Copyright
Charles Field Mason.

A complete handbook for the sanitary troops of the U. S. army and navy and national guard and naval militia online

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ance with the regular rule.

576. The list of sick and wounded will contain a record of the
following cases :

(a) Every officer or soldier with the command who is excused
from duty on account of sickness or injury, or who receives a wound
of any character in action whether it involves excuse from duty or

not.

(&) Every officer or soldier with the command, not currently on
the list, who is sent to another command or place for observation or
treatment.

(c) Every officer, not currently on the list, who departs from the
command on sick leave.

(d) Every officer or soldier with the command, not currently on
the list, who is retired, or discharged for disability, or dies; and
every civilian with the command who dies.

577. In determining the cases to be entered on the list of sick and
wounded under the provisions of paragraph 576, officers and soldiers



456 THE SANITARY SERVICE IN WAR

who are killed or wounded in action will be considered as with the
command by whose .sanitary personnel they are tagged. The names
of such officers and soldiers will therefore not necessarily appear on
the list of sick and wounded of their own organization. (See
par. 5790.)

578. Except as provided in paragraph 580, the list of sick and
wounded will be made in duplicate, and at the end of the motnh
covered by it the original thereof will be forwarded through medical
channels to the Surgeon General. The duplicate will be retained.

580. Stations for slightly wounded will make a single copy of the
list of sick and wounded. At the end of each day and when the
station is closed the list will be sent at once to the division surgeon.

581. Evacuation ambulance companies should include in their list
of sick and wounded only such cases as pertain to their own personnel
and such cases as may, under exceptional circumstances, fall into
their hands without having been previously tagged by other sanitary
formations.

582. Hospital trains and hospital ships make complete lists in
regular monthly form only of cases occurring among their own per-
sonnel and, in the case of a hospital ship, of cases admitted thereto
for definitive treatment.

583. Where patients are transferred from mobile organizations at
the front to the line of communications a nominal list of them should
if practicable be prepared in duplicate by the transferring officer,
the original of which should be receipted and returned to him by the
receiving officer. Extra carbon copies of so much as may be per-
tinent of the transferring officer's regular list on Form 53 may be
made for this purpose. Transfers from camp hospitals in the zone
of the advance, should there be any such, will be accomplished by
regular transfer cards (par. 575).

(a) The duplicates of the nominal lists mentioned, or the transfer
cards, as. the case may be, furnished as above to an evacuation ambu-
lance company, will be turned over to the evacuation hospital or
other sanitary formation to which it delivers the patients. Similar
disposition will be made by a hospital train or hospital ship of the
nominal lists or transfer cards received by it.

584. Should a hospital train or hospital ship receive patients unac-
companied by nominal lists or transfer cards, the commanding officer



MEDICAL DEPARTMENT 457

of the train or ship will as soon as practicable prepare a nominal list
of such patients on Form 53 (separate and apart from his regular
monthly list of sick and wounded) for disposition as above provided.
Should the preparation of such a list be impracticable he will list the
patients who seem to be in danger of death so as to be able if death
occurs to report the necessary details.



PART X

CLERICAL WORK

NOT all sanitay soldiers will make good clerks, but selected pri-
vates first class and privates who show special aptitude are required
to take the course.

The nature, objects, and methods of preparation of the follow-
ing reports and records are to be explained to the class and copies
prepared and criticized. Each member of the class should be re-
quired to prepare various reports. The list includes the usual reports
and returns required of officers of the Medical Department in time
of peace (for reports made under field-service conditions only, see
par. 558, M. M. D.) :







1_ JJ






Name of report, etc.


Form No.


u


To whom sent.


Remarks.


(a) DAILY.










(i) Surgeon's morning re-


71 M D


i


C O


Made after sick


port of sick.








call. Returned










by the adjutant










to the hospital.


(2) I^Torninf? report, de-


332, A. G. O


i


C O


Do.


tachment of Hospi-










tal Corps.










