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available.
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QAP 82
Chapter Two Annex Tables 2-1 through 2-10
Table 2-7
Patient Evacuation Tag
1. The hospital/medical unit preparing patients for evacuation by land/air/sea is responsible for initiating a Patient
Evacuation Tag. When a patient's departure is postponed, dates and effective entries on the tag are corrected
by the Originating Medical Facility (OMF).
2. The tag is affixed to the clothing of each patient to be evacuated. The tag will be in three copies or parts: the
basic tag, the embarkation copy/part, and the disembarkation copy/part. The two last copies/parts should be
perforated, detachable, and marked "DETACH ON EMBARKING" and "DETACH ON DISEMBARKING".
The basic tag is to be printed on stiff paper and remains attached to the patient throughout the evacuation.
3. At the beginning of the patient's evacuation, the OMF prepares the tag. While in transit, if the patient enters
MTFs for brief periods between stages of the journey, the basic tag will be preserved and reaffixed to the patient
before his departure. When embarking on the next stage of the evacuation, the MTFs are referred to as
"remaining overnight facilities," "holding facilities," or "disembarkation facilities."
4. The patient evacuation tag should contain the following minimum information:
f& Name and initials.
f& Regimental/personal service number.
f& Rank or grade.
f& Nationality.
f& Evacuating unit. (Enter the designation and geographical location of the OMF.)
f& Diagnosis. (It should be brief and provide only such detail as is required for continuous medical care en
route.)
f& Type of casualty, to be noted as follows: Bcas.
Nonbattle Accident/Injury (NBA/NBI).
Psychiatric.
Sick/Disease (S/D).
Other cases.
f& Transport category, to be noted as follows: Lying.
Sitting (walking wounded or ambulatory).
Isolation.
Under observation.
Special cases.
f& Ship/aircraft designation and type (to be completed by transportation authorities).
f& Number of cabin, bunk, or seat.
f& Date (of signature of the tag).
f& Signature (of the authorized evacuation officer, either medical or administrative).
5. The reverse side of the basic tag contains details to be filled in where necessary at any stage of evacuation as
follows:
f& Diet recommended (whether regular or special [if special, describe]).
f& Treatment recommended en route (enter information necessary for the guidance of medical personnel
during the evacuation).
f& Treatment and progress record (space provided for information regarding examination and treatment
carried out en route).
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QAP 82
Chapter TwoAnnex Tables 2-1 through 2-10
Table 2-8
Reporting on Allied Patients
1. Policy Every medical formation/unit in a force may admit, treat, transfer, and discharge members of the
other ABCA Armies. Each of these MTFs has the responsibility of notifying the appropriate
national authority of information concerning casualties of that nation, either directly or through
the reporting nation's staff channels.
2. Procedures The procedures prescribed in this table will be followed by the ABCA Armies for reporting the
required information:
" Medical treatment facilities which administratively admit patients will prepare daily separate
lists, covering the period 0001 hours to 2400 hours, of admissions, transfers, and discharges of
personnel to each ABCA Army serving in the Force.
" These reports are numbered and are forwarded to designated medical authorities.
" Patients considered by the appropriate medical authority to be Very Seriously Ill (VSI) or
Seriously Ill (SI) will be reported on special reports. All variation to the reports, as well as
deaths in MTFs, will be reported by the fastest means to the next higher headquarters. For death
cases, the cause of death will be included. Definitions of VSI and SI are:
Very Seriously Ill. A patient is VSI when the illness is of such severity that life is imminently
endangered.
Seriously Ill. A patient is considered SI when the illness is of such severity that there is cause
for immediate concern, but there is no imminent danger to life.
" The loss of hand(s), foot (feet), limb(s), or eye(s) is also reported to the next higher
headquarters.
3. HSS Roles of A comparative figure of the medical installations existing within the ABCA Nations is shown in
Notification Figure 2-1.
4. Patient Reporting The minimum information to be reported to the parent nation is:
" Designation and nationality of medical unit issuing report.
" Serial number and date of issue of report.
" Personal identification number (to be shown for each patient).
" Rank/grade (to be shown for each patient).
" Surname and initials or forenames (to be shown for each patient).
" Unit or regiment (to be shown for each patient).
" Nationality of the casualty's unit/regiment.
" Diagnosis to include whether the patient is VSI or SI and whether the loss of hand(s), foot (feet),
limb(s), or eye(s) has occurred.
" Category: Bcas.
Nonbattle accident/injury.
Psychiatric.
Sick/disease.
Other cases.
" Date of: Admission.
Transfer out.
Discharge.
" Unit to which transferred or discharged (show nationality of unit).
" If deceased, the entry is to state DIED and the date of death is given.
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QAP 82
Chapter Two Annex Tables 2-1 through 2-10
Table 2-9
Medical Report of Cause of Death
1. In the case of death of a member of ABCA Forces, if examined by a medical officer, that medical
officer should determine the cause of death. Further, a report to the parent nation of the deceased is
required.
2. The format for this report is provided below:
" Cause of death.
" Approximate interval between onset and death.
" Disease or condition directly leading to death.
(1)
" Antecedent causes morbid conditions, if any, giving rise to the above cause, stating the
underlying condition last.
" Other significant conditions contributing to the death, but not related to the disease or
condition causing it.
(2)
" Any additional information required by individual nations will be entered here. The
format reproduced above must not be altered.
(1)
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