Medical Report: 33-Year-Old Iraqi Male, Iraq re: Complaints of Old Wounds (0191-04-CID259-80235)

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"---_.-... -------.----~.-------.-. ------------r-:--:----------------"-----. : ISSNIID NO IRElATIONSHIP TO SPONSOR :For II'ped ," ,,,illen en!lies, oi,.. Name, lasl. I1lsl. middle; 10 110.' SSII: Sore 0.1. 01 Birth: Ran~/Gtade! REGISiER NO'''' .. ,-., ---..---1 \~-A4C-\C '. CHRONOLOGICAL RECORD OF MEDICAL CARE Medical Record STANDARD FORM 600 ;HEI' 69; Preselibod bv GSA/leMA flRMR 141 CfRI10 I·g 20, I Fo,' Official lise Only Law Enforcement Sensitive "'1 i ; .. : MEDCOM -786 Blood Components Circulation tr.-N. L Other: I V·ItaIS·1l!:IlS Transfer Instructions: Prepared By: SPC b)(6)-2 9\W .__._------------------­ .--.----------­ ..._.____. ___ ___ ._.. _ i ____..__. . ..._____ ..J ___ . _ .••..____. __ . ___..... ___._._.._________...___----.J For Official Use Only Law Enforcement Sensitive MEDCOM -787 ~~ 1 ~".~ 10 _: .~--...-.. -----F-&r--Oilkial--Ustl--Oaly-1--' 0079-04-CID789 ____..____________ 1~)(6~2forcemen t Sensjt~~e"", I Primar Survey 1 .----=~----------'~---"---------------­\1 II \: q; ,\lr'_\J~' a cchani~lll:: mOllltJinl"d hy, , __ ,_, _____, _, _ ._____ , __,__,__ , I S!-t \:: 1ISf', ~-J.JiLi i14/',8I'eathini.! ponlaneous Assisted by________ ...._, ,,_,,_______ Ipcls: 3;""..4", P-f$.J !lllTulauon: '-1!i' . llergies: tL f't I Pulse. r Absent CPR '~ r ...... of. Color: om Abnormal I (ap reiill: onnal lelayed Secondary Survey ttial Vital Signs: bip i£~_' 115". pulse '1 g RespJ&.Pulse Ox..iL Temp~-] ~==---~----~---------------­ ..~.--. -, .:CK ~ I \' -I . I c j; -, ~ '.L,.:. 11-..1,/ I I \IS ,/ \ ~ " ' \ I c/ .... ," I lUI V" Revised Trauma Score 'h;C" " "--171--: 1~-15 L:-i , ' l;LASCOW CO;\I,\ I --r-i'; 11-'1 TOTAL , ! I ' I BEST )(,-8')I VERBAL II1I\1H~ HI::SPO"iSE ill_"' I mI1lH'~ , ~__. __ ------lo...____.:... _ I i 111-4') : t I ~----.---- I nlmHg , ,I \;,', f'llll .... \· ;I . Bf.ST ---1 1(1-2'),111111 ~ REPO"lSE I__ :. . __ ~-~~I~~ __ ! fl-'} I11IIl '.' For Official Use Only Law Enforcement Sensitive ..... .......... ,....... ..,.,." .... --" '~', For Official Use Onl~. ":;~) AUTH f , Law Enforcement Senslth C -'WnI Cf-if.-'Cl9189 MELJ!CAL RECORD CHRONOLOGICAL RECORD OF MEDICAL CARE SYMPTOMS, DIAGNOSIS, TREATMENT, TREATING ORGANIZATION (S'9fl eadl fJ!'{IY _._..... _ REPORT OF DETAINEE MEDICAL SCREENING: 111\,pr QL-l HislOry of PUSl :Vledical Conditions: (circle) High 13lovd Pressure:. i)iahCles, Ik~ln f: ,ll i.,:" (c.~ , 1.1:£ ' ...,_., . --.-._--,,-.... -,. .-. -Kiali~)-Tiiilur~, Sc:izLlr.:s, SlrliJ..e. 