Medical Report: Medical Records of Detainees Injured During Riot in Abu Ghraib Prison, Baghdad, Iraq (139-04-CID789-83995)

KNIFE / EDGE q
BLAST
CRASH(a/c, volt, peri
ChemlRad/Nud 0
BURN (thermal, flash)
CRUSH
FALL
SMOKE Inhalation
o USA
o USN
o USMC
o USAF
o SOF
oNGO (
ga Other OpAPhte_
TRIAGE CATEGORY:
q IMMEDIATE
pi DELAYED
cl MINIMAL
O EXPECTANT
!dal Use Only / Law Enforce Only o 3 9606;1359 9fg
Trauma Record
For use of this form, see DoDMemco Subject :Trauma Record, did 1 APR 04; the proponent agency is OTSG
AUTHORITY: AR 40-66
To prroovviiddee a anandwd ans of doeumm. iaglt trona:m the Army
compilation of systems of records notice apply
at echelons 1-3
ROUTINE USES: The "Ebtakat Routine mUese s" set forth at the beginning of
y_
DISCLOSURE: This Is protected health information. HIPAA laws apply
MTF DESIGNATION: -r F
Number p,)er2F 'OASIS
Arrive Date-Time Group (DTG):
'A looria,5
ARRIVAL METHOD: O Non-MED GNC
fiD WALKED q SHIP EVAC
q CARRIED O GND AMB
O Non-MED AIR 0 ....AIR AMB
q OTHER
PROTECTION:
O UNK
IOUNDED BY:
US/COALITION(Nation
ENEMY " q
O CIVILIAN (Nation
Q TRAINING
O SELF ACCIDENT
CI SELF NON-ACCIDENT
O SPORTS-RECREATION
O OTHER:
MECHANISM OF INJURY: 0 it GSW/BULLET q
O BLUNT TRAUMA 0
O SINGLE FRAGMENT 0
U MULTI FRAGMENT
CASUALTY NAME: FIRST LAST
b)(6)-4
UA
Wound DTG:
44100 51/
NonEN EMY
Rank Date of Birth t.nder
Male q Female
Nation
o US
Host Nation
o Enemy(
o Coalition(
HELMET
FLAK VES
CERAMI
EYE PR
OTHER.
L
1Z2
AillillWAI
-131221111111
TECTION
Service
O Civilian
o Combatant
qContractor
io
at
a.
D HEAT
q COLD
q BITE / STING
q OTHER
1--
-nAlue4 3
Resp 2—
GLASGOW COMA SCALE (circle )
3 8 . 12
UNC STUPOR LETHARGY ALERT
TIME
Pulse
Temp
B/P
Sp02
INJURY Description (Location,
R L
nature and size in cm)
TX & PROCEDURES:
CHEM
PARALYZED
INTUBATED
NEEDLE
DECOMP
Chest Tube L R air/blood
10 line
COLLOID
LR/NS/HTS
ml
TOURNIQUET Time on
Time off
Collar I C-spine
Back board
HEMOSTATIC
DEVICE
CRYSTALLOID
SEDATED
CRIC
rmity H Hematoma
sign Body l. Laceration
Wnd G Gunsh Wnd
ICU in DTG: irt u)r.1
DTG: 115 Li Out
FFP
CRYO
Liters/min.
Units
Units
Units
Packs
Units
mcg/kg
AM Amputation BL Bleeding D Defo
AV Avulsion B • Bum F For
P Puncture X fracture S Stab
OR Start DTG: Vent On DTG
Stop DTG: Off trrs.:v.
Pits
Fresh Whole Bid
rFVIla
OXYGEN /1/..
RBC
PRO b)(6)-2 1/ Law Enforcem ant Use 0 dl T Fix /spin' Ex 'b.
MEDCOM - 1002
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Theater Trauma Registry Recorn .
: Far useaMds tom. see DA PAM IOC the proponent every is MSG
Observations/Notes (Holding, En route, tr.)
