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File: 950718_6tr13_24_j22.txtFilename:6tr13_24.j22 ********************************************* This document is a captured Iraqi military record. It is provided in its original form to include Iraqi classification markings (i.e. Top Secret, Secret, etc.). These classification markings are NOT U.S. Government markings. ********************************************* ------------------------------------------------------------------------------ In the Name of God, the Merciful, the Compassionate Medical Treatment Command of Infantry Division \ 22 Number \ command 1 \ 14\ 4069 Date: 10\27\1985 [seal]: Headquarters of Field Medical Unit \ 31 Number \ command 1 \ [illegible] \ 8093 Date: 10\27\1985 To: our medical units 55, 65, 31 Subject: instructions Medical affairs directorate letter number branch 1\ command 3\ 11\ 3188\ 47586 on 10\12\1985 relayed to us through letter of medical treatment command of corps 2 number 4072 on 10\20\1985, above is a copy of confidential letter chemical branch directorate number 799 on 11 August 1985 relayed through confidential letter of general headquarters of chemical branch number 2999 on 9\6\1985, and enclosed is a copy of instructions for using paper detection, mark 2, please act accordingly. Enclosure 1- A copy of instructions of using set of detection papers, mark 2. [hand notations]: chemical, act accordingly [signed] 10\27 [signed] Lieutenant Colonel, M.D. Dhiya Reda Ali Medical Treatment Commanding Officer of Infantry Division \ 22 noun ain Hazim 10\25\1985 [page-14] In the Name of God, the Merciful, the Compassionate Medical Treatment Command of the Sixth Division Number: 597 Date: 11\26\1985 To: medical treatment command of division \ 12 Subject: chemical awareness week Reference to top secret letter of chemical branch command, corps 6, number 983 on 11\22, please perform the following activities and take advantage of the officers and non-commissioned officers who have already participated in chemical courses: 1- Performing chemical training for four hours daily during the week. First hour: using protective mask in the field. Second hour: using purification tool and personal first aid, protective disease sap, automatic injection of [illegible]. Third hour: exercising partial purification at purification points open at the units; fourth hour: a lecture on protection from weapons of mass destruction in accordance with manual 321 and 26. 2- Exercising chemical alarm on different times in the headquarters and units connected to you. 3- The chemical guide performs his duties after acting out a chemical attack on the unit: filing chemical reports and alerting chemical unit under the supervision of commanding officers. 4- Erecting gas tent in the units and inspecting protective masks of officers and ranks who did not use their masks in the past six months. 5- Conducting exercise of protection from incendiary materials. 6- Conducting practical exercises to purify and treat contaminated injuries. Please act accordingly and advise. a copy of to: [seal]: Medical Treatment Command of the Twelfth [illegible] Division, Number \ \ , Date [illegible], authenticated copy Colonel, M.D. Huthi Esmaeel Ebraheem waw meem ta \11 [page-15] In the Name of God, the Merciful, the Compassionate Top Secret Medical Treatment Command of the Twelfth Armored Division Number \ command 1\ 14\ 4011 Date: 29 November 1985 [seal]: Headquarters of Field Medical Unit \ 31 Confidential Number: command 1\ 14\ 3491 Date: 10\7\1985 To: our field medical units 31, 32, 33 Subject: chemical awareness week Enclosed is an authenticated copy of top secret letter of medical treatment command of corps 6 number 597 on 11\26\1985, please acquaint, act accordingly and acknowledge. [hand notations]: chemical, to act accordingly, 12\7 [signed]; for chemical's examination [signed] Lieutenant Colonel, Dentist Emad Taqi Hadi Medical Treatment Commanding Officer of the Twelfth Armored Division Major, Dentist Mohammed Shuwaish Abdullah Enclosure: 1- letter ra ain kaf Tarik [page-16] 1) Diagram of purifying and treating contaminated injuries detachment 2) Supplement E 3) From casualties collection position or unit's [illegible] position 4) B road 5) Check point; first aid station entrance; point 6) To [illegible] equipment depot 7) Water disposal 8) Partial purification point to contaminated ambulances 9) [illegible] point 10) Doctor 11) Reception and emergency section 12) Purification section 13) Tent 14) Bathing tent 15) Tent 16) New equipment [illegible] 17) 15 minutes 18) Taking off underwear and [illegible] 19) Doctor 20) Ambulance and emergency section 21) 10 minutes 22) Specialty vehicles 23) Purified injuries 24) To advanced first aid station sections 25) To advanced first aid station 26) Symbol for purification and treatment detachment [page-17] Top Secret and Personal Supplement B noun.jeem medical treatment \chemical Field Card of Contaminated Injuries (proposed) 1- Full Name: 2- Rank: 3- Unit, Formation 4- Time and Date of Injury 5- Place, Coordinates 6- Severity of Injury: Light Medium Severe 7- Type of Injury: Fracture Injury and Bleeding Fracture and Bleeding 8- Place of Contamination: Head Hand Body Lower Parts 9- Type of Contamination: Chemical Nuclear Fallout Biological 10- Applied Procedure: 1) First Aid 2) Marking Place of Injury on Body 3) Complete Purification 4) Bleeding [illegible] 5) Fractures [illegible] 6) Using [illegible] atropine Treating Doctor: Rank: Name: Unit: Notes Card will be filled in by the doctor treating the contaminated injury at the unit's first aid position, the card will be sent with the patient to first aid field station (setting measurements for card) -8- Top Secret and Personal [page-18] Top Secret and Personal Supplement A Proposed Diagram of Detachment of Evacuating Contaminated Casualties 1) 4 m. 2) Sewer 3) Room of removing contaminated equipment 4) 3 m. 5) Purifying contaminated ambulances 6) 