^£#£ UH 393 U576m 1917 - MANUAL '•'>- -: &--FOB THE '■-■ MED I C A L DEPARTMENT ^KJTEI} TO APRIL 16r 101*iiH . ^8111111 91 WfflUfcN TO DOOjmtNl iifcjuiiON Librar^M***^ I9l|>. SURGEON GENERAL'S OFFICE 2 LIBRARY. Section. ^ ] secti °*lftrKf NATIONAL LIBRARY OF MEDICINE MANUAL FOR THE MEDICAL DEPARTMENT UNITED STATES ARMY 1916 CORRECTED TO APRIL 15, 1917 (Changes, Nos. 1 and 2) WASHINGTON GOVERNMENT PRINTING OFFICE 1917 WAR DEPARTMENT, Document No. 504 Office of the Surgeon General. War Department, Office of the Chief of Staff, Washington, D. C, February 10,1916. This Manual is published for the information and government of the Regular Army and Organized MiUtia of the United States. By order of the Secretary of War: H. L. Scott, Major General, Chief of Staff. The regulations in this Manual are only a part of the general body of regulations with which the medical officer must acquaint himself. For regulations general in nature, or which affect other branches of the service, he should consult the Army Regulations properly so called. In addition special reference is necessary, for pre- cise information on the subjects with which they deal, to the manuals for the other staff departments, to the Drill Regulations and Service Manual for Sanitary Troops, to the Field Service Regulations, to the Tables of Organization, to the Manual for Courts-Martial, to the Army Transport Service Regulations, to the Manual of Pack Transportation, to the Regulations of the War Department Governing the Organized MiUtia, to the Regulations for the United States MiUtary Academy, to the Small Arms Firing Regulations, to the Manual of Interior Guard Duty, to the Regulations for the Uniform of the United States Army, to the Rules of Land Warfare, etc. Regulations for the Examination of Officers for Promotion, Post Exchange Regulations, Rules for the Examination of Recruits, Regulations Regarding the Examination and Appoint- ment of Persons in Civil Life to be Second Lieutenants in the Army, etc., are pub- Ushed in general orders from time to time. An index reference to these and other general orders of interest to the medical officer will be found in the appendix to this Manual. 3 TABLE OF CONTENTS. Part I.—General Medical Administration. Par. Article I.—The Medical Department, its organization and personnel......... 1-130 Organization........................................................ 1 Medical Corps............................................................. 2-13 Medical Reserve Corps................................................ 14-19 Dental Corps........................................................ 20-32 Hospital Corps...................................................... 33-50 Contract surgeons.................................................... 51-55 Nurse Corps.......................................................... 56-102 Civilian employees................................................... 103-130 Article II.—Education and training....................................... 131-181 Library, Surgeon General's Office...................................... 132-133 Army Medical Museum............................................... 134-135 Army Medical School................................................ 136-146 The Army Field Service and Correspondence School for Medical Officers. 147 Field problems for medical officers..................................... 148-153 Instruction in hygiene................................................ 154 Instruction in first aid................................................ 155 Training of the Hospital Corps, general................................ 156 Field hospitals and ambulance companies............................. 157-166 Hospital Corps detachments.......................................... 167-180 Instruction in the field.............................................. 181 Article III.—Sanitation................................................... 182-203 Infectious diseases.................................................... 183-200 Reports of epidemic diseases......................................... 201-203 Article IV.—Hospitals and medical attendance............................. 204-350 Service of hospitals, general........................................... 205-279 Post hospitals........................................................ 280-281 Department hospitals................................................. 282 General hospitals..................................................... 283-316 Army and Navy General Hospital..................................... 317-333 General Hospital, Fort Bayard, N. Mex................................ 334-344 Medical attendance.................................................... 345-350 Article V.—Department laboratories...................................... 351-360 Secretions, excretions, and tissues.................................... 352-355 Water............................................................... 356-360 Article VI.—Duties of medical officers.................................... 361-381 General............................................-...........:.....361-363 Department surgeons................................................ 364-370 Department sanitary inspectors........................................ 371-374 Attending surgeons.................................................. 375-376 Disbursing officers.................................................... 377-379 Medical supply officers............................................... 380 Medical officers of the transport service............................... 381 5 6 TABLE OF CONTENTS. Par. Article VII.—Physical examinations....................................... 382-397 Cadet candidates and cadets......................................... 382-383 Candidates for commission........................................... 384-385 Officers—Examinations for promotion, retirement, leave of absence, the aviation service, and annual examinations.......................... 386-390 AppUcants for enUstment............................................. 391 Enlisted men—Recruits, deserters, for discharge, for aviation service... 392-395 Other examinations.................................................. 396 Vision, color sense, and hearing...................................... 397 Article VIII.—Records, reports, and returns.............................. 398-473 List of reports and returns............................................ 398 List of records............................................-........... 399 Mode of keeping and authenticating reports, returns, and records....... 400 Reports of births and deaths......................................... 401 Correspondence records............................................... 402-406 Clinical records..................................................... 407-411 Medical history of post................................................ 412 Reports pertaining to personnel...................................... ' 413 Sanitary reports..................................................... 414-417 Surgical reports........................................................ 418-420 Special reports and articles for publication............................ 421-423 Report of Medical Department passengers on transports................. 424 Reports and records on abandonment of posts........................ 425 Disposition of old records........................................... 426 Register and report of sick and wounded.............................. 427-464 Register of dental patients and report of dental work................... 465-473 Article IX.—Supplies and materials.................................... 474-527 General provisions.................................................. 474—176 Requisitions........................................................ 477-495 Transfer of medical supplies........................................ 496-500 Accountability..................................................... 501-503 Distribution of field medical supplies in time of peace................. 504-506 Returns of medical property........................................ 507-508 Sales............................................................... 509-510 Disposition of medical property on abandonment of posts.............. 511 Use and care of medical property.................................... 512-526 Meteorological instruments.......................................... 527 Part II.—The Sanitary Service in War. Article X.— The sanitary service in war—General.......................... 528-586 Administrative zones............................................... 528-529 Objects of Medical Department administration........................ 530 Duties of the Medical Department................................... 531 Personnel of the sanitary service.................................... 532-533 Titles of medical officers............................................ 534 Organized voluntary aid............................................ 535-536 Individual voluntary aid............................................ 537-541 Insignia of sanitary personnel, formations, and materiel................ 542-546 Status of sanitary personnel and matenel............................ 547-549 Guards for the sanitary service...................................... 55Q Medical suppUes................................................... 551-555 Correspondence, reports, returns, and records........................ 556-584 Organization of the Medical Department in war...................... 585-586 TABLE OF CONTENTS. 7 Par. Article XL—Theservice of the interior.................................... 587-626 General............................................................ 587-591 Mobilization camps.................................................. 592-597 Concentration camps................................................ 598-601 Camp hospitals................................................;..... 602-605 General hospitals................................................... 606 Convalescent camps..........-....................................... 607-608 Hospitals, ports of embarkation...................................... 609 Surgeons, ports of embarkation...................................... 610 Hospitals for prisoners of war........................................ 611 Medical supply depots.............................................. 612 Hospital trains and trains for patients............................... 613-617 Rest stations........................................................ 618 Hospital ships and ships for patients................................. 619-625 Sanitary inspectors................................................. 626 Article XII.—The theater of operations—General......................... 627-629 Requirements for an efficient sanitary service......................... 627-629 Article XIII.—The zone of the advance.................................. 630-750 Classification of the sanitary service................................. 630 Sanitary troops on duty with line organizations....................... 631-650 The sanitary train................................................... 651-715 The administration of the sanitary service of the division.............. 716-750 Article XIV.— The line of communications.............................. 751-827 General............................................................ 751-756 The base hospital.................................................. 757-765 The convalescent camp.............................................. 766 The contagious disease hospital....................................... 767-768 Trains, boats, and ships............................................. 769-772 Casual camps for sanitary troops................ ..................... 773 Sanitary squads.................................................... 774-777 Field laboratories.................................................■. 778-779 Rest stations........................................................ 780-781 The base medical supply depot.,.................................... 782-786 The advance medical supply depot................................... 787-792 The evacuation hospital............................................. 793-803 The evacuation ambulance company................................. 804-812 Administration...................................................... 813-827 Article XV.—Administration of the sanitary service of the theater of operations.. 828-830 The chief surgeon of a field army...................................... 828-830 Article XVI.—Risumi of the operations of the sanitary service in war.........831-841 Part III.—Supply Tables. Article XVII.—Post supply tables......................................842-848 Medicines, antiseptics, and disinfectants...........................--- 843 Stationery.......................................................... 844 Miscellaneous suppUes.............................................. 845 Laboratory supplies......:......................-•................... 846 Identification suppUes.............................................. 847 X-ray supplies.................................................... 848 Article XVIII.—Dental supply tables................................... 849-856 Portable outfit..................................................... 854 Base outfit......................................................... 855 Additional suppUes................................................. 856 8 TABLE OF CONTENTS. Par. Article XIX.—Field supply tables....................................... 857-901 Individual equipment, medical officer............................... 864 Individual equipment, Hospital Corps___............................ 865 Regimental ccmbat equipment...................................... 866-868 ('amp infirmary..................................................... 869-870 Camp infirmary reserve.............................................. 871 Regimental hospital................................................ 872 Weight carried by camp infirmary wagon.............................. 873 Ambulance company............................................... 874-878 Field hospital...................................................... 879-883 Division surgeon's office............................................. 884-885 Camp hospitals...................................................... 886-888 Evacuation hospital, base hospital, and medical reserve unit............ 889-892 Base medical supply depot.......................................... 893-894 Advance medical supply depot....................................... 895 Field laboratory..................................................... 896 Evacuation ambulance company.................................... 897 Hospital ships and ships for patients.................................. 898 Hospital trains and trains for patients.................................. 899-900 Office of the chief surgeon, field army, and of the surgeon, base group..... 901 Article XX.—Formulx, contents of chests, cases, etc........................ 902-959 Formulae of nonofficial compound medicinal preparations listed in the supply tables............................................."........ 902 Contents of chests, cases, etc., and spare parts.......................... 903-959 Article XXI.—Blank forms........................................... 960-965 Medical Department................................................ 961 Adjutant General's Office........................................... 962 Quartermaster Corps................................................ 963 Ordnance Department............................................... 964 Inspector General's Department..................................... 965 Appendix. PART I. GENERAL MEDICAL ADMINISTRATION. ARTICLE I.—THE MEDICAL DEPARTMENT, ITS ORGANIZATION AND PERSONNEL. ORGANIZATION. 1. The Medical Department, under the act of Congress approved April 23, 1908 (35 Stats., 66; G. O. 67, 1908), as modified by the act of March 3, 1911 (36 Stats., 1054; G. O. 45, 1911), establishing the Dental Corps, consists of the Medical Corps, the Medical Eeserve Corps, the Dental Corps, the Hospital Corps, and the Nurse Corps; to which may be added the contract surgeons employed by virtue of the provisions of the act of February 2, 1901 (31 Stats., 752; G. O. 9, 1901), and other civilians employed from time to time under the authority of the annual appropriation acts. The general duties of the department are pointed out in Army Regulations. MEDICAL CORPS. 2. Extract from the act of April 23, 1908 (35 Stats., 66): Sec 2. That the Medical Corps shall consist of one Surgeon General, with rank of brigadier general, who shall be chief of the Medical Department; fourteen colonels, twenty-four lieutenant colonels, one hundred and five majors, and three hundred captains or first lieutenants, who shall have rank, pay, and allowances of officers of corresponding grades in the cavahy arm of the service. Immediately following the approval of this act all officers of the Medical Department then in active service, other than the Surgeon General, shall be recommissioned in the corresponding grades in the Medical Corps established by this act in the order of their seniority and without loss of relative rank in the Army as follows: Assistant surgeons general, with the rank of colonel, as colonels; deputy surgeons general, with the rank of lieutenant colonel, as lieutenant colonels; surgeons with the rank of major, as majors; assistant surgeons, who at the time of the approval of this act shall have served three years or more, as captains; and assistant surgeons, with the rank of first lieutenant, who at the time of the approval of this act shall have served less than three years as such, as first lieu- tenants; and hereafter first lieutenants shall be promoted to the grade of captain after three years' service in the Medical Corps. Sec. 3. That promotions in the Medical Corps to fill vacancies in the several grades created or caused by this act, or hereafter occurring, shall be made according to seniority, but all such promotions and all appointments to the grade of first lieutenant in said corps shall be subject to examination as hereinafter provided: Provided, That the increase in grades of colonel, lieutenant colonel, and major provided for in this act shall be filled by promotion each calendar year of not exceeding two lieutenant colonels to be colonels, three majors to be lieutenant colonels, fourteen captains to be majors, and of the increase in the grade of first Ueutenant not more than twenty-five per centum of the total of such increase shall be appointed in any one calendar year: 11 12 MANUAL FOB THE MEDICAL DEPARTMENT. Provided further, That those assistant surgeons who at the time of the approval of this act shall have attained their captaincy by reason of service in the volunteer forces under the provisions of the act of February second, nineteen hundred and one, section eighteen, or who will receive their captaincy upon the approval of this act by virtue of such service, shall take rank among the officers in or subsequently promoted to that grade, according to date of entrance into the Medical Department of the Army as commissioned officers. Sec. 4. That no person shall receive an appointment as first lieutenant in the Medical Corps unless he shall have been examined and approved by an Army medical board consisting of not less than three officers of the Medical Corps designated by the Secretary of War. Sec. 5. That no officer of the Medical Corps below the rank of lieutenant colonel shall be promoted therein until he shall have successfully passed an examination before an Army medical board consisting of not less than three officers of the Medical Corps, to be designated by the Secretary of AVar, such examination to be prescribed by the Secretary of War and to be held at such time anterior to the accruing of the right to promotion as may be for the best interests of the service: Provided, That should any officer of the Medical Corps fail in his physical examination and be found incapaci- tated for service by reason of physical disability contracted in the line of duty, he shall be retired with the rank to which his seniority entitled him to be promoted; but if he should be found disqualified for promotion for any other reason, a second examination shall not be allowed, but the Secretary of War shall appoint a board of review to consist of three officers of the Medical Corps superior in rank to the officer examined, none of whom shall have served as a member of the board which examined him. If the unfavorable finding of the examining board is concurred in by the board of review, the officer reported disqualified for promotion shall, if a first lieutenant or captain, be honorably discharged from the service with one year's pay; and, if a major, shall be debarred from promotion and the officer next in rank found qualified shall be promoted to the vacancy. If the action of the examining board is disapproved by the board of review, the officer shall be considered qualified and shall be promoted. Sec. 6. That nothing in this act shall be construed to legislate out of the service any officer now in the Medical Department of the Army, nor to affect the relative rank or promotion of any medical officer now in the service, or who may hereafter be appointed therein, as determined by the date of his appointment or commission, except as herein otherwise provided in section three. (a) Section 5 above was modified by the proviso in the act of March 3, 1909, reading as follows (35 Stats., 737): Provided, That any major of the Medical Corps on the active list of the Army who, at his first examination for promotion to the grade of lieutenant colonel in said corps, has been or shall hereafter be found disqualified for such promotion for any reason other than physical disability incurred in the line of duty, shall be suspended from promotion and his right thereto shall pass successively to such officers next below him in rank in said corps as are or may become eligible to promotion under existing law during the period of his suspen?ion; and any officer suspended from promotion, as hereinbefore provided, shall be reexamined as soon as practicable after the expiration of one year from the date of the completion of the examination that resulted in his suspension; and if on such reexamination he is found qualified for promotion, he shall again become eligible thereto; but if he is found disqualified by reason of physical disability incurred in line of duty, he shall be retired, with the rank to which his seniority entitles him to be promoted; and if he is not found disqualified by reason of such physical disability, but is found disqualified for promotion for any other reason he shall be retired without promotion. MEDICAL DEPARTMENT, ITS ORGANIZATION AND PERSONNEL. 13 APPOINTMENTS. 3. An applicant for appointment in the Medical Corps of the Army must be between 22 and 30 years of age, at the time of taking the preliminary examination, must be a citizen of the United States, must have a satisfactory general education, must be a graduate of a reputable medical school legally authorized to confer the degree of doctor of medicine, and must have had at least one year's hospital training, including practical experience in the practice of medicine, surgery, and obstetrics. (a) Appointments to the Medical Corps are made by the President, upon the recommendation of the Surgeon General, after the appli- cants have passed the prescribed examination. The examination will consist of two parts—a preliminary examination, and a final or qualifying examination, with a course of instruction at the Army Medical School intervening. (6) Permission to appear for examination should be applied for by letter to The Adjutant General of the Army. The application must be wholly in the handwriting of the applicant, must give the place and date of his birth, must indicate the place and State or Territory of which he is a permanent resident, and must inclose certificates, based upon personal acquaintance, from at least two reputable persons as to his citizenship, character, and habits. Should his origi- ■ nal application reveal any disqualification he will be so advised. Should no disqualification be disclosed he will be given an oppor- tunity to complete his application by filing his personal history. Should this indicate no disqualification he will in due season be formally invited to appear before the local board (par. 4) at the • point most convenient for him, and a date will be fixed for his appearance. (c) No allowances will be made for the expenses of applicants undergoing preliminary examinations. 4. The preliminary examinations will be conducted, under instruc- tions from the Surgeon General, by local boards of one or more medical officers, and by a central board of not less than three, which shall be known as the Army Medical Board. (a) Local boards will be convened at the larger military posts as occasion requires. Permanent local boards also will be established from time to time where deemed necessary. 5. Each applicant, upon presenting himself to the local board, will, prior to his physical examination, be required to submit the diploma conferring upon him the degree of doctor of medicine, and to sign the following certificate: I certify, to the best of my knowledge and belief, that I am not affected with any form of disease or disability which will interfere with the performance of the duties of the office for appointment to which I am about to undergo examination. 14 MANUAL FOR THE MEDICAL DEPARTMENT. If he fails to submit his diploma, or declines to give the certificate, the examination will not proceed. (a) Physical examination.—If he submits his diploma and gives the prescribed certificate the board will then proceed with his physi- cal examination, which will conform in all respects to that required of candidates from civil life for commission in the line of the Army, except in respect to vision, the minimum requirements of which are fixed from time to time in general orders. (See Appendix: Physical Examinations.) The nhysical examination will be made complete in each case, even though a disqualification be discovered, so as to ascertain whether any other disqualifications exist. If the board finds one or more disqualifications which in its opinion are permanent it will reject the applicant and not proceed with the mental examina- tions. It is highly desirable that when an applicant is rejected for physical disqualification the cause or causes of rejection should be so clearly established as to be conclusive of the reasonableness and propriety of the rejection. Should the board have a doubt as to the permanency of the disqualification it may require appropriate addi- tional testimony concerning the same, and such evidence as may be obtainable bearing on the medical history of the applicant and of his family. Should the board find one or more physical disquali- fications which in its opinion are temporary in nature and such as may be overcome by the time the applicant, if otherwise accepta- ble, would be ordered to attend the Army Medical School, it may pro- ceed with the mental examinations, if the applicant so desires, upon the understanding that he shall present himself at a time and place to be designated by the Surgeon General for a second physical exam- ination and upon the condition that his acceptance as a candidate shall be subject in all respects to his qualifying at the second physical examination. In reporting the physical examination in such case the reasons which led the board to consider the disqualifications temporary and influenced it to continue the examination notwith- standing the same will be fully set forth in its report. The physical examination will be reported on the form provided for the purpose. (&) The applicant having been found physically qualified, or the physical disqualifications found being only temporary as provided in the preceding section, the board will next proceed with the. mental examinations, which will be in writing, as follows: General education.—This examination may be omitted at the dis- cretion of the Surgeon General in the case of applicants holding diplomas or certificates from reputable literary or scientific colleges, normal schools or high schools, or of graduates of medical schools which require an entrance examination satisfactory to the Surgeon General. When held it will cover mathematics (arithmetic, algebra; MEDICAL DEPARTMENT, ITS ORGANIZATION AND PERSONNEL. 15 and plane geometry), geography, history (especially of the United States), general literature, Latin grammar, and the reading of easy Latin prose. Questions in these subjects will be sent from the Surgeon General's Office if examination therein is required. Professional education.—This will be in the following subjects, upon questions supplied to the board from the Surgeon General's Office: Anatomy, physiology and histology, chemistry and physics, materia medica and therapeutics, surgery, practice of medicine, obstetrics and gynecology. (c) Upon the conclusion of the examination the local board will return the applicant's diploma to him. (d) The local board will report its proceedings on the form provided therefor direct to the Surgeon General, noting thereon its opinion of the applicant's aptitude for the service as good, fair, or poor. It will forward therewith without marking them the questions and answers in the mental examinations. 6. The favorable findings of the local board as to an applicant's physical qualifications, its opinion as to his aptitude for the service, and the questions and answers in his mental examinations, will be referred by the Surgeon General to the Army Medical Board, which will mark the applicant's questions and answers proportionately to their relative value in each class, will rate his aptitude for the service, and will make final report to the Surgeon General as to his qualifica- tions. Proficiency in English grammar, orthography, and composi- tion will be determined from the applicant's examination papers. An applicant who in the opinion of the Army Medical Board is physi- cally disqualified will be rejected on that ground, notwithstanding the favorable findings of the local board. An applicant who is defi- cient in English grammar, orthography, and composition will be rejected. An applicant who has been examined as to his general education and fails to make a general average therein of 75 per cent will be rejected. An applicant who has been found physically quali- fied, and whose general education and English grammar, orthography, and composition have been found satisfactory, and who makes a gen- eral average of 80 per cent in his professional examination and in aptitude, will be reported as qualified; the board may, however, reject any candidate who fails to make 65 per cent in any profes- sional subject. 7. An applicant failing in one preliminary examination may be allowed another after the expiration of one year, but not a third. Withdrawal from examination during its progress, except because of sickness, will be deemed a failure. 8. Qualified applicants will be appointed to the Medical Reserve Corps with the rank of first lieutenant, and upon pledging themselves to accept a commission in the Medical Corps, if found qualified in 16 MANUAL FOR THE MEDICAL DEPARTMENT. the final examination, and to serve at least five years thereunder, unless sooner discharged, will be ordered to the Army Medical School, Washington, D. C, for instruction as candidates for admission to the Medical Corps of the Army. If, however, a greater number of applicants qualify than can be accommodated at the school, the requisite number will be selected according to their relative standing as marked by the Army Medical Board. (a) Qualified candidates ordered to the school receive the pay and allowances of a first lieutenant for the journey from their homes to Washington, and while on duty at the school. 9. The final or qualifying examination of graduate candidates for appointment in the Medical Corps will be held by the Army Medical Board (par. 4) immediately after the close of the term of the Army Medical School. It will cover the following points: First, the can- didate's physical qualifications; second, his clinical skill and acumen; and third, his general aptitude for the service. (a) The physical examination will be thorough. If it reveals a permanent incapacity for active military service, the candidate will be relieved from active duty and his discharge from the service recom- mended. If it reveals an incapacity curable within a brief period, the candidate will be regarded as physically qualified, and the clinical examination will be proceeded with. The question whether the in- capacity is permanent or curable is one for the examining board to determine. In case of doubt the examination will be discontinued, and the candidate relieved from active duty to afford him an oppor- tunity to effect a cure. A candidate relieved from active duty for this purpose may, upon the recommendation of the Surgeon General, be called into active service the following year, for final examination with the next class of candidates. Should he then be found physi- cally incapacitated he will be again relieved from active duty and his discharge from the service recommended. (6) The candidate having been found physically qualified, the board will then proceed with his clinical examination and the inquiry into his general aptitude, giving him appropriate ratings under each head conformably to instructions from the Surgeon General. (c) Graduate candidates who are found physically qualified and who obtain a general average of 80 per cent in their preliminary professional examination, in their course at the Army Medical School, in their clinical examination, and in their general aptitude, will be eligible for appointment in the Medical Corps. id) Eligible candidates may, if they so desire, take a special examination in ancient or modern languages, higher mathematics, or scientific branches other than medical. Proficiency therein will be rated by the board conformably to instructions from the Surgeon General. MEDICAL DEPARTMENT, ITS ORGANIZATION AND PERSONNEL. 17 (e) The relative standing for appointment of eligible candidates will be determined by the total number of points obtained in the preliminary professional examination, in the school, in the clinical examination, in general aptitude, and in the special examination, if one is taken. (f) Eligible candidates who fail to receive appointments because of lack of vacancies at the time of qualification may receive them in the order of their standing as vacancies occur before the graduation of the next class. Thereafter they shall not be eligible for appoint- ment in the Medical Corps, but will be preferred for selection for volunteer commissions and for active duty in the Medical Reserve Corps. EXAMINATION FOR PROMOTION. (See par. 2, sec. 5.) 10. Regulations governing the examination of officers of the Army for promotion are published by the War Department from time to time in general orders. (See Appendix: Officers.) 11. Before proceeding with the physical examination for the pro- motion of a medical officer, the officer about to be examined will be required to submit, for the information of the examining board, a certificate as to his physical condition. If he knows of no physical disqualification existing, the certificate will take the following form: I certify, to the best of my knowledge and belief, that I am not affected with any form of disease or disability which will interfere with the performance of the duties of the grade for promotion to which I am about to undergo examination. (a) The certificate called for in this paragraph will be attached to the proceedings of the board. PERSONAL REPORTS. 12. The personal reports made to the Surgeon General in compli- ance with Army Regulations by officers of the Medical Corps at inde- pendent posts and stations will be forwarded direct. In other cases they will be made in duplicate and forwarded to the department sur- geon who will send the original without delay to the Surgeon General and retain the carbon copy for his own records. 13. Officers of the Medical Corps will immediately upon any change in their stations, status, or duties report the same to the Surgeon General, stating the authority therefor, with the number, date, and source of the order making the change. These reports will be made and forwarded as in the preceding paragraph. 93440°—17----2 18 MANUAL FOR THE MEDICAL DEPARTMENT. MEDICAL RESERVE CORPS. 14. Extract from the act of April 23, 1908 (35 Stats., 68): Sec 7. That for the purpose of securing a reserve corps of medical officers available for military service, the President of the United States is authorized to issue com- missions as first lieutenants therein to such graduates of reputable schools of medicine, citizens of the United States, as shall from time to time, upon examination to be pre- scribed by the Secretary of War, be found physically, mentally, and morally qualified to hold such commissions, the persons so commissioned to constitute and be known as the Medical Reserve Corps. The commissions so given shall confer upon the holders all the authority, rights, and privileges of commissioned officers of the like grade in the Medical Corps of the United States Army, except promotions, but only when called into active duty, as hereinafter provided, and during the period of such active duty. Officers of the Medical Reserve Corps shall have rank in said corps according to date of their commissions therein, and when employed on active duty, as hereinafter provided, shall rank next below all other officers of like grade in the United States Army: Provided, That contract surgeons now in the military service who receive the favorable recommendation of the Surgeon General of the Army shall be eligible for ap- pointment in said reserve corps without further examination: Provided further, That any contract surgeon not over twenty-seven years of age at date of his appointment as contract surgeon shall be eligible to appointment in the regular corps. Sec. 8. That in emergencies the Secretary of War may order officers of the Medical Reserve Corps to active duty in the service of the United States in such numbers as the public interests may require, and may relieve them from such duty when their services are no longer necessary: Provided, That nothing ;r> this act shall be construed as authorizing an officer of the Medical Reserve Corps to be ordered upon active duty as herein provided who is unwilling to accept such service, nor to prohibit an officer of the Medical Reserve Corps not designated for active duty from service with the militia, or with the volunteer troops of the United States, or in the service of the United States in any other capacity, but when so serving with the militia or with vol- unteer troops, or when employed in the service of the United States in any other capacity, an officer of the Medical Reserve Corps shall not be subject to call for duty under the terms of this section: And provided further, That the President is authorized to honorably discharge from the Medical Reserve Corps any officer thereof whose services are no longer required: And provided further, That officers of the Medical Reserve Corps who apply for appointment in the Medical Corps of the Army may, upon the recommendation of the Surgeon General, be placed on active duty by the Secretary of War and ordered to the Army Medical School for instruction and further examination to determine their fitness for commission in the Medical Corps: And provided further, That any officer of the Medical Reserve Corps who is subject to call and who shall be ordered upon active duty as herein provided and who shall be unwilling and refuse to accept such service shall forfeit his commission. Sec 9. That officers of the Medical Reserve Corps when called upon active duty in the service of the United States, as provided in section eight of this act, shall be subject to the laws, regulations, and orders for the government of the Regular Army. and during the period of such service shall be entitled to the pay and allowances of first lieutenants of the Medical Corps with increase for length of service now aUowed by law, said increase to be computed only for time of active duty: Provided, That no officer of the Medical Reserve Corps shaU be entitled to retirement or retirement pay, nor shall he be entitled to pension except for physical disability incurred in the line of duty while in active duty: And provided further, That nothing in this act shall be construed to prevent the appointment in time of war of medical officers of volunteers in such numbers and with such rank and pay as may be provided by law. MEDICAL DEPARTMENT, ITS ORGANIZATION AND PERSONNEL. 19 15. An applicant for appointment in the Medical Reserve Corps must be between 22 and 45 years of age, must be a citizen of the United States, must be a graduate of a reputable medical school legally authorized to confer the degree of doctor of medicine, and must have qualified to practice medicine in the State or Territory in which he resides. (a) Appointments in this corps are made by the President upon the recommendation of the Surgeon General after the applicants have passed the prescribed examinations. Permission to appear for examination is obtained by application to The Adjutant General of the Army similar to that required in the case of applicants for appoint- ment in the Medical Corps (par. 35). Should his original application reveal any disqualification, the applicant will be so advised. Should none be disclosed, he will be given an opportunity to complete his application by filing his personal history, accompanied by a certifi- cate from the proper State or local official that the applicant is duly qualified to practice medicine in the State or Territory where he resides. Should his personal history indicate no disqualification, he will in due season be formally invited to appear before the examin- ing board at the place most convenient for him. No allowances will be made for the expenses of applicants undergoing examination. 16. The examination will be conducted, under instructions from the Surgeon General, by boards of one or more officers of the Medical Corps convened from time to time, as required, at military posts or stations. (a) Upon presenting himself to the board the applicant will be required to submit the diploma conferring upon him the degree of doctor of medicine and to give a certificate similar to that prescribed in the case of applicants for appointment in the Medical Corps (par. 5). If he fails to submit his diploma or declines to give the certificate the examination will not proceed. (&) The diploma having been submitted and the certificate given, the board will then make a thorough physical examination of the applicant, which must conform in all respects to that required of candidates for commission in the Medical Corps (par. 5a). If any physical disqualification for the service is found the examination will be discontinued. The findings and action of the board will be reported on the form provided for the purpose. (c) The applicant having been found physically qualified, the board will next proceed with his professional examination in the following subjects: Practice of medicine, surgery, obstetrics and gynecology, and hygiene. This examination will be oral and sufficiently com- prehensive to determine whether, in the opinion of the board, the applicant is qualified to practice his profession under the usual conditions of the military service. Should the oral examination in 20 MANUAL FOR THE MEDICAL DEPARTMENT. any subject be unsatisfactory, the applicant may be required to take a written examination therein. (d) Upon the conclusion of the examination the board will return the applicant's diploma to him. The proceedings of the board will be reported direct to the Surgeon General. 17. An officer of the Medical Reserve Corps assigned to active duty in the service of the United States will immediately upon arrival at his first station be subjected to a critical physical exami- nation by a board of one or more medical officers constituted for the purpose, if such board is available. If no such board is available at the station to which he is assigned, he will be ordered to report to the nearest medical officer for examination before proceeding to his station. Upon presenting himself to the board the officer will be required to give a certificate identical with that required of candidates for commission in the Medical Corps (par. 5). The certificate having been given, the board will then proceed with the physical examination, which will conform to that prescribed in paragraph 5a, and be made complete, even though a physical dis- qualification be discovered, so as to ascertain for record whether any other physical disqualifications or defects exist. The examination will be reported to the Surgeon General upon the form provided therefor, noting thereon in full the disqualifications or defects found and the board's recommendation whether the officer shall be continued on active duty or shall be forthwith relieved. (a) Upon relief from active duty (except in the case of an officer forthwith relieved for disqualification found at the examination immediately following his assignment to active duty) the officer will again be subjected to a critical physical examination by a similar board, to which will be referred the report of the physical examination made when the officer was called into active service. The examination upon relief will be completed in all respects and reported to the Surgeon General on the appropriate form, modified as necessary. All physical disqualifications or defects found on such examination will be fully reported. In case any of them were noted on the report of the physical examination made when the officer was called into active service, the report of the board will indicate whether there appears to have been any change therein since that examination. If any of the physical disqualifications or defects found on the former examination are not found when the officer is examined upon his relief, the report of the board will affirm- atively set forth that fact. (&) The provisions of this paragraph may be waived by the Surgeon General in the case of Reserve Corps officers called into active service for temporary duty. MEDICAL DEPARTMENT, ITS ORGANIZATION AND PERSONNEL. 21 PERSONAL REPORTS. 18. Officers of the Medical Reserve Corps in active service will render personal reports similar to those made by officers of the Medical Corps under paragraphs 12 and 13. 19. Every officer of the Medical Reserve Corps not in active service will report his address to the Surgeon General at the end of each calen- dar year. He will also report promptly every change of address. DENTAL CORPS. 20. Extract from the act of March 3, 1911 (36 Stats., 1054): Hereafter there shall be attached to the Medical Department a Dental Corps, which shall be composed of dental surgeons and acting dental surgeons, the total number of which shall not exceed the proportion of one to each thousand of actual enlisted strength of the Army; the number of dental surgeons shall not exceed sixty, and the number of acting dental surgeons shall be such as may, from time to time, be authorized by law. All original appointments to the Dental Corps shall be as acting dental surgeons, who shall have the same official status, pay, and allowances as the contract dental Burgeons now authorized by law. Acting dental surgeons who have served three years in a manner satisfactory to the Secretary of War shall be eligible for appointment as dental surgeons, and, after passing in a satisfactory manner an examination which may be prescribed by the Secretary of War, may be commissioned with the rank of first lieutenant in the Dental Corps to fill the vacancies existing therein. Officers of the Dental Corps shall have rank in such corps according to date of their commissions therein and shall rank next below officers of the Medical Reserve Corps. Their right to command shall be Umited to the Dental Cosps. The pay and allowances of dental surgeons shall be those of first lieutenants, including the right to retirement on account of age or disability, as in the case of other officers: Provided, That the time served by dental surgeons as acting dental or contract dental surgeons shall be reckoned in com- puting the increased service pay of such as are commissioned under this act. The appointees as acting dental surgeons must be citizens of the United States between twenty-one and twenty-seven years of age, graduates of a standard dental college, of good moral character and good professional education, and they shall be required to pass the usual physical examination required for appointment in the Medical Corps, and a professional examination which shall include tests of skill in practical dentistry and of proficiency in the usual subjects of a standard dental college course: Provided, That the contract dental surgeons attached to the Medical Department at the time of the passage of this act may be eUgible for appointment as first lieutenants, Dental Corps, without limitation as to age: And provided further, That the professional examination for such appointment may be waived in the case of contract dental surgeons in the service at the time of the passage of this act whose efficiency reports and entrance examinations are satisfactory. The Secretary of "\\ ar is authorized to appoint boards of three examiners to conduct the examinations herein prescribed, one of whom shall be a surgeon in the Army and two of whom shall be selected by the Secretary of War from the commissioned dental surgeons. ACTING DENTAL SURGEONS. 21. Applications for examination for appointment as acting dental surgeons under the foregoing law should be made to the Surgeon Gen- eral who will furnish blanks therefor on request. They must in each 22 MANUAL FOR THE MEDICAL DEPARTMENT. case be accompanied by certificates from at least two reputable per- sons as to the applicant's citizenship, character, and habits. (a) When an applicant is selected for examination his application and the certificates therewith will be referred by the Surgeon General to the examining board designated to examine him for its information. The applicant will in due season be notified when and where to present himself to the board. (b) No allowances will be made for the expenses of candidates undergoing examination. 22. Examinations will be authorized and boards to conduct them will be convened from time to time as may be deemed necessary. The medical member of the board will be its president and the junior dental surgeon its recorder. The procedure of the board will cor- respond to that of other army boards of a similar character. 23. When two or more dental examining boards are convened at the same time one of them will be designated by the Surgeon Genera] as the central examining board, to prepare the questions for the written and oral examinations to be conducted simultaneously by the several boards. In order that there may be no premature disclosure of the questions, the same will be transmitted by the central board confiden- tially to the Surgeon General for distribution to the other boards in season for the latter's action. When but one board is convened it will prepare the questions for the written and oral examinations of the candidates to appear before it. 24. Each candidate upon presenting himself to the examining board will, prior to his physical examination, be required to sign the certifi- cate required of applicants for appointment in the Medical Corps of the Army (par. 5), and to submit therewith his diploma as a graduate of a standard dental college. If he declines to give the certificate or fails to submit his diploma, the examination will not proceed. (a) Physical examination.—His certificate having been given and his diploma having been found satisfactory and returned to him, the medical member of the board will then proceed with the physical examination of the candidate, which will conform in all respects to that required of candidates from civil life for commission in the Medi- cal Corps of the Army. If any physical disqualification for the service is found, the examination will be discontinued and the candidate rejected. The findings of the medical member of the board in respect to the candidate's physical qualifications will be recorded on the form provided for the purpose, and accompany the report of the board upon the conclusion of the examination. (b) Professional examination.—If the candidate is found physi- cally qualified, the whole board will then proceed with his professional examination. This will consist of oral and written questions and clinical work, particular stress being laid upon the practical examina- MEDICAL DEPARTMENT, ITS ORGANIZATION AND PERSONNEL. 28 tion. The oral examination will include oral surgery, operative den- tistry and prosthetic dentistry. The subjects of the written exami- nation will be anatomy, physiology and histology; materia medica and therapeutics; dental pathology and bacteriology; chemistry, physics and metallurgy. The clinical examination will be of such a character as will thoroughly test the candidate's practical knowledge of operative and prosthetic dentistry. An average of 75 per cent will be required to qualify in the sub- jects of the written and oral examinations, and 85 per cent in the practical examination. (c) To insure uniformity of standards so far as practicable, the answers to the questions in the written examinations will be rated by the central board, if one has been convened. Whether there is a central board or not, the local boards will rate the oral and practical examinations and report their findings in regard to the physical com- petency, the moral character, and the general fitness for the service of all the candidates examined by them. (d) The board will make a full report of the examination of each candidate and forward all papers connected therewith direct to the Surgeon General, or to the central board if one has been convened. (e) Detailed instructions for the guidance of the board will be fur- nished by the Surgeon General. 25. Candidates who qualify at the examination will be preferred for employment as acting dental surgeons in the order of their stand- ing at the examination, according to the needs of the service during the ensuing year. After the expiration of a year, they will no longer be considered eligible until again examined. (a) Contracts to perform the duties of an acting dental surgeon will be entered into on Form 45, by the Surgeon General only, with selected candidates who have qualified as hereinbefore required. They will be annulled only as provided in Army Regulations. DENTAL SURGEONS. 26. Acting dental surgeons whose work and conduct during a service of three years as disclosed by the records of the War Depart- ment have given rise to no material and well-grounded criticism will be regarded as eligible for appointment to the grade of dental sur- geon, upon the occurring of vacancies therein, subject to a physical and professional examination by a board duly constituted as pre- scribed by law. 27. The candidate upon presenting himself to the board will, prior^to his physical examination, sign the certificate required of applicants for appointment in the Medical Corps of the Army (par. 5). If he declines to give the certificate, the examination will not proceed. 24 MANUAL FOR THE MEDICAL DEPARTMENT. 28. Physical examination.—The certificate having been given, the medical member of the board will proceed with the candidate's physical examination, which will conform to that prescribed in para- graph 24a for candidates for appointment as acting dental surgeons, and will be conducted, discontinued, recorded, and reported in like manner. 29. Professional examination.—The candidate having been found physically qualified, the board will then proceed with his professional examination. This will comprise two parts, the written examina- tion and the practical examination. A general average of 75 per cent and not less than 60 per cent in any one subject (except Medical Department administration) will be required to qualify in the written examination, and a general average of 85 per cent in the practical examination. (a) The written examination will include 10 questions, to be formu- lated by the board, in each of the following subjects: (1) Medical Department administration—Army Regulations so far as they relate to the Dental Corps of the Army or to the dental surgeon as an officer of the Army; Manual for the Medical Department, so far as it relates to the Dental Corps; Manual for Courts-Martial; (2) oral hygiene; (3) orthodontia; (4) operative dentistry, including recent progress in etiology, pathology, therapeutics, and operative methods; (5) oral surgery, including recent progress in etiology, pathology, thera- peutics, and operative procedure. (6) The practical examination will be within the scope of the follow- ing schedule. It is not expected that work will be required under all of the clinical sub-heads indicated. The board will exercise its judg- ment in selecting the tests according to the time and clinical material available. 1. Operative: Examination of the oral cavity and diagnosis of pathological conditions found; extraction of roots of broken down teeth; adjusting porcelain crown, cast base, or grinding; gold filling; compound gold filling; compound amalgam filling; oxyphosphate fill- ing; treatment of exposed pulps and putrescent root canals; prophy- lactic treatment. 2. Prosthetic: Taking impressions of mouth, running models, mounting on articulator, and articulating teeth; making gold crown, or gold and porcelain crown, or gold and porcelain bridge. 30. The board will make a full report of the examination of each candidate on the forms provided for that purpose and will forward all papers connected therewith direct to the Surgeon General. (a) Detailed instructions for the guidance of the board will be furnished by the Surgeon General. 31. Candidates who qualify will be recommended to the President for commission. MEDICAL DEPARTMENT, ITS ORGANIZATION AND PERSONNEL. 25 PERSONAL REPORTS. 32. Dental surgeons and acting dental surgeons will render personal reports similar to those made by officers of the Medical Corps under paragraphs 12 and 13. HOSPITAL CORPS. CONSTITUTION OF THE CORPS. 33. Extract from the act of March 1, 1887 (24 Stats., 435)-: That the Hospital Corps of the United States Army shall consist of hospital stewards, acting hospital stewards, and privates; and all necessary hospital services in garrison, camp, or field (including ambulance service) shall be performed by the members thereof, who shall be regularly enlisted in the military service; said corps shall be permanently attached to the Medical Department, and shall not be included in the effective strength of the Army nor counted as a part of the enlisted force provided by law. Sec. 2. That the Secretary of War is empowered to appoint as many hospital stewards as in his judgment the service may require; but not more than one hospital steward shall be stationed at any post or place without special authority of the Secre- tary of War. Sec. 3. That * * * hospital stewards * * * shall have rank with ordnance sergeants, and be entitled to all the allowances appertaining to that grade. Sec 4. That no person shall be appointed a hospital steward unless he shall have passed a satisfactory examination before a board of one or more medical officers as to his qualifications for the position, and demonstrated his fitness therefor by service of not less than 12 months as acting hospital steward; and no person shall be desig- nated for such examination except by written authority of the Surgeon General. ' Sec 5. That the Secretary of War is empowered to enlist, or cause to be enlisted, as many privates of the Hospital Corps as the service may require, and to limit or fix the number, and make such regulations for their government as may be necessary; and any enlisted man in the Army shall be eligible for transfer to the Hospital Corps as a private. They shall perform duty as wardmasters, cooks, nurses, and attend- ants in hospitals, and as stretcher bearers, litter bearers, and ambulance attendants in the field, and such other duties as may by proper authority be required of them. Sec 6. That * * * privates of the Hospital Corps * * * shall be entitled to the same allowances as a corporal of the arm of service with which on duty. Sec 7. That privates of the Hospital Corps may be detailed as acting hospital stewards by the Secretary of War, upon the recommendation of the Surgeon General, whenever the necessities of the service require it; * * *. Acting hospital stewards, when educated in the duties of the position, may be eligible for examination for appointment as hospital stewards as above provided. (a) Section 18 of the act approved February 2, 1901 (31 Stats., 753), fixed the number of hospital stewards at 300 and provided: That men who have served as hospital stewards of volunteer regiments or acted in that capacity during and since the Spanish-American War for more than six months may be appointed hospital stewards in the Regular Army: And provided further, That all men so appointed shall be of good moral character and shall have passed a satisfactory mental and physical examination. (b) The act of March 2, 1903 (32 Stats., 930), defines the present status of the corps as follows: That hereafter the Hospital Corps of the United States Army shall consist of ser- geants first class, sergeants, corporals, privates first class, and privates; the rank * * * of sergeants first class, sergeants, and privates first class shall be as now provided by law for hospital stewards, acting hospital stewards, and privates of the Hospital Corps; * * *. That the Secretary of War is authorized to organize com- panies of instruction, ambulance companies, field hospitals, and other detachments of the hospital Corps as the necessities of the service may require. 26 MANUAL FOR THE MEDICAL DEPARTMENT. MASTER HOSPITAL SERGEANTS, HOSPITAL SERGEANTS, SERGEANTS, FIRST CLASS, AND SERGEANTS. 34. An application for appointment as master hospital sergeant hospital sergeant, sergeant first class, or sergeant must be accom- panied by an affidavit stating whether or not the applicant is married. Applications from commands under the immediate supervision of the War Department will be forwarded direct to the Surgeon General. Applications from other posts or commands will be for- warded: (1) If for appointment as master hospital sergeant, hos- pital sergeant, or sergeant first class, through the department sur- geon to the Surgeon General; and (2) if for appointment as sergeant, to the department surgeon. (a) Appointments of married men to the grades of master hos- pital sergeant, hospital sergeant, sergeant first class, and sergeant will be made only with the understanding that the applicant will be entitled to no special consideration on account of his mairtal condition. (0. M. M. D., No. 1.) 35. Examinations for appointment to these grades are conducted by boards of medical officers conformably" to the provisions of Army Regulations. The examinations will be both oral and practical, and written. They will embrace the same subjects for all the grades, the higher the grade the more difficult the examination. (a) Examinations for appointment to the grades of master hos- pital sergeant, hospital sergeant, and sergeant first class at all posts, and for appointment to the grade of sergeant hi commands directly under the War Department, will be held at such times as may be designated by the Surgeon General. The questions for the written examinations will be prepared in his office. (b) Examinations for appointment to the grade of sergeant, except in commands directly under the War Department, will be held under the direction of department surgeons whenever they deem the same necessary (generally once or twice a year) without pre- vious reference to the Surgeon General. The questions for the written examinations will be prepared by the department surgeons. (c) The examining board will investigate and report upon the candidate's qualifications under the following heads: (1) Physical condition; (2) character and habits, especially as to the use of stimu- lants and narcotics; (3) discipline and control of men; (4) knowledge of regulations; (5) nursing; (6) dispensary work; (7) clerical work; (8) principles of cooking, and mess management; (9) Medical Depart- ment drill; (10) minor surgery and first aid, including extraction of teeth. The board will require the candidate to prepare a full set of papers pertaining to the Medical Department, and to drill a detach- ment of the Medical Department sufficiently to demonstrate his thorough knowledge of the drill regulations. MEDICAL DEPARTMENT, ITS ORGANIZATION AND PERSONNEL. 27 id) The written examination will embrace the following subjects: (1) Arithmetic; (2) materia medica; (3) pharmacy; (4) care of sick and ward management; (5) minor surgery and first aid; (6) elemen- tary hygiene. Ten questions will be asked in each subject. Profi- ciency in penmanship and orthography will be estimated from the papers submitted. (e) The report of the examining board in the case of a candidate for appointment as master hospital sergeant, hospital sergeant, or sergeant first class will be forwarded with the examination papers direct to the Surgeon General, under whose direction the papers will be marked. In the case of a candidate for appointment as master hospital sergeant or hospital sergeant the board in forwarding the papers will report its opinion, based on the candidate's past record and experience, as to his ability, adaptability, and general fitness for the position. The board will mark the papers of a can- didate for appointment as sergeant, and will then send them to the department surgeon, or in the case of a command directly under the War Department, direct to the Surgeon General, with its report as to the candidate's qualifications. If the report is made to a department surgeon, he will, after taking appropriate action in the premises, for.<- ward all the papers, with a note of his action, to the Surgeon General inclosing a copy of the questions asked in the written examination. (/) The scope and character of the examination for appointment as sergeant first class, limited warrant, or sergeant, limited war- rant, will be prescribed by the Surgeon General from time to time as occasion requires. In forwarding its report the board will recom- mend whether the candidate should be appointed. (a) Eligibility for appointment to these grades in the case of candidates who qualify will continue for one year from the dates of their examinations respectively. (C. M. M. D., No. 1.) 36. Master hospital sergeants, hospital sergeants, sergeants first class, and sergeants may be reenlisted in their respective grades, on the authority of the Surgeon General, subject to the conditions pre- scribed in Army Regulations. (a) A sergeant first class who desires to reenhst will report that fact, through medical channels, to the Surgeon General, at least 60 days before the termination of his active service with the organization under his current enlistment. A reexamination will be held before first re- enlistment if the applicant has served for more than bne year in the grade. In case an applicant has served for less than one year in this grade, the examination may be waived by the Surgeon General, pro- vided'the detacliment commander and the department surgeon having supervision over it concur in the statement that he has performed his duties efficiently. In case examination has been waived before first reenlistment, it will always be held before the second reenlistment. No examination on subsequent reenlistments will ordinarily be held 28 MANUAL FOR THE MEDICAL DEPARTMENT. unless, in the judgment of the Surgeon General, the interests of the service require it. (b) Examinations for reenlistment in the grades of master hos- pital sergeant, hospital sergeant, and sergeant are not required. (C. M. M. D., No. 1.) ACTING COOKS. 37. The act of Congress approved May 11, 1908 (35 Stats., 109), providing for acting cooks for the Hospital Corps, is regarded as having established a new grade in that corps. (a) Acting cooks are not enlisted as such. Under authority granted by the Surgeon General, in accordance with the provisions of paragraph 38, an officer commanding any hospital or other sani- tary formation may appoint acting cooks by promotion from among the privates first class or privates on duty therein. (6) An acting cook may be reduced for inefficiency or misconduct at the discretion of such officer, but acting cooks who were pro- moted from the grade of private first class will not be reduced to the grade of private except by order of a department surgeon, the Surgeon General, or by sentence of a court-martial. 38. Acting cooks are authorized in the proportion of not to exceed 6 per cent of the total enlisted strength of the Hospital Corps. They will be authorized and assigned by the Surgeon General to hospitals and other sanitary formations where needed as are sergeants, Hos- pital Corps. (a) In general it is considered that one cook is sufficient for a mess of 50 persons or major fraction thereof. CORPORALS. 39. The appointment of corporals and lance corporals of the Hos- pital Corps is governed by Army Regulations. ENLISTMENTS IN AND TRANSFERS TO THE CORPS. 40. Medical officers will not make enlistments or reenlistments for the Hospital Corps without obtaining special authority from the Sur- geon General of the department surgeon. Department surgeons are authorized to enlist for the Hospital Corps up to the regular allowance of their respective departments without reference to the Surgeon General. They may also authorize reenlistments of privates, pri- vates first class, lance corporals, corporals, and sergeants, serving within their respective departments. (See Army Regulations.) (a) Contract surgeons can not make enlistments, as the oath must be administered by a commissioned officer. (6) The enlistment papers of all men enlisting or reenlisting in the Hospital Corps will be forwarded direct to The Adjutant General of the Army. 41. When a man is enlisted for, reenlisted in, or transferred to, the Hospital Corps the medical officer who first receives the soldier will MEDICAL DEPARTMENT, ITS ORGANIZATION AND PERSONNEL. 29 forward a copy of his descriptive and assignment card, or in the absence of such card a copy of his descriptive list, direct to the Sur- geon General. ENLISTED ASSISTANT TO THE DENTIST. 42. The enlisted assistant to the dentist will be attached to the detachment of the Hospital Corps. He will be regarded as being under special instruction while on duty with the dentist and will not be required to attend other instruction. DUTIES OF NONCOMMISSIONED OFFICERS. 43. The duties of noncommissioned officers of the Hospital Corps are to maintain discipline in hospitals and watch over their general police; to supervise the duties and assist in the instruction of the members of the Hospital Corps in hospital and in the field; to look after and distribute hospital stores and supplies; to care for hospital property; to compound medicines; to prepare reports and returns; and to perform such other duties as may, by proper authority, be required of them. ASSIGNMENT TO DUTY. 44. Sergeants first class, Hospital Corps, are assigned to duty by the War Department on the recommendation of the Surgeon General. Other members of the Hospital Corps are assigned to duty by the department commander on recommendation of the department sur- geon, except at independent posts, where all assignments are made by the War Department. In the Philippine Department, in the Hawaiian Department, and in the Canal Zone, all members of the Hospital Corps are assigned by the department commander. CHANGES OF STATION OR STATUS. 45. During time of peace all changes in the personnel of the Hos- pital Corps by enlistment, discharge, death, desertion, etc., and all changes in the stations of its members by departure for, or arrival from, another post or command, will be reported at once, and such other changes from the status of duty at post or with the command as may affect their availability for transfer or detached service, as sick- ness, confinement, furlough or absence without leave, lasting as long as ten days, will be reported on the tenth day and again upon return to a duty status, by the officer commanding the detachment or Medi- cal Department organization. (a) In cases of discharge the report will show, first, the soldier's character given on discharge; second, objections to his reenlistment, if there are any, otherwise the fact that there are none; third, his. physical condition, good or poor; fourth, whether he is single or mar- ried; fifth, his mail address; and sixth, such other information as may be pertinent. (b) In all cases the particulars of the changes reported will be indi- cated in full. 30 MANUAL FOR THE MEDICAL DEPARTMENT. (c) From independent posts and stations these reports will be for- warded direct to the Surgeon General. In other cases they will be forwarded in duplicate to the department surgeon who will send the original without delay to the Surgeon General and retain the carbon copy for his own records. 46. Whenever in time of peace a soldier of the Hospital Corps is transferred from one station to another the surgeon of his old station will make an efficiency report of the soldier on Form 80 and attach it to the descriptive list forwarded to the surgeon of the soldier's new station. A duplicate of the report will be attached to the retained descriptive list. CLOTHING AND EQUIPMENTS. 47. The clothing allowances of enlisted men, including soldiers of the Hospital Corps, are prescribed in War Department orders published from time to time. (See Appendix: Clothing and Equipment.) (a) White duck clothing as issued by the Quartermaster Corps should be worn by Hospital Corps men on duty in the wards, dis- pensaries, post-mortem roomsj operating rooms, messrooms, and kitchens of hospitals; also by Hospital Corps men on duty as assistants to dental surgeons. White clothing soiled while on such duty may be included in the hospital laundry (par. 267). (b) Medical officers when transferring members of the Hospital Corps from one station or command to another will transmit with the descriptive list of each man a statement showing the sizes of his cloth- ing as kept on file at his old station. (See Appendix: Clothing and Equipment.) 48. When a soldier of the Hospital Corps is transferred from one post or command to another (except as noted in (a) and (b) of this paragraph) no articles of public property, other than the necessary clothing, will be transferred with him unless ordered by the authority directing the soldier's transfer. (a) In the case of soldiers of the Hospital Corps ordered on field service, the equipment to be taken is usually prescribed in the order directing the movement. When not so prescribed the equipment transferred with the soldier will be that specified in paragraph 865a. (b) The articles of individual equipment to be carried by members of the Hospital Corps en route to or from the Philippine Islands are pre- scribed in general orders. (See Appendix: Hospital Corps.) 49. Articles of personal equipment, belonging to the Medical De- partment, which a detached soldier carries with him, will be listed upon duplicate invoice blanks, Form 28, each invoice being signed by the issuing officer, and by the soldier acknowledging receipt of the property. The invoices will when practicable indicate the soldier's destination. One of them will be forwarded with the soldier's de- MEDICAL DEPARTMENT, ITS ORGANIZATION AND PERSONNEL. 31 scriptive list or descriptive and assignment card, upon which a remark will be made that it is so accompanied, as "Invoice here- with of medical property in the soldier's possession"; the other will be forwarded at once by the issuing officer direct to the Surgeon General. The issuing officer will drop from his return the articles thus transferred, which will be taken up by the officer to whom the soldier reports. The latter officer will execute duplicate receipts therefor on Form 28 (naming therein the soldier with whom the articles were received), one of which he will forward at once direct to the Surgeon General and the other to the issuing officer, filing with his retained papers the invoice which accompanied the descrip- tive list or descriptive and assignment card. (For general rule gov- erning transfers of medical property see par. 496 et seq. For medical property transferred with sick see par. 228.) (a) Ordnance property transferred in the possession of enlisted men will be accounted for as prescribed in Army Regulations. RETURN OF THE HOSPITAL CORPS. 50. This return will be rendered bimonthly for sanitary troops in garrison, upon Form 47 (for the periods ending Jan. 31, Mar. 31, May 31, July 31, Sept. 30, and Nov. 30, respectively), and monthly for sanitary troops in the field, upon Form 47a, by the immediate com- manding officer of every sanitary formation, and will be forwarded through medical channels to the Surgeon General within five days after the close of its period. A final return will be made upon the breaking up of each such sanitary formation. CONTRACT SURGEONS. 51. Extract from the act of February 2, 1901, section 18 (31 Stats., 752): That in emergencies the Surgeon General of the Army, with the approval of the Secretary of War, may appoint as many contract surgeons as may be necessary, at a compensation not to exceed $150 per month. 52. Contracts with private physicians are entered into only by the Surgeon General or by his authority. They are either general or special. (a) General contracts will be made on Form 44; special on Form 44a. If made by the Surgeon General himself they will be executed in triphcate, one number for the physician, the other two for the Surgeon General and the Auditor for ttye War Department. When the contract is made by another officer a fourth number should be executed to be retained by him. (b) Contracts will be annulled only in conformity with their stipu- lations. 