Preliminary Autopsy Report: Abu Ghraib Prison, Iraq (Homicide) (Death Certificate Included)

<p>Autopsy Report of an unidentified Iraqi male shot in a firefight and lived to be transported to a U.S. hospital where he underwent multiple surgeries but died due to complications of his wounds. Cause of Death: Gunshot wound to the abdomen; Manner of death: Homicide.</p>

Doc_type: 
Medical
Doc_date: 
Monday, May 24, 2004
Doc_rel_date: 
Sunday, April 17, 2005
Doc_text: 

• ARMED FORCES INSmUTE OF PATHOLOGY omce of tile Armed Forces Medical Eumfaer 1413 Research Blvd., Bldg. 102 Rockville. MD 20850 1.800-944-7912 PRELIMINARY AUTOPSY REPORT Name: fb)(6)-4 Autopsy No.: ME04-388 SSAN;"=!b)=(6)-4=I----' AFIP No.: Pending DateofBirtb:Unlmown R8IIk: Civ Date ofDeath: 24 May 2004 Place ofDeath: BaJad, Iraq Date ofAutopsy: l1une 2004 Place ofAutopsy: BIAP MOrglle Date ofReport; 1 ]\U10 2004 ClrcalllltaDcea or Datil: By vemal report, this Iraqi male was shot in a firefight and lived to be 1:l'lUlIpOrted to a US hospital where he underwent multiple IW'pE'ics but died due to complications ofbia woUDds. AadlOrizatioD ror Autopsy: Office afthe AImed Forces Medical Examiner. lAW 10 USC 1471 IdentHleatfoD: By prisoner number only. DNA sample obtained CAUSE OF DEATH: Gunshot wound o/the abdomen MANNER OF DEATH: Homicide TIIeIe a.cu.pan preIiJIIiDarJ, &ad IIIbJect to 1IIOdUIcado. peadllla ftardler IDveUlptloa aDd IabGl"atory tesdq. r- MEDCOM -962 DOD 004025 '-' 2AUTOPSY REPORT ME04-388 fb)(6)-4 I PRELIMINARY AtJTOPSY DIAGNOSES: L History ofremote gunshot wound of the abdomen A. No aunshot wound defea or tract evident due to multiple surgicalinterventions . B. Direction ofwound ~CI'DIiDaIc C. StatuI·post small bowel resection 8Dd 8Dastamosis with sigmoid colostomy. and rectal stump : D. Feculent peritonitis (300 ml ofpua and feces) and fibrinous 'adhesions E. Right pleural adhesions and bilateral purulent pleural effusions, status post chest tube placement F. Pulmonary edema and bilateral pneumonia (right lung 1150 grams, left lung 1000 grams) G. Purulent pericardial effilaion (SO ml) H. Mimrtc radiopaque fiagmeDtl viaI'ble on sub optimal radiographs, no projectiles recovc:rcd n. No otbec significant trauma Ill. Toxicology and histology pending b)(6~2 fb)(6~2 IMD MAI,MC.USA Deputy Medical Examiner h MEDCOM -963 DOD 004026 CERTIFICATE OF DEATH (OVERSE,tS) I \lIT. OOnUlri~' lJ9\ilic.~ I I , i ClftCUMST""....cn !:U,,"CIJHOtNC DIi.:.TU DO' TO . ",uro~$Y "EA~OR.u,O ""',...... .,t...u:" o yes Ou. o NO ...~" j MODI OjlrO£~TH .;cTaIllolALbUSIS I CW~~d.. IAI"""',,,,"_'''.oa-","c.u_ •• w ...~_ 1 CcnctltiU~doic.i.l .........0,. FlNOIHGS OF .s..UTOH"t c..nce..;.ia"" ",WIcI~~. I;_"'!'IS. I~CIO."T SUICIDe. , .......! .,. -..n.Ol-OIl,U NOI'I\ au p...OI.....". I SuM:i.,. I I I A.'