Verify removal of dentures.

OTHER NURSING
INTERVENTIONS.
Or continuati above
interveptidlis.

MPLETED/A DITIONAL INTEROPERATIVE INTERVENTIONS NOTED. C-...°1/ ZQ atAA g4­
..) MATE
11. POST ATIVE EVALUATION:
12 (6 )(0-7- ( ATION PREPARED BY 13. PREOPERTIVE EVA 11 U TION PREPARED BY LSi
DATE: TIME: 0 TE:Atzi gimED

REVERSE OF DA FORM 5179, JUN 91
MEDCOM - 17875 USAPA V1.01
DOD-031449
Y' r• t;

!;LUVL,.! . -V .'" 1 .. .. 1;41 ¦-: INTRAOPERA) )OCUMENT
:4, ''',,,,i,uw: ,.,.. • , 4. --, At ,:tici, ,..,4 , ' '''' For use of this form, see AR 40-66, the proponent agency is the office of The Surgeon General.
s-PA g . Fief TEATQ'OPERATING ROO 2. PATIENT ID D AND P EDURE
--,:t.fk
e-''... BY ,°

Ylkr VERIFIED BY (..
9.-DATE' - • . TIME PATIENT ARRIVED I ITE 4. PATIENTA 7M (6)(6)-2_...)-2 CLA-A-6.0_,3 TIME . 6 .5 7 NUMBER c-2- --
5. PREOPERATIVE EMOTIONAL STATUS
• CALM NXIOUS MI EXCITED • CRYING IN ANGRY II WITHDRAWN II OTHER (Specify)
COMMENTS: jt...„/Z )4)/ .z...4,i5 a-42.1 ; C..i Aa....4..•.1 6__ 6/
N -ir)
i
6. NURSING PERSONNEL
ASSIGNED '77(_-( RELIEF
SCRUB SCRUB

a) (6)- 2-
ASSIGNED €17 RELIEF
e..-/T-CPT all. to GE 64057-eJtA4 CIRCULATOR
/
cs)(0-2-
G Gt.-
rir
7. POSITION AND POSITIONAL AIDS (Specify).£&)U)-7
SUPINE MI LITHOTOMY . PRONE U KRASKE LATERAL: • LEFT SIDE UP IN RIGHT SIDE UP
COMMENTS:
B. SKIN PREPARATION
HAIR REMOVAL - YES . NO PREP SOLUTION (Specify)
DONE BY: OR NURSING UNIT SITE: c.A see_ tle B, / 5 111111

U W1
WHOM:
METHOD: DEPILATORY EtilAZOR SITE: BY WHOM: ( W‘ 0-2.-

. CLIP /
Tz( el (cJef te-1."..,,,::, (....-/.../

COMMENTS: COMMENTS:
9. LOCATION OF EXTERNAL DEVICES
=2PIL-
---'C(s.---tx 5
. .
11114111111111New
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_it
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gip (4)(6)--Z_ (ow/ 0), ,_/--"'"-----j°'f,
----L.
LEGEND d Pad -- Safety rap = = = Tourniquet
C = Correct I = Incorrect
First Closing Final Closing

10. COUNTS
Other" Count Count SCRUB CIRCULATOR
Sponge yes . No / , Cb)(b)--1 co( 0-2-
Needle Sharp Yes U No / E .
Instrument . Yes n No ------' -------

Other 1111 Yes E:27No _..--- v ...---'
----------,!'-----
11. PATIENT IDENTIFICATION (For typed or written entries give: 12. ELECTROSURGERY DEVICES) IESU) 0-7ES II NO
Name - Last, first, middle; Grade; Date; Hospital or Medical Facility;)

L-1-0 \ LID [2fSU NO: 1 6 c3OS V1--
GROUND PAD: BRAND l
\A--- R-51-Y`k i.PILf LOT NO: Vilsilip
NO: IN ESU NO:
GROUND PAD:
(.0(6) ' 9 BRAND LOT NO: II BIPOLAR NO:
R Arr-st,o,R A.oI 71,-1,
DA FORM 5179-1, OCT 87 REPLACES . --'HICH IS OBSOLETE. USAPA V1.01
DOD-031450
13.
PROSTHESIS, IMPLANTS . YES VNO IF YES NAME: ID NUMBER; MANUFACTI'RER