32 MANUAL FOR THE MEDICAL DEPARTMENT. 53. A general contract obligates the contract surgeon to take station and change station as ordered. He is furnished quarters at the military post where he is stationed, and is expected to give his entire time to the public service. He receives pay as stipulated in the contract, and the travel, fuel, and light allowances of a first lieu tenant. Under existing law it is not the policy of the department to make or authorize general contracts except in extraordinary cases, and upon a full exhibition of the necessity thereof. If the exigency requiring the employment of a contract surgeon is likely to be tem- porary the contract will be made for a term of three months only or less. If its longer continuance is probable the term will usually be one year. In either event it is subject to annulment when the services of the physician are no longer required. (a) Short-term general contracts may be made with any graduate of a reputable medical school legally authorized to confer the degree of doctor of medicine, who has qualified to practice medicine in the State or Territory in which he resides. Appropriate evidence that he has so qualified should be required before the contract with him is executed. (&) Long-term general contracts will be made only with such graduate and qualified practitioners, who are citizens of the United States, after they shall have passed an appropriate examination as to their physical and professional qualifications for the military service. Applications for employment under such contracts will be made to the Surgeon General, who will furnish blanks for the purpose upon request. They will be considered only as the exigency requiring the appointment of a contract surgeon shall arise. They must in each case be accompanied by testimonials from at least two reputable persons as to the applicant's citizenship, character, and habits, and by a certificate from the proper local official that the applicant has qualified to practice medicine in the State or Territory where he resides. Should the application be favorably considered, the appli- cant will at the proper time be invited to appear before the examining board at the place most convenient for him. No allowances will be made for his expenses while undergoing examination. The examina- tions will be conducted, under instructions from the Surgeon General, by boards of one or more officers of the Medical Corps convened therefor at military posts or stations. Upon presenting himself to the board the applicant should submit his diploma, and evidence of his citizenship (if of foreign birth), which will be returned to him upon the conclusion of the examination. Having inspected his diploma and the evidence of his citizenship, the board, if the same are found satisfactory, will then make a thorough physical examina- tion of the applicant, which must conform in all respects to that required of candidates for commission in the Medical Corps. If any MEDICAL DEPARTMENT, ITS ORGANIZATION AND PERSONNEL. 33 physical disqualification for the service is found the examination will be discontinued. The board will report the physical examination on the form provided therefor. Should no physical disqualification be found, the board will next proceed with a professional examination of the applicant similar to that prescribed in the case of applicants for appointment in the Medical Reserve Corps (par. 16c). It will make a full report of the examination of each applicant and forward all the papers connected therewith direct to the Surgeon General. If the examination is satisfactory a contract will in due season be sent the applicant for signature. 54. Special contracts are for local service only, at stations therein designated, as, for example, at arsenals, where the amount of service called for is not usually sufficient to warrant the assignment thereto of a medical officer. No travel under such contracts is required. The physician contracted with is neither expected to take station at the post nor to give up his private practice, except in so far as he has to do so in order to carry out his public duties. He is not furnished quarters or other allowances, and his pay proper constitutes his entire compensation. (a) Special contracts may be made with any graduate of a reputable medical school, legally authorized to confer the degree of doctor of medicine, who is a citizen of the United States and has qualified to practice medicine in the State or Territory in which he resides. Appropriate evidence that he is a citizen of the United States, and that he has qualified to practice as above, should be required before the contract with him is executed. PERSONAL REPORTS. 55. Contract surgeons will render personal reports similar to those made by officers of the Medical Corps under paragraphs 12 and 13. NURSE CORPS. 56. Extract from the act of February 2, 1901 (31 Stats., 753): Sec 19. That the Nurse Corps (female) shall consist of one superintendent, to be appointed by the Secretary of War, who ehall be a graduate of a hospital training school having a course of instruction of not less than two years, whose term of office may be terminated at his discretion, whose compensation shall be one thousand eight hundred dollars per annum, and of as many chief nurses, nurses, and reserve nurses as may be needed.. Reserve nurses may be assigned to active duty when the emer- gency of the service demands, but shall receive no compensation except when on such duty: Provided, That all nurses in the Nurse Corps shall be appointed or removed by the SurgeoTi General, with the approval of the Secretary of War; that they shall be graduates of hospital training schools, and shall have passed a satisfactory professional, moral, mental, and physical examination: And provided, That the superintendent and nurses shall receive transportation and necessary expenses when traveling under orders- that the pay and allowances of nurses, and of reserve nurses when on active 93440°—17----3 34 MANUAL FOR THE MEDICAL DEPARTMENT. service, shall be forty dollars per month when on duty in the United States and fifty dollars per month when on duty without the limits of the United States. They shall be entitled to quarters, subsistence, and medical attendance during illness, and they may be granted leaves of absence for thirty days, with pay, for each calendar year; and, when serving as chief nurses, their pay may be increased by authority of the Secretary of War, such increase not to exceed twenty-five dollars per month. Pay- ments to the Nurse Corps shall be made by the Pay Department. (a) The foregoing was modified by the terms of the act of March 23, 1910 (36 Stats., 249), as follows: The superintendent and members of the Female Nurse Corps shall hereafter be paid at the following rates: Superintendent Nurse Corps, one thousand eight hundred dollars per annum; female nurses, fifty dollars per month for the first period of three years' service; fifty-five dollars per month for the second period of three years' service; sixty dollars per month for the third period of three years' service; and sixty-five dollars per month after nine years' service in said Nurse Corps; and all female nurses shall hereafter be entitled, in addition to the rates of pay as herein provided, to ten dollars per month when serving beyond the limits of the States comprising the Union and the Territories of the United States contiguous thereto (excepting Porto Rico and Hawaii), and to cumulative leave of absence with pay at the rate of thirty days for each calendar year of service in said corps; and when serving as chief nurses their pay may be increased by authority of the Secretary of War, such increase not to exceed thirty dollars per month; and the superintendent shall be entitled to the same allowances, when on duty, as the members of the Nurse Corps. (b) Extract from the act of March 4, 1912 (37 Stats., 72): That the superintendent and members of the Female Nurse Corps when serving in Alaska or at places without the limits of the United States may be allowed the same privileges in regard to cumulative leaves of absence and method of computation of same as are now allowed by law to Army officers so serving. (c) Extract from the act of March 4, 1915 (38 Stats., 1068): That the superintendent shall receive such allowances of quarters, subsistence, and medical care during illness as may be prescribed in regulations by the Secretary of War. (d) Extract from the act of March 4, 1915 (38 Stats., 1069): Hereafter at places where there are no public quarters available, commutation for the authorized allowance therefor shall be paid to * * * members of the Nurse Corps * * * at the rate of $12 per room per month. THE SUPERINTENDENT. 57. The superintendent, under the direction of the Surgeon General, has general supervision of the corps. She will by author- ized inspections from time to time and by reference to the prescribed reports and returns keep herself constantly informed of the numbers, distribution, and competency of the individual members of the corps, and of its state and condition as a whole. She will communicate with nurses' training schools, nurses' associations, and similar pro* f^ssional bodies with a view to ascertaining where acceptable nurses for Army service may be available; will conduct the necessary cor- MEDICAL DEPARTMENT, ITS ORGANIZATION AND PERSONNEL. 35 respondence concerning the qualifications of applicants for appoint- ment in the corps; will make the professional examination of those who shall meet the required preliminary conditions; and when vacancies occur will recommend the appointment to the same of eligible applicants. She will prepare the questions for the examina- tion of nurses for promotion to the grade of chief nurse, will rate the answers received thereto, and will recommend the promotion of those found qualified as their services shall be needed. She will make timely recommendations regarding the assignment, transfer, dis- cipline, and discharge of nurses, and the reduction and discharge of chief nurses. She will endeavor by all suitable means within her power to maintain the usefulness of the corps as a part of the Medical Department of the Army, will propose to the Surgeon General as occasion requires appropriate measures for the promotion of its morale and efficiency, and will perform such other supervisory duties as the Surgeon General shall prescribe. CHIEF NURSES, THEIR, SELECTION, REDUCTION, AND DISCHARGE. 58. Chief nurses are not appointed as such, but are selected by promotion from the grade of nurse. (a) When two or more nurses are serving at the same station one will be assigned to duty as chief nurse. 59. Permanent assignments to duty as chief nurse are made only by the Surgeon General, upon the recommendation of the superin- tendent. A nurse will not be permanently assigned to duty as chief nurse unless she shall have passed a satisfactory examination. (a) Nurses who exhibit marked executive ability, good judgment and tact will be recommended to the Surgeon General by the com- manding officer of the hospital or other sanitary formation with which they are on duty for examination for promotion to the grade of chief nurse. (b) Any nurse, regardless of the length of her service, may request examination for promotion to the grade of chief nurse. Her request will be forwarded to the Surgeon General through her immediate commanding officer with his recommendations in the premises, and the recommendations of his chief nurse if he has one. (c) Nurses approved and recommended for promotion under the above provisions, and such others as shall be selected by the super- intendent, shall be eligible for examination for permanent assignment to duty as chief nurses. (d) At such times as he may deem necessary the Surgeon General will designate a medical officer to conduct the examination of ap- proved candidates. He will in due season transmit lists of questions prepared by the superintendent to the examining officer, who will 36 MANUAL FOR THE MEDICAL DEPARTMENT. safeguard them against premature disclosure, will make sure that the candidates receive no unauthorized assistance during the exam- ination, and will upon its conclusion transmit all the examination papers, including both questions and answers, to the Surgeon Gen- eral for his action. 60. A nurse permanently assigned to duty as chief nurse will not ordinarily be relieved therefrom except by direction of the Surgeon General; but in case of serious misconduct she may be summarily relieved and assigned to duty as nurse pending such further meas- ures of discipline as may be deemed necessary. If for any other reason the services of a permanent chief nurse are no longer required as such the commanding officer of the hospital or other sanitary formation may temporarily relieve her from duty as chief nurse and assign her to duty as nurse; or if she so elects she may be honorably discharged from the corps. All reductions from chief nurse to nurse for whatever cause will be at once reported to the Surgeon General, with a full statement of the reasons for the action taken. 61. Pending the permanent assignment of a chief nurse the com- manding officer of the hospital or other sanitary formation where two or more nurses are serving may assign one of them temporarily to duty as chief nurse. A nurse so assigned shall be known as "temporary chief nurse" and shall hold such assignment only so long as no properly qualified permanent chief nurse is available. While serving under such assignment she shall be entitled to the same pay and allowances she would receive if she were a permanent chief nurse. (a) Temporary chief nurses may be relieved from duty as such and assigned to duty as nurses at the discretion of their immediato commanding officers. APPOINTMENT OF NURSES. 62. Applications for appointment in the Nurse Corps should be made to the superintendent, who will furnish blanks therefor. (a) An applicant for first appointment must be between 25 and 35 years of age and unmarried. If not a citizen of the United States, she must before appointment make a declaration of her intention to become such, and, if she wishes to continue in the Nurse Corps, must at the proper time take out final naturalization papers. (b) Applications from States and Territories where registration is required by law will be considered in the cases only of graduates of training schools which are acceptable to the State or Territorial boards of registration. In making appointments from among eligible appli- cants residing in such States and Territories preference will be given to those who are registered. MEDICAL DEPARTMENT, ITS ORGANIZATION AND PERSONNEL. 37 (c) Nurses who have had previous service in the Army Nurse Corps and are otherwise acceptable will be given preference foi appointment over new nurses who qualify for the corps. 63. Physical qualifications.—The applicant's physical fitness for service will be ascertained by a careful, physical examination. The examination will be made when practicable by a medical officer of the Army at his proper station. When, however, this would require the apphcant to make an unreasonably long journey, the Surgeon General may authorize her examination by a private physician of good repute in the vicinity of her residence. The apphcant must be not less than 60 inches nor more than 70 inches in height; and must weigh not less than 100 pounds, nor more than 195 pounds. Marked disproportion between height and weight will be a cause of rejection. The medical examiner will send his report direct to the superintendent and not give it to the applicant. Its contents will be regarded as confidential. (See also par. 74a.) 64. Moral, professional, and mental qualifications.—An apphcant will not be eligible for appointment in the Nurse Corps unless she shall have graduated from a training school for nurses giving a thorough professional education, both theoretical and practical, and requiring a residence of at least two years in an acceptable general hospital of 100 beds or more; except that graduates of training schools connected with hospitals not meeting the above requirements may, upon submitting proof of at least six months' subsequent experience in a large general hospital, be put on the eligible list if found otherwise qualified. To ascertain the applicant's qualifica- tions the superintendent of the Nurse Corps will request a certificate from the superintendent of the school from which the applicant graduated, showing: (1) The date of the applicant's graduation; and (2) her moral character and professional qualifications during her period of training, at the date of her graduation, and (so far as known) at the time of the application. If the applicant was trained under a former superintendent, the latter may also be asked for a certificate. These certificates will be regarded as confidential. Applicants must submit such other evidence of fitness as may be required. (a) The professional and mental examination of applicants will be in writing and will be conducted by the superintendent. It will ordinarily take the form of requiring from the candidates short essays or papers on practical professional subjects selected by the superin- tendent. The subjects selected will be furnished to each apphcant with her application blanks, and she will submit her essay with her formal application. The essay must be in the handwriting of the applicant. Typewritten papers will not be accepted. 38 MANUAL FOR THE MEDICAL DEPARTMENT. 65. Applicants who fulfill the prescribed conditions as to their physical, moral, professional, and mental qualifications will be placed on the eligible list for appointment as their services may be required. 66. No apphcant will be appointed unless she shall agree to serve for three years. 67. A nurse who desires to continue in the corps after three years' service therein will apply for continuation of service by letter for- warded at least four months before the end of the three years to the Surgeon General, through the commanding officer of the hospital or other sanitary formation to which she is attached, who will forward therewith his recommendations in the premises and the recommenda- tions of the chief nurse. If the recommendations of her commanding officer are unfavorable the nurse will be promptly notified of that fact. To obtain favorable action on such application the nurse must have had a satisfactory record for efficiency and conduct. The superintendent of the Nurse Corps will advise the Surgeon General whether the applicant's record is such as to make her con- tinuance in the corps desirable. Due notice will be given to the appli- cant and officers concerned of the action taken upon the application. (a) A similar procedure for continuation of seivice will be followed toward the end of every period of three years of continuance in the corps. DISCHARGE. 68. A nurse who fails to apply for continuation of service as pro- vided in paragraph 67, or whose continuance in the service is not authorized by the Surgeon General, will be discharged on or about the expiration of the three-year period in which she is serving, making due allowance for accrued leave of absence; the period of three years, six years, nine years, etc., as the case may be, to be calculated from the date of her letter of appointment: Provided, That a nurse under orders to proceed to her home to await discharge will not be discharged until she shall have arrived home, or shall have had sufficient time to arrive home by following the usual route of travel with ordinary diligence. Nurses may also by order of the Surgeon General be discharged at any time, regardless of the three-year periods, making due allowances for accrued leaves of absence: (1) Because of their reduction from the grade of chief nurse (see par. 60); (2) because of a reduction of the military establishment or a decrease in the number of sick requiring nursing which makes their further employment unnecessary; (3) because of their own illness disabling them from the performance of their duties (see par. 87); (4) because of their unsuitability for the military service; (5) because of their own misconduct; and (6) in proper casus on their own application. MEDICAL DEPARTMENT, ITS ORGANIZATION AND PERSONNEL. 39 (a) Honorable discharges will be given in all cases except to nurses discharged for misconduct or to those whose resignations are accepted conformably to the provisions of paragraph 70a. (b) Discharges will be executed by the commanding officer of the hospital or other sanitary formation to which the nurses are attached. 69. Recommendations for the discharge of a nurse on account of misconduct will be submitted to the Surgeon General, with a report of the facts, after a careful investigation, in which she shall have had a fair opportunity to be heard in her own defense. The term "mis- conduct" includes the case of a nurse who of her own motion quits or abandons the service in advance of discharge. 70. A nurse who, having served continuously more than three years, desires her discharge, may obtain the same upon application therefor by letter to the Surgeon General. If she is on duty her application will be forwarded through her immediate commanding officer; if she is on leave in the Philippine Islands it will be forwarded through the department surgeon; in other cases it will be forwarded direct. (a) A nurse who, having served continuously less than three years, desires her discharge, may apply therefor by letter similarly for- warded, stating her reasons in full. If these reasons are sufficient in the judgment of the Surgeon General he may grant her an honor- able discharge; if, in his judgment, they are not sufficient, he may consider her application a resignation and accept the same. 71. Upon honorable discharge from the service the following indorsement will be placed upon the nurse's letter of appointment: ------------, 19-. With the approval of the Secretary of War, and by order of the Surgeon General dated------, the nurse within named is honorably discharged from the Army Nurse Corps, to take effect------, 19 . United States Army. (a) If a nurse is to be discharged by acceptance of her resignation, the following indorsement will be placed on her letter of appoint- ment : ----------,19-. With the approval of the Secretary of War the resignation of----------is ac- cepted to take effect-----, 19 . United States Army. (b) When the nurse is discharged for misconduct the word "honor- ably" in the indorsement of discharge will be omitted, and the words "for misconduct" will be inserted after the word "Corps." (c) When the nurse's letter of appointment is not available for the indorsement thereon of her discharge a letter of discharge of equivalent purport will be sent to her. 40 MANUAL FOR THE MEDICAL DEPARTMENT. 72. Except as provided in the following paragraph, orders to pro- ceed to her home, there to await discharge, will be given to every nurse desiring the same who is about to be discharged. In arranging travel orders in such cases it must be borne in mind that the Govern- ment will not pay the traveling expenses of a nurse in the status of leave of absence. (a) When a nurse arrives home for discharge she will at once report by letter to the Surgeon General inclosing her letter of appointment and a copy of her official travel order. 73. Orders to proceed to her home will not be given (1) to a nurse who is discharged on her own request before the expiration of three years of continuous service, except to a nurse who is to be discharged upon her own election because of reduction from the grade of chief nurse; (2) or, before the completion of two years of continuous serv- ice in the Philippine Islands, to a nurse on service in those islands who is discharged on her own request, or who, failing to apply for continuation of service at the end of the three-year period in which she is serving, is discharged on or about the expiration of such period conformably to paragraph 68; (3) or to a nurse who is discharged for misconduct. (a) Any nurse, however, who is discharged for misconduct while serving beyond the continental limits of the United States, or in the Canal Zone, or in Alaska, will be furnished transportation to a home port and allowed the necessary expenses incident to travel thereto, provided she applies for the same within 30 days of the date of her discharge. ASSIGNMENTS AND TRANSFERS. 74. Army nurses will be assigned to duty at hospitals or other sanitary formations in the United States or abroad, and on trans- ports, according to the needs of the service. (a) At the station where a nurse first reports for duty after her appointment, the surgeon will require her to undergo a careful physi- cal examination. A report of the same will be forwarded, on Form 69, direct to the Surgeon General. (See also par. 63.) (b) Usually the nurse's first assignment will be to a station in the United States, to afford her an opportunity to become acquainted with military usages. (c) The usual tour of duty without the limits of the United States proper will be two years. 75. When nurses are required for service with any organization of the Medical Department, the commanding officer thereof will, by letter stating the circumstances and necessities of the case, make application through the department surgeon to the Surgeon General, or, in the case of mdependent commands, direct to the Surgeon Gen- eral, for as many as may be needed. MEDICAL DEPARTMENT, ITS ORGANIZATION AND PERSONNEL. 41 (a) Should there be a surplus of nurses with any hospital or other sanitary formation, the commanding officer thereof will in like man- ner immediately report the fact to the Surgeon General. In the case of surplus nurses serving beyond the limits of the United States the surgeon of the forces with which they are on duty will recom- mend to the commanding general that they be returned to the United States. Nurses so returned will on arrival at the home port report at once to the department surgeon of the territorial department within the limits of which the port is situated, who will place them on temporary duty and request instructions as to his further action in the premises from the Surgeon General. 76. A nurse will not leave her station except under orders or when granted a leave of absence. (a) When a nurse leaves her station under orders or on leave of absence the commanding officer of the organization of the Medical Department with which she has been on duty will indorse on her letter of appointment the date of her departure and the date and source of the authority therefor. The letter of appointment will be given to the nurse, together with a copy of her travel order. The date of arrival at her new station or of return to duty will be similarly indorsed on her letter of appointment. (b) When a nurse leaves her station under orders to proceed to another station the surgeon of the station from which she departs will prepare in her case a record of assignment and pay, Form 66, and mail the same without delay to the officer to whom she is ordered to report. Should she be again transferred without having been absent or having received pay at her new station, her commanding officer may, instead of preparing a new record, forward the one received by him to her next commanding officer by indorsement expressly stating such facts. 77. Nurses will not be transferred from one department to another except by authority of the Surgeon General, but a department sur- geon may transfer nurses, should the exigencies of the service require it, from one hospital to another within his department. PAY. (See par. 56a.) 78. The pay of chief nurses at general hospitals, at base hospitals, and on hospital ships will be their pay as nurses plus $30 a month. The pay of other chief nurses will ordinarily be their pay as nurses plus $20 a month; but in cases where special skill and capability are required the Surgeon General in his discretion may increase the additional amount to not more than $30 a month. (a) The additional pay provided for chief nurses as above can be allowed to them only when they are actually serving as such. When 4'2 MANUAL FOR THE MEDICAL DEPARTMENT. on leave of absence or en route between stations they can draw onh their pay as nurses. 79. Subject to the modifications indicated hereinafter, nurses, mcluding chief nurses, will be paid monthly on pay rolls prepared and certified by the commanding officer of the hospital or other sani- tary formation to which they are attached for duty. Blank forms for the purpose will be furnished by the Quartermaster Corps. The instructions thereon must be carefully observed. (a) Discharged nurses will be paid on pay rolls certified by the commanding officer of the hospital or other sanitary formation to which they were attached at the time of discharge. (b) The pay accounts of nurses ordered home for discharge will be prepared in ike office of the Surgeon General. (c) All payments to nurses must be noted on their letters of appoint- ment. QUARTERS. 80. When practicable, the allowance of quarters provided by Army Regulations for nurses on duty in hospitals will include 1 dining room, 1 kitchen, 1 sitting room, and the necessary toilet rooms for the common use of all the nurses, and a separate bedroom for each nurse and chief nurse; also at hospitals where more than 5 nurses are stationed, an office and a separate sitting room for the chief nurse. (a) The Medical Department will supply the necessary furniture and care for the quarters of nurses on duty in hospitals. Sheets, towels, pillowcases, table linen, and other washable articles so supplied will be laundered as a part of the hospital laundry. SUBSISTENCE. 81. The rations of nurses and chief nurses on duty in hospitals are commuted at the rate authorized in the annual appropriations for the support of the Army and paid into the hospital fund con- formably to the provisions of Army Regulations, and paragraph 248 of this Manual. The commanding officer of the hospital will provide a proper mess for the members of the Nurse Corps, including service, allowing them their equitable share in all the revenues of the fund. (a) Nurses, and chief nurses on Government transports will be furnished meals free of charge in the saloon mess. (b) When on duty in a city or town or at a station where subsist- ence is not furnished by the Government they receive commutation of rations at the rate of $1 a day. When on leave of absence with pay they receive commutation of rations at the rate of %5 cents a iav. MEDICAL DEPARTMENT, ITS ORGANIZATION AND PERSONNEL. 43 TRANSPORTATION AND TRAVELING ALLOWANCES. 82. Nurses travehng under orders are entitled at public expense to their own transportation and to travehng allowances and trans- portation of baggage as provided in Army Regulations. They will not be allowed to delay en route except when such delay is authorized in the travel order. All such authorized delays will be regarded as leave. 83. The Quartermaster Corps will ordinarily furnish the required transportation in kind, or will issue transportation requests upon carriers for the same. (a) When transportation in kind is not furnished, and transporta- tion requests can not be procured, the nurse may pay her own travel fare (which must not exceed the cost of a first-class limited ticket between her starting point and her destination), and ask for reimbursement in her expense account in accordance with the folio whig section: (b) When a nurse traveling under orders incurs traveling expenses for which she is entitled to reimbursement she will prepare her account of the same on Form 350 or 350a, W. D., inclosing therewith an itemized statement of the expenses, in duplicate (showing the date when and the place where each item thereof was incurred), and receipts for the several items charged, or her certificate that it was impracticable to obtain them. She will sign and make oath to the correctness of the voucher before an officer having authority to administer oaths. If the expenses were incurred en route home for discharge, she will after her arrival home forward the completed voucher to the Surgeon General for his action; if they were other- wise incurred, she will submit the voucher to the commanding officer of the hospital or other sanitary formation to whom she reports at the end of her journey, who will certify it if he finds it correct and transmit it to the nearest disbursing quartermaster for settlement. With these papers the nurse will send a copy of her official travel order. (c) When transportation requests issued by the Quartermaster Corps are not used, or when they are exchanged for railroad tickets and the tickets, or any parts of the same, are not used, the unused transportation requests^ tickets, or parts of tickets, must in com- pliance with Army Regulations be returned to the officer who issued the requests, 84. A nurse on service beyond the continental limits of the United States, or in the Canal Zone, or in Alaska, who is ordered to a home station, or to her home for discharge, will usually be provided at the station where she is serving with transportation to a home port. On 44 MANUAL FOR THE MEDICAL DEPARTMENT. arrival at such port she will apply to the depot quartermaster at the port or in its immediate vicinity, if there is one, for the further trans- portation required, exhibiting her travel orders. If there is no depot quartermaster in the vicinity, she will herseK procure the necessary further transportation conformably to the provisions of paragraph 83a. 85. Travel to and from points beyond the limits of the United States and between island possessions will be by Army transport in all cases where practicable. MEDICAL CARE AND TREATMENT. 86. A nurse is entitled to medical treatment while on duty. This will ordinarily be furnished at the hospital to which she is attached; but in proper cases the Surgeon General, or the department surgeon within his department, may order a nurse's transfer to and treatment in some other Army hospital. When the treatment required by a nurse on duty can not otherwise be had, the necessary civilian service may. be employed as authorized by Army Regulations. Bills con- tracted by a nurse for medical care while on leave or absent without leave can not be allowed. 87. A nurse will not be discharged for disability contracted in line of duty until after reasonable time has been allowed for treatment. 88. Upon the arrival of a nurse at the first station to which she is assigned after her appointment, she will be vaccinated against small- pox. If the first vaccination is noneffective it will be repeated at the end of eight days. (a) Existing orders require that all persons entering the military service be immunized against typhoid fever. (See Appendix: Typhoid Prophylaxis.) (b) The date and result of the last vaccination against smallpox, and the date of the administration of each dose of the tvphoid vaccine, will be indorsed upon the nurse's letter of appointment. (c) The medical officer under whom a nurse is serving will be held responsible that she is properly protected against smallpox and typhoid fever in accordance with the above requirements. LEAVE OF ABSENCE. 89. The leave year of a member of the Nurse Corps will be reck- oned in each case from the date of her letter of appointment. A leave credit of two and one-half days for each month of completed service and leave with pay under her appointment will be allowed, against which will be charged all absence on leave with pay. Leave credits will not be allowed for periods of absence without pay. Unused leave credits may accumulate to an aggregate not exceeding MEDICAL DEPARTMENT, ITS ORGANIZATION AND PERSONNEL. 45 120 days. Leave to the amount of the accumulated unused leave credits may be granted whenever the exigencies of the service per- mit. Final leave will be granted prior to discharge to the amount of accumulated leave credits. Extra leave of absence with pay on account of illness can not be granted. (a) A leave credit accruing but unused under one appointment can not be carried over and become available under a subsequent appointment. 90. A nurse desiring leave of absence will apply therefor in writing through the chief nurse to her immediate commanding officer for his action conformably to the preceding paragraph. The original paper granting the leave will be given to the nurse. 91. Subject to the modification indicated in section (a) of this para- graph, when accumulated leave of absence with pay is granted to a nurse on service in Alaska or beyond the continental limits of the United States for the purpose of coming to and returning from the United States, the running of such leave shall be calculated between the date she reached or might have reached the United States and the date she left or should have left the United States via the usually traveled routes. If the nurse's return to service abroad is not required, the termination of her leave shall be calculated from the date she arrived or should have arrived in the United States via the usually traveled route. (a) In the case of a nurse coming to the United States from or going from the United States to service in the Philippine Islands who desires to make the journey by a route other than the custom- ary one in order to visit foreign countries on leave of absence while en route, an allowance of 30 days as on status of duty without right to reimbursement of traveling expenses will be made, in addition to the time granted as for leave of absence, to cover the average amount of time necessary to perform the journey from the Philip- pine Islands to the usual port of arrival in the United States or from said port to the Philippine Islands; and in calculating the run- ning of her leave the said period of 30 days for travel shall in each instance be excluded. (b) When leave with pay is granted a nurse on service in the Phil- ippine Islands to be absent therefrom other than to come to the United States, the running of such leave shall be calculated between the date of reaching Manila from her station and the date of leaving Manila in returning to her station. 92. Leave of absence without pay and allowances is permitted under the circumstances indicated in Army Regulations; and may be granted in other cases when the conditions of the service are favorable. 46 MANUAL FOR THE MEDICAL DEPARTMENT. UNIFORM. 93. The uniform of the Nurse Corps will consist of a waist, a skirt, a belt, a collar, a cap, and the badge of the corps. Details of material, make, and design will conform to specifications prescribed by the Surgeon General. No changes therein will be made without his authority. 94. The nurse may procure her uniforms after she reaches her post of duty, where detailed instructions on the subject will be supplied her. 95. The uniform will invariably be worn during the hours of duty. Nurses not in uniform will not be allowed in the wards. 96. Nurses' uniforms soiled while on public duty will be washed as a part of the hospital laundry. (See par. 267.) 97. The badge of the corps will be a caduceus of gold or gilt, superimposed in the center by a monogram of the letters "A. N. C." in white enamel. It will be worn as prescribed by the Surgeon General. REPORTS AND RETURNS. 98. A return of the Nurse Corps is required monthly from every hospital or other sanitary formation with which nurses are on duty or to which they are attached. It will bo forwarded on Form 63, within five days after the end of the month covered by it, through the department surgeon to the Surgeon General, or in the case of inde- pendent commands direct to the Surgeon General unless otherwise ordered by him. 99. An efficiency report of nurses is required monthly on Form 62 from every hospital or other sanitary formation to which nurses are assigned or attached, and will include all the nurses on duty with or attached to the organization during the month or any part thereof. It will be prepared by the chief nurse, if there is one, otherwise by the commanding officer, and will be forwarded by the latter within five days after the end of the month through the channels indicated in the preceding paragraph for the monthly return. A special effi- ciency report will be prepared in like manner for every nurse upon her departure from one station for another, showing where she has gone and the date of her departure, and will be forwarded in duplicate within five days after the change to the commanding officer of the hospital or other sanitary formation to which she has been transferred. Should two or more nurses make the same change at the same time a single special efficiency report covering them will be sufficient. A copy of each report will be retained by the commanding officer of the organization where it was prepared, and will be open to the inspection of only his chief nurse, his executive officer, and higher authority. MEDICAL DEPARTMENT, ITS ORGANIZATION AND PERSONNEL. 47 (a) A special efficiency report sent to a nurse's new station will be attached to the next monthly efficiency report from such station made after its receipt. 100. All changes in the personnel of the Nurse Corps by discharge, death, etc., all changes in the stations of its members by departure for or assignment to another hospital or other sanitary formation, or by arrival or assignment from another organization, and all other changes in their status (such as from present for duty to present sick; from present sick to duty; from present to leave of absence, specifying its duration; from leave of absence to present), including changes in assignments as chief nurses, will be reported on the day of the change through the department surgeon to the Surgeon General, or in the case of independent commands direct to the Surgeon General. DUTIES OF CHIEF NURSES AND NURSES. 101. For duties of members of the Nurse Corps assigned to hospitals see paragraphs 311 to 315. RESERVE NURSES. (See par. 536.) 102. The enrolled nurses of the American National Red Cross Nurs- ing Service will constitute the reserve of the Army Nurse Corps, and in time of war or other emergency may with their own consent be assigned to active duty in the military establishment. When the emergency necessitating the employment of reserve nurses is immi- nent the Surgeon General will request the proper officer of the Red Cross Society to nominate from among the enrolled nurses qualified for the work to be done as many as the Surgeon General may deem necessary to enable him to choose those for assignment to active duty. (a) When called into active service they will be subject to all the established rules and regulations for the government of the Nurse Corps, and will receive the pay and allowances of nurses on the regular list. (b) A reserve nurse will not be relieved from active service except by order or authority of the Surgeon General. Except in case of misconduct she will, if she so desires, be furnished travel orders to her home before the order of rehef shall take effect. The provisions of paragraph 73a will apply to reserve nurses. Upon relief from aotive service the following form of indorsement will be placed upon the nurse's letter of assignment, if the same is available; otherwise a letter of equivalent purport will be sent her: '■■■■■ ■■■ ■ —- -- j l\) "-. With the approval of the Secretary of War, and by order of the Surgeon General dated------} 19—, the reserve nurse within named is relieved from active service in the military establishment, to take effect------, 19—. United States Army. 48 MANUAL FOR THE MEDICAL DEPARTMENT. (c) When a reserve nurse is assigned to active service the Surgeon General will by letter promptly advise the proper officer of the Red Cross Society to that effect. When she is relieved from active service he will communicate that fact likewise by letter, stating the cause of her rehef and whether her services have been satisfactory. CIVILIAN EMPLOYEES. (For Hospital Matrons, see par. 265.) 103. The employment of male nurses, of female nurses not in the Nurse Corps, of cooks, and of other civilians necessary for the proper care of sick officers and soldiers, is authorized in the annual appro- priations for the "Medical and Hospital Department," under such regulations fixing their number, qualifications, assignment, pay, and allowances as may be prescribed by the Secretary of War. The pay of civilian employees, such as clerks, messengers, watchmen, packers, laborers, etc., in the administrative offices and supply depots of the Medical Department is provided for in the same appropriations. HOSPITAL EMPLOYEES. 104. The number and assignment of contract nurses, cooks, and other civilians employed at military hospitals for the proper care of the sick therein will be determined by the Surgeon General or, under his instructions, in the Philippine Department by the department surgeon. (a) Their qualifications for their respective employments will be ascertained by practical tests established from time to time.by the Surgeon General. 105. Hospital employees whose pay does not exceed $60 a month may, under authority obtained from the Surgeon General, be selected by the medical officer in charge of the hospital; and they may be reduced or discharged by such officer as the interests of the service require. (See par. 318c.) (a) When the circumstances of the employment make it necessary a ration may be allowed in addition to pay proper of $60 a month or less in conformity with Army Regulations. 106. Hospital employees whose pay exceeds $60 a month will be appointed by the Surgeon General, and will be rationed only under special authority from the Secretary of War. They may be reduced or discharged at the discretion of the Surgeon General as the interests of the service require. (See par. 318c.) 107. Such quarters as may be available will be furnished for the use of those employees whose constant presence at the hospital is necessary or appropriate. MEDICAL DEPARTMENT, ITS ORGANIZATION AND PERSONNEL. 49 DEPOT AND OFFICE EMPLOYEES. 108. Civilians employed in the supply depots and administrative offices of the Medical Department are of two classes: (1) Those whose duties are unskilled manual labor only; and (2) those of higher grade. The former are subject to Labor Regulations promulgated by, the President. The latter are classified employees, subject to civil-service rules. 109. The Labor Regulations govern the employment of unskilled laborers in Federal offices in nearly all of the large cities of the United States. Where they are in force they must be strictly observed, whether the laborers are required for temporary or permanent work! To secure the services of laborers under the Labor Regulations appli- cation for the certification of eligibles should be made to the local board of labor employment. 110. The number and compensation of unskilled laborers and workmen in the depots and offices of the Medical Department are determined by the Surgeon General under the direction of the Sec- retary of War. (a) No such workman or laborer will be permanently employed by the month without authority from the Surgeon'General, nor at more than $60 a month without the special authority of the Secretary of War. They may be reduced or discharged at the discretion of the Surgeon General as the interests of the service require. (b) In emergencies requiring prompt action, when the services of enlisted men are not to be had, laborers may be temporarily employed (under Labor Regulations, if applicable), without previous authority, at not more than 25 cents an hour. (c) The employment of unskilled laborers or workmen in the Phil- ippine Department will be supervised by the department surgeon under instructions from the Surgeon General. 111. When the position of an unskilled laborer or workman em- ployed at $60 a month or less by authority of the Surgeon General becomes vacant the vacancy may be filled if necessary (under Labor Regulations, when applicable), without new authority, report of the changes to be made promptly to the Surgeon General. 112. Persons employed as unskilled laborers or workmen will not be assigned to work of the grade performed by classified employees. 113. Civilian employees in the depots and administrative offices of the Medical Department above the grade of unskilled laborer or workman are appointed by the Secretary of War, upon the recom- mendation of the Surgeon General, from lists of eligibles furnished by the United States Civil Service Commission, or by reinstatements or transfers by the Secretary of War under civil-service rules. (But see par. 114.) Their number and compensation are fixed by the Sec- 93440°—17----4 50 MANUAL FOR THE MEDICAL DEPARTMENT. retary, and their promotion, reduction, and removal are determined by him, upon the Surgeon General's recommendation. Their assign- ments to and transfers between stations, at home or abroad, are regu- lated by the Surgeon General, under the Secretary's direction. (See par. 117.) 114. In case of a vacancy among them by death or otherwise, the officer under whom it occurs will promptly advise the Surgeon General whether it is necessary to fill the same, and if so will make such recommendation for promotion or original appointment as may be appropriate. Temporary appointments without examination and certification by the Civil Service Commission, pending permanent appointment, promotion, or transfer, are not made by the Secretary to any classified position except when the public emergency so requires, and then only upon the prior authorization of the com- mission. Appointments so authorized continue only for such period as may be necessary to make appointment through certification of eligibles or by promotion or transfer; and in no case without prior approval of the commission do they extend beyond 30 days from the Secretary's receipt of the certification, or (if the vacancy is to be filled by promotion or transfer) beyond 30 days from the date of the temporary appointment. (a) When a classified position in the Philippine Islands becomes vacant it may be filled in the regular way, or if specially authorized by the Secretary of War, by appointment from the eligible lists of the Philippine civil-service board. 115. Recommendations for the promotion of a classified employee should originate with the officer or officers under whose supervision and control the employee is serving. No recommendation originating otherwise will be considered. If the employee procures such recom- mendations to be made by any other person, his so doing will be cause for debarring him from the promotion proposed. A repetition of the offense will be sufficient cause for discharge. 116. Classified employees will be promoted, reduced, or discharged only by the Secretary of War; but the officer under whom they are serving may suspend them from duty and pay for cause. He will inform the suspended employee of the reasons for his suspension, and give him three days in which to answer the same in writing. Should the answer be satisfactory, he may at once without further action restore the employee to duty and pay. Should no reply have been received at the end of the three days, or should it be unsatisfactory, he will report his action, his reasons therefor, and his recommenda- tions in the premises (together with the written answer received by him, if any) to the Surgeon General, for the information and action of the Secretary. MEDICAL DEPARTMENT, ITS ORGANIZATION AND PERSONNEL. 51 117. Clerks transferred to the Philippines will be allowed an increase of $200 in annual compensation, to take effect on the date of leaving station in the United States. Clerks transferred from the Philippines wili be reduced approximately 20 per cent in compensa- tion, provided such reduction does not lower their pay below the rate they were receiving for their former service in the United States (unless their efficiency record calls for a lower compensation). Such reductions will take effect on the date of arrival at the new station. Clerks so transferred forth and back will receive the regulation allow- ances of transportation and expenses en route between stations. No classified employee will be transferred from the United States to the Philippines, or vice versa, except upon authority of the Secretary of War previously obtained. REPORTS OF CHANGES OF STATUS. 118. Every appointment, promotion, reduction, or discharge of a civilian employee, temporary or permanent, made by an officer of the Medical Department, will be reported promptly to the Surgeon General, with the name of the person concerned, the date of the change, and citation of the authority therefor. In case of death the date and place of death will be given; in case of death or discharge the date to which the employee was last paid, and by what officer. A record will be kept in each office of the name and address of the employee's nearest relative, who will be at once notified of the employee's death. (See Appendix: Civilian Employees.) 119. When a clerk is transferred from one office to another the officers concerned will report to the Surgeon General the date of his dej^arture from the old station and the date of his arrival at the new. The officer at the old station will by letter inform the officer at the new station of the date to which the clerk was last paid. EFFICIENCY REPORTS OF CLASSIFIED EMPLOYEES. 120. Every officer under whom classified employees of the Medical Department are serving will prepare and forward to the Surgeon General on June 30 and December 31 of each year a report of their efficiency during the preceding six months. 121. In determining the efficiency of each such employee the factors of attendance, ability, adaptability, habits, and application will be considered, and each marked separately on a scale of 100. Abihty will be given four times the weight, adaptability twice the weight, and habits twice the weight of either of the other factors, which will each be given a weight of one. The final efficiency figure will be obtained by dividing by 10 the aggregate of the markings under the several heads, and will represent, so far as practicable, the 52 MANUAL FOR THE MEDICAL DEPARTMENT. record of each, employee as made from day to day during the six months. In connection with abihty, the character, quality, and quan- tity of work will be marked as indicated on the form. (Form 20, W. D.) (a) The names in each class or grade will be entered in the order of merit, those with the same efficiency figure being arranged according to length of service in the Medical Department. 122. The folio whig rules will be observed in keeping efficiency records and preparing semiannual reports thereof* Attendance.—A record will be kept in each office upon which will be noted daily the duration of all absences from official duty on the part of persons whose names are to appear on the semiannual effi- ciency report. From the time record thus kept the figure of attend- ance to be used in the preparation of that report will be obtained. A deduction of two points will be made for every three days' absence on leave without pay or on account of personal sickness which is accounted for and approved in accordance with the leave regulations: Provided, That absence on account of sickness may be disregarded in cases of special merit or where it would be manifestly unjust to include such absence in the calculation of the efficiency figures. Deduction for absence without leave will be made at the rate of h\e points for each day, and further deduction will be made in the figure representing habits if required by the nature and degree of the offense. Tardiness will be considered in connection with habits, and if of frequent occurrence will be made the subject of special action as prescribed under that head. Ability.—Wherever practicable a record will be kept of the amount and character of work performed each day by persons whose effi- ciency is required to be reported. The record of work for each six months will serve as a basis for determining the relative abihty of the persons engaged thereon, proper deduction being made for all errors or deficiencies that may have been reported. The abihty figure of those employed upon work that can not be tabulated or stated numerically will be determined by the chief of office upon his own observation and knowledge. While the amount of work creditably performed is valuable as a guide in estimating abihty, too much importance should not attach to this factor except as between persons employed in substantially the same way. Character and quality of work must be regarded as much more important than quantity, and, as these elements can not be ascertained by any automatic process or be stated numerically from day to day, the opinions of officers and supervising clerks, who by constant association and observation acquire intimate knowledge of the personnel of their own office, must be relied upon to a great MEDICAL DEPARTMENT, ITS ORGANIZATION AND PERSONNEL. 53 extent to determine the relative merits of the individuals employed under their direction. When clerks of a particular class perform satisfactorily work of a grade usually assigned to a higher class great credit should be given therefor. If for lack of ability clerks are employed upon work usually assigned to a lower class, the marking should be correspond- ingly low, although the work itself may be exceedingly good. Adaptability.—Under the head of "Adaptability" there should be considered intelligence, aptitude, fitness for the general duties of an office, and demonstrated capacity for the performance of a higher class of work. As in respect of abihty, these elements will be weighed and the figure of adaptability determined therefrom by the chief of office, assisted by recommendations of officers and others in super- vising positions. Habits.—In estimating habits consideration should be given to sobriety, integrity, subordination, cheerful and zealous obedience to orders and regulations, and promptness and courtesy in all the rela- tions of official business. The rating will be made in the manner prescribed for ability. Insubordination, disregard of regulations, fre- quent tardiness, drunkenness on duty, or any conduct prejudicial to the good order and discipline of an office should be made the subject of special inquiry and action as directed in regard to absence without leave. Application.—Under the head of "Application" should be repre- sented the degree of diligence and faithfulness which has been shown in respect of attention to duty, the rating to be made in the manner prescribed for abihty. 123. The following special rules respecting the ability and adapt- ability marks of clerks will also be complied with: (a) Rate no clerk higher than 95 in either ability or adaptability. (&) Rate no two clerks at the same ability figure unless they are clearly of equal ability, and in no case rate three or more in the same grade in the same office at the same ability figure, unless they are employed on tabulated work which determines the figure. (c) Rate no one at a higher figure in adaptability than in abihty. (d) Whenever two are rated at the same figure in ability, distin- guish between them by rating one at least one-half (five-tenths) of a point less in adaptability than the other. If no other ground for this difference is apparent, let it be based on the length of service in the present grade, the one having the shorter term of such service getting the lesser adaptability. (c) Assign no clerk a higher figure in either factor than is warranted by his actual efficiency, as compared with that of the other clerks of the same grade in the office during the period of the list and at the 54 MANUAL FOR THE MEDICAL DEPARTMENT. end thereof, regardless of any higher figure that may have been assigned to him on any previous listSo 124. Each semiannual efficiency list should show the relative stand- ing actually earned by each employee of the office as compared with fellow employees during the half year covered by it, regardless of his standing on any prior list. It does not follow because an employee's absolute efficiency remains unchanged that he should retain the effi- ciency ratings previously given him; other employees in the mean- time may have shown such increase in efficiency that they are justly entitled to precede him in relative standing. The efficiency figure of any employee, as well as the figures representing the factors composing it, being thus relative only, must necessarily change from time to time, even in the case of an employee whose actual efficiency remains unchanged. Each efficiency list displaces and supersedes the prior list, and should represent the relative values of all the employees thereon for the period covered by the list and at the end of that period, regardless of what their relative values were on previous lists. Officers will bear these considerations in mind in preparing the effi- ciency lists in question. 125. All promotions in the classified service will be made in the order of merit as established by the last semiannual efficiency report, subject to such examination as may hereafter be ordered under civil- service rules: Provided, That any person entitled to promotion under the terms of this regulation who shall become markedly inefficient, or be guilty of any serious misconduct after the preparation of the last semiannual efficiency report, shall forfeit the right to promotion, and the same shall accrue to the next eligible person on the list. 126. Those who fail during any six months to attain an efficiency rating of 70 will be regarded as deficient in their respective classes and subject to regrading, and will, in the discretion of the officer under whom they are serving, be reported to the Surgeon General for reduction. All who, on two consecutive reports, fall below 70 in efficiency will be invariably reported for reduction. All who, on two consecutive reports fall below 60 in efficiency or below 50 in either application, habits, or ability, will be reported for discharge. In the case of those entitled to preference under section 1754, Revised Statutes, the figures 65, 55, and 45 are substituted for 70, 60, and 50, respectively, in the two preceding paragraphs. 127. The semiannual efficiency reports in each office will, if prac- ticable, be placed where access to them can be had by all concerned' but where, by reason of the large number or widely separated loca- tions of those interested, material interference with current work and loss of time would be occasioned by allowing each individual access to the reports, a transcript from the semiannual report will be MEDICAL DEPARTMENT, ITS ORGANIZATION AND PERSONNEL. 55 forwarded to each person whose name is borne thereon as soon as practicable after the completion of the report. This transcript will show the efficiency rating and lineal number, or relative standing, of the person to whom it is furnished. 128. A copy of each semiannual efficiency report will be forwarded by the Surgeon General to the Secretary of War as soon as practi- cable after the expiration of each six months. LEAVES OF ABSENCE. 129. Regulations governing leaves of absence of civilian employees are published in special circulars by the War Department. (See Appendix: Civilian Employees.) REPORTS OF EMPLOYEES INJURED. 130. Regulations governing the operation of the Government "Compensation Act" for employees injured in the service of the United States, are published in special circulars by the War Depart- ment. The Surgeon General will on application furnish appropriate forms for the necessary reports. (See Appendix: Civilian Employees.) ARTICLE H.—EDUCATION AND TRAINING. 131. The educational duties of the Medical Department are of a twofold nature—to the public, and to the military services, regular, volunteer, and militia. The connection with public education is maintained through the Library of the Surgeon General's Office and the Army Medical Museum. The professional training of the military services is carried out chiefly by the regular courses of instruction given medical officers at the Army Medical School in Washington, D. C, and at the Army Service Schools, Fort Leavenworth, by the courses given the Hospital Corps in field hospitals, ambulance com- panies, and detachments, and by the teaching of hygiene and first aid to other branches of the Army. LIBRARY, SURGEON GENERAL'S OFFICE. 132. This has been characterized as "the great, central, medical library of reference of the Nation" (6 Comp. Dec, 740). Under the provisions of the act of March 3, 1901 (31 Stats., 1039), facilities for study and research therein are afforded to scientific investigators, students, and graduates of institutions of learning in the several States and Territories as well as in the District of Columbia; and its material, under suitable rules and regulations, is available for loan to such persons, and to schools, societies, and public libraries hi every State of the Union. It consists now of over half a million books and pamphlets, all of which are catalogued and arranged for ready use. Every year a volume of the Index Catalogue is prepared, which, as it deals with both subjects and authors, is itself a compre- hensive book of reference. The Index Medicus, published monthly by the Carnegie Institute, is based on the new additions to the library and gives a monthly bibliography of medicine and the allied sciences. 133. Books that can be readily replaced will be loaned to medical officers of the Army, who will be held responsible for the safe return of the volumes within two weeks from the day of their receipt. In special cases this time may be extended. ARMY MEDICAL MUSEUM. 134. The museum, like the library, affords facilities for study and research to scientific investigators, students, and others under the act of March 3, 1901. Its general purpose is the collection, preservation, 56 EDUCATION AND TRAINING. 57 and exhibition of: (1) Material illustrative of military medicine and surgery, and the diseases of armies; (2) material and apphances relating to the hygiene of troops and to pubhc sanitation; (3) material illustrative of the advance of medical and surgical knowledge and its allied sciences, such as chemistry, microscopy, photomicrography, anthropology, and anthropometry; (4) material of interest and value to the history and archaeology of the Medical Department of the Army. The collection includes pathological specimens of all kinds which have any scientific interest for the military surgeon, the pathologist or the medical student, particularly such specimens as show the effects of gunshot or other injuries inflicted by the various missiles and weapons used in war, and such as exhibit diseased condi- tions of the various organs and viscera of the human body incident to service in the field and in the tropics. It includes also models of the anatomical structure of the human body; of the various surgical instruments in use in this country from the time of the Revolutionary War; of the microscope from its crude primitive form to the most improved present-day instrument; of dental instruments and speci- mens; of litters, ambulances, dressings, and materials used on the field of battle by the various armies of the world; of hospitals, illus- trating their construction and arrangement; and of many other apph- ances and apparatus not here enumerated. These exhibits are not available for issue or loan, except on great public occasions and under the safeguard of extraordinary guaranties; but they may always be seen in their place in the museum building in the city of Washington. 135. Medical officers and others interested in the progress of med- ical science are invited to make contributions to the Army Medical Museum. Medical officers who have the opportunity are expected to collect and send interesting medical and surgical specimens, espe- cially those that illustrate tropical diseases and those that show the effects of modern firearms and of the more primitive weapons that are still employed in warfare. Specimens of arms, medicines, medical instruments and apphances, when any of these differ from those used by the white race in the United States, will be acceptable. Speci- mens of poisonous insects and reptiles are also desired. (a) Soft tissues, mtended for gross specimens, should be placed in a solution of one part formalin and four parts water, the specimen being completely covered by the solution. The fluid on very soft tissue, or large masses of tissue, such as the liver, spleen, etc., should be renewed after the first two or three days. When formalin is not obtainable, commercial alcohol may be used. Bones and joints, after having been roughly cleaned, may be simply wrapped in a cloth wet with the preservative solution and then again wrapped in oiled paper or silk. 58 MANUAL FOR THE MEDICAL DEPARTMENT. (b) Soft tissues intended for microscopical examination should be cut into small pieces and placed in a solution of one part formalin and nine parts water, or in alcohol. (c) Since glass and earthenware vessels are liable to be broken in transit, the use of tin vessels for large wet specimens is recommended, the covers to be tightly soldered on. Whatever vessel is used should be packed in sawdust, excelsior packing, stiff paper, or equivalent substitute, in a wooden box. (d) A tag should be firmly affixed to every specimen. It should have a number or letter and give the name of the donor, the date and place of collection, and, if practicable, a brief description of the specimen itself. In the case of wet specimens put up in alcohol these data should be written in pencil (which is not affected by alcohol) upon a slip of wood. When formalin is used, the data should be written on a slip of paper and inclosed in a vial, which should be attached to the specimen. A letter of advice reporting the mark on the specimen, briefly describing it and giving its history, should be sent direct to the curator of the Army Medical Museum. The more complete the history the more acceptable the specimen will be. (e) Although Army Regulations authorize the transportation of all such contributions by the Quartermaster Corps, nevertheless if the importance of the specimen or its security demands a more prompt delivery, the package may be sent direct by express on a Government bill of lading (forms for which will be furnished by the curator) to the curator of the museum, who will arrange for the payment of the transportation charges. Small dry specimens may be sent by mail, and small wet specimens also, if inclosed in the containers which have been approved by the Post Office Department. if) The receipt of every package will be duly acknowledged and the specimen credited to the contributor. ARMY MEDICAL SCHOOL. 136. The school will be known as the Army Medical School and will be located in Washington, D. C. Its personnel will consist of the faculty, such special professors and instructors as may be as- signed to temporary duty at the school, the students, and such enlisted men and civilian employees as may be assigned to it for duty. Its object is to train the students therein in the subjects that pertain to the duties of the Medical Department. It will also carry on such scientific work and investigations as may be directed or authorized by proper authority. 137. The commandant, professors, and assistant professors are detailed by the War Department from among the officers of the Medical Corps; the special professors are nominated by the faculty, with the approval of the Surgeon General, from among distinguished EDUCATION AND TRAINING. 59 members of the Medical Reserve Corps; the instructors are officers of other branches of the Army detailed by the War Department to give special courses of instruction. THE FACULTY. 138. The faculty will consist of the commandant, who shall be its president, the professors, and assistant professors. It will meet at such times as the commandant shall deem advisable. It will arrange the program of instruction, prescribe the textbooks appropriate thereto, the allotment of time to each subject, and the character and scope of the examinations and will have final determination of all questions concerning the proficiency of students, subject, however, in all respects to the express provisions of law, of the Manual for the Medical Department and other orders and regulations issued by authority of the Secretary of War. The adjutant will be the secretary of the faculty. ADMINISTRATION. 139. The general administration of the school is intrusted to the commandant. In case of the absence of the commandant the senior professor present will be the acting commandant. The comman- dant will report annually on or before July 1, the progress of the school and its needs, mcluding an account of the instruction given and the proficiency of the several students. 140. The adjutant will be chosen by the commandant from among the professors or assistant professors. He will be the custodian of the records of the faculty, will conduct the correspondence of the school, and will promulgate the orders of the commandant. 141. The property officer will be chosen, by the commandant from among the professors or assistant professors. He will be accountable for all the property of the school, and may, under the direction of the commandant, make authorized purchases for the school and certify accounts therefor for settlement. THE STUDENTS. 142. The student body will consist of officers of the Medical Re- serve Corps who are candidates for appointment in the Medical Corps (par. 8), such medical officers of the Army and of the Organized Militia as may be ordered or authorized to attend the school, and enlisted men of the Hospital Corps ordered to the school for instruc- tion. 143. Candidates for appointment in the Medical Corps.—All candi- dates for appointment in the Medical Corps of the Army who pass the preliminary examination will be required to attend the school, in conformity with paragraph 8. 60 MANUAL FOR THE MEDICAL DEPARTMENT. (a) The school term will commence on October 1 of each year and will continue for a period of eight months. (b) The course of instruction will be both theoretical and practical and will comprise the following subjects: First period (Oct. 1 to Jan. 31). (1) Bacteriology, pathology, and laboratory diagnosis.. (2) Medical Department administration. (3) Military hygiene. (4) Military surgery. (5) Military medicine and tropical medicine. (6) Sanitary chemistry. (7) Sanitary tactics (including map reading and sanitary-service problems). (8) Ophthalmology. (9) Roentgenology. (10) Equitation. Second period (Feb. 1 to May 31). (1) Bacteriology, pathology, and laboratory diagnosis. (2) Medical Department administration. (3) Military hygiene. * (4) Military surgery. (5) Military medicine and tropical medicine. (6) Sanitary chemistry. (7) Sanitary tactics (including map reading and sanitary-service problems). (8) Ophthalmology. (9) Operative surgery on the cadaver. (10) Roentgenology. (11) Psychiatry. (12) Military law. (13) Equitation. (14) Lectures by special professors. (c) Examinations will be held at the end of each period and at such times throughout the course as individual professors may deem advis- able. A candidate who is unable to take the final examination with his class, owing to sickness or other unavoidable cause, will be examined as soon as practicable thereafter. For this examination the topics and questions will be similar to, but not identical with, those given in the general examination. (d) Ratings for graduation are made by the faculty upon the pro- ficiency shown in the course pursued during the school term and at the mid-term and the final examinations, and upon deportment. EDUCATION AND TRAINING. 61 Candidates who obtain a general average of 80 per cent in the total rating and who do not fall below 70 per cent in any one subject will be given certificates of graduation (Form 67) from the school. Grad- uates who have attained an average of 80 per cent will be rated as " proficient," and those who have attained an average of 90 per cent will be rated as "proficient with honor." (e) If it shall appear during a candidate's attendance at the school that his appointment to the Medical Corps would be undesirable, he will forthwith be relieved from active duty and his discharge from the service recommended. In cases of gross misconduct, travel home prior to rehef from active duty will not be ordered. (/) If the candidate fails to qualify for graduation conformably to the regulations of the school, he will be relieved from active duty and his discharge from the service recommended. A second course in the school will in no case be allowed. 144. Medical officers of the Army.—Any medical officer of the Army may, upon the recommendation of the Surgeon General, be detailed for special instruction at the school. Medical officers of the Army who are stationed at or near the city of Washington, or are on leave, may, with the permission of the Surgeon General, attend the school. Application in such cases will be made through mihtary channels. (a) Medical officers of the Army who have pursued the prescribed special course of instruction with proficiency will be given certificates to that effect. 145. Medical officers of the Organized Militia.