UWE BP PULSE RES, Sp02 MENTAL Status DRUG DOSE ROUTE DTO
CSO eA. ) V P U f 1 caw Witt in t
' eR69-4*1-1554-10— — cti-• V P U
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DISCHARGE SUMMARY
Li7 t f ik r A010 'el./
1°1-
LABS: 144.14. dien,77
CM
Air -sv J45
XRAYS:
LeA- LSkidiXte-
RAH:
Allergies:
Nemo/6MP
4614 Cf6
_Lo rkzi-&/-06v
REGION DIAGNOSIS, PROCEDURES and COMPLICATONS
• Face rft33-r:- • Outt,11- ecYt.-3-
Head & Neck
(incl C-spine)
po L ji2),..Q t.p "Al•eA4.40-1. .
•
. Chept
(incl T-spine)
Bee •
Abdomen
(incl L-spine)
iii, (i) rt.d.//tc.g.
. • . .
Pelvis p-r&pdemm
UPPER /LOWER
Extremities
CorAl P0/0}4 it:r-tet,
Skin /el /1.44U„ •
DISPOSTION
DTG:
o
o
o
EVAC to • Evacuation Priority
q ROUTINE
q PRIORITY
q URGENT
RTD a RI awl?
DECEASED (see below)
Damage Control Procedures? Y / N Hypothermic (< 34°C)? Y / N Coagulopathy? Y / N
Cause of Death at
ANATOMIC:
uAirway UHead
00ther
PHYSIOLOGIC:
qBreathing DONS
DTG .
u Pelvis u Extremity (Upper/Lower)
•I, . •• .
Disruption q Sepsis q Multi-organ failure
U Neck U Chest uAbdomen
qHemorrhage qTotal Body
COMMENTS:
For Official
SURGEON:
rintedNam )t., , ,, , 24-
Use Only / Law Enforcement Use Only
(p
"An'f..`, '
U6S
MEDCOM - 1004
DOD 004067
ACLU-RDI 1083 p.3
515
Pulse
Temp
B/P
Resp
P
cial Use Only / Law Enforce nly 01 9-, 774423ag4
Trauma Record
For use of this form, see DoD Mom
subject :Trauma Record. dul 1 APR 04; the propoacin agency Is OTSG
AUTRORTIY: TRP 4 0-66 g all tr •
PURPOSE o rovie, a of the
ktandazd means of do"
cam at echelons 1-3
ROUTINE USES: The "Blanket Routine Uses" set forth as the beginning
Army compilation of systems of records notice apply.
DISCLOSURE:
This Is protected health information. HrPAA laws apply
Date p cjairtb der
om Flute ?,Male D Female
6)(6)-4
MTF DESIGNATION:
Number
CASUALTY NAME: F t RST L-01-sx
a cG G)* Rank
ARRIVAL METHOD:
Q WALKED
o CARRIED
q Non-MED AIR
o OTHER
a Non-MED GNC
O SHIP EVAC
O GND AMB
O AIR AMB
Nation
o US
o Host Nation
enemy(
o Coalition(
Service
o Combatant
o Contractor
o USA o SOF
qUSN o NGO (
USMG o Other
qUSAF Of-I Pi,
PROTECTION:
o UNK
tv
co
a.
Wo d DTG:
b b
TRIAGE CATEGORY:
O IMMEDIATE
CI DELAYED
O MINIMAL
O EXPECTANT
.5
to
GLASGOW COMA SCALE (circle one)
3 8 12 15
UNC STUPOR LETHARGY ALERT
W a UNDED BY:
O USICOALITION(Nalion
a ENEMY " O No ENEMY
O CIVILIAN (Nation
O TRAINING
O SELF ACCIDENT
O SELF NON-ACCIDENT
o SPORTS-RECREATION
O OTHER:
HELMET
FLAK VEST
CERAMIC PLATE
EYE PROTECTION
OTHER:
TIME g5
KNIFE / EDGE 0 BURN (thermal, flash)
BLAST 0 CRUSH
CRASH(a/c, veh, per0 FALL
Chem/Ftad/Nud 0 SMOKE Inhalation
MECHANISM OF INJURY:
- GSW/BULLET a
o BLUNT TRAUMA a
a SINGLE FRAGMENT
O MULTI FRAGMENT
O HEAT
O COLD
• BITE / STING
O OTHER
Sp02
nature and size in cm) TX & PROCEDURES:
SEDATED
INJURN:Rescription (Location,
•••• ; •
,,4,,b1C •
CHEM
PARALYZED
INTUBATED
CRIC
R L NEEDLE
DECOMP
Chest Tube L R air/blood
10 line
COLLOID ml
CRYSTALLOID
LR/NS/HTS
ml
TOURNIQUET Time on
Time off
Collar ! C-spine
Back board
HEMOSTATIC
DEVICE
• Deformity
F Foreign Body
S Wnd
H Hematoma
L Laceration
G Gunsh W d
OXYGEN
RBC
FFP).
