1. Remove the protective sheet from the carbon copy.

2. Complete the minimum required blocks.

a. Block 1. Enter the casualty's name, rank, and complete social security number (SSN). If the casualty is a foreign military person (including prisoners of war), enter his or her military service number. Enter the casualty's military occupational specialty (MOS) or area of concentration for specialty code. Enter the casualty's religion and sex.

b. Block 3. Use the figures in the block to show the location of the injury or injuries. Check the appropriate box(es) to describe the casualty's injury or injuries.

NOTES: 1. Use only authorized abbreviations. Except for those listed below, however, abbreviations may not be used for diagnostic terminology. Abr W--Abraded wound. Cont W--Contused wound. FC--Fracture (compound) open. FCC--Fracture (compound) open comminuted. FS--Fracture (simple) closed. LW--Lacerated wound. MW--Multiple wounds. Pen W--Penetrating wound. Perf W--Perforating wound. SL--Slight. SV--Severe. 2. When more space is needed, attach another DD Form 1380 to the original. Label the second card in the upper right corner "DD Form 1380 #2." It will show the casualty's name, grade, and SSN.

c. Block 4. Check the appropriate box.

d. Block 7. Check the yes or no box. Write in the dose administered and the date and time that it was administered.

e. Block 9. Write in the information requested. If you need additional space, use Block 14.

f. Block 11. Initial the far right side of the block.

3. Complete the other blocks as time permits. Most blocks are self-explanatory. The following specifics are noted:

a. Block 2. Enter the casualty's unit of assignment and the country of whose armed forces he or she is a member. Check the armed service of the casualty, that is, A/T = Army, AF/A = Air Force, N/M = Navy, and MC/M Marine.

b. Block 5. Write in the casualty's pulse rate and the time that the pulse was measured.

c. Block 6. Check the yes or no box. If a tourniquet is applied, you should write in the time and date it was applied.

d. Block 8. Write in the time, date, and type of IV solution given. If you need additional space, use Block 9.

e. Block 10. Check the appropriate box. Write in the date and time of disposition.

f. Block 12. Write in the time and date of the casualty's arrival. Record the casualty's blood pressure, pulse, and respirations in the space provided.

g. Block 13. Document the appropriate comments by the date and time of observation.

h. Block 14. Document the provider's orders by date and time. Record the dose of tetanus administered and the time it was administered. Record the type and dose of antibiotic administered and the time it was administered.

i. Block 15. The signature of the provider or medical officer is written in this block.

j. Block 16. Check the appropriate box and enter the date and time.

k. Block 17. This block will be completed by the United Ministry Team. Check the appropriate box of the service provided. The signature of the chaplain providing the service is written in this block.

Brief Soldier: Tell the soldier to complete the FMC by asking appropriate questions of the casualty. Tell the soldier being tested any necessary information such as the nature of the wound and the treatment given. To test step 2, you may either have the soldier complete the minimum required blocks, or you may require the completion of all blocks. After step 2 ask the soldier what must be done with each copy of the FMC.

Score the soldier GO if all steps are passed (P). Score the soldier NO-GO if any step is failed (F). If the soldier fails any step, show what was done wrong and how to do it correctly.