REQUIREMENTS: Using the completed DA Form 3981 (Transfer of Patient) and the
information provided below, complete DD Form 600 (Patient's Baggage Tag) and DD
Form 602 (Patient Evacuation Tag):
20. You are assigned to the patient evacuation section at the U.S. Army Hospital, Fort
Splendid, TX. A corpsman has just delivered the DA Form 3981 pertaining to MSG
Gordon F. Barber which contains the following information:
a. MSG Barber is scheduled for surgery at 0700, 17 Aug 9X, at Brooke Army
Medical Center. His SSN is 162064514. The originating terminal is Cactus Airport, Hole,
TX. His condition is duodenal ulcer with hemorrhage and anemia secondary to blood loss
and he is allergic to penicillin. The destination terminal is Lackland Air Force Base, TX.
b. Dr. Resident has recommended the following treatment en route:
(1) 1 unit whole blood
(2) 100 cc 5% D/W at 10 qtts/min
(3) Oxygen by nasal catheter at 8 L/min
(4) Vital signs q 15 min
(5) Endotracheal suctioning available if patient vomits
(6) Nasogastric tube to low suction.
(7) Nothing by mouth (NPO)
MD0752
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