14.
-. -• ""' ''',awilmotgadm MEDICATIONS/ORDERSAN WOMOVet4

IRRIGATION/MEDICATIONS GIVEN IN OPERATING ROOM (NOT BY ANESTHESIA) (04)-7- YES NO • (6)(0-2.
EDICATIONS.SOLUTION DOSAGE TIME METHOD PREPARED BY

GIVEN BY
ete..,6•;-a.c..:,... 't r -1-7,4A-L4 csi. _5 C..-: #-?-1.-----ry t e....,--e By , Slart4(4 q cocto-7-coo -2--
WOUND IRRIGATION of YES • NO, TYPE(S):
0 .1 lo ki, cI.
TIME CARRIED OUT BY tOTHER ORDERS
PHYSICIAN'S SIGNATURE
15.
X-RAY IN OPERATING R OM IF YES, SITE
YES D NO

16.
LABORATORY SPECIMENS

SPECIMEN (SI NAME NAME
YES . NO , i7
FROZEN SECTION (FS) NAME NAME
YES • NO 1
CULTURE (C)
NAME NAME

r--
YES D NO
NAME NAME NAME
NAME NAME 18. DRESSING/IMMOBILIZATION (Specify)
N
17. TUBES. DRAINS/PACKING YES I:cV NO • ' "he (
TYPE/SIZE r. .1, 2. 3 . _0,44(..,012,to
,......ros.c
SITE 3.
1. (.\ii-4415L{
19. ADDITIONAL INFORMATION •
f..14...3-4j O-A .7,a /.4.,.) "4.4.4....-0-4.
0)(6)-2
(OW -7---
(t)(6).'7.-
20. OPERATION(S) PERFORMED
Ne a & ve /0 ra, to,o i
OQ --tz.-6-10--1-et-o -vt-P-egL.
• ,.1
21.
PATIENT TRANSFERRED TO TIME METHOD :....,::•;:,;::

22.
NATURE

._ ,,, ,
' ''. -.;-i.. ' • . :I.,.
..) (12)( 6) -. L ---4c'' ' . ' , -' . ' • — ' -a
C---.11)4" *...) --- -
.
REVERSE 5179-1, OCT 87
MEDCOM - 17877
DOD-031451

1.37"R ATPI tin lcm efC)OC
o
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orei rarany
IlEA7 111C71011Oa
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Mammas
f"-¦
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)
MEDCOM - 17878
MEDICAL RECORD VITAL SIGNS RECORD
HOSPITAL DAY
g 5(103 bc(fio 4, 5,,,y
POST-DAY
') sSee
MONTH-YEAR DAY DT5T Pn CCI-63 10 S.-0
19 HOUR
0 7 A • ma • • 69,0-0 -
olfrb 1
063

is • •• 1 •

......
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wv

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PULSE TEMP. F : . . . : : . . . .
a co ac)
' • •

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• •. •.
105° .. .. .
.. .. .. .
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...
......
. . . . . .
. .

.

. . . . . . . . ................ . . . .
180 104° .........

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STANDARD FORM 511(REV. 7-95) •
1:2
MEDCOM - 17879
DOD-031453
NSN 7540-00-634-41:
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Record special data only when so ordered
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VITAL SIGNS RECORDS
(6 )(6) 4
Medical Record
STANDARD FORM 511 (REV. 7-95)
Prescribed by GSA/ICMR • FiRMR (41 CFR) 201-9.202-1

MEDCOM - 17880
DOD-031454
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POST­DAY DAY 11111•1111M1111

MONTH-YEAR
19 HOUR
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PATIENT'S IDENTIFICATION (For typed or written entries give' Name—last, first, middle; ID No.
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(SSN or other); hospital or medical facility) WARD NO.
STANDARD FORM 511 (REV. 7-95) BACK
(Centigrade Equivalents, for Reference only)
MEDCOM - 17881
DOD-031455

Doc_nid: 
3932
Doc_type_num: 
72