CRYO
Liters/nun.
Units
Units
Units
Packs
Units
mcglkg
AM Amputation BL BI
AV Avulsion B
P _Punta
OR Start DTG: Vent On DTG
59etsp DTG: Off 07g:
Pits
NC:511111f
ICU in DTG:
Out DTG:
b)(6)-2
nforcem ent Use ow Fix/spent Exhibit
7 0
DOD 004068
Fresh Whole Bid
rFVIla
MEDCOM - 1005 ACLU-RDI 1083 p.4
DTO
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DRUG DOSE ROUTE
• b)(13)-4
Theater Trauma Registry Record
Fa useatthis fain, see DA PAM XX IC„ the propOtlete agency Is OTS0
Observations/Notes (Holding, al route, tr.)
1 "/
Pch MENTAL Stews C/9 V P U
A.VPU
A VPU
A V P U
AVPU
b)(0)-2
C E ConfP1.-Pet
Ikto.9
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gWerr
uu 71
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Trauma Record
. , DISCHARGE SUMMARY
MEDIC4
t
A
LABS:
Uk
XRAYS:
C.Vek.,
Ifel;'el •
PMH: • -
Anere:10
REGION .: DIAGNOSIS, PROCEDURES and COMPLICATONS
Face /tell"; le4‘frtAl ihr/tic 6,0).0 ftei17;
Head & Neck
(incl C-spine)
.0 ,0 4eeed-alo-ocove--- /6/444,/
/
fv 1.41'" 'Ierte(
Chest
(incl T-spine)
C
111--elav ze' p---;
/ i , •
46P nuzzioxi i "1" 41~46-- eir-) 4,‘-‘1"-r'4 • et3 '77/`7 OW
(
45k, * 7- ()le-, 4 0 . 77-'7 ef r , n e e--4,-/ "-e,-.49,4)
Abdomen
(incl L-spine)
t
6a.S.5/ C-1)e-ae/ 0 .". ,--e-4001744 7/3 .
i
, )1 -ied; -
Pelvis
.
CO //,' 91 0 .-4eGfiA/ ‘4r47,,( '9 Mac.-e.--, (.0jec-"' / z
piczoki-ft„fitA
UPPER /LOWER
Extremities
/".. gi-- 114,--ht,4-64 7- dier-e-A f /via.
diaq
p ZAt * 4 „LAI.4,-.....7‘,..„. ..,,,,,,,
Skin ,4,..,..et. ,-....a,izz - , 0 Vi --191 dlince.-eP 417-47.4..e,,, -.•.- .-._ A3
DISPOSTION
DTG:
q EVAC to • Evacuation Priority
q ROUTINE
q PRIORITY
t \ti URGENT
q RTD ‘11.111 C..Req?
q DECEASED (see below)
Damage Control Procedures? Y / N Hypothermic (< 34°C)? Y / N Coagulopathy? Y / N
Cause of Death at DTG . 0..0/1._ 6) et—ic pTA— 67.1 e -z&pe,„N
ANATOMIC: #. [Y(43z,-k 1 L
F4 -,0
\.