(3) Daily sick report, de-


339, A. G. O....


i


Kept at hospital . .




tachment of Hospi-










tal Corps.










(J>) TRIMONTHLY.










(i) Trimonthly report of
enlistments.


18, A. G. O


2


i to The A. G.; i
retained.


At recruit depots
and depot posts










made by com-










manding officer.










At other Karri-










soned posts and










stations made










by recruiting


(c) MONTHLY.








officer.


(i) Personal report of
medical officer, den-


Letter


2 or i


2 to S. G. through
D. S. or i di-


See pars. 12, 13.
18, 19, 32, and


tal surgeon, acting






rect.


55-


dental surgeon, or










contract surgeon.
(2) Return of the Hos-


470 M D


2


i to S. G. through


Monthly return


pital Corps.






D. S. or direct;
: retained.


for field use
only. Sec par.










50.



(459)



460



CLERICAL WORK



Narr.e of report, etc.


Form No.


Number
of copies


To whom sent.


Remarks.


(c) MONTHLY Con.

(3) Efficiency report of
nurses.

(4) Return of the Nurse


62, M. D
63, M D


a


i to D. S. or to
S. G. ; i re-
tained.
do


See par. 99.


Corps.


366 W D : 3660




3 to C O




men.

(O Pay roll, Army Nurse
Corps.
(7) Ration return of ma-
tron and others ra-
tioned separately.
(8) Voucher for commu-
tation of rations of
enlisted men, Army
Nurse Corps, etc.,
in hospital.


W. D.
334^ W. D.; 334a,
223, Q. M. C

351, W. D
49, M. D


3

2
2

2


2 to paying Q.
M. ; i rentainea.
i to C. O. ; memo,
kept at hospital.

2 to C. O

i to D. S. or to


geon to be re-
tained.

i original and i
memorandum.

See pars. 260,


fund.

(10) Report of sick and
wounded.


51, M. D.; 510, M.
D.; sib, M. D. ;
52, M. D.

57, M. D


2
2


S. G.; i re-
tained,
i to S. G. through
D. S., or direct;
i retained.


261, and 262.

See pars. 457 to
464.

See par. 473.


work.
(12) Sanitary report

(13) Report of medical
examinations of ap-
plicants for enlist-
ment.


50, M. D
265, A. G. O
Letter


2

2


medical chan-
nels; j retained,
i to The A. G.
throurh military
channels; i re-
tained,
i to The A. G. ; i
retained.

S G


See pars. 414 to
4i7-


of repairs to hos-
pital.
(15) Report of progress
of repairs to quar-
ters of sergeants
first class, Hospital
Corps.
(16) Voucher for hospital
laundry not done by
hospital matron.
(17) Account current ...


.... do

330 or 3300, W. D.
32o& or 320, W. D.
Letter


I

2
2


S. G

2 to D. S. or to
the S. G.

i to S. G. ; i re-
tained.

i to S. G. ; in


Do.

i original and i
mem orandum.
See par. 277.
Accompanied by
the appropriate
vouchers.
See par. 244.


medicine to civil-
ians.


218 M C




Philippine De-
partment to
D. S.
2 to C. O




age.


94, O. D


2


i to Q. M., who




charges on muster
and pay rolls.

(21) Statement of charges
quartermaster prop-
erty.
(22) Report of meteor-
ological observations.


208, Q. M. C
Weather Bureau .


3

I


pays the detach-
ment ; i re-
tained.
2 to O. M. ; i re-
tained.

Throurh director
State section
Weather Bureau
to S. G.


From designated
posts. See par.
527.



CLERICAL WORK



461



Name of report, etc.


Form No.


Number
of copies


To whom sent.


Remarks.


(d) BIMONTHLY.










(i) Muster roll, detach-


21, A. G. O


2


2 to mustering


returned to hos-


ment of Hospital






officer.


pital to be re-


Corps.








tained.


(2) Muster roll, soldiers


do




do


Do.


in hospital.