~IA.nON A.CCJOliNT Am...... .i A...on HOMiCIDI! SIGHATUfte S~"'n ID.......I 0.,. : \ ~......... - Dvu 0'" DNO H'" DATE 011 OBoATH tllo..r. _P. ,._u.. ..-" ,-i_de"._ 0 ..... 0-':" ,I'.........../_•. ~ ...."" ,'.IUIIi•• r~"c&0 O....:rH ., .. . " ;. .Mart aa:.iGM..... I I I i • HAV. VllwEO TH. REN....NS 0'" THE OECIAS50.A.HO aeATH OCCU.....O AT THe ru....tlOICATICI ArNO FRD" TH& CA...C......STATID AIIOV'" r';. _wnln'l.. ,...... """.'.... J 'Uft••• h 0;• .....,. Il". I. ~~... __::. rt-. ~_•• .t. I_ lUil. '.a_ -....-.. Inu..... d..-.w.. .N.d_," ....h ..... r:rL& 0....0 ..... " ....~ .r.,g".; I......· 0' Ib)(6~2 I t»~ 1)1c. . /lAA) ~ .:'RAP!. alar-; ...'ST..!.Lt.......TION,::)A ....aon-.s'" 1......~II_.MIAIIr_ , ~b)(3)-1 ! 0 J I I 1&/4-0 I I 'll.J"t'1i ! fb)(6~' I·IUIlNA I ".~If. ~I(j-lj I i I !Stat. diJl4M, injury c)~:t!'Jlt:lJlioli ","ich COlI ftI~ /GJ1ur•• ""c. I ......._oJ:.I......_ .. I..llao ... ." ,h••t_f" h.,. in. death. I 7 MEDCOM -964 DOD 004027 PAGE OF 4 o MEDCOM·965 DOD 004028 ....... DAILV PATIENT LAB VALUES - \Ib(-H IU(. If~' E\l11I( 0-1 Q MEDCOM -966 DOD 004029 ~l '- LAST NAME FIRST NAME DArE NorES H\ MEDCOM -967 DOD 004030 - AUTHORIZED FOR LOCAL REPRODUCTION MEDICAL RECORD CHRONOLOGICAL RECORD OF MEDICAL CARE 11 MEDCOM -968 DOD 004031 -.. .,.-.., - '- CLINICAL RECORD • DOCTOR'S ORDERS For UN of 1hII form••81 AR 40-66. the proponent agency II OT5G THE DOCTOR SHALL ReCORD DATE. TIME AND SIGN eACH SET OF ORDeRS. IF PROBLEM ORIENTED MeDICAL RECORD SYSTEM IS USED. WRITE PROBLEM NUMBER IN COLUMN INDICATED BY ARROW BELOW. PA T1ENT IDENTI~ICATION r~ NURSING UNIT ROOM NO. PATUNT 'DENT.,F/CATION NURS'NG UNIT ROOM NO. PATIENT IDENTIFICATION NURSING UNIT AOOM NO. PATIENT IDENTIFICATION NUIUING UNIT. AOOM NO. I BI!D NO. BED NO. 8EO NO. BED NO. 1+ DATE OF OIiDER .2J.~~Y""" LV \1"0­,J~ fP::J ~\~~ 0 DATE OF ORDER DATE OF ORDER DATE OF ORDER TIMI! OF OllOEII U5~ HOURS ..L­~tVa,-fl. TIME OF ORDER HOUN! TIME OF ORDER HOURS TIME OF ORDER HOURS L~~D.':" NOTED AND SIaN FORM "I!PLACea EDITION OF , JUL 77. WHICW MAY BE ~EO. DA 'APII,. 4256 1 I) MEDCOM -969 DOD 004032 I - CLINICAL RECORD • DOCTOR'S ORDEAS For use of this form...I AR 40-66. the proponent egency Is OTSG THE DOCTOR SHAll RECORD DATe, TIME AND SIGN EACH SET OF ORDERS. IF PROBLEM ORIENTED MEDICAL RECORD SYSTEM IS USED. WRITE PROBLEM NUMBER IN COLUMN INDICATED BV ARROW BELOW. FORM 4256 1u' ..1:tAC~QI.1I.QN 01' 1 JUL 77. WHICH MA~DI(6~2 DA 1 APfl7. QI. -, t.{ ~ (,1~ ~V m.?-/ ;lA..A,rlr-t .. _ .... -"-... _._--_.__ .__._---._---­ ~------------------~ 1 q MEDCOM·970 DOD 004033 r-.. . - CLINICAL RECORD· DOCTOR'S ORDERS For use of this form. sea AR 4().68, the proponent agency I. aTSO THE DOCTOR SHALL RECORD DATE. TIME AND SIGN EACH SET OF ORDERS. IF PROBLEM ORIENTED MEDICAL RECORD SYSTEM IS USED, WRITE PR08LEM NUMBER IN COLUMN INDICATED BY ARROW BELOW. FORM REPLACES I!DITION 0' , JUL 77. WHICH MAY BE USED. DA 4256 'APR 71 1 ..1 MEDCOM -971 DOD 004034 .