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First \\iddk STANDARD FORM 60QI~~, \ \)11\1',': '.;ulHber: .... "-.-1._.............--....), .C_,_c.",_)._.~_3 P'8scnU,,(J by GSAlICMI, ~ F!RMr~ (41 CFR, 20 I," 2;, l );llc'! illl;" lJj' DL'lentil)!\: .J..! ... J:\fJ.P Lt_.... For Official Use Only Law Enforcement Sensitive ...... v MEDCOM -789 '. ...: 0' J! •.; ,I ... ; ..........-.__._-----.--_._----------_.__._--_.-__... ..__. r P'r;;n. ;-'1 (;'u!."'1':"''\' ~ ,.. ' ,J .' ". ~; ~4 p j U' ~ \....o.l ~ , .:'~ __..:.._____ e:q H X: J -"in";!)': ;-'. _~anically maintained hy_____._________._____________._.______. ~~e~~: ~ Assiste~ by --------.--.--., -.---.--...--_.--.. f:·l·J~~(~J1~~:~~~::~n: pon~taneOlis.~ ___. j" It . tL . ,.,' Pulse: re· Absent CPR . ergles: ~~..t. Color: 0 bnormaJ Cap refill: 0 elayed Intial Vital Signs: hip I8q HEAD:(../ 'ECK: ./'" 'flFST 'EL VIS: -_XI. '-.1 ( I," /" _Secondary Survey i C2..S-pulse.iL RespAPulse Ox~iemp ?B."1 ~~--~~-----.----------~ '--"', , .. , , ' I 1 ~_. _~A I , '. ( , ) \ I; ro, I .. }~/ -i, " ,. t, I. , I! '.', i {' ',; -.-~--. ,. ~"" I~ ~ ,',.i • , I I ~ '\ '\ I I I i IRe\'ised Trauma Score I \--_______" _______ •. _. I. I GlASCOW i COMA Spontaneously ! EYES ToSpecch 3 To Pain I OPEN None I I Oriented (V! ! B~T i I 4 Confused VERBAL ! Imlppl'oprilite s,-'und, , ~RESPO"E Incomprchensible 2 sounds -----f-- None I Obeys Commands I(l; " iL.7 I BEST MOTOR Localizcs Pain 5 MEDCOM -790 .,,- DOD 003853 : !~r;r_ ...... ~--.----.;..... ..:alhing: \;.. L': i._. Circulation: t.-... 1\.1. L . Unit # c, Other: Blood Components V'ItaIS'Igns Transfer Instructions: Prepared By: SPC ~b)(6)-2 ----_._--­ ._-------_._­ ---_._---------_.__.. _--_._-­ -----------------=.:...-_. .:.::..-=-~===============-- MEDCOM -791 GCS I Time B/P Pulse Ox Resp Pulse T~ I i I 1 i i / I ! : i i ! 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Secondary Survey Intial Vital Signs: blp ~I[l.) pulse '8 RespAPulse Ox.11.... temp '71-'1 r=~--~~----~--------~ ;[N. p;" fl(;AD:(../ 'lEeK:.".,,­ : 1':';(';~' -·1-If.ST: 'El VIS: -.X I. IRcvlsed Trallma Score 13-' S GLASCOW COMA I--__Q-,...:;12=----j.-~ TBTAL 1--~~~8~-j.-~ ISYSTOLIC BLOOD PRF.SSl'RE RESI'IRATORY RATE EriC/ f-( ./ ~6 ,-,' ",--,. ! ! I 1 .:athing: "-'N L Ii J Blood Components Circulation: ~M. L O[her: Vital SI2Ds Transfer Instructions: NOTES: Ed C.1l dc.,~ ~,,-\ t"'o Prepared By: spdb)(6)-2 ~ 91 W -------._---------­ --~.---.==---­ .. =--=---=-=======-=-=:::.