Medical Report: 30-Year-Old Male Iraqi Civilian, Baghdad, Iraq re: Gunshot Wound to Head - Death (Homicide)

Error message

  • Deprecated function: Return type of DBObject::current() should either be compatible with Iterator::current(): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 7 of /usr/home/documentafterliv/public_html/sites/all/modules/contrib/eck/eck.classes.inc).
  • Deprecated function: Return type of DBObject::next() should either be compatible with Iterator::next(): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 7 of /usr/home/documentafterliv/public_html/sites/all/modules/contrib/eck/eck.classes.inc).
  • Deprecated function: Return type of DBObject::key() should either be compatible with Iterator::key(): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 7 of /usr/home/documentafterliv/public_html/sites/all/modules/contrib/eck/eck.classes.inc).
  • Deprecated function: Return type of DBObject::valid() should either be compatible with Iterator::valid(): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 7 of /usr/home/documentafterliv/public_html/sites/all/modules/contrib/eck/eck.classes.inc).
  • Deprecated function: Return type of DBObject::rewind() should either be compatible with Iterator::rewind(): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in require_once() (line 7 of /usr/home/documentafterliv/public_html/sites/all/modules/contrib/eck/eck.classes.inc).

Medical admission form for 30 year-old male Iraqi civilian admitted for gunshot wound to the head - open skull fracture. Patient declared "Deceased". The decedent was listed as a Prisoner of War (POW) - Internee, but the facility where he was housed is not included. Related to ACLU- RDI 1669 - Death Certificate.

Doc_type: 
Medical
Doc_date: 
Thursday, October 30, 2003
Doc_rel_date: 
Friday, October 14, 2005
Doc_text: 

•.,' . eroding Information
IZ For use of this form, see AR 40-400; the proponent agency is OTSG
3. Regi :ter Number Name (Last, First, MI) 4. Pay Grade 5. Sex
FGN M

6. Dog :YYYYMMDD) 7. Age at Admission 8. Race 9. Ethnicity Religion MUSLIM
1 X69-05-20 34Y X 9
11. FMP 12. Social Security Number
10. Len oth of Service ETS
99

MID Branch / Corps:
Organi ration (Active Duty Only) . 13. Marital Status Hour of Admission
ri

17:38
15. Beneficiary Category 16. Zip Code of Residence:
14. Fry ng Status
K78-PRISONER OF WAR/INTERNEES

19. Trauma Prey. Admission
17. Un it Location 18. MOS
BC NO

Name / Relationship of Emergency Addressee
20. SoLi rce of Admission Ward:
ICU1 Address of Emergency Addressee
Direct from E Telephone Number of Emergency Addressee
Name and • ' edical Treatment Facility:
No Install Provided

0580 1
i 21. T pe of Disposition 22. MTF Transferred To 23. Date of Disposition (YYYYMMDD) 2003-10-30
EXPIRED
nic Svc - Admitting 25. MTF Transferred From 26. Date this Admission (YYYYMMDD)
24. C
ABA _ 2003-10-30

lENERAL SURGERY
, 28. MTF of Initial Admission 29. Date of Initial Admission rrku!1
27.L kation of Occurrence .,. 2003-10-30
IZ
j FOR LOCAL USE
Type 7atient (Inpatient / Outpatient): Inpatient
idmission Diagnosis Narrative: MULTI GSW TO R THIGH

Procedure Narrative(s):
Cause of Injury Narrative: GUNFIGHT WITH OTHER IRAQIS .
\j` s-1 ' 11-/ —11111111
'tweed Facsimile - DA FORM 2985, MAR 2000
MEDCOM - 22448
DOD-036024
Automated Facsimile
lk. _ATIENT TREATMENT RECORD C.- ,ER SHEET
For use of this form, see AR 40-400, the proponent agency is OTSG
,1. Re ister Nbr 2. N
3. Grade

Admission Remarks
NoRirstNameGiven
¦
FGN
i
4. Sex 5. Age 1 6. Race 7. Religion

8. LnthOfSvc , 9. ETS 10. PrevAdm '
M
X

MUSLIM
sil.,.. \0166-. 1 NO
11. FMP 12. SSN 13. Organization

14. Ward ICU1
15. FlyStatus 17. Dept / Ben 18. BranchCorps 19. UIC / ZIP 20. Type CaseNO K78-PRISONER OF WAR/INTER BC

21. Source of Admission 22. Hour Of Adm: i 23. Clinic Service

Direct from ER
19:30

AAJ - NEUROLOGY
24. Name/Relation of Emergency Addressee
25. Type Disp 26. Date of Disp EXPIRED

2003-10-30 27a. Address of Emergency Addressee
27b. Telephone No 28. Date This Adm:
Ad ' cer: 2003-10-30
b
29. Re

30. Date !nit Adm
32. Units Blood Components
f¦ct-1-') -1-' 2003-10-30
31. Selected Administrative Data Marital Status: Z
DoB:
In/Out Patient: Inpatient

MOS:
33. Cause Of Injury: SHOOTOUT WITH 134TH AR.

. Diagnosis / Operations and Special Procedures:
GSW TO HEAD OPEN SKULL FX.
NONE.

35. Total Days This Facility
Absent Sick Days Other Days iConLv / Coop Care Days Supplemental Care Bed Days Total Sick Days
35. Total Days This Facility 0 l.0 I
Absent Sick Days Other Days ConLv / Coop Care Days Supplemental Care Bed Days Total Sick Days
0
Signature of Attending Medical Offi

ignaturei of PAD or Medical Records Officer
VA-) MAJ

Automated Facsimile - DA FORM 3647, May 79
MEDCOM -22449
DOD-036025

Doc_nid: 
3956
Doc_type_num: 
72