(3) Return of the Hos-


47, M. D


2


i to S. G. through


ji'tionthly return


pital Corps.






D. S. or direct;


in carrison. See








i retained.


par. 50.


(e) QUARTERLY.










(i) Special requisition
for medical supplies.


35 M. D


4 or 3


4 to D. S. or
from independ-


i returned to sur-
geon to be re-










ent posts, 3 to


tained. See par.








S. G.


482 et scq.


(2) Requisition for table-
ware and kitchen


1 66, Q. M. C


3


2 to C. O.; J re-
tained.


When Hospital
Corps detach-


utensils.








ment is messed










separately.


(3) Certificate of break-


207, Q. M. C....


2


Q. M


When Quarter-


age, china anc








master Corps


glassware.








china and r'ass-










ware are used.


(/) SEMIANNUALLY.










(i) Return of ordnance


18, O. D.; 18


2


i to C. of O. (ex


Vouchers to ac-


and ordnance stores.


cover.




cept in Philip-


company.








pine Depart-










ment, where to










D. O. O.); i










retained.




/ N C, . t 1,


86 O D




do


To accompany re-


\2) statement 01 cnargcs
for ordnance prop








turn.


erty on muster anc










pay rol'.s.


i8a O D




. . do


Vouchers to ac-


(3) Return of horse
equipments.
(4) Requisition for blanks


77 M D...


2


i to S. G. (excep
in Philippine


company.










D e p a r tment










where to D










S.); i retained




(g) ANNUALLY.










(i) Statement of prefer


423, A. G. 0...


I


To The A. G. di
rect.


See instructions
on the form.


ences.
(2) Efficiency report o:
officers.


429, A. G. O...


I


To The A. G
through mili
tary channels.


See Army Regu-
lations.


(3) Requisitions for med
ical supplies.


33, M. D.; 35, M
D.


4or 3


4 to D. S. o
from indepeml
ent posts, 3 to


i returned to sur-
geon to be re-
tained. Sec par-








S. G.


477 ct scq.


(4) Report of surgica
operations.
(5) Statement of repairs,


58 M D


I
I


i to D. S. or to
S. G.

Q M


See pars. 418,
419, and 420.
See Army Rcgu-


Letter




etc., to hospital.


,




.... do


Ia*ions.
Do.


(6) Statement of repairs
etc., to qvarters of










sergeants first class










Hospital Corps.










(/t) OCCASIONALLY.










(i) Ration return, de
achment of Hos
pital Corps.


223, Q. M. C....


2


i to C. O.; memo
copy kept a
hospital.


Made at such in-
tervals as the
C. O. may
direct.



462



CLERICAL WORK



Name of report, etc.


Form No.


Number
of copies


To whom sent.


Remarks.


(A) OCCASIONALLY Con.










(2) Report of change of


Letter


2 or i


2 to S. G. through


See pars. 12, 13,


station or status, M.






D. S. or i di-


18, 19, 32, 45,


O., D. S., A. D. S.,






rect.


55, and 100.


C. S., H. C., or A.










N. C.










(3) Change of station, M.


... do


i


To The A. G. di-


See Army Regu-


O., D. S., or C. S.






rect.


lations.


(4) Report of death of




i


To The A. G


Of officers on ac-


officer.








tive list who










have no imme-










diate command-










ers, and of










officers on the










retired list.


(5 ) Report of death of


Letter




C O


See par. 218.


officer, enlisted man,










or civilian.










(6) Report of death of


.... do


2


i to D. S., i to


See par. 219.


M. O., D. S., A. D.






S. G.




S., C. S., or Sergt.










f. c., II. C.










(7) Certificate of death..


Local form


Jsual-


To local health








ly 2


officer.




(8) Inventory of effects,
deceased officer, en-


34, A. G. O


3


2 to The A. G.; i
retained.


See _Army Regu-
lations.: De-


listed man, or civil-








ceased Soldiers.


ian.