10.5 M. 7) Medical bed for treatment 8) Medical treatment and chemical purification room 9) 4.5 m. 10) Chemical purification equipment 11) Water source 12) Workshops for chemical purification 13) Room for clean equipment 14) 3 m. 15) Purifying contaminated ambulances 16) 4 m. 17) Wind direction 18) Inspecting field first aid 19) Final inspection point 20) Sewer -7- Top Secret and Personal [page-19] Top Secret and Personal Medical field for storing water necessary for bathing of contaminated individuals. g. Due to the lack of exercising by detachments for purifying and treating contaminated injuries at field medical units, a weakness in this part resulted which requires opening courses for contaminated injuries treatment to officers and ranks and basing these courses primarily on official manuals 705, 677 with their attached medical affairs publication. Colonel [illegible] Azeez Aweiad Medical Treatment Commanding Officer of Corps 2 Colonel Taleit Mohammed Fareh Chemical Branch Commanding Officer of Corps 2 -6- Top Secret and Personal [page-20] Top Secret and Personal 3- Proposals a. The tents available at [illegible] and designated for detachment for purifying and treating contaminated injuries is not suitable to perform surgical operations plus chemical purification to individuals with contaminated injuries because the tent's air is contaminated with dust. Then executing a practical diagram to detachment for purifying and treating contaminated injuries in accordance with attached supplement A and taking into consideration the semi-fixed places of field medical units. Building a structure from corrugated tin sheets, wood and blocks in an average of one for each division's section is very necessary as a first stage during the current year, because the tents could not resist high temperatures, strong wind, sand storms and dust in the area; thus, we suggest inspecting each division's medical unit. The inspection should preferably be done under field medical units' name which are in the same battle system of the division and corps. b. To transport chemically contaminated martyrs requires the availability of a number of nylon bags at the units, casualties collection locations and field medical units and knowing the party to receive the bags from; we suggest the number to be as follows: First: 1000 bag at each large unit, and 500 at each small unit Second: 500 nylon bags at each field medical unit Third: 250 nylon bags at each casualties collection location?? due to lack of usage, martyrs don't need. c. It is necessary to ask the retreats to set a measure for [illegible] suits \[illegible] shoes and underwear to the ranks with contaminated injuries at each field medical unit. d. The number of chemical branch officers at the area of detachment is 2, this is not compatible with duties required of them in terms of operating specialized vehicles and purifying contaminated injuries and vehicles. This will require a reconsideration of the detachment and raising the number to 4 instead of two, similar to chemical units; that is to say, an average of 2 for each purification vehicle. e. There is no standard measure for medical bag of treating contaminated injuries, this requires setting one standard bag measure to each field medical unit and a base hospital. f. Requesting from military engineering to provide rubber or flax tubs size 3000 liter to each unit. -5- Top Secret and Personal [page-21] Top Secret and Personal a. Lack of a standard measure for chemical purification solutions and powders used in purification with specialty vehicles, or "Karsher" equipment which was distributed recently to field medical units without chemical purification vehicles. b. Field medical units holding of specialty vehicles is 2 vehicles, one to purify individuals and the other to purify equipment. The number of chemical observers of the detachment is 2 warrant officers, this number is not compatible with the duties of the detachment and the number of vehicles, similar to chemical branch. c. In official manual 677 and manual 677 supplement, there are detailed instructions on how to treat cases of evacuating and purifying martyrs contaminated with poisonous chemical elements. A number of nylon bags are available at the units to put the martyrs in when transported to center for delivering martyrs. d. Setting a number of [illegible] suits \[illegible] shoes \underwear to field medical units, detachment for purifying and treating injuries, in order to use them for the injured and the contaminated. e. A diagram was set to deploy detachment for purifying and treating contaminated injuries in manual number 705, Treating Injuries of Chemical Elements, supplement A, page 181, issued at medical affairs directorate to [illegible]. The diagram needs the availability of more than one doctor for the detachment, considering that the detachment has one doctor. Thus, operating on the diagram stated in the manual requires reconsideration of the staff designated to the detachment. f. Part of the field medical units equipped with purification vehicles dal dal alef-53 and "Karsher" equipment do not have flax or rubber tubs size 3000 liter which is provided to the units by military engineering. g. Lack of medical bag for treating contaminated injuries which is available at the main medical storage, we need one bag to each field medical unit and base hospital. -4- Top Secret and Personal [page-22] Top Secret and Personal 3- The contaminated areas of the patient will be determined at the unit's first aid location. 