—Medical officers of the Organized Militia are admitted to the school under the provisions of section 16, act of January 21, 1903, as amended by act of May 27, 1908 (35 Stats., 402), and the following regulations: (a) A militia officer in order to be eligible for the course of instruc- tion must be below the grade of heutenant colonel and not less than 22 nor more than 35 years of age. He must be physically qualified, of good moral character, and a citizen of the United States. He must have been a member of the Organized Mihtia for at least one year, and must possess such preliminary educational qualifications as will enable him to participate profitably in the prescribed course of instruction. (b) Mihtia officers desiring to attend the school must be nominated to the Secretary of War by the governors of their respective States and Territories, or by the commanding general, District of Columbia Mihtia, and the nomination must in each case be accompanied by an affidavit of the nominee, stating his age, citizenship, the medical school from which he received his degree, the date of his graduation, and the length of his service in the Organized Mihtia, and by a cer- tificate from the colonel of his regiment or other satisfactory person as to his good moral character 62 MANUAL FOR THE MEDICAL DEPARTMENT. (c) Militia officers, before their admission to the school, must sign an agreement to attend and pursue the required course of study and to be bound by and conform to the rules and discipline imposed by Army Regulations and the regulations of the school, and to serve at least one year in the medical department of the Organized IVIihtia of their respective States after completion of their course at the school. (d) The expense to the Government on account of militia officers attending the school is strictly limited to travel allowances, quarters or commutation of quarters, heat, light, and subsistence. The travel allowances consist of mileage or transportation allowed by law. Commutation of quarters or allowance of quarters in kind is the same as provided by law for officers of the corresponding grade in the Army. For subsistence each mihtia officer is paid $1 per day while in actual attendance at the school. (e) Each militia officer must provide himself with the proper uni- forms of his State or Territory. The course of study will require the entire time of the student, so that no outside occupation during the school term will be practicable. (/) The course of instruction for militia officers will commence on October 1 and end on January 31 following. It will be both theoreti- cal and practical, and will comprise the following subjects: (1) Bacteriology, pathology, and laboratory diagnosis. (2) Medical Department administration. (3) Military hygiene. (4) Military surgery. (5) Military medicine and tropical medicine. (6) Sanitary chemistry. (7) Sanitary tactics (including map reading and sanitary- service problems). (g) Examinations will be held at the end of the period and at such times throughout the course as individual professors may deem advisable. (h) Any officer showing neglect of his duties or a disregard of orders will be reported to The Adjutant General of the Army with a view to withdrawal of the authority to attend the school. (i) A mihtia officer who attains a general average of 80 per cent in the total rating and who does not fall below 65 per cent in any one subject, will be given a certificate of proficiency, and such fact will be reported to the governor of his State or Territory, or, in the case of a medical officer of the Organized Militia of the District of Columbia, to the commanding general, District of Columbia Militia. (j) A mihtia officer who fails to obtain the rating necessary to secure a certificate of proficiency, but who has shown zeal and inter- est in his work, may, at the discretion of the commandant, be given a certificate of attendance. EDUCATION AND TRAINING. 63 146. Enlisted men of the Hospital Corps.—Such enlisted men of the Hospital Corps as the Surgeon General may from time to time select will be ordered to the school for instruction in bacteriological labora- tory work, roentgenology, photography, or other special subject. (a) Enlisted men who satisfactorily complete the course prescribed for them, will be given a certificate of proficiency therein. (Form 606.) THE ARMY FIELD SERVICE AND CORRESPONDENCE SCHOOL FOR MEDICAL OFFICERS. 147. This school is a branch of the Army Service Schools at Fort Leavenworth and is governed by regulations published in general orders. (See Appendix: Medical Officers.) FLELD PROBLEMS FOR MEDICAL OFFICERS. 148. The duty which devolves upon the Medical Department as a whole, and upon each unit and individual in particular, to be ready at all times to render such service as might be required in war, is coordinate with the obligation to maintain sanitary conditions and render medical attendance to troops in garrison in time of peace. That this may be reahzed, emphasis should be laid on the necessity for utilizing to the fullest extent every opportunity which is pre- sented for training in the duties of field service. Each individual of the sanitary service should know his own duty and the duty of each of those under him, if he is in command; and, in addition, should have sufficient knowledge of the mission of those with whom he comes in contact to insure concert of action. 149. The knowledge required is both theoretical and practical. The former embraces the study of: (1) The general principles which govern combatant forces and the resultant conditions with which the sanitary service has to deal including conditions of the march, camp, and the several forms of combat, the system of supply and the methods of communication; (2) the general scheme of administration; (3) the composition and disposition of organizations including the space which they occupy on the road and in camp and the places assigned to Medical Department organizations and individuals with relation to the combatant troops; (4) the nature of the sanitary service which will be required by the troops and the equipment and personnel which may be necessary for that service under different conditions. Strictly speaking, knowledge of the latter is obtainable only under war conditions, but very much of a practical nature may be learned by a study of drill regulations and by applying them in simulated war conditions, such as field exercises with mobile troops. 150. War plans and plans for the conduct of maneuvers simulating war are based on certain hypotheses published by the War Depart- 64 MANUAL FOR THE MEDICAL DEPARTMENT. ment in its various manuals governing the details of organization, the plans for mobilization, and the general operation of the service in war. A method of instruction in very general use consists in the formulation of problems based on the hypotheses contained in official publications which develop questions involving the tactical adminis- tration of organizations, and which call for the application of theo- retical knowledge if the problem is a map problem or problem for written solution, and of both theoretical and practical knowledge in case of a field problem. The sanitary service should avail itself of all opportunities which present to cooperate with line troops in the solution of problems and should formulate problems for the purpose of developing situations simulating those which the sanitary service would be required to meet in time of war. 151. The hypotheses generally accepted by the line should form the bases of all problems so formulated; for example, a sanitary problem should be formulated in accordance with the strength of organizations as published in regulations, with the order of organiza- tions in the march table, with the road space allotted, with the distances published as normally covered by marching troops, with the rate of speed of messengers, etc. It is always understood that these hypotheses are to be regarded as general, and that actual conditions may deviate widely from them. 152. Certain general deductions may be made from experience in war, which will serve as hypotheses on which plans for the operation of the sanitary service may be based. Casualties may be estimated at 10 per cent of the troops engaged, with the understanding that certain organizations may suffer very much heavier losses, while some may suffer less. Of the casualties, the killed may be estimated at 20 per cent; seriously wounded, 8 per cent; less seriously wounded but requiring transportation, 32 per cent; the wounded able to walk to dressing stations or field hospitals, 40 per cent. The demand for bed capacity in the rear of the zone.of the advance will depend upon the frequency and severity of the engagements. There have been instances when after several months campaigning it has reached 40 per cent of the strength of the Army maintained at the front. For field problems it should be assumed that a bed capacity equivalent to 10 per cent of the total force in the zone of the advance is imme- diately available when troops take the field, and that facilities have been provided for promptly supplementing that number should the occasion require. 153. The total number of sick and wounded to be provided for having been determined, base or general hospitals are allotted in the proportion of 1 to each 500 beds to be provided. It may be assumed that the total medical personnel required from front to rear will be equivalent to 10 per cent of the total strength of the troops in the EDUCATION AND TRAINING. 65 home territory and in the theater of operations. Of this personnel, it may be assumed that 8 per cent will be required to be organized and that 2 per cent will be unorganized (individual voluntary aid and civilians impressed or hired as occasion may demand). Of the total of 10 per cent required it may be assumed that the medical service of the Army will be handled by civilian assistants to the ex- tent of 3 per cent (1 per cent organized into hospital columns and field columns—paragraph 536fc—and 2 per cent unorganized); and that the 7 per cent belonging to the Army will be distributed as follows: Medical officers, 0.74 per cent; Nurse Corps, 0.52 per cent; enlisted, 5.74 per cent. The total number of medical officers required may be estimated at 1 per cent or above, assuming that whatever is required above 0.74 per cent will be furnished from civilian sources (Medical Reserve Corps). Of the 10 per cent of sanitary personnel thus pro- vided, 4 or 5 per cent may be assumed as allotted to the zone of the advance and the balance on the line of communications or in the home territory, depending upon the policy of the administration as to where the sick and wounded sent to the rear are to be cared for. In the past, armies hare required for their sanitary service as a whole, from front to rear, one individual for every man sick or wounded, this being due to the fact that more than one-half of the personnel required for the service is held in readiness to render first aid and transport disabled to the rear, and is not available for their care thereafter. INSTRUCTION IN HYGIENE. 154. Hygiene is taught to cadets at West Point conformably to the Regulations for the United States Military Academy, and to commis- sioned officers of the Army and of the militia at garrison and service schools as prescribed by general orders issued from time to time for the regulation of militaiy education in the Army. INSTRUCTION IN FIRST AID. 155. The instruction necessary to enable company officers to drill the enlisted men in their companies in the duties of litter bearers and methods of rendering first aid to the sick and wounded will be given chiefly by practical demonstrations made in their presence. The prescribed drills of the detachment of the Hospital Corps will be utilized for this purpose, especial attention being given to the instruc- tion in first aid. The practical demonstrations, accompanied by full explanations, should include methods of arresting hemorrhage, of applying the dressings contained in the first-aid packet, of immobiliz- ing a fractured limb, of resuscitating those apparently drowned, etc., and should be supplemented by lectures designed to convey all essen- 93440°—17---5 66 MANUAL FOR THE MEDICAL DEPARTMENT. tial information with reference to the anatomy of bones and blood vessels, the causes and treatment of syncope and of heat exhaustion, the differential diagnosis and treatment of sunstroke, the rationale of the various measures of first aid to the sick and wounded, etc. TRAINING OF THE HOSPITAL CORPS, GENERAL. 156. While the personnel of the Medical Department has important duties to perform in peace, as well as in war, readiness for active service should be one of the principal objectives to be kept in view in all peace-time training. The activities of all concerned will con- sequently be directed toward the attainment of that end. The value of an organization is to be judged, not only by the efficient per- formance of its function during peace, but by its abihty to take the field and to meet successfully every phase of war service. Command- ing officers of sanitary units and Hospital Corps detachments will be given great latitude in the choice of ways and means for training their personnel and will be held to a corresponding responsibility for results attained. FIELD HOSPITALS AND AMBULANCE COMPANIES. 157. A limited number of field hospitals and ambulance companies are maintained in time of peace to provide trained organizations for duty with the troops when they are on field service and to afford a means for training officers and men of the sanitary service in the work of the sanitary field organizations. So far as practicable men trained in these organizations should constitute that portion of the Hospital Corps personnel at posts which is assigned to units of the divisional sanitary train on mobilization. (See Army Regulations: Hospital Corps.) In the training of these organizations special attention should be given to those elements of field work for instruction in which only limited facilities are afforded at posts, such as the practical use of the articles of field equipment, lines of aid, equitation, care of animals, and the use of the pack saddle. 158. The personnel of these organizations in time of peace com- prise two classes: (1) A permanent cadre, consisting of such number of noncommissioned officers and men as are deemed necessary to maintain continuity of policy and method in instruction; (2) tem- porary personnel attached to these organizations for purposes of instruction. (a) Details of organization of field hospitals and ambulance com- panies are given in Tables of Organization. 159. On field service with a mobilized division, field hospitals and ambulance companies operate under directors, whose relation to them EDUCATION AND TRAINING. 67 is similar to that of a major of the line to his battalion. (See pars. 652 and 692.) In time of peace when two or more of these units take permanent station at the same post under conditions which do not warrant the assignment of a director, the senior officer on duty with the organizations will assume in general the duties of a director of the several units in addition to his duties as company commander. For purposes of post administration, the several units may be treated as a sanitary battalion, a combined morning report being furnished, etc. 160. The senior officer of two or more field hospitals or ambulance companies will conduct the course of instruction as though they were a single organization, and will assign the instructors from the per- manent personnel of the organizations, as he may deem best. In other respects, however, the several organizations will retain their autonomy as separate and distinct administrative and tactical units, each under the command of its own senior medical officer. The discipline and interior economy of these organizations will, so far as practicable, conform to those of a company of infantry. 161. The program of instruction for these organizations, the sequence of the subjects, the manner in which the same shall be taught, the details thereof to be taken up, and the number of hours to be given to each will be prescribed by the War Department. 162. The course for privates first class and privates will comprise, in addition to discipline, the following subjects: (1) Duties of a sol- dier; (2) bearer drill; (3) first aid, including bandaging and the use of Medical Department equipment; (4) personal and camp hygiene, including the sterilization of water and disinfection; (5) anatomy and physiology; (6) care of animals, equitation, packing, and driving; (7) the operation of the sanitary service in the field. 163. Records of class work will be kept for each individual in each subject of the course, preferably upon loose sheets appropriately ruled or in a blank book adapted to the purpose. (a) The relative standings of men pursuing the same courses, as determined by their average monthly standings, will be pubhshed monthly to their respective classes. 164. Privates first class and privates who obtain a final mark of 70 per cent in each subject of the course, will be given certificates of proficiency on Form 60. (a) Any man who, after two months' instruction, shows such mental incapacity and inaptitude as to render his further attendance on this course of instruction useless, will be reported to the Surgeon General for his action. (b) Men who fail to attain proficiency in any subject may, in the discretion of the officer in charge of instruction, be required to go over the subject again. 68 MANUAL FOR THE MEDICAL DEPARTMENT. 165. Enlisted men of the permanent personnel who shall hav« taken the prescribed course and obtained certificates of proficiency will not ordinarily be required to take the course again; but should it subsequently appear probable that any such enlisted man, having a certificate of proficiency, is nevertheless not proficient in one or more of the subjects, he may be required to take the course therein once more. If upon the second course the soldier does not show proficiency, his former certificate will be canceled by writing across its face the words: "Canceled for failure to qualify in------(naming the subject or subjects) on second course,------to------, 19 ." This notation will be signed by the officer in charge of instruction. Failure to qualify on such second course will be reported at once to the Surgeon General with a view to securing the soldier's transfer to post duty, it being the aim of the department to retain in the permanent personnel only such qualified men as will be a constant example of efficiency to the men of the temporary personnel attached for instruction. Should, however, the soldier taking such second course in whole or in part be again found proficient a new certifi- cate of proficiency will not be given him, but a notation of the facts will be made in his descriptive list. A third course will be required in no case. Lack of efficiency in practical work after a second course will indicate the necessity of other measures of discipline. 166. Further regulations for the government of field hospitals and ambulance companies and the training of their personnel will be found in Drill Regulations and Service Manual for Sanitary Troops. HOSPITAL CORPS DETACHMENTS. 167. Every Hospital Corps detachment under the command of a medical officer will undergo the instruction hereinafter prescribed, unless excused therefrom by special direction of the Surgeon General. DISCIPLINE AND DUTIES OF THE SOLDIER. 168. Instruction in discipline—including character, conduct, mili- tary bearing, obedience, and general efficiency—is to be taken up at once when the recruit joins the detachment, and never ceases, being given by commissioned and noncommissioned officers in connection with the soldier's daily round of duties and continued as long as he remains in the service. 169. Instruction in the duties of the soldier will cover the Articles of War, the soldier's handbook, the orders and regulations in regard to saluting, the granting of indulgences, arrest and confinement, the wearing of uniforms, etc. Besides the few hours of formal teaching provided for in the first regular winter course in garrison every oppor- tunity should be taken at all times to impart information in these various subjects. EDUCATION AND TRAINING. ft) BEARER DRH.L AND FIELD WORK. 170. Instruction in drill and fielcl work will be given throughout the year for one hour a week. All members of the detachment will attend it unless excused by the surgeon for some special reason. (a) This instruction includes all the subjects in Part I of the Drill Regulations and Service Manual for Sanitary Troops and all the usual employments of fieldwork, especial^— Uses of the first-aid packet. Uses of other articles of the individual equipment of the Hospital Corps soldier. First-aid treatment of fractures in all regions of the body. The methods of transporting wounded in peace and in war. Organization of the ambulance company. Work of the ambulance company during an action. Establishment of aid and dressing sta- tions. Collection, care, and transportation of the wounded from the firing line to the field hospital, with the tagging of patients and the treating of them as indicated, using first-aid equipment and extemporized materials. Use and care of articles of field hospital equipment. Pitching and striking tentage and packing field equipment. 171. Full advantage should be taken of the summer marching and encampment of troops to impart the above instruction. (a) Occasionally, throughout the year, all available men should be taken out for marches with and without the litter. CARE OF ANIMALS AND EQUITATION. 172. Men of the Hospital Corps will be instructed in the care of animals and in equitation as prescribed in Army Regulations and in General Orders. WINTER COURSES OF INSTRUCTION IN GARRISON. 173. The regular winter courses of instruction in garrison comprise a period of 34 weeks from November 1 to June 30. Acting cooks will be required to attend those in cooking only. All the other men of the detachment will take the prescribed courses, except'' qualified " men, men excused by the Surgeon General from further instruction under the provisions of paragraph 178a, and the absolutely neces- sary attendants in the hospital, such attendants being detailed as far as practicable from the "qualified" men and those excused by the Surgeon General. Night nurses, when on duty all night as such, will be considered "necessary attendants" within the meaning of this paragraph. 70 MANUAL FOR THE MEDICAL DEPARTMENT. 174. The winter courses are as follows: Course No. 1.—For privates first class and privates. Subjects: Duties of the soldier, hours 8; anatomy and physiology, hours 16; first aid, hours 20; nursing, hours 36; total, hours 80. Course No. 2.—For selected privates first class and privates. Sub- jects: Cooking and diet cooking, hours 12; materia medica and phar- macy, hours 24; elementary hygiene, hours 8; clerical work, hours 12; total, hours 56. (a) The following textbooks will be used for study and reference: Mason's Handbook for the Hospital Corps; Drill Regulations and Service Manual for Sanitary Troops; Manual for the Medical Depart- ment; Army Regulations. 175. Practical performance of the work they are being instructed in should be required of soldiers pursuing the winter courses. While theoretical teaching by lectures, demonstrations, and recitations from textbooks has its place, it should be regarded as a secondary one. 176. The sequence of the subjects will be determined by the depart- ment surgeon, who will consider the climatic and other conditions in his department in arranging the year's instruction. 177. Each subject will be finished before taking up another, and upon its conclusion an oral examination therein will be held by the instructor, under the direction of the surgeon. 178. Records of class work in the winter courses will be kept in a blank book adapted to the purpose. Every soldier taking the courses will be marked in each subject thereof daily. (a) Men who obtain a final mark of 70 per cent in any subject will be classed as "qualified" in that subject. Men who fail to obtain 70 per cent will be required to take the course the following year. If they again fail, their names will be reported to the Surgeon General, who may in his discretion excuse them from subsequent courses. (b) Men who obtain a final mark of 70 per cent in each subject of one or more of the winter courses will be given certificates of pro- ficiency therein on Form 60a. 179. Men who have previously qualified will be examined at the beginning of the winter courses to ascertain whether they continue qualified. If a soldier is found still proficient on such examination, that fact will be noted in his descriptive list and he will be excused from instruction in that subject; but a new certificate of proficiency will not be given to him. If, however, he is found deficient in any subject or subjects he will be required to take the ensuing course of garrison instruction therein. 180. The aggregate number of hours of instruction in bearer drill and field work, in care of animals and equitation, and in the regular garrison courses given during the period of a return of the Hospital Corps, Form 47, to each soldier carried thereon, will be noted in the appropriate column opposite his name on the return. EDUCATION AND TRAINING. 71 INSTRUCTION IN THE FIELD. 181. In the field special attention should be given to field work, to include the care of animals, equitation, use of field appliances, camp sanitation, establishment of lines of aid in battle, etc. In the field no limit is to be placed on the amount of time to be devoted to this instruction. ARTICLE m.—SANITATION. 182. Supervision of the sanitation of a post or command is one of the most important duties devolving upon the surgeon. The formal sanitary reports (see par. 414) prescribed by Army Regulations are the appropriate and usual vehicle for the communication of his views and recommendations concerning sanitary questions, particularly those which, require the action of department commanders or higher authority. But he should not content himself with a perfunc- tory rendition of these reports. His watchfulness over sanitary conditions should be unremitting; and should he discover any defects therein which are susceptible of correction by local authority he should at once verbally report them to the commanding officer, recommend- ing such immediate remedial action as may be feasible. (a) The conditions of the service are so various that no uniform rules for sanitary inspections and for bettering the sanitation of posts and commands can be framed. The medical officer must adapt his action on sanitary questions to the. special necessities of each case, which he should invariably study from a practical standpoint. His first and chief efforts should be bent toward the correction of real sanitary faults, that is, faults which actually have produced or are likely proximately to produce disease, rather than toward the correc- tion of theoretical defects which, though objectionable in principle, are nevertheless inert, have caused no sickness, and show no likelihood of causing any. It will be time enough to take up the theoretical defects after the practical faults are cured. This is especially impor- tant in the field, where theoretical perfection is unattainable. So, again, in recommending or directing corrective measures, the medical officer should take into account not only their suitability to the par- ticular end in view, but also the difficulty of procuring them; and when the remedy which is theoretically the best is too difficult to procure he should choose some other one nearer at hand if it will reasonably answer the purpose. INFECTIOUS DISEASES. 183. Medical officers are expected to be familiar with approved methods for preventing the spread of infectious disease and will be held responsible for their proper application at ail times. In the following paragraphs only such measures are considered as have been made the subject of administrative action. 72 SANITATION. 78 TYPHOID FEVER AND PARATYPHOID FEVER. 184. Early detection of all cases of typhoid fever is necessary, especially those of mild or ambulant type, and of all typhoid carriers or excretors. Undetermined fevers should be regarded with suspicion and handled like typhoid until that disease is excluded. Specimens of blood from suspected cases should be sent promptly to the nearest laboratory for diagnosis. 185. No patient convalescent from typhoid should be released from isolation until three successive examinations of his stools and urine, collected at six-day intervals, have shown him to be free from typhoid bacilli. 186. Under existing orders all officers and enlisted men of the Army under 45 years of age, and civilian employees subject to field service, are required to be immunized against typhoid fever. The method of administration of the typhoid vaccine is prescribed in instructions from the Surgeon General's Office. 187. A record will be kept by the surgeon on Form 81, except as otherwise specially authorized, of each man vaccinated, showing the number of doses and the dates upon which they were given. Should the soldier leave the command en route to another command before the third dose of typhoid vaccine is given, a duplicate of the incom- plete vaccination card should be sent by the surgeon direct to the surgeon of the new command for the latter's guidance in completing the procedure. 188. Upon the administration of the third dose to an enlisted man the surgeon will furnish information of the date when the typhoid prophylaxis was completed to the company commander, so that the proper notation may be made upon the descriptive list of the soldier. 189. A report will be furnished in every case of typhoid fever or paratyphoid fever occurring in an officer, enlisted man, or civilian employee who has received the typhoid vaccine, describing in detail the method of arriving at the diagnosis. 190. The practical extinction of typhoid fever in the Army affords an excellent opportunity to study the prevalence and distribution of paratyphoid fever in the United States, as well as to clear up the eti- ology of the fevers of undetermined causation. The Widal reaction being of no value in immunized persons, some other method of diag- nosis is necessary to distinguish between typhoid and paratyphoid and other continued fevers. This is best accomplished by blood cultures, and it is desired that medical officers make use of them when indicated. 191. Bile medium for the purpose of making blood cultures, and containers for forwarding feces, urine, and blood for diagnostic pur- poses may be obtained by direct application to the nearest depart- 74 MANUAL FOR THE MEDICAL DEPARTMENT. ment laboratory, as indicated in paragraph 354. Two bottles of this medium will be kept on hand in each hospital. Note.—See alao paragraph 88, and Appendix: Typhoid Prophylaxis and Para- typhoid Fever. SMALLPOX. 192. Vaccination being recognized as an effective means of prevent- ing smallpox, War Department orders require that all recruits upon enlistment and all soldiers upon reenlistment shall be vaccinated. When the first vaccination of a recruit is noneffective, it will be re- peated at the end of eight days. (a) All the personnel of a military command, station, or transport, including civihans connected therewith, will be vaccinated when, in the opinion of the surgeon responsible for proper sanitation, it is necessary as a means of protection against smallpox. Civihans refusing to be vaccinated when so directed by proper authority may be excluded from the military reservation or station. (b) Officers should be vaccinated at least once in a period of seven years. Troops under orders to perform over-sea journeys or field service will be inspected by a medical officer with respect to cheir protection against smallpox, and those who in the opinion of the medical officer require it will be vaccinated. 193, A record will be kept by the surgeon on Form 81, except as otherwise specially authorized, of each man vaccinated, showing the date of vaccination and the result. Should the soldier leave the com- mand en route to another command before the result of the vaccina- tion is ascertained a duplicate of the incomplete vaccination card should be sent by the surgeon direct to the surgeon of the new com- mand for the latter's information and guidance. (a) The surgeon will notify the company commander of the date of vaccination and the result, so that the proper notation may be made upon the descriptive list of the soldier. 194. The method of performing vaccination will be in accordance with instructions issued by the War Department. Note.—See also Appendix: Vaccination. MALARIAL FEVER. 195. To secure continuous observation and proper treatment of every soldier and general prisoner suffering from malarial infection a register of each case will be kept on Form 56, and the individual will be required to report from time to time for such examination or treatment as may be necessary. 196. The register will be begun at the first station where the diagnosis is made and will be continued until the patient permanently leaves the service. SANITATION. 75 197. When the patient is transferred from one station or command to another the register will be sent to the surgeon of the new station or command. On the arrival of the register the surgeon should request that the patient be ordered to report to the hospital for examination. If the facts learned from the record or obtained from the patient show that any symptoms of malaria have been present during the preceding six months, an examination of the blood should be made to determine whether further treatment is necessary. (a) On termination of service or confinement, without reenlistment, the register will be forwarded to the Surgeon General. VENEREAL DISEASES. 198. The following quotations are from existing orders concerning venereal diseases (see Appendix: Venereal Diseases): (a) Commanding officers will require that men who expose themselves to the danger of contracting venereal diseases shall at once upon their return to camp or garrison report to the hospital or dispensary for the application of such cleansing and prophy- laxis as may be prescribed by the Surgeon General. Any soldier who fails to comply with such instructions shall be brought to trial by court-martial for neglect of duty. (b) Commanding officers will require a medical officer, accompanied by the com- pany or detachment commander, to make a through physical inspection twice in each month of all the enlisted men (except married men of good character) of each organization belonging to or attached to the command. These inspections will be made at times not known beforehand to the men and preferably immediately after a formation. The dates on which the physical inspections of the various organizations are made will be noted on the monthly sanitary reports. (c) At these inspections a careful examination of the feet and footwear and of the condition of personal cleanliness of the men will be made, as well as careful observation for the detection of venereal diseases. (d) Cases of the latter will be promptly subjected to treatment, but not necessarily excused from duty unless, in the opinion of the surgeon, deemed desirable. They will be made of record in the medical reports in any case. A list of those diseased but doing duty will be kept both by the company or detachment commander and the surgeon, and the infected men will be required to report to a medical officer for sys- tematic treatment until cured. While in the infectious stages the men should be confined strictly to the limits of the post. When a venereal case, whether or not on sick report, is transferred to another command, the surgeon will send a transfer slip, giving a brief history of the case. 199. A record will be made on Form 77 in the case of every soldier reporting for treatment under the provisions of section (a) of the pre- ceding paragraph. This record will afterwards be authenticated by the initials of a medical officer. It will be considered confidential and will not be preserved longer than three months. 200. Syphilis.—To secure continuous observation and proper treatment of every soldier and of every general prisoner suffering from this disease, a register of his case will be prepared on Form 78, and he will be examined from time to time until cured or discharged. 76 MANUAL FOR THE MEDICAL DEPARTMENT. (a) When a soldier having this disease, whether currently on the register of patients, Form 52, or not, is transferred with his command or otherwise to a new station, for duty or treatment, his original syphihtic register will be sent to the surgeon of the soldier's new station or command. (See also par. 198d). The original syphilitic register so transferred will be continued at the new station con- formably to the instructions printed on the form. REPORTS OF EPIDEMIC DISEASES. 201. On the appearance of the first recognized case of typhoid fever, paratyphoid fever, smallpox, measles, diphtheria, cerebro-spinal meningitis, or other epidemic disease at or near a military post or station, the senior medical officer will at once report the same, and the nature and extent of the epidemic, so far as it has developed, to the commanding officer, sending at the same time a duplicate report direct to the department surgeon and a triplicate direct to the Surgeon General. Should the outbreak occur in a command en route to a new station, whether by marching, by rail, or by water, the medical officer will make a similar report in triplicate, and will in addition send a quadruplicate direct to the surgeon of the new station. 202. The continuance of the epidemic, its progress and decline, its origin or importation, the measures taken for its suppression, the number of cases, the number of deaths and recoveries, and such other information in relation thereto as may be important or interesting will be noted from month to month in the sanitary reports, Form 50. 203. The senior medical officer of a military post will promptly notify the local board of health, if there is one, of all cases of infectious disease occurring at the post of which such board would take cogni- zance were the same to occur in the community subject to its super- vision. ARTICLE IT.—HOSPITALS AND MEDICAL ATTEND- ANCE. 204. Except under field conditions, or in the occupation of terri- tory outside of the continental limits of the United States, but three classes of Army hospitals are maintained, viz, post hospitals, depart- ment hospitals, and general hospitals. The several kinds of hospitals authorized for troops in the field are enumerated and discussed in Part II of this Manual. SERVICE OF HOSPITALS, GENERAL. (See Army Regulations.) 205. Under this caption only such regulations are given as have general application to all hospitals of the peace establishment, while those having special application to post, department, and general hospitals, respectively, appear under succeeding headings. SICK CALL. 206. Sick call is not a suitable time for the careful examination and treatment of the sick. Its purpose is to determine as expeditiously as possible the number of men unfit for duty, so that the morning report of sick may be promptly sent to the commanding officer. 207. When an officer or enlisted man is excused from duty on account of disease resulting from the intemperate use of drugs or alcoholic liquors, or because of incapacity resulting from venereal disease not contracted in the line of duty, that fact will be indicated by the medical officer marking the daily sick report (Form 339, A. G. O.), "No; G. O. 31,1912," in the column headed "In line of duty."' The misconduct herein is such as arises during the soldier's service and does not include misconduct occurring prior to entry into the service or prior to the passage of the act of August 24, 1912. (See Appendix: Venereal Diseases.) 208. The surgeon will make such memoranda at sick call as he may deem necessary for his further action in preparing his morning report of sick. (a) Register cards will also be started at once for all cases to go on the register under paragraph 428. 71 78 MANUAL FOR THE MEDICAL DEPARTMENT. ADMISSION AND DISTRIBUTION OF PATIENTS. 209. Upon his admission to hospital a patient will first be taken to the receiving ward, if there is one, or to the office, where his regist er card will be filled in so far as the data are available at the time, the treatment ward to which he is assigned being noted on the back thereof. There will also be entered on a clinical record brief (Form 55a) the patient's name, rank, organization, etc., the diagnosis on the transfer card, if one has been received, and the designation of the ward to which he is assigned. This form will accompany the patient to the ward and will be the wardmaster's authority for his admission thereto. The diagnosis of the case will be furnished to the office by the ward surgeon with the next morning report of the ward (par. 211). 210. Patients will not be transferred from one ward to another without the authority of the commanding officer of the hospital. The transfer of a case from one ward to another will be reported to the office with the next ward morning report of the ward from which the case is transferred. All that is necessary is to report the patient's name, rank, company, and regiment or corps, and state the fact that he has gone from one ward to the other, designating them. No special form is provided. A memorandum will suffice, or a register card, Form 52, may be used. Upon the receipt at the office of the notice of transfer a memorandum thereof will be made on the back of the register card, which will thus always show what ward the patient is in. 211. To facilitate and assure the prompt and proper distribution of patients, each ward surgeon will every morning, immediately after his morning round of the ward, forward to the office a morning report of the ward on Form 72, which will be accompanied by diagnosis slips for new admissions, by all change of diagnosis cards, by the clinical records of all cases completed in the ward or which depart from the ward otherwise than by transfer to another ward, and by the notices of cases transferred to other wards since the preceding report. The ward morning reports, being of no permanent value, may be destroyed after they have served their purpose. CHANGE OF DIAGNOSIS CARDS. 212. When the diagnosis of a case under treatment in ward is changed, or complications or sequelae develop, report thereof should be made to the office upon a register card, marking it in red ink "Change of diagnosis," and forwarding it with the next ward morning report. (a) When the diagnosis of a case under treatment in quarters is changed, or complications or sequelae develop, a report thereof upon a card similarly marked should be forwarded to the office by the attending surgeon within 24 hours. HOSPITALS AND MEDICAL ATTENDANCE. 79 213. The change of diagnosis card should be signed or initialed by the ward surgeon or the attending surgeon and be filed with the register card of the case to which it relates as the voucher for the correction of the register card conformably to paragraph 436. TRANSFER OF PATIENTS. 214. Patients may be transferred, under proper military authority, from one hospital or medical control to another, for observation or to obtain better treatment or hospital accommodations. 215. In every case of transfer the surgeon of the hospital or command from which the patient goes will make out a transfer card on Form 52; it should he headed "Transfer card," be a duplicate of the patient's register card, including the information thereon in space 18 (except that it should also contain such details of the case as will probably be of value to the receiving officer), and be signed by the transferring officer. The transfer card of a patient sent to a general hospital for observation and treatment should, in time of peace, and when prac- ticable in time of war, be accompanied by a copy of the clinical record of his case. (a) When more space is required to perfect entries on the transfer card, an extension slip should be used in the manner pointed out in paragraph 434a. 216. The transfer card will in ordinary transfers be sent to the surgeon of the receiving hospital or command; but in transfers to the Government Hospital for the Insane it will be sent to the Surgeon General, with a copy attached of the medical certificate required by the Department of the Interior. (See Army Regulations: Govern- ment Hospital for the Insane.) (a) If the patient is to be unattended en route, the transfer card may be transmitted in his care, or by mail, at the discretion of the transferring officer. If the patient is to be under the charge en route of an officer or soldier, the card will be transmitted through the officer or soldier so in charge. (b) When many patients are transferred at one time under the charge of an officer or soldier en route, the transfer cards will be verified personally by such officer or soldier, or when the number transferred is too great for personal verification, by his subordinates or assistants. (See also pars. 583 and 584.) 217. The surgeon of the receiving hospital or command will note on the back of the transfer card the fact and date of the arrival of the patient at his station and forward the card with his next report of sick and wounded. The surgeon of the receiving hospital or com- mand will make a register card, Form 52, of the case (see par. 428), noting thereon such of the information conveyed by the transfer card as is pertinent. 80 MANUAL FOR THE MEDICAL DEPARTMENT. (a) Should the patient named on a transfer card transmitted by mail not arrive at the receiving hospital within a reasonable time, the surgeon thereof will note on the back of the card the fact that the patient did not arrive, and forward the card with his next report of sick and wounded. DEATHS. 218. Whenever the death of an officer, enlisted man, or civilian employee occurs at a military post or station, or with a command in the field, the senior medical officer present will immediately report in writing to the commanding officer of such military post or station or command in the field the name of the deceased, with rank and organi- zation if he was an officer or enlisted man, or the department and capacity in which he was employed if he was a civilian employee,*the date, time, place, and cause of death, and the present location of the body. 219. The death of a medical officer, dental surgeon, acting dental surgeon, contract surgeon, or sergeant first class, Hospital Corps, will be immediately reported by the attending surgeon or nearest medical officer direct to the department surgeon. A duplicate of the report will be sent direct to the Surgeon General. Note.—Other reports and procedures regarding deceased officere and deceased sol- diers are prescribed in Army Regulations. REFUSAL OF SURGICAL TREATMENT. 220. An enlisted man who refuses to submit to a surgical operation that the attending surgeon certifies is without appreciable risk to the life of the soldier and is necessary for the removal of a disability that prevents the full performance of any and all military duties that properly can be required of the soldier will, for such refusal, be brought to trial by general court-martial under charges preferred under the sixty-second article of war; but if in any such case the attending sur- geon is in doubt as to whether the proposed operation involves appre- ciable risk to life the soldier will not be brought to trial, but will be discharged on certificate of disabihty. (a) When an enlisted man is to be brought to trial for the offense named in this paragraph the surgeon will furnish the required cer- tificate. EFFECTS OF PATIENTS. 221. The eommanding officer of the hospital is responsible that due care is observed in safeguarding the money, valuables, clothing, and other effects of patients admitted to hospital. Money or other valuables will be receipted for by the commanding officer or by an officer designated by him, and, when practicable, deposited iii the hospital safe or in a bank. Enlisted men are forbidden to retain money or other valuables received from patients for safe-keeping. HOSPITALS AND MEDICAL ATTENDANCE. 81 (a) In the presence of the patient, or of another enlisted man in case the patient is unconscious or insane, his clothing and other effects will be tagged (Form 76) for identification and listed in dupli- cate on the patient's property card (Form 75). This list with the effects will then be sent to the individual in charge of the storeroom for patients' effects. He will retain the original list and turn the duplicate in to the record office, or give it to the patient as the regu- lations of the hospital may provide. In the smaller hospitals the duty of caring for patients' effects as outlined above will devolve upon the wardmaster; in general or other large hospitals it will be performed as directed in paragraph 303. 222. The soiled clothing of patients will be washed, before it is put away, as a part of the hospital laundry (par. 267). When there is reason to suspect that the clothing is infected such measures of disinfection as may be necessary to protect the command will be taken and accounts for the expenses incident thereto will be for- warded on Form 330, W. D., for settlement, with an explanation of the circumstances. 223. When the patient goes to duty, is furloughed, or is discharged from the service the surgeon will restore his effects and take his receipt. 224. When the patient is transferred from a hospital his effects will, if he is able to take care of them, be restored to him. When he is unable to take care of them, they will be intrusted to the rank- ing officer or soldier in whose charge the patient is put. A list of the effects will be furnished to such ranking officer or soldier, who will give his receipt therefor to the transferring officer. On arrival at destination said custodian of the effects in transit will turn them over, with the list, to the commanding officer of the receiving hospital, and take his receipt therefor. 225. In the event of the death or desertion of enlisted or commis- sioned patients or of military prisoners in hospital, their effects will be disposed of in accordance with the provisions of Army Regulations. 226. The effects of deceased civilian patients, if claimed within a reasonable time, will be dehvered to their legal representatives. If not claimed within a reasonable time, they will be sold by the hospital council and the proceeds taken up and accounted for with the hos- pital fund. Should claim thereafter be made within, three years for the proceeds, the same may on the authority of the Surgeon General be paid over to the legal representatives of the deceased. A similar procedure will be followed in the case of effects abandoned by civilian patients upon their departure from the hospital. Watches, trinkets, personal papers, and keepsakes of civilians will not be disposed of as long as there is a fair prospect of finding their rightful owners. 93440°—17---6 82 MANUAL FOR THE MEDICAL DEPARTMENT. PUBLIC PROPERTY IN THE POSSESSION OF PATIENTS. 227. Public property brought into the hospital by the patient will also be listed in duphcate on his property card, Form 75. If his disability is so slight as to require treatment for a few days only, the property will be kept intact, tagged, and restored to him upon his return to duty, taking his receipt therefor; otherwise, it will, if practicable, be turned over at once to his commanding officer, whose receipt should be obtained. If such transfer is not practicable, the following action will be had: (1) The medical officer will take up on his return the medical property in the soldier's possession and forward his receipt therefor to the accountable officer; (2) if the medical officer is accountable for quartermaster or ordnance prop- erty, he will take up on his quartermaster or ordnance papers all property belonging to those departments brought in by the patient; otherwise he will transfer such property to the nearest representa- tives of those departments, whose receipts therefor should be obtained; (3) the patient's commanding officer will be immediately notified be mail of the action taken under (1) and (2). (See also pars. 640 and 649.) 228. Hospital clothing will be worn by patients only during their stay in hospital. Each article will be marked as hospital property. When very sick soldiers are transferred from one hospital to another the hospital clothing necessary for their comfort may be sent with them, properly invoiced, and accompanied by a check list, giving the names of the men in whose possession it is. Under the provisions of this paragraph, crutches and similar articles may, if necessary, be similarly transferred with the patient from one post or hospital to another. (See pars. 496 et seq.) 229. Upon the discharge from service of men permanently disa- bled, they may retain the surgical appliances then in their use which are necessary for their comfort and safety, and the accountable officer will drop the same from his next return of medical property, submit- ting a certificate explaining the circumstances as a voucher for so doing. DESTRUCTION OF INFECTED PROPERTY. 230. Infected clothing and other articles which can be immersed in boiling water, or otherwise disinfected, without material injury, should be disinfected and not burned. Articles destroyed to prevent contagion must be accounted for by the affidavit of the officer respon- sible, setting forth fully the circumstances necessitating such destruc- tion. (See par. 502.) HOSPITALS AND MEDICAL ATTENDANCE. 83 MESS MANAGEMENT. 231. The food supplies for the hospital personnel and patients consist of rations issued by the Quartermaster Corps, of articles pur- chased with or derived from the hospital fund (see pars. 248 to 262), and of products of the hospital garden. 232. When, under the conditions usually prevailing at any post, camp, or station, or with any command, the commutation of the rations of the sick in hospital and the members of the Nurse Corps on duty therein would not be sufficient for the purchase of suitable food, the surgeon should make application through military channels to The Adjutant General of the Army for the issue of rations in kind. 233. The provisions of Army Regulations relating to company messes will be applied as far as they are adaptable to hospital messes. 234. The commanding officer of the hospital will maintain con- stant watchfulness over the messes. He should regard himself as trustee for the men and nurses to whom, coUectively, the rations and hospital fund belong, and should exercise every precaution to prevent peculation and abuses at their cost. On account of the large cash transactions incident to the conduct of hospital messes, and the opportunities afforded by them for irregular and dishonest practices, he should take the most painstaking care when detailing enhsted men to mess management to choose only those of known probity and good habits. For the same reason he should see that the creditors with whom the mess deals are of good repute and as-few as possible, and require their bills to be settled promptly at the end of every month. In large hospitals he may put the messes under the supervision of a junior officer; but even in that case he should by frequent inspections see that waste or wrongful diversion of supplies or funds is not permitted, and that the messes are so managed that neither patients nor personnel shall have just grounds of com- plaint of the character or quantity of then food. 235. Each ward surgeon will, every morning, immediately after the first round of his ward, fill out a diet card, Form 73, covering the diet requirements of his patients for the ensuing 24 hours. Bills of fare for regular, light, and liquid diets should be made out and posted in the wards and kitchens. Additional articles not included in these diets are to be ordered for special cases only. (a) The diet cards from the wards will be sent promptly to the hospital office, where the necessary card or cards will be made out covering the meals of the hospital personnel. All the cards will thereupon be turned over to the noncommissioned officer in charge of the mess in season for his action toward the preparation of the days 84 MANUAL FOR THE MEDICAL DEPARTMENT. diimer. Additional cards for newly admitted patients or newly arrived personnel will be made out promptly when necessary and sent to the noncommissioned officer in charge of the mess without delay. The diet cards may be destroyed after they have served their pur- pose; usually they will have no value beyond the day of their date and the following day. 236. Each hospital mess will be placed under the immediate charge of a competent noncommissioned officer. (a) It will be his duty to receive and care for all articles of food for the mess, and he will be held responsible for their proper dis- position. He should be provided with suitable apparatus for pre- serving perishable foods and a suitable storeroom for the balance, and should secure them by proper locks. He will issue daily from the stores to the kitchen the articles required by the diet cards and will see that the food is cooked as indicated thereon. He will keep such record of his receipts and issues as the surgeon may prescribe according to the needs of the particular hospital, no special form there- for being provided. He will be responsible for the condition and cleanli- ness of the kitchen and cooking utensils, and the kitchen force will respect his orders accordingly. He will be responsible also for the cleanliness and discipline of the messroom, the service of the meals therein, and the distribution of food to wardmasters for patients unable to leave the wards; and for the cleanliness of the napery and table utensils used in serving the food. He will see that table clothing and utensils used for patients suffering from infectious disease are properly disinfected before being returned to the storerooms for further use. He will be provided with a sufficient number of assistants to assure the prompt and efficient performance of these duties. 237. A mess account on Form 74 will be kept by the noncommis- sioned officer in charge. It should be filed at the end of every month with the retained hospital fund papers for that month. Inordinate gains in the plus column would indicate undue economy in the diet, while, on the other hand, continual losses in the minus column would signify mismanagement of the hospital fund or improper care of the food supplies. The commanding officer of the hospital should inspect this record at frequent intervals, with a view to keeping constantly informed in this respect. (a) When there is more than one mess, a consolidated mess account on the same form for the entire hospital should be kept in the office, the noncommissioned officers in charge of the several messes being required to report daily the data therefor. 238. For methods of preparing food for both sick and well, reference should be had to the authorized Handbook for the Hospital Corps and the Manual for Army Cooks. HOSPITALS AND MEDICAL ATTENDANCE. 85 239. When the number of sick requiring special diet is large, the commanding officer of the hospital may establish one or more diet kitchens for the preparation of their food, under the immediate direction of such skilled dietists as are available. Competent dietists belonging to the Nurse Corps may be assigned to this duty. Rules for the management of diet kitchens will be prescribed by the com- manding officer of the hospital according to the particular needs of each case. DISPENSARY MANAGEMENT. 240. All prescriptions will be written in the metric system. They will be placed on file in three separate files, as follows: (1) Pre- scriptions for alcohol or alcoholic liquors and for medicines con- taining opium or any of the salts, derivatives, or preparations of opium or coca leaves. (2) Prescriptions for civilians which do not include articles of the preceding class. (3) All other prescriptions. Prescription files will be subject to inspection by inspectors and post commanders at all times. (a) In connection with file (1) a record will be kept of the dis- pensary receipts and expenditures of each article specified therein. Unless otherwise authorized by the Surgeon General, this record will be made on blanks of Form 17a, adapted as may be necessary to the purpose. A separate slip will be kept for each form in which the liquor or drug is supplied, as "Morphinae sulphas, powder" or "Morphinae sulphas, 10-mgm. hypo, tablets." The date of receipt thereof from the storeroom will be noted in the left-hand column and the amount, in the proper metric unit, in the debit column. The expenditures will be noted by entering the prescription number in the left-hand column and the amount expended in compounding the prescription in the credit column. At least once a month the slips will be balanced and the quantities remaining on hand will be verified by a medical officer and the facts noted over his signature. 241. Active poisons, alcohol, alcoholic liquors, and all habit- forming drugs will be kept under lock and key in a separate closet. 242. Civilian employees of the Army stationed at military posts may purchase medical supplies when prescribed by a medical officer. (a) Medicine charges for employees not in hospital will be as follows: In ordinary cases, 25 cents for each prescription; in the case of rare and expensive medicines, dressings, appliances, etc., at such increased rate, to be determined by the surgeon, as will reimburse the United States their cost. . (b) Medicine charges for civilian employees in hospital are fixed at 25 cents a day in Army Regulations." 243. The responsible officer will at the end of each month, without delay, deposit the net amount collected during the month with the 86 MANUAL FOR THE MEDICAL DEPARTMENT. nearest United States depositary, to the credit of the Treasurer of the United States under the special fund "Replacing medical sup- pUes" for the proper two-year period or periods. (See par. 510.) The net amount collected is the gross amount collected, less the expenses of deposit, if any, such as the cost of a money order to make remittance to a depositary at a distance. Immediately upon making a deposit or a remittance to a depositary the responsible officer will notify the Surgeon General by letter direct that he has done so, stating expressly the source from which the moneys arose, to wit, "Proceeds of sales of medicines to civilians," and specifying not only the period during which the proceeds were collected, but also the inclusive dates during which the sales were made, i. e., during which the medicines were furnished. If the collections during any month cover medicines furnished during parts of two fiscal years (as, for example, collections during July for medicines furnished during June and July), the notification will show clearly how much of the amount deposited was for medicines furnished in each of the two years. (a) The proceeds of the sales will be accounted for in the manner required by paragraph 509a of this Manual. 244. At isolated posts where issues to civilians become necessary to save life or prevent extreme suffering, medical officers will make such issues, and at the end of each month will report the circum- stances to the Surgeon General, or in the Philippine Department to the department surgeon. Unless the patient is destitute, charges will be made and the proceeds disposed of and accounted for as in the case of employees. HOSPITAL BUILDINGS. 245. When an aUotment of funds for the repair of a hospital or quarters of a sergeant first class has been made, the surgeon will be notified of the action by letter from the Surgeon General, through the department surgeon, the receipt of which will be acknowledged by return mail. Estimates and other papers referring to a hospital must be prepared separately from those for quarters of a sergeant first class. On the last day of each month, until the work is completed and so reported, the surgeon will advise the Surgeon General, through the department surgeon, of the progress effected, or, if none, the cause of the delay so far as he can ascertain it. 246. The painting of new hospital floors is prohibited. They may be finished in oil and paraffin, or oil, wax, turpentine, etc., to which coloring matter may be added if deemed necessary. Floors of veran- das and porches should be protected by paint. HOSPITALS AND MEDICAL ATTENDANCE. 87 HOSPITAL SAFE. 247. Knowledge of the combination of the lock of the hospital safe will be guarded with the utmost care. Any change in the combi- nation will be immediately reported by confidential letter direct to the Surgeon General, or in the Philippine Department direct to the department surgeon, identifying the safe by its make and number. HOSPITAL FUND. 248. The hospital fund is derived— (1) From commutation of rations of patients and members of the Nurse Corps. (2) From savings on rations of the Hospital Corps. (3) From dividends from post exchange. (4) From dividends from post garden. (5) From money received for the subsistence of officers and civil- ians treated in hospital. (6) From sales of property purchased with hospital fund (par. 259), or products pertaining to the hospital fund (vegetables from hospital garden, etc.). 249. In addition to the post exchange dividends due the hospital detachment, the exchange council, with the approval of the command- ing officer, shall determine the amount, if any, to be turned over to the surgeon for the sick in hospital. (See Appendix: Post Exchange Regulations.) 250. Seamen in the Army Transport Service who have signed ship- ping articles entitling them to medical treatment at the cost of the United States, and have been placed in hospital by proper authority, are entitled to subsistence, medicines, and medical attendance while in hospital. The cost of subsistence will be reimbursed to the hos- pital fund out of the medical and hospital appropriation. (a) Vouchers adapted to the facts in each case and stated in favor of the hospital fund as follows, on Form 330, W. D., will be forwarded from time to time for the action of the department surgeon: For subsistence of John Doe, a civilian employee of the U. S. A. T. Sherman, while under treatment in------Hospital,------, January 1 to 11, 1913, on the footing of an enlisted man, 11 days, at 40 cents a day. Above-named man had signed the usual shipping articles for a voyage, entitling him to medical care when sick, and his term of service had not expired prior to the last date for which subsistence is charged in this account. Payment by authority of Secretary of War, June 1, 1912 (1906208, A. G. 0.-141964, S. G. O.). (b) The certificate to the correctness of the bill will be signed in the name of the hospital fund (designating the hospital to which it per- 88 MANUAL FOR THE MEDICAL DEPARTMENT. tains) by the custodian thereof, who will sign his own name, with rank and designation as custodian. The certificate that the articles have been received, etc., will be signed by the transport quartermaster, and the statement will be added that the "above-named patient was sent to the------Hos- pital by proper authority." 251. The hospital fund is regarded as a company fund, and is applicable generally to similar purposes, in the interest of enlisted men of the Hospital Corps, and of the sick under treatment and mem- 'bers of the Nurse Corps on duty in military hospitals. 252. The officer commanding the hospital will ordinarily be the custodian of the hospital fund; but when specially authorized by the Surgeon General he may turn it over to a commissioned assistant. 253. The custodian will be held to a personal accountability for the loss of any portion of the hospital fund not deposited and locked in the hospital safe or deposited in a bank. 254. The officer commanding the hospital will see that due economy in expending the fund is observed, and that expenditures are not made for improper purposes. Receipts will be taken for all payments. 255. Gratuities to hospital cooks and assistant cooks may be au- thorized by department surgeons or the Surgeon General when the amount of the hospital fund on hand justifies such expenditure. (a) A gratuity of not exceeding $10 a month may be paid from the hospital fund to the hospital gardener, when authorized by the depart- ment surgeon or the Surgeon General. (b) Vouchers for gratuities will cite upon their face the date and source of the authority for paying them. 256. The purchase from the hospital fund of alcoholic liquors, except for the use of the sick in hospital, is prohibited. 257. When any part of a detachment of the Hospital Corps leaves its post in command of a medical officer for service in the field the surgeon of the post may turn over to such officer an equitable pro- portion of the hospital fund on hand for the use of the detachment taking the field. (a) Necessary transfers of the hospital fund from one post to another in the department may be authorized by the department surgeon, but transfers of funds from one department to another, except as provided in the first part of this paragraph, will be made by order of the Surgeon General only. 258. The hospital fund will be audited by the hospital council at the end of every month and when the custodian is relieved from its custody. (a) The proceedings of the council required by Army Regulations will be recorded on the retained statement of the hospital fund. (See Appendix: Hospital Fund.) HOSPITALS AND MEDICAL ATTENDANCE. 89 259. Articles of durable property purchased with the hospital fund will be kept for the benefit of the sick, the enlisted men of the Hospital Corps, and the members of the Nurse Corps by the officer charged with the custody of the fund. When the same become worn out or unfit for use they may be dropped, destroyed, or sold by authority of the department surgeon or of the Surgeon General. Applications for authority to drop, destroy, or sell durable articles should recite their exact condition and the length of time they have been in use. The proceeds of sales of such property revert to the hospital fund. 260. Within five days after its audit the custodian will forward a statement of the fund and return of durable property on Form 49 to the department surgeon, or in the case of a post or command under the immediate supervision of the War Department to the Sur- geon General, accompanied by the prescribed vouchers. (a) The department surgeon will take such action on the state- ment and return as he may deem appropriate, and will in due season .forward it with his approval or comment to the Surgeon General. If the department surgeon approves it, he will return the vouchers to the hospital for file. If he does not approve, he will forward all the papers to the Surgeon General. 261. Invoices and receipts for hospital fund or hospital fund property transferred will not be required; but upon the complete transfer of fund and property from one custodian to another the new custodian will acknowledge the receipt thereof by entry over his signature across the face of the former custodian's final statement and return. 262. A duplicate of each statement and return will be filed with the retained records of the hospital. ICE FOR HOSPITALS. 263. The chief use of ice in hospitals is as an article of food or fpr the preservation of food. For such use it should be obtained from the Quartermaster Corps, from the ice plant, if one is available, as provided in existing orders (see Appendix: Ice), or as an issue under Army Regulations, when authorized; or by purchase from the hos- pital fund. 264. Ice required for medical administration proper, such as for ice baths of the sick, for medical photographic work, etc., should be procured from the Quartermaster Corps ice machine, if one is avail- able or be obtained by purchase at the cost of the medical and hos- pital appropriation. Routine purchases of ice for medical purposes will not be made without the previous -authority of the Surgeon General, or, in the Philippine Department, of the department sur- 90 MANUAL FOR THE MEDICAL DEPARTMENT. geon. Accounts for emergency purchases will invariably be accom- panied by a separate statement of their necessity. Accounts for ice for medical work will be stated on Form 330 or Form 330a, W. D., will show in the officer's certificate (taking care not to encroach upon the approval space to the right of the $ sign) or on the blank fold on the back of the form, specifically what the ice was for—as, e. g., for use in the treatment of sick in hospital, for use in develop- ing photographic negatives for identification work, etc.—and will be forwarded, with one invoice of articles purchased, Form 12, to the department surgeon, or if from a command under the immediate supervision of the War Department, to the Surgeon General, unless otherwise directed by him. HOSPITAL MATRONS. 265. Authority for the employment of hospital matrons is given by section 1239, Revised Statutes. Their compensation of $10 a month and a ration in kind or by commutation is established by sections 1277. and 1295. 266. It is the duty of the hospital matron to mend and keep in repair the table, hand, and operating linen, the bedding and the hospital clothing belonging to the Medical Department, including the linen of the dentist's office, and to do the hospital laundry, or so much thereof as possible up to a minimum of 500 pieces a month, from time to time, as the same may be required by the surgeon. (a) In the case of matrons on duty at the larger posts and at general hospitals the Surgeon General may modify or waive so much of this provision as requires the laundering of a minimum of 500 pieces of hospital linen a month in addition to all the mending. 267. The hospital laundry comprises: First, the linen, clothing, and bedding belonging to the Medical Department, as above enu- merated; second, the washable clothing of patients admitted to hos- pital, which requires cleansing before it can be put away (par. 222); third, the white coats and trousers of the enlisted attendants (par. 47a); fourth, the uniforms (par. 93) of the Nurse Corps soiled while on pubhc duty. (a) Soiled blankets, spreads, and other heavy pieces should not be allowed to accumulate, but should be washed a few at a time as they become soiled, so as to equalize the matron's work. 268. The compensation of the matron being fixed by law, no extra compensation for performing any of the duties incident to her em- ployment can be allowed, nor can other persons be employed at the expense of the United States to do her work or any part of it. (a) Matrons are forbidden to farm out their work to other persons. (b) Matrons are not entitled to leaves of absence or to pay and rations while absent or while unable to perform their duty. HOSPITALS AND MEDICAL ATTENDANCE. 91 (c) Matrons who are unable or unwilling to meet these requirements should be discharged. 269. When the number of pieces to be laundered is more than the matron can do (having in mind the minimum of 500 pieces a month above required) the excess may be put out under the provisions of paragraphs 270 to 278. When it would be an economy and advantage to put the entire laundry out instead of the excess only, the facts should be reported to the department surgeon for his information with a view to obtaining the necessary instructions and authority for further action. For the purpose of this report the matron's total compensa- tion, mcluding pay and. allowances, is regarded as equivalent to $18 a month, of which $3 may be taken as for the mending, and the balance, $15, for the laundering. LAUNDRY WORK NOT DONE BY MATRONS. 270. The excess laundry at hospitals where there are matrons and the entire laundry at other hospitals (except those with laundry plants or otherwise provided for under special instructions from the Surgeon General) may be put out to private laundries. When com- petition is not had the responsible officer will ascertain the lowest prices current in the vicinity for good hand or machine work and govern his action accordingly. 271. Individual laundrymen and laundresses may be employed under this authority without advertising for proposals, provided they do the work in person, the same being regarded as personal services within the meaning of section 3709, Revised Statutes. The vouchers will bear a notation showing that the work was done by the creditor in person. 272. Laundry work by steam laundries, or corporations, firms, or individuals who do a general laundry business, the actual work being done by employees of such laundries, corporations, etc., may be engaged in open market as follows: First. When proposals have been invited and none have been received, or when the proposals are above the market rate, or are otherwise unreasonable. Second. When it is impracticable to secure competition, as, for example, when there is but one laundry within accessible distance of the post or station. Third. When there is a pubhc exigency which requires the imme- diate performance of the work. An emergency can not rightfully be held to continue for a longer period than may be necessary to enter into a contract for the continuing service required. Work hired, how- ever, between the time of inviting proposals and the final approval of a contract thereunder may properly be regarded as an emergency procurement. The emergency having been met, steps should be 92 MANUAL FOR THE MEDICAL DEPARTMENT. taken to obtain proposals and let contracts for future service in com- pliance with the general rule below (par. 273). Fourth. When the monthly laundry is so small, amounting to but a few dollars, that no competitive bids could reasonably be expected. 273. When, however, the number of pieces to be put out is large and reasonably constant, the work should be advertised, taking all proper steps to obtain competition thereon, and contract should be awarded for the same to the lowest responsible bidder. Blanks for the purpose will be furnished by the Surgeon General on application. The regulations respecting the time and mode of advertising, the opening and abstracting of bids, and the forwarding of papers will be observed as in the purchase of supplies. Bids will ordinarily be invited by the dozen or the hundred without regard to the different classes of goods to be laundered. If bidders will not submit bids in this form, separate bids on each kind of article may be invited, and awards made under special instructions from the Surgeon General, or in the Philippine Department from the department surgeon. (a) When a more satisfactory monthly arrangement may be effected without advertising, and the amount involved does not exceed $500 for any one month, the requirements of this paragraph may be waived by the Surgeon General, or in the Philippine Depart- ment by the department surgeon. 