uAirway uHead U Neck U Chest • . men uPelvis u Extremity (Upper/Lower)
DOther /14-4/14,4-77,-.\-1( or9S-0. , /47-41?-&07 . 4.N e4J Law
27- sill .vpi,A. (6,-,04A.Q. w-te 4'c' ru- 0.,, A'
PHYSIOLOGIC:
,
Y-
0 Breathing OCNS OHemorrhage OTotal Body Disruption °Sepsis qMulti-organ failure
'"'-'
COMMENTS: SURGO)(6)_1
-For Official Use Only / Law E
• cm eintedNam xhibit 2 5
ul 2
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LR/@HTS
ml Son
ml
.• ial Use Only / Law Enforce ly 0139-
Trauma Record
Fai. use of this form, see DoD Mane° Subject :Trona Record, did 1 APR 04; the proponent agency is OTSG
AUTHORITY:
PURPOSE:
ROUTINE USES:
DISCLOSURE:
AR 40-66
To provide &Inward means of doctnnentMg all trauma cue at echelons 1-3
The "Blanket Routine Uses" set forth at the beginning of the Army compilation of systems ofrecords notice apply,
This is protected health information. .H1PAA laws apply
CASUALTY SSN:
MTF DESIGNATION: 'bX6)-4
Number 15C. CF
Arrive Date-Time Group (DTG):
a&kt-1--0-2g5
q Non-MED GNC VIRIVAL METHOD:
fit WALKED q SI-HP EVAC
q CARRIED q GND AMB
O Non-MED AIR q AIR AMB
q OTHER
CASUALTY rArr• F t RST 1.-st•sT
IS
Rank Date of Birth
t i1 447_,
Vder
Male 0 Female
Unit
Nation
o US
ail-lost Nation
a Enemy(
o Coalition(
Service 0 USA 0 SOF
o Civilian o USN o NGO (
o Combatant USMC ioOther pejc,,,R ..t
o Contractor o USAF
Wound DTG:
1 1 -) 0 5 LIS
VVpUNDED BY:
US/COALITION(Nation p
q ENEMY q NonENEMY
O CIVILIAN (Nation
O TRAINING
q SELF ACCIDENT
q SELF NON-ACCIDENT
O SPORTS-RECREATION
O OTHER:
ct SINGLE FRAGMENT q
MECHANISM OF INJURY: q
q GSW/BULLET q
q BLUNT TRAUMA
0 KNIFE / EDGE 0 BURN (thermal, flash)
Chem/Rad/Nuci q SMOKE Inhalation
BLAST 0 CRUSH
CRASH(a/c, veh, patq FALL
q MULTI FRAGMENT
TRIAGE CATEGORY:
q IMMEDIATE
ye DELAYED
q MINIMAL
q EXPECTANT
GLASGOW COMA SCALE pet
3 8 . 12 1
U
▪
NC STUPOR LETHARGY ALERT
0770
q HEAT
q COLD
q BITE / STING
O OTHER
rn
PROTECTION:
O UNK
E
0
z
HELMET
FLAK VE
CERAM
EYE P OTE TION
OTHER:
TIME
Pulse 70
Temp
B/P
Resp
TX & PROCEDURES:
INJURYDescrIptIon (Location, na
•
•;.
R
e and size in cm)
ii-C61<<
CRIC
SEDATED
CHEM
PARALYZED
INTUBATED
NEEDLE
DECOMP
Chest Tube
10 line
COLLOID
Sp02
L R air/blood
AM Amputation BL Bleeding
AV Avulsion B ' Bum
P Puncture X rIa cture
OR Start DTG: Vent On DTG
Stop DTG: Off crrg.:
PROVIDER b)(6)-2
CRYSTALLOID
TOURNIQUET
Collar / C-spine
Back board
HEMOSTATIC
DEVICE
OXYGEN
RBC
FFP
CRYO
Pits
Fresh Whole Bld
ICU in DTG: — 31
Out DTG: 0
SPECIALTY: EXT Fix /spint
I USG bitly f Law Errfaruerrent Use Only
D Deformity
F Foreign Body
S Stab Wnd
H Hematoma
L Laceration
G Gunsh Wnd
rFVIla
Time on
Time off
Liters/min.