-' - ~ . .....,,' CLINICAL RECORD • DOCTOR'S ORDERS For use of this form. see AR 40-66. the proJIOMnt agency Is OTSG THE DOCTOR SHALL aeCORD DATE, TIME AND SIGN eACH SET'OF ORDERS. IF PROBLEM ORIENTED MEDICAL RECORD SYSTEM IS USED. WRITE PROBLEM NUMBER IN COLUMN INDICATED BY ARROW BELOW. P'ATI!!NT IDENTIFICATION DATE OF ORo!!R TIMIE OF ORDER b)(6)-4 .j ~ Q\ 1tP.Jr. rl I~ n.J~"\' ,"\,1\. () 7 ~~ .X NURSING UNIT. ROOM NO. ~ B:3NO. ~~, [) _ J'.: I!:: sv/v )(6~ ~S~ (\t' I.. )('~2 ~}~J__ ~~__~~tV~'_~f~~r~;~k~~~16~~~ ~~W __ ~__ DA ,FA~:~ 4256 RIlPLACES EDITION DP 1 JUI. 71, WHlaI'MAY Be "" / \\, ....'-::_::':'._-:-..-_.-.--------..-.----' 1 I: MEDCOM -972 DOD 004035 " MEDICAL RECORD·SUPPLEMENTAL MEDICAL DATA ~U/ "'" "I lilts I",,,,. s... AR 0\0·60: IhH J)Iupor1enl 8\J01ncy IS Ihe OIlICA 01 rho SUI"".,,, G""JIIII. . .... ••• ....... • , _ •••••••----.-... -..-.----.-.. ---. -_..-'Q"TSG' APPROVED ;f).•/o.'. ._ ........w. f~(P(Jk r TITLE '\llI il.T PAItl:NTERAL (TOTAL AND PERIPHERAL) NUTRITION ORDER Jc'ORM CHECK (of) AND COMPLETE APJ2ROPRIATE ORDERS WHERE INDICATED 8.5% AMINO ACIDS (.I): LIPIDS (.I,: 50% DEXTROSE (3.4 kcal/g) (.I,: VOLUME (.I,: /14.0 kcal{g) ~andard Central (45 gm/L ;] 10% al21mUhr ".J Standard Central -Initial don A150gmlL: 510 kcall 1 Liler I day • 42 mUhr (550 k.sa-ti standard) p80 .~t_._._.. .._1!n~'!l. U Standard Peripheral (30 gml IiVfO% at 21mUhr (120 keal) ~tandard Central" maintenance2 Liters I day" 83 mUhr (1110 kcal,(200 gmIL; 680 keal) (adult; maintenance) .-.... ;-~ 20% at 41mUhr. i Standard Peripheral·. maintenance Other" __ •. glll/L •~Lilers / ~~~:. ~~~~~.r_ ._...._...._l~s 9~~2~~_~c:a~_ -~~~!........ !, 10';' at ___lnL/hr Olher ~ ..__ R"_• ",Uhr Other = gmiL ; : 20'/0 at rnL/hr . ~av.~u~~:,.,.!.!.o_e!~~~ gm/L 01 dextrose in PPN due to increased lisk 01 phlebitis /. -_...._...._._-_...._....... -.. . .. INDIVIDUAL ~ANDARD DAILY REQUIREMENTS ELECTROLYTES ( ..... ): ._­ ....-....---_. 40mEqIL Sodium Chloride mE't~ ..... Sodium: 60. 160 mEq 'Sodlum Acetale 0 mEq/L ---.... p'~t~;sium Chloride 20 mEqlL ~_._.~51!!.L...._. ...-..... - Potaillum: 60· 120 mEq mEq/L 0 ...._4... __ . :P"til~silTl Ac!~al!._ .. .. .­ 1--'-'.'" :C:;'I~.t"fn Gluconfllte Calcium: 10.15 mEq·· •__5 mEq/~~..:....__. ~__~=_~-:_.,~~;'i~.· ...... ._. --.-_...­ :Ma!JnCSlu01 S~lIa'i~ ... mEqll' 8 mEq/L Magnesium: 10·20mEq _.__._--=-.._ .......... I ._ ..-----.•.-­ I-'l,IRssru'n Phosphate Pholphat.: 15 ·40 roM·· mM/L 7.SmMIL ---:;:--==0............ ...... : Tr~ce EI~-':;e·~t; ..._..._-_.­ mUaay 2mUdlY 2mL , ....._... - _. --_.. __._..