(9) Efficiency report on


429, A. G. O


i


To officer's new


See Army Regu-


officers.






C. O. or to sur-


lations.








geon of his new










station.




(10) Efficiency report,
Army Nurse Corps.


62, M. D


2


i to C. O. of hos-
pital to which


See par. 99.








transferred; i










retained.




di) Efficiency report,
Hospital Corps.


80, M. D


2


i forwarded with
D/L.; i re-


See par. 46.








tained.




(12) Record of assign-


66, I.I. D


2


i to nurse's new


See par. 766.


ment and pay, Army






C. O.; i re-




Nurse Corps.






tained.




(13) Enlistment paper of


22, A. G. O


I


As prescribed on




soldier enlisting or






the form.




reenlisting.










(14) Report of physica'


135, A. G. 0....


I


The A. G. direct.




examination of re-










cruit.










(15) Identification record.


260, A. G. O.


I


The A. G.; in the




recruit.


261, A. G. O..




Philippine De-










partment to the










C. G. thereof.




(16) Designation of bene-


380, A. G. O


I


The A. G. direct.


Notation made


ficiary.








on soldier's










D/L.


(17) Descriptive and as


25 A G O




c o




signment card, re-










cruit.










(18) Account of clothing


140, A. G. O


I


To accompany de-




issued to recruit.






scriptive and as-










signment card.




(19) Descriptive list ....


29, A. G. O




Number and dis-










position accord-










ing to circum-










stances as pre-










scribed in regu-










lations.





CLERICAL WORK



463



Name of report, etc.


Form No.


Number
of copies


To whom sent.


Remarks.


(h) OCCASIONALLY Con.










(20) Reservist's descrip-


443, A. G. 0....


2


: to reservist; i to


See Appendix:


tive card.






office where rec-


Army Re-








ords are kept.


serve.


(21) Notification of trans-


559, A. G. O


2


i to The A. G. di-


Do.


fer to Army reserve.






icct; i retained.




(22) Allotment of pay...


38, Q. M. C


2


i to Q. G. ; i re-










tained.




(23) Discontinuance of


39, Q. M. C


I


Q. G


Dotation of dis-


allotment of pay.








c o n t i n -










nance made










on retained










copy -of allot-










men of pay.


(2*1) Renort of soldier's


Letter


I


C. O. with pay




deposit.






roll.






8a Q M C




Q G




deposits.
(26) Report of transfer,
desertion, or death


No form pre-
scribed.




Q. G


!n urgent cases
report by tele-


of soldier having








graph.


deposits.
(27) Finl statement, en-
listed man.
(28) Notification of dis-
charge, enlistee


3-0 \V D


2

I


As prescribed on
the form.
Paying Q. M. ...


See Army Regu-
lations: Final


3, A. G.


man.








payment, en-










isted men.


(29) Discharge certificate
enlisted man.


525, A. G. O.;
526, A. G. 0.;
527, A. G. O.


I


Soldier


To be fiven by
field officer of
soldier's regi-










ment or corps,










or by the










command-










ing officer










when no field


.








officer is pres-


(30) Certificate of dis


17 A G O




c o


ent








ability.


g ^ G. O




. . do




(31) Furlough
(32) Statement of service


s! A! G.' o


I


To accompan>
charges against








enlisted man










for trial b>










court-martial.




(33) Certificate of in
debtedness of em


on M D


3


As required bj
Army Regula




'


ployee for hospita






tions.




service.
(34) Special requisition
for medical sup


35, M. D.,


4 or 3


4 to D. S. or 3 to
the S. G.


i returned to
surgeon to be
retained. See


plies.








par. 485.


(35) Requisition for cloth


213, Q. M. C....


3


3 to Q. M. direct




ing (in bulk).
(36) Requisition for cloth
ing (individual).


165, Q. M. C....


2


2 to Q. M. direct


Separate slips for
each man
drawing cloth-










ing.