274. Contracts entered into on awards in these cases will as a rule be made for a fixed period of time, as, e. g., for the six months ending December 31, or the six months ending June 30, of any fiscal year. If deemed advisable, contracts for a less or a greater period may be entered into, but in no case should a single contract cover service in different fiscal years. The contracts will be executed in triplicate. Contracts at posts within a department will be made subject to the approval of the department surgeon. They will be promptly forwarded, together with the abstracts of proposals and accompanying papers, and the bonds, when bonds are required, to the department surgeon upon whose approval they are conditioned. Before approval, he will see that they are correct and regular in every respect. One of the approved numbers will be given to the contractor and the other two will be sent promptly to the Surgeon General (one for file in his office and the other for transmittal to the Auditor for the War Depart- ment), accompanied by both numbers of the bond, when bond is required, and, separately, the abstract of proposals with its exhibits. The Surgeon General will submit to the Secretary of War any serious errors or defects discovered. Contracts at posts and stations under the immediate supervision of the War Department will be made sub- ject to the approval of the Surgeon General, to whom all numbers of the contract, the bonds when bonds are required, and the abstract, with accompanying papers, will be forwarded. No work will be let HOSPITALS AND MEDICAL ATTENDANCE. 93 under the contract until the approval upon which it is conditioned has been given. 275. In addition to the three original numbers of the contract executed as above, two copies will be made, one for the contracting officer, the other for the returns office of the Department of the Interior. The latter, prepared in strict conformity with sections 3744 and 3746, Revised Statutes, will be transmitted direct. 276. Bonds for the faithful performance of contracts for laundry work will not be required except when specially directed by the Sur- geon General,* or in the Philippine Department by the department surgeon. 277. Vouchers for laundry work hired under the preceding para- graphs will be prepared on Form 330 or Form 330a, W. D. They will be forwarded to the department surgeon; or, if from a command under the immediate supervision of the War Department, to the Surgeon General unless otherwise directed by him. They will show: First, the period during which the work was done, from first to last dates; second, the hospital for which it was done; third, in general terms, the classes of articles laundered, such as hospital linen, patients' clothing, nurses' uniforms, white suits of enlisted attendants, each or all as the case may be; fourth, the number of each class in gross, if a flat price by number, regardless of the several kinds of pieces, is to be paid, or, in detail, under each class, if separate prices are to be paid for the several kinds of pieces; fifth, the price or prices by the piece, dozen, or hundred, the charge by classes or items, and the total claimed. (a) When flat prices are to be paid, regardless of the several kinds of pieces, the vouchers will exhibit the classification of pieces as follows, for example: Hospital linen (property of the Medical Department), 417 pieces, at 2 cents... $8. 34 Patients' clothing (their own property), 7 pieces, at 2 cents.....................14 White suits of enlisted attendants (their own property), 22 pieces, at 2 cents.....44 Nurses' uniforms (their own property), 19 pieces, at 2 cents....................38 9.30 (b) But when different prices are to be paid for the various pieces, the vouchers will exhibit the items under each class of pieces in the following form: Hospital linen (property of the Medical Department): Blankets, 10, at 20 cents.............................................. $2.00 Mosquito bars, 6, at 5 cents...............................................30 Bath towels and sheets, 200, at 2 cente.................................. 4.00 Hand towels, 200, at \ cent............................................ 1.00 Nurses' uniforms (their own property): Caps, 8, at 5 cents......................................................40 Collars, 10, at 2 cents....................................................20 94 MANUAL FOR THE MEDICAL DEPARTMENT. Patients' clothing (their own property): Undershirts, 2, at 7 cents............... ....... Drawers, 2, at 5 cents............................ White suits of enlisted attendants (their own property) Trousers, 10, at 7 cents........................... Coats, 8, at 12 cents............................. 9.80 (c) The officer will certify that "No articles are charged for in the foregoing account except such as are constituted a part of the hospital laundry by paragraph 267, M. M. D.," taking care not to encroach upon the approval space to the right of the $ sign. 278. Vouchers for laundry at a hospital where there is no matron will contain in the officer's certificate the notation "No matron at post." (a) Vouchers for excess laundry at a hospital where there is a matron will be accompanied by a statement showing the matron's name, the kind and number of pieces laundered by her and put to hire, respectively, during the period covered, and by a certificate that she was unable to do any of the laundry put out. These will be separate from the vouchers, which should contain no reference thereto. HOSPITAL RULES. 279. The following rules are given for the internal administration of hospitals. They should be conspicuously posted with any others that may be decided upon by the surgeon. (a) GENERAL RULES. (1) In the smaller hospitals the senior noncommissioned officer, under the direction of the surgeon, isin immediate charge of the hospital and the Hospital Corps detacli- ment. He will see that all men of the detachment and all patients in the hospital are always present or accounted for. He will require all members of the detachment to perform their duties quietly and treat the sick with gentleness and consideration.1 (2) The noncommissioned officer in charge of public property will keep an accurate account of the same and its place of distribution. (3) Each man in«charge of a department of the hospital, as wardmaster, noncommis- sioned officer in charge of mess, etc., is responsible for the property used in his depart- ment. He will keep a list of the same and will by frequent inventories assure himself of its presence. (4) All public property in the possession of the men must be kept in good order and all missing or damaged articles accounted for. (5) A noncommissioned officer or other man, upon his assignment to a department of the hospital, will make himself familiar with the special orders governing it, and all must familiarize themselves with the standing orders of the hospital. (6) All noncommissioned officers and privates of the detachment will be present at all formations unless specially excused. ' In the larger hospitals it may be necessary to distribute these duties among several noncommissioned officers as determined by the commanding officer of the hospital. $0.14 .10 .70 .96 HOSPITALS AND MEDICAL ATTENDANCE. 95 (7) All men on duty in the kitchen and mess room will arise at least one hour before reveille; all other members of the detachment, unless specifically excused, will arise at or before first call for reveille. (8) Immediately after reveille each man will arrange his bed and personal belong- ings in a neat and orderly manner. All clean underclothing will be neatly folded and placed in the lockers, which will be uniformly packed; other clothing will be brushed and hung in the lockers or in a specially designated place. Soiled clothing will be kept in the barrack bags. Shoes will be polished and neatly arranged in the lockers or under the sides of the beds. (9) All beds will be overhauled and cleaned each week and, weather permitting, the bedding and mattresses, together with the other clothing, will be well shaken and hung out to air for at least two hours. Mattress covers will be changed imme- diately before each monthly inspection or oftener if necessary. Sheets and pillow- cases will be changed at least once each week. (10) A card bearing the name of the soldier will be attached to the foot of his bed, and his accouterments will be hung, neatly and uniformly arranged, on the foot end iron of his bunk. (11) The squad room will always be kept clean, neat, and orderly. (12) The men will pay the utmost attention to personal cleanliness; each will bathe at least once weekly, his hair must be kept short, and his face shaved, or beard neatly trimmed, and his underclothing frequently changed. (See Army Regulations.) (13) Members of the detachment will wear the prescribed uniform at all time* when present at the post. While on fatigue they may wear the fatigue dress. While on duty in wards, dispensary, operating room, mess room, or kitchen, they will wear the white uniform. (14) No member of the detachment will leave the hospital bounds except by per- mission of proper authority or, in case of emergency, in the execution of duty. (15) Immediately after breakfast the hospital will be thoroughly policed in every department. It must be ready for inspection at the hour designated by the surgeon and always be kept absolutely clean. (16) No member of the hospital personnel will borrow from or have financial dealings with any patient. (17) When necessary a noncommissioned officer in charge of quarters will be detailed daily by roster from noncommissioned officers on duty with the detachment, and an emergency squad will always be designated. (18) The noncommissioned officer in charge of quarters will make an inspection of all wards and quarters at such times as the surgeon may direct, will report all unau- thorized absentees to the noncommissioned officer in charge of the detachment, and will see that no unauthorized lights are burning. In case of fire he will give the alarm and proceed as ordered in fire regulations. He will be responsible for the efficient performance of the watchman's duties. (19) The night watchman, when one is necessary, will be under the immediate orders of the noncommissioned officer in charge of quarters. He will patrol the hos- pital grounds at least once every three hours and will be constantly on the alert for fires, lights, and unauthorized persons in or about the hospital. He will at once report to the noncommissioned officer indicated all unusual occurrences and viola- tions of existing orders which come under his observation. (b) WARD RULES. (1) The wardmaster of each ward is directly responsible to the ward surgeon. He ia in charge of his ward and the enlisted assistants and patients in it, and will be obeyed and respected accordingly. 96 MANUAL FOR THE MEDICAL DEPARTMENT. (2) The wardmaster is responsible for the cleanliness and order of his ward, for the public property therein, and for the effects of his patients until they have been turned over to the proper custodian. He is responsible for the prompt delivery of prescrip- tions to the dispensary, of medicines to his ward, and of the diet orders to the hospital office. • (3) In wards to which members of the Nurse Corps are not assigned the wardmaster is responsible for the administration of medicines and other treatment prescribed, the keeping of records, and all other duties that may be assigned to him by the ward officer. (4) Phenol, bichloride of mercury, other active poisons, alcohol, and alcoholic liquors, when necessarily on hand in the ward, will be kept under lock and key and every precaution taken to prevent their improper use. (5) On the death of a patient the wardmaster will notify the ward surgeon, or in his absence the medical officer of the day. He will not remove the body from the ward until after it has been examined by a medical officer. (6) The wardmaster will see that patients are acquainted with the ward rules. (7) Before leaving the ward at the end of his daily tour of duty, the wardmaster will turn over to his relief all orders of the ward surgeon, accompanied by such expla- nation and instruction as may be necessary. (8) Upon reaching the ward, patients will be promptly bathed, clothed in clean hospital clothing, and put to bed, unless their condition indicates otherwise or a specific order forbids. (9) Money and valuables found on patients will be disposed of as prescribed in paragraph 221, M. M. D. The commanding officer will not be responsible for money or valuables of patients not turned over for deposit in the hospital safe. (10) A clinical record will be carefully kept for each patient. Upon final disposi- tion of the case this record will be completed and signed by the ward surgeon and turned in to the record office. (M. M. D., par. 407.) (11) No information regarding the diseases or condition of patients under treat- ment will be given to anyone except those authorized under the regulations to receive it. (12) Visitors will be allowed to see friends in the ward at a specified time, when their presence will in no way disturb other patients; but female visitors will not be permitted in the wards except when cases are serious, and then only by special per- mission of the ward surgeon. (13) Bed linen will be changed on occupied beds at least twice weekly, and oftener if necessary to insure cleanliness. Whenever a bed is to be occupied by a new patient clean linen will be furnished. All bedding and clothing used by infectious cases will be promptly disinfected when removed from the beds. Patients will not o ccupy their beds when dressed in other than hospital clothing. (14) Loud noises, boisterous actions, the use of profane language, and gambling are forbidden in the wards, and no food, intoxicants, or other articles of food or drink except as prescribed or authorized, will be brought into the wards. (15) Patients are forbidden to use towels, basins, toilet articles, eating utensils, or articles of clothing pertaining to another patient. POST HOSPITALS. 280. Post hospitals are maintained at garrisoned posts and in the main each receives patients only from the garrison to which it belongs. 281. The senior medical officer of a post commands the hospital, its personnel and patients, subject to the authority of the post com- mander, to whom his relations are analogous to those of a company HOSPITALS AND MEDICAL ATTENDANCE. . 97 commander. His duties are indicated in general terms in Army Regulations. (a) He will determine what patients are to be admitted to the hospital, will assign them to wards or divisions according to conven- ience and the nature of their complaints, and will take proper meas- ures for their care and treatment. By his prescription and under his direction convalescent patients may be employed to perform such light pohce duty in and about the hospital as may not be injurious to their health. He will decide when they are so far recovered as to be able to leave hospital and will return them to duty or to quarters accordingly. (b) He will be responsible for the care and preparation of the necessary hospital reports, registers, and records, as well as for all pubhc property which may come into his possession; for the proper expenditure of supplies and funds; and for the preparation of re- quisitions, returns, and muster and pay rolls of the hospital. He will require a proper performance of duty by the entire hospital personnel and will make and enforce proper regulations as to the sanitary, disciplinary, and other requirements of the hospital. DEPARTMENT HOSPITALS. 282. A department hospital is under the control of the commanding officer of the department in which it is situated. In all other respects its organization, administration, and function correspond to that of a general hospital. GENERAL HOSPITALS. 283. General hospitals are maintained for the following purposes: (1) To afford better facilities than can be provided at the ordinary post hospitals for the study, observation, and treatment of serious, complicated, or obscure cases. For this purpose general hospitals are equipped with the best modern apparatus for the study and treatment of such cases, and maintain a specially qualified per- sonnel. (2) To afford opportunities for the performance of the more difficult or formidable surgical operations, facilities for which may be lacking at post hospitals. (3) To study and finally dis- pose of cases that have long resisted treatment elsewhere, and to determine questions of the existence, cause, extent, and perma- nence of mental and physical disabihties of long standing or unusual obscurity. (4) To instruct and train junior medical officers in general professional and administrative duties. (5) To form a nucleus for the development of the larger hospitals required in the home territory in time of war. 284. General hospitals are under the exclusive control of the Surgeon General, except in matters pertaining to the administration 93440°—17---7 93 MANUAL FOR THE MEDICAL DEPARTMENT. of military justice and are governed by such regulations as are pre- scribed by the Secretary of War. The senior medical officer on duty therein will command the same and will not be subject to the orders of local commanders other than those of territorial depart- ments to whom specific delegation of authority may have been made. (See Army Regulations.) 285. Officers and enlisted men on the active list of the Army who shall have been transferred to a general hospital for treatment only will, when fit for duty, be returned to then proper posts or com- mands by the commandmg officer of the hospital, unless he shall have been otherwise instructed. (See Army Regulations.) 286. All supplies except medical, for general hospitals, including allotments for current repairs, are obtained through the headquar- ters of the territorial departments in wliich they are located. (See Appendix: General Hospitals.) 287. In the case of an officer or enlisted man who has been under treatment in a general hospital for three months, a special report will be made to the Surgeon General giving the history and diagno- sis of the case, a brief statement of the treatment and its results, and the prognosis; unless, if an enlisted man, he is to be discharged on certificate of disability. 288. An officer or enlisted man will not be admitted or readmitted to a general hospital except when authorized by his commanding officer or higher authority. 289. A general hospital of standard size has a capacity of 500 beds, exclusive of isolation wards. Complete plans and specifications for the erection of temporary hospitals of this capacity, for use in time of war or other emergency, are on file in the Surgeon General's Office. These plans and specifications are also suitable for use in the erection of additional buildings for the temporary expansion of hospitals already organized. 290. The following tabular statement furnishes a working plan of administration and gives an approximate idea of the personnel required: ADMINISTRATION DIVISION. COMMANDING OFFICER. 1 colonel or lieutenant colonel, M. C adjutant's office. (In charge of administrative records and correspondence, telegraph office, telephone exchange, and post office.) 1 major, M. C. 1 first-class private, Signal Corps. 2 sergeants first class, H. <-. 2 civilian employees, M. D. (stenogra- 11 privates, H. C. phers)." 1 sergeant, Signal Corps. HOSPITALS AND MEDICAL ATTENDANCE. 99 registrar's office. i.In charge of medical and surgical records; commanding officer, detachment of patients; in charge cf patients' money and valuables.) 1 major or captain, M. C. 2 sergeants first class, II. C. I 1 sergeant, H. C. I 6 privates, H. C. quartermaster's office. (In charge of quartermaster, medical, ordnance, and Signal Corps property and funds; construction and repair of buildings; transportation; police and care of grounds; disinfecting, laundry, heating, lighting, and ice plants; clothing and baggage room of patients.) 1 major or captain, M. C. 1 captain or lieutenant, M. C. 2 sergeants first class, H. C. 5 sergeants, H. C. 22 privates, H. C. 2 quartermaster sergeants, Q. M. C. 1 sergeant first class, Q. M. C. 7 sergeants, Q. M. C. (1 stenographer, 1 clerk, 1 overseer, 1 blacksmith, 1 plum- ber, 1 carpenter, 1 engineer). 8 corporals, Q. M. C. (1 foragcmaster, 1 storekeeper, 1 baker, 1 printer, 1 painter, 1 farrier, 1 saddler, 1 gardener). 1 cook, Q. M. 0. 7 privates first class, Q. II. C. (5 team- sters, 2 firemen). 5 privates, Q. M. C. (laborers, scavengers, etc.). Civilian employees (seamstresses, laundry employees, attendants, scrub women, etc.). HOSPITAL mess. (In charge of hospital messes, kitchens, bakery, and special diet service; post ex- exchange; hospital fund.) 1 captain or lieutenant, M. C. 2 sergeants first class, H. C. 4 sergeants, H. C. 10 acting coo^s, H. C. 30 privates, H. C. 4 Army Nurse Corps (dietists). 6 civilian employees, M. D. (1 chief cook, 2 cooks, 2 assistant cooks, 1 baker). commanding officer, detachment, h. c. (In charge of detach-nent, II. C, on duty at the hospital; recruiting, identification work, and sick call.) 1 captain or lieutenant, M. C. 1 sergeant first class, H. C. 4 sergeants, H. C. 2 corporals, H. C. 5 acting cooks, H. C. 20 privates, H. C. officer of the day. (Detailed from roster of medical officers. In charge of the guard; receiving office, roster of patients and morning report of admissions and losses; ambulance, emer- gency, and fire-alarm service; information office.) 3 sergeants, H. C. [ 6 privates, H. C. officer of the guard. (Datailed from roster of junior medical officers. Commands the guard under the direction of the officer of the day.) 2 sergeants, H. C. I 24 privates, H. C. 2 corporals, H. C. I This detail is made in time of war only and when the guard is not furnished by the line. 100 MANUAL FOR THE MEDICAL DEPARTMENT. chaplain. (In charge of chapel, library, reading room, amusement hall, and post school.) 1 officer, Corps of Chaplains. * I 1 private, n. C. PROFESSIONAL DIVISION. CHIEF OF MEDICAL SERVICE. (In charge of the medical service, receiving ward, and dispensary.) 1 major, M. C. I 2 privates, II. C. 2 sergeants, LI. C, I CHIEF OF SURGICAL SERVICE. (In charge of the surgical service, including the operating and dressing rooms.) 1 major, M. C. 1 captain or lieutenant, M. C. 1 sergeant, II. C. 4 privates, H. C. 5 Army Nurse Corps. (Ward officers may be assigned additional duties in eye, ear, nose, and throat, genito- urinary and other special services; assistants to operating surgeon, etc.) 12 captains or lieutenants, M. C. I 70 privates, H. C. 6 sergeants, H. C. I 53 Army Nurse Corps. LABORATORY. (In charge of chemical, bacteriological, and X-ray laboratories and morgue.) 1 captain or lieutenant, M. C. I 2 sergeants, H. C. 1 sergeant first class, H. C. | 4 privates, H. C. DENTAL SERVICE. (In charge cf dental service.) 1 lieutenant, D. C. 11 private, H. C. NURSING SERVICE. (In charge cf nursing service.) 1 chief nurse, A. N. C. 1 assistant chief nurse, A. N. C. 1 supervising night nurse, A. N. C. 7 civilian employees, M. D. (1 cook, 1 assistant cook, 5 attendants). See also Wards and Hospital Mess. CONVALESCENT CAMP. 1 captain or lieutenant, M. C. II sergeant, H. C. 1 sergeant first class, H. C. I 6 privates, H. C. Note.—The term "private, H. C." is used in the above table to denote both privates first class and privates, H. C. (a) The allowance of the members of the Quartermaster Corps or their civihan substitutes and of the civihan employees of the Medical HOSPITALS AND MEDICAL ATTENDANCE. 101 Department will vary according to the character and special work of the hospital, and will be decided in each case by the proper authority. For the duties of the several grades in the Quartermaster Corps see "Quartermaster Corps" in the Appendix. (b) In time of war 25 per cent of the officers of the professional division, 25 per cent of the ward attendants, and 75 per cent of the nurses might be furnished by personnel from the American National Red Cross Society. This corresponds approximately to one Red Cross hospital column. (See pars.'102 and 536fc.) COMMANDING OFFICER. 291. The commanding officer has all the responsibility of a post commander as prescribed in Army Regulations, in addition to the general management of the hospital. ADJUTANT. 292. Under the direction of the commanding officer the adjutant will have charge of the correspondence and various rosters of service; he will make, publish, and verify all orders and details, keep the records of the hospital, and perform such other duties as are required by regulations. Through him the commanding officer communicates with the officers and men of his command. He is the representative of the commanding officer and the executive officer of the hospital. REGISTRAR. 393. The registrar will have charge of all medical and surgical records and will see that careful and accurate clinical histories and sick and wounded records are kept. He will prepare all reports and returns pertaining to the sick and wounded. He will act as the com- manding officer of the detachment of patients and will have charge of all records, accounts, and returns pertaining thereto. He will care for the money and valuables of patients in hospital. QUARTERMASTER. 294. The quartermaster will be in charge of all public property, supplies, and funds; the construction and repair of buildings; trans- portation; outside police and care of grounds; laundry, disinfection, and refrigeration plants; power plant, shops, and baggage store- rooms. The property necessary to equip the different departments of the hospital will be issued on memorandum receipts to the re- sponsible officers. These officers will check property at least once a month, and upon transfer of their responsibility. All losses of ex- cesses of property will be promptly reported to the accountable officer. 102 MANUAL FOR THE MEDICAL DEPARTMENT. MESS OFFICER. 295. The mess officer will establish and conduct such messes and furnish such diets as the commanding officer may direct, in accordance with the principles of mess management outlined in paragraph 231 et seq. He will be accountable for and expend the hospital fund under the supervision of the commanding officer. COMMANDING OFFICER, DETACHMENT HOSPITAL CORPS. 296. The detachment commander will command the personnel of the Hospital Corps on duty at the hospital. He will supply such details to different departments of the hospital as may be directed by the commanding officer. He will be responsible for the discipline, instruction, equipment, and rationing of the detachment and will keep all records and accounts pertaining to the individual members thereof. He will provide for the subsistence of all prisoners in the guardhouse. He will hold the daily sick call for the personnel of the hospital and perform such other duties as the commanding officer may direct. OFFICER OF THE DAY. 297. The officer of the day will be assigned to duty for a tour of 24 hours, during which he will always be accessible for cases of emergency and to meet the requirements of the duties hereinafter stated. He will be notified by the adjutant of his selection for duty on the day preceding that on which his tour begins. He may be required to perform his regular duties when they will not conflict with the performance of his duties as officer of the day. 298. Three noncommissioned officers will ordinarily be detailed permanently as assistants to the officer of the day, and there will be at all times one noncommissioned officer and one private on duty in his office. The noncommissioned officers will report to the officer of the day at the beginning of their respective tours of duty and will in no case leave the office until the arrival of their rehef. 299. At an hour to be designated in hospital orders the old and the new officers of the day will report to the commanding officer, the old officer of the day to render his report, the new officer of the day to receive such instructions as the commanding officer may wish to give. At the expiration of his tour of duty the officer of the day will report in writing to the commanding officer the hours at which the prescribed inspections were made; any breaches of discipline, infraction of the hospital rules, neglects or disorders that may have occurred during his tour of duty; and any other occurrences which should properly be brought to the attention of the command- ing officer. HOSPITALS AND MEDICAL ATTENDANCE. 103 300. The officer of the day will make a general inspection of the hospital at such hours as the commanding officer may direct. Dur- ing this inspection he will note any disorder or neglect and, if prac- ticable, will immediately correct the same. He will satisfy himself that the watchmen or guards are famihar with their duties and are performing them satisfactorily. During his tour of duty he will inspect at least one of the meals served in each hospital mess. He will receive the reports of the roll calls required by orders. On the outbreak of fire he will assume charge until the arrival of the fire marshal or of the senior officer present at the hospital. In the absence of the ward surgeon he will examine the body of any patient who may die during his tour of duty and order its removal to the morgue, notifying the adjutant of his action. 301. The officer of the day will examine and admit all incoming patients. If the officer of the day is temporarily unavailable, the noncommissioned officer on duty in the receiving office will notify the adjutant of the arrival of patients, and the adjutant will act in his stead or designate another officer to act temporarily as sub- stitute for the officer of the day until he is again available. In no case will a patient be admitted and assigned to a ward until he has been seen and examined by the officer of the day or some regularly designated substitute. (a) If there is any doubt as to the ward to which he should be assigned the patient will be held in the receiving ward for disposi- tion by the chief of the medical service. The officer of the day will receive money and valuables from patients on admission and will turn them over to the registrar for safe keeping. An attendant from the receiving office will conduct incoming patients to the wards to which they have been assigned, care for their baggage and equip- ment, and turn over to the wardmaster the patient's admission shp. (See par. 209.) 302. The noncommissioned officers on duty with the officer of the day will keep a card index of patients in hospital and will enter gains and losses on the morning report of sick. (Form 71.) 303. Upon the admission of a patient to hospital the noncommis- sioned officer will secure his effects, other than money and valuables, hst them in duplicate on the patient's property card (Form 75), tag them for identification (Form 76), and turn them over to the noncommissioned officer in charge of the store room for patients' effects. The latter will sign both lists, retain one of them and return the other, which will be filed in the registrar's office. Upon the departure of a patient from hospital the wardmaster will notify the noncommissioned officer on duty, who will obtain the hst of the patient's effects from the registrar's office, and upon their delivery to 104 MANUAL FOR THE MEDICAL DEPARTMENT. the patient obtain his receipt, which will be returned to the registrar s office for file. (See par. 221.) 304. All public property left by patients at the hospital will be turned over to the quartermaster, who will dispose of it as indicated in paragraph 227. 305. In time of peace the noncommissioned officer on duty will have charge of the Hospital Corps men on duty as watchmen. He will satisfy himself that they have been properly instructed and understand their orders. He will maintain quiet and order in the hospital and will notify the officer of the day of any unusual occurrence. 306. In time of peace the hospital will be guarded by Hospital Corps men detailed as watchmen under the officer of the day and his noncommissioned assistants. In time of war the necessary guard will ordinarily be performed by a permanent detail of sani- tary troops, and for this purpose the Hospital Corps personnel will be increased. (a) When this detail from the sanitary troops is not available the necessary guard may be obtained on request from the department commander. When the commander of such a guard is a commis- sioned officer he will confer with the commanding officer of the hospital as to the character of the guard duty desired by the latter, but will exercise no control over the sanitary formation. If such a guard is not accompanied by a commissioned officer it will be reported by the noncommissioned officer in charge to the command- ing officer of the hospital and will be placed under the immediate command of the officer of the day. CHIEFS OF SERVICE. 307. The chiefs of the medical and surgical services, respectively, will be responsible for the proper administration of their depart- ments. They will assign the ward surgeons to their duties and will see that patients are admitted to suitable wards and that they receive proper care and treatment. They will visit and inspect their wards frequently and will consult with and advise the ward surgeons. The receiving and observation ward will be in charge of the chief of the medical service. WARDS. 308. Medical officers when assigned to duty as ward surgeons will be held responsible for the professional care of the patients, for the condition of the wards, and for the proper performance of the duties devolving upon the nurses and attendants assigned to service in con- nection therewith. HOSPITALS AND MEDICAL ATTENDANCE. 105 309. Ward surgeons will make such visits to their wards as the commanding officer may prescribe and such additional visits as may be necessary. In the absence of the ward officer the officer of the day will attend cases of emergency, and it will be the duty of the ward officer to call to the attention of the officer of the day any cases of critical illness that may require attention during such absence. 310. Ward surgeons will report to their chief of service the names of patients in their wards whom they consider fit subjects for dis- charge on certificate of disability or for transfer to other hospitals. They will report all cases of critical illness to the adjutant and verify the addresses of relatives. CHIEF NURSES AND NURSES. 311. Chief nurse.—The chief nurse will be under the immediate orders of the commanding officer of the hospital. She will have general supervision of the nursing service in all wards in which nurses of the Nurse Corps are on duty, and will be in charge of the nurses' quarters. (a) She will familiarize herself with the Army Regulations and the Manual for the Medical Department in so far as they relate to the Nurse Corps, and will instruct the nurses under her supervision in such regulations as refer to them and in the duties peculiar to Army work. (b) She will see that nurses properly perform their duties and will be responsible for the maintenance of discipline among them both in wards and in quarters. She will at once report any neglect of duty or serious breach of discipline to the commanding officer of the hospital. (c) She will arrange the hours of duty and assignments of all nurses and will be responsible for the execution of all orders relating thereto. (d) She will be responsible for the comfort and general well-being of the nurses under her, and will promptly report to the commanding officer of the hospital any matters which improperly affect the same. She will also bring to his attention at once any case of illness among the nurses. (e) When required by the commanding officer of the hospital, she will supervise the instruction in practical nursing of Hospital Corps men on ward duty. 312. Supervising night nurse.—When necessary, the chief nurse will assign a nurse to supervise the nursing service of the hospital at ni°"ht. Ward nurses on night duty will respect the orders of the supervising night nurse accordingly. They will apply to her for instructions if they need them and will inform her at once of all emer- 106 MANUAL FOR THE MEDICAL DEPARTMENT. gencies arising in the wards. The supervising night nurse will on being reheved report to the chief nurse any unusual incidents of the night's work and any derelictions of duty on the part of the night nurses. 313. Head nurse.—The chief nurse will designate one nurse for each ward to act as its responsible nursing head. The head nurse will receive from the ward surgeon all orders relating to the care and treatment of the patients in her ward and will record them for the guidance of both day nurses and night nurses. She will be respon- sible for the proper nursing of the patients and the proper serving of all food in the ward. She will be responsible to the chief nurse for the conduct and work of the ward nurses and will advise the chief nurse concerning their efficiency. Her hours of duty will be the same as those of other nurses, but ordinarily she will be required to perform night duty only one month in six. 314. Nurses.—The duties of Army nurses will be such as are usually performed by trained nurses in civil hospitals of like general character. So far as practicable, their hours of duty will not exceed eight a day. They will not be required, except under the stress of emergency, to serve more than one month in three on night duty. (a) Day nurses will be at all times responsible for the proper service of the ward to the head nurse of the ward. (b) Night nurses will be responsible during the night to the super- vising night nurse, if there is one. If there is no supervising night nurse, they will be directly responsible to their respective head nurses for the night service of the wards. In either event the night nurses on being relieved by the day nurses will make written reports of their work to their respective head nurses. 315. If the hospital is large enough to require it, one or more nurses may be assigned to duty as assistants to the chief nurse, but they shall receive no additional compensation therefor. CONSULTING BOARD. 316. The commanding officer will detail a board of three medical officers to which will be referred all cases deemed by the ward sur- geon and the chief of his service proper cases for consultation. AJEtMY AND NAVY GENERAL HOSPITAL, HOT SPRINGS* ARK. 317. This hospital, under the law establishing it (act June 30, 1882, 22 Stats., 121), is "subject to such rules, regulations, and restrictions as shall be provided by the President of the United States." The regulations made by the President, promulgated from time to time in general orders, are indicated in the following paragraphs under this heading. HOSPITALS AND MEDICAL ATTENDANCE. 10*7 ORGANIZATION AND ADMINISTRATION. 318. The organization of the hospital shall consist of one medical officer of the Army, who shall command it, and such other medical officers of the Army and Navy as may be necessary, to be detailed by the Secretary of War or the Secretary of the Navy, respectively; one officer of the Quartermaster Corps or of the line of the Army as an acting assistant quartermaster, detailed by the Secretary of War; such noncommissioned officers and men of the Hospital Corps as may be authorized by the Secretary of War; and such civil em- ployees as may be necessary for the proper service of the hospital. (Executive order of Aug. 25, 1892, G. O. 60, 1892.) (a) The duties of the medical officers and of the detachment of the Hospital Corps shall be those prescribed by the regulations and general orders affecting the Army. (Ibid.) (b) The duties of the officer acting as a quartermaster shall be such as pertain to the Quartermaster Corps as prescribed by the regulations and orders of the Army, as well as such duties as may be ordered in connection with this particular service. (Ibid.) (c) The civil employees shall be appointed by the commanding officer, having in view their fitness for the service required. They shall be governed by such rules as may be promulgated for the service of the hospital, and they may be discharged by the appointing officer for unfitness or when their services become unnecessary. (Ibid.) DISEASES. 319. This hospital is devoted to the treatment of such diseases as the waters of Hot Springs have an established reputation in bene- fiting. (Executive order of Aug. 25, 1892, supra; also incorporated in Army Regulations.) (a) Relief may reasonably be expected at the Hot Springs in the following conditions: In the various forms of gout and rheumatism, after the acute or inflammatory stage; neuralgia, especially when depending upon gout, rheumatism, or metallic or malarial poisoning; paralysis not of central origin; the earlier stages of locomotor ataxia; chronic Bright's disease (the early stages oidy); functional diseases of the liver; chronic skin diseases, especially the squamous varieties; and chronic conditions due to malarial infection. (b) Admissions to this hospital of all such cases regardless of their severity is not, however, contemplated. Its facihties will not be extended to mild and transient cases which should yield to ordinary treatment, but are reserved for those of a serious and obstinate char- acter which, though resisting ordinary methods of relief, promise a rapid and permanent recovery from the use of the waters of the springs. 108 MANUAL FOR THE MEDICAL DEPARTMENT. ADMISSIONS AND DISPOSITIONS. 320. The authorized classes of patients are designated in Army Regulations, based on the Executive order of August 25, 1892, supra, and Executive orders amendatory thereof dated May 4, 1893, and May 1, 1897, published respectively in General Orders No. 40, 1893, and 26, 1897. (a) Admission to the hospital for treatment from the classes authorized shall be subject to such rules as may be prescribed by the War, the Navy, or the Treasury Departments, respectively. (Execu- tive order, Aug. 25, 1892.) 321. The admission of officers and enlisted men of the Army on the active list and of officers of the Army on the retired list is governed by the provisions of Army Regulations. 322. Retired officers of the Army under treatment may leave the hospital at their discretion. They will not remain in the hospital longer than three months without special permission from the War Department. When such special permission is desired, the com- manding officer of the hospital will, not later than two weeks before the end of the three months, report to The Adjutant General of the Army the patient's condition. 323. Enlisted men of the Army on the retired hst will be admitted only upon permits issued by the Surgeon General, who will furnish applicants with the necessary blank forms of application. They may leave the hospital at their discretion. They may be dismissed from the hospital at the discretion of the commanding officer. 324. Permits for the admission of officers and enhsted men of the Army on the retired lists will not be valid after 21 days from then- date. 325. Officers and enlisted men of the Navy are admitted under regulations prescribed by the Secretary of the Navy. 326. Officers of the Coast Guard and of the Pubhc Health Service are admitted on the request of the Secretary of the Treasury to the Secretary of War, and upon the recommendation of the Surgeon Gen- eral of the Army. 327. Permits for the admission of honorably discharged soldiers and sailors of the Army and Navy may be issued, when there are vacant beds, by the Surgeon General of the Army, from whom blank forms of application can be obtained. These must be properly filled in, giving all necessary information in relation to the applicant, and should be certified to by a practicing physician, who should state the nature of the disability and the probable period required for hospital treatment. These permits will not bo valid after 21 days from their date. Patients admitted under this authority may be discharged HOSPITALS AND MEDICAL ATTENDANCE. 109 from the hospital by the commanding officer at any time he may deem proper. Expenses to and from the hospital must be defrayed by the apphcant. SUBSISTENCE. 328. The rations of enlisted men on the active list on duty or under treatment, and of members of the Nurse Corps on duty, at this hospital, are commuted as prescribed in Army Regulations. 329. Enlisted men on the retired list and honorably discharged soldiers and sailors pay for their subsistence at rates fixed in Army Regulations. 330. Such officers as may be under treatment when subsisted in the hospital shall be subject to a charge for subsistence not to exceed $1.50 a day, to be paid to the senior medical officer on the last day of each month or upon leaving the hospital. (Executive order, Aug. 25, 1892.) (a) Military or naval cadets shall in like manner pay a subsistence charge not to exceed $1 a day. Such cadets while patients may have the privilege of the officers' mess, at the discretion of the officer in command. (Ibid., as amended by G. O. 5, 1894.) (b) Should an officer or cadet die in the hospital, or should he from any cause fail to pay any account for subsistence when due, this shall be immediately reported by the senior medical officer to the Surgeon General of the Army, who shall certify the fact to the Quartermaster General of the Army, to the Surgeon General of the Navy, or to the Secretary of the Treasury, as the case may be, and the proper officers of the War, Navy, or Treasury Departments shall take such steps as will promptly secure to the hospital payment of the amounts due. (Executive order, Aug. 25, 1892.) 331. The senior medical officer shall account monthly to the Sur- geon General of the Army for all money received or expended on account of officers and enhsted men. (Ibid.) 332. Subsistence stores for use in the officers' and enhsted men's messes may be purchased by the officer in command of the hospital from such officers of the Quartermaster Corps as the Quartermaster General may designate. (Ibid.) DISCIPLINE OF PATIENTS. 333. The act of March 3, 1909 (35 Stats., 748; G. O. 49 of 1909, p. 26), provides that: All persons admitted to treatment in the Army and Navy General Hospital at Hot Springs, Ark., shall, while patients in said hospital, be subject to the rules and articles for the government of the armies of the United States. 110 MANUAL FOR THE MEDICAL DEPARTMENT. GENERAL HOSPITAL, FORT BAYARD, >'. MEX. ADMISSIONS. 334. Under the provisions of Army Regulations the general hos- pital at Fort Bayard, N. Mex., has been set apart as a sanatorium for the treatment of officers and enhsted men of the Army who are suffering from pulmonary tuberculosis. Cases of tuberculous laryngitis are to be classed with pulmonary tuberculosis and should be sent to Fort Bayard even though, as rarely happens, there is no unmistakable evidence that the lungs are also involved. Cases of acute pleurisy with effusion will not be sent to Fort Bayard unless there is likewise tuberculous involvement of the lungs or unless the tuberculous nature of the pleural disease is determined by other facts than the mere existence of an effusion. Cases of surgical tuberculosis which are believed to require operative treatment should not be sent to Fort Bayard with a view to operation. In general, no cases of surgical tuberculosis should be sent to Fort Bayard unless the condition of the patient is such that benefit may be expected from hygienic treatment in which outdoor life plays a prominent part, or, in other words, unless the patient is not strictly confined to his bed by the nature of his disease. Cases of tuberculosis not involving the respiratory tract will not be sent to Fort Bayard without specific authority from the War Department, for which authority application will be made to The Adjutant General of the Army, the application to be accompanied in every case by a full medical report. (a) The provision of Army Regulations as to the responsibility of the surgeon for the transfer of tuberculous cases to Fort Bayard should not be misunderstood by medical officers. The intent of this provision is to secure promptitude in making the diagnosis and in transferring early cases of pulmonary tuberculosis; it is not the intent of the provision to direct the transfer of cases of pulmonary tubercu- losis irrespective of their physical condition. (b) Pulmonary tuberculosis is a chronic disease attended by acute exacerbations, in one of which its existence is usually detected. The exacerbations are, as a rule, attended by an extension of the tuberculous involvement. If the exacerbation is shght, or if the course of the disease is of a chronic nature, there may be no fever or but little fever, and the patient may be able to travel without injury. If, however, there is a well-marked fever with other signs of constitutional disturbance, it is of vital importance that the patient be required to rest until his temperature drops and the activity of the pulmonary disease lessens or disappears. When such evidence of improvement is apparent the patient may be subjected to the fatigue of a railroad journey without probability of serious harm. On the other hand, when the disease is too far advanced to HOSPITALS AND MEDICAL ATTENDANCE. Ill permit such abatement of severity there are two alternatives—the progress toward death may be continuous and rapid or a chronic febrile movement may continue indefinitely. In the former case it is useless to send the patient to Fort Bayard; in the latter opportu- nity to receive the treatment at that hospital should be given the patient, and he should be sent there if he is believed to have sufficient strength to endure the journey. In the case of a disease that presents such a variety of manifestations it is impossible to give general instruc- tions that will always be fully apphcable to the individual patient. If there is'doubt as to the course that should be pursued, report of the case should be made to the Surgeon General and instructions requested. (c) Since the administration of tuberculin by Irypodermic injection may be attended by grave dangers to the patient, except in the hands of those specially skilled in diagnosis, tuberculin will be used in this manner in the diagnosis or treatment of tuberculosis only with due care and precaution. The use of tuberculin to obtain the ophthahno reaction, bemg not without danger to the eyes of patients, is for- bidden. (d) The cutaneous or Von Pirquet reaction gives positive results in cases of inactive tuberculosis. No patient will therefore be sent to Fort Bayard, nor will the diagnosis of pulmonary tuberculosis be re- ported, unless physical signs are present which establish the diagnosis. 335. Patients will be admitted to this hospital in the following order: Officers and enhsted men of the Army on the active hst; officers and enlisted men of the Army who may be retired or dis- charged while under treatment at this hospital; beneficiaries of the United States Soldiers' Home; officers and enhsted men on the retired hst; officers and enlisted men of the Navy upon special authority from the Secretary of War, and such others as may have such authority or that of the Surgeon General of the Army. (a) The treatment of officers and men of the Navy and Marine Corps is specially directed by the act of March 2, 1907 (34 Stats., 1172). 336. The transfer of officers and enhsted men of the Army on the active list for treatment at Fort Bayard is governed by the express provisions of Army Regulations. 337. The Surgeon General of the Army is authorized to provide for the care and treatment of discharged soldiers entitled to the benefits of the United States Soldiers' Home. Washington, D. C, whose admission to the sanatorium may be approved by the board ol commissioners of the home. 338. Officers and enhsted men on the retired hst of the Army desiring admission to this hospital may make direct application. accompanied by a medical certificate, to The Adjutant General of the Army for the necessary permission. 112 MANUAL FOR THE MEDICAL DEPARTMENT. HOSPITAL CHARGES. 339. Officers under treatment when subsisted in the hospital will be subject to a charge for subsistence not to exceed $1.50 per day. 340. The expenses of maintenance of patients from the Soldiers' Home are paid by the board of commissioners of the home from the Soldiers' Home fund. 341. The charge for the subsistence of patients admitted by special authority of the Secretary of War or the Surgeon General, including Navy and Marine Corps patients, will be, if on the footing of officers, $1.50 per day, and if on the footing of enlisted men, $5 per week. (a) The subsistence charge in the case of retired officers, retired enhsted men, and civihan employees admitted under the authority of Army Regulations, will be $1.5u per day if on the footing of officers, and 50 cents per day if on the footing of enlisted men. 342. The commanding officer is authorized to charge civihans on the footing of officers a moderate sum, proportionate to their means, for attendance and nursing. This charge will not be more than $1 a day, and may be remitted in the discretion of the commanding officer. 343. All moneys received under paragraphs 339, 340, 341, and 342 will be taken up on the hospital fund account. DISCIPLINE OF PATIENTS. 344. The act of June 12, 1906 (34 Stats., 255), provides that: All persons admitted to treatment in the general hospital at Fort Bayard, N. Mex., shall, while patients in said hospital, be subject to the rules and articles for the gov- ernment of the armies of the United States. MEDICAL ATTENDANCE. (See Army Regulations.) FAMILIES OF OFFICERS AND MEN, DEFINITION. 345. For purposes of medical attendance under Army Regulations, the family of an officer or enlisted man will be understood to include his wife, minor children, and other dependent members of his house- hold, including servants. EMPLOYEES OF POST EXCHANGES. 346. Civihans employed in post exchanges are entitled to the same medical and hospital attendance and the same privilege of purchasing medicines allowed employees paid from pubhc funds. PRIVATE PRACTICE OF MEDICAL OFFICERS. 347. If citizens residing in the neighborhood of a military post desire the professional attendance of an army medical officer, it is regarded as not inconsistent with the requirements of the regulations HOSPITALS AND MEDICAL ATTENDANCE. 113 governing the Army for such officer to render his services, when this does not interfere with the proper performance of his official duties. But the estabhshment of an office outside of the limits of a mihtary post for the purpose of engaging in civil practice is prohibited. CIVILIAN PHYSICIANS PRACTICING ON MILITARY RESERVATIONS. 348. A civilian physician desiring to practice medicine on a mih- tary reservation must register his name with the post commander and must agree, in writing, to observe the rules and regulations rela- tive to the protection of the command against infectious or epidemic diseases that may be in force at that time or that may be promul- gated thereafter. (See Appendix: Civilian Physicians.) 349. Existing orders require that whenever a civilian physician is summoned to take charge of a case of disease of an officer or an en- hsted man at any garrisoned post or in the families of officers, enhsted men, or civihan employees thereat, the patient or responsible person will at the same time inform the commanding officer, who will notify the surgeon. (a) It will thereupon be the duty of the surgeon to ascertain, if possible from the attending physician or by personal examination of the patient if deemed necessary, the nature of the disease and, if it proves to be infectious and a source of danger to the garrison, he will retain supervision of the-case and be responsible for all measures of isolation, prevention, and disinfection. If an officer or enhsted man be the patient, it will be the duty of the surgeon in any case to report the nature of the disease to the post commander in order that the latter may, if the interests of the service demand it, require the patient to be placed under charge of the surgeon. OFFICERS SICK IN QUARTERS. 350. Officers sick in quarters will, if able to do so, report at least once each day to the surgeon at the hospital for examination and treatment. If unable to leave their quarters the surgeon will visit them there at least once each day. 93440°—17---8 ARTICLE V.—DEPARTMENT LABORATORIES. 351. Department laboratories are maintained for the purpose of making such exammations as can not well be made at the smaller laboratories of post hospitals. Surgeons may, unless otherwise instructed, send specimens for examination to the nearest depart- ment laboratory, making appropriate explanation direct to the officer in charge of the laboratory. SECRETIONS, EXCRETIONS, AND TISSUES. 352. In forwarding specimens to the department laboratories the following directions should be observed: (a) Blood.—For agglutination tests blood should be sent in Wright's capsules, properly sealed and labeled. For identification of typhoid or paratyphoid organisms blood should be collected in vials of ox-bile medium. Dried smears of blood should be taken in the usual way. Blood for the complement fixation tests should be sent in well-filled Wright's capsules. All requests for complement fixation tests will be made on Form 55q or Form 55r and the first request in each case will be accompanied by a Wassermann card (Form 97), or a gonococcus fixation card (Form 99) as the case may be. (b) Feces and urine.—For identification tests for suspected organ- isms specimens of feces and urine should be forwarded in small, sterile vials. In cases of suspected typhoid or paratyphoid fever additional specimens should be sent in vials of ox-bile medium. Feces for examination for ova should be mixed with an equal volume of 10 per cent solution of formalin and shipped in sealed vials. (c) Spinal fluid.—For bacteriological or serological examinations several cubic centimeters of fluid should be collected aseptically and sent in sterile, well-sealed glass containers. Cytological examina- tions must be made with fresh fluid at the place of collection. (d) Sputum, pus, or other exudate.—Specimens should be collected aseptically in sterile containers and sealed with wax or paraffin. (e) Stomach contents.—The gastric contents are preferably ob- tained one hour after an Ewald test breakfast, freed from gross particles by straining or filtration, placed in clean bottles and shipped to tho laboratory with the least practicable delay. 114 DEPARTMENT LABORATORIES. 115 (f) Solid tissues.—Tissues for histo-pathological examination should be fixed and forwarded in 10 per cent formalin or in 70 per cent alcohol, in sealed glass containers. A short clinical history should accompany each specimen. For the identification of negri bodies small smears should be made by crushing sections of gray matter, Amnion's horn or cerebellum, between slides. These smears should be fixed while moist in absolute methyl alcohol and should be sent in 80 per cent ethyl alcohol. The smears should not be dried. Also if possible masses of these nervous tissues should be placed in bottles in pure glycerin, sealed and forwarded for animal inoculation. 353. When material is sent for identification tests the causative organism suspected should be specified in each case. 354. Special media for cultivation of organisms may be obtained direct from the laboratories. 355. Special containers for the collection and transmission of material to the laboratories will upon request be furnished by the laboratory to which the material is to be sent for examination. (a) All bottles containing fluid material sent through the mails must be securely packed in cotton in double containers. WATER. 356. At the time of forwarding the water the officer to whom it is sent should be advised of the following particulars: (1) The date, place, and mode of shipment; (2) the date and place of the collection of the water; (3) the character of the watershed, its topography, and the uses to which the country is put if inhabited; (4) the proximity of houses, barns, privies, or other possible sources of contamination to the place of collection or the source of supply; (5) the proximity of fertilized land to such place or source, and whether the said land is higher or lower than the adjacent land; and (6) such other infor- mation as may suggest a possible deleterious influence on the purity of the water. If the water is from a well the letter should report the depth of the well, the strata found in digging or boring it, and the depth of the water in the well. 357. The specimens should, when practicable, be collected by a medical officer. If the water to be examined is delivered through pipes or is pumped from a well or cistern, the local supply pipe and all pump connections should be emptied by allowing the water to run for 15 minutes before taking the samples. 358. Bacteriological examinations.—Samples of water for bacterio- logical examination should be collected in bottles furnished for the purpose. Each bottle is sterilized before leaving the laboratory, and the glass stepper is protected by a piece of heavy sterihzcd muslin securely wired to the neck of the bottle. The stopper should not be removed until immediately before the bottle is filled. 116 MANUAL FOR THE MEDICAL DEPARTMENT. (a) In taking specimens from a faucet or pump (after emptying the supply pipes and connections conformably to par. 357) a small, gentle stream should be allowed to flow, the stopper taken out, the bottle grasped near the bottom, held in an upright position, and the stream permitted to flow into the bottle until it is filled to the shoulder. The stopper should then be replaced; both it and the cloth should be secured by carrying the wire several times around the neck of the bottle and twisting the ends tight. The stopper must be handled only by the square cloth-covered top. The lip of the bottle must not be brought in contact with the faucet or spout, nor should the neck of the bottle or naked part of the stopper be permitted to come in contact with any object during the manipulation. The projecting flange is designed to protect the plug of the stopper, which it will do if the stopper, after withdrawal, is held by the top in a vertical position. The stopper should not be laid down and the cloth should not be handled by the fingers except in the act of securing the wire about it. When well water is to be examined the bottle should be filled directly from the bucket constantly in use for drawing the water, and from no other vessel. (b) On account of the labor involved and the possibility of error, bacteriological examinations of water collected in any other than the prescribed receptacles will not be made. (c) Each package should be plainly marked to show the source from which the sample is taken and the date of collection. (d) The case should be marked, "Water for bacteriological exami- nation," and it should be forwarded by mail at the earliest moment. (See par. 355a.) 359. Chemical examinations.—The quantity of water forwarded for chemical examination should be not less than 3 liters. The recep- tacles for transporting it should be chemically clean, and all vessels used in its collection should be as clean as it is possible to make them. (a) Glass-stoppered bottles of suitable size are best adapted for the preservation of a sample of water in its original condition. In pouring the water into bottles it should not come into contact with the hands of the operator or with anything not essential to the operation. Bottles should be filled to within an inch of the stoppers; the stoppers should be carefully rinsed and inserted and secured with a canvas cover tied tightly around the neck of the bottle. Sealing wax or similar material should not be used to secure the stoppers. (b) If no proper receptacles are available at the post or camp suit- able bottles may be obtained upon application to the officer to whom the specimens are to be sent for analysis. Bottles so obtained should when filled be repacked in the box in which they came, reversing the cover, which should have the laboratory address thereon. The DEPARTMENT LABORATORIES. 117 package should be tagged or labeled to show the place and date of collection. (c) Water for chemical analysis should be shipped, immediately after its collection, by express. A Medical Department bill of lading will be made for each such shipment and the carrier's signature taken thereto upon turning over the package for transportation. Until a special form shall have been provided therefor Form 153, Q. M. C, may be adapted to the purpose by altering the symbol "W. Q." in the upper right-hand corner to read "W. Medical," followed by the number of the bill. The consignor should in every case fill out the instructions for billing at the foot of the bill of lading, specifying therein that the freight charges are to be vouched to the Surgeon General, Washington, D. C, and should immediately mail the bill to the consignee, who will upon receipt of the articles accom- plish the bill and surrender it to the carrier. The consignor should at the time of shipment furnish the carrier with a shipping order (Form 156, Q. M. C), and mail a memorandum of the bill of lading (Form 154, Q. M. O), to the Surgeon General, with information as to the purpose of the shipment unless the same is clearly revealed by entries on the bill. 360. Upon completion of an examination of water (chemical or bacteriological) the officer making it will report the results thereof to the officer who asked for it, and will at the same time furnish a copy of such report direct to the Surgeon General, with a copy of the letter called for by paragraph 356. ARTICLE VI.—DITTIES OF MEDICAL OFFICERS. GENERAL. 361. Certain responsibilities and duties in addition to those incident to the practice of medicine devolve upon a medical officer by virtue of his commission as an officer of the Army. These responsibilities and duties may be grouped under two general heads: (1) Advisory; (2) administrative. The former includes the duties of the staff officer to his commander, the latter the duties of an organization or detachment commander to his superiors and to the detachment or organization which he commands. For example, the duties of sanitary inspectors are advisory; those of the commanding officers of general hospitals are administrative; while the duties of post surgeons are both advisory and administrative. 362. The duties of a medical officer acting in an advisory capacity are, in general, as follows: (1) To keep himself informed of existing conditions and, especially in the case of a moving command, of conditions that may be antici- pated, which have a bearing upon the health and physical efficiency of the command. (2) To communicate to his commander such of this information as has a bearing upon military administration and to recommend such measures as the surgeon deems advisable to meet the existing or anticipated conditions. The scope of the information required, and of the field which recommendations must cover, varies greatly. It includes the training of the command in matters of personal hygiene and military sanitation; the provision of facilities for maintaining good sanitary conditions; and, in so far as they have a bearing upon the physical condition of the troops, the equipment of individuals and organizations, the condition of buildings or other shelter occupied by troops, the character and preparation of food, the suitability of clothing, the disposal of waste, and the disposition of the sick and wounded including action on requests for leave or furlough on account of sickness. (3) To make prescribed reports and returns and to take such action on the reports and returns of his subordinates as may be required by existing regulations. 118 DUTIES OF MEDICAL OFFICERS. 119 (4) To perform such other duties as may be required of him by superior authority. (a) While medical officers acting as technical advisors of their commanders are responsible for pointing out unsanitary conditions and making proper recommendations for their correction, the direct responsibility rests with the commander. If, however, the com- mander authorizes the medical officer to give orders in his name for the correction of defects, then the duties and responsibilities of the latter are correspondingly increased. 363. Medical officers acting in an administrative capacity are directly responsible for the condition and efficiency of their com- mands. Their duties are similar in character to those of adminis- trative officers of the line of the Army. More specifically they are charged with the following: (a) The training, discipline, efficiency, and assignment to duty of the personnel which they command and the supervision of the inter- nal economy of their organizations. (b) The maintenance of equipment in proper condition by requi- sition for supplies needed and by proper care of property on hand. (c) The keeping of the prescribed records and the making of the prescribed reports and returns. (d) The performance of such other duties as may be required of them by superior authority. DEPARTMENT SURGEONS. 364. A department surgeon is chiefly an advisory officer; but in certain matters pertaining exclusively to the activities of the sanitary service within his department he acts in an administrative capacity. His general duties under these two heads are given in paragraphs 361, 362, and 363. 365. In time of peace the special duties of a department surgeon are: (a) To report on the efficiency of each medical officer serving in the department. (b) To authorize enlistments in the Hospital Corps. (c) To recommend transfers to the Hospital Corps from the line. (d) To supervise the examination of corporals, privates first class, and privates of the Hospital Corps for appointment as sergeant therein. (e) To promote members of the Hospital Corps to the grade of private first class, lance corporal, and corporal therein. (/) To recommend the transfer of members of the Hospital Corps from post to post. (g) To supervise the instruction of the Hospital Corps. 120 MANUAL FOR THE MEDICAL DEPARTMENT. (h) To recommend appropriate action on estimates for the con- struction and repair of hospitals, of quarters for sergeants first class, Hospital Corps, and of other buildings of the Medical Department. (i) To examine requisitions for medical and hospital supplies and to take appropriate action thereon as indicated hereinafter in the article on supplies. (j) To give authority under Army Regulations for the presenta- tion of unserviceable medical property to an inspector for condem- nation. (k) To recommend appropriate disposition of condemned medical property on inventory and inspection reports referred to him for remark. (I) To supervise the distribution of field medical supplies within his department in conformity with paragraphs 504 to 506. (m) To act on accounts for supplies purchased for, or services rendered to, the Medical Department. (n) To act on accounts of civihans for the medical care and treat- ment of persons entitled thereto at the expense of the United States. (o) To examine and audit the statements of the hospital fund, to which end he should verify the vouchers therewith and ascertain the propriety of the expenditures vouched for. 366. In time of war or when war is imminent department surgeons are charged, in addition to the duties prescribed for time of peace, with the supervision of the sanitary service in connection with the mobilization of the Organized Militia, or volunteer forces, within departmental limits. (See par. 594.) 367. Whenever he deems it necessary the department surgeon should request an order for the department sanitary inspector to inspect the posts in his department. 368. So far as he has authority each department surgeon will take final action on all letters, papers, reports, and returns referred to or received by him; he should not forward them unless they require action by higher authority. (a) He should list the reports and returns periodically required from medical officers under his supervision, should check them off as they are received, and note their disposition as they are dis- posed of. (b) Reports and papers en route to higher authority which call for no special action at his hand, including personal reports of med- ical officers, reports of sick and wounded, and returns of the Hospital Corps, need not be formally indorsed; but they should receive his office stamp before transmittal. (c) An appropriate correspondence record should be made of the action taken by him on all papers requiring special action. DUTIES OF MEDICAL OFFICERS. 121 369. The department surgeon will keep and turn over to his suc- cessor a record of correspondence and document file conformably to existing orders (see Appendix: Records and Correspondence); also complete files of orders and circulars and of all reports and returns upon which he takes final action. (See par. 402.) (a) For ready reference he will also keep in his office, on Form 70, a directory of the medical personnel under his supervision. 370. Within one month after the end of every calendar year the department surgeon will mail direct to the Surgeon General a report setting forth in general terms all matters of professional interest arising in the department during the year, and particularly such as will enable the Surgeon General in preparing his annual report to the Secretary of War to make proper comparisons of the several military posts in respect to then health and sanitary condition. The report will include, first, a discussion of the sickness and mortality of troops serving in the department, as a whole and by posts, noting the char- acter and causes of prevailing diseases, their relative prevalence at different posts, their connection with insanitary conditions, if any, and the measures taken for their prevention; second, a discussion of the sanitation of each post in the department, noting under this head any important changes in sanitary conditions during the year, and commenting upon the sanitary defects observed at annual inspections or reported in the post sanitary reports, with appropriate remarks concerning the recommendations made and the action taken for the correction of the same (see par. 420); and third, a discussion of the efficiency of the sanitary troops in his department in relation to their preparedness for war, noting their training, equipment, and adequacy, and giving a detailed statement of the department sur- geon's plans for assignment of Medical Department personnel and materiel in the event of mobilization of the troops of his department. DEPARTMENT SANITARY INSPECTORS. 371. The duties of the sanitary inspector of a department are: (a) To serve as assistant to the department surgeon and to assume the duties of that officer when the latter is absent. (b) To have charge, under the direction of the department surgeon, of all matters relating to the sanitary care of troops. (c) To scrutinize the sanitary reports rendered by medical officers comformably to Army Regulations. (d) To recommend the issue, at proper times, of orders containing specific instructions regarding hygienic and sanitary matters. (e) To proceed, when authorized, to points threatened by seriously insanitary conditions for the purpose of studying such conditions and of recommending and supervising measures for their correction. (See par. 367.) 122 MANUAL FOR THE MEDICAL DEPARTMENT. (/) To make himself thoroughly familiar with the sanitary condi- tions at and near each point within the jurisdiction of the department commander where troops are stationed. (g) To make himself thoroughly familiar with the amount and char- acter of field equipment and supplies pertaining to the sanitary serv- ice at each post in the department, and to assist the department surgeon in formulating such plans for mobihzation as will result in the sanitary troops arriving at their concentration camps equipped as prescribed in regulations. (h) To make annual inspections at such garrisoned stations as the department commander shall designate. INSPECTIONS. 372. The sanitary inspections referred to in section (h) of the pre- ceding paragraph are of two kinds: (1) Those pertaining to sanitation, and (2) those relating to the administration of the Medical Depart- ment. 373. Inspections of the first class should cover all matters pertain- ing to the hygiene and sanitation of the command, including the efficiency of the measures for protection of the command against epidemic diseases, especially smallpox, typhoid fever, and venereal contagions. (a) Reports of these inspections will include recommendations as to appropriate remedial measures for conditions needing correction. They will be made in duplicate. The original will be forwarded promptly to the Surgeon General through military channels; the other copy will be filed in the office of the department surgeon. In addition the inspector will, on completion of an inspection at any point, furnish the local commander a written statement of all irregu- larities and deficiencies observed. 374. Inspections of Medical Department administration should include the following points: (1) Hospital administration, including the care of the sick, cleanli- ness, neatness and order of hospital buildings and grounds; character, sufficiency, care, and issues of medical supplies; records; hospital fund; mess management. (2) State of instruction, discipline, adequacy, and efficiency of the personnel of the Medical Department. (3) Preparedness for field service, including the character, care, and sufficiency of equipment, supplies, and means of transportation. (4) Any other matters which pertain to the Medical Department of the Army. (a) Reports of these inspections will be forwarded through mihtary channels to the Surgeon General. A duphcate will be filed in the office of the department surgeon. In addition the inspector will DUTIES OF MEDICAL OFFICERS. 123 forward, through mihtary channels, to the commanders of the Medi- cal Department organizations concerned, a written statement of all irregularities and deficiencies observed. These officers will, without delay, report by indorsement thereon what remedies they have applied or will apply to correct each of the irregularities or defects noted. ATTENDING SURGEONS. 375. The Surgeon General will recommend the assignment, as attending surgeons in the principal medical centers of the United States, of medical officers who have not yet passed their examina- tion for promotion to a majority, and, so far as may be practicable, in the order of their seniority. These details will be made for not more than one year in order that as many medical officers as pos- sible may be enabled to avail themselves of the opportunities thus afforded for making themselves familiar with the practice of the lead- ing physicians and surgeons in this country, and of attending medical lectures, meetings of medical societies, etc. At the end of this tour of duty medical officers are required to make a detailed report to the Surgeon General showing how much of their time has been occupied by their official duties and to what extent they have availed them- selves of the advantages offered for professional advancement. 