Units
Units
Units
Packs
Units
mcg/kg
Exnloft
3
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Fee usealthis kw, see DA PAM XXX.; the proponent agency is OTSO
Observadons/Notes (Holding. En route. er-) ainumumna6arryoxim AL.,... wilt .. moor ROUTE DTG
Firourramarzaranugarmassmssiwas
MEM 11111111111111111 AVPU
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Trauma Record
• DISCHARGE SUMMARY
icial Use Only I Law Enforce
ton-VJAJ 1 i - ,Iii t,
MEDICATION& r() idrLABS:
1 e6 °D'11--
2 APIClY -
a
t/4 #717!-7 -
llid4(1----777
XRAYS: -
ifiCI>1-6 Yel"le4_,
AN CA'? . .
PMH:
Allergies: hi424
RE ON . ' DIAGNOSIS, PROCEDURES and COMP ICATONS
• Face
"1-ecZ. 'lleri-lhfM" tiair ? - Zia‘.-9- ateic--
Head & Neck
(incl C-spine)
b Z/67 spi---- ( Psi•ei.0-,, A'' .4-- /e0
Chest
(incl T-spine)
6C6
Abdomen
(incl L-spine)
L/0(41a,S 0,/ -(--e--"—.
. . .
Pelvis 02 W /./6 72ytivA37
UPPER /LOWER
Extremities
dilly f-A i‘eA--
Skin •
DISPOSTION
DTG: a
a
HVAC to
3( rSI-i-
Evacuation Priority
a ROUTINE
PRIORITY
o URGENT .
4,-/- eorica.----
RTD a RI CArhp
DECEASED (see below)
Damage Control Procedures? Y I N Hypothermic (< 34°C)? Y I N Coagulopathy? Y/ N
Cause of Death at
ANATOMIC:
uAirway UHead
°Other
PHYSIOLOGIC:
0 Breathing OCNS
DTG .
uPelvis u Extremity (Upper/Lower)
•- . .) P
Disruption °Sepsis 0Multi-organ failure
U Neck Li Chest uAbdomen
0Hamorrhage OTotal Body
COMMENTS: SURGEON:
For Official Use Only / Law Enforcement Use Only orintedNarFohibit 21, •
MEDCOM - 1010
DOD 004073
ACLU-RDI 1083 p.9
TIME o6o
NOPENRMY HELMET
FLAK VEST
CERAMIC PLATE
EYE PRO TION'
OTHER: Pulse 9/
Temp
B/P
Rasp
iya
O HEAT
a COLD
O BITE STING
O OTHER
Exhibit 2-7 _
OUtitia,
::ial Use Only / Law Enforcement Use Only
AUTHORITY: AR 40-66
- PURPOSE:
To provide a plandard means of documenting all trauma cam at cchclons
ROUTINE USES: The "Blanket Routi
tans of
Runtime Uses" sot forth at the besioning of the Army compilation of sys =cords notice apply.
DISCLOSURE: This is protected health intinuntiou. BMA laws apply
NAME: F %WI"
Arrive Date-Time Group (DTG
/7 iffy e'rer
ARRIVAL METHOD: 0
O WALKED 0
/€0 CARRIED 0
q Non-MED AIR 0
O OTHER o Coalition(
MTF DESIGNATION:
Number 2%C.C."F
Non-MED GNC Nation
SHIP EVAC o US
GND AMB q
AIR AMB
Host Nation
"Ii*.Enemy(
5(51
cAsu
Rank Date of IV /
Service
o Civilian
o Combatant
o Contractor
o7
1.PrVc CASUALTY SSN:
Gr er Unit
ale q Female
qUSA o SOF
o USN o NGO (
o USMC Other
o USAF
WOUNDED BY:
US/COALITION(Nation
O ENEMY
O CIVILIAN (Nation
O TRAINING
O SELF ACCIDENT
q SELF NON-ACCIDENT
O SPORTS-RECREATION
O OTHER:
MECHANISM OF INJURY: o
GSW/BULLET
O TRAUMA 0
O SINGLE-FRAGMENT 0
O MULTI FRAGMENT
PROTECTION:
a UNK
KNIFE / EDGE 0
BLAST
CRASH(a/c, veh, pato
Chem/Rad/Nucl 0
Wound DTG: igsk, 0
O
BURN (thermal, Clash)
CRUSH
FALL
SMOKE Inhalation
INJURY Description (Location, nature and size in cm)
(—--. ,„ •
... .