(37) Statement of cloth


1656, Q. M. C...


I


p t-iined


Filed with req-
uisition to




ing.








which it per-










tains.


(38) Requisition for ord


386 O D


3


2 to C. O.; i re
tained.






nance.
(39) Return of medica
property.


17, M. D. ; J7"
M. D.: i7&, M
D.; i7C, M. D


2


i to S. G.; i re
tained.


See par. 507.



464



CLERICAL WORK



Name of report, etc.


Form No.


If

J3**H

fc


To whom sent.


Remarks.


(/i) OCCASIONALLY Con.
(40) Report of survey

(41) Inventory and in-
spection report.
(42) Special sanitary re-
port.

(43) Report on officer or
enlisted man who
has been in general
hospital three
months.
(44) Report of appear-
ance of epidemic dis-
ease at or near a
military post or sta-
tion.
(45) Report of appear-
ance of epidemic
disease in a military
command en route
to new station.
(46) Notification to local
board of health ^of
appearance of in-
fectious disease at a
military post.
(47) Reports of births...


196, A. G. O
i, I. G. D
Letter

Manuscript
Letter


3

2
I

2

3
4

i


3 to C. O


See _Army Regu-
lations.

See par. 416.
See par. 287.

See par. 201.
Do.
See par. 203.

See par. 401.

Do.
By the attending
physician. See
pars. 421 and
422.
See par. 247.


2 to inspecting
officer.
To The A. G.
through mili-
tary channels.
2 to S. G

i to C. O.; i to
D. S.; i to S. G.

3 copies as in pre-
ceding case; ad-
ditional copy to
surgeon of new
station.
Board of health..

To Director of
Census.
do


.... do


Letter or local
form.

V. S. 109...:...
V S 98


(49) Special reports- of in-
teresting cases.

(50) Report of change of
combination of lock
of hospital safe.

(0 ON BREAKING UP OF
HOSPITAL

(i) Current periodical re-
Sorts and returns to
e completed.


Letter


i

i


S. G. through
medical chan-
nels.

S G






Number of copies
and disposition
as at the end of
full stated peri-
ods in each case.
The A. G. with
schedule.













LIST OF RECORDS

The following list includes all the principal records required to be
kept in military hospitals in addition to retained copies of reports,
returns, etc. :

(1) Register of sick and wounded (Form 52).

(2) Clinical records (Forms 55, a to u~).

(3) Prescription files (par. 240).

(4) Register of dental patients (Form 79).



CLERICAL WORK 465

(5) Correspondence records (pars. 402 to 406).

(6) Record of instruction of the Hospital Corps (pars. 163 and
178).

CORRESPONDENCE RECORDS

The record card system, as prescribed in War Department orders,
will be used for recording and filing the correspondence at the offices
of department surgeons, unless otherwise directed by higher
authority, and at general hospitals, medical supply depots, and such
other offices as may be specially authorized to employ it.

The correspondence book system, as prescribed in War Depart-
ment orders, will be used for recording and filing the correspondence
of all post hospitals and other sanitary formations not mentioned
in the preceding paragraph, except those for which some other
system is specially prescribed.

All the usual reports and returns required of medical officers in
time of peace are given in paragraph 398, M. M. D. Such of these
as are applicable to the changed conditions will be made in time of
war. The following special reports and forms are required only
during campaign :

(a) Daily field report of sanitary personnel and transportation
(Form 82). This report will be made daily to the proper medical
superior by the senior medical officer of every organization in the
field, a copy being retained. Telegraphic report of the data called
for thereon may be required if necessary.

(&) Daily field report of patients (Form 83). This report will
likewise be rendered daily, as in the preceding case.

(c} Monthly reports from divisional sanitary inspectors required
by paragraph 7470, M. M. D., Form 50.

(rf) Reports of the sanitary inspections of Medical Department
organisations required by paragraph 7480, M. M. D., Form 5O&.