376. An officer on duty as attending surgeon will select an office hour between the hours of 9 a. m. and 4 p. m., and will remain in his office during this hour, unless called away by an urgent professional engagemeit. He will inform all officers on duty, and all officers on the retired hst living "in the city, of his office and residence address and office hour, and of any changes therein; also of his departure should he leave station in obedience to orders or otherwise, giving the name and address of his successor or relief should one have been designated. He will be careful not to allow anything to interfere with the proper performance of his duties as attending surgeon. DISBURSING OFFICERS. 377. Officers detailed as disbursing officers of the Medical Depart- ment will, unless otherwise instructed, pay accounts against the Medical Department incurred by them. They will pay accounts incurred by other officers only when authorized so to do by the Surgeon General. 378. Medical Department disbursing officers will forward with every voucher paid by them for supphes, except supply vouchers specially referred to them by the Surgeon General for payment, an invoice of articles purchased, Form 12; but no invoice is required for prescrip- tion charges paid for on Forms 352, 353, 355, and 377, W. D. 124 MANUAL FOR THE MEDICAL DEPARTMENT. 379. Disbursing officers of the Medical Department who receive communications concerning their medical money accounts direct from the Auditor for the War Department will immediately refer the same or send copies thereof to the Surgeon General, who will give instruc- tions in the premises if any are required. Should reply to the Auditor be appropriate it will be made by the Surgeon General or be transmitted through his offiee.. _..; • MEDICAL SUPPLY OFFICERS. (See par. 476.) 380. Officers in charge of medical suppiy.depots will procure, safe- guard, and issue medical and hospital supphes as authorized "and directed by competent authority. (a) They will keep the following records and files and turn them over to their successors: Of correspondence as indicated in paragraph 402, of funds received and expended, of purchase orders given for medical and hospital supplies (including contracts), of articles received, of articles expended, of requisitions, of issues, of articles on hand, of invoices of packages turned over to the Quartermaster Corps, of contents of packages, and of employees. (b) They will forward a property return on Forms 17, 17a and 17c at the end of each quarter, retaining a duphcate thereof with a complete set of vouchers. (c) They will make such other reports and returns as the Surgeon General may from time to time require. MEDICAL OFFICERS OF THE TRANSPORT SERVICE. 381. The duties of the medical superintendents of the transport service and of the surgeons of transports are prescribed in the Army Transport Service Regulations. ARTICLE VII.— PHYSICAL EXAMINATIONS. CADET CANDIDATES AND CADETS. 382. Candidates selected for appointment to the Military Academy must, before their admission, conformably to regulations for the academy, appear for mental and physical examination before boards of Army officers convened for the purpose at times and places desig- nated by the War Department. The constitution of the boards and their procedure are regulated by orders issued from time to time by the War Department. (See Appendix: Physical Examinations—Cadet candidates.) 383. The physical examination of cadets made annually after admission and on graduation pertains to the interior administration of the academy and is governed by the regulations for the academy. CANDIDATES FOR COMMISSION. 384. The physical examination of candidates in civil life, and soldier candidates, for appointment to the grade of second lieutenant, is governed by regulations published from time to time in general orders. Appointments in the Medical Corps are subject to the physical examination indicated in. paragraphs 5a and 9a of this Manual; in the Medical Reserve Corps to the examination indicated in paragraphs 14, 165, and 17; in the Dental Corps to the examination indicated in paragraph 28. (See Appendix: Physical Examinations— Candidates for commission in TJ. S. Army.) 385. For the purpose of securing a list of persons specially qualified to hold commissions in any volunteer force which may be called for and organized under the authority of Congress boards of officers are convened by the Secretary of War to examine applicants from civil life and from the Army. The constitution of the boards and the physical requirements for applicants are prescribed in general orders. (See Appendix: Physical Examinations—Candidates for commission in the Volunteers.) OFFICERS—EXAMINATIONS FOR PROMOTION, RETIRE- MENT, LEAVE OF ABSENCE, THE AVIATION SERVICE, AND ANNUAL EXAMINATIONS. 386. The physical examination of officers for promotion is a part of their general examination, and is governed by regulations pub- lished from time to time in general orders. (See Appendix: Officers— Examination of, for promotion.) 125 126 MANUAL FOR THE MEDICAL OKI'ARTMENT. 387. Regulations for the examination of officers for retirement appear in the Manual for Courts-Martial, Courts of Inquiry, and Retiring Boards. 388. The physical examination of officers upon their application for sick leave of absence is governed by express provisions in Army Regulations. 389. Applicants for detail in the aviation service of the Army are required to submit to a special physical examination, the require- ments of which are published from time to time in general orders. (See Appendix: Physical Examinations—Aviation service.) 390. The requirements of the annual physical examination pre- scribed for all commissioned officers are published from time to time in general orders. (See Appendix: Physical Examinations—Officers.) APPLICANTS FOR ENLISTMENT. 391. The physical examination of applicants for enlistment is con- ducted in accordance with Rules for the Examination of Recruits and instructions supplementary thereto published in general orders from time to time. (See Appendix: Physical Examinations—Applicants for enlistment. See also Army Regulations.) ENLISTED MEN—RECRUITS, DESERTERS, FOR DIS- CHARGE, FOR AVIATION SERVICE. 392. The personal identification record of recruits (finger-print and photographic system) is made under orders issued from time to time by the War Department. (See Appendix: Identification Records.) 393. The physical examination of apprehended and surrendered deserters is governed by Army Regulations. The form of certificate required is given in the Manual for Courts-Martial. 394. The physical examination of eidisted men for discharge on account of disability is subject to the provisions of Army Regulations, and of instructions issued from time to time in general orders. (See Appendix: Discharge of Enlisted Men.) 395. A special physical examination is prescribed in general orders for certain enlisted men of the aviation section of the Signal Corps. (See Appendix: Physical Examinations—Aviation service.) OTHER EXAMINATIONS. 396. Other physical examinations are regulated as follows: For appointment as acting dental surgeon, paragraph 24a, this Manual; for appointment in the Nurse Corps, paragraph 63, this Manual; at the station where a member of the Nurse Corps first reports for duty, paragraph 74a, this Manual; for admission to the Government Hos- pital for the Insane, Army Regulations; for admission to the Army I PHYSICAL EXAMINATIONS. 127 and Navy General Hospital at Hot Springs, Ark., Army Regulations; for admission to the general hospital at Fort Bayard, N. Mex., para- graph 334 of this Manual, and Army Regulations; for officers and enlisted men of the Organized Militia when called into the service of the United States, Army Regulations: Militia, Organized—Physical examinations. VISION, COLOR SENSE, AND HEARING. 397. The methods of determining and recording acuity of vision, color sense, and acuity of hearing prescribed in orders and instruc- tions relating to the examination of recruits will be followed as far as practicable in conducting all other tests of vision and hearing in the Army. (See Appendix: Physical Examinations—Vision, color sense, and hearing.) ARTICLE Vin.—REPORTS, RETURNS, AND RECORDS. LIST OF REPORTS AND RETURNS. 398. The following table 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): Name of report, etc. Form No. Num-ber of copies. To whom sent. Remarks. (a) Daily. (1) Surgeon's morning report of sick. (2) Morning report, detacliment of Hospital Corps. (3) Daily sick report, detach-' ment of Hospital Corps. (6) Trimonthly. (D Trimonthly report of enlist-ments. (c) Monthly. (1) Personal report of nedi?al officer, dental surceon, acting dental surgeon, or contract surtceon. (2) Return of the Hospital Corps. (3) Efficiency report of nurses. (4) Return of the Nurse Corps. (5) Pay rolls, enlisted men..... (6) Pay roll, Army Nurse Corps. (7) Ration return of matron and others rationed sepa-rately. (8) Voucher for commutation of rations of enl isted men, Army Nurse Corps, etc., in hospital. (9) Statement of hospital fund. (10) Report of sick and wounded (11) Report of dental work...... 71 M D 1 1 1 2 2orl 2 2 2 3 3 2 2 2 2 2 2 2 CO.............. Made after sick call. 332, A. G. 0....... 339, A. G. 0....... 18 A.G.O........ C. O.............. Returned by the ad-jutant to the hospital Do. Kept at hospital.. 1 to The A. G.; 1 retained. 2toS. G. through D.S. or 1 direct. ltoS. G. through D.S. or direct; 1 retained. 1 to D. S. or to S.G.;1 retained. .....do............ At recruit depots and depot posts made by commanding officer. At other garrisoned posts and stations made by recruiting officer. See pars. 1?, 13, 18, 19, 47a, M. D......... 32, and 55. Monthly return for 62, M. t>.......... field use only. See par. 50. See par. 99. 03, M. D Pee par. 98. 301), W. D.; 366a, \V. D. 334, W. D.; 334a, W.D. 223.Q.M.C....... 351 W. D 3 to C O.......... 2 to paying Q. M.; 1 retained. 1 toC. O.; memo. kept at hospital. 2toCO........... to be retained. 1 original and 1 memo- 49, M. D.......... 1 to D. S. or to S.G.:1 retained. 1 to S. G. through D. S.,or direct; 1 retained. 1 to S. G. through medical chan-nels; 1 retained. 1 to The A. G. through military channels; 1 re-tained. 1 to The A. G.; 1 retained. randum. See pars. 200, 261 and 51, M. D.; 51a, M. D.; 516, M. D.; 52, M. D. 57, M. D.......... 202. See pars. 457 to 464. See par. 473. 50, M. D.......... See pars. 414 to 417. (13) Report of medical exami-nation of applicants for enlistment. 205, A.G.O....... * 128 REPORTS, RETURNS, AND RECORDS. 129 Name of report, etc. Form No. Num- ber of copies. #To whom sent. Remarks. (c) Monthly—Continued. (14) Report of progress of re- pairs to hospital. (15) Report of progress of re- pairs to quarters of ser- geants first class, Hos- pital Corps. (16) Voucher for hospital laun- dry not done by hospital matron. (17) Account current........... (18) Report of issues of medicine to civilians. (19) Requisition for forage..... (20) Report of ordnance charges on muster and pay rolls. (21) Statement of charges, quar- termaster property. (22) Report of meteorological observations. (d") Bimonthly. (1) Muster roll, detachment of Hospital Corps. (2) Muster roll, soldiers in hos- pital. (3) Return of the Hospital Corps. (c) Quarterly. (1) Special requisition for med- ical supplies. (2) Requisition for tableware and kitchen utensils. (3) Certificate of breakage, china and glassware. (J) Semiannually. (1) Return of ordnance and ordnance stores. (2) Statementofchargesforord- nance property on muster and pay rolls. (3) Returnofhorseequipments. (4) Requisition for blanks... Letter. ___do. 330 or 330a, W.D. 3206 or 320, W.D. Letter............ 218, Q. M. C...... 94,0.D.......... 208,Q.M.C...... Weather Bureau. 21, A. G. O... .....do....... 47,M.D...... 35,M.D...... 166, Q. M. C. 207, Q.M. C. 18, O.D.; 18cover 86, O. D. 18a, O. D 37 M. D.. 423, A. G. O...... 429, A. G. O...... 33,M.D.;35,M.D, (g) Annually. (1) Statement of preferences... (2) Efficiency report of officers.. (3) Requisitions for medical supplies. (4) Report of surgical opera- 58, M. D. tions. (5) Statement of repairs, etc., Letter. to hospital. (6) Statement of repairs, etc., to quarters of sergeants first class, Hospital Corps. 93440°—17---- .do. 4 or 3 3 2 4 or 3 1 1 1 S. G. S. G. 2 to D.S. or to the S. G. 1 to S. G.; 1 re- tained. 1 to S.G.; in Phil- ippine Depart- ment to D. S. 2toC.O.......... 1 to Q. M., who pays the detach- ment; 1 retained. 2 to Q. M.; 1 re- tained. Through director State section Weather Bureau to S. G. 2 to mustering officer. ___do........... 1 to S. G. through D. S. or direct; 1 retained. 4 to D. S. or from independent posts, 3 to S. G. 2 to C O.; 1 re- tained. Q.M. 1 to C of O. (ex- cept in Philip- pine Depart- ment, where to D. O. O.); 1 re- tained. .....do........... .do. 1 to S. G. (except in Philppine Department, where to D. S.); 1 retained. To The A. G. di- To The A. G. through mili- tary channels. 4 to D. S. or, from independent posts, 3 to S. G. 1 to D. S. or to S. G. Q.M............. .....do. See par. 245. Do. 1 original and 1 memo- randum. See par. 277. Accompanied by the appropriate vouch- ers. See par. 244. From designated posts. See par. 527. 1 returned to hospital to be retained. Do. Bimonthly return in garrison. See par. 50. 1 returned to surgeon to be retained. See par. 482 et seq. When Hospital Corps detachment is messed separately. When Quartermaster Corps china and glass- ware are used. Vouchers to accom- pany. To accompany return. Vouchers to accom- pany. See instructions on the form. See Army Regulations. 1 returned to surgeon to be retained. See par. 477 et seq. See pars. 418, 419, and 420. See Army Regulations. Do. 130 MANUAL FOR THE MEDICAL DEPARTMENT. Name of report, etc. FoUn No. Num-ber of copies. To whom sent. Remarks. (ft) Occasionally. (1) Ration return, detachment of Hospital Corps. (2) Report of change of station or status, M. 0., D. S., A. D. S., C. S., H. C, or A.N. C. (3) Change of station, M. 0., D. S.,orC S. (4) Report of death of oificer... (5) Report of death of officer, enlisted man, or civilian. (6) Report of death of M. 0., D. S., A. D. S..C. S., or Sergt. f. c H. C. 223, Q. M.C....... 2 2 or 1 1 1 1 o Usual-ly 2 1 to C. O.; memo. copy kept at hospital. 2 to S. G. through D. S. or 1 direct. To The A. G. di-rect. • To The A. Ci...... C. 0.............. Made at such intervals as the C 0. may direct. See pars. 12,13,18,19, 32, 45, 55, and 100. See Army Regulations. Of officers on acth e list who have no imme-diate commanders, and of officers on the retired list. See par. 218. .....do............ .....do............ Local form........ 1 to D. S., 1 to S. G. To local health of-ficer. See par. 219. (8) Inventory of effects, de-ceased oificer, enlisted man, or civilian. (9) Efficiency report of officers.. (10) Efficiency report, Army Nurse Corps. (11) Efficiency report, Hospital Corps. (12) Record of assignment and pay, Army Nurse Corps. (13) Enlistment paper of soldier enlisting or reenlisting. (14) Report of physical exami-nation ofrecruit. (15) Identification record, re-cruit. (16) Designation of beneficiary.. (17) Descriptive and assign-ment card, recruit. (18) Account of clothing issued to recruit. 34, A. G. 0....... 429, A. G. 0...... 62, M. D.......... 3 1 2 2 2 1 1 1 1 1 1 2 to The A. G.; 1 retained. To officer's new O 0. or to sur-geon of his new station. ltoC 0. of hospi-tal to which transferred; 1 retained. 1 forwarded with D/L; 1 retained. 1 to nurse's new C.0.;1 retained. As prescribed on the form. The A. G. direct. The A. G.; in the Philippine De-partment to the C. G. thereof. The A. G. direct.. CO.............. See Army Regulations: Deceased soldiers. See Army Regulations. See par. 99. 80, M. D.......... See par. 46 66, M. D......__ See par. 766. 22, A. G. 0........ 135, A. G. O....... 260, A. G. 0.;261, A. G. 0. 380, A. G. 0....... 25, A. G.O........ 140, A. G. 0....... 29,A. G. 0........ Notation made on sol-dier's D/L. To accompany de-scriptive and as-signment card. Number and dis-position accord-ing to circum-stances as pre-scribed in regu-lations. 1 to reservist; 1 to office where rec-ords are kept. 1 to The A. G. di-rect; 1 retained. 1 to Q. G.; 1 re-tained. Q. G............. (20) Reservist's desc r i p t i v e card. (21) Notification of transfer to Army reserve. 443, A. G. 0....... 559, A. G. 0....... 38, Q.M. C........ 2 2 2 See Appendix: Army— Reserve. Do. (23) Discontinuance of allot- 39, Q. M.C........ 1 1 1 Notation of dkcontin ment of pay. (24) Reportofsoldier'sdeposit.. (25) Advice of soldiers'deposits. C 0. with pay roll Q. G............. uance made on re tained copy of allot ment of pay. 8a, Q. M.C........ No form pre-scribed. (26) Report of transfer, deser-tion, or death of soldier having deposits. (27) Final statement, enlisted Q. G............. In urgent cases report by telegraph. 370, W.D......... 2 As prescribed on the form. Paying Q. M...... man. (28) Notification of discharge, 3, A. G.O......... 1 1 See Army Regulations: enlisted man. Final "payment, en-listed men. REPORTS, RETURNS, AND RECORDS. 131 Name of report, etc. Form No. Num- ber of copies. To whom sent. Remarks. (ft) Occasionally—Continued. (29) Discharge certificate, en- listed man. (30) Certificate of disability (31) Furlough............. (32) Statement of service.. (33) Certificate of indebtedness of employee for hospital service. (34) Special requisition for med- ical supplies. (35) Requisition for clothing (in bulk). (36) Requisition for clothing (individual). (37) Statement of clothing... (38) Requisition for ordnance... (39) Return of medical prop- erty. (40) Report of survey.......... (41) Inventory and inspection report. (42) Special sanitary report..... 43) Report on officer or en- listed man who has been in general hospital three months. (44) Report of appearance of epidemic disease at or near a military post or station. (45) Report of appearance of epidemic disease in a mil- itary command en route to new station. (46) Notification to local board of health of appearance of infectious disease at a military post. (47) Reports of births.......... (48) Reports of deaths......... (49) Special reports of interest- ing cases. (50) Report of change of combi- nation of lock of hospital safe. (0 on Breaking up of Hospi- tal. (1) Current periodical reports and returns to be com- pleted. 525, A. G. 0.;526, A. G. O.; 527, A. G. O. 17, A. G.O. 66, A. G.O. 15, A. G.O. 49a, M. D... 35,M.D.... 213, Q.M. C...... 165, Q.M. C...... 1656, Q.M. C..... 386, O. D......... (2) Retained records. 17, M. D.; 17a, M.D.;176,M.D. 17c, M. D. 196, A. G. O...... 1,1. G.D........ Letter............ Manuscript. Letter. .do. Letter or local form. V. S.109. 3 4 or 3 3 2 1 3 2 V. S.98. Letter... .do. Soldier............ CO............. ---do........... To accompany charges against enlisted man for trial by court- martial. As required by Army Regula- tions. 4 to D. S. or 3 to the S. G. 3 to Q.M. direct. 2toQ. M. direct. Retained. 2 to C O.; 1 re- tained. 1 to S. G.; 1 re- tained. . 3toC O......... 2 to inspecting offi- cer. To The A. G. through m i 1 i- tary channels. 2toS.G......... 1 to C. O.; 1 to D. S.; 1 to S. G. 3 copies as in pre- ceding case; ad- ditional copy to surgeon of new station. Board of health... To Director of Cen- sus. ___do............ S. G.through med- ical channels. To be given by field officer of soldier's reg- iment or corps, or by the commanding offi- cer when no field offi- cer is present. S. G. Number of copies and disposition as at the end of full stated peri- ods in each case. The A. G., with schedule. 1 returned to surgeon to be retained. See par. 485. Separate slips for each man drawing cloth- ing. Filed with requisition to which it pertains. See par. 507. See Army Regulations. See par. 416. See par. 287. Se« par. 201. Do. See par. 203. See par. 401. Do. By the attending phy- sician. See pars. 421 and 422. See par. 247. 132 MANUAL FOR THE MEDICAL DEPARTMENT. LIST OF RECORDS. 399. The following list includes all the principal records required to be kept in mihtary 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). (5) Correspondence records (pars. 402 to 406). (6) Record of instruction of the Hospital Corps (pars. 163 and 178). MODE OF KEEPING AND AUTHENTICATING REPORTS, RETURNS, AND RECORDS. 400. In the absence of a medical officer the officer designated to take charge of medical property will sign all property and adminis- trative papers, while the physician who renders professional service will sign papers of a professional character, such as reports of sick and wounded, surgical reports, morning sick reports, etc. (See pars. 435a and 4606.) REPORTS OF BIRTHS AND DEATHS. 401. Reports of births and deaths as they occur at military posts will be made to the Director of the Census, Washington, D. C, upon blank forms furnished by him for that purpose, on requisition made by the post commander. (a) Births and deaths occurring at mihtary posts will also be reported to municipal and State health authorities, if desired by them. (See Army Regulations.) (b) For notations of births and deaths to be made on the report of sick and wounded, see paragraph 459. CORRESPONDENCE RECORDS. 402. 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. 403. The correspondence book system, as prescribed in War Department orders, will be used for recording and filing the corre- spondence of all post hospitals and other sanitary formations not mentioned in the preceding paragraph, except those for which some other system is specially prescribed. REPORTS, RETURNS, AND RECORDS. 133 404. The correspondence of an attending surgeon at the head- quarters of a department will be considered a part of the correspond- ence of the department surgeon's office. (a) The correspondence of other attending surgeons will be kept as at post hospitals, except as the same may be varied by the authority of the Surgeon General. 405. The required correspondence books are furnished by The Adjutant General. The materials necessary for the record card system are furnished by the Quartermaster Corps. (See pars. 962 and 963.) 406. For reference to general orders governing correspondence see Appendix: Records and Correspondence. For method of keeping cor- respondence records in the field see paragraph 564. CLINICAL RECORD. 407. A clinical record will be kept for every patient in hospital. Forms 55a and 55; will be used in every case; the other lettered blanks of Form 55 will be used as the nature or importance of the case may warrant. 408. Upon the transfer of a patient from one ward of the hospital to another, the clinical record will be sent with him to the new ward. The fact of transfer will be noted on the record. 409. Upon the departure of a patient from the hospital all the sheets of the clinical record will be arranged in their proper order, fastened together at the top, all entries completed, and the record signed by the ward surgeon. The record so completed and signed will be sent to the office with the next morning report of the ward (par. 211). 410. A similar clinical record should be kept for all serious cases in quarters. Upon the discontinuance of treatment because of the completion of the case or the patient's departure from post or com- mand the record should be forwarded to the hospital office. 411. The bedside notes (Form 68) kept by the nurse are for tem- porary use. They should not be filed with the clinical record but may be destroyed at the discretion of the commanding officer of the hospital. MEDICAL HISTORY OF POST. 412. A medical history of every permanent post will be kept by the surgeon in a loose-sheet binder (par. 844). The duplicates of the sanitary reports (par. 414) and the duplicate report sheets of sick and wounded (par. 460a) will be filed therein in a single chronological sequence. Additional sheets measuring about 13 by 8 inches for noting the occurrence of epidemic diseases (par. 201) and other data 134 MANUAL FOR THE MEDICAL DEPARTMENT. of general and sanitary interest will be inserted as occasion requires at their proper places in the chionological sequence. The prescribed record of the official indorsements on sanitary reports will invariably be made on the duplicates filed in the medical history. REPORTS PERTAINING TO PERSONNEL. 413. Reports and returns pertaining to the personnel of the Medical Department are considered under their respective headings in Article I. SANITARY REPORTS. 414. The sanitary reports called for by Army Regulations consti- tute a record of the sanitary conditions of a post or command month by month and should be complete either in themselves or by refer- ence. A duphcate of each report will be retained with the medical records of the post or command. At a permanent post the duplicates will be filed in and form a part of its medical history. (See par. 412.) 415. Important changes in sanitary conditions occurring during the month will be fully described in the monthly report, Form 50. When, however, there has been no important change and there are no readily preventable sanitary defects remaining uncorrected, it will not be necessary to report in full under each heading of the form. Under these circumstances a general statement under each heading should be made, referring by date to the previous reports which contain more extended information on the subject. (See pars. 201 and 202.) 416. While the monthly sanitary reports are commonly used as the form of communication for suggestions requiring administrative action, the medical officer may, if he desires, make important recommendations the subject of a special sanitary report. The fact that such a special report has been rendered will be referred to on the next monthly sanitary report, with a brief note as to its contents. (See par. 182.) 417. When a regularly authorized sanitary inspector is present for duty with troops in the field the monthly sanitary report (Form 50) is not made by the surgeons of regimental and other similar organiza- tions. (See par. 747a.) SURGICAL REPORTS. 418. Not later than two weeks after the close of the calendar year the surgeon of every permanent post within the jurisdiction of a department commander will forward to the department surgeon a surgical report on Form 58 exhibiting the important surgical operations performed at that post during the preceding year. 419. Similar reports will be made from general hospitals, recruit depots, and other independent posts direct to the Surgeon General. REPORTS, RETURNS, AND RECORDS. 135 420. Department surgeons will consolidate the reports received by them (separate consolidations being made, first, for officers and sol- diers, second, for civihans, and third, for Filipino scouts) and forward the consolidated reports direct to the Surgeon General with their annual reports (par. 370). The original reports received from posts will be forwarded with the department surgeon's consolidated reports. SPECIAL REPORTS AND ARTICLES FOR PUBLICATION. 421. When a medical or surgical case presents unusual or interesting features a special report of the same will be forwarded by the attend- ing surgeon, through medical channels, to the Surgeon General. Copies of the clinical record (pars. 407 to 411) should be forwarded therewith. 422. Special reports are invited on other medical, surgical, and sanitary subjects which appear to merit their preparation. When they involve only professional interests they should be forwarded, through medical channels, to the Surgeon General. 423. Medical officers will not publish professional papers requiring reference to official records or to experience gained in the discharge of then official duties without the previous authority of the Surgeon General. REPORT OF MEDICAL DEPARTMENT PASSENGERS ON TRANSPORTS. 424. Medical superintendents of the Army transport service, on the day following the arrival or sailing of a transport, will forward direct to the Surgeon General a passenger list of the personnel of the Medical Department aboard the vessel. REPORTS AND RECORDS ON ABANDONMENT OF POSTS. 425. When a post is abandoned or a detachment is broken up, the medical officer will report the fact to the department surgeon, and after completing all current reports will forward them to the Surgeon General. ''See also Army Regulations: Records—Care and preserva- tion of.) DISPOSITION OF OLD RECORDS. 426. Registers of sick and wounded will be permanently preserved. Other records and retained copies of reports and returns kept at mihtary hospitals will, in the absence of specific regulations and orders governing their disposition, be destroyed after five years from their date. (See Army Regulations: Records.) (a) Accumulations of obsolete and worthless documents at inde- pendent administrative offices of the Medical Department should be 136 MANUAL FOR THE MEDICAL DEPARTMENT. reported every few years to the Surgeon General with a view to obtain- ing authority from the Secretary of War for their destruction. These reports should indicate the character of the documents in question, their date or period, and, if known, the date of the last call for them. REGISTER AND REPORT OF SICK AND WOUNDED. THE REGISTER. 427. A full record of the sick and wounded of every military post or station and separate command which is attended by a medical officer or private physician will be made on register cards, Form 52; but this requirement will not be apphcable in time of war to troops or commands in the theater of operations, except camp hospitals (or field hospitals acting as such), evacuation hospitals, base hospitals and other immobile sanitary formations on the line of communica- tions. (See pars. 575 to 582.) These cards collectively constitute the register of patients, and a case carded on them is said to be on the register. (a) The commanding officer will provide the surgeon with any information the latter may not have which is necessary for preparing and completing the register. 428. A register card will be made: (a) For every person admitted to the hospital for treatment. (b) For every officer and enlisted man with the command, includ- ing retired officers and soldiers under assignment to active duty, who, though not admitted to the hospital, is excused on account of sick- ness or injury from the performance of his military duty, or of some part of it, such as attendance on certain calls, drills, target practice, mounted duty, etc. (c) For every officer and enhsted man with the command who, though not excused from duty, is prescribed for or treated, or placed under observation with a view to treatment or, in the case of an enlisted man, to discharge on account of disability, if his disability is of such a character as to have a probable bearing on his subsequent medical history: Provided, That a case once carded for record only under this provision will not again be carded for record only on the same register except when necessary to comply with the provisions of sections (d), (e), (/), and (h) of this paragraph. For example, every case of venereal disease or insanity, or suspected venereal disease or insanity, which comes under observation or treatment, will, unless previously on the register or otherwise required to be registered, be carded for record only under this provision. (d) For every officer and enhsted man with the command, not cur- rently on the register, who is retired or discharged for disability, or dies. REPORTS, RETURNS, AND RECORDS. 137 (e) For every officer and enhsted man with the command, not currently on the register, who is sent to another station or command for observation or treatment. (/) For every officer with the command, not currently on the register, who departs from the command on sick leave. (g) For every officer and enhsted man whose case is received by transfer conformably to the provisions of paragraphs 214 to 217. (h) For every retired officer, retired soldier, former officer, or former soldier with the command but not in the hospital who dies. 429. Except as required by paragraph 428 a case prescribed for but not admitted to hospital or excused from duty will not be registered. 430. Cases under treatment by the dentist will be entered on the register of sick and wounded only when such entry is required by the provisions of paragraph 428. 431. When an officer or soldier sick in hospital is retired from active service, wholly retired from service, dismissed, or discharged, his case as an officer or soldier will be closed (par. 450) and a new card made for it covering his continuance in hospital under his new status. (a) If an apphcant for enlistment sick in hospital is sworn in as a soldier, his case as a civihan will be closed and a new card made for his case as a soldier. (b) Appropriate cross references from the old to the new cards, and vice versa, will be made in these cases. 432. The register cards will be made day by day as the cases are taken up. (See pars. 208a and 209.) They will be kept in two files, the current file and the permanent file. (a) The current file will consist of the register cards of uncompleted cases arranged in dictionary order according to the surnames of the patients. It constitutes a ready index to all cases currently on the register. Cards will be transferred from the current file to the per- manent file immediately upon their completion and the preparation of their report cards. (b) The permanent file will comprise all the register cards of com- pleted cases. The cards therein will be filed in the serial order of their register numbers. (c) A card index to the register will be kept on Form 52a, one index card for each individual patient whose name appears in the register. When a register card is started and its number determined the index will be searched for previous admissions of the patient. If an index card for the patient is found, the new number will be entered thereon, and the number of the last previous admission will be noted on the new register card (par. 443). If no index card for the patient is found, one will be at once prepared. The index cards will be filed alphabetically in dictionary order according to the sur- names of the patients. 138 MANUAL FOR THE MEDICAL DEPARTMENT. 433. Cases taken up on register cards should be borne thereon until finally disposed of. (See par. 450.) 434. The cards will be legibly written in indelible black ink, using the typewriter when practicable. (a) Entries must not be crowded. When the space provided on the front of the card under any heading is not sufficient to complete an entry thereunder, the record thereof will be continued on the back of the card, or, if still more space is required, upon an extension slip. The extension slip must be of the same size as the card, and be pasted to the lower margin of the back of the card, using about one-half an inch for the seam; this will place the seam at the top of the card when the latter is filed. When an entry is continued its two parts should be connected by cross references, using a small letter in parenthesis, thus, (a), so that the record can be readily followed. 435. The senior medical officer is responsible for the correctness and safe-keeping of the register. He will sign or initial all register cards completed during the period of his responsibility; but at general hospitals or brigade posts, or when specially authorized by the Surgeon General, he may designate one or more junior medical officers to sign or initial them, preferably in each case the officer in attend- ance thereon. (a) When, in the absence of a medical officer, the command is attended by a civihan physician, he will sign the cards for the cases completed under his care. 436. Alterations and additions when necessary to correct or com- plete the record may be made in the register cards of uncompleted cases at the discretion of the senior medical officer of the command for the time being. A change of diagnosis will be indicated in the space "complication, seq., etc.," giving the date of the change, and the original entry under "cause of admission" will not be disturbed. A change of diagnosis in such cases requires no authentication, as its date' places the responsibility for it. Other changes should be authenticated by the initials of the officer who makes them. (See par. 213.) (a) Alterations and additions to the register cards of completed cases may be made in hke manner by the medical officer who was responsible for the card at the time it was completed if he is still the senior medical officer of the command. If he has been superseded the card will not be changed, but a successor who concludes, upon information received, that the card is erroneous in any particular may file a supplemental card therewith of the same size as the regis- ter card, indicating thereon such conclusion and the information or reasons upon which it is based. The supplemental card should be headed "Supplemental card, No.----," inserting the register number of the register card, and should be dated and signed by the officer REPORTS, RETURNS, AND RECORDS. 139 filing it. A cross reference to the supplemental card identifying it by its date may appear upon the register card, but it will be a refer- ence only, thus, "See supplemental card dated------," and contain none of the matter recorded on the supplement. (See pars. 462, 463, and 464.) DIRECTIONS FOR PREPARING REGISTER CARDS. (See pars. 208 to 213.) 437. Name.—Name should be correctly and legibly written. Initial letters or abbreviations may be used for middle names only. 438. Rank, company, and regiment or staff corps.—The usual abbre- viations may be employed. (a) Changes in the patients rank, company, and regiment or corps while his case is current on the register will be recorded in this space, giving dates of changes. (b) If the patients are discharged soldiers, applicants for enlist- ment, or members of the Organized Militia, those facts, respectively, will be set forth on their cards under this heading, giving in the case of former soldiers the organization to which they last belonged, and in the case of militiamen their militia organization. Other civilians should be designated simply as civilians. 439. Age, years.—The age at birthday nearest to date admitted is required. 440. Race.—Vse "W,""C,""F," "P. R," "I," meaning "white," "colored," "Filipino," "Porto Rican," or "Indian." 441. Nativity.—Place of birth; give State, if a native; country, if foreign. Usual abbreviations. 442. Service, years.—Give length of service to date of admission, in years and fractions thereof, whether continuous or not. 443. Register No.—Every card will have a number for convenience of reference. These numbers will be consecutive and will be carried forward indefinitely. In order that the medical history of a patient may be more readily traced, his last previous register number, if he has previously had a register card at the post, should be entered imme- diately before his current number. (a) So long as a field command, attended by a medical officer or private physician, is unattached to a permanent station, or its hos- pital or infirmary is not discontinued by consolidation with that of another command, its register cards should be numbered continu- ously without regard to the various changes of its location. 444. Date of admission.—Under date of admission give the day, month, and year the case is taken up. Figures should not be used to designate the month. 445. Source of admission.—Indicate in this space the source from which the patient was directly received. Officers and enlisted men of 140 MANUAL FOR THE MEDICAL DEPARTMENT. the command are generally admitted "From command:" but may be "From desertion," etc. In the case of a casual, the name* of his proper station should be given, in addition to the place from which he was directly received, thus, e. g.: "Casual from command, proper station, Fort A;" or "Casual from S. S. Southland, from Norfolk, Va., proper station, Fort B." In the case of an original admission from a passing or other command which is unaccompanied by a medical officer the fact should be recorded, thus, e. g.: "Detachment, Twelfth Infantry, en route A to B, unaccompanied by a medical officer." (a) In the case of a patient received by transfer from anotherhos- pital or command (pars. 214 to 217) the name of such hospital or command will be given, with the date of the original entry of the case and its register number on the register thereof, if known. (b) The following additional notations will be made in parentheses in this space: 1. In cases taken up under section (c), paragraph 428—(Carded for record only; under treatment [or observation] but not excused from duty). 2. In cases taken up under section (d)—(Carded for record only; not currently on the register). 3. In cases taken up under section (e)—(Carded for transfer only; on full duty while with command). 4. In cases taken up under section (f)—(Carded for record of sick leave only; on full duty while with command). 446. Cause of admission.—Give the name of the disease and its location if it is localized; or in case of injury, its cause, location, character, and severity, with the attending circumstances, date of occurrence, and nature of missile, weapon, or other producing agent. When the patient has two or more diseases or injuries at the time of admission, each of them will be recorded under this head. Should the original disability, or, if there is more than one, should any of them, be cured before the final disposition of the patient, the fact and date of such cure will also be stated in this space. In the case of a patient received by transfer the diagnosis made at the receiving hospital will be recorded. If this diagnosis differs from that on the transfer card,rthe additional entry will be made. '' Diagnosis on trans- fer card not concurred in.'' (See pars. 455 and 456.) (a) In entering causes of admission distinction should be made between the primary or remote cause and the exciting or proximate cause, the latter being regarded as the cause of admission within the meaning of this paragraph. For example, cycloplegia produced for the purpose of measuring a refractive error should be recorded as the cause of admission, rather than the refractive error itself, which should be mentioned in brackets. So also, in a case admitted for operation to cure or correct a congenital or other defect, as, for exam- REPORTS, RETURNS, AND RECORDS. 141 pie, hammertoe or phimosis, no pathological condition being present which would of itself require admission, the purpose to operate is the cause of admission and should be so recorded by the words, "For operation," indicating the defect in brackets. It is necessary to observe this distinction with care, to assure proper determination of the question whether the actual cause of admission shaU be recorded as in the line of duty or not. (See par. 448.) 447. The place of treatment, quarters or hospital, and the dates of changes from the one to the other, will be indicated in the cause of admission space. 448. In line of duty.—Herein will be recorded, in the case of every officer or enhsted man on the active list, and of every officer and enlisted man on the retired list who is for the time being serving under an assignment to active duty, the opinion of the medical offi- cer, based on a full consideration of all the facts, as to whether the cause of admission was incurred in the line of duty, it being under- stood that the entry relates to the immediate cause of admission as denned in paragraph 446a, and not to the remote cause. If the patient has two or more diseases or injuries at the time of admission, an opinion as to line of duty will be separately recorded for each. In forming and recording his opinion on this point the medical officer will be guided by the following instructions: (a) All diseases or injuries from which an officer or enlisted man suffers while in the military service of the United States may be assumed to have occurred in the line of duty, unless the surgeon knows: First, that the disease or injury existed before entering the service; second, that it was contracted while absent from duty with- out permission; or, third, that it occurred in consequence of willful neglect or immoral conduct of the man himself. When the patient is admitted for an operation or procedure which is designed to improve his physical fitness or efficiency for the military service, such operation or procedure will be recorded as in the line of duty, without reference to the fact whether the condition to be remedied originated in the line of duty or not, provided that the primary cause is not the result of the patient's own misconduct. (b) When a soldier is disabled while absent with leave, the ques- tion of fine of duty must be determined by the circumstances attend- ing the incurrence of the disability, but the fact of being so absent should be stated. (c) When a medical officer expresses the opinion that an injury occurring during athletic sports, properly indulged in, was received in the line of duty, the opinion is accepted by the Surgeon General as satisfactory and final. (d) In all cases in which the opinion is expressed by "no," and in cases of venereal diseases by "yes," the circumstances attending the 142 MANUAL FOR THE MEDICAL DEPARTMENT. incidence of the disability, and on which the opinion is based, should be stated under the diagnosis. 449. Complications, seq., etc.— Herein will be recorded complica- tions and intercurrent diseases appearing subsequent to admission, surgical operations, and changes of diagnosis. The date will be given in each instance. (a) When the intercurrent disability subsequently appearing is in no way dependent on the primary affection, the medical officer will record in this space his opinion as to whether it originated in the line of duty, with such explanatory remarks as may be necessary. Should it be cured before the final disposition of the patient the fact and date of cure will also be recorded here. (b) Upon recording a change of diagnosis the medical officer will also record in this space his opinion whether the disability as diag- nosed by him originated in the line of duty, with appropriate explana- tory remarks when necessary. (c) In recording a surgical operation its character will be briefly described, using as far as practicable the commonly accepted name for it. The word "operation" alone is not sufficient. 450. Disposition.—Herein record the completion of the case by entry specifying the method of its completion. Return to duty is always a completion of the case, including cases registered under the provisions of paragraph 428c. Transfer to another hospital (par. 214) completes the case on the medical records of the transferring hospital or command. Cases of officers and soldiers are completed by capture or any change in their military status which separates them from the active list of the Army, such as death, desertion, retirement, resignation, dismissal, or discharge from the service. (See par. 431.) Cases of officers and enlisted men on the retired lists and of civilians registered* upon their admission to hospital con- formably to the provisions of paragraph 428a are completed, so far as the register is concerned, by their departure from hospital. (a) When a patient departs from the command or hospital on ordinary or sick leave or furlough his card will be completed by appro- priate record of such departure, with a statement as to whether the cure was complete or not. Should he resume the status of sick upon his return from leave or furlough his case will be registered anew. (b) Register cards made for record only under paragraph 428c, the patient not having been excused from duty, should be completed at once, regardless of the continuance of treatment or observation, by entering ".Doing full duty" under this head and repeating the date in the date of disposition space. Should the provisions of sections (a), (b), (d), (e), (f), or (h), paragraph 428, become applicable during continued treatment or observation, or subsequently, the case will again be registered in conformity therewith. REPORTS, RETURNS, AND RECORDS. 143 (c) Cases of death, and of retirement or discharge for disability, carded under the provisions of paragraph 4280", will be completed at once by entry in this space specifying the nature of the casualty. {d) In case of death, the fact of death, the general, determining, and all contributing causes of the death, and the result of the autopsy, if one was held, will be recorded in this space; also a statement whether the cause of death originated in the service and in the line of duty, with an explanation of the circumstances upon which the opinion if negative is based. Should the cause of death in any case be un- known, a brief note of such circumstances as may throw light upon the subject will be entered. In case of suicide the cause or causes which led to the act will be stated. (e) In case of retirement or discharge on account of wounds or disease, the fact of retirement or discharge on such account, and the cause and the degree of the disability will be recorded under this head. If the cause was some other disability than that for which the patient was admitted, statement should be made whether it originated in the line of duty. When the opinion expressed is "no," the circum- stances attending the incidence of the disability and on which the negative opinion is based should be recorded. (f) The cases of patients who are retired from active service, or wholly retired or discharged from the service, by order, sentence, operation of law, or expiration of term, should be completed by entry specifying such fact-; and a statement should be made of the degree of disability due to the complaint for which the individual was under treatment at the time of his separation from the service, unless it was unquestionably not received in the line of duty. (g) The cases of officer patients who depart from the hospital or command in obedience to orders to proceed to their homes and await retirement will be completed upon such departure by recording the fact thereof and its date. (h) When the disease or injury causing death or discharge has been aggravated by the willful and persistent refusal of the patient to sub- mit to such reasonable restrictions, methods of treatment, or surgical operations as would, in the opinion of the medical officer, have con- duced to the cure or to the lessening of the disability, the fact should be noted. (i) When a patient is returned to duty the entry "duty" will suffice, the cure being assumed to be complete unless a statement to the contrary is entered. (j) In case of transfer to another hospital or command, the specific destination of the patient should be stated. (lc) Desertion is final disposition of the case and the card should be completed accordingly. Should the deserter come again under military control and resume the status of sick, a new card will be made for him as for a new case, conformably to the general rule. 144 MANUAL FOB THE MEDICAL DEPARTMENT. 451. Date of disposition.—Give day, month, and year of disposition. Figures should not be used to designate months. In all cases of dis- charge on certificate of disability the date of discharge as given in the letter of notification from the adjutant will be recorded. 452. Name of hospital, etc.—Enter in this space on every register card the designation of the hospital, establishment, or organization to which the register pertains, and its location or locations during the period covered by the card. Spaces 19 and 20 ("Sent with report of S. & W. for the month of------" and "from") need not be filled out on the register card. 453. Classification.—Spaces 22, 23, 24, and 25 at the bottom of the face of the card are for the use of the Surgeon General's Office only, and will not be filled out on the register or report cards. 454. Space 26, "Days of treatment in current case" on back of card will be filled out month by month on the register card, extending the table as may be necessary for cases remaining from one year to another. The day of admission will be counted as a day of treatment in every case. The day of return to duty will not be counted as a day of treatment. The day of disposition for all other cases under treatment will be counted as a day of treatment, except for patients transferred to a station or hospital in the near vicinity who should arrive at such station or hospital on the same day. NOMENCLATURE OF DISEASES AND RULES FOR RECORDING DISA- BILITIES. 455. Diseases and injuries will be recorded on the register in accord- ance with the following nomenclature of diseases. When diseases or injuries occur for which no terms are furnished in the table of nomenclature or for which the terms furnished are general in char- acter, they will be recorded under such scientific terms commonly applied to them by the profession as will briefly and accurately describe them. (a) The numbers and terms used as the headings in this table, although in some cases not classified in accordance with the latest medical knowledge, are those included in the international table of nomenclature which is adopted for uniformity of tabulation. The subheads are grouped under these headings largely in accordance with the order followed by the Census Office and by the Bellevue Hospital nomenclature. I.—^jrENERAL DISEASES. 1. Typhoid fever. la. Typhoid fever. lb. Typhoid bacillus carrier. lc. Typhoid vaccination. 1£. Paratyphoid fever. REPORTS. RETURNS. AND RECORDS. 145 2. Typhus fever. 3. Relapsing fever. 4. Malaria. 4a. Aestivo-autumnal. 4b. Malarial cachexia. 4c. Quartan 4d. Tertian. 4e. Undetermined. 5. Smallpox. 5a. Variola. 5b. Vaccinia. 5c. Varioloid. 6. Measles. 7. Scarlet fever. 8. Whooping cough. 9. Diphtheria. 10. Influenza. 12. Asiatic cholera. 13. Cholera nostras. 14. Dysentery. 14a. Bacillary. 14b. Entamoebic. 14c. Unclassified. (State kind if determined,,) 15. Plague. 16. Yellow fever. 17. Leprosy. 18. Erysipelas. 19. Other'epidemic diseases. 19a. Chicken pox. 19b. Dengue. 19c. Filariasis. (State species and lesion.) 19d. German measles. 19e. Hemoglobinuric fever. 19f. Malta fever. 19g. Mumps. 19h. Yaws. 19i. Epidemic diseases not specified. 20. Purulent infection and septicemia. 20a. Aerogenes capsulatus infection. 20b. Septicemia. 20c. Pyemia. 21. Glanders. 22. Anthrax. 23. Rabies. 24. Tetanus. 25. Mycoses. 25a. Actinomycosis. 25b. Aspergillosis. 25c. Blastomycosis. 25d. Pityriasis versicolor. 25e. Other mycotic diseases. 26. Pellagra. 27. Beriberi. 93440°—17----10 146 MANUAL FOR THE MEDICAL DEPARTMENT. 28. Tuberculosis of the lungs. 28a. Tuberculosis of larynx. 28b. Tuberculosis of pleura. 28c. Tuberculosis, pulmonary, chronic. 29. Miliary tuberculosis, acute. 29a. Tuberculosis, broncho pneumonic, acute. 29b. Tuberculosis, general, acute. 29c. Tuberculosis, pneumonic, acute. 29d. Tuberculosis, pulmonary miliary, acute. 30. Tuberculous meningitis. 31. Abdominal tuberculosis. 32. Pott's disease. Tuberculosis of vertebra. 33. White swelling. Tuberculosis of joints. (State location.) 34. Tuberculosis of other organs. (State organ involved.) 36. Rickets. Scoliosis. 37. Syphilis. 37a. Hereditary. 37b. Primary. 37c. Secondary. 37d. Tertiary. 37e. Period not determined. 37f. Syphilis acquired nonvenereally. 38A. Soft chancre. 38Aa. Chancroid. 38Ab. Chancroidal bubo. 38Ac. Chancroidal phimosis. 38B. Gonococcus infection. 38Ba. Gonorrheal arthritis. 38Bb. Gonorrheal bubo. 38Bc. Gonorrheal diseases of eye. 38Bd. Gonorrheal epididymitis. 38Be. Gonorrheal urethritis. 38Bf. Urethral stricture. 38Bg. Other effects of gonorrheal infection. 39. Cancer and other malignant tumors of the buccal cavity. 40. Cancer and other malignant tumors of the stomach and liver. 41. Cancer and other malignant tumors of the peritoneum, intestines, and rectum. 44. Cancer and other malignant tumors of the skin. 45. Cancer and other malignant tumors of other organs and of organs not specified (Under 39-45, specify whether carcinoma, epithelioma, or sarcoma.) 46. Other tumors (tumors of the female genital organs excepted). Benign tumors. (State structure involved and character of tumor.) 47. Acute articular rheumatism. 47a. Rheumatic fever, acute. 47b. Rheumatic fever, subacute. 48. Chronic rheumatism and gout. 48a. Articular rheumatism, chronic. 48b. Gout. 48c. Arthritis deformans. 50. Diabetes. 50a. Diabetes mellitus. 50b. Glycosuria, REPORTS, RETURNS, AND RECORDS. 147 51. Exophthalmic goiter. 52. Addison's disease. 53. Leukemia. 53a. HodgMn's disease. 53b. Leukemia. 54. Anemia, chlorosis. 54a. Pernicious anemia. 54b. Simple anemia (cause indefinite). 54c. Splenic anemia, chronic. 55. Other general diseases. 55a. .Diabetes insipidus. 55b. Hemophilia. 55c. Obesity. 55d. Purpura. 55e. Other general diseases not specified. 56. Alcoholism (acute or chronic). 56a. Alcoholism, acute. 56b. Alcoholism, chronic. 56c. Delirium tremens. 56d. Psychosis polyneuritica (Korsakoff's syndrome). 57. Chronic lead poisoning. 58. Other chronic occupation poisonings. (State kind.) 59. Other chronic poisonings. 59a. Drug habit. (Specify drug.) 59b. Other chronic poisoning. II-—Diseases op the Nervous System and of the Organs op Special Sense. 60. Encephalitis. 60a. Abscess of brain. 60b. Encephalitis, acute. 61. Simple meningitis. 61 A. Including cerebrospinal fever. Epidemic cerebrospinal meningitis. 62. Locomotor ataxia. 63. Other diseases of the spinal cord. . 63a. Anterior poliomyelitis, acute. 63b. Multiple spinal sclerosis. 63c. Myelitis. (State kind.) 63d. Progressive muscular atrophy. 63e. Spastic paralysis of adults. 63f. Other spinal-cord diseases not specified. 64. Cerebral hemorrhage; apoplexy. 66. Paralysis without specified cause. 66a. Hemiplegia, old. 66b. Paralysis of----. (State nerve.) (Do not use as a primary diagnosis when cause can be determined.) 66c. Paraplegia ataxic. 67. General paralysis of the insane. 68. Other forms of mental alienation. 68a. Defective mental development. 68b. Constitutional psychopathic state. 68c. Dementia arterio sclerotic. 68d. Dementia precox. 68e. Dementia (cause unknown). 148 MANUAL FOR THE MEDICAL DEPARTMENT. 68. Other forms of mental alienation—Continued. 68f. Hypochondriasis. 68g. Melancholia involutional. 68h. Nostalgia. 68i. Paranoia. 68j. Paranoid states. 88k. Psychasthenia. 681. Psychosis exhaustive, infective, and toxic. 68m. Psychosis intoxication. 68n. Psychosis, manic depressive. 68o. Psychosis, traumatic. 68p. Variety of insanity not ascertained. 69. Epilepsy. 69a. Epilepsy. 69b. Psychosis epileptic. 72. Chorea. 73. Neuralgia and neuritis. 73a. Neuralgia. (State nerve.) 73b. Neuritis. (State nerve.) 73c. Multiple neuritis. 73d. Hysteria. 73e. Psychosis, hysterical. 74. Other diseases of the nervous system. 74a. Angioneurotic edema. 74b. Epilepsy, Jacksonian. 74c. Hiccough. (Do not use as a primary diagnosis when cause can be determined.) 74d. Migraine. 74e. Neurasthenia. 74f. Psychosis due to organic brain disease. 74g. Diseases of nervous system not specified. 75. Diseases of the eyes and their annexa. 75A. Follicular conjunctivitis. 75Aa. Conjunctivitis, acute. 75Ab. Conjunctivitis, chronic. 75Ac. Conjunctivitis, follicular. 75Ad. Conjunctivitis, phlyctenular. 75B. Trachoma. 75C. Other diseases of the eyes and their annexa. 75Ca. Amaurosis. 75Cb. Amblyopia. 75Cc. Asthenopia. 75Cd. Astigmatism. 75Ce. Blepharitis. 75Cf. Cataract. 75Cg. Chalazion. ■ 75Ch. Choroiditis. 75Ci. Dacryocystitis. 75Ck. Glaucoma. 75C1. Hordeolum. 75Cm. Hypermetropia. 75Cn. Iritis. 75Co. Keratitis. 75Cp. Myopia. REPORTS, RETURNS, AND RECORDS. 149 75C. Other diseases of the eyes and their annexa—Continued. 75Cq. Optic neuritis. 75Cr. Panophthalmitis. 75Cs. Presbyopia. 75Ct. Pterygium. 75Cu. Retinitis. 75Cv. Sclerotitis. 75Cw. Snow blindness. 75Cx. Diseases of the eye and annexa, not specified. 76. Diseases of the ears. 76a. Cerumen, accumulation of. 76b. Otitis externa. 76c. Otitis interna. 76d. Otitis media. 76e. Other diseases of the ear. III.—Diseases op the Circulatory System. 77. Pericarditis. 78. Acute endocarditis. 78a. Endocarditis, acute. 78b. Myocarditis, acute. 79. Organic diseases of the heart. 79a. Cardiac dilatation. 79b. Cardiac hypertrophy. 79c. Endocarditis, chronic. 79d. Myocarditis, chronic. 79e. Valvular heart disease. 79f. Other diseases of the heart. 80. Angina pectoris. 81. Diseases pf the arteries, atheroma, aneurysm, etc. 81a. Aneurysm. 81b. Arterial sclerosis. 82. Embolism and thrombosis. 82a. Embolism. 82b. Thrombosis. 83. Diseases of the veins (varices, hemorrhoids, phlebitis, etc.). 83a. Phlebitis. 83b. Hemorrhoids. 83c. Varicose ulcer. 83d. Varicose veins. 83e. Varicocele. 84. Diseases of the lymphatic system (lymphangitis, etc.). 84a. Lymphadenitis (nonvenereal). 84b. Lymphangitis (nonvenereal). 84c. Other diseases of the lymphatic system. 85. Hemorrhage; other diseases of the circulatory system. 85a. Bradycardia. 85b. Cardiac palpitation. (Do not use as a primary diagnosis when cause can be determined.) 85c. Epistaxis. 85d. Tachycardia. (Do not use as a primary diagnosis when cause can • be determined.) 85e. Other diseases of the circulatory system, not specified. 150 MANUAL FOR THE MEDICAL DEPARTMENT. IV.—Diseases of the Respiratory System. 86. Diseases of the nasal fossae. 86a. Rhinitis, acute. 86b. Rhinitis, atrophic. 86c. Rhinitis, hypertrophic. 86d. Adenoids. 86e. Deviation of nasal septum. 86f. Polypus, nasal. 86g. Other diseases of nasal fossae. 87. Diseases of the larynx. 87a. Laryngitis, acute. 87b. Laryngitis, chronic. 87c. Other diseases of the larynx. 88. Diseases of the thyroid body. 88a. Goitre (except exophthalmic). 88b. Thyroiditis. 89. Acute bronchitis. 90. Chronic bronchitis. 91. Broncho-pneumonia. 92. Pneumonia (lobar). 93. Pleurisy. 93a. Empyema. 93b. Hemothorax. 93c. Pleurisy, acute fibrinous. 93d. Pleurisy, chronic fibrinous. 93e. Pleurisy, serofibrinous. 93f. Pleuritic adhesions. 93g. Pneumothorax. 34. Pulmonary congestion, pulmonary apoplexy. 94a. Congestion of lung, acute. 95. Gangrene of the lung. 96. Asthma. 97. Pulmonary emphysema. 98. Other diseases of the respiratory system. 98a. Hemoptysis. (Do not use as a primary diagnosis when cause can be determined.) 98b. Hay fever. 98c. Other diseases of the respiratory system, not specified. V.—Diseases op the Digestive System. 99A. Diseases of the teeth and gums. 99Aa. Alveolar abscess. 99Ab. Dental caries. 99Ac. Gingivitis. 99Ad. Pyorrhea alveolaris. 99B. Other diseases of the mouth and annexa. 99Ba. Ulcer of mouth. (Do not use as a primary diagnosis when cause can be determined.) 99Bb. Glossitis. 99Bc. Stomatitis. 99Bd. Other diseases of the mouth and annexa. not specified. REPORTS, RETURNS, AND RECORDS. 151 100. Diseases of the pharynx. 100a. Abscess of tonsil. 100b. Hypertrophied tonsils. 100c. Tonsillitis, acute, follicular. lOOd. Pharyngitis. lOOe. Other diseases of the pharynx. 101. Diseases of the esophagus. 102. Ulcer of the stomach. 103. Other diseases of the stomach (cancer excepted). 103a. Dilatation of stomach. 103b. Gastritis, acute, catarrhal. 103c. Gastritis, chronic, catarrhal. 103d. Hyperchlorhydria. 103e. Hypochlorhydria. 103f. Other diseases of the stomach, not specified. 105. Diarrhea and enteritis (2 years and over). 105a. Colitis. 105b. Diarrhea. (Do not use as a primary diagnosis when cause can be determined.) 105c. Enteritis. 105d. Enterocolitis. 105e. Fermentation, intestinaL 105f. Gastroenteritis. 105g. Ulcer of duodenum. 105h. Ulcer of intestines. 106. Ancylostomiasis. 107. Intestinal parasites. 107a. Ascaris lumbricoides. 107b. Oxyuris, vermicularis. 107c. Strongyloidis intestinalis. 107d. Tapeworm. (State kind.) 107e. Other intestinal parasites. / 108. Appendicitis and typhlitis. 108a. Appendicitis, acute. 108b. Appendicitis, chronic. 109. Herniae; intestinal obstructions. 109a. Inguinal hernia. 109b. Intestinal obstruction. 109c. Other herniae. 110A. Diseases of the anus. HOAa. Proctitis. 110Ab. Fissure of anus. HOAc. Fistula in ano. HOB. Other diseases of the intestines. HOBa. Abscess about rectum. HOBb. Autointoxication, intestinal. HOBc. Constipation. HOBd. Sprue. llOBe. Other diseases of the intestines not specified. 111. Acute yellow atrophy of the liver. 112. Hydatid tumor of the liver. 113. Cirrhosis of the liver. 114. Biliary calculi. 152 MANUAL FOR THE MEDICAL DEPARTMENT. 115. Other diseases of the liver. 115a. Abscess of the liver. 115b. Adhesions about gall bladder. 115c. Cholangitis. 115d. Cholecystitis. 115e. Displacement of liver. 115f. Functional derangement of liver (biliousness). 115g. Other diseases of the liver and gall bladder. 116. Diseases of the spleen. 117. Simple peritonitis (nonpuerperal). 117a. Peritonitis, general. (Do not use as a primary diagnosis when cause can be determined.) 117b. Peritonitis, local. 118. Other diseases of the digestive system (cancer and tuberculosis excepted). 118a. Disease of the pancreas. 118b. Subphrenic abscess. 118c. Other diseases of the digestive system not specified. VI.—Nonveneral Diseases op the Genito-Urinary System and Annexa. 119. Acute nephritis. 120. Bright's disease. 120a. Albuminuria. (Do not use as a primary diagnosis when cause can be determined.) 120b. Nephritis, interstitial, chronic. 120c. Nephritis, parenchymatous, chronic. 120d. Uremia. (Use only as a secondary diagnosis, under appropriate form of nephritis.) 121. Chyluria. 122. Other diseases of the kidneys and annexa. 122a. Congestion of kidneys. (Do not use as a primary diagnosis when cause can be determined.) 122b. Hematuria, renal. (Do not use as a primary diagnosis when cause can be determined.) 122c. Perinephritic abscess. 122d. Pyelitis. 122e. Pyelonephritis. 122f. Pyonephrosis. 122g. Other diseases of kidney and annexa not specified. 123. Calculi of the urinary passages. 123a. Calculus in bladder. 123b. Nephrolithiasis. 123c. Ureteral colic (colic, renal). 124. Diseases of the bladder. 124a. Cystitis. 124b. Enuresis. (Do not use as a primary diagnosis when cause can be determined.) 124c. Retention of urine. (Do not use as a primary diagnosis when cause can be determined.) 124d. Other diseases of the bladder. 125. Diseases of the urethra, urinary abscess, etc. 125a. Stricture of urethra (nonvenereal.) 125b. Simple urethritis. 125c. Other diseases of the urethra, not specified. REPORTS, RETURNS, AND RECORDS. 155 126. Diseases of the prostate. 126a. Hypertrophied prostate. 126b. Prostatitis (nonvenereal). 126c. Other diseases of the prostate. 127. Nonvenereal diseases of the male genital organs. 127a. Balanoposthitis. 127b. Epididymitis (nonvenereal). 127c. Hydrocele. 127d. Orchitis (nonvenereal). 127e. Paraphimosis. 127f. Phimosis. 127g. Other nonvenereal diseases of the male genital organs. VIII. Diseases op the Skin and op the Cellular Tissue. 142. Gangrene. 142a. Gangrene. 142b. Raynaud's disease. 143. Furuncle. 143a. Carbuncle. 143b. Furuncle. 144. Acute abscess. 144a. Abscess. 144b. Cellulitis. 145. Other diseases of the skin and annexa. 14.5A.. Trichophytosis. 145B. Scabies. 145C. Other diseases of the skin and annexa. 145Ca. Acne. 145Cb. Bromidrosis. 145Cc. Sarcopsiliasis. (Chigger.) 145Cd. Chilblain. 145Ce. Corns. 145Cf. Dermatitis venenata. 145Cg. Eczema. 145Ch. Erythema. 145CL Herpes. 145Cj. Herpes zoster. 145Ck. Hyperidrosis. 145C1. Impetigo. 145Cm. Ingrowing nail. 145Cn. Prickly heat. 145Co. Myiasis. 145Cp. Onychia. 145Cq. Pompholyx. 145Cr. Paronychia. 145Cs. Pediculosis. 145Ct. Pemphigus. 145Cu. Pityriasis. 145Cv. Psoriasis. 145Cw. Ulcer. 145Cx. Urticaria. 145Cy. Wart. 145Cz. Other diseases of skin and annexa not specified. 154 MANUAL FOR THE MEDICAL DEPARTMENT. IX.—Diseases op the Bones and of the Organs of Locomotion. 146. Diseases of the bones (tuberculosis excepted). 146a. Frontal sinusitis. 146b. Mastoiditis. 146c. Necrosis. (Do not use as a primary diagnosis when cause can bo determined.) 146d. Osteomyelitis. 146e. Periostitis. 146f. Other diseases of the bones (tuberculosis excepted). 147. Diseases of the joints (tuberculosis and rheumatism excepted). 147a. Ankylosis. 147b. Arthritis. 147c. Loose body in joint. 147e. Synovitis (not to include traumatic synovitis). 149. Other diseases of the organs of locomotion. 149a. Bursitis. 149b. Ganglion. 149c. Hallux valgus (bunion). 149d. Hammer toe. 149e. Metatarsalgia. 149f. Myositis. 149g. Flat foot. 149h. Rheumatism, muscular. 149i. Tenontosynovitis. 149j. Torticollis. 149k. Other diseases of organs of locomotion not specified. X.—Malformations. 150. Congenital malformations (stillbirths not included). XII.—Old Age. 154. Senility. 154a. Psychosis, senile. 154b. Senility. XIII.—Affections Produced by External Causes. 155. Suicide by poison. 156. Suicide by asphyxia. 157. Suicide by hanging or strangulation. 158. Suicide by drowning. 159. Suicide by firearms. 160. Suicide by cutting or piercing instruments. 161. Suicide by jumping from high place. 162. Suicide by crushing. 163. Other suicides. 164. Poisoning by food. 164a. Ptomaine poisoning. 164b. Other poisonings by food. 165A. Venomous bites and stings. 165B. Other acute poisonings (deleterious gases excepted). 165Ba. Narcotic poisoning, acute. 165Bb. Corrosive and irritant poisoning, acute. 165Bc. Other acute poisonings. REPORTS, RETURNS, AND RECORDS. 155 166. Conflagration. (To include all injuries of whatever nature resulting from the burning of buildings, ships, and forest fires.) 167. Bums (conflagration excepted). 167a. Burns of—. (State site.) 167b. Corrosive bums. 167c. Scalds. 167d. Sunburn. 167e. X-ray burn. 168. Absorption of deleterious gases (conflagration excepted). 169. Accidental drowning. 170. Traumatism by firearms. 171. Traumatism by cutting or piercing instruments. 171a. Incised wound. 171b. Punctured wound. 172. Traumatism by fall. 174. Traumatism by machines. 175. Traumatism by other crushing (vehicles, railroad, landslides, etc.). 176. Injuries by animals. 177. Starvation. 177A. Overexertion. 177Aa. Exhaustion from overexertion and exposure. 177B. Starvation. 177Ba. Deprivation of water. 177Bb. Deprivation of food. 178. Excessive cold. 178a. Exposure to extreme cold. 178b. Frostbite. 179. Effects of heat. 179a. Heat exhaustion. 179b. Sunstroke. 179c. Ill-defined effects of heat. 180. Lightning. 180a. Lightning stroke. 181. Electricity (lightning excepted). 182. Homicide by firearms. 183. Homicide by cutting or piercing instruments. 184. Homicide by other means. 185. Fractures. 185a. Dislocation. 185b. Sprains. 185c. Fracture. (State location and cause.) 186, Other external violence. 186a. Abrasion. 186b. Blister. 186c. Concussion. 186d. Contused wound. 186e. Contusion. 186f. Deformity (traumatic or noncongenital). 186g. Lacerated wound. 186h. Ruptured muscle. (State muscle.) 186i. Ruptured organ. (State organ.) 186j. Other traumatisms not specified. 156 MANUAL FOR THE MEDICAL DEPARTMENT. XIV.—Ill-Defined Diseases. 188. Sudden death. (Cause unknown.) 189A. Disease not specified or ill defined. 189Aa. Febricula, simple, continued and other fevers of undetermined cause. 189Ab. Seasickness. 189Ac. Headache. 189Ad. Insomnia. 189B. No disease, feigned disease. 189Ba. Under observation, undiagnosed or unknown. 189Bb. Malingering. 456. The following special requirements will be observed: (a) Pathological lesions should be recorded rather than their symp- toms. (b) In all cases in which the cause of admission is a local manifesta- tion of a general affection the character and locality of the one and the nature of the other should be stated. (c) The organ or part affected should be specified when the name of the morbid condition fails to indicate it, as in paralysis, aneurism, ulcer, herpes, etc.; also in inflammations, as adenitis, osteitis, arthritis, synovitis, etc., and in local injuries, as abrasions, burns, contusions, dislocations, etc. (d) Inflammations should be reported as acute or chronic, and the grade of the inflammatory condition of the mucous membranes, whether catarrhal or suppurative, should be stated. (e) The term "heart disease" should not be recorded when the special affection can be determined. (f) In pulmonary affections the lobe or lobes involved should be designated; also, in the case of diseases that are not always bilateral, whether the disease is confined to the right or left or extends to both lungs. The complications of pleurisy should be particularly noted. (g) Deviations from the normal in cases of impairment of vision or hearing should be ascertained and noted. (h) In case of injury, its character, location, and severity should be stated, the date of its occurrence should be given, its cause should be noted, the nature of the missile, weapon, or other producing agent shown, and the circumstances attending its origin indicated. If it was accidental, that fact should appear. If it was intentional, the record should show whether it was judicial, homicidal, suicidal, self- inflicted, or otherwise, as the case may be. In gunshot wounds the points of entrance and exit of the missile and the parts implicated should be recorded. (i) Fractures should be designated as simple, comminuted, com- pound, or complicated, the character of the complications being stated. REPORTS, RETURNS, AND RECORDS. 157 (j) The exact location, variety, and cause of hernia should be given, and, when strangulated, the condition and the means employed for relief. (k) Diseases due to venereal contagion, to the abuse of stimulants or narcotics, or to immoral practices should be so recorded. (Z) Distinction should be made between inflammations of venereal origin and those of nonvenereal origin, as in cases of balanitis, orchitis, bubo, etc., specifying the nature of the venereal cause and the causa- tion in the nonvenereal cases. (m) Distinction should also be made between the venereal ulcer known as chancroid and the hard chancre of primary syphilis. (n) The terms "venereal warts," "venerealbubo," etc., are indefi- nite and should not be used. The lesion should be recorded and its specific cause stated. (o) In cases of old injury constituting a cause of admission the original injury and the condition of the injured part at the date of current admission will be stated. If there is no record of the original injury in the register, record will also be made under this head of its date, place, and cause, and the circumstances attending it; but if the date, cause, etc., are given in the register for a previous admission the same need not be repeated, but may be referred to as follows: "For date, etc., of original injury, see Reg. No. —." (p) In all cases of poisoning the name of the poison should be given. (q) Special notes should be made of cases of malingering or feigned diseases and of the means employed for their detection. (r) When no diagnosis can be reached, the fact should be stated, together with the conditions which prevent the recognition of the disease or injury. REPORT OF SICK AND WOUNDED. 457. The report of sick and wounded comprises, (1) the report sheet (Form 51), which provides for general information and numer- ical tabulations concerning the command and the civihans there- with; (2) the nominal check hst (Forms 51a and 51&) for a chrono- logical list of cases registered; (3) the report cards (Form 52) for details of the several cases. 458. Subject to exceptions similar to those indicated in paragraph 427, this report is required monthly from every mihtary post and separate command which is attended by a medical officer or civilian physician. It will be rendered separately for regular and volunteer troops, that of regulars to embrace all data pertaining to civilians. It will be forwarded before the fifth day of the^next succeeding month as follows: From a general hospital or other independent post or command direct to the Surgeon General, unless otherwise ordered by him; from a transoceanic Army transport to the medical superin- tendent of the transport service at the transport's home port, for 158 MANUAL FOR THE MEDICAL DEPARTMENT. transmittal to the Surgeon General; and from any other organization or hospital to the department surgeon for like transmittal. (a) When a hospital is closed or a command is discontinued a report covering the unreported period of service, giving the beginning and the end thereof, will in like manner be forwarded within five days thereafter. (b) If there has been no case on sick report, either remaining from last report or admitted during the month, Form 51 will nevertheless be forwarded. It will give the name and strength of the command, etc., with such remarks as may be deemed of interest to the depart- ment surgeon or the Surgeon General. 459. All births and marriages occurring at the post or with the command and all deaths among the civihans with the command will be recorded on the report of sick and wounded under the heading "Births, marriages, and deaths." 460. A report card is required for every case registered during the month, and if the case is not completed until a subsequent month a second report card will be forwarded with the report for the month during which it is completed. With the report for December, report cards will be forwarded also for all cases remaining December 31 which were registered previous to December. (a) A duphcate of the report sheet and of the nominal hst will be retained with the medical records of the post or command. At a permanent post the duphcate report sheets will be filed in and form a part of its medical history. (See par. 412.) (b) The senior medical officer will fill in and sign the certificate at the foot'of the first page of the report sheet. (See par. 400.) The report cards will be initialed as provided in paragraph 435 for reg- ister cards. If there is neither medical officer nor civihan physician with the command when the report is to be made, the officer in charge of the property of the hospital will make the report over his own signature and initial the cards. (c) Alterations should in every instance be authenticated by the initials of the officer or physician who signs the report and initials the report cards respectively. 461. Reports of sick and wounded received by a department sur- geon will be promptly subjected to a critical examination, and such memoranda taken therefrom as he may need for the purposes of his office. Should he find the papers correct, he will forward them at once by informal indorsement (e. g., dating stamp) on the report sheet to the Surgeon General. Should he find any errors therein, he will immediately by letter to the responsible surgeon call atten- tion to the same and direct the necessary action for then* correction. He will not, however, detain the papers in his office awaiting cor- rection but will as in the other event forward them at once to the REPORTS, RETURNS, AND RECORDS. 