-.._-.....­ !MVI· IZ mUday 10 mUday 10mL ---_... ... ---.~.-.-."'-'" fSIl,;;i~H2oF~'~Injection QSAC QSAD .__~~__QS~_D.:.... I .,-- ISPECIAL INSTRUCnONS. TF'N must be r~U'red 11&'"9 a 0.22 ""CIon IiUer. Llplcllnluslons ,"ust be OIll1ll1d UIII'9 the 1.2 mlClDn filtal Amoun" ol'~alo"tI, 1:':1"'~lJhO'"S wiD be clependent upon SOlublf,ty. SN rellarsa.'ela for how 10 !:a/eu,.,. a TPN. ~ ADDITIONAL MEDS (.I): I ADDITIVES ( ..... ): : l)'III~H E:XAMINt.II' 'M . (I fill It ..:......1,. OR E;VALUATlON [J DIAGNOSTIC STUOI~S 1~ MEDCOM -973 DOD 004036 - .... ._' OAll Y PATIENT LAB VAlUES· - i-STAT EG7+ -STAT EG7+ Pt ~a.~:____________ N.____14' .JtOl~L K______4.5 ••ol/L • _________14' ••ol/L TCOZ________2' ••ol~L __________4.5 .aol~L iC••______l.17 ••ol~L C02________38 ••ol/L Hct______----2S tpcv C.___--l.1' ••ol,~L H~ g~dL ____8 Ict_____---24 ~PCv I~ :»H_ 3CO P02 BEe i-STAT I!G7-!- Pt Ha••: ----.._--­ ~a_________148 .~ol/L 1f.____4. 1 .~ol/L TCOZ_______• .!8 ••ol~L tca_______l.13 .~ol/L 1...0 'lII,a HC\._____~8~pcv ,-h 1nJ Hbl-______7 9/dL lQ MEDCOM -975 " ,'.~L-__-.:::::::--__--' , .' , ~. p0!:.r.. ',~.v.i?~,' . ""':,, .',::: ~~:~r-4i";';~i;::':F~~""""""" ,.' . . , ..:.., .•. " ~ . . "' .. .. ,,­ ; "::~' . . ;, .. , " ,;.i: . ", :' .. 1Q MEDCOM -976 DOD 004039 '- DEPARTMENT OF THE ARMY TASKFORCE ALCATRAZ PRISON HOSPITAL ABU-GHRAIB, AP()..AE 09342 22 MARCH 2004 SUBJECT: Check~fflist for patient transfers Below is a list of items that MUSf be completed in order for the TOe to get a patient transferred. Once these steps have been completed TOC personnel will make the proper amngements for the transfer to take place. b)(6)-4 Patient identification:,---L___..I-____ b)(6)-2 I:sJ...~-" U.G Discharge or transfer order complete: Dr. Si~08Il~~======s:~~---11 Doctor-Doctor update complete: Dr. signatureldateltime ~\ -If L.{i:) Nurse-Nurse update complete: Nurse signature/dateltime _________ Mode oftnmsportation requested: Air ./ Ground,____ Priority level ofpatient: Urgent / Non-urgent.____ MP Guard required: yes~____NO~_V-_==______ .. ····Ifany item above is not applicable place N/A in the box and initial.···· ··Ifany special equipment is needed for the transport please list items required below*· PortttIJt.(,. ~(", ii)(6)-4 ~ '-______--"1 •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• r TOC Personnel to complete items below this line: Patients records copied: signature/dateltime:, ______________ Transportation requested: signature/dateltime:, _____________ Tune patient left Alcatraz:,____ rf~~" ~4 "'" rt-, f)..,.:;.. .I.r1 .-....aJ ~ (/~~ p7"Jri~/t ~~-:L ~, f) ~_._ I .... .