Each soldier will carry his own DA Form 7656 in his personal Improved First Aid Kit (IFAK). The soldier should complete
the Name/Unit section and the Allergies section on his card before placing it in his IFAK.
To print a copy of this form for your IFAK, left click on the image above and select “View Image.” Then print the image (Ctrl-P), trim it with scissors and fold it in half vertically. For best results print “Landscape” rather than “Portrait.” Fill in your Name/Unit and any ALLERGIES and put the form in your IFAK.
7-10. COMPLETING THE FRONT SIDE
If possible, use an indelible marker to make entries on the card. Include as much information as you can on the card.
a. Casualty’s Name (Name/Unit). The soldier should have entered his last name and first name as a minimum in the “Name/Unit” portion of his card before he placed the card in his IFAK. If the information is not entered, obtain the information from the casualty’s identifica
tion tags, casualty’s uniform, from the casualty himself, or from another soldier who knows the casualty and enter the information.
b. Allergies. The soldier should have listed any allergic reactions to
medications on his card before he placed the card in his IFAK. If the information is not entered, obtain the information from the casualty
or from any medical alert identification, if possible.
c. Date-Time Group (DGT). Enter the date and military time that you begin treatment of the casualty. For example: 17 May 1530. The year need not be entered.
d. Cause of Injury. Circle the cause of injury: friendly, unknown, or NBC (nuclear, biological agent, or chemical agent).
e. Type of Injury. Circle the type of injury: gunshot wound (GSW), blast, motor vehicle accident (MVA), or other. If “other” is indicated,
enter an explanation in the blank following “Other.” (“Other” could include Fall, Burn, IED, Grenade, Artillery, Landmine, RPG, Knife, etc.)
f. Time Tourniquet Applied (TQ Time). If a tourniquet has been applied to the casualty, enter the military time that the tourniquet was applied, such as “1540.” The date and year does not normally need to be entered.
g. Location of Wound(s). The card contains two body pictures, one of the casualty’s front and another for the casualty’s back. Place an “X” on the illustration to indicate the place of injury or the wound site. If there is an entrance wound and an exit wound, place one “X” on the front figure and another “X” on the back figure. Place as
many X’s as needed.
NOTE: The figures contain burn percentages based upon the “rule of nines.” Use these figures in estimating the percentage of body surface burned.
h. Vital Signs. The chart is used to record the casualty’s level of consciousness and vital signs. Note that there are four columns to record four sets of readings. If more readings need to be recorded, use the “OTHER” section on the back of the card.
(1) Enter the time (military time, usually without the date and year) in the “Time” box at the top of the left column.
(2) Enter the casualty’s level of consciousness using the AVPU system in the “AVPU” box. Enter “A” for alert, “V” for verbal,
“P” for pain, or “U” for unresponsive.
The AVPU system is discussed in Lesson 2 paragraph 2-5.
(3) Enter the casualty’s pulse rate (even number showing the casualty’s pulse beats per minute) in the “Pulse” box.
(4) Enter the casualty’s respiration rate (complete breaths per minute—even or odd number) in the “Resp” box.
(5) Enter the casualty’s blood pressure (if applicable) in the “BP” box. Enter the blood pressure in “systolic/diastolic” format with both numbers being entered as even numbers.
7-11. COMPLETING THE REVERSE SIDE
a. Airway Interventions (Line A). Indicate the airway interventions performed (if any) by circling the appropriate term in Line A.
(1) If the casualty’s airway is intact and no airway intervention was needed, circle “Intact.”
(2) If an airway adjunct (such as a nasopharyngeal airway) has been used, circle “Adjunct” and enter a brief explanation (such as “NPA”) in the “OTHER” section near the bottom of the card.
(3) If a cricothyrotomy has been performed, circle “Cric.”
(4) If an intubation has been performed (such as an insertion of an
endotrachial tube), circle “Intubated” and enter a brief explanation in the “OTHER” section.
b. Breathing Interventions (Line B). Indicate any breathing interventions performed by circling the appropriate item in Line B.
(1) If a commercial chest seal has been applied to a penetrating chest
wound, circle “Chest Seal.”
(2) If a needle chest decompression has been performed, circle “NeedleD.”
(3) If a chest tube has been inserted, circle “Chest Tube.”
c. Bleeding Control Measures (Line C). Indicate any bleeding control
measures that have been performed by circling the appropriate item in Line C.
Additional information can be entered in the “OTHER” section near the bottom of the card, if needed.
NOTE: More than one item can be circled.
(1) If a tourniquet has been applied, circle the “TQ.” Also make sure the time that the tourniquet was applied is entered in the “TQ Ti
me” box on the front of the card.
(2) If a hemostatic agent (such as Combat Gauze) has been applied to a wound, circle “Hemostatic.”
(3) If material such as plain gauze (not Combat Gauze)has been packed in a wound in order to control bleeding, circle “Packed.”
(4) If a pressure dressing has been applied to the wound, circle “Pressure Dx.”
d. Fluids Administered.
(1) Indicate the method used to administer the fluids. Circle “IV” for
intravenous infusion and “IO” for intraosseous (through the bone) infusion.
(2) Circle the type of fluid administered.
(a) Circle “NS” for normal saline.
(b) Circle “LR” for lactated Ringer injection.
(c) Circle “Hextend” for Hextend® fluid.
(d) If another fluid was administered (such as 5 percent dextrose in
water [D5W] or whole blood), enter the fluid type in the “Other” line in the FLUIDS section.
(3) Circle the amount of fluid being administered.
(a) If NS or LR is administered, circle “500” (500 milliliters), “1000”
(1000 milliliters), or 1500 (1500 milliliters) on the “NS/LR” line as appropriate.
(b) If Hextend is administered, circle “500” (500 milliliters) or “1000”
(1000 milliliters) as appropriate.
(c) If another amount is needed (such as 250 milliliters), enter the
amount in the “Other” line of the FLUIDS section.
(1) Enter the type, dose, and route of any medication administered for pain on the “PAIN” line.
(2) Enter the type, dose, and route of any antibiotics administered on the “ABX” line.
(3) Enter the type, dose, and route of any other medication administered other than antibiotics or pain medication on the “OTHER” line.
f. Notes. Enter any pertinent notes or observations in the lines below the “OTHER” line in the DRUGS section.
g. Signature. If you are assisting a combat medic, he will sign the card. If you are acting as a combat lifesaver and no combat
medic is present, print your name and rank in the “First Responder’s Name” line at the bottom of the card.
7-12. ATTACHING THE CARD
You can attach the TCCC card to the casualty or place the card in the upper left sleeve or the left trouser cargo pocket of the casualty’s clothing.
Listed below are some of the abbreviations authorized to be used on this and other medical forms.
Abraded wound–Abr W
Contused wound–Cont W
Fracture (compound) open–FC
Fracture (compound) open comminuted–FCC
Fracture simple (closed)–FS
Gun Shot Wound—GSW
Penetrating wound–Pen W
Perforating wound–Perf W
For the sake of completeness, we should mention that the above form is not the latest in use by the Dept. of Defense. The latest is DD Form 1380, MAR 2014. We decided not to use this form because it is more complicated than necessary for civilian use. But for those who are interested, this new form may be viewed/downloaded/printed here. It is described here. If you wish you may print this card and use it in your IFAK rather than the one mentioned above.
Note: There is no Quiz for this lesson. MARK COMPLETE and proceed to the next lesson.