(e) Certificate of identity (Form 61). This certificate is issued
to those who are entitled to wear a brassard but who do not wear a
uniform. (See pars. 542 and 543, M. M. D.)

(/) Diagnosis tags. On the battlefield diagnosis tags are applied
to all sick, wounded, and dead and are used in recording and report-
ing casualties. (See pars. 567 to 574. M. M. D.)

(g) List of sick and wounded (Form 53). With the exceptions
noted in paragraph 575, M. M. D., this form will be used as a sub-
30



466 CLERICAL WORK

stitute for Forms 51, 510, $ib, and 52 in reporting and recording the
sick and wounded in the theater of operations.

(/t) Return of casualties (Form 149, A. G. O.). This report is
made after every action in which casualties have occurred, by the
commanding officer of each independent organization. Casualties
pertaining to the personnel of the organization making the report
only should be included. Regimental surgeons furnish regimental
commanders with information necessary for the preparation of the
report.

(i) In the case of Medical Department units which have quarter-
master accountability such additional records, reports, returns, etc.,
as are required by the Quartermaster Corps must be kept and made.

The various blank forms for the preparation of the papers re-
quired by the several departments concerned are enumerated in
paragraphs 961 to 965, M. M. D. They must be obtained as indi-
cated therein for time of peace or, in the case of troops in the theater
of operations, as prescribed in paragraph 55 ib, M. M. D.

Medical supply depots on the line of communications will make
returns, reports, and records similar to those of home depots. In
addition they will make to the surgeon, base group, the daily field
reports of sanitary personnel and transportation required by para-
graph 558, M. M. D.



PART XI

MINOR SURGERY



THE noncommissioned officer of the hospital corps must very
frequently act as the surgeon's assistant, performing such duties
as in civil life are assigned to a physician. He may have to take
entire charge of the anesthetic, or act as the first, second, or other
assistant. Indeed, the occasions are not infrequent when a small
detachment is in the field without any medical officer, and the non-
commissioned officer himself may have to do minor operations and
permanently arrest hemorrhage.



CHAPTER I

ANESTHESIA, GENERAL AND LOCAL

' AN anesthetic is an agent that abolishes sensation. It may be
general or local. The former affects the whole system and produces
unconsciousness and muscular relaxation. The latter affects only
the part to which it is applied, destroying the sensation of the local
nerves.

The principal general anesthetics are ether, chloroform, ethyl
chloride, and nitrous-oxide gas, the latter being used almost exclu-
sively by dentists.

Before commencing the administration of any anesthetic every-
thing should be made ready ; the patient should not have had any
food, except perhaps a cup of coffee or bouillon, for five or six
hours before commencing anesthesia. His head should rest on a low
pillow covered with a towel, and the skin of the face, around the
mouth and nose, which is liable to be irritated by the anesthetic,
should be protected by vaseline.

On a small table to the right of the anesthetizer should be placed
the appropriate articles, ether or chloroform, a screw gag, lever

(467)



468 MINOR SURGERY

gag, tongue forceps, swab-holder and swab, towel, teaspoon, sterile
water, a hypodermic syringe charged with two milligrammes of
strychnine, hypodermic tablets of morphine, digitalis, and strychnine,
nitrite of amyl pearls, vaseline, and a basin for vomitus.

Pure sulphuric ether is generally considered the safest and best
anesthetic for general purposes. It should be kept in tin cans in a
cool, dark place. It is about two and a half times heavier than air
and inflammable; therefore lights should not be brought near the
inhaler, but gas jets four or more feet from the patient's head are
safe. Throughout the anesthesia the body must be kept warmly
covered.

Ether is now generally given by the drop method in the same
manner as chloroform.

The arms of the patient must not be brought above his head nor
allowed to hang over the edge of the table, as paralysis has followed
the undue pressure in such cases; the forearms should be flexed



Online LibraryCharles Field MasonA complete handbook for the sanitary troops of the U. S. army and navy and national guard and naval militia → online text (page 35 of 38)