159 Surgeon General in hke manner with a copy of his letter in the premises. The surgeon should reply to the department surgeon's letter by indorsement thereon. (See also pars. 462, 463, and 464.) After the reply has been noted by the department surgeon it will be forwarded without delay to the Surgeon General. CORRECTIONS OF AND ADDITIONS TO REPORT CARDS AFTER THEIR RENDITION. 462. When the diagnosis is changed or a complication or intercur- rent disability is noted on the register card of a remaining case before its completion (par. 436) and after the first report card of the case has been forwarded, the Surgeon General will be immediately noti- fied thereof by letter sent through the same channel through which the report was forwarded. The advice will give the new matter to be added, together with the date of the change or of the appearance of the complication or intercurrent disabihty. 463. When other corrections or alterations are made in the regis- ter card of a remaining case before its completion and after the first report card of the case has been forwarded, a new card, signed by the senior medical officer, marked "Correction card" in the lower margin on the back of the card directly below the table for days of treatment, indicating plainly what the corrections or alterations are (each of which will be initialed by the responsible officer), will be forwarded with the next ensuing monthly report: Provided, That when the case is completed upon the next ensuing monthly report the card required for the completion of the case under paragraph 460 will be sufficient, and a separate correction card will not be for- warded. 464. When the register card of a completed case is altered under paragraph 436a after its final report card has been rendered, a cor- rection card similarly marked and signed by the senior medical offi- cer, showing plainly all the alterations, each of which will be authen- ticated by the initials of the responsible officer, will be immediately forwarded to the Surgeon General through the usual channel. When a supplemental card is filed with the register card of a completed case conformably to paragraph 436a, a full and exact copy thereof, giving the register number and marked "Transcript of supplemental card" in the lower margin on the back of the card directly below the table for days of treatment, will be at once forwarded likewise. REGISTER OF DENTAL PATIENTS AND REPORT OF DENTAL WORK. 465. A register of dental patients will be kept on cards, Form 79, at every post or station attended by a member of the Dental Corps. 466. The case of every officer and enlisted man of the Army who 160 MANUAL FOR THE MEDICAL DEPARTMENT. is treated by the dentist will be entered in the register, a separate card being made for each period of continuous treatment. Upon the con- clusion of continuous treatment in any case its card will be closed by appropriate entry in the "Results" column. (a) Should it become necessary to discontinue work on a case on account of the dentist's departure from the station the case will be closed on the card, making a record of the status of the work in the "Results" column. (b) If an officer or soldier previously on the register, i. e., for whom a closed dental card is on file, should begin a new course of treat- ment, whether for the dental disabihties formerly treated or other- wise, a new card will be made for the new course of treatment. 467. The dental cards in the several cases will be made day by day as the treatments begin. They will be kept in two files, each ar- ranged in dictionary order according to the surnames of the patients— the current file and the permanent file. The current file will con- sist of the cards of all uncompleted cases and the completed cards in current use for the preparation of the next report of dental work. Cards will be transferred from the current file to the permanent file immediately following their completion and the preparation of the ensuing report of dental work. 468. The cards will be legibly written in indelible black ink, by pen or typewriter, as may be most convenient. The entries will not be crowded. Extended entries, when necessary, may be made in the manner indicated in paragraph 434a. 469. The dentist will sign or initial all dental cards covering treat- ments given or concluded by him. Alterations will be authenti- cated by him by his initials. 470. The nomenclature given on page 2 of the monthly report of dental work (Form 57) will be employed so far as apphcable in record- ing dental and oral diseases and injuries. 471. To effect economy of space and insure uniformity of records, abbreviated entries are prescribed as indicated in the following tables: CLASSIFICATION OF THE TEETH. 1. Superior central incisors. 2. Superior lateral incisors. 3. Superior cuspids. 4. Superior first bicuspids. 5. Superior second bicuspids. 6. Superior first molars. 7. Superior second molars. 8. Superior third molars. 9. Inferior central incisors. 10. Inferior lateral incisors. 11. Inferior cuspids. 12. Inferior first bicuspids. 13. Inferior second bicuspids. 14. Inferior first molars. 15. Inferior second molars. 16. Inferior third molars. Note.—In designating the teeth, and in recording all operations upon them, the dental surgeon will indicate the tooth by the above plan, using the letters R and L to designate the right and left sides and the figures 1,2,3, etc., to designate the teeth. Examples.—Rl, right superior central incisor; L14, left inferior first molar. REPORTS, RETURNS, AND RECORDS. 161 Incisors and cuspids: A. Labial. B. Lingual. 0. Incisal. Incisors and cuspids: G. Mesial. II. Distal. CLASSIFICATION OF CAVITIES. Simple cavities on exposed surfaces. Bicuspids and molars: D. Occlusal. E. Buccal. F. Lingual. Simple approximate cavities. Bicuspids and molars: I. Mesial. J. Distal. Compound cavities. Incisors and cuspids: K. Mesio-labial. L. Disto-labial. M. Mesio-lingual. N. Disto-lingual. 0. Mesio-incisal. P. Disto-incisal Q. Mesio-disto-incisal. Note.—In recording all operations of filling the teeth, the cavity will be described by the dental surgeon according to the preceding classification, using the letters A, B, C, etc., to designate its location. Examples.—A, simple cavity in labial surface of an incisor or cuspid tooth; I, simple cavity in mesial surface of a bicuspid or a molar; V, compound cavity in mesial, distal, and occlusal surfaces of a bicuspid or a molar. CLASSIFICATION OF FILLING MATERIALS. Bicuspids and molars: R. Mesio-occlusal. S. Disto-occlusal, T. Occluso-buccal. U. Occluso-lingual. V. Mesio-disto-occlusal. W. Bucco-linguo-occlusal. Tin. Amalgam. Oxyphosphate. Gutta-percha. Note.—The kind of filling material employed will be indicated by using the first letter of the word desig- nating that material. Example.—R5, V, A: Tooth, right superior second bicuspid; cavity, mesio-disto-occlusal surfaces; filling matsrai. amalgam. If a combination filling is employed, it will be designated by the first letters of the words designatmg the materials used. Ezarr.yle.—Ll, S, G-0: Tooth, left superior second molar; cavity, disto-occlusal surfaces; filling mate- rial, gu' a-percha and oxyphosphate cement. OTHER OPERATIONS AND ABBREVIATIONS. In recording operations made with gold the full word gold should be written out. ■ Other operations upon the teeth will be designated by a combination of letters, as follows: Pulp extirpated: P-E. Root canal filled: R-F Tooth extracted: T-E. Tooth treated: T-T. Further treatment: F-T. Abscess lanced: A-L. Calculus removed: C—R. Gums lanced: G-L. Pulp capped: P-0. Pulp devitalized: P-D. 472 Details of cases will be carded as follows: (a) Spaces 1 to 9 will be filled out in the manner prescribed for the register of patients (pars. 437 to 442). 93440°—17---ll 162 MANUAL FOR THE MEDICAL DEPARTMENT. (b) In space 10 the diagnosis will be recorded. One line should be taken for each morbid condition requiring treatment which is found when the case is first entered or which subsequently develops during the course of the treatment. (c) The date, nature, and residt (as, e. g.,.cured, improved, unim- proved, successful, unsuccessful, or undetermined) of the treatment of each such condition will be entered in spaces 11 and 12, with such additional remarks in the latter space as may be appropriate. 473. A report of dental work is required monthly on Form 57 from every military post or command at or with which a member of the Dental Corps has been on duty during the month. It will be made and signed by the dentist. If no patients have been treated during the month, the report, with a statement to that effect under "General remarks," will nevertheless be rendered. (a) The report will be forwarded, through medical channels, to the Surgeon General, before the fifth day of the next succeeding month. ARTICLE IX.—SUPPLIES AND MATERIALS. GENERAL PROVISIONS. 474. The supply table enumerates the medical supphes issued to the Army and the quantities and sizes of original packages. These supplies are selected for the military service, and it is believed that all necessary articles are included and that the quantities aUowed will be found sufficient under ordinary circumstances. Requests for particular preparations simply because they are agreeable to the taste or save trouble in compounding will not be approved; nor will preparations of a drug be furnished when one or more practically equivalent ones are on the supply table. The Medical Department will supply from time to time new remedies of determined thera- peutic value, but newly introduced remedies which offer no manifest advantage over those already issued will not be supplied. (a) Medical officers are requested to communicate freely to the Surgeon General any suggestions tending to the improvement of medical supplies, appliances, etc., and to make reports as to new designs of apparatus, field equipment, etc. 475. In preparing returns, requisitions, invoices, and receipts pertaining to medical and hospital supplies, the nomenclature, order of entry, classification, and weights and measures of the supply table will be followed. To facilitate the handling of these papers one line of writing only will be placed in each interlinear space. No letter of transmittal is required with them. 476. Medical officers in charge of medical supply depots will pur- chase and distribute medical and hospital supplies for the Army according to instructions given them from time to time by the Surgeon General. (See par. 380.) Purchases at posts or by officers not in charge of supply depots (except prescriptions purchased under the provisions of Army Regulations, and antitoxins purchased under the authority indicated hereinafter in the supply table) will not usually be made without special authority from the Surgeon General, or, in the Philippine Department or Hawaiian Department, from the department surgeon. When the emergency is so great that there is not time to obtain special authority by mail through the regular channels, application therefor may be made direct by telegraph. When it is impracticable to telegraph, small quantities of articles im- mediately needed to save life or prevent suffering and distress among 163 164 MANUAL FOR THE MEDICAL DEPARTMENT. the sick may be purchased without advance authority. Vouchers for such unauthorized purchases will be forwarded without delay on Form 330 or Form 330a, W. D., to the department surgeon, or if from a command under the immediate supervision of the War Depart- ment to the Surgeon General, unless otherwise directed by him. They must invariably be accompanied by a letter explaining why tho necessary articles were not on hand, and what the circumstances were which did not admit of requiring for them in the regular way or of making telegraphic application for authority to purchase them. Timely action in requiring for supplies will as a rule obviate the neces- sity of telegraphic application or of unauthorized purchases. (a) Purchase vouchers must be accompanied by one invoice of articles purchased, Form 12, a duplicate of which should be retained by the officer accountable for the property. REQUISITIONS. POST MEDICAL SUPPLIES. 477. Annual requisitions for post medical supplies will be prepared on Form 33, for the year commencing January 1, unless some other date is designated by the Surgeon General. (a) They will be forwarded not less than 20 days before the begin- ning of the year, to the department surgeon, in quadruplicate, or in the case of general hospitals and independent posts direct to the Surgeon General in triplicate. 478. Articles of which a definite allowance is given on the supply table will be required for on the annual requisition except as other- wise provided in paragraph 486. No remark will be made opposite the name of any article that a special kind or special make or pattern is wanted, as the annual requisition is intended to include only such articles as are kept on hand in supply depots for issue, and not such as have to be specially purchased; the latter when wanted must be asked for on special requisition. (a) Only such quantities will be asked tor as probably will be needed during the year, computed on the basis of original packages. Frac- tional parts of a bottle or package wiU not be asked for. The quan- tities asked for, plus the quantities on hand, must not exceed those specified in the table for the official population most nearly corre- sponding to that of the post or command. The quantity of each article on hand, as verified by a medical officer in accordance with paragraph 512a, will be stated and will be deducted from the quantity allowed annually by the supply table (ignoring for the purpose of this deduction fractional parts of bottles and packages on hand) to ascertain the balance which may be asked for, if needed. SUPPLIES AND MATERIALS. 165 (b) Before forwarding an annual requisition it will be carefully examined and compared with the supply table to see that it has been correctly made out in strict accordance with these regulations and to avoid the delay that its return lor correction will occasion if they are not complied with. 479. The local prevalence or rarity of certain diseases, as well as the quantity or number on hand of each article, will be considered in the preparation and approval of annual requisitions. 480. The smaller posts will not need all the articles included in the supply table. The surgeon is not expected to require for an article merely because it is listed. He should call only for wb at there is reason to think he will need. 481. The department surgeon to whom an annual requisition is forwarded will see whether it is prepared in accordance with the above regulations. If it is, he will approve and forward one copy direct to the medical supply depot designated for his territory by the Sur- geon General; if it is not, he will alter it to conform to these regula- tions, and then forward it to the depot approved as altered. In either event, he will forward the second copy of the requisition, with the action taken by him noted thereon, direct to the Surgeon General. He will retain the third copy in the files of his office and will return the fourth copy to the surgeon with his modifications, if any, noted thereon. 482. Special requisitions for post medical supphes are annual, quarterly, or emergency. They will be made on Form 35, but sepa- rately from those for field medical supphes and those for dental sup- phes. The same number of copies will be executed, and they will be forwarded to the department surgeon or to the Surgeon General direct, as in the case of annual requisitions from the same posts or hospitals. (See par. 477a.) 483. Except as otherwise provided in paragraph 486, articles not on the supply table which will be needed during the year will be called for on the annual special requisition. It will be forwarded with the regular annual requisition. The articles will be listed in alphabetical order, and the necessity for them will be fully explained in the column of "Remarks." To avoid delay hi filling these requisi- tions a full description of special articles, instruments, and appli- ances required for will be given in "Remarks," together with a state- ment of their cost or approximate cost, as ascertained from dealers' catalogues or other rehable sources of information. When unusual drugs or chemical reagents are called for similar information as to their cost will be furnished. 484. Except as otherwise provided in paragraph 486 and in the foot- notes to the supply tables, articles on the supply table of which no allowance is stated, or which are issued "a3 required," will be called for on the quarterly special requisition. 166 MANUAL FOR THE MEDICAL DEPARTMENT. (a) When supplies are exhausted or their exhaustion is imminent, a renewal thereof may be asked for on the quarterly special requisi- tions forwarded during the remainder of the year. These articles should be listed according to the nomenclature, classification, and alphabetical arrangement of the supply table. (b) When quarterly special requisitions are necessary they will ordinarily be forwarded on or before January 1, April 1, July 1, and October 1, for the ensuing three months, respectively. A quarterly requisition may, however, be forwarded at any time during the quar- ter in which the supplies are needed. (c) When under these regulations a quarterly special requisition would be made at the same time as an annual special it will be con- solidated therewith. 485. When, as a result of the prevalence of an epidemic or for any other reason, necessary supphes are likely to be exhausted before the next quarterly special requisition is to be made, they will be called for on an emergency requisition, Form 35, forwarded at once upon the development of the deficiency, with a full explanation of the emergency and its cause. In extreme cases telegraphic application should be made direct to the Surgeon General, or in the Philippine Department or Hawaiian Department to the department surgeon, for the supplies needed to meet the emergency, which will be followed by a letter of explanation. Surgeons will be held accountable for any suffering which may result from their failure to require for supplies when it is evident the same will be needed. (a) The frequent rendition of emergency post requisitions would usually argue a want of reasonable foresight in requiring for supphes, or a want of proper economy in the use of hospital property, and would be a reproach to medical administration. If due care in the use of hospital property is exercised, and the regulations herein made for the timely preparation of annual and quarterly requisitions are observed, it will seldom be necessary to resort to the emergency or telegraphic requisition. 486. The following special rules will be observed: (a) Identification supplies will be asked for on quarterly special requisitions. On these requisitions no other items should appear, as identification supphes are issued from the New York supply depot only. (b) Articles required to replace unserviceable property, whether on the supply table or not, will be required for on the quarterly special requisition. The exact number and condition of the unserv- iceable articles on hand will be expressly stated in "Remarks." (c) Mineral oil, coal, gas,-and electric current, for operating steril- izers, X-ray machines and other therapeutic apparatus will be obtained on request addressed to the Surgeon General, or, in the Phihppine or Hawaiian Departments, to the department surgeon. SUPPLIES AND MATERIALS. 167 (d) Supphes for a subpost or camp will, in the absence of orders to the contrary, be required for quarterly upon the surgeon of the main post or command, who will issue them after approval by the depart- ment surgeon. 487. The department surgeon to whom a special requisition is forwarded will personally and carefuUy scrutinize it and make such changes therein as he may deem proper. He will indorse on each of three copies his approval or recommendation as to the action to be taken and will forward them, except as indicated in section (a) hereinafter, to the Surgeon General. He will retain the fourth copy in the files of his office. One copy of the requisition forwarded to the Surgeon General's Office wiU be returned to the surgeon, through the department surgeon, with modifications, if any, noted thereon. In the Phihppine and Hawaiian Departments the department sur- geons are authorized to act upon special requisitions as upon annual requisitions. (a) In the case of a special requisition to meet an emergency not admitting of delay the department surgeon is authorized to approve the same, forwarding one copy, with his approval indorsed thereon, to the medical supply depot designated for his territory, forwarding a second copy to the Surgeon General with an indorsement stating the circumstances, retaining the third copy in his files, and-returning the fourth copy to the surgeon with his modifications, if any, noted thereon; but requisitions for articles not on the supply table must in all cases be forwarded to the Surgeon General for his action (except in the Philippine and Hawaiian Departments, where the department surgeons will act upon them). 488. Medical supply officers to whom approved requisitions for supphes are referred by department surgeons conformably to these regulations are authorized to issue the same from stock, if on hand, or to purchase them for issue, if not on hand, subject, however, to instructions given by the Surgeon General respecting the allotment and expenditure of pubhc funds available for purchases. FIELD MEDICAL SUPPLIES. (For provisions respecting requisitions from organizations in the field, see pars. 551 to 553.) 489. Requisitions to replenish field medical supphes or to replace unserviceable field equipment at permanent posts will be executed in triphcate, on Form 35, and will be forwarded to the department surgeon, or, in the case of an independent post or station, direct to the Surgeon General. (a) The department surgeon who receives a requisition in triphcate for field medical supphes in conformity with this regulation will promptly forward the same, with his recommendations indorsed on each copy, to the Surgeon General. In the Philippine and Ha- 168 MANUAL FOR THE MEDTCAL DEPARTMENT. waiian Departments the department surgeons are authorized to a'-t upon them as upon requisitions for post supplies. One copy of the requisition will be returned to the surgeon with modifications, if any, noted thereon. 490. Requisitions from permanent posts for field medical supphes should be unnecessary except immediately following active military operations or as the result of changes in tho supply tables. DENTAL SUPPLIES. 491. Articles of post medical supplies needed by the dental sur- geon will be issued by the surgeon, as to his other assistants, from time to time in such quantities as are needed for the work at the post. The surgeon is charged with the responsibility of keeping on hand the articles indicated in the supply tables as used by dental surgeons. 492. Requisitions for other dental supplies, annual and special, will be executed in triplicate by the dentist, who will forward them through the surgeon to the department surgeon, or, in the case of independent posts or commands, to the Surgeon General. The department surgeon "will promptly transmit them, with his recom- mendations indorsed on each copy, to the Surgeon General. In the Philippine and Hawaiian Departments the department surgeons are authorized to act upon them as upon requisitions for post supphes. One copy of the requisition will be returned to the dentist with modi- fications, if any, noted thereon. 493. Annual requisitions will be made on Form 36 for the year beginning January 1 (unless some other date is designated by the Surgeon General) and wiU be forwarded not less than 20 days before that date. (a) Articles of which a definite allowance is fixed on the dental supply table will be required for on the annual requisition, except as otherwise provided in paragraph 491. Annual dental requisitions will be subject to the regulations in paragraph 478 governing the preparation of annual post requisitions, so far as the same are apphcable. 494. Articles on the dental supply table for which no allowance is specified or which are issued "as required," -will be required for on quarterly special requisitions, Form 35, except as otherwise provided in paragraph 491, for the quarters beginning January 1, April 1, July 1, and October 1. (a) Articles not on the dental supply table, which are absolutely necessary for dental work soon in prospect, will also be called for on the quarterly special requisition, with a full explanation of their necessity. (b) Textbooks on dental subjects will be asked for on quarterly special requisitions. SUPPLIES AND MATERIALS. 169 495. In emergencies, when dental instruments, apphances, or sup- phes not on hand, or to replace similar articles which have become unserviceable, wiU be needed before the next quarterly special requisi- tion, they may be required for on an emergency special requisition, to be forwarded at once upon the development of the emergency, with a full explanation of its character and cause. TRANSFER OF MEDICAL SUPPLIES. (See pars. 49 and 228.) 496. In ordinary transfers of medical supphes the transferring offi- cer will at once forward invoices (Forms 23, 24, 28, or 31) in dupli- cate, one to the Surgeon General direct and one to the receiving offi- cer. The latter will promptly upon completion of the transfer for- ward receipts (Forms 23, 24, 28, or 31) in duphcate, one to the Sur- geon General and the other to the transferring officer. A packer's list (Form 32) will, if necessary, be furnished by the transferring officer. (a) All supphes shipped will bear the name of the consignor as well as that of the consignee. 497. In cases in which complete transfer of medical property occurs, the receiving officer, instead of giving separate receipts, as provided in paragraph 496, will receipt for the property transferred on the final return, both original and duplicate (Form 17c), of his predeces- sor. The transferring officer will at once forward the original return, bearing the receipt above prescribed, to the Surgeon General. The duplicate return will be filed with the retained records of the hospital. (See Appendix: Records and Correspondence.) 498. Great care should be exercised before receipting for cases of instruments, microscopes, and other property of similar character not enumerated on the property papers in detail, to ascertain that the f ull contents of such cases are present and in good order. Incomplete cases will be receipted for as such and a list of the missing articles will accompany the receipt, in order that the proper officer may be held accountable for the deficiency. Receipts without remark for cases of instruments and similar property will be considered as evidence that they are complete and in accordance with the lists of contents marked in the cases or as given in the supply table, and the receiving officer will be held responsible in accordance therewith. 499. The transferring officer will enter on his invoices, and the receiving officer on his receipts, the condition of all articles not serviceable. 500. Medical officers will report to the Surgeon General and to the transferring officer all defects observed in the quahty, quantity, or packing of medical supplies. 170 MANUAL FOR THE MEDICAL DEPARTMENT. ACCOUNTABILITY. 501. Medical officers will take up and account for all medical prop- erty of the Army which comes into their possession. If it is property with which they have not been formally charged (as, e. g., property found at post) they will report if possible to whose account it is to be credited. (See, however, par. 504&.) (a) Members of the Dental Corps will follow a similar course regard- ing dental property coming into their possession, except supphes issued under paragraph 491. 502. No medical property will be accounted for as on hand at the end of the accounting period unless the same is then in fact on hand. Medical property expended, lost, or destroyed must be dropped accordingly, and credit therefor claimed by certificate or affidavit as required by Army Regulations. If the evidence is considered satis- factory by the Surgeon General the credit will be allowed as claimed; if not satisfactory, the accountable officer will be required to refund the value of the property. (See par. 230.) 503. In invoicing or accounting for broken packages, such as bottles, jars, etc., fractions will be given as one-fourth, one-half; three-fourths. DISTRIBUTION OF FIELD MEDICAL SUPPLIES IN TIME OF PEACE. 504. Surgeons on duty with line organizations are charged with the responsibility of keeping on hand in time of peace the field medical supplies mentioned in paragraph 632. These supplies will be so distributed that in case of mobilization the various organizations will arrive at their concentration camps completely equipped, but with- out medical supplies in excess of the prescribed allowances. For example: If a regiment is divided between two stations the camp infirmary may be assigned where the larger proportion of the regi- ment is stationed and the combat equipment to the station of the other units. If a regiment is divided between three or more stations the camp infirmary may be assigned to one station, and the combat equipment to another, while the units at each of the other stations may be supplied with an extra medical and surgical chest (par. 932). The additional articles for the establishment of a regimental hospital should be kept at the same station as the camp infirmary, as they are supplementary to the latter and of httle value by themselves. (a) If the supphes thus provided for detached battalions or com- panies prove insufficient for the requirements of practice marches and other field exercises engaged in during peace they may be sup- plemented by equipment improvised from post supplies, but requisi- tions for field supphes in excess of these provisions should not be necessary. SUPPLIES AND MATERIALS. 171 (b) In order to carry out the provisions of this paragraph, surgeons of detached battalions or companies will be required to hold the supplies (except individual equipments) pertainmg to the combat equipment and camp infirmary on memorandum receipt from the surgeon at regimental headquarters. 505. When the battalions or companies of an organization are sta- tioned in different departments but belong to the same tactical division the distribution of the field medical equipment of the organi- zation will be decided by the War Department upon the recommen- dation of the department commander in whose department the headquarters of the organization is stationed. 506. In the event of mobihzation organizations will take with them to the concentration camp the combat equipment and the camp infir- mary only unless otherwise specifically directed by the department commander, except that the extra medical and surgical chests pro- vided for detached battalions or companies may be taken if required for use en route. In the latter case such additional supplies will be turned in to the depot when the organization has joined its division. (See par. 365Z.) RETURNS OF MEDICAL PROPERTY. (See par. 3806.) 507. Officers in charge of medical property will on being reheved of the same prepare a return thereof in duplicate (Forms 17, 17a, 17b, and 17c), showing all articles received, expended, sold, trans- ferred, etc., durmg its period. The original of this return will be promptly transmitted to the Surgeon General. The duplicate, with a complete set of vouchers, will be filed with the retained records of the hospital. (See Appendix: Records' and Correspondence.) (a) Returns of property issued for personal use, including the portable dental outfit, will be rendered at the end of each calendar year. (b) Returns of field supplies will be made separately from returns of post supplies. (Sec, however, par. 5045.) 508'. Returns of dental property will be made by the dentist having custody thereof. SALES, 509. When medical property is sold the officer responsible therefor will pay the necessary authorized expenses of the sale, if any, out of the proceeds, taking proper vouchers for such payments, and will deposit the balance or net proceeds, without delay, and if possible on or before the last day of the month during which he receives the proceeds, with the nearest United States depositary, to the credit of 172 MANUAL FOR THE MEDICAL DEPARTMENT. the Treasurer of the United States. Immediately upon making the deposit he will notify the Surgeon General by letter direct of his action, giving the date or dates of the sale and the amount of the proceeds of the articles sold on each date. (a) Within 10 days after the end of the month during which he receives the proceeds of the sales ho will render to the Surgeon General direct an account current (Form 3206 or Form 320, W. D.) debiting himself thereon under the proper heading with the net pro- ceeds of the sales and crediting himself with the .amount deposited. He will insert the proper heading, that is, the designation of the proper fund to which the proceeds go (sec par. 510) in one of the blank spaces provided therefor at the top of the ruled columns. He will forward with his account an exhibit in duphcate of the articles sold, as follows: First. In the case of a sale of condemned property at auction or on sealed proposals, if there were any expenses attending the same, the exhibit will be made out on Form 325, W. D., and be accompanied by the vouchers for the expenses of sale; if there were no expenses, the exhibit will be made out either on Form 325 or on Form 322, W. D., as the accountable officer may prefer; in either event, the exhibit will be accompanied by a copy of or a suitable extract from the inventory and inspection report. Second. In the case of sales of medicines to civihans under para- graphs 242 to 244 of this Manual the exhibit will be made out on Form 322a, W. D. Third. In the case of other authorized sales the exhibit will bo made out on Form 322, W. D. (b) A duphcate of the account and a triplicate of the exhibit should be retained by the officer. 510. The proceeds of authorized sales of serviceable medical property accrue to the special fund "Replacing medical supphes" for the proper two-year period, thus: The proceeds of sales made during the fiscal year 1916 pertain to the fund "Replacing medical supphes, 1916-17;" the proceeds of sales made during tho fiscal year 1917, to the fund "Replacing medical supphes, 1917-18/' and so on from year to year. The accountable officer should render his accounts accordingly, carefully noting that it is the date of sale that determines the fund to be credited and not the date of collecting the proceeds, which is immaterial in this connection; otherwise embarrassment in tho adjustment of his accounts will follow. (a) The proceeds of sales of condemned property accrue to ' 'Mis- cellaneous receipts," and should be so designated. SUPPLIES AND MATERIALS. 173 DISPOSITION OF MEDICAL PROPERTY ON ABANDON- MENT OF POSTS. 511. Unless modified by special instructions from the Surgeon General, the following rules will be observed in the disposition of medical property upon the abandonment of a post: (a) Unserviceable r. roperty will be submitted to an inspector, with a view to final disposition by sale or destruction. (6) A list of all other articles will be forwarded to the department surgeon, or, in the case of an independent post, to the Surgeon Gen- eral, for decision as to where they shall be sent. (c) Only such nonexpendable articles as are in perfect order, including recent medical works, and instruments which can not be transferred to other posts without unnecessary duplication, should be turned in to a medical supply depot. USE AND CARE OF MEDICAL PROPERTY. 512. Officers will be held responsible for the serviceable and com- plete condition of all property in their possession, except such as may have been rendered unserviceable by fair w:?„r and tear. (a) The responsible officer will 6nce each year cause all medical property in his charge to be carefully examined by a commissioned medical officer and verified by the returns, invoices, etc. 513, With the permission of the surgeon, medical officers may take books and instruments from the hospital for professional use; but no medical property of any description will be taken away from a post by an officer on being reheved or when availing himself of a leave of absence, except by authority of the Surgeon General, or, within the hmits of the Phihppine or Hawaiian Departments, by authority of the department surgeon. 514. The stock of alcohol, alcoholic liquors, opium, and the salts, derivatives, and preparations of opium or coca leaves will be kept in a locked closet in the storeroom and only issued to the dispensary in unit containers from time to time as may be necessary, upon the written order of a medical officer. (a) In the storeroom, receipts and expenditures of these articles will be accounted for in the manner prescribed for the dispensary (par. 240). 515. Field supphes and equipment will not be used at posts, excepl when required for purposes of instruction. 516. Field chests and apphances will be frequently inspected and kept in perfect order for immediate field use. 517. The exchange of medicines with druggists is prohibited, 518. The issue of articles for use in the preparation of cleanmsr mixtures, cosmetics, or perfumery, or for use with spirit lamps, etc., is prohibited 174 MANUAL FOR THE MEDICAL DEPARTMENT. 519. The responsible officer will cause all instruments in his charge to be exammed by a commissioned medical officer at least once each month. 520. Steel and plated instruments may be prevented from rusting by keeping them in a 20 per cent formalin solution saturated with borax. 521. Surgical instruments and appliances that require and are con- sidered worth repairing will be reported through the department surgeon to the Surgeon General, or in the Philippine or Hawaiian Departments to the department surgeon, with a statement of the repairs needed, giving the name of the maker of each article. 522. The responsible officer will also report to the Surgeon General, or in the Philippine or Hawaiian Departments to the department surgeon, such articles of bedding or furniture as may need and are considered worth repair or renovation. The work should be done by post labor if practicable, request being made for authority to purchase necessary material. If this is not practicable, the officer will obtain one or more estimates in detail of the cost of repair or renovation of such bedding or furniture and forward them with his report. 523. Blankets not in use should be frequently examined and prop- erly protected. When stained but otherwise in good condition they should be continued in service. Hospital bedding will not be used by members of the Hospital Corps, except when on duty in the wards. 524. When a typewriter is to be transported the ribbon spools should be removed and packed separately, the carriage of the machine securely tied to the base in such a manner that it can not move in any direction, and the steel rods or blocks for locking the carriage placed in position. Medical officers will be held responsible for dam- ages to typewriters which result from careless packing. 525. Rubber and flexible catheters and bougies will be kept in talc or glycerin to preserve them. 526. When the canvas in litters becomes soiled it will be removed from the litters, washed, and replaced. When it becomes torn or unserviceable new canvas of the proper size should be applied for to replace it. METEOROLOGICAL INSTRUMENTS. 527. Meteorological observations will be taken at such posts as may be designated by the Surgeon General, to whom a report will be rendered promptly at the end of each month on the form furnished by the director of the State section of the Weather Bureau and through the office'of the said director. Such meteorological instru- ments as are required for use at designated posts will be obtained by application to the State section director; and when any of these instruments become broken or unserviceable the request for new SUPPLIES AND MATERIALS. 175 ones will state the circumstances attending the breakage, and, if a thermometer, the parts of the instrument will be returned by mail to the office of the State director. Receipts for these instruments will be made out by the surgeon on forms transmitted with the instruments. When relieved from duty U a station, the surgeon will notify the State oificer, in order that the responsibility for the property may be properly transferred. Meteorological instruments heretofore issued by the Medicai Department will be borne upon the returns of medical property untL broken or worn out, but articles furnished by the Weather Bureau will not be taken up on these returns. PART II. THE SANITARY SERVICE IN WAR. 93440°—17----12 177 \ ARTICLE X.—THE SANITARY SERVICE IN WAE, GENERAL. ADMINISTRATIVE ZONES. 528. In time of war the activities of the mihtary estabhshment embrace: (1) The service of the interior. (2) The service of the theater of operations. 529. The service of the interior is carried on by: (1) Department commanders. (2) Bureau chiefs, having for this purpose general depots of supply, general hospitals, arsenals, etc. (a) The service of the theater of operations is carried on by the commander of the field forces. The theater of operations is divided into two zones: (1) The zone of the hne of communications. (2) The zone of the advance. (b) The service of the interior functions both in peace and in war; that of the theater of operations in war only. OBJECTS OF MEDICAL DEPARTMENT ADMINISTRA- TION. 530. The objects of Medical Department administration in war are: (a) The preservation of the strength of the Army in the field by (1) the necessary sanitary measures; (2) the retention of effectives at the front, and the movement of noneffectives to the rear without obstructing mihtary operations; and (3) the prompt succor of wounded on the battle field and their removal to the rear, thus pre- venting the unnecessary withdrawal of combatants from the filing line to accompany the wounded, and promoting the general morale of the troops. (b) The care and treatment of the sick and injured in the zone of the advance, on the line of communications, and in home territory. DUTIES OF THE MEDICAL DEPARTMENT. 531. The Medical Department is charged with the administration of the sanitary service. Specifically, its duties are: (a) The initiation of sanitary measures to insure the health of the troops. 179 180 MANUAL FOR THE MEDICAL DEPARTMENT. (b) The direction and execution of all measures of public health among the inhabitants of occupied territory. (c) The care of the sick and wounded on the march, in camp, on the battle field, and after removal therefrom. (d) The methodical disposition of the sick and wounded. (e) The transportation of the sick and wounded. (/) The estabhshment of hospitals and other formations necessary for the care of the sick and wounded. (g) The supply of sanitary materiel necessary for the health of troops and for the care of the sick and wounded. (h) The preparation and preservation of individual records of sick- ness and injury, in order that claims may be adjudicated with justice to the Government and to the individual. PERSONNEL OF THE SANITARY SERVICE. GENERAL ENUMERATION. 532. In time of war the sanitary service includes: (1) All persons serving in or employed by the Medical Department, including officers and men temporarily or permanently detailed therein. (2) Members of the American National Red Cross assigned to duty with the Medical Department by competent authority. (3) Individuals whose voluntary service with the Medical Depart- ment is duly authorized. (a) The personnel of the Medical Department and all other persons assigned to duty with that department are collectively called sani- tary troops. 533. The following persons serve in or are employed by the Medical Department: (1) Medical officers of the Regular Army (mcluding officers of the Medical Reserve Corps), of the Organized Mihtia called into the service of the United States, and of the Volunteer Army. (2) Physicians under contract. (3) Members of the Dental Corps. (4) Members of the Hospital Corps. (5) Members of the Nurse Corps. (6) Officers and soldiers of the hne or staff detailed for duty with the Medical Department. (7) Civihans employed by the Medical Department. TITLES OF MEDICAL OFFICERS. 534. The title of the senior medical officer on the staff of the com- mander of a field army is "chief surgeon"; of a line of communica- tions, "surgeon, base group"; of a division, "division surgeon"; of a THE SANITARY SERVICE IN WAR, GENERAL. 181 brigade operating independently, "brigade surgeon"; of a detach- ment, regiment, or smaller command, "the surgeon"; of a field hos- pital or other sanitary formation, and of an ambulance company or detachment thereof, "commanding officer." ORGANIZED VOLUNTARY AID. 535. Organized voluntary aid may be utihzed to supplement the resources and assist the personnel of the Medical Department through the American National Red Cross under the authority of the act of Congress approved April 24, 1912 (37 Stats., 90). This organization, in accordance with the terms of its charter (Act Jan. 5,1905, 33 Stats., 600), is "a medium of communication between the people of the United States and their Army." No volunteer aid from any society or association will, therefore, be accepted for the Army of the United States except through the American National Red Cross. 536. The following regulations, approved by the President of the United States, govern the status, organization, and operations of this society when employed with the Army: (a) The organized Red Cross units serving with the land forces will constitute a part of the sanitary service of the land forces. (b) When the War Department desires the use of the services of the Red Cross in time of war, or when war is imminent, the Secretary of War will communicate with the president of the society, specifying the character of the services required and designating the place or places where the personnel and materiel will be assembled. (c) When any member of the Red Cross reports for duty with the land forces of the United States, pursuant to a proper call, he will thereafter be subject to military laws and regulations as provided in Article 10 of the International Red Cross Convention of 1906, and will be provided with the necessary brassard and certificate of identity. (d) Except in cases of great emergency, Red Cross personnel serv- ing with the land forces will not be assigned to duty at the front, but will be employed in hospitals in the service of the interior, at the base, on hospital ships, and along lines of communications of the military forces of the United States. (ottle .................................................bottles.. Oleoresma aspidii, 1 ounce, in bottle........................do___ Oleum aurantii c:rticis, 1 ounce, in bottle...................do___ Oleum caryophylli, 1 ounce, in glass-stopper bottle..........do... Oleum gossypii seminis, 1 quart, in bottle...................do___ Oleum menthae piperitae, 1 ounce, in glass-stepper bottle.. .do___ Oleum morrhuae, 1 pound, in bottle........................do___ Oleum ricini, 1 quart, in bottle.............................do.".'.'. Oleum santali, 1 ounce, in glass-stopper bottle..............do___ Oleum terebinthinae rectificatum, 1 quart, in bottle........do___ Oleum theobromatis, \ pound, in wide-mouth bottle........do___ Oleum ti~lii, 1 ounce, in bottle..............................do___ Opiipulvis, 2 ounces, in wide-mouth bottle..................do___ Pcpsinum, 3 ounces, in wide-mouth bottle..................do___ Peptonking tablets (par. 902), 125 in wide-mouth bottle.....do___ Petrolatum, 3 pounds, in tin................................tins.. Petrolatum liquidum, 1 pound, in bottle.............___bottles.. ♦Phenol, \ pound, in bottle.................................do___ Phenolphthalein, 130-mgm. tablets, 250 in bottle............do___ Phenylis salicylas (Salol), 3 ounces, in wide-mouth bottle.. .do___ Physostigminae sulphas, 0.0325-mgm. ophthalmic disks, 50 in tube.....................................................tubes.. Pilocarpine hydrochloridum, 8-mgm. hypodermic tablets, 20 in tube.....................................................tubes. Pilulae aloini compositae (or tablets) (par. £02), 250 in bottle..................................................bottles.. Pilulae catharticae compositae (or tablets), 400 in bottle......do___ Pilulae copaibae compositae (or tablets) (par. 902), 250 in bottle..................................................botties.. Pilulae ferri compositae (or tablets) (par. 902), 80 in bottle., .do. Plurabi acetas, 6 ounces, in wide-mouth bottle..............do. Potassii acetas, 6 ounces, in wide-mouth bottle..............do. Potassii bicarbonas, 1 pound, in wide-mouth bottle.........do. Potassii bromidum, 1 pound, in wide-mouth bottle.........do. Potassii chloras, powder, 1 pound, in wide-mouth bottle___do. Potassii chloras, 324-mgm. tablets, 250 in bottle.............do. Potassii et sodii tartras, 3 pounds, in tin.....................tins.. Potassii hydroxidum, 1 ounce, in glass-stopper bottle.....bottles.. Potassii iodidum, £ pound, in wide-mouth bottle.......... -do___ Potassii perman"anas, 1 pound, in wide-mouth bottle '.....do___ Protargol (or equivalent), 1 ounce, in bottle.................do___ Pulvis glycyrrhizae compositus, J pound, in wide-mouth bot- tle .....................................................bottles.. Pulvis ipecacuanhae et opii,\ pound, in wide-mouth bottle, .do___ Quininae hydrochlorosulphas, 32-mgm. hypodermic tablets, 20 in tube................................................tubes.. Quininae sulphas, crystals, 1 ounce, in wide-mouth bottle, .bottles.. Quininae sulphas, 200-mgm. tablets, 500 in wide-mouth bot- tle......................................................bottles.. Resina podophylli, \ ounce, in bottle.......................do— Rheum, powder, 2 ounces, in wide-mouth bottle............do--- Saceharum lactis, powder, 3 ounces, in wide-mouth bottle, .do--- 1 For generating formaldehvde gas, 1 pint formaldehyde solution, 1 potrnd potassium permanganate, and J pint water should be mixed in a deep container (e. g., a close stooi). This quantity is adequate for 1,000 cubic feet of air space. 250 MANUAL FOR THE MEDICAL DEPARTMENT. Medicines, antiseptics, and disinfectants—Continued. Articles. Salvarsan, 600 mgms. in tube, as required..................tubes.. Santoninum, 32-mgm. tablets, 250 in bottle...............bottles.. Sapo mollis (green soap), 1 pound, in jar.....................jars.. Serum antidiphthericum l........................................ Serum antimeningitidis >.......................................... Serum antitetanicum »............................................ Sodii bicarbonas, 1 pound, in wide-mouth bottle..........bottles.. Sodii bicarbonas et mentha piperita, tablets (par. 902). 400 in bottle..................................................bottles.. Sodii boras, powder, 1 pound, in wide-mouth bottle.........do--- Sodii bromidum, 6 ounces, in wide-mouth bottle............do— ♦Sodii carbonas monohydratus, for surgical use, 1 pound, in wide- mouth bottle...........................................bottles.. Sodii fluoridum, 5 pounds, in pac' age Sodii phosphas' exsiccatus, powder, 3 ounces, in wide-mouth bottle..................................................bottles.. Sodii salicvlas, 6 ounces, in wide-mouth bottle..............do— Spiritus aetheris compositus, § pound, in glass-stopper bottle.do— Spiritus aetheris nitrosi, J pound, in glass-stopper bottle—do— ♦Spiritus ammoniae aromaticus, J pound, in glass-stopper bot- tle .....................................................bottles.. Spiritus frumenti, 1 quart, in bottle........................do— Spiritus glycerylis nitratis, 1 ounce, in glass-stopner bott'e.. .do— Stryehninae sulphas, 1-mgm. hypodermic tablets, 250 in bot- tle.....................................................bottles.. Sugar, white, 12 pounds, in can.............................cans.. Sulphur, in roll..........................................pounds.. Sulphur lotum, J pound, in wide-mouth bottle...........bottles.. Syrupus ferri iodidi, £ pound, in bottle.....................do— Syrupus hvpophosphitum compositus, 1 pound, in bottle.. .do— Syrupus scillae, 1 pound, in bottle..........................do— Talcum, 2 pounds, in screw-top tin..........................tins.. Thymol, 1 ounce, in bottle...............................bottles.. ♦Thymolis iodidum (Aristol), 1 ounce, in bottle.............do— ♦Tinctura aconiti, 1 ounce, in bottle........................do— Tinctura benzoini composita, £ pound, in bottle............do— Tinctura cantharidis, J pound, in bottle....................do— Tinctura capsici, J pound, in bottle.........................do— Tinctura cinchonae composita, 1 pound, in bottle...........do— Tinctura digitalis, £ pound, in bottle.......................do— Tinctura ferri chloridi, 1 pound, in glass-stopper bottle......do___ Tinctura gentianae composita, 1 pound, in bottle...........do___ Tinctura myrrhae, £ pound, in bottle.......................do— Tinctura nucis vomicae, £ pound, in bottle.................do___ Tinctura opii, 1 pound, in bottle............................do— Tinctura opii camphorata, 1 pound, in bottle...............do___ Tinctura strophanthi, 1 ounce, in bottle....................do___ Trochisci ammonii chloridi, 125 in bottle....................do___ Unguentum hydrargyri, £ pound, in wide-mouth bottle.....do___ Unguentum hydrargyri chloridi mitis, 30 per cent, 2 pounds, in Allowance for 1 year for posts having official population of— 100 200 400 600 800 1,000 jar. ■jars. Vaccine, smallpox,8 as required............................units. Vaccine, typhoid,8 as required...............................c. c.. Vaccines, special'............................................c.c. Veronal, 324-mgm. tablets, 250 in bottle..................bottles. Zinci oxidum, J pound, in wide-mouth bottle...............do... Zinci sulphas, £ pound, in wide-mouth bottle...............do... »Upon the appearance of a case requiring antitoxin the surgeon may purchase locally such quantity as he may need for immediate use. Further supplies, estimated as necessary, will be procured by telegram, sent direct to the officer in charge of the supply depot nearest the post or station. Quantities to meet the contingencies of a possible epidemic should be asked for and supplementary requests made as the necessity arises. Request should be made for containers holding so many units, e. g., 5 tubes of 1,000 units, 3 tubes of 5,000 units, etc. A report of these requests will be made to the Surgeon General through the depart- ment surgeon. Careful scrutiny of the time limit placed on the package should be made and the unused quantities should be returned to the supply officer from whom they were received immediately upon the establishment of the fact that they are no longer needed, in order that they may be returned to the dealer and credit be secured to the department. * Smallpox vaccine will be asked for by letter addressed to the department surgeon. Typhoid vaccine will be asked for by letter addressed to the Surgeon General through the department surgeon. On account of the liability of these products to become inert they will be as^ed for only in such quantities as are needed tor early use. In requiring fof typhoid vaccine state the size of the ampul wanted. »Streptococcus, staphylococcus, staphylococcus-acne and gonococcus vaccines are furnished from the Army Medical School on special request. POST SUPPLY TABLES. 251 844. STATIONERY. Articles. ♦Bands, elastic, of the following sizes: Thread bands, lf-inch, 2-inch, 2£-inch, and 3-inch; heavy bands, i by 2J inches and £ by 3 inches (sizes desired to be stated), as required___dozen.. Baskets, letter...........................................number.. Baskets, waste paper........................................do___ Binder, loose-leaf, for medical history of post (see par. 4i2)___do___ Blank forms (see pars. 960 to 965). *Blotters, hand..............................................do___ Books, blank, crown (cap), 250 pages.......................do___ ♦Books, blank, 8vo, 150 pages...............................do___ Books, prescription (see par. 240)...........................do___ Cups, sponge...............................................do___ Envelope openers...........................................do___ Envelopes, official, large....................................do___ ♦Envelopes, official, letter..................................do___ ♦Envelopes, official, note...................................do___ Erasers, rubber, pencil....................................do___ ♦Erasers, rubber, typewriter................................do___ Erasers, steel................................................do___ Files, Shannon (for clinical histories), as required...........do___ ♦Ink, black, powder or tablets (sufficient in box for 1 quart of fluid)...................................................boxes.. ♦InK, red, 2 ounces in bottle...........................'.. .bottles.. Inkstands...............................................number.. Labels, for dispensing set, as required.......................do— Labels, for vials............................................gross.. Labels, poison, assorted....................................do— Pads, desk...............................................number.. Pads, ink, for stamps.......................................do— ♦Pads, prescription........................................dozen.. ♦Paper, blotting, for desks.................................quires.. ♦Paper, blotting, small pieces for hand blotters............pieces.. Paper, carbon, cap, 100 sheets in box......................boxes.. ♦Paper, carbon, letter, 100 sheets in box....................do— ♦Paper fasteners............................................do— Paper, manifolding, cap, 250 sheets in package.........packages.. Paper, manifolding, letter, 500 sheets in package............do— ♦Paper, manifoldmg, letter, perforated, 500 sheets in pack- age ...................................................packages.. Paper, typewriter, cap, 250 sheets in package...............do— ♦Paper, typewriter, letter, 500 sheets in package............do— Paper weights...........................................number. ♦Paper, writing, letter....................................quires. ♦Paper, writing, note.......................................do— Paper, writing, note, 100 sheets in pad......................pads.. ♦Paste, photo, and library...................................jars.. ♦Pencils, lead...........................................number.. ♦Penholders................................................do.... Penracks...................................................do— ♦Pens, steel................................................gross. Punch, perforating......................................number. Rulers.....'.................................................do... Stamp, penalty, rubber......................................do— Stamps, rubber, as required................................do— Tape, office, red...........................................spools. Allowance for 1 year for posts having official population of— 100 200 400 600 800 1,000 2 2 1 2 2 1 1 2 2 200 600 100 2 2 2 2 1 2 3 2 1 2 2 200 600 100 2 2 2 3 3 1 3 4 3 1 3 3 200 800 200 3 3 3 4 4 1 4 6 5 2 4 4 300 800 200 4 4 4 252 MANUAL FOR THE MEDICAL DEPARTMENT. 845. MISCELLANEOUS SUPPLIES. Articles. Alcohol, denatured, 5 gallons in bottle, as required.......bottles.. Apparatus, compressed air (par. 903), as required........number.. Apparatus, electricl.............................:...........do— Apparatusfor administration ofsalvarsan,as required........do— Apparatus, restraint (par. 904)..............................do— Applicators for throat, metal.................................do— Applicators for throat, wood...............................gross.. Aprons, cook's...........................................number.. Atomizers, hand............................................do— Bag, obstetrical (par. 905)....................................do— Bags, rubber, hot witer......................................do— Bags, rubber, ice, for head....................................do— Bandages, flannel, 3-inch roller............................dozen.. Bandages, gauze, roller, assorted, in boxes of 6 dozen......boxes.. Bandages, rubber, Martin................................number.. Bandages, suspensory.....................................dozen.. Bandage winder 2........................................number.. Bars, mosquito..............................................do--- Basins for sponges, etc., white enamd........................do— Basin, delft, for office........................................do— *Basins, hand, white enamel.................................do— Basins, White enamel, for operating room.....................do--- Baskets, laundry............................................do— Bath bricks................................................do.... Bath robes (gowns, convalescent).............................do— Bed cradles.................................................do— Bedpans, white enamel......................................do— Bedsteads, white enamel.....................................do— Bells, call...................................................do— Benzin, 1 quart, in bottle,3 as required...................bottles.. Bl mkets, white..........................................number.. Blowers for insect powder....................................do— Boiler, coffee, Hi quart, enamel or tin........................do— Boilers, co ffee, 6-quart, enamel or tin.........................do— Boiler, double, for cooking, 11-quart...........................do--- Boilers, double, for cooking, 4-quart...........................do— Boilers, instrument..........................................do--- Boilers, tin, copper bottom...................................do— Bookcases, as required......................................do— Bottles, 4-quart, glass stopper, for antiseptic solutions.........do___ Bougies, flexible,'1 as required................................do___ Bowl, chopping.............................................do___ Bowls, soup, delft..........................................do___ Bowls, sugar, wilb lid......................................do___ Boxes, folding, for tablets.................................dozen.. Boxes, fracture, folding...................................number.. Boxes, ointment, impervious..............................dozen.. Boxes, pill..................................................do___ B oxes, powder..............................................do___ ♦Brooms, corn..........................................number.. Brooms, hair, long handle, for floors.........................do___ ♦Brooms, whisk............................................do___ Brushes, hair, counter (brushes, hair, for floors)...............do___ ♦Brushes, hand, fiber......................................do___ Brushes, paint..............................................do___ Brushes, scrubbing.........................................do___ Brushes, shaving............................................do___ Brushes, stove blacking.....................................do___ Brushes, weighted, for polishing floors........................do___ Brushes, weighted, for polishing floors, extra brushes for, as required, number......................................................... Buckets, covered, metal, 7-quart...........................number.. Buckets, fiber................................................do___ Buckets, galvanized-iron.....................................do___ Cabinet, metal, for blanks and documents.....................do___ Cabinet, metal, for blanks and documents, extra sections for, as re- quired.................................................number.. Cabinets for dressings and instruments, large (approximately: cab- inet 42 by 36 by 16 inches; stand 24 inches high).......number.. Allowance for 1 year for posts having official population of— 100 200 400 600 800 1,000 144 1 1 3 1 1 1 2 192 2 1 3 1 2 2 2 1 72 6 60 2 60 100 60 36 6 2 10 35 2 24 2 4 i When the chlorid of silver dry cells become exhausted, request should be made to have them sent to depot for recharging. The thumbscrews holding them in place in the battery should always accompany cells sent for recharging. 8 Used for making bandages of any width desired from unbleached muslin, in lieu of muslin bandages formerly issued by the box. * Benzin of a specific gravity not greater than 0.724 will be issued as required for use with the thermo- cautery, Paquelin's. * The French scale will be used in giving the sizes of bougies. POST SUPPLY TABLES. Miscellaneous supplies—Continued. 253 Articles. Cabinets, for dressings and instruments, small (approximately: cabinet 40 by 24 by 16 inches; stand 24 inches hiBu)....number Cabinets for medicines, ward............................. do Can npcners............................................* "do Caps, for cooks.................................... .........do Capsules, gelatin, 100 in box, sizes 00, 0, 1, 2, 3, 4 ("state" size re'-" quired)..................................................boxes.. Case, aspirating (par. 910)...............................number Case, dental (par. 911)................................... do Case, ear, nose, and throat (par. 912)...............'..'.'.'.'.'.'.'.'.do'.'" Cases, emergency (par. 913).............................. do Case, eye (par. 914).................:......................"." do Cases, forceps, hemostatic (par. 915)...........................do..!! Case, general operating (par. 916)............................do.. Case, genito-urinary (par. 917)...............................do.. Case, gynecological (par. 918)............................!!! do Case, pocket (par. 923).......................................do___ Case, post-mortem (par. 924)..............................! "do!!!! Case, tooth-extracting (par. 925).............................!do!!!! Case, trial lenses (par. 926)...........................!!!!!! .do!!!! Catheters, flexible,1 as required...............................do___ Chairs, arm................................................do___ Chairs, common.............................................do!!!! Chairs, invalid, rolling.......................................do!!!. Chairs, office, revolving......................................do___ Chairs, rocking..............................................do___ ♦Chamois skins.............................................do___ Charts, anatomical...........................................sets.. Chest, tool, No. 1 (par. 937)..............................number.. Cleaver.....................................................do___ Clocks..................................................!.! !do!!!! Close stools. (See Pails, commode.) Clothesline, manila.........................................yards.. Colanders...............................................number.. Cork extractors..............................................do___ Cork presser.................................................do___ Corks, long taper, sizes 2,3, 4,5, and 10 (sizes desired to be stated), dozen. Corkscrews..............................................number. ♦Cotton, absorbent, in roll...............................pounds. Cotton bats.................................................do... Crinolin (stenta-book), 6-yard pieces.......................pieces. Cruets, vinegar and oil...................................number.. Crutches....................................................pairs. Crutches, rubber tips for, No. 16, J-inch; No. 18, J inch; No. 19, J-inch (state size desired)..............................number.. Cups. .do. Cups, drinking, paper, as required..........................do. Cups, feeding..............................................do___ Cups, spit, white enamel.....................................do___ Cups, spit, paper, as required...............................do___ Cups, spit, paper, metal frames for..........................do___ Curettes, as required........................................do___ Cushions, rubber, small......................................do___ Cushions, rubber, open center................................do Cushions, surgical, Kelly's..................................do___ Cuspidors...................................................do___ Desks, office.................................................do___ Dippers.....................................................do___ Dishes, meat, assorted......................................do___ Dishes, pickle..............................................do___ Dishes, soap, with covers, for office.........................do___ Dishes, vegetable...........................................do.... Dispensing set (par. 942), as required.........................sets.. Egg beaters..............................................number.. Eye shades, single or double................................do___ Fans, palm-leaf.............................................do___ First-aid packets (par. 944),2 as required....................do___ First-aid packets for instruction (par. 945)...................do___ First-aid packets for shell wounds (par. 946) (for C oast A rtillery stations), as required..................................number.. Floor polish, or brightener, 1 gallon, in can...................cans.. Floor wax, 2 pounds, in can................................do___ Forceps, needle..........................................number.. Allowance for 1 year for posts having official population of— 100 200 400 600 800 1,000 80 24 2 3 4 6 1 1 1 5 60 1 2 1 144 2 36 10 2 3 6 12 40 50 12 36 2 4 5 6 1 1 1 5 90 2 2 1 216 3 48 12 3 3 240 90 2 2 1 288 3 60 14 4 4 320 20 60 4 5 7 8 1 1 1 90 2 2 1 360 3 72 16 5 4 72 i The French scale will be used in giving the sizes of catheters. 8 For issue as a pirt of the individual equipment of line troops. troops are given in the Field Supply Tables, The allowances for field use by sanitary 254 MANUAL FOR THE MEDICAL DEPARTMENT. Miscellaneous supplies—Continued. Articles. Allowance for 1 year for posts having official population of— 100 200 400 600 800 1,000 Forks,carving...........................................number.. 2 2 2 3 Forks,flesh.................................................do.... 1112 Forks, table, silver-plated....................................do.... 21 33 48 60 Freezers, ice-cream, as required..............................do— Funnels, glass, 25 c. c.......................................do— 4 4 4 6 Funnels, glass, 250 c. c......................................do--- 2 2 2 3 Funnels, glass, 500c.c......................................do--- 3 3 3 6 Funnels, glass, 1,000 c.c....................................do.... 3 3 3 6 Gauze.pliin...............................................yards.. 300 500 700 900 Oloves, rubber, light, medium, heavy, and medium rough, si*.es and numbers as required......................................pairs......................... Glue, liquid, in small commercial tins.......................tins.. 1112 Gowns, operating........................................number.. 6 8 10 12 ♦Graduates, glass, 10 c. c....................................do--- 2 2 2 3 Graduates, glass, 100c.c....................................do--- 2 2 2 3 Graduates, glass, 250 c. c....................................do— 2 2 2 3 Graduates, glass, 500 c. c..................................do--- 2 2 2 2 Graduate, glass, 1,000 c. c...................................do— 1111 Graters,large................................................do--- 1112 Graters.small...............................................do--- 1112 Grayyboats................................................do--- 2 2 4 4 Gridirons...................................................do— 112 2 Grindstone, kitchen, complete, 10-inch.........................do— 1111 Handgrenades.............................................do— 12 18 24 33 Hones......................................................do— 1112 Hose, rubber, i-inch, in 60-foot lengths, i.s required..........lengths.......................... Hose, nozzles for.........................................number.. 2 2 2 Hose, reel cart for............................................do— 1111 Inflator, Politzer's...........................................do— 1111 Inhaler, chloroform, with drop bottle..........................do— 1111 Inhaler,ether................................................do— 1111 Irrigators, stand for..........................................do— 1111 Irrigators, Valentine's.......................................do— 1112 Jars, large, for dressings, etc..................................do___ 4 4 4 6 Jars, small, covered, for su.tJ.res, etc...........................do___ 2 2 2 3 Kettle, croup................................................do— 1111 Kettles,tea..................................................do--- 2 2 2 3 Knife, chopping.............................................do--- 1111 Knives,bread...............................................do— 1112 Knives, butcher's............................................do___ 1112 Knives, carving..............................................do— 2 2 2 3 Knives, table, silver-plated...................................do--- 24 36 48 CO Ladder,step.................................................do— 1111 Ladles......................................................do--- 2 2 2 3 Lamps, chimneys for,1 as required..........................do___...... Lamps, hand................................................do___ * 2 Lamps, shades for,1 as required.............................do___...... Lamps,spirit,glass.........................................do___ "2 2 2 Lamps,stand...............................................do___ 2 2 2 Lamps, wicks for (for lamps and spirit lamps),1 as required..do___ Lanterns, complete..........................................do___ Lanterns, extra globes for, white, as required...............do___ Lanterns, wicks for, as required.............................do___ Lawn mower................................................do___ Linoleum,1 as required.....................................yards.. Litters with slings3.......................................number.. 3 ] q 10 Litters, canvas for, as required............................pieces.. . . .J. Litters, tacks for, 75 in package, as required............packages.. !!!!!!'!!!!!! Looking glasses..........................................number.. 4.....4 Lye, concentrated, 1 pound in can..........................cans.. 12 is Mats, door, manila.......................................number.. 4 4 Mats, door, metal............................................do___ 3 3 Mattress covers..............................................do___ 9 is Mattresses, hair, in three equal parts..........................do___ 9 17 Measures, metal, 1-pint, 1-quart, S-q-jart, and 4-quart...........sets.. 1 1 MeatcMter.............................................number.. 1 1 ♦ Medicine droppers...'....................................dozen.. 2 3 Medicine glasses.........................................number.. 4 8 Mill, coffee..................................................do___ l 1 Mops, bandlrs for...........................................do___ 4 6 Mops, haads for.............................................do___ 12 24 Mortars and pesUes, glass, 10 cm.............................do___ 1 1 > The kinds of lamps for which chimneys, shades, and wicks are desired should be stated on requisitions * Furnished for offices and dispensary and in 1-yard strips for halls and wards. Requisitions for linoleum will be accompanied by an estimate of the cost of purchasing it at or near the post. * One litter is issued to each company on memorandum receipt. The allowances for sanitary troons on field service are given in the Field Supply Tables. 6 6 22 28 6 6 4 4 35 53 33 50 1 1 1 1 5 6 16 24 1 1 8 8 36 48 1 1 POST SUPPLY TABLES. Miscellaneous supplies—Continued, 255 Articles. Mortars and pestles, Wedgwood, 8 cm.....................number.. Mortars and pestles, Wedgwood, SO cm.......................do___ Mortar and pestle, Wedgwood, 30cm.........................do___ Mosquito bars. (See Bars, mosquito.) Muslin, unbleached........................................yards.. Needle, sailmaker's......................................number.. Needles, common, assorted...............................papers.. Needles, surgical, assorted, as roquired..................number.. Needles, surgical, Hagedorn's, 20 in set ...................sets.. Needle, upholsterer's....................................number.. Oil can with pump, 6 gallons.................................do___ Oilcloth, for table...........................................yards.. Ophthalmoscope.........................................number.. Pails, commode (close stools).................................do___ Pails, white enamel..........................................do___ Paint, white enamel, 1-pint tin..............................tin .. Pajamas, coats...........................................numbc... Pajamas, trousers...........................................do___ Pans,dish, deep.retinncd,21-quart...........................dc___ Pan, dish, extra heavy, retinned or metal,85-quart.............d'___ Pans, dust..................................................d j___ Pans.frying.................................................c.o___ Pans, milk..................................................do___ Pans, muffin................................................do___ *Pans, sauce................................................do___ Paper, fi.tering, round, 10-inch.........................packages.. Paper, oiled,in 5-yard roll..................................rolls.. Paper, tarred, in 30-yard roll, as required....................do___ Paper, toilet, in roll of 2,000 sheets..........................do___ Paper, wrapping,blue...................................quires.. Paper, wrapping, brown....................................do___ Paper, wrapping, white.....................................do... Pencil?, hair, 1 dozen in vial................................