44:-..-• 44 ).- li
v, 4, ,,,
• KT.:-1,tz. •
R L
AM Amputation
AV Avulsion
P Punctum
OR Start DTG:
Stx, rni".•
Pk
BL Bleeding D Deformity
B Bum F Foreign Body X yracture • S Stab Wnd
Vent On DTG
Cer
SPECIALTY:
H Hematoma
L Laceration
Gunsh Wnd
Chest Tube
10 line
COLLOID
CRYSTALLOID
TOURNIQUET
Collar / C-spine
Back board
HEMOSTATIC
DEVICE
OXYGEN
RBC
FFP
CRYO
Plts
Fresh Whole Bid
rPVIIa
EXT Fix /spint
L R air/blood
rr
LR/NS/HTS
ml
Time on
Time off
at 0
Liters/min.
Units
Units
Units
Packs
Units
ICU in DTG: mcg/kg
Out DTG:
MEDCOM - 1011
DOD 004074
Sp02 99
TRIAGE CATEGORY:
O IMMEDIATE
O DELAYED
O MINIMAL
O EXPECTANT
G OW COMA SCALE (circle one)
8 • 12 15
ot,
UNC STUPOR LETHARGY ALERT
TX & PROCEDURES:
CMG
NEEDLE
DECOMP
E 0
rA
60/61 he.,2.4/
OgiO
Ott of
SEDATED
CH EM
PARALYZED
INTUBATED
Trauma Record •at' ) _
Foi use of this form, sec DoD Memeo Subject :Trauma Record, dtd I APR 04; the proponent agency Is OTSG
ACLU-RDI 1083 p.10
Theater Trauma Registry P-cord
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MEDCOM - 1012
DOD 004075
ACLU-RDI 1083 p.11
.. ,
MEDICATIONS:
.
LABS: XRAYS: 7
ZA-144" --.5)4%-?
•
PMH: • .
Allergies:
RREEGGIIOONN , : . DIAGNOSIS, PROCEDURES and COMPLICATONS
• Face 65 i'-' tri a-cz /970>e-e•ee--(
S"/' 1 4° er",44L
Head & Neck
(incl C-spine)
A , • •
Chapt
(incl T-spine)
/ i%7° ` ,'''I0 .
Abdomen
(1=i L-spine)
(19,-, gr. 0-
A„...„4"( 47.e...,
/1-i-- 4ef e-14-1(-eal-i -
Pelvis
/
aei.,.
A . „
UPPER /LOWER
Extremities
0/4579 vtorc464 6- .4-ivh4.----..e__ hic41-0".
Skin
D1SPOSTION
DTG: q
q
pae-EVAC-tzey8"C‘n." • •
r-..... 15R7T-DEvacuation
Priority
q ROUTINE
q PRIORITY
q URGENT
a RI cAelp
DECEASED (see below)
Damage Control Procedures? Y / N Hypothermic (< 34°C)? Y / N Coagulopathy? Y / N
Cause of Death at DTG - e..-;-- 1 erA,-
.ei--
uPelvis Li xtremity pper/Lower)
' - •
•
Disruption qSepsis qMulti-organ failure
,.e.
ANATOMIC: 6iez_.......pe.0,_
UAirway UHead U Neck u Chest ' u domes
q0ther •.-
, .
PHYSIOLOGIC:
0 Breathing DCNS qHemorrhage qTotal Body
COMMENTS: SURGEON: •
(printedName)
6.
b)(6)-4
cial Use Only I Law Enforc 95
Trauma Rel
DISCHARGE SIM
MEDCOM Test Form 1381, JAN 2004
FAcia* 0A4aw4vafstrcefOratisis Exhibit 27
OUOOM
MEDCOM - 1013
DOD 004076
ACLU-RDI 1083 p.12