-=-==-======:=::, E ncr '-( " MEDCOM -794 DOD 003857 For Official Use Only Law Enforcement Sensitiv'e--" -....J 0079-D4-CID789 AurllOlllED FeR 10C4tIIlMOOOC1100 MEDICAL RECO' iD . CHRONOLOGICAL RECORD OF MEBICAL CARE I]ATE '/ ~PR.. Otj ..../ ~~~~~~~~~~~~~~~~­ -:L 4 J' f./e [) __ .:r ~~~C--~--r~-C~~--~~~~~~~~__~~~~~~~~____________ Con ( A /;;v I/~' --------. --..----..--+-~c...::.:..:~~~~~~-!-----___fiill6):'~----~r__ STANDARD fORM 600 Prelclibed by GSAIICMR FIRMR 141 CFR}2Dl·9.2021 iRE, e97. oSA" .;" For Official Use Only L9W Enforcement Sensitive 1 '..... ... . ._ .L " , Breathing: '--' (\ L Blood Components Circulation: ~N. L- Other: V'lta1 S' 'Rns Transfer Instructions: Prepared By: SPC Kb)(6)-2 t,9\W ------_.. ,----_..._-_._----------­-------_._-----------------­ ---" ---.------.---.-... --_ .._--_._-------------_..-\ .. ____." .._."..__._.__.._."._...___.... __..___ ..._____.............J ., .... -------------_._--_._---_._-_._----' For Official Use Only Law Enforcement Sensi.tive , .--..-,...--~ 10::­ ---------feF Oftieial US. Oat" -'v"-------. -----.------. I pi: '-'........ LaK~)~)_! ::0"*S;en.ittv¥ 0079-OiC\D189 -------------_. ­ ~ealhms ponl.neoll Assisted by C\Tcuiation: ' -------.-~.. --_.-.­i PlllSC::~bsenl CPR , Color: bool1lUll ! Cap refill: 0 _ -elayed Secondary Survey Illial Vital Signs: bip ~Ia.s--pulse~RespAPulse Ox.lL Temp...11. '} ~~--~~~----~------------~ "'_.... r-". I , I " ,,,/""" " '-..{ ,,.­ ".. )0--;.. i LCK ,../' j I~''-r~~ .~ ~ \ I ,-_'K I y' • ... -1. \ , t \ ' I II I" I I '1 "r~:' / I.. ( I J -.. " L. I -~ , ,.1 -, '.J ~ I , , I:.L\·''-, / .\1 / I :' I I i I , ,,1·\1"'-- II RO V ----I- IRevIsed TraunlII Score I GlASCOW '----"-----...---._" --.-- I 1_\.15' _.. M---; I COMA Sponloneously '1·12 ~ GLASCo\\' CO~I" ! EYES TOTAL ToS~ ! OPEN Oritnled 1 PI! Bt:ST i , . SYSTOI.I(, Bl.OOO ConfwedVERBAl. \ PRESSl:RE RESPO"iSE In~pp"lipri'lIl: s"lnul:; I I ~. Obo:y~ Command~ · '''plll.:.\. . 11 . !CY BE.ST i i MOTOR LocOIlizcs Pain ! --\ Ilh_~~ ._'1110 _Pl RE?Oc-l~!, \ +-i · :1) 111f11 ' ; . I !I::SPIR.\TORY RATE t~J~1 ! . ~ ·"tI' . 1---,-,-,,--,-,­· 'i(')Ot. ,I f· ~-----.--~ .. -.-t'--····f(;·!·~··· t 1 _______ __ .. ____.._._ _ __l( &~ For Official Use Only Law EI"hfOJ'l:ement Sensitiv~ 1 "!i i • "•. 1",_ DOD 003861 ".. tw , ....... ",. .• For Official Use Only .~." Law J:ftmrament SEil8itiY~ y AUTIi~'Ar'G~OlJlI.U' MEU,CAL RECORD CHRONOLOGICAL RECORD OF MEDICAL CARE SYMPTOMS, DIAGNOSIS, TREATMENT, TREATING ORGANIZATION ( . n each ant ) DATE REPORT OF DET~INEE MEDICAL SCREENING: e. _1 I.e:;::£... .~I~~~?~_oX ra~t.~ledical_~ondi.ti~-s~.. (~~c~:L~~_~~.~r~ssu~..:..L~~h~~es, I-.Ieurt ~~.ih:r,·. l' r..1un~)' ralllln:, SI!IZllrI!S, StrOke;:, Bl~t:d\n:.: .-.. '--. ---.... 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