^ ials. Percolators, glass........................................number. Pill machine................................................do... Pillowcases, cotton..........................................do... Pillows, father............................................do... Pillows, hair...............................................do... Pill tile, 5 by 10 inches.......................................do... Pins, common, assorted..................................papers.. Pins, safety, 3 sizes........................................dozen Pitcher, delft, for office...................................number Pitchers, delft, 1-pint........................................do.... Pitchers, delft, 4-quart......................................do— Pitchers, sirup, glass.......................................do... Pitchers, white enamel.......................................do... Plaster, adhesive, z. o., 5 yards by 2£ inchesl..............spools. Planter of Paris, in 4-pound tin..............................tins.. Plates, dinner...........................................number. Potato masher...............................................do... Pots, mustard, with wooden spoons........................do... Pots, stock, 24-quart.........................................do... Pots, tea, enamel or tin......................................do... Pot, watering................................................do... Pus basins..................................................do... Ricks for urinals and bed pans...............................do... Razors.................................-....................a0'"'' Razors, strops for............................................do--- Refrigerators, large or small, as required.....................do— Retorts, stands for..........................................-do — Rods, glass, assorted, in 10-ounce package..............packages.. Rolling pin..............................................number.. S-fe, iron...................................................do— Saucers.....................................................do— Siw, butcher's...............................................do— Scales and weights, apothecary's, metric system................do--- Scales and weights, balance in glass case, metric system........do— Scries and weights, grocer's..................................40---- Scales and weights, platform..................................do— Scissors, bandage............................................do— Scoops...............-......•.....- -........-...............do— *Screens, bed, folding, frames for, white enamel...............do— Settees, for porch or hall, as required.........................do— Shakers, pepper, glass.......................................do.. -. Shakers, salt, glass...........................................do— ' Also issued on special requisitbi at the rite of 1 spool to each to carry out provisions of existing orders. (See Appendix: Feet.) Allowance for 1 year for .posts having official population of— 100 200 400 600 800 1,000 3G 150 6 12 6 9 1 1 123 32 32 1 8 30 1 4 3 2 40 6 43 1 2 1 2 1 3 2 1 1 200 8 16 8 12 2 1 192 48 48 1 10 36 1 4 6 3 3 50 8 56 1 2 . 2 3 1 4 2 2 2 2 1 1 18 1 4 3 10 128 128 3 1 6 3 10 4 3 5 5 300 10 20 10 13 2 1 2:6 64 64 1 12 40 1 4 8 4 3 60 10 72 1 2 2 3 1 4 3 2 2 2 1 1 18 1 4 3 12 160 160 3 1 6 3 10 4 3 400 12 24 12 18 2 1 320 80 80 1 15 48 1 4 10 4 3 70 12 84 1 2 2 3 1 4 3 2 2 20 men organizations o f foot troops 256 MANUAL FOR THE MEDICAL DEPARTMENT. Miscellaneous supplies—Continued. Articles. Allowance for 1 year for posts having official population of— 100 200 400 600 800 1,000 Shears..................................................number. Shears, for fixed bandages....................................do... Sheeting, rubber........................................- - .yards. *Sheets, cotton...........................................number. Shirts, cotton................................................do... Shoes, wooden, for bedsteads...............................do— Sickle.......................................................do... Sieves, flour.................................................do— Sil>, oiled, in 5-yard roll....................................rolls. Skimmers...............................................number. Slippers....................................................pairs. Soap, common...........................................pounds. ♦Soap, Ivorv...............................................cakes. ♦Soap, scouring..........................................pounds. Spatulas, 8-inch.........................................number. Spatulas, 6-inch.............................................do— Speculum, rectal............................................do— Sphygmomanometer.........................................do— Splints, Hodgen's, right or left, as required...................do— Sponge hollers..............................................do— Spools, Halstead's, glass....................................do— Spoons, basting, tinned iron..................................do— Spoons, table, silver-plated...................................do— Spoons, tea, silver-plated.....................................do— Sprinklers, powder, h.r......................................do— Stair treads, linoleum,1 as required...........................do— Stair treads, rubber nosin-js for,1 as required..................do— Stair treads, molding for, as required.........................feet. Stamv, with outfit, for marking hospital clothing...........number. Steels.......................................................do. -. Sterilizer, for dressings.......................................do... Stethoscopes, doMe.........................................do... Stools, revolving, white enamel...............................do... Stoves, alcohol, as required..................................do... Stove blackmg................................,..........papers. Suppository mold........................................number. Sutures, catgut, plain or chromicized, sterilized, 18 inches, in tube, assorted sizes8...........................................tubes. Butures, horsehair, 100 in coil...............................coils. Sutures, kangaroo tendon, sterilize 1,1 suture in eaoh tube, .tubes. Sutures, silk, braided, sterilized, 18 inches each, 3 sizes, in pack- 2 1 6 1C0 16 61 1 1 2 1 12 80 72 48 1 1 1 1 2 1 10 2C0 22 128 1 1 3 1 20 100 90 72 2 2 1 1 3 1 14 300 48 192 1 2 4 2 30 120 108 96 2 2 1 1 3 100 30 Sutures, silkworm gut, 100 in coil...........................coils. Suture* silver wire, in yard lengths.......................yards. Syringes, bulb, rubber....................................number. Syringes, ear and ulcer......................................do... Syringes, extra needles for,' as required.....................do— Syringes, extra wires for, asrequirel....................bundles.. Syringes, fountain, metil, Z-quart, graluated(irrigators)...number. Syringes, fountain, rubber....................................do— Syringes, glass, Luer type, & c. c. (for antityphoid vaccination), as required............................................number. Syringes, glass, Luer type, 10 c. c, as required................do... Syringes, glass, Luer type, SOc. c. (for injection of neosalvarsan-, as required............................................number. Syringes, hypodermic (par. 9'6)..............................do... Syringes, penis, glass, in case................................do... Taoles, bedside, iron, white enamel............................do... Tables, bedside, white enamel, tops for, as required............do... Tables, (Lining, extension, as required.........................do... Tables, instrument...........................................do... Taoles, operating............................................do... Ta'les, typewriter...........................................do... Tape, cotton..............................................pieces. Tape measures, linen, 5 feet..............................number. Thermo-cautery, PaquHin's (par. 957)4.......................do... Thermometers, bath..........................................do... ♦Thermometers, clinical '■>...................................do... Thermometers, meteoroloqical................................do... Thread, cotton, assorted..................................spools. Thread, linen, unbleached, 200 yards on spool..............do... i State number and dimensions of treads. * Kinds and sizes to be stated on requisitions. »In mating requisition for extra needles specify make of syringe and size of needle desired. * Ben .in of a specific gravity not greater than 0.724 in 1-liter bottles will be issued as required for use with this cauterv. »Clinical thermometers are issued on request by letter approved by the department surgeon, POST SUPPLY TABLES. Miscellaneous supplies—Continued. 257 Articles. Tongue depressors, metal............ number Tongue depressors, wood................................ .gross Tourniquets and bandages, rubber....... ................number Towels,bath......................... ' " " dozen Towels, dish............................................... do ♦ Towels, hand...............................................do' Towels, paper, fixtures for..........".'.".'.................... .number Towels, paper, in roll........................... rolls Traps, mouse.......................................".. .".'.'number! Traps, rat........................................... .. do Trays, bed, with legs...................!.!!!!!!!!!!!!!.....! !do Trays, butler's...........................................!!. .do!!! Trays, instrument, white enamel.......................!!!!. .do!!! Trowel, garden............................................do ! Tubes, drainage, rubber, 3 sizes, 1-yard length.!........ ..'.".yards! Tubes, rectal.............................................number. Tubes, stomach...............................".."."."....... . .do Tubing, glass, assorted.................................!pounds! Tubing, rubber, sizes as specified...........................yards. Tub, bath, portable, on wheels............................number. Tubs, foot...................................................do. Tubs, wash..............................................___do... ♦Tumblers, glass............................................do.!! Twine, fine or coarse....................................pounds. Twine boxes.............................................number. Typewriters.................................................do... Typewriters, record ribbons for,1 as required................do... Urinals, glass, graduated.....................................do... Vials, in sizes as desired....................................dozen. Vision test set (par. 959)..................................number. Water coolers................................................do... Window shades with fixtures, complete,1 as required...........do... Allowance for 1 year for posts having official population of— 100 200 400 600 800 1,000 100 1 2 150 1 2 8 200 1 3 10 250 1 3 12 300 1 3 1 Supplied on the order of the department surgeon. One for each machine only at a time should be asked for. The make of machine should be stated in the request. 2 Requisitions for window shades and fixtures will be accompanied by an estimate of the cost of mak- ing or purchasing these articles at or near the post. 93440°—17----17 258 MANUAL FOR THE MEDICAL DEPARTMENT. 846. LABORATORY SUPPLIES. Articles. Acid, acetic, glacial, 1 pound, in glass-stopper bottle......bottles. Agar-agar, * pound, in package...................- - • ■• ■ -packages. Alcohol, absolute, ethyl, 1 pound, in glass-stopper bottle..bottles. Alcohol, methyl, reagent, 1 pound, in glass-stopper bottle... do... Aniline oil, 2 ounces, in bottle..............................do.... Apparatus, distilling....................................."™X" Balsam, Canada, 1 ounce, in bottle.......................botues.. Baskets, wire, for test tubes...............................number.. Bath, water,for paraffin, as required.........................ao. Bath, water, copper, for test tubes.............................a?"" Bath, water, tripod for.......................................°°--- Beakers, glass, sizes 15 c.c. to 300 c.c......................wh'«"c" ' Bismarck brown, J ounce, m bottle......................- b°"^s.. Bottle balsam ........................................numDer.. Bottle', dropping Jor oil of cedar (1 with microscope).........do.. Bottles, dropping, T. K., for stains, 2 ounces..............VrJ?;;"" Bromin, 1 ounce, in bottle................................ ir!!?"' Brushes, test tube...................................number.. Burettes, glass stop-cock, 25 c. c, subdivision U10 c.c..........do.... Burettes, supports for, with double clamp and three rings......qo— Burners, Bunsen's1.........................................do— Centrifuge, hand..........................................nmuU'" Covers, glass..............................................ounces.. Cylinders, graduated, with foot, 10 c. c..................number.. Cylinder, graduated, with foot, 25 c. c.......................qo.... Dishes, evaporating, porcelain, sizes, 35 c. c. to 300 c. c.........qo--- Dishes Petri's.............._.....-.-.-•---•-•-•-••.........do.... Dishesjstender',30'by50mm............................-C^"' TT^cir, 1 nnnoft HI hott.lft..................................DOttlCS. . Allowance for 1 year for posts having official population of— 100 Eosin, % ounce, in bottle.................................;,™w Flasks, Erlenmeyer's, 250 c.c............................number. Flasks, Erlenmeyer's, 600 c.c................................•••- Burs, wheel, 12,14,16, of each..........................................................a°---- Drills, 100,103, of each.................................................................V}°---- Drills, Gates-Glidden, 174,176, of each..................................................ao- • - Mandrels, 302, 303, of each..............................................................do"" P^l^boS Engine instruments for handpiece No. 7: , Burnishers, smooth, Nos. C. G. & L.,of each..........................................ao---- Burs, bud, 45, 47, 50, of each............................................................""-••■ Burs'dentate, 557, 558, 559, 560, 568, of each............................................°-°---- Burs, fissure, 57, 60, 61, of each........- - - - - -..........................................An"" Burs, inverted cone, 334, 34, 35, 39, 41, of each......................................ao.... Burs plug-finishing, 200, 202, 221, 224, 226, 231, 245, of each..............................do.... Burs' round, 1,1.2,4, 6, 8,10, of each..................................................£0.... Burs, wheel, 12,14,16, of each..........................................................H"-~- Drills, 100,103, of each.................................................................£"•"■ Drills, Gates-Glidden, 174,176, of each..................................................»"•-■■ Mandrels, 302, 303, of each..............................................................££--- each.................•••■■■;•"" v...................................... do Reamers, root, Peeso's, 2, 3, of each ...................................................do" Explorer's, c. 's'. points', 'i,'b', 'ii,'ik','ikt of each................................................do... File, gold, half-round, 7-inch.................................................... ""do"' File, gold, round, 7-inch........................................................... "do" Forceps, crown-slitting......- -.....-........................................................do" Forceps, rubber-dam, clamp, Brewer's.......................................................""--- Forceps, rubber-dam, punch, perfected.......................................................uu--- 264 MANUAL FOR THE MEDICAL DEPARTMENT. Portable outfit—Continued. INSTRUMENTS AND APPLIANCES—Continued. Forceps, tooth-extracting, 10,16, 20L, 20R, 27, S7, 65,103,150, 213, of each..................number. Forceps, wedge-cutting, No. S...............................................................do... Hammer,riveting,No. "A"................................................................do... Handles, cone socket, Nos. 2, 3, of each......................................................do... Holder, cotton feed, cylinders for.......................................................packages. Holder, for cotton, aseptic, heavy glass.....................................................number. Holder,for mercury, ebony. No. I............................................................do... Holder, for nerve broach, No. 6..............................................................do... Holder, rubber-dam, A natomik..............................................................do... Hone, oil, Arkansas stone, in wooden box....................................................do... Lamp, alcohol. No. 26, with nealing tray No. 9...............................................do... Lamp, alcohol, extra wicks for............,................................................do... Lancet, abscess, metal handle, No. 5.........................................................do... Lancet, gum, metal handle, No. 2............................................................do... Mallet, metal case, No. 11...................................................................do... Matrix retainer, Ivory's, No. 1..............................................................do... Matrix retainer, Ivory's, extra bands for, bicuspid and molar, of each......................do... Matrix strips, steel, 5 in box..............................................................boxes. Mechanical dam, Automaton, with rubber chin rest........................................number. ♦Medicine droppers ,.......................................................................do... Mirror, hand, bevel edge, 6-inch..............................................................do... Mirrors, mouth, aluminum handles..........................................................do... Mirrors, mouth, extra glasses for, magnifying and plain, size No. 4, of each.................do... Mortar and pestle, glass, No. 3..............................................................do... Mortar and pestle, Wedgwood, 6 cm..........................................................do... *Pan, sauce................................................................................do... Pliers, cone socket No. 102..................................................................do... Pliers, dressing, tfo. 2......................................................................do... Pliers, dressing, No. 17.....................................................................do... Pliers, office, smooth beak, No. 122...........................................................do... Pluggers, amalgam, Woodson's, Nos. 1,2, 3, in set............................................sets. Pluggers, plastic, Nos. 4, 5, 23, 28, 31, 37, 39, 40, 40a, of each..............................number. Pluggers, root-canal, Donaldson's, Nos. 2, 4,6 (state number desired)........................do... Post puller, Little Giant....................................................................do... Pots, medicine, glass, Dappen's, green and white, of each..................................do... Probe, silver, in case........................................................................do... Root drier, Evans's.........................................................................do... Saw, dental, complete, Gordon White........................................................do... Saw, dental, Gordon White, extra blades for...............................................do... Saws, dental, ribbon, |-inch, thin ..........................................................do... Scalers, c. s. points, Nos. 3, 6,12,25,26, SO, S3,34,40,41,54,59, of each.........................do... Scalers, pyorrhea, as required...............................................................do... Scissors, gum, curved on flat, No. 22.........................................................do... Separator, adjustable, Ivory's.................................................................'do... Shade bar....................................................................................do... Shears, No. 32...............................................................................do... Slab, mixing,glass, No. 6...................................................................do... Spatulas, bone, Ascher's, Nos. A, B, of each.................................................do... Spatula, German silver, large, Kerr's.........................................................do... Spatulas, Nos. 9 and 11, of each.............................................................:do... Sterilizer, Down's............................................................................do... Syringe, abscess, No. S3, with rubber and platinum points.....................................do... Syringe, hypodermic, dental, all metal, No. 172A..............................................do... Syringe, hypodermic, dental, all metal, extra needles for, imperial razor-edge points, gauge 24, straight and curved, of each...........................................................number. Syringe, water, No. 21a, Moffatt.............................................................do... Syringe, water, No. 21a, Moffatt, extra bulbs for.............................................do... Syringe, water, No. 39.......................................................................do... Syringe, water, No. 39, extra pipes for, curved...............................................do... ♦Thermometer, clinical.....................................................................do... Tool, universal..............................................................................do... Wire, iron, binding. No. 32 gauge..........................................................spools. Wire, ligature, Angle's, No. 187............................................................boxes. (/) FURNITURE. *Basin, hand, e.w.......................................................................number. Chair, dental, portable, in chest...............................................................do... Chair, dental, portable, in chest, crate for......................................................do... Chest, empty,for dental engine...............................................................do... Chest,for dental engine, crate for.............................................................do... Chest, supply, empty........................................................................do... Chest, supply, crate for.......................................................................do... Chests, instrument, empty....................................................................do... Chests, instrument, crates for.................................................................do... Cuspidor,nickel-plated, No. 6..............................................................t.do... Desk, field, dental, empty....................................................................do... Desk, field, dental, crate for...................................................................do... *Screen,bed, folding, frames for, white enamel.................................................do... *Sheets, cotton..........................................'.....................................do... Stand, portable, complete, Clark's, less table, for field use......................................do... Table, pressed steel, white, No. 90, Harvard, table base to fit Clark's stand......................do... DENTAL SUPPLY TABLES. 265 Portable outfit—Continued. (g) MISCELLANEOUS. Alloy, copper, 1 ounce, in box............ .. boxes a }, y' 2£ue",Pent;> shavings, 1 ounce, in bottle............................................bottles.. Alloy, 20th Century, shavings (Caulk Co.) do Apron, rubber..............................;......................".".'.'.'.. .'.'.'.".'.'.".".".'.'.'.".'.'number'.! Box, soap, metal, small.......... do ♦Brushes, hand, fiber............... ................................. '"do"" Cement, copper (Ames's)...................................................................boxes!! Cement, oxyphosphate, C and B special (Ames's)" c»iors'"yeiiow,"white,"light-gray" pearl-gray',' dark brown, of each..............;....... boxes ♦Chamois skins................... .................... .........."number ♦Cotton,absorbent, in roll..................V...'.".'."..".".'.".'.".".".".'."."."".".'.".".v.".".'.".".".'.'.".'.".'".".".pounds!! Cotton, absorbent, rolls, 6 inches long, j$ inch, J inch, f inch" in diameter, 100 in box, of each, .boxes.. Cots, finger, rubber..................'.8.....'.?.....„.................[...........'.........dozen.. Lovers, paper, aseptic, 12 by 12, for bracket table, 100 in box...............................boxes.. Crown remover, bandless. Ballon............................ number Crowns, porcelain, detached post,! as required.......•......... do Crowns, porcelain, detached post ,i extra posts for.............. do . Cups, drinking, paper, 100 in box.............................. boxes Cups, drinking, paper, holder for, nickel........................... number Cups, polishing, soft rubber, large and small, of each........ do.. Cups, tin, 2 in nest..........................................................................nests.. Disks, bristle, Robinson's, Nos. 9 and 11, and cup shape, of each!!..!!!!!!.!.'.....!!!!.". .number!! Disks, carborundum, knife-edge, diameter i,f, J, of each......... ......do___ Disks, in boxes, 100 each: Sandpaper, sizes J, f, f, grit 00, as required..............................................do.... Garnet paper, sizes J, f, f, grit J, as required............................................do.... Emery paper, sizes J, f,}, grit 0, as required.............................................do___ Cuttlefish paper, sizes j, f,\, grit fine, as required.......................................do.... Fiber, devitalizing, arsenical, in jar..........................................................jars.. Floss, silk, waxed, flat, 24 yards in spool...................................................spools.. Gowns, operating.........................................................................number.. ♦Graduate, glass, 10 c. c....................................................................do___ Gutta-percha stopping, Excelsior, sticks, § ounce, in box....................................boxes.. Gutta-percha stopping, temporary, pink, sticks, 1 ounce, in box.............................do___ Modeling composition, Perfection (Detroit), £ pound, in box.................................do___ Mold guide for crowns, case of 59 molds, with shade guide......................................cases.. Napkins, dental, aseptic, 50 in box.........................................................boxes.. Ox-para.....................................................................................do___ Paper, articulating, thin, in books..........................................................books.. Paper points, absorbent...................................................................boxes.. Plaster of Paris, impression, 4 pounds, in screw-top tin.......................................tins.. Points, nerve-canal, gutta-percha, large and medium, of each................................boxes.. Pulp preserver and capper (Caulk's)........................................................do___ Pumice stone, powdered, 1 pound, in screw-top tin............................................tins.. Rubber dam, plain, medium, 18 feet by 6 inches, in sealed tins..............................do___ Shellac, sticks, 1 dozen, in box..............................................................boxes.. ♦Soap, Ivory...............................................................................cakes.. ♦Soap, scouring...........................................................................pounds.. Stove, alcohol.............................................................................number.. Strips, Perfection, polishing, assorted grits, in boxes.....................................boxes___ ♦ Towels, hand............................................................................number.. ♦Tumblers, glass............................................................................do--- Varnish, sandarach, 2 ounces^, in bottle....................................................bottles.. Wax, inlay, impression, Taggart's........................................................boxes... Wheels, carborundum, square edge, Nos. 301 to 312, inclusive, of each....................number.. Wheels, compressed leather, for polishing, Nos. J, 1,2, of each...............................do— Wood, orange, sticks, large, 25 in bundle.................................................bundles.. i Requisition for crowns should be made by letter as needed, designating crown wanted by reference to numbers of mold in mold guide and shade in shade guide. 266 855. MANUAL FOR THE MEDICAL DEPARTMENT. BASE OUTFIT. (a) OFFICE FURNITURE AND EQUIPMENT. .number Air compressor, unit, automatic, electric, with tank, No. 95.......................... Air compressor, unit, automatic; tubing, connections and valves for, as required.................. Baskets, letter............................................................................number. Baskets, waste paper.........................................................................do... Bench, combination, No. 17, with bellows......................................................do... Bookcase (Globe), oak, sectional, base, top and units for books, blanks, and records, as required.. .do... ♦Broom, corn................................................................................do... ♦Broom, whisk..............................................................................do... Cabinet, dental, aseptic, pressed steel, No. 510.................................................do... Chairs, arm..................................................................................do... Chair, dental, Diamond, cane seat and back (white), as required..............................do... Chairs, office, revolving.......................................................................do... Chairs, rocking..............................................................................do... Clock, for office..............................................................................do... Cups, sponge................................................................................do... Cuspidors...........................................;.......................................do... Cuspidor, fountain, No. 6, complete, with saliva ejector, floor connections for, and table attachment: white enamel..........................................................................number. Cuspidor, fountain, No. 6, extra bowls for, as required.......................................do... Desk, office..................................................................................do... Engine, dental, electric, folding bracket, all-cord, with part K-3, for H. P. 7.....................do... Envelope opener.............................................................................do... Heater, electric, No. 3, spray bottles and water glass............................................do... Heater, electric, No. S, cut-off No. 4, with 8 feet of tubing, for operating spray bottles.............do... Jars, large, for dressings......................................................................do... Looking-glass................................................................................do... Mat, rubber, for dental chair..................................................................do... Paper weights............................................................................---do... Sterilizer, electric, No. 1......................................................................do... Stamp, penalty..............................................................................do... Stool, operating, adjustable, white enamel.....................................................do... Stool, revolving, white enamel (for laboratory).................................................do... Switchboard, electric, type 1A ................................................................do... Syringe, hot-air, electric......................................................................do... Tables,bedside, white enamel.................................................................do... Table, pressed steel, while, No. 90. Harvard, table base to fit chair arm..........................do... Trays,aseptic,enamel,steel, 12% by 12\ inches.................................................do... Typewriter..................................................................................do... Typewriter, record ribbons for, as required..................................................do... Water cooler, 6-gallon.........................................................................do... (6) LABORATORY EQUIPMENT. Articulator, No. 9........................................................................number. Blowpipe, automaton1......................................................................do... Bow Is, plaster, A and B, of each..............................................................do... Bridge repair set.............................................................................do... Bridgerepair set, extra nuts for.............................................................do... Brush, laboratory, plain, stiff bristles, J inch...................................................do... Burner, Bunsen's, dental, No. 12, with spider'1 .„............................................do... Casting machine, Simplex...................................................................do... Chalk,prepared, 2 pounds, in friction or screw-top tin........................................tins. Cones, felt, large, blunt and pointed, of each.............................................number. File,gold, flat, 6-inch........................................................................do... File,gold, half-round, 6-inch.................................................................do... File,gold,round,6-inch......................................................................do... Forceps, mechanical, clasp-bending, No. 8, McKellop's........................................do... Gauge, plate and wire........................................................................do... Hammer, swaging, 1% pounds................................................................do... Hub mold...................................................................................do... Investment compound (Taggart's), 3 pounds, in tin..........................................tins. Knives, plaster, Nos. 5 and 10, of each....................................................number. Ladle, melting, No. 8........................................................................do... Lamp,alcohol, large, Purdy's................................................................do... Lathe, electric, Columbia, including? chucks and bur chuck....................................do... Lead, J-pound ingots......................................................................ingots. Metal, Mello tt's.............................................................................do... Molding compound, J-pound tin.............................................................tins. Pliers,contouring, No. 115, Crescent___.'.................................................number. Pliers,contouring, No. 114, Johnson.........................................................do... Pliers, round-nose, No. 107...................................................................do... Rubber,red..............................................................................pounds. Sandpaper, No. 00 to 1, of each............................................................sheets. Sawjrame, mechanical...................................................................number. Saw,frame, mechanical, extra blades for....................................................do... Shears, Nos. 8,10,11, of each.................................................................do... Soldering and heating outfit, gasoline generator, No. 46, complete, less blowpipe stand1..........do.., 1 Issued only to stations where gas is not available. 2 Issued only to stations where gas is available. DENTAL SUPPLY TABLES. 267 Base utfit—Continued. LABORATORY EQUIPMENT—Continued. Soldering appliance, Mellott's, improved, with blowpipe, pad, and clamps, complete..........number. Spatula,plaster,4-mch................. rr>r , r , t> ^ Spatula, rubber, 4-inch........... ................ do Tongs, soldering, 7-inch..............!!!!!!!!!!!!!!!!........................................do Trays, lower impression, Nos. 1, S, 6,15, 'l7,'22, of each... .............................do Trays, upper impression. Nos. 1,3.6,12,14,18,of each...................... . ..do... 1 ubing, rubber, J-inch, heavy wall, white................ feet Tweezers, Nos.B, C,D, E,L,ofeach................................................. number. Vise, bench, jeweler's, 2-inch................................ do Wax, carver for, Roach's...... " "do Wax, inlay, Taggart's................""""""" """!"!!!!!"""""""""!!!!!!!!boxes! Wax, base plate, pink, J-pound box............................ do Wheels, brush, Nos. 3, 5, 6,16, 24, 25, of each................................. number Wheels, carborundum, lathe, square edge, 1 and 2 inches diameter, ■&, i inch width, grits C and E, of each.................................................................................number. Wheels, carborundum, lathe, round edge, 1J and 2J inches diameter. I, i, f inch width, grits C and E, of each...............................................................................number. Wheels, felt, square edge, No. 3; round edge No. 4; knife edge No. 2, of each.................do... Wheels, polishmg, chamois skin, for lathe, diameter 2J inches...............................do... Whetstone, carborundum, 5-inch..............................................................do... 856. ADDITIONAL ARTICLES. The following equipment, in addition to the articles listed under paragraphs 854 and 855, may be supplied to general hospitals and such important stations as may be designated by the Surgeon General. Burnisher, Tantalum, double end, No. 1...................................................number. Spatula, agate. A sh's........................................................................do... Strips, celluloid, thin, in box...............................................................boxes. Synthetic porcelain, Caulk's, 10 shade, full portion, in box..................................do... Synthetic porcelain, Caulk's, shade guide for...............................................number. ARTICLE XIX. FIELD SUPPLY TABLES. 857. In the following tables an attempt has been made to prescribe an equipment which will meet the needs of the Medical Department under actual campaign conditions, and at the same time reduce the wheeled transport to the minimum consistent with efficiency. 858. For units normally functioning in the zone of the advance, supplies have been allowed on the basis of replenishment from the Hne of communications every 10 days, as the ride, or in extreme cases within 20 days. 859. The needs of camp, evacuation, and base hospitals vary to such an extent under different conditions of service that the equip- ment tables for these organizations must be considered as a guide in their organization rather than as an iron-clad rule for their future administration. 860. The equipment designations used in the following tables are those prescribed in general orders. Equipment "A" is the equip- ment prescribed for use in campaign, in simulated campaign, or on the march. Equipment "B" is the equipment which, in addition to equipment "A", is prescribed for the use of troops in mobilization, concentration, instruction, or maneuver camps, and during such pauses in operations against an enemy as permit the better care of troops. Equipment "C" is the sum of equipments "A" and "B", and therefore includes every article prescribed for field service. Wheeled transportation is provided for equipment "A" only. (See Appendix, Equipment: "A," ilB," and " C") 861. In order that the responsible officers may be informed of the supplies included in the different field units as kept in store in and issued from the depots, and for the convenience of organization com- manders, quartermaster and ordnance supplies have been included in the equipment tables. It should be remembered, however, that in the case of quartermaster supplies the allowances as given in Equipment Tables, Q. M. Supplies, will govern in case of conflict of statement. 862. The abbreviations used under the heading "Source" in the different tables are as follows: "M" for Medical Department, "O" for Ordnance Department, and "Q" for Quartermaster Corps. 863. Field supplies which are not contained in chests or other con- tainers suitable for shipping will, as far as practicable, be packed in standard packing boxes with hinged lids, hasps, and staples. Each 268 FIELD SUPPLY TABLES. 269 box will have a list of the contents on the inside of the lid. It should be plainly marked with its serial number, its weight, and the name of the unit to which it belongs. Standard samples of these boxes are kept at the Field Medical Supply Depot in Washington. 864. INDIVIDUAL EQUIPMENT, MEDICAL OFFICER. Articles. A. B. C. Source. 0 M M ■ M M M 12 12 51 1 1 M Remarks. Belt, web, medical officer's.......................number.. Case, instrument (par. 919)........................do___ Case, medicine (par. 920)...........................do___ Diagnosis tags...................................books.. Flask, empty, for morphine solution.............num ber.. Syringe, hypodermic (par. 956)......................do___ Syringe, hypodermic, extra needles for............do___ Thermometer, clinical.............................do___ Note.—The articles included in the above list constitute special equipment carried only by medical officers below the grade of lieutenant colonel. Field equipment pertaining to officers in general is given in Uniform Regulations. 865. INDIVIDUAL EQUIPMENT, HOSPITAL CORPS. Articles. Source. Remarks. (o) Belt, web, Hospital Corps.............number. Belt, web, Hospital Corps, contents of (par. 907)...............................number. Canteen.................................do... Canteen cover, dismounted...............do... Fork....................................do... Hand ax, Infantry1......................do... Hand-ax carrier..........................do... Hanger, double, web, for canteen...........do... Knife...................................do... Meat can................................do... Pouch for diagnosis tags and instruments... do... Ration bags, Cavalry....................pairs. Shelter tent half......................number. Shelter tent pole..........................do... Shelter tent pins........................do... Spoon...................................do... Bar, mosquito, single..................number. Bed sack................................do... Cot......................................do... Field kit, clothing component2............do... Overcoat.................................do... Surplus kit1.............................do... Sweater.................................do... \Carried on belt when dis ( mounted; in pommel pock- et when mounted. * 1 for every 2 men. Carried on the person or saddle. Fos winter use only. Carried in surplus kit bag. When prescribed only. 1 Detachment commanders are authorized to reduce, by 4 inches, the length of the handle of the hand ax issued to the Hospital Corps providing the change is made in a workmanlike manner. The shorter handle will be especially necessary for use by mounted men. 2 The clothing component of the field kit includes the clothing actually worn by the soldier and that carried on the person or saddle. This is supplemented by the surplus kit, the two together constituting the clothing component of the service kit. The articles contained in each of these kits are given in general orders. (See Appendix, Clothing and Equipment.) Note.—The method of packing the equipment for mounted and dismounted men is described in Drill Regulations and Service Manual for Sanitary Troops. 270 MANUAL FOR THE MEDICAL DEPARTMENT. 866. REGIMENTAL COMBAT EQUIPMENT. Articles. A x, short handle......................number. Bag, nose.............................:..do... Bag, water, sterilizing....................do... Box, pack mule, empty, No. 1 (par. 909).. .do... Brush, horse.............................do... Bucket, g.i..............................do... Candles, lantern........................do... Chest, medical and surgical (par. 932)......do... Comb, curry.............................do... Desk, field, No. 2 (par. 941)...............do... Guidons, ambulance, without staff.........do... Lanterns, folding........................do... Litters, with slings: Battalion of Engineers..............do... Battalion of Signal Corps............do... Regiment of Artillery...............do... Regiment of Cavalry................do... Regiment of Infantry...............do... Manuals, A rmy Regulations, etc..........do... Saddle, pack (par. 953)...................do... Surgical dressings (par. 955).............boxes. Surgical dressings, ambulance (par. 954): Regiment of Artillery...............do... Regiment of Cavalry................do... Regiment of Infantry...............do... Tentage, heavy: Fly, wall tent, small, with ropes.. .number. Tent pins, small....................do... Wire cutters.............................do... Total weight, about............pounds. Cubic space, about.................feet. 884 55 884 55 Source Remarks. Carried on regimental field train. (See Appendix: Equipment.) There is an additional litter in possession of each com- pany, troop, and battery. When on the march not in the immediate presence of the enemy all the litters are carried on the ammu- nition wagons. (See Tables of Organization.) * In field desk No. 2. }« ! Contents only. Carried on ammunition wagons. (See Tables of l Organization.) IFor infantry. Figures for / other arms are somewhat less. 867. The following articles are not kept in the depots as a part of the regimental combat equipment, but must be obtained by the regimental surgeon from the proper supply department as indicated for each item under "Source": Articles. A B C Source. 1 * 1 * 8 * * ** 1 * 1 Q Q * * Q 10 1 * * * 1 * Q Q Q 2 2 Q Remarks. Cover, mule, blanket lined.............number. Equipments, horse (par. 943).............do... Equipments, individual (par. 865)........do... Halter and strap.........................do... Horses, riding, for enlisted men..........do... Horses, riding, for officers.................do... Lime, hypochlorite.....................tubes. Mule, pack..........................number. Shoes, horse, fitted......................do... Shoes, mule, fitted......................do... For winter use only. * Based on Tables of Organi- zation. * 1 for each man of Hospital Corps. ** M. D., Q. M. C, and O. D. For pack mule. * Based on Tables of Organi- zation. * 1 for each captain or lieu- tenant not privately mounted. * Replenished by Q. M. * 1 fore and I hind on each mount. 1 fore and 1 hind in pack. ™i^TF -Quartermaster supplies for the sanitary personnel, forage, rations, etc., are included in the regi- fuppfie!) published m Equipment Tables, Q. M. Supplies. (See Appendix: Quartermaster FIELD SUPPLY TABLES. 271 868. METHOD OP PACKINa THE AID STATION EQUIPMENT. (Carried on the pack mule.) Right side: Medical and surgical chest........................................number.. Left side: Ax, short handle......................................................do___ Box, pack mule, No. 1................................................do___ Candles, lantern..................................................do___ Guidons, ambulance, without staff...............................do___ Lanterns, folding.................................................do___ Lime, hypochlorite..............................................tubes.. Shoes, mule, fitted.............................................number.. Surgical dressings, box of (contents only).........................do___ Wire cutters......................................................do___ Top: _,nose.............................................................do___ Bag, water, sterilizing.................................................do___ Brush, horse..........................................................do___ Bucket, galvanized iron...............................................do___ Comb, curry..........................................................do___ Fly, wall tent, small..................................................do___ Tent pins, small......................................................do--- Total weight. 1 Pounds. 100 1 5 1 30 8 1 2 2 0 2 2 2 1 60 1 1 Pounds. 100 101 32 233 Note.—If under exceptional circumstances the pack mule is required to keep pace with fast moving cavalry, the pack will have to be lightened by dispensing with the top load, otherwise sore back and exhaus- tion of the mule are almost certain to occur. 869. CAMP INFIRMARY. Articles. MEDICINES AND ANTISEPTICS. Foot powder (par. 902)...................tins.. Iodine swabs, 6 in a box................boxes. Spiritus ammonise aromaticus, i pound in glass-stopper bottle.................bottles. miscellaneous. Alcohol, denatured, 2 quarts, in tin......tins. Bag, water, sterilizing.................number. Basins, hand............................do— Buckets, galvanized iron..................do— Candles..............................pounds. Case, emergency (par. 913)...........number.. Chest, medical ana surgical (par. 932).....do— Chest, medical and surgical,supplementary (par. 933)...............................number. Corks, No. 2,150 in a bag................bags. Desk, field, No. 2 (par. 941)..........number. Flag, distinguishing, Red Cross...........do... Flag, halyards for, 50 feet.................do... Flag, national, storm....................do— Flag,staff for, complete...................do— Food, box o/(par. 948)*..................do... Guidon, ambulance, with staff............do... Lanterns, without globes or wicks.........do... Lanterns, globes for, green..............do... Lanterns, globes for, white..............do... Lanterns, wic'.s for....................dozen. Litters, with slings...................number. Rope, f-inch.............................feet. Soap, Ivory............................cakes. Spade......;.........................number. Stove, alcohol............................do... Surgical dressings (par. 955)............boxes. Tent, wall, complete..................number. Towels, hand...........................dozen. Twine, coarse........................pounds. Vmtreal prophylaxis unit (par. 958). ..number. Vials, 1-ounce..........................dozen. Total weight...................pounds. Cubic space........................feet. 100 100 2 1 3 4 2 1 1 1 1 1 1 2 1 1 1 1 2 2 4 1 2 100 10 1 1 2 1 2 1 1 6 840 41 100 100 2 1 3 4 2 1 1 1 1 1 1 2 1 1 1 1 2 2 4 1 2 100 10 1 1 2 1 2 1 1 Source. 840 41 Remarks. Other_ medicines and anti- septics are contained in the chest, medical and surgical; in the case, emer- gency; and in the venereal prophylaxis unit. See be- low under Miscellaneous. 1 Quartermaster bucket on wagon. * For emergency use only. 272 MANUAL FOR THE MEDICAL DEPARTMENT. 870. The following articles are not kept in the depots as a part of the camp infirmary equipment, but must be obtained from the proper supply department as indicated for each item under "Source." Articles. Source. Remarks. Covers, mule, blanket-lined............number.. Equipments, individual, Hospital Corps (par. 865), number. Equipments, individual, Quartermaster Corps, number. Lime, hypochlorite.....................tubes.. Mules, draft.........................number.. Oil, mineral...........................quarts.. Shoes, mule, fitted...................number.. Wagon, escort, and harness, complete......do___ For winter use only. Based on Tables of Organiza- tion. *M. D., Q. M. C, and O. D. Do. ♦Replenished by camp quar- termaster. Do. For list, see Equipment Tables, Q. M. Supplies. Note.—Heavy tentage, forage, and other similar camp supplies, for use of the personnel and animals of the camp infirmary are not included in the above list as they will be provided for camp use by the ambulance company or other organization to which the infirmary is attached for rations and forage (par. 660). CAMP INFIRMARY RESERVE. 871. The articles listed below do not form a part of the regular equipment of the camp infirmary, but when a camp infirmary is serv- ing with divisional troops under conditions which, in the opinion of the division surgeon, make it necessary or desirable to have within the division an additional supply of medicines and dressings for the sanitary troops on duty with line organizations or for the infirmaries themselves, the following articles will be procured on requisition and carried on each camp infirmary wagon. (See par. 633 b.) These supplies belong in equipment "A." MEDICINES AND ANTISEPTICS. Acetphenetidinum (Phenacetin), 324-mgm, tablets, 500 in 12-ounce tin..........tins.. Acidum boricum, 324-mgm. tablets, 700 in 12-ounce tin.......................tins.. Acidum salicylicum, 324-mgm. tablets, 400 in 12-ounce tin....................tins.. Alcohol, 3 pints in tin...............do___ Amylis nitris, 5-drop spirets, 12 in box.............................boxes.. Apomorphinae hydrochloridum, 6-mgm. hypodermic tablets, 20in tube___tubes.. Argenti nitras, crystals, 1-ounce in bot- tle..............................bottles.. Argenti nitras fusus, 1 ounce in bot- tle .............................bottles.. Aspirin, 324-mgm. tablets, 500 in bot- tle..............................bottles.. Capsicum, 32-mgm. tablets, 600 in 3-ounce tm................................tins.. Chloralum hydratum, 324-mgm. tablets, 400 in bottle....................bottles.. Cocainae hydrochloridum, 10-mgm. hypo- dermic tablets, 20 in tube........tubes.. Codeina, 32-mgm. tablets, 600 in 3-ounce tin................................tins.. Collodium, 1 ounce in bottle......bottles.. Emplastrum belladonnae, 2 yards by 6 inches, in tin......................tins.. Foot powder (par. 902),} pound in tin with perforated cover....................tins., Glycerinum, 3 pints in tin...........tins., Heroini hydrochloridum, 5.5-mgm. tablets, 500 in 3-ounce tin..................tins. Hexamethylenamina (Urotropin), 324- mgm. tablets, 600 in 12-ounce tin.. .tins.. Hydrargyri chloridum corrosi vum, tablets (antiseptic) (par. 902), 250 in bot- tle..............................bottles.. Hydrargyri chloridum mite, 32-mgm. tab- lets, 1,000in bottle.............bottles.. Hydrargyri iodidum flavum, 10-mgm. tab- lets, 750 in 3-ounce tin.............tins.. Ichthyolum, 3 ounces in wide mouth bot- tle.............................bottles.. Iodine swabs, 6 in box.............boxes.. Iodum-potassiiiodidum, in tubes.. tubes.. Linimentum rubefaciens, tablets (par. 902; 200 in 12-ounce tin................tins.. Magnesii sulphas, 3 pounds in tin.. .do___ Mistura glycyrrnizae composita, tablets (par. 902), 3,600 in 12-ounce tins.....tins.. Morphinae sulphas, 8-mgm. hypodermic tablets, 20 in tube...............tubes.. Morphinae sulphas, 8-mgm. tablets, 600 in 3-ounce tin........................tins.. Normal saline solution tablets (par. 902), 150 in 12-ounce tin.................tins.. Oleum ricini, 3 pints in tin...........tins.. Oleum terebmthinae rectificatum, 3 pints in tin..............................tins.. Petrolatum, in 12-ounce tin....... do___ Phenol, J pound in bottle........bottles.. Phenylis salicylas (Salol), 324-mgm. tab- lets, 500 in bottle...............bottles.. Pilulae aloini compositae (or tablets) (par. 902), 750 in 3-ounce tin.............tins.. 10 2 2 2 30 200 1 48 1 1 4 2 8 8 FIELD SUPPLY TABLES. Medicines and antiscntics— Continued. 273 Pilulae camphorae et opii (or tablets) (par. 902), 875 in 12-ounce tin........... .tins.. Pilulae catharticae compositae (or tablets) 1,200 in 12-ounce tin...............tins Pilulae ferri compositae (or tablets) (par. 902), l,200in 12-ounce tin......... .tins.. Plumbi acetas, 130-mgm. tablets, 600 in 3- ounce tin..........................tins Potassii bromidum, 324-mgm. tablets, 500 in bottle.......................bottles.. Potassii chloras, 324-mgm. tablets, 1,200 in 12-ounce tin.......................tins. Potassii iodidum, 324-mgm. tablets, 500 in „ bottle..........................bottles.. Potassii permanganas, 324-mgm. tablets, 1,200 in 12-ounce tin...............tins.. Protargol (or equivalent), 1 ounce in bot- tle .............................bottles. Pulvis ipecacuanhae et opii, 324-mgm. tab- lets, 700 in 12-ounce tin.............tins. Quininae hydrochlorosulphas, 32-mgm. hypodermic tablets, 20 in tube.... tubes. Quininae sulphas, 200-mgm. tablets, 1,000 in 12-ounce tin....................tins. Sapo mollis (green soap), j pound jar in case...............................jars. Sodii bicarbonas, 324-mgm. tablets, 1,000 in 12-ounce tin.....................tins. Sodii bicarbonas et menthapiperita, tab- lets(par.902), 1,000 in 12-ounce tin. .tins. Sodii carbonas monohydratus, for surgical use, i pound in 12-ounce tin......tins.. Sodii sahcylas, 324-mgm. tablets, 600 in 12- ounce tin..........................tins'.. Spiritus ammoniac aromaticus, h pound in glass stopper bottle...........bottles.. Strychninae sulphas, 1-mgm. hypodermic tablets, 20in tube................tubes.. Sulphur lotum, \ pound in 12-ounce tin................................tins. - Thymolis iodidum (Aristol), 1 ounce in bottle..........................bottles.. Tinctura digitalis, 0.3 c. c. tablets, 800 in 3-ounce tin........................tins.. Tinctura opii, £ pound in bottle.. .bottles.. Trochisci ammonii chloridi, 350 in 12- ounce tin..........................tins.. Unguentum hydrargyri, § pound in wide mouth bottle...................bottles.. Unguentum hydrargyri chloridi mitis, 30 per cent, £ pound in wide mouth bot- tle..............................bottles.. Veronal, 324-mgm. tablets, 100 in 3-ounce tin................................tins.. Zinci oxidum, powder, * pound in 12-ounce tin..................'..............tins.. Zinci sulphas, 324-mgm. tablets, 2.0 in 3- ounce tin..........................tins.. MISCELLANEOUS. Alcohol, denatured, 2quartsintin.. .tins.. First-aid packets (par. 944)......number.. Individual dressing packets (par. 949)...........................number. Surgical dressings ( par. 955)........boxes. 1,000 4 Weight 1,050 pounds. Cubic space 42 feet. Note.—The medicines and antiseptics listed above are identical with tho^c contained in boxes 1,2,3, and 4, of the field hospital (par. 879). REGIMENTAL HOSPITAL. 872. The regimental hospital, complete, consists of one camp infirmary equipment (pars. 869 and 870) and the additional articles named below. (Sec pars. 632 and 657.) Articles. A. B C Source. Remarks. stationery. Paper, manifolding, letter, 500 sheets in package, packages. Paper, manifolding, letter, perforated, 500 sheets in package, packages. Paper, typewriter, letter, 500 sheets in package, packages. BLANK FORMS, MEDICAL DEPARTMENT (PAR. 961).1 Nos. 51 and 51a, of each..............number.. No. 516..................................do.... No. 52...................................do.... 6 12 100 12 100 [Used only in time of peace oi when the regimental hospi- tal is being operated as a camp hospital! See pars. 427 and 575. MISCELLANEOUS. Bars, mosquito.......................number........ 12 Bars, mosquito, frames for...............pairs........ 12 Bars, mosquito, spreaders for frames... number........ 12 Bedpan, enamel ware or agate ware........do— 1 Bed sacks................................do— 12 i When regimental hospitals are issued intact this list will govern, but such other Forms as may be neces- sary will be furnished subsequently as required. 93440°—17----18 274 MANUAL FOR THE MEDICAL DEPARTMENT. Articles. miscellaneou s—continued. Blankets, gray.......................number.. Blankets, rubber.........................do... Brooms, corn............................do... Brushes, scrubbing......................do... Buckets, enamel ware, 3 in nest..........nests. Cases, bedding, large, empty..........number. Chest, mess (par. 934)....................do... Chest,sterilizer (par. 935).................do... Corks, assorted, 300 in bag...............bags. Cots.................................number. Cotton, absorbent, in roll.............pounds. Gauze, plain in 5-yard roll..............rolls. Pail, commode (close stool)............number. Pajamas, coats...........................do... Pajamas, trousers........................do... Paper, toilet........................packages. Pillow sacks.........................number. Pins, common.........................papers. Pins, safety, 3 sizes....................dozen. Plaster, adhesive, z. o., 5 yards by 1 inch, spools. Range, field, No. 2....................number. Sheeting, rubber.......................yards. Splints, wire gauze for..................'.rolls. Tentage, heavy: Canvas, latrine screen.............number. Tents, hospital, complete.............do... Towels, bath.............................do... Twine, coarse........................pounds. Typewriter...........................number. Typewriters, record ribbons for.....*......do... Urinals.................................do... Vials, 1-ounce.........................dozen. Vials, 2-ounce..........................dozen. Weight, without infirmary.....pounds. Weight of infirmary...............do... Total weight..................do... Cubic space, without infirmary.....feet. Cubic space of infirmary...........do... Total cubic space..............feet 880 850 1,730 B. C. 1,720 850 S40 '2.570 52 108 42 52 150 Source. M M M M M M M M M M M M M M M M M M M Remarks. These should be supple- mented if necessary by using the blankets from the patients' individual equip- ments. As containers for bedding, pajamas, etc. For contents see Equipment Tables, Q.M. Supplies. See Note below. None of the articles listed in par. 870 are included in these figures except mineral oil. Note.—Heavy tentage and other quartermaster supplies for the use of the sanitary personnel, foracc, rations,etc.,are included in the regimental allowances as published in Equipment Tables, Q. M. Supplies. 873. WEIGHT CARRIED BY CAMP INFIRMARY WAGON. (Exclusive of driver and his individual equipment.) (o) Camp Infirmary Proper. Supplies as listed in pars. 869 and 870.............. Sergeaut in charge, and his individual equipment Grain, 4 mules, 3 days............................ Rations (see par. 660)............................. Total weight. Pounds. 850 180 108 1,138 (6) With Reserve Supplies. ('a m (j infirmary proper___ Reserve supplies (par. 871). 1,138 1.050 Total weight............................................................. (c) With Additional Supplies for Regimental Hospital. 2,188 Camp infirmary proper...... Equipment "A," (par. 872)'. 1,138 Total weight. 2,018 i If transportation for medical officers' baggage, tentage, forage, etc., Is provided by the regimental field. train as required by Field Service Regulations, equipment " B " (par. 872) may also be carried without rise exceeding the maximum load for one wagon. FIELD SUPPLY TABLES. 275 AMBULANCE COMPANY. 874. The following articles are kept on hand in the Medical Depart- ment depots and will be shipped intact on an approved requisition for "one ambulance company equipment (par. 874, M. M. D.)." Subsequent requisitions for replenishment of these supplies must, however, be forwarded to the proper supply department as indicated for each item under "Source." Articles. (a) Medicines and Antiseptics. Foot powder (par. 902), J pound in tin, tms. Iodine swabs, 6 in box............boxes Spiritus ammonise aromaticus, £ pound in glass-stopper bottle, bottles. (6) Stationery. (See also par. 875.) Paper, carbon, letter, 100 sheets in a box, boxes. Paper, manifolding, letter, 500 sheets in package, packages. Paper, manifoldmg, letter, perforated, 500 sheets in package, packages. Paper, typewriter, letter, 500 sheets in package, packages. Stamp,penalty,rubber, with pad, number (c) Miscellaneous. Alcohol, denatured, 2 quarts in tin. tins.. Ax,short handle................number.. Axes, with helves.................do___ Bags, nose........................do___ Bags, water, pack mule...........pairs.. Bag, water, sterilizing..........number.. Basins, hand......................do___ Blankets, gray.....................do___ Blankets, rubber...................do___ Boxes, pack mule, empty, Nos. 2,3, 4,5,6, 7, and 8 (par. 909; of each, number. Brooms, corn..................number.. Brooms, stable.....................do. Brush, horse.......................do. Brush, marking...................do... Brushes, scrubbing...............do... Buckets, galvanized iron...........do... Buckets, galvanized iron...........do... Bugles, with sling.................do... Calcium carbide, 2 pounds in tin —tins. Candles, lantern................pounds. Carborundum wheel, with fixtures, num- ber Cases, bedding, small, empty__number. Case, emergency (par. 913).........do... Case, pocket, farrier's..............do... Chest, medical and surgical (par. 932)do.. Comb, curry......................do... C. D. S.i Source. Remarks. Other medicines and anti- septics are contained in the chest, medical and surgical; in the case, emergency; and in the surgical dressings, boxes of (pars. 954 and 955). Other Medical Department stationery including Man- uals, Army Regulations, etc., is contained in desk, field, No. 2. 1 additional on each wagon. 4 additional on each wagon and each ambulance. *Used at dressing station when necessary. For usewithchlorinated lime. 2 basins, rubber, in medical and surgical chest. ♦Taken to dressing station if conditions demand. Do. For pack mules. 1 additional on each wagon and each ambulance. 1 additional on each wagoD and each ambulance. Containers for blankets. See Note 1. For pack mules. 1 additional on each wagon and each ambulance. i The supplies listed under this heading comprise that part of the "A" equipment which is used in estab- lishing the dressing station. 276 MANUAL FOR THE MEDICAL DEPARTMENT. Articles. Miscellaneous—Continued. Cooking utensils: March kit— Cake turner...........number.. Cans, water, nested........do— Cleaver...................do— Dipper, large.............do— Fire irons.................sets.. Fork, meat, large.......number.. Kettles, camp, with covers, .do— Knife, meat, large.........do— Pans, bake................do— Corks, No. 7, for alcohol tins......do— Desk, field, No. 2 (par. 941)........do.... First-aid packets (par. 944).......do— Flag, distinguishing, Red Cross---do— Flag, halyards for, 50-foot.......... do--- Flag, national, storm..............do— Flag, staff for, complete...........do— Food, ambulance boxes o/(par. 947) .do— Food, boxes of (par. 948)...........do— Forge, portable....................do— Forks, stable......................do--- Globes, lantern (see Lanterns, globes for). Guidons, ambulance, without staff, number. Guidon and standard carrier---number.. Head nets, mosquito...............do--- Horseshoer's emergency equipment, .do— Individual dressing packets (par. 949), number. Iron, bar, assorted.............pounds.. Irons, branding, hoof, set.......number.. Jack, wagon......................do--- Lampblack....................pounds.. Lamps, acetylene..............number.. Lanterns, without globes or wicks___do— Lanterns, without globes or wicks, .do--- Lanterns, folding..................do--- Lanterns, globes for, green........do— Lanterns, globes for, white........do— Lanterns, globes for, white.......do— Lanterns, wicks for...............do— Lanterns, wicks for..............do— Leather, harness, black........poimds.. Litters, canvas for...............pieces.. Litters, tacks for, 75 in package, packages. Litters, with slings.............number.. Marking outfit, for leather, model 1910, number. Marking outfit, for metal, model 1910, number. Matches, safety..................boxes. Medicines and dressings, veterinary, pounds. Nails, assorted.................pounds. Nails, horseshoe..................do— Needles, harness, assorted......papers. Oil, sperm.......................pmts. Pannier, veterinary............number. Paper, toilet.................packages. Paulin, large..................number. Pickaxes, with helves.............do... Pistol ball-cartridges, caliber .45, model 1911, number. Pistol belts, model 1912, without saber ring, number. Pistol holsters.................number. Pistols, automatic, caliber .46, model 1911, number. Pistols, magazines for, extra___number. Pot, marking......................do... Rakes, steel.......................do... Range, field. No. 1, complete.......do... Rivets and burrs, copper, assorted, pounds. 2 500 12 1 8 1 1,000 30 '""i 2 252 1 2 1 1 1 1 3 1 5 24 1 500 1 2 1 1 12 3 1 4 12 1 8 1 1,000 60 1 1 1 6 5 3 D. S. Source 15 75 33 7 1 1 10 1 6 252 20 Remarks. Additional cooking utensils are contained in range No. 1. 1 wall tent fly is allowed for kitchen purposes. See Tentage, heavy. To be used only for sick and wounded. Do. 1 guidon with staff on each ambulance. May be used with saddle of any model. See Note 1, par. 875. 1 additional on each wagon and 2 additional on each ambulance. For repair of O. M. harness. For repair of litters. Do. 4 additional on each ambu- lance. *12 in each ambulance box of food. See Note 1, par. 875. Do. Do. Do. 1 additional on each wagon See Note 1, par. 875. Do. FIELD SUPPLY TABLES. 277 Articles. Miscellaneous—Continued. Rope, picket-line, \-inch............feet. Rope, f inch...................do. Saddles pack (par. 953)........number. Shoes, horse and mule, extra: Horse......................pounds. Mule..........................do... Soap, Ivory.,....................cakes. Spades........................number. Spoons, serving............... do Stencil outfit.......................do... Stick, size, shoe....................do... Stoves, alcohol.....................do. Stretcher, shoe.....................do..'. Surgical dressings (par. 955)......boxes! Surgical dressings, ambulance (par. 954)............................boxes. Tags, diagnosis..................books. Tape measure, foot............number. Tentage, heavy: Canvas, latrine screen........, do... Fliesr wall tent, small, with ropes, number. Fly, wall tent*............number. Tent pins, small, extra........do... Tents, pyramidal, larae, complete, number. Tents, wall, small, complete.jmmbeT. Thread, saddler's, assorted.....pounds. Tools, farrier's and blacksmith's; Kit*.......................number. Set............................do... Tools, saddler's: Kit*.......................number. Set............................do... Tools, wheelwright's and carpenter's: Kit*.......................number. Set............................do... Towels, dish......................do... Towels, hand......................do... Twine, coarse..................pounds. Typewriter....................number. Typewriters, record ribbons for., .do... Wax, saddler's.................pounds. Wire cutters...................number. Weight, packed.........pounds. Cubic space, packed.........feet. 205 150 4 18 64 18 2 2 5,840 280 36 128 4,400 210 205 150 4 54 192 18 6 2 1 1 2 1 12 D.S. Source. Remarks. 1 additional on each wagon. For marking cloth or canvas. In time of peace only 4 boxes will be taken into the field. (See par. 6336.) * 10 in each box of surgical dressings (par. 955). * For kitchen. See Note 1, par. 875. Do. ♦Part of set. *Less kit. See Note l,par. 875. *Part of set. ♦Less kit. See Note l,par. 875. *Partofset. *Less kit. 6 additional in medical and surgical chest. One additional on each am- bulance. I These figures include 12 boxes / surgical dressings (par. 955). 875. The following articles are not kept in store by the Medical Department. In organizing an ambulance company, or in making subsequent requisitions for replenishment, these articles must be obtained from the proper supply department as indicated for each item under "Source." Articles. D.S.» Source. Remarks. A mbulances, motor.............number.. A mbulances, with harness, complete.do___ 50 Bags, surplus kit..................do— Barber kit.........................do.... Calks, toe, horseshoe..............do.... Candles........................pounds.. Coal, smithing....................do.... i The supplies listed under this heading comprise that part of the "A" equipment which is used in estab- lishing the dressing station. Tentative only. See Note 1. There should be 4 Medical Department lit- ters on each ambulance. *Based on Tables of Organi- zation. ♦Purchased from company fund. See Note 1. ♦Supplied when necessary. ♦10 days' supply. See Army Regulations. ♦♦See Note 2. 278 Manual for the medical department. Articles. A. B. C. D.S. Source. Remarks. 4 ' 4 Q For winter use only. Addi-tional covers on wagons and ambulances. Equipments, horse (par. 943).......do___ * * 0 ♦Based on Tables of Organi- Equipments, individual, Hospital Corps * * ** *1 for each man of Hospital (par. 865), number. Corps. """M. D.,Q. M. C, and O. D. Equipments, individual, Quartermaster * ** *1 for each man of Quarter- Corps, number. master Corps. ♦♦M. D., Q. M. C, and O. D. * ** ** Q ♦See Army Regulations and Field Service Regulations. ♦♦See Note 2. Guidon, ambulance company (bunting), 1 1 Q with staff, number. Halters ana straps.............number.. 4 4 4 Q For pack mules. 4 add it ional on each wagon and each ambulance. Horses, riding, for enlisted men___do___ * * Q ♦Based on Tables of Organi-zation. * * Q *1 for each captain or lieu-tenant not privately mounted. Lime, hypochlorite..............tubes.. 50 I * * 5 Q ♦See Note 2. Matches, safety..................boxes.. 24 * * Q Do. Mules, draft...................number.. 60 ...... 60 Q 4 4 4 Q Oil, mineral....................gallons.. ♦36 ** ** Q ♦10 days' supply. ♦♦See Note 2. Oil. neat's-foot...................pints.. Rations: 3 * * Q ♦See Note 2. • Field......................number.. * ** ** M ♦See Field Service Regula- * ** ** tions. ♦♦See Note 2. 15 * * Q ♦See Note 2. Shoes, horse and mule, fitted: Horses, riding.............number.. 36 36 Q 1 fore and 1 hind on each mount. 240 240 Q 4 fitted shoes in wagons and ambulances for each mule. Mules, pac?r..................do___ 8 8 8 Q 1 fore and 1 hind in each pack. Soap...........................pounds.. 16 * * ......| Q ♦See Note 2. Stationery, field desk, allowance........ * * * ...... Q ♦See Note 1. StoVes, tent, with pipe and other accessories. * * * ...... Q When prescribed only. +For allowance, see Equipment Tables Q. M. Supplies. Wagons, escort, with harness, complete 3 3 Q Do. Note 1.—For list of contents consult Equipment Tables, Q. M. Supplies. Note 2.—A 10 days' supply of this article will be taken to the field by organizations. The additional amount authorized by regulations for camp use will be furnished by the camp quartermaster. 876. If an ambulance company is to be entrained, with personnel and transportation at war strength and "C" supplies complete, a railway train composed of 3 tourist (or standard) sleeping cars (or 1 tourist sleeper and 1 day coach), 1 kitchen car, 1 baggage (or box) car, 5 standard stock cars, and 5 flat cars will be required. Note.—In making calculations for transportation, the capacity of average cars of different classes may be taken as follows: Pullman, 28 officers; tourist sleepers, 42 men; day coaches, 54 men, allowing 3 men to each 2 seats (for short journeys 72 men may be carried); stock cars, 18 to 20animals; box cars, 40,000 to 80,000 pounds, but in most cases the load will be limited by the bulk (ordinary box car is 36x8x8 feet, 2,304 cubic feet); flat cars, 3 wagons or 3 ambulances, or 6 ambulances knocked down but tops not removed. 877. Articles used in camp only, such as garbage cans, crude oil, lime, straw, etc., are supplied by the camp quartermaster and will not be taken to the field by organizations. The allowances are specified in Equipment Tables, Q. M. Supplies. Field supply tables. 273 878. METHOD QF PACKING THF DRESSING STATION EQUIPMENT. Right side: Mule No. 1. Left^fdeifalandSUrgiCalchest..........................................number. Ax. do. Top: Box, pack mule, No. 2~.......'.'........................................do"" Alcohol, denatured.......... ...............................tins Basins, hand ..................................''.'.'.'.".'.'.'.".".".'.'.number' Calcium carbide............. tins Candles....................... .................................pounds Corks, extra, for alcohol tins................ ....."number Guidons, without staff.................... do Lamps, acetylene................... do Lanterns, folding......... ............................do Lime, hypochlorite.................'.'.'.'...'..'..'.'.'.'.'.'.'.'.'.'.'.'."".'.'.'. '.tubes Paper toilet.................................................packages Rope, J inch........... f|et Soap, Ivory ...................................'.'.'.'.'.'.".'.'.'.''.'.'.".'.".■.cakes Tent pins, short...............................................number Twine, coarse............. balls Wire cutters..................................'..'.".".".'.'.".".".".".".".".".'number' Buckets, galvanized-iron................................... do Bags, water, pack mule...............................................pairs'. Total weight. Right side: MuLE No- 2- Box, pack mule, No. 3.............................................number.. Surgical dressings, box of (contents only)..........................do___ Towels, hand......................................................do___ Left side: Box, pack mule, No. 4.................................................do___ Surgical-dressings, box of (contents only)..........................do___ Towels, hand............................... do Top: Blankets gray......................................................... do___ Blankets, rubber.......................................................do___ Total weight. Right side: MuLE No- 3- Box, pack mule, No. 5.............................................number.. 