-,J ?n MEDCOM -977 DOD 004040 PAQE20F4 ?1 MEDCOM -978 DOD 004041 AUTliORlZED FOR LOCAl. REPRODUC11ON MEDICAL RECORD PROGRESS NOTES DATE NOTES ... "'_. ; IH~J "I.. ReCORDS MAINTAINED AT '6', PROGRESS NOTES MedicI' Record STANDARD FORM 609 1IIEY.1I11899' P,n",ibed by GSA/'CMR FPMR 14ICFR' IOI·II.203IbI1101 U:w'A VI.DO ?? MEDCOM -979 DOD 004042 9 c ?q MEDCOM -980 DOD 004043 '. - AUTliORIZED FOR LOCAL IIEPfIODUCTlOH MEDICAL RECORD PROGRESS NOTES DATE NOTES PROGRESS NOTES Medical Record . STANDARD FORM 509 IREV,lInU'1 "'..cribed bv GSMCMR FPMR (4ICfR! IOI·11.203lb1(101 USAPAVl.OO ?A MEDCOM -981 DOD 004044 -AUTHORllEJ FOR LOCAL REPROOUCTION MEDICAL RECORD PROGRESS,.. DATE NOTES cLAnONSHIP TO SPONSOR SPONSOR'S NAME SPONSOR'S ID NUMBER ~LA":":S=T:----------=::'=;:'::FIRST=:"';';:';=-------r.::--f (SSNor Olhwl I EPART./SERVICE TIENT'S IDENTIFlCAnON: u:. tvP«III' _II'" .ntn..."",.: N_·IMI.ItaI. ttWJdIe: WAllO NO. /0 Nil Of $$N; $ ..; 0111. ,., 1Inh;RMIIrII1,al PROGRESS NOTES Medical Record b)(6)-4 STANDARD FORM 609 'I'IIlY.ll/lau, ..... bv GSAIICMR FPMR 141CFI'II 101·11.2D31bIll01 """.... VUlO ?~ MEDCOM -982 DOD 004045 - LAST NAME FIRST NAME DATE NOTES STANDARD FORM 509 /REv. &111111 BACK U""'A VI 00 ?h MEDCOM -983 DOD 004046 ....... DEPARTMENT OF TIlE ARMY BAGHDAD CENTRAL DETENTION FACILITY HOSPITAL APOAE09341 Traufer Inform.doD Sheet A. PURPOSE: To identity required infonnation needed to facilitate patient transfer into the Baghdad Central Detention Facility Hospital (BCDFH). B.GENERAL: 1. TOCIPAD b)(S)-4 a) ISN number: .......r____----'___ OR Coalition Provision Authority Apprehension form completed with following infOrmatiOD: • Name ofDetainee • Offense • Qtpturing unit's identification number • Capturing Unit's point ofcontact with DNVT phone number AND • . 1 SWOlD statemcam from the c:aptaring DOit. b) Detainee Classification: 0 High Value Detainee fit Security Detainee FOR BCDFH STAFF USE ONLY TOC INFORMATION SUFFICIENT: YES 0 NO 0 2. MEDICAL INFORMATION: • Date of AdmissioD ?7 MEDCOM -984 DOD 004047 SUBJECf: T.....ner luformatioa Sheet • ~~IiD.Ji!...EUsi£·u'~,1IU1DlJLa,Dld CODtaet pbone aUlBberl or email: b)(2)-1 3. NURSING INFORMATION: • Padent mobility status: ~Bed bound 0 Ambulatory o Paralysis: 0 Other: • AD roudne and special treatments: (wound, tracheostomy, or colostomy care, etc.) 4b"D~ Jr4$11'1 ,.Y;-ts /1flI.J I llllrW-JrhH.' l e«oshtmq, • FeediDg needs: Diet: t.n~ Tube feedirig via:'-'J./. ____ ______ ....A'"'--_-with Assistance needed with meals? ...;N*~_._______ • Bowelaa.d bladder issues-Fowv b!Tltererl./et. 0 . I • Visuallhearinglspeeeh impainaent: ~(ZJ#~:e.::.:M.;;.:ti::.;L:;;.I~SIf.L...~____ ?~ MEDCOM -985 DOD 004048 .-./ .J SECTlI)l;I C· RECORD OF '\UTilPS'1 :a. .w1UPST PWQIIII!D i1Trc ,... ... , __ .L ..mIr'S"r_1'I ::;,._ Om .[!l f::!2."IIJIr"ISIG:Ul.'l~FIIIIIIGS ?Q MEDCOM -986 DOD 004049

Doc_nid: 
3369
Doc_type_num: 
72