4- Contaminated injuries coming from the (attacked) contaminated unit to first aid location of the unit and from there to first aid field station will be considered contaminated casualties without a second examination performed on them at the advanced first aid station. d. Purifying ambulances and contaminated equipment of injured Ambulances designated to transport and evacuate contaminated injuries will be purified, so is the nurse and the driver who accompany the injured at purification point opened by detachment for purifying and treating contaminated injuries. The vehicle and individuals will return purified to their original units; also personal weapons and equipment (helmet, watch) of the injured will be purified at the same point and before [illegible] at storage as trusts. e. How to deal with contaminated injuries at detachment for purifying and treating contaminated injuries (field medical units) After the contaminated injury arrives to the detachment, injuries will be categorized and classified and their priorities will be set for medical treatment or chemical purification or both at the same time and in accordance to report of the [illegible] doctor (detachment commanding officer), the categorization will be conducted in accordance with the following: First: type of injury and its severity. Second: Type of contamination from mass destruction weapons. And on this basis medical treatment or chemical purification will be first conducted, this is left to the commanding officer of the detachment because he is the one who decides that. After medical treatment and chemical purification of the injured, the injured will be evacuated to the advanced first aid station after passing through final inspection point as a normal patient. f. Final inspection of the injured. A final inspection point of the injured will be opened by the filed medical command under the supervision of chemical guide of the unit in order to verify absence of contamination and making a decision on sending them to advanced first aid station [hand notation: hospital???] as normal injuries. 2- Hurdles Some hurdles appeared when opening detachments for purifying and treating contaminated injuries for field medical units, they are: -3- Top Secret and Personal [page-23] c. Procedure of evacuating contaminated injuries. The procedure of evacuating contaminated injuries and martyrs resulting from mass destruction weapons in accordance with official manuals is as follows First: contaminated martyrs. 1- Contaminated martyrs will be evacuated after battle by unit's transportation, vehicles will be without [illegible]. Contaminated martyrs will be put in nylon bags and sent to unit's first aid point for marking, from there to martyrs delivery center after passing through purification point opened near the center by chemical units responsible of this duty, then they will be delivered to martyr's delivery center for taking the proper procedure. 2- As for the injured who are contaminated and die at the advanced first aid station, they will be purified at detachment for purifying and treating contaminated injuries and then sent to martyrs delivery center. 3- As for enemy's contaminated casualties, they will be buried at the battle grounds immediately after the battle is over to prevent the spread of contamination in the area. Second: contaminated injuries 1- Individuals with simple contaminated injuries will purify and treat themselves using purification and individual first aid set and field first aid available to them to stop bleeding; contaminated injuries may be evacuated to unit's first aid location in accordance with development of the severity of injury. 2- Contaminated injuries will be evacuated by units using available vehicles to them, it is preferred that the vehicle carries a yellow flag. After the arrival of the injured to the location of unit's first aid, he will receive first aid and will be purified using purification and individual first aid set available with the soldier. Afterward, the card designated for contaminated injuries will be filled in accordance with attached supplement B, and then medium or severe contaminated injuries will be sent to the advanced first aid station. -2- Top Secret and Personal [page-24] Work Procedure and Deployment of Detachments for purifying and Treating Contaminated Injuries 1- A coordinating conference between chemical branch commanding officer of corps 2 and medical treatment commanding officer of corps 2 was held after viewing the deployment of detachment for purifying and treating contaminated injuries, it was decided that the following procedure will be used as an operation procedure for detachments for purifying and treating contaminated injuries in case of use of mass destruction weapons, it is as follows: a. Selecting the appropriate location for deploying purifying and treating contaminated injuries detachments. Places of field medical units and its deployment in the field became semi-fixed, as such, the commanding officer of the unit will determine location of the detachment in an area away from place of deployment of field medical unit no less than .5-1 km. plus calculating the prevailing wind direction in the area. Detachment equipment will be erected and exercises will be conducted [illegible] on the duties of the detachment and the application of its duties. b. Duties and holdings of detachment for purifying and treating contaminated injuries. First: detachment duties. 1- First aid for the injured, saving their life and stopping bleeding. 2- Surgical treatment and providing liquids when needed. 3- Purifying contaminated injuries resulting from mass destruction weapons. 4- Purifying contaminated ambulances responsible of evacuating the injured to the detachment. 5- Operating the equipment and specialized purification vehicles. 6- Purifying individuals working at the detachment after they perform their duties. Second: the formation of detachment for purifying and treating contaminated injuries is as follows: 1- M.D. first lieutenant, commanding officer of the detachment 2- Nurse warrant officer, 2 3- Chemical warrant officer, 2 4- Corps nurse, 1 5- Stretcher carriers, 4 6- Two vehicles for purifying individuals and equipment or "Karsher" purification equipment instead of economy vehicles. 1-8 Top Secret and Personal
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