1 Surgical dressings, box of (contents only)..........................do___1 Towels, hand......................................................do___fi Left side: Box, pack mule, No. 6.................................................do___1 Surgical dressings, box of (contents only)..........................do___1 Towels, hand......................................................do___6 Top: Blankets, gray.........................................................do___6 Blankets, rubber......................................................do___3 Total weight. Right side: Mule No. 4. Box, pack mule, No. 7.............................................number.. 1 Bucket, galvanized-iron............................................do---1 Food, box of (contents only).......................................do---1 Spoon, serving.............................................---1.. -do— 1 Stove, alcohol......................................................do___1 Left side: Box, pack mule, No. 8..................................................do___1 Bucket, galvanized-iron............................................do---1 Food, box of (contents only).......................................do___1 Spoon, serving.....................................................do---1 Stove, alcohol.....................................................do — 1 Top: Tent flies, wall, small..................................................do. Total weight............................................................ Pounds. 100 Pounds. 100 100 40 92 92 50 234 92 50 234 106 34 246 i The water bag should be carried in the top bucket. If it is wrapped around the buckets, serious injury to the bag will result. Note 1.—On the march, not in the presence of the enemy, blankets, both woolen and rubber, are habitually carried on the ambulance company combat wagon. On long marches, under similar condi- tions, the other top loads may also be carried in an accessible place on the combat wagon. When the dressing station party is about to separate from the wheeled transportation, the top loads of mules Nos. 1 and 4, and if necessary those of mules Nos. 2 and 3. may be quickly put in place on the mules. Note 2.—As the weights of the boxes are changed by expenditure of their contents, readjustment must be made in order to maintain the right and left loads of each mule at approximately the same weight. Sore backs will certainly be produced if this precaution is neglected. 280 MANUAL FOR THE MEDICAL DEPARTMENT. FIELD HOSPITAL. 879. The following articles are kept on hand in the Medical Depart- ment depots and will be shipped intact on an approved requisition for "one field hospital equipment (par. 879, M. M. D.)." Subsequent requisitions for replenishment of these supplies must, however, be forwarded to the proper supply department as indicated for each item under "Source." Articles. A. (a) Medicines and antiseptics. Acetphenetidinum (Phenacetin), 324- mgm. tablets, 500 in 12-ounce tin, tins. Acidum boricum, 324-mgm. tablets, 700 in 12-ounce tin, tins. Acidum salicylicum, 324-mgm. tablets, 400 in 12-ounce tin, tins. Adrenalin chlorid, 1-mgm. tablets, 20 in tube, tubes. Aether, J pound intin............tins.. Alcohol, 3 pints in tin............do___ Amylis nitris, 5-drop spirets, 12 in box, boxes. Apomorphinae hydrochloridum, 6- mgm. hypodermic tablets,20in tube, tubes. Argenti nitras, crystals, 1 ounce in bot- tle, bottles. « Argenti nitras fusus, 1 ounce in bottle, bottles. Argyrol, 1 ounce in bottle___bottles.. Arseni trioxidurn, 1-mgm. tablets, 500 in 3-ounce tin, this. Aspirin, 324-mgm. tablets,500 in bottle, bottles. Atropinae sulphas, 0.65-mgm. hypoder- mic tablets, 20 in tube, tubes. Bismuthi subnitras, 324-mgm. tablets, 700 in 12-ounce tin, tins. Caffeina citrata, 65-mgm. tablets, 250 in bottle, bottles. Capsicum, 32-mgm. tablets, 600 in 3- ounce tin, tins. Chloralum hvdratum, 324-mgm. tablets, 400 in bottle, bottles. Chloroformum, £ pound in tin___tins.. Cocainae hydrochloridum, 10-mgm. hy- podermic tablets, 20 in tube, tubes. Codeina, 32-mgm. tablets, 600 in 3-ounce tin, tins. Collodium, 1 ounce in bottle.. .bottles.. Digitalinum, 1-mgm. hypodermic tab- lets, 20 in tube, tubes. Emetinae hydrochloridum, 22-mgm. hypodermic tablets, 20 in tube, tubes. Emplastrum belladonnae, 2 yards by 6 inches in tin, tins. Emplastrum, cantharidis, 1 yard by 6 inches in tin, tins. Foot powder (par. 902), } pound in tin with perforated cover, tins. Glycerinum, 3 pints in tin........tins.. Heroini hydrochloridum, 5.5-mgm. tab- lets, 500 in 3-ounce tin, tins. Hexamethylenamina (Urotropin), 324- mgm. tablets, 600 in 12-ounce tin, tins. 1 2 144 B. Source 1 2 144 M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M Remarks. 1 additional in each medical and surgical chest. 1 additional in supplemen- tary chest. Do. ♦5 in each medical and surgi- cal chest. 112-ounce bottle in each med- ical and surgical chest. 1 additional in supplemen- tary chest. 3 additional in each medical and surgical chest. 1 additional in supplemen- tary chest. Do. ♦1 in supplementary chest. Do. 1 additional in supplemen- tary chest. ♦7 in each medical and surgi- cal chest. ♦2 in each medical and surgi- cal chest. ♦1 in supplementary chest. 1 additional in supplemen- tary chest. Do. 3 additional in each medical and surgical chest, 12 addi- tional in supplementary chest. 7 additional in each medical and surgical chest. 1 additional in supplemen- tary chest. 2 additional in supplemen- t iry chest. ♦5 in each medical and surgi- cal chest. Do. 1 additional in supplemen- tary chest. ♦1 in supplementary chest. 1 additional in each medical and surgical chest. i pint additional in supple- mentary chest. 1 additional in supplemen- tary chest. Do. » As shipped from the supply depots the boxes, bundles, and other packages comprising the "A" equip- ment of the field hospital are numbered from 1 upward in a single series. So far as practicable this method of packing should be continued in the field. To find any of the smaller articles it will then only be neeessarr to refer to the serial number of its container as given in this column. FIELD SUPPLY TABLES. 281 Pack- age No. Articles. A. B. C. Source. Remarks> Medicines and antiseptics—Contd. 3 Hydrargyri chloridum corrosivum, tab-lets (antiseptic) (par. 902), 250 in bot-tle, bottles. 10 10 M 1 tin additional in each medi- cal and surgical chest. 1 Hydrargyri chloridum mite, 32-mgm. tablets, 1,000 in bottle, bottles. 2 2 M 1 additional in each medical and surgical chest. 1 Hydrargyri iodidum navum, 10-mgm. tablets, 750 in 3-ounce tin, tins. 2 2 M 1 additional in supplemen-tary chest. Hvoscinae hydrobromidum, 0.65-mgm. hypodermic tablets, 20 in tube, tubes. * * M ♦3 in each medical and surgi- cal chest. 1 Ichthyolum 3 ounces in wide-mouth bottle, bottles. 2 2 M 1 additional in supplemen-tary chest. 1 Iodine swabs, 6 in box..........boxes.. 20 20 M 1 Iodum-potassii iodidum, in tube, tubes. 200 200 M 20 additional in each medical and surgical chest. 1 Linimentum rubefaciens, tablets (par: 902), 200 in 12-ounce tin, tins. 2 2 M 1 additional in each medical and surgical chest. 3 Magnesii sulphas, 3 pounds in tin. .tins.. 5 5 M Do. 1 Mistura glycynhizae composita, tab-lets (par. 902), 3,600 in 12-ounce tin, tins. 1 1 M Do. 1 Morphinae sulphas, 8-mgm. hypoder-mic tablets, 20 in tube, tubes. 48 48 M 45 additional in each medical and surgical chest. 1 Morphinae sulphas, 8-mgm. tablets, 600 in 3-ounce tin, tins. 1 1 M 1 additional in supplemen-tary chest. Nitroglycerin, 0.65-mgm. hypodermic * * M *8 in each medical and surgi- tablets, 20 in tube, tubes. cal chest. 1 Normal saline solution tablets (par.902), 150 in 12-ounce tin, tins. 1 1 M 1 additional in supplemen-tary chest. 3 Oleum ricini, 3 pints in tin.......tins.. 4 4 M Do. 3 Oleum terebinthinae rectificatum, 3 pints in tin, tins. Oleum theobromatis, £ pound in 12- 2 2 M Do. * * M ♦1 in supplementary chest. ounce tin, tins. 2 Petrolatum, in 12-ounce tin......tins.. 8 8 M 2 additional in each medical and surgical chest. 3 8 8 M 1 additional in each medical and surgical chest, and 4 additional in sterilizer chest. 1 Phenylis salicylas (Salol), 324-mgm. tablets, 500 in bottle, bottles. 1 1 M 1 additional in supplemen- tary chest. 1 Pilulae aloini compositae (or tablets) (par. 902), 750 in 3-ounce tin, tins. 1 1 M Do. 1 Pilulae camphorae et opii (or tablets) (par. 902), 875 in 12-ounce tin, tins. 2 2 M 1 additional in each medical and surgical chest. 1 Pilulae catharticae compositae (or tab-lets), 1.200 in 12-ounce tin, tins. Pilulae ferri compositae (or tablets) 4 4 M 2 additional in each medical and surgical chest. 1 1 1 M 1 additional in supplemen- (par 902), 1,200 in 12-ounce tin, tins. tary chest. 1 Plumbi acetas, 130-mgm. tablets, 600 in 3-ounce tin, tins. 1 1 M Do. 1 Potassii bromidum, 324-mgm. tablets, 500 in bottle, bottles. 2 2 M 1 additional in each medical and surgical chest. 1 Potassii chloras, 324-mgm. tablets, 1,200 in 12-ouncj tin, Hns. 1 1 M 1 additional in supplemen-tary chest. 1 Potassii iodidum, 324-mgm. tablets, 500 in bottle, bottles. 2 2 M Do. 1 Potassii permanganas,324-mgm. tablets, 1,200 in 12-ounce tin, tins. 1 1 M Do. 2 Protargol (or equivalent), 1 ounce in bottle, bottles. 8 8 M 1 additional in each medical and surgical chest. 1 Pulvis ipecacuanhae et opii, 324-mgm. tablets, 700 in 12-ounce tin, tins. 2 2 M 1 additional in supplement-ary chest. ] Quininae hydrochlorosulphas,32-mgm. 20 20 M 10 additional in each medical hypodermic tablets, 20 m tube, tubes. and surgical chest. 1 Quininae sulphas, 200-mgm. tablets, 1,000 in 12-ounce tin, tins. 5 5 M 3 additional in each medical and surgical chest. 2 Sapo mollis (green soap), J-pound jar in case, jars. Serum antidiphthericum, as required 6 6 M M 2 additionalin sterilizerchest. M 1 Sodii bicarbonas, 324-mgm. tablets, 1,000 in 12-ounce tin, tins. 1 1 M 1 additional in supplemen-tary chest. 1 Sodii bicarbonas et mentha piperita, tablets (par. 902), 1,000 in 12-ounce tin, tins. Sodii carbonas monohydratus, forsurgi- 1 1 M Do. 1 2 2 M Do. cal use. i pound in 12-ounce tin, tins. Sodii salicylas, 324-mgm. tablets, 600 in 1 2 2 M 1 additional in each medical 12-ounce tin, tins. and surgical chest. 282 MANUAL FOR THE MEDICAL DEPARTMENT. Pack age No. 25 28 Articles. Medicines and antiseptics—Contd. Spiritus ammoniac aromaticus, J pound in glass-stopper bottle, bottles. Spiritus frumenti, 1 quart in bottle, Dottles. Strychninae sulphas, 1-mgm. hypoder- mic tablets, 20 in tube, tubes. Sulphur lotum, J pound in 12-ounce tin, tins. Thymolis iodidum (Aristol), 1 ounce in bottle, bottles. Tinctura digitalis, 0.3c.c. tablets, 800 in 3-ounce tin, tins. Tinctura opii,£ pound in bottle, bottles. Trochisci ammonii chloridi, 350 in 12- ounce tin, tins. Unguentum hydrargyri, i pound in wide-mouth bottle, bottles. Unguentum hydrargyri chloridi mitis, 30 per cent, £ pound in wide-mouth bottle, bottles. Vaccine, smallpox, as required......... Vaccine, typhoid, as required.......... Veronal, 324-mgm. tablets, 100 in 3- ounct tin, tins. Veterinary medicines (See Medicines, veterinary, under Miscellaneous.) Zinci oxiduin, powder, £ pound in 12- ounce tin, tms. Zinci sulphas, 324-mgm. tablets, 250 in 3-ounce tin, tins. (6) Stationery. (See also par. 880.) Books, blank, 8-vo...........number.. Books, note, manifolding, 4 by 6 inches, binders, number. Books, note, manifolding, 4 by 6 inches, fillers, number. Labels for vials..................gross.. Labels, poison..................dozen Manuals, A rmy Regulations, etc...... Paper, carbon, letter, 100 sheets in box, boxes. Paper, manifolding, cap, 250 sheets in Paper, manifolding, letter, 500 sheets in package, packages. Paper, manifolding, letter, perforated, 500 sheets in package, packages. Paper, typewriter, cap, 250 sheets in package, packages. Paper, typewriter, letter, 500 sheets in package, packages. Stamp, penalty, rubber, with pad, number. (c) Miscellaneous. Alcohol, denatured, 2 quarts in tin, tins. Aprons, rubber...............number.. Atomizer, hand.....'..............do... Axes, with helves................do... Bags, rubber, hot water and syringe, number. Bags, water, sterilizing........number. B and ages, flannel, 3-inch roller.. dozen. Source.? ;''JI Remarks. 2 additional in supplemen- tary chest. J pint additional in supple- mentary chest. 20 additional in each medical and surgical chest. 1 additional in supplemen- tary chest. Filled sprinkler in each med- ical and surgical chest. 1 additional in supplemen- tary chest. Do. Do. Do. 1 additional in each medical and surgical chest. 1 additional in supplemen- tary chest. Do. Do. ♦1 in each medical and surgi- cal chest. ♦5 in field desk No. 1, 1 in each medical and surgical ♦10 in field desk No. 1, 1 in each medical and surgical chest. J gross additional in each medical and surgical chest. ♦3 dozen in each medical and surgical chest. ♦Contained in field desk No. 1. 1 box in field desk No. 1. ♦1 in field desk No. 1. ♦2 in each medical and surgi- cal chest, 6 in sterilizer chest. ♦1 in supplementary chest. 1 additional on each wagon. 1 additional in each medical and surgical chest, 2 addi- tional in supplementary chest. For use with calcium hypo- chlorite. FIELD SUPPLY TABLES. 283 Articles. Miscellaneous—Continued. Bandages, gauze, compressed, 3 sizes, 1 gross in box, boxes. Bandages, plaster of Paris, 3-inch, indi- vidual packets, dozen. Bandages, rubber, Martin.....number.. Bandages, suspensory..........dozen.. Basins, hand.................number.. Bedpans, box o/(par. 906)........do___ Bedsacks.........................do___ Blankets, gray....................do___ Blankets, rubber..................do___ Bougies, flexible, Nos. 11, IS, 15, 17, 20, 22, French scale, number. B oxes, folding, for tablets........gross.. Boxes, ointment, 3 in nest.......nests.. Brooms, corn................number.. Broom, stable....................do___ Brushes, hand, fiber.............do... Brush, marking..................do... Brushes, scrubbing..............do... Buckets, enamel ware, 3 in nest, .nests. Buckets, galvanized-iron.......number. Buckets, galvanized-iron..........do... Bugles, with sling................do... Calcium carbide, 10 pounds in tin, tins. Candles.......................pounds. Canvas, 12.4 ounces.............yards. Cases, bedding, large, empty... number. Cases, bedding, small, empty......do... Cases, emergency (par. 913).......do... Cases, forceps, hemostatic (par. 915), number. Case, general operating (par. 916), number. Cases, operating, small (par. 922), number. Case, pocket, farrier's........number. Cases, tooth extracting, 3 forceps in can- vas roll, number. Catheters, flexible, assorted, Nos. 16, 17, 18, 20, 22,24, French scale, number. Cement, ambroid..............ounces. Chest, acetylene (par. 927)—number. Chest, cooking utensils (par. 929), number. Chests, medical and surgical (par. 932), number. Chest, medical and surgical, supplemen- tary (par. 933), number. Chest, sterilizer (par. 935)---number. Chest, tableware (par. 936).......do... Chest, tool, No. S (par.938).......do... Cooking utensils: March kit— Cake turner—..........do... Cans, water, nested......do... Cleaver..................do... Dipper, large.............do... Fire irons................sets. Fork, meat, large.....number. Kettles, camp, with covers.do... Knife, meat, large........do... Pans, bake...............do... Corks, assorted, 300 in bag.......bags. Corkscrews...................number. 1 220 .280 144 1 220 280 144 Source. M Remarks. 6$ dozen additional in each medical and surgical chest. ♦| dozen in each medical and surgical chest. 1 additional in each medical and surgical chest. 1 dozen additional in supple- mentary chest. 2 basins, rubber, in each medical and surgical chest, and 4 in sterilizer chest. In 5 large bedding cases. In 14 large bedding cases. In 8 small bedding cases. ♦6 in supplementary chest. 1 gross additional in each medical and surgical chest. 8 additional in each medical and surgical chest. 6 additional in each medical and surgical chest, and 6 additional in sterilizer chest. 1 additional on each wagon. For repair of tents. Containers for bedding, etc. Do. 1 additional in each medical and surgical chest. ♦1 in each medical and sur- gical chest. See Note 1, par. 880. ♦1 in each medical and sur- gical chest. ♦3 in each medical and sur- gical chest, 6 in supple- mentary chest. For repair of tents. In case of necessity, to be supplemented by the uten- sils pertaining to patients' individual equipments. Additional cooking utensils are contained in range No. 1, furnished by the Quar- master Corps, and in the chest, cooking utensils, furnished by the Medical Department. One wall-tent fly is allowed for kitchen purposes. (See Tentage, heavy.) 1 additional in supplemen- tary chest ; 1 in each medical and surgical chest. 284 MANUAL FOR THE MEDICAL DEPARTMENT. Pack age No. 23-24 18-19 22 84 84 84 SI 8-15 20-21 28 i6-50 Articles. Miscellaneous—Continued. Cotton, absorbent, in roll......pounds.. Cotton, absorbent, sterilized, in 1-ounce package, packages. Cups, enamel ware...........number.. Desk, field, No. 1 (par. 940).......do... Eye shades, single...............do... First-aid packets (par. 944).......do... Flag,distinguishing, Red Cross___do... Flag, halyards for, 50 feet.........do... Flag, national, storm.............do... Flag, staff for. complete..........do... Food, boxes of (par. 948)..........do... Forks, stable.....................do... Funnel,agate ware...............do... Gauze, sublimated, 2 half-yard lengths in package, packages. Globes, lantern. (See Lanterns, globes for.) Gloves, rubber, sizes 8 and 9......pairs. Graduate, glass, 100c. c.......number. Graduate, glass, 250c.c..........do... Guidons, ambulance, with staff... .do... Guidon and standard carrier...number. Head mirror, in case..............do... Head nets, mosquito..............do... Individual dressing packets (par. 949), number. Inhalers, chloroform, Esmarch,with drop bottles, number. Iron, bar, assorted............pounds. Jack, wagon..................number. Lampblack...................pounds. Lanterns, without globes or wicks, num- ber. Lanterns, without globes or wicks, .do... Lanterns, globes for, green.......do... Lanterns, globes for, white......do... Lanterns, globes for, white......do... Lanterns, wicks for.............dozen. Lanterns, wicks for..........number. Leather, harness, black.......pounds. Litters, canvas for..............pieces. Litters, tacks for, 75 in package, pack- ages. Litters, with slings............number. Marking outfit, for leather, model 1910, number. Marking outfit, for metal, model 1910, number. Matches, safety, boxes..........dozen. Medicine droppers...........number.. Medicine glasses.................do___ Medicines and dressings, veterinary, pounds. Mortars and pestles, porcelain, 7 cm., number. Muslin, unbleached.............yards.. Nails................................... Nails, assorted................pounds.. Nails, horseshoe.................do___ Needles, common, assorted___papers.. Needles, harness, assorted.......do___ Needles, surgical, assorted......dozen.. Pajamas, coats...............number.. Pajamas, trousers...............do___ Paperj litmus, blue and red, 100 strips in vial, of each, vials. A. 20 800 12 100 1 2 1 1 200 2 20 800 100 1 2 1 1 2 * 750 16 Source Remarks. 26 additional in each medical and surgical chest. 1 additional in each medical and surgical chest, and 2 in supplementary chest. ♦6 in supplementary chest. ♦Contents purcnased from hospital fund when practi- cable. (See par. 948.) ♦1 in sterilizer chest. 40 additional in each medical and surgical chest. 2 pairs additional in each medical and surgical chest, and 8 additional in steri- lizer chest. 1 additional in supplemen- tary chest. May be used with saddle of any model. ♦1 in supplementary chest. For the guard. 1 additional in each medical and surgical chest. 1 additional on each wagon. For repair of Q. M. harness. For repair of litters. Do. 6 boxes additional in each medical and surgical chest; 6 boxes in sterilizer chest. 6 additional in supplemen- tary chest. 1 additional in each medical and surgical chest. See Note 1, par. 880. ♦1 in each medical and surgi- cal chest. ♦1 box in chest, cooking uten- sils. See Note 1, par. 880. ♦2 in supplementary chest. See Note 1, par. 880. Additional in operating cases. > In 1 small bedding case. *1 of each in supplementary chest. FIELD SUPPLY TABLES. 285 Pack- age. No. 30 26 27 Articles. Miscellaneous—Continued. Paper, toilet................packages.. Paulin, large.................number.. Pencils, hair, 1 dozen in vial.....vials.. Pickaxes, with helves.........number.. Pill tile, hard rubber..............do___ Pins, common.................papers.. Pins, safety, 3 sizes.............dozen.. Pistol ball-cartridges, caliber 45, model 1911, number. Pistol belts, model 1912, without saber ring, number. Pistol holsters.................number.. Pistols, automatic, caliber 45, model 1911, number. Pistols, magazines for, extra.. .pumber.. Plaster, adhesive, z. o., 5 yards by 1 inch, spools. Plaster, adhesive, z. o., 5 yards by 2i inches, spools. Pot, marking.................number.. Rakes, steel......................do___ Range, field, No. 1, complete......do.... Razors...........................do.:.. Razors, strops for.................do___ Rivets and burs, copper, assorted, pounds. Rope, picket line, %-inch...........feet.. Scissors......................number.. Sheeting, rubber...............yards.. Sickle........................number.. Shoes, horse and mule, extra: Horse.....................pounds.. Mule........................do___ Soap, hand.....................cakes.. Soap, Ivory......................do___ Spades.......................number.. Spatulas, 3-inch..................do.... Specula, ear, set of 3...............sets.. Speculum, rectal..............number.. Splints, coaptation, 5 in set.....sets.. Splints, wire gauze for, 1 yard in roll, rolls. Splints, wood veneer.........number. Sponges, gauze, 1 dozen in box. .boxes. Sprinklers, powder, h. r.......number. Stencil outfit.....................do... Sterilizer, for dressing?............do... Stethoscope, double................do... Stick, size, shoe..................do... Stoves, alcohol....................do... Stretcher, shoe....................do... Sutures, catgut, chromicized, sterilized, 18 inches each, 3 sizes in package, packages. Sutures, catgut, plain, sterilized/ 18 inches each, 3 sizes in package, pack- ages. Sutures, silk, braided, sterilized, 18 inches each, 3 sizes in package, pack- Sutures, silkworm gut, 100 in coil .coils.. Sutures, silver wire, yard lengths, yards. Syringes, fountain. (See Bags, rubber, hot water and syringe.) Syringes, hypodermic (par. 956), num- ber. 2 20 40 252 12 12 12 24 24 1.6 125 50 1 100 100 100 10 4 C. Source. 50 M 1 Q * M 6 Q * M 20 M 40 M 252 O 12 O 12 O 12 0 24 o 24 M 12 M 1 Q 3 Q 1 Q * M * M 3.2 Q 125 Q * M 20 M * M 45 87 }<* * M 48 M 6 Q * M * M * M 12 M 50 M 50 M * M * M 1 O * M * M 1 Q 2 M 1 Q 100 M 100 M 100 M 10 M 4 M 4 M Remarks. ♦1 in each medical and surgi- cal chest. ♦1 in supplementary chest. 1 additional in each medical and surdcal chest. 2 additional in each medical and surgical chest. 3 additional in each medical and surgical chest. See Note 1, par. 880. ♦1 in each medical and sur- gical chest. Do. See Note 1, par. 880. ♦1 in each medical and sur- gical chest. For litters when used as oper- ating tables. ♦1 in chest, cooking utensils. ♦2 in each medical and sur- gical chest, and 5 in steri- lizer chest. 1 additional on each wagon. ♦1 in each medical and sur- gical chest. *1 set in supplometary chest. ♦1 in supplementary chest. 12 additional in supplemen- tary chest. ♦40 in sterilizer chest. ♦1 in each medical and .sur- gical chest. For marking cloth or canvas. ♦1 in sterilizer chest. ♦1 in supplementary chest. 1 additional chest. in sterilizer 10 additional in each medical and surgical chest. 20 additional in each medical and surgical chest. 10 additional in each medical and surgical chest. 1 additional in each medical and surgical chest. Do. 286 MANUAL FOR THE MEDICAL DEPARTMENT. Articles. Miscellaneous—Continued. Syringes, hypodermic, extra needles for, number. Syringes, penis, glass, in case.number.. Syringe, rectal, ft. r., 6-ounce.....do— Tags, diagnosis___.............books.. Tape measure, foot............number.. Tape measure, 60 inches..........do___ Tentage, heavy: Canvas, latrine screen........do___ Covers, canvas *..............do___ Fly, wall-tent*...............do — Tents, hospital, complete......do___ Tents, pyramidal, large, complete, number. Tents, wall, small, complete, num- ber. Tents, ward, complete.....number.. Test tubes, 3 in nest.............nests.. Thermometers, clinical.......number.. Thread, cotton, assorted........spools.. Thread, saddler's, assorted___pounds.. Tongue depressors, metal......number.. Tool, universal...................do— Tourniquets and bandages, rubber, num- ber. Towels, dish.....................do— Towels, hand...................dozen.. Trays, instrument, enamel ware, number. Trusses......................number.. Tube,stomach....................do— Tubing, drainage, imperforated, Nos. 1, 2, and 3, yards. Twine, coarse.................pounds. Typewriter...................number. Typewriters, record ribbons for. .do... Vials, 1-ounce..................dozen. 1 Wax, saddler's................pounds.. ' Weight, packed........pounds.. Cubic space, packed........feet.. B. 14,200 4,000 650i 200 C. Source. 24 M 24 M * M 50 M 1 Q * M 2 1 6 1 4 12 Q 6 6 * M 30 M 6 M 4 Q * M * M 6 M * M 48 M * M 3 M * M 9 M 2 M 1 M 2 M 12 M 4. Q 18,200 850 Remarks. 12 additional in each medical and surgical chest. 12 additional in supplemen- tary chest, i ♦1 in supplementary chest. 2 additional in each medical and surgical chest; 12 in supplementary chest. ♦1 in supplementary chest. ♦For ward tents. ♦For use of kitchen. ♦2 in supplementary chest. 6 additional in each medical and surgical chest. 1 additional in supplemen- tary chest. See Note 1, par. 880. ♦1 in each medical and sur- gical chest. ♦1 in sterilizer chest. 1 additional in each medical and surgical chest. ♦24 in chest, cooking uten- sils. In 2 small bedding cases. 2 in sterilizer chest. For supporting litters used as operating tables. ♦1 in supplementary chest. 2 pieces additional in each medical and surgical chest and 6 additional in supple- mentary chest. $ dozen additional in each medical and surgical chest and 2 dozen in supplemen- tary chest. 880. The following articles are not kept in store by the Medical Department. In organizing a field hospital, or in making subsequent requisitions for replenishment, these articles must be obtained from the proper supply department as indicated for each item under "Source." FIELD SUPPLY TABLES. 287 Articles. s, surplus kit.....................number. Calks, toe, horseshoe....................do.. Candles .do.. Coal, smithing........................pounds. Cover, mule, blanket-lined............number. Equipments, horse (par. 943).............do... Equipments, horse, Quartermaster........do . Equipments, individual, Hospital Corps (nar 865), number. Equipments, individual, Quartermaster Corps, number. Forage.............................. Guidon, field hospital (bunting), with staff, number. Horses, riding, for enlisted men........number.. Horses, riding, for officers................do___ Lime, hypochlorite.....................tubes.. Matches, safety, boxes...............number. Mules, draft.............................do___ Mule, riding............................do.. Oil, mineral..........................gallons!'. Oil, neat's-foot..........................pints.. Rations: Field...................................... Reserve....................... ,........... Salt, rock............................pounds.. Shoes, horse and mule, fitted: Horses, riding ♦..................number.. Mules, draft.........................do___ Soap.................................pounds.. Stationery, field desk allowance................ Stoves, tent, with pipe and other accessories, number. Wagons, escort, with harness, complete, number.. 100 24 28 1 14 2 32 112 14 B. 32 112 Source. Q Q Q Q Q Q Q Q Q Q Remarks. ♦Based on Tables of Organi- zation. ♦Supplied when necessary. ♦10 days' supply. See Army Regulations. ♦♦SeeNote2. For winter use on riding mule. 4 additional on each wagon. ♦Based on Tables of Organi- zation. For riding mule. ♦1 for each man of Hospital Corps. ♦♦M. D., Q. M. C, and O. D. ♦1 for each man of Quarter- master Corps. ♦♦M. D., Q. M. C, and O. D. ♦See Army Regulations and Field Service Regulations. ♦♦See Note 2. ♦Based on Tables of Organi- zation. *1 for each captain or lieuten- ant not privately mounted. ♦See Note 2. Do. Based on Tables of Organiza- tion. ♦See Note 2. Do. rSee Field Service Regula- tions. ♦♦See Note 2. ♦See Note 2. 1 fore and 1 hind on each mount. *Includes riding mule. 16 fitted shoes on each wagon. ♦See Note 2. ♦See Note 1. When prescribed only. * For allowance, see Equipment Tables, Q. M. Supplies. See Note 1. Note l.—For list of contents consult Equipment Tables, Q. M. Supplies. Note 2.—A 10 days' supply of this article will be taken to the field iby organizations. The additional amount authorized by regulations for camp use will be furnished by the camp quartermaster. 881. If a field hospital is to be entrained, with personnel and trans- portation at war strength and "C" supplies complete, a railway train composed of 2 tourist sleeping cars (or 1 tourist sleeper and 1 day coach), 1 kitchen car, 1 baggage (or box) car, 3 standard stock cars, and 3 flat cars will be required. Note.—For method of arriving at transportation required see Note to paragraph 876. 882. Articles used in camp only, such as garbage cans, crude oil, lime, straw, etc., are supplied by the camp quartermaster and will not be taken to the field by organizations. The allowances are specified in Equipment Tables, Q. M. Supplies. 288 MANUAL FOR THE MEDICAL DEPARTMENT. 883. LOADING TABLES, FIELD HOSPITAL WAGONS. The following tables are based on actual loading experiments and should be adhered to until the experience of the commanding officer is such as to justify him in making changes to meet the particular conditions under which the hospital is operating. The endeavor has been so to arrange the loads as to obtain a fairly even distribution of weight and at the same time make it unnecessary to unload all the wagons when the hospital is to be pitched for one or two days only and comparatively few patients are to be accommodated. If the hospital is serving in a community where buildings for its use are available the tentage would naturally be first dispensed with in case transportation should be unavoidably reduced. Pack- age No. 8-9 44 4 5 6 7 16 18 20 23 25 26 27 28 29 30 31 32-33 36 38 39 45 46-50 56-57 78 82 Wagon No. 1. Food, boxes of.........................................................numl>er.. 2 Lanterns, complete, M. D.................................................do___ lo Ax with helve............................................................do___ l Bags, water, sterilizing....................................................do___ 2 Buckets, galvanized iron. Q. M........... ...............................do___ 2 Cooking utensils, march kit (including tent fly)...........................sets.. 1 Lanterns, complete, Q. M.............................................number.. 2 Pickaxes, with nelves.....................................................do___ 2 Range, No. 1, complete...................................................do___ l Rope, picket...............................................................feet.. 125 Spades................................................................number.. 2 Tent, wall, small, complete...............................................do___ l Candles, Q. M. (when issued). Lime, hypochlorite..................... ................................tubes.. loo Matches, Q. M..........................................................boxes.. 24 Oil, mineral............................................................gallons.. 4 Soap, common.........................................................pounds.. 14 Baggage, 6 officers................................................................. Rations, 2 days' field, 1 day's reserve..................................number.. 216 Weight.................................................................... If bagage and tent is carried for director of field hospitals, add...................\[ Total weight. Wagon No. 2. Alcohol..................................................................boxes.. Anesthetics.......................................................... do Whisky..............................................................'.'.'.'.'.do'.'.'.'. Alcohol, denatured.......................................................do. Bandages.................................................................do! " Cotton, absorbent, packages..............................................!do!.J" Gauze, packages......................................................." "do""" Cotton, absorbent, in rolls........,.„.-....................................\do. Dispensary accessories.........'.'..'..................................'.'.'...!do Sutures, needles, etc......................................................do...' Cases, operating, etc...........•.....................................""" \ "do" Basins, rubber gloves, etc___.......................................... ! "do" Splints.........................'.'...'. 1:........;....................... "do Toilet paper................................................. .........do Bed pans and urinals.................................................... !do Buckets............................................................""" bundles Chest, medical and surgical......................................... number" Chest, medical and surgical, supplementary........................... do Chest sterilizer................................................. "........do Lanterns, complete, M. D., 10 in a box..................................boxes'.'. ™tters:...............................................................number'.". 20 Blankets gray............................................................cases 2 Towels, hand................................................... do Trusses for operating tables............................................number" Ax, with helve....................................... ............. do Total weight. Pounds. 180 59 5 16 10 •«00 5 18 264 18 10 120 1 30 14 30(1 738 1,<»S8 170 2,158 74 116 76 68 83 65 60 41 58 70 71 60 90 66 88 102 104 95 82 59 450 230 87 45 5 2,345 Note.—Mineral oil and lanterns should be well separated from rations and cooking utensils. FIELD SUPPLY TABLES. 289 Wagon No. 3. Pfk. fielf-...........................................................number.. 1 Ax, with helve..................................... do 1 Tents, hospital, complete.................................................do.!! 1 2 Tents, ward, complete, with covers for canvas............ ........do 2 Allowance for wet canvas, 50 per cent of 1,090 pounds........................\...... Total weight................................................................. Wagon No. 4. Axwith helve .........................................................number.. 1 Tents, hospital, complete..................................................do___2 Tents, ward, complete, with covers for canvas.................!.. do 2 Allowance for wet canvas, 50 per cent of 1,090 pounds................................ Total weight................................................................. Wagon No. 5. Blankets, gray......................•.......................................cases.. 4 Blankets, rubber...........................................................do 4 Ax, with helve..........................................................number.. 1 Tents, ward, complete, with covers for canvas...................."."."."."."___do.... 2 Allowance for wet canvas, 50 per cent of 720 pounds.................................. Total weight.................................................................. Wagon No. 6 Food, boxes of..........................................................number.. 6 Bandages.................................................................boxes.. 1 Cotton, absorbent, in packages.............................................do___1 Gauze, in packages...................................................'..'.'.'.'.do'.'.'.'. 1 First-aid packets...........................................................do 1 Blankets, gray.............................................................cases. - 8 Blankets, rubber...........................................................do___4 Towels, hand..............................................................do___1 Pajamas...................................................................do___ 1 Total weight.................................................................. Wagon No. 7. Medicines and antiseptics, reserve........................................boxes.. 3 Lantern glasses, extra, canvas for litters, etc...............................do___1 Calcium carbide...........................................................do___1 Chest, acetylene........................................................number.. 1 Chest, medical and surgical................................................do___1 Chest, cooking utensils.....................................................do___1 Chest, tableware...........................................................do___1 Chest, tool, No. 2..........................................................do.... 1 Bedsacks..................................................................cases.. 5 Flag, staff for...........................................................number.. 1 Pistols, holsters, belts, and cartridges.....................................boxes.. 1 Quartermaster sundries....................................................do___1 Shoes, horse and mule, extra, with nails...................................do___1 Axes, with helves......................................................number.. 2 Guidons, ambulance, with staff............i...................:...........do___12 Iron, bar, assorted......................................................bundles.. 1 Jack, wagon............................................................number.. 1 Leather, harness........................................................bundles.. 1 Rake, steel..............................................................number.. 1 Coal, smithing............................................................sacks.. 1 Oil, mineral..............................................................gallons. .10 Oil, neats-foot..............................................................pints.. 2 Salt, rock....................................................................pounds.. 9 Gram, 29 mules, 15 horses, day's 1.................................................... Total weight.................................................................. Pounds. 100 5 620 1,070 545 2,340 5 620 1,070 545 2,240 460 440 5 1,070 360 2,335 540 85 65 60 85 920 440 90 55 230 39 72 41 104 134 175 67 555 20 73 10 18 16 15 16 4 20 9o 2 10 441 2,315 Note 1.—One day's grain for each team (weight 36 pounds) is carried in the jockey box of each wagon. This grain, the driver, and the tools and spare parts that go with each wagon, are not included in the maxi- mum load of 2,765 pounds allowed by regulations. Note 2.—In loading tentage the poles should be placed on the bottom of the wagon bed with tail gate extended, canvas on top of poles. Boxes should never be loaded on top of canvas. When a wagon is loaded with tail gate extended the sideboards of the wagon box should be supported by a chain orironrod. 93440°—17---19 290 MANUAL FOR THE MEDICAL DEPARTMENT. 884. DIVISION SURGEON'S OFFICE. Articles. (a) Stationery. Envelopes, official, letter............number.. Paper, blotting........................quires.. Paper, carbon, letter, 100 sheets in a box, boxes. Paper, manifolding, cap, 250 sheets in a" pack- age, packages. Paper, manifolding, letter, 500 sheets in pack- age, packages. Paper, manifolding, letter, perforated, 500 sheets in package, packages. Paper, typewriter, cap, 250 sheets in pack- age, packages. Paper, typewriter, letter, 500 sheets in pack- age, packages. (6) Blank Forms, M. D. (par. 961). No. 61.................................books.. Nos. 12 M.D. and 334 W.D., of each . .number.. Nos. 46 M.D.,506 M.D., 330 W.D., 330a W.D., and 335 W.D., of each, number. Nos. 59,84, and 85, of each...........number.. No. 70..................................do.... (c) Miscellaneous. Broom, corn.........................number.. Calcium carbide, 2 pounds in tin.........tins.. Case, emergency (par. 913)............number.. Chairs, folding...........................do___ Containers, for certificates of identity__do___ Desk, field, No. 1 (par.940)..............do.... Lamps, acetylene........................do___ Table, mess, folding......................do___ Typewriter..............................do___ Typewriters, record ribbons for..........do___ Total weight, packed...........pounds.. Cubic space, packed................feet.. A. B. C. Source. 200 200 M 1 1 M 1 1 M 1 1 M 2 2 M 1 1 M 1 1 M 1 1 M . 1 1 M 6 6 M 12 12 M 24 24 M 1,000 1,000 M 1 1 M 4 4 M 1 1 M 3 3 M 100 100 Q 1 1 M 2 2 M 1 1 M 1 1 M 2 2 M 314 314 22 22 Remarks. 150 additional in field desk No. 1. 1 box additional in field desk No. 1. Issued only in time of war. (See par. 544.) Issued only in time of war. Note.—Tentage and other quartermaster supplies for the division surgeon's office are included in the allowances of division headquarters as published in Equipment Tables, Q. M. Supplies. 885. BLANK FORMS, DIVISION SURGEON'S EMERGENCY SUPPLY. Each division staff officer is required by Army Regulations to keep on hand an emergency supply of blank forms pertaining to his depart-- ment, preferably carried in the supply train. Such emergency supply for the division surgeon will consist of the following: Nos. 12,17, and 17c, of each..............................................................number. Nos. 19,24,32,506,59, and 74, of each........................................................do... Nos. 37,47a, 48, 49, 50, 56, 78,84, and 85, of each.............................................do... No. 28.......................................................................................do... Nos. 35,53,82, and 83, of each...............................................................do... Nos. 17a, 176, and 77, of each................................................................do... Weight, packed....................................................................pounds. & 12 24 50 100 500 12 Note.—For key to Form numbers see paragraph 961. FIELD SUPPLY TABLES. 291 886. CAMP HOSPITALS. (See pars. 602 to 604.) Articles. Regimen- tal hospital "C" equip ment (par. 872) as a nucleus. Beds, 24. Field hospital "C" equip- ment (par. 879) as a nu- cleus. Beds, 50. Beds, 100 Beds, 150. Source. (a) Medicines and Antiseptics. Acidum nitricum, | pound, in glass-stopper bottle, bottles............................................ Aether, J pound, in tin........................tins. Alcohol, 3 pints, in tin........................do... Argyrol, 1 ounce, in bottle..................bottles. Aspirin, 324-mgm. tablets, 500 in bottle........do... Chloroformum, i pound, in tin.................tins. Cocainae hydrochloridum, J ounce in wide-mouth bottle....................................bottles. Glycerinum, 3 pints, in tin.....................tins. Hydrargyri chloridum corrosivum, tablets (antisep- tic) (par. 902), 250 in bottle................bottles. Magnesii sulphas, 3 pounds, in tin.............tins.. Oleum ricini, 3 pints, in tin...................do___ Spiritusfrumenti, 1 quart, in bottle.........bottles. Tinctura digitalis, J pound, in bottle..........do___ Trochisci ammonii chloridi, 350 in 12-ounce tin.. tins.. (6) Stationery. Envelopes, official, letter...................number.. Files, Shannon, small..........................do___ Paper, manifolding, cap, 250 sheets in package, packages.......................................... Paper, manifolding, letter, 500 sheets in package, packages........................................... Paper, typewriter, cap, 250 sheets in package, pack- Paper, typewriter, letter, 500 sheets in package, packages........................................... Pencils, lead...............................number.. Penholders....................................do — Pens, steel....................................gross.. (c) Blank Forms, Medical Department.1 Nos. 14 W. D. and 12 M. D., of each.......number.. Nos. 51 and 51a, of each.......................do--- No. 516........................................do.... No. 52.........................................do.... Nos. 55, a to u, as required....................do--- No. 72.........................................do.... No. 72a........................................do.... No. 74.........................................do.... Nos. 75 and 76, of each........................do--- No. 81.........................................do.... No. 97.........................................do.... (d) Miscellaneous. Ambulance, motor1.........................number.. Atomizers, hand.........'......................do — Bandages, plaster of Paris...................dozen.. Basins, hand...............................number.. Bars, mosquito................................do--- Bars, mosquito, frames for.....................pairs.. Bars, mosquito, spreaders for frames.........number.. Bedpan, enamel ware or agate ware.............do— Bed sacks......................................do — Blankets, gray.................................do.... Brooms, corn..................................do— Brushes, scrubbing............................do— Calcium carbide, 10 pounds, in tin.............tins.. Cases, bedding, large, empty..........:......number.. r>nec/i. small, emvtv...................do____• 100 4 6 200 6 150 100 12 12 300 12 300 200 24 150 4 1 1 1 2 12 0 1 18 400 100 30 18 600 400 120 108 108 250 8 2 2 2 2 24 12 1 12 24 600 200 30 24 1,200 800 60 175 160 160 Cases, bedding, small, empty...................do. i When camp hospitals are issued intact this list will govern, but such other Forms as may be necessary will be furnished subsequently as required. 1 Not kept in depots and not included in shipping weights, 292 MANUAL FOR THE MEDICAL DEPARTMENT. Camp hospitals—Continued. Articles. Regimen- tal hospital "C" equip- ment (par. 872)as a nucleus. Beds, 24. Field hospital "C" equip- ment (par. 879) as a nu- cleus. Beds, 50. Beds, 100. Beds, 150, Source. Miscellane ous—Continued. Case, microscopical supplies, supplementary (par. 921), number........................................... Chairs, folding.............................number. Chest, acetylene (par. 927)......................do... Chests, commode (par 928)......................do... Cots..........................................do... Cotton, absorbent, in roll...................pounds. Crutches......................................pairs. Desk, field, No. 1 (par.940).................number. Dippers.......................................do... Gauze, plain, in 5-yard rolls...................rolls. Lanterns, globes for, white.................number. Lanterns, without globes or wicks...............do... Medicine glasses...............................do... Microscope, field, ivith accessory case (par. 950)..do... Mortars and pestles, Wedgwood, 20 c. m.........do... Muslin, unbleached..........................yards. Needles, surgical, assorted....................dozen. Pails, commode (close stools)................number. Pajamas, coats.................................do... Pajamas, trousers..............................do... Paper, toilet..............................packages. Paper, wrapping, brown.....................quires. Pill tile, h.r................................number. Pillow cases, cotton............................do__ Pillow sacks...................................do__ Plaster ol Paris, 4 pounds, in tin...............tins. Scales and weights, apothecary's, metric system (par. 845)...................................'.. .number. Shears........................................do___ Sheets, cotton..................................do___ Silk, oiled, in 5-yard rolls......................rolls.. Spatulas, 3-inch............................number.. Splints, Hodgen's..............................do___ Stethoscopes, double............................do___ Sutures, catgut, plain, sterilized, 18 inches each, 3 sizes in package.........................packages.. Sutures, silk, braided, sterilized, 18 inches each, 3 sizes in package.........................packages.. Tables, bedside, folding......................number.. Tables, mess, folding...........................do___ Tables, operating, field.........................do___ Tentage, heavy: Canvas, latrine screen......................do___ Tents, hospital, complete...................do___ Tents, pyramidal, large, complete...........do___ Tents, wall, small, complete................do___ Test tubes, 3 iu nest..........................nests.. Towels, bath................................number.. Towels, dish..................................do___ Towels, hand..................................do___ Typewriter....................................do___ Typewriters, record ribbons for................do. Urinals........................................do___ Urinometer....................................do___ Vials, 2-ounce................................dozen.. Vials, 4-ounce.................................do___ Weight packed, about................pounds.. Weight of nucleus.......................do___ Total weight, about.....................do___ Cubic space..............................feet.. Cubic space of nucleus...................do___ Total cubic space........................do___ 96 3,900 2,570 1 100 100 4 1 100 54 3 1 1 200 1 1 2 2 3,000 18,200 6,470 21,200 2 108 2 200 200 6 1 200 108 5 1 2 400 2 2 2 3 4 144 260 150 410 200 850 1,050 6,000 18,200 24,200 400 850 1,250 FIELD SUPPLY TABLES. 293 887. When a camp hospital is assigned to a mobilization camp there will be included in its equipment, in addition to the articles enumer- ated above, one Recruiting outfit (par. 952) for each 2,000 contem- plated enlistments, together with the necessary blank forms. 888. Articles used in camp only, such as garbage cans, crude oil, lime, straw, etc., are supplied by the camp quartermaster and will not be taken to the field by organizations. EVACUATION HOSPITAL, BASE HOSPITAL, AND MEDICAL RESERVE UNIT. 889. Evacuation and base hospitals are not strictly limited to articles listed in this table. See paragraph 859. 890. A medical reserve unit is a collection of medical supphes which it is estimated will meet the immediate requirements of a reserve for one infantry division. A certain number of these units will be kept in the Medical Department depots in time of peace ready for emergency issue. No provision is made in the medical reserve unit for replenishing the supplies of sanitary formations on the line of communications. (See par. 782.) 891. MEDICAL SUPPLIES. Articles. 03 0 Remarks. (a) Medicines and Antiseptics. Acetphenetidinum (Phenacetin), 324-mgm. tablets, 500 in 12-ounce tin, tins. Acidum boricum, 324-mgm. tablets, 700 in 12-ounce tin, tins. Acidum nitricum, in J-pound glass-stopper bottle, bottles. Acidum salicylicum, 324-mgm. tablets, 400 in 12-ounce tin, tins. Acidum sulphuricum aromaticum, in J-pound glass- stopper bottle, bottles. Acidum tannicum, 324-mgm. tablets, 500 in bottle, bottles. Adeps lanae, } pound in wide-mouth bottle—bottles.. Adrenalin chlorid, 1-mgm. tablets, 20 in tube.. .tubes. Aether, \ pound in tin...........................tins.. Alcohol, 3-pint tin...............................do.... Amylis nitris, 5-drop spirets, 12 in box..........boxes. Apomorphinae hydrochloridum, 6-mgm. hypodermic tablets, 20 in tube, tubes. Aqua ammoniae, 10 per cent, 1 pound in glass-stopper bottle, bottles. Argenti nitras, crystals, 1 ounce in bottle......bottles.. Argenti nitras fusus, 1 ounce in bottle............do— Argyrol, 1 ounce in bottle........................do— Arseni trioxidum, 1-mgm. tablets, 500 in 3-ounce tin, tins. Aspirin, 324-mgm. tablets, 500 in bottle........bottles.. Atropinae sulphas, 0.65-mgm. hypodermic tablets, 20 in tube, tubes. Bismuthi subnitras, 324-mgm. tablets, 700 m 12-ounce tin, tins. 54 1 additional in each medical and surgical chest. 1 additional in supplemen- tary chest. Do. 5 additional in each medical and surgical chest. 112-ounce bottle in each med- ical and surgical chest. 1 additional in supplemen- tary chest. 3 additional in each medical and surgical chest. 1 additional in supplemen- tary chest. Do. Do. Do. Do. 7 additional in each medical and surgical chest. 2 additional in each medical and surgical chest. 294 MANUAL FOR THE MEDICAL DEPARTMENT. Medical supplies—Continued. Articles. Medicines and Antiseptics—Continued. Cafleina citrata, 65-mgm. tablets, 250 in bottle, .bottles. Camphora, powder, J pound in wide-mouth bottle, bottles. Capsicum, 32-mgm. tablets, 600 in 3-ounce tin.....tins.. Chloralum hydratum, 324-mgm. tablets, 400 in bottle, bottles. Chloroformum, J-pound tin......................tins.. Cocainae hydrochloridum, 10-mgm. hypodermic tablets, 20 in tube, tubes. Cocainae hydrochloridum, J-ounce, wide-mouth bottle, bottles. Codeina, 32-mgm. tablets, 600 in 3-ounce tin......tins.. Collodium, 1-ounce bottle ....................bottles.. Digitalinum, 1-mgm. hypodermic tablets, 20 in tube, tubes. Emetinae hydrochloridum, 22-mgm. hypodermic tablets, 20 in tube, tubes. Emplastrum belladonnae, 2 yards by 6 inches, in tin, tins, Emplastrum cantharidis, 1 yard by 6 inches, in tin.tins.. Foot powder (par. 902), J pound in tin with perforated cover, tins. Glycerinum, 3 pints in tin......-.................tins.. Heroini hydrochloridum, 5.5-mgm. tablets, 500 in 3- ounce tin, tins. Hexamethylenamina (Urotropin), 324-mgm. tablets, 600 in 12-ounce tin, tins. Hydrargyri chloridum corrosivum, tablets (antiseptic) (par. 902), 250 in wide-mouth bottle, bottles. Hydrargyri chloridum mite, 32-mgm. tablets, 1,000 in bottle, bottles. Hydrargyri iodidum flavum, 10-mgm- tablets, 750 in 3-ounee tin, tins. • Hyoscinae hydrobromidum, 0.65-mgm. hypodermic tablets, 20 in tube, tubes. Ichthyolum, 3-ounce wide-mouth bottle.......bottles.. Iodine swabs, 6 in box..........................boxes.. Iodum-potassii iodidum, in tube................tubes.. Ipecacuanha, powder, 3-ounce wide-mouth bottle, bottles. Linimentum rubefaciens, tablets (par. 902), 200 in 12- . ounce tin, tins. Liquor formaldehydi (37* per cent), 1 quart in bottle, bottles. Magnesii sulphas, 3 pounds in tin.................tins.. Menthol, 1-ounce wide-mouth bottle...........bottles.. Mistura glycyrrhizae composita, tablets (par. 902), 3,600 in 12-ounce tin, tins. Morphinae sulphas, 8-mgm. hypodermic tablets, 20 in tube, tubes. Morphinae sulphas, 8-mgm. tablets, 600 in 3-ounce tin, tins. Nitroglycerin, 0.65-mgm, hypodermic tablets, 20 in tube, tubes. Nitroglycerin, 0.65-mgm. tablets 250 in bottle, .bottles.. Normal saline solution tablets (par. 902), 150 in 12-ounce tin, tins. Oleum gossypii seminis, 3-pint tin................tins.. Oleum menthae piperitae, in 1-ounce glass-stopper bot- tle, bottles. Oleum ricini, 3-pint tin...........................tins.. Oleum terebinthinae rectificatum, 3-pint tin......do___ Oleum theobromatis, \ pound in 12-ounce tin.....do___ Opii pulvis, 2-ounce wide-mouth bottle........bottles.. Petrolatum, in 12-ounce tin.......................tins.. 2 4 288 400 3 5 3 6 144 60 3 3 18 10 10 3 "3 9 600 4 6 12 144 432 36 18 18 2 2 100 2 2 2 30 4 2 10 2 100 680 4 144 2 24 Remarks. 1 additional in supplemen- tary chest. Do. Do. 3 additional in each medical and surgical chest; 12 addi- tional in supplementary chest. 7 additional in each medical and surgical chest. 1 additional in supplemen- tary chest. 2 additional in supplemen- tary chest. 5 additional in each medical and surgical chest. Do. 1 additional in supplemen- tary chest. Do. 1 additional in each medical and surgical chest. J pint additional in supple- mentary chest. 1 additional in supplemen- tary chest. Do. 1 tin in each medical and surgical chest. 1 additional in each medical and surgical chest. 1 additional in supplemen- tary chest. 3 additional in each medical and surgical chest. 1 additional in supplemen- tary chest. 20 additional in each medical and surgical chest. 1 additional in each medica] and surgical chest. Do. Do. 45 additional in each medical and surgical chest. 1 additional in supplemen- tary chest. 8 additional in each medical and surgical chest. 1 additional in supplemen- tary chest. Do. Do. Do. 2 additional in each medical and surgical chest. FIELD SUPPLY TABLES. Medical supplies—Continued. 295 Articles. Medicines and Antiseptics—Continued. Phenol, 4 pound in bottle.....................bottles.. Phenylis salicylas (Salol), 324-mgm. tablets, 500 in bot- tle, bottles. Pilulae aloini compositae (or tablets) (par. 902), 750 in 3-ounce tin, tins. Pilulae camphorae et opii (or tablets) (par. 902), 875 in 12-ounce tin, tins. Pilulae catharticae compositae (or tablets), 1,200 in 12-ounce tin, tins. Pilulae ferri compositae (or tablets) (par. 902), 1,200 in 12-ounce tin, tins. Plumbi acetas, 130-mgm. tablets, 600in 3-ounce tin.tins. Potassii bromidum, 324-mgm. tablets, 500 in bottle, bottles. Potassii chloras, 324-mgm. tablets, 1,200 in 12-ounce tin, tins. Potassii et sodii tartras, 1-pound tin..............tins.. Potassii iodidum, 324-mgm. tablets, 500 in bottle, bottles. Potassii permanganas, 324-mgm. tablets, 1,200 in 12- ounce tin, tins. Protargol (or equivalent), 1 ounce in bottle___bottles.. Pulvis ipecacuanhae et opii, 324-angm. tablets, 700 in 12- ounce tin, tins. Quininae hydrochlorosulphas, 32-mgm. hypodermic tab- lets, 20 in tube, tubes. Quininae sulphas, 200-mgm. tablets, 1,000 in 12-ounce tin, tins. Sapo mollis (green soap), 4-pound jar in case......jars.. Serum antidiphthericum, as required...........units. Serum antitctanicum, as required...............do... h 3 P. > Sodii bicarbonas, 324-mgm. tablets, 1,000 in 12-ounce tin, tins. Sodii bicarbonas et mentha piperita, tablets (par. 902), 1,000 in 12-ounce tin, tins. ■ Sodii carbonas monohydratus, for surgical use, J pound in 12-ounce tin, tins. Sodii salicylas, 324-mgm. tablets, 600 in 12-ounce tin, tins. Spiritus ammoniae aromaticus, \ pound in glass-stop-. per bottle, bottles. Spiritus frumenti, 1 quart in bottle___........bottles.. Strychninac sulphas, 1-mgm. hypodermic tablets, 20 in tube, tubes. Sulphur lotum, J pound in 12-ounce tin..........tins.. Thymol, 1-ounce bottle........................bottles.. Thymolis iodidum (Aristol), 1-ounce bottle......do___ Tinctura digitalis, 4 pound in bottle.............do— Tinctura digitalis, 0.3 e. c. tablets, 800 in 3-ounce tin, tins. Tinctura opii, 4-pound bottle..................bottles.. Trochisci ammonii chloridi, 350 in 12-ounce tin.....tins.. Unguentum hydrargyri, J pound in wide-mouth bottle, bottles. Unguentum hydrargyri chloridi mitis, 30 per cent, § pound in wide-mouth bottle, bottles. Vaccine, smallpox, as required..................units.. Vaccine, typhoid, as required.....................c.c.. Vaccines, speciall...............................do— 6 24 36 108 3 12 6 1 additional in each medical and surgical chest, and 4 ad- ditionalin sterilizer chest. 1 additional in supplemen- tary chest. Do. 1 additional in each medical and surgical chest. 2 additional in each medical and surgical chest. 1 additional in supplemen- tary chest. Do. 1 additional in each medical and surgical chest. 1 additional in supplemen- tary chest. Do. Do. 1 additional in each medical and surgical chest. 1 additional in supplemen- tary chest. 10 additional in each medical and surgical chest. 3 additional in each medical and surgical chest. 2 additional in sterilizer chest. An emergency supply of these scrums should always be kept on hand by the depots on the line of communica- tions. 1 additional in supplemen- tary chest. Do. Do. 1 additional in each medical and surgical chest. 2 additional in supplemen- tary chest. 4 pint additional in supple- mentary chest. 20 additional in each medical and surgical chest. 1 additional in supplemen- tary chest. Filled sprinkler in each med- ical and surgical chest. 1 additional in supplemen- tary chest. Do. Do. Do. 1 additional in each medical and surgical chest. An emergency supply of these vaccines should always be kept on hand by the depots on the line of communica- . tions. Veronal, 324-mgm. tablets, 100 in 3-ounce tin......tins.. 4 6 2 1 additional in supplemen- tary chest. Zinci oxidum, powder, J pound in 12-ounce tin. .do___ 2 3 2 Do. Zinci sulphas, 324-mgm. tablets, 250 in 3-ounce tin.do___ 2 3 2 Do. i Streptococcus, staphylococcus, staphylococcus-acne and gonococcus vaccines are furnished from the Army Medical School on special request. Remarks. 296 MANUAL FOR THE MEDICAL DEPARTMENT. Medical supplies—Continued. Articles. ■si a Remarks. (6) Stationery. Bands, elastic, assorted.........................gross.. Blank forms.......................................... Books, blank, crown (cap), 250 pages.........number. Books, blank, 8-vo., 150 pages....................do... Books, note, manifolding, 4oy 6 inches, binders___do___ Books, note, manifolding, 4 by 6 inches, fillers.. .do___ Envelopes, official, large.........................do___ Envelopes, official, letter, 1,000 in a box........boxes.. Erasers, rubber, pencil.......................number.. Erasers, rubber, typewriter.....................do___ Eraser, steel......................................do___ Files, Shannon, small............................do___ Ink, black, powder or tablets...................boxes.. Ink, red, powder or tablets......................do___ Labels for vials..................................gross.. Labels, poison, assorted..........................do___ Manuals, Army Regulations, etc........................ Pads, prescription.............................dozen.. Piper, blotting................................quires.. Paper, carbon, cap, 100 sheets in box...........boxes.. Paper, carbon, letter, 100 sheets in box..........do___ Paper fasteners..................................do___ Paper, manifolding, cap, 250 sheets in package, pack- ages. Paper, manifolding, letter, 500 sheets in package, pack- ages. Paper, manifolding, letter, perforated, 500 sheets in package, packages. Paper, typewriter, cap, 250 sheets in package.packages. Paper, typewriter, letter, 500 sheets in package, pack- ages. Paper, writing, letter, 100 sheets in pad..........pads. Taper, writing, note, 100 sheets in pad...........do... Paste, photograph, in tube, with brush.........tubes. Pencils, indelible...............................dozen. Pencils, lead....................................do... Penholders......................................do... Pens, steel......................................gross. Ruler........................................number. Stamp, penalty, rubber, with pad................do... Tags, shipping..................................do... (c) Miscellaneous. Alcohol, denatured, 2 quarts in tin...............tins.. Ambulances, motor............................number.. 24 100 1 6 6 24 200 1 12 12 * 18- 2 1 6 1 1 gross additional in field desk No. *. * See footnotel. 1 additional in field desk No. 1. 5 additional in field desk No. 1. 10 additional in field desk No. 1. 25 additional in field desk No. 1. 150 additional in field desk No. 1. 1 additional in field desk No. 1. *1 in field desk No. 1. For clinical histories. 1 additional in field desk No. 1. Do. 3 dozen additional* in each medical and surgical chest. *In field desk No. 1. 24 additional in field desk No. 1. 1 box additional in field desk No. 1. 1 additional in field desk No. 1. 50 Apparatus, restraint (par. 904)...................do. A pparatus, X-ray...............................do. 2 additional in field desk No. 1. 6 additional in field desk No. 1. 1 additional in field desk No. 1. J dozen additional in field desk No. 1. 2 dozen additional in field desk No. 1. i dozen additional in field desk No. 1. 2 dozen additional in field desk No. 1. * 1 in field desk No. 1. Do. * 100 in field desk No. 1. Not kept in store, but will be furnished when practicable and the needs of the hos- pital justify it. * As required. 1 A supply of blank forms will be furnished with the hospital equipment by the issuing depot in accord- ance with a list furnished by the Surgeon General's Office. Subsequent issues will be obtained as directed in Army Regulations FIELD SUPPLY TABLES. 297 Medical supplies—Continued. Articles. Remarks. Miscellaneous—Continued. Aprons, rubber...............................number. Atomizers, hand. .do... Ax helves, sbort (par. 874).......................do. Axes, short handle (par. 874)......................do. Bags, rubber, hot water and syringe...............do. Bandages, flannel, 3-inch roller.................dozen.. Bandages, gauze, compressed, 1 gross in box, 3 sizes, boxes. Bandages, plaster of Paris, 3-inch, in individual pack- ets, dozen. Bandages, rubber, Martin.....................number. Bandages, suspensory..........................dozen. Bars, mosquito...............................number.. Bars, mosquito, frames for.......................pairs. Bars, mosquito, spreaders for frames...........number.. Basins, for sponges, etc., enamel ware.............do Basins, hand....................■................do Basins, hand, enamel ware.......................do... Basins, rubber...................................do... .do- Case, aspirating (par. 910)....................number. Cases, bedding, large, empty......................ao. - ■ Cases, bedding, small, empty---..................ao. - - Case, ear, nose, and throat (par. 912)..............ao Cases, emergency (par. 913).......................ao Case, eye (par. 914)..............................a< Cases, forceps, hemostatic (par. 915)........ Cases, general operating (par. 916)......... .do. 500 450 450 Bedpans, enamel ware or agate ware..............do— Bedpans, box of (par. 906)........................do--- Bedsacks................-........................do— Beef, soluble, liquid or extract, in 3-ounce tin.....tins.. Blankets, gray................................number.. Blankets, rubber..................................do— Boiler, instrument................................do— Books, medical, box of (par. 908)..................do.... Bottles, 4-liier, for antiseptic solutions.............do,.. Bougies, flexible, Nos. 11, 13,16,.17, 20, 22, French scale, number. Boxes, folding, for tablets.......................gross. Bores, fracture, folding........................number. Boxes, ointment, 3 in nest......................nests.. Boxes, pack mule, empty, No. 1 (par. 909).....number.. Boxes, pack mule, empty, Nos. 2, 3, 4, 6, 6, 7, and 8 (par. 909), of each, number. Brooms, corn................................number.. Brushes, hand, fiber.............................do.... Brushes, scrubbing..............................do.... Buckets, enamel ware, 3 in nest...................nests. Buckets, galvanized iron.......................number. Cabinet, for dressings and instruments............do.... Calcium carbi-le, 2 pounds, in tin...............-tins. Calciumcarbide, 10pounds,intm...............ao.. , Candles.......................................pounds. Candles, lantern. 60 18 '484 1,300 140 525 525 4 60 24 "572 1,500 .do. 106 23 1 126 31 1 3 1 5 12 1 132 144 . 100 70 2 additional in each medical and surgical chest, 6 addi- tional in sterilizer chest. 1 additional in supplemen- tary chest. 1 additional in each medical and surgical chest, 2 addi- tional in supplementary chest. 6J dozen additional in each medical and surgical chest. 4. dozen additional in each medical and surgical chest. 1 additional in each medical and surgical ehest. 1 dozen additional in supple- mentary chest. In large bedding cases, 50 in each. May be enamel ware or monel metal. 2 additional in each medical and surgical chest, 4 addi- tional in sterilizer chest. In large bedding cases, 44 in each. In large bedding cases, 20 in each. In commercial boces, 35 in each. 6 additional in supplemen- tary chest. 1 gross additional in each medical and surgical chest. 8 additional in each medical and surgical chest. 6 additional in each medical and surgical chest, 6 addi- tional in sterilizer chest. Containers for bedding, etc. Do. 1 additional in each medical and surgical chest. 298 MANUAL FOR THE MEDICAL DEPARTMENT. Medical supplies—Continued. Articles. "3 § Remarks. Miscellaneous—Continued. Case, genito-urinary (par. 917).................number.. Cases, instrument, medical officer's (par. 919)......do — Oases, medicine, medical officer's (par. 920)........do— Case, microscopical supplies, supplementary (par. 921), number. Case, operating, small (par. 922)....'..........number.. Case, post mortem (par. 924)......................do— Case, tooth extracting, 3 forceps in canvas roll......do — Catheters, flexible, assorted, Nos. 15, 17, 18, 20, 22, 24, French scale, number. Chairs, folding................................number. Chests, acetylene (par. 927).......................do... Chests, commode (par. 928).......................do... Chests, cooking utensils (par. 929).................do... Chests, medical and surgical (par. 932)............do... Chest, medical and surgical, supplementary (par. 933), number. Chests, sterilizer (par. 935)....................number.. Chests, tableware (par. 936).......................do___ Chest, tool, No. 1 (par. 937)....................'...do.... Chest, tool, No. 2 (par. 938).......................do___ Close stools. (See Pails, commode.) Cocoa, 8-ounce tins...............................tins.. Coffee, ground, 2 pounds in tin..................do___ Corks, assorted, .00 in bag.......................bags.. Corkscrews...................................number.. 18 250 3 Cots.............................................do___ Cotton, absorbent, in roll.....................pounds.. Cotton, absorbent, sterilized, in 1-ounce package, Crutches........................................pairs.. Crutches, rubber tips for.....................number. Cups, enamel ware...............................do___ Cushions, rubber, open center.....................do. Cushions, rubber, small..........................do. Cushions, surgical, Kelly's.......................do. Desks, field, No. 1 (par. 940)......................do. Desk, field, No. 2 (par. 941).......................do. Dippers.........................................do. Dishes, Petri's, for needles, etc...................do. Eye shades, single...............................do. 450 72 2,000 525 72 2,000 30 2,000 12 First-aid packets (par. 944)......................do. Flag, staff for, complete..........................do. 24 200 1 Flasks, empty (par. 864)..........................do___ Flasks, empty (par. 907)..........................do...'. Flasks, Erlenmeyer, 2-liter........................do.... Food, ambulance boxes of (par. 947)...............do___ Food, boxes o/(par. 948)..........................do___ Gauze, plain, in 5-yard rolls......................rolls.. Gauze, plain, sterilized, 2 half-yard lengths in package, packages. Gauze, sublimated, 2 half-yard lengths in package, 180 750 2,250 Globes, lantern. (See Lanterns, globes for.) Gloves, rubber, sizes 8 and 9......................pairs.. Gowns, operating.............................number.. Graduates, glass, 100 c. c........................do___ Graduates, glass, 250 c. c.........................do.... ISO 750 2,250 1,000 2,250 1 additional in each medical and surgical chest. Do. 3 additional in each medical and surgical chest; 6 addi- tional in supplementary chest. 1 additional in supple-rien- tary chest and 1 in medical and surgical chest. 26 packages additional in each medical and surgical chest. 1 additional in each medical and surgical chest; 2 addi- tional in supplementary chest. 6 additional in supplemen- tary chest! Flags and halyards furnished by Quartermaster Corps (see par. 892). 40 packages additional in each medical and surgical chest. 2 pairs additional in each medical and surgical chest; 8 additional in sterilizer chest. 1 additional in supplemen- tary chest. FIELD SUPPLY TABLES. 299 Medical supplies—Continued. Articles. Remarks. Misc ell ane ous—Continued. Hard bread, one-half pound in carton.........cartons. Head mirror, in case (par. 933)................number. Individual dressing packets (par. 949)...........do... Inhalers, chloroform, Esmarch, with drop bottles___do... Irrigators, glass, graduated, 2-liter.................do... Jars, large.for dressings, etc......................do... Jars, small, covered,for sutures, etc...............do... Lamps, acetylene (par. 874)......................do... Lanterns, folding.................................do... Lanterns, globes for, green.......................do... Lanterns, globes for, white......................do... Lanterns, wicks for............................dozen. Lanterns, without globes or wicks.............number. Litters, with slings...............................do... Litters, extra canvas for.......................pieces. Litters, extra tacks for, 75 in package.......packages. Matches, safety, boxes.........................dozen. Medicine droppers..............................do... Medicine glasses..............................number.. Microscope, field, with accessory case (par. 950)___do... Milk, condensed, unsweetened, 1-pound tin......do... Mortars and pestles, porcelain, 7 cm...............do... Mortars and pestles, Wedgewood, 20 cm...........do... Mosquito bars. (See Bars, mosquito.) Muslin, unbleached............................yards. Needles, common, assorted....................papers. Needles, surgical, assorted......................dozen. Ophthalmoscope..............................number. Pails, commode (close stools)......................do— Pajamas, coats...................................do--- Pajamas, trousers................................do--- Paper, litmus, blue and red, 100 strips in vial, of each, vials. Paper, toilet................................packages.. Paper, wrapping, brown.......................quires.. Pencils, hair, 1 dozen in vial.....................vials.. Pill tile, hard rubber..........................number.. Pillow cases, cotton...............................do— Pillow sacks.....................................do— Pins, common, assorted.......................papers.. 200 3 200 3 Pins, safety, 3 sizes..............................gross.. Pitchers, 3-liter, enamel ware..................number.. Plaster, adhesive, z. o., 5 yards by 1 inch.......spools.. Plaster, adhesive, z. o., 5 yards by 24 inches.....do— Plaster, isinglass, in 1-yard roll.................yards.. Plaster, moleskin...............................do— Plaster of Paris, 4 pounds in tin.................tins.. Pus basins...................................number.. Razors (par. 932).................................do.... Razors, strops for (par. 932)........■-■-■......- --do.... ...,/i./„„.-^7 v„..i„m.mt "A" (pars. 869 and Regimental hospital 872), number Equipment Rope, |-inch.....................................fee*- Saddle, pack (par. 953)........................number. Scales and weights, apothecary's, metric system (par. 845), number. Scissors (par. 932)...........................number. 12 900 900 100 12 12 1 1,200 576 24 10 72 1 2,000 2 45 6 12 1 18 990 990 6 150 48 12 1 2,000 576 24 10 3 72 36 12 20 15 3 192 2 100 120 120 300 1 *1 in supplementary chest. 1 additional in each medical and surgical chest. 6 boxes additional in each medical and surgical chest; 6 in sterilizer chest. 4 dozen additional in supple- mentary chest. 1 additional in each medical and surgical chest. Do. 2 additional in supplemen- tary chest. Additional in operating cases. In large bedding cases, 90 ' suits to the case. 1 additional in supplemen- tary chest. 1 additional in each medical and surgical chest. 1 additional in supplemen- tary chest. In small beddingcases, 400in each. In small beddingcases, 144in each. 1 additional in each medical and surgical chest. 2 dozen additional in each medical and surgical chest. For operating room. 3 additional in each medioal and surgical chest. *1 in each medical and sur- gical chest. Do. Should be kept intact for prompt issue in case a regi- ment is detached for inde- pendent action. 1 additional in each medical and surgical chest. 300 MANUAL FOR THE MEDICAL DEPARTMENT. Medical supplies—Continued. Articles. Miscellaneous—Continued. Sheeting, rubber................................yards. Sheets, cotton___.............................number. Silk, oiled, in 5-yard roll.........................rolls. Soap, hand.....................................cakes. Soap, Ivory......................................do— Soup, assorted. 1-pound tin......................tins.. Spatulas, 3-inch (par. 932)....................number.. Specula, car, set of 3 (par. 933)....................sets.. Speculum, rectal (par. 933)....................number.. Splints, coaptation, 5 in set.......................sets.. Splints, Hodgen's, right and left, of each.......number.. Splints, wire gauze for, 1 yard m roll..............rolls.. Splints, wood-veneer.........................number.. Sponges, gauze, 1 dozen in box.................boxes.. Spools, glass, Halstead's.....................number.. Sterilizer, for dressings............................do___ Stethoscopes, double (par. 933)....................do___ Stoppers, rubber, for 4-ounce vials..............dozen.. Stools, revolving, w. e.........................number.. Stoves, alcohol...................................do___ Stoves, alcohol, extra wicks for..................do___ Sugar, granulated, 4 pounds in tin................tins.. Surgical dressings (par. 955).....................boxes.. Surgical dressings, ambulance (par. 954)..........do___ Sutures, catgut, chromicized, sterilized, 18 inches each, 3 sizes in package, packages. Sutures, catgut, plain, sterilized, 18 inches each, 3sizes in package, packages. Sutures, horsehair, 100 in coil....................coils.. Sutures, silk, braided, sterilized, 18 inches each, 3 sizes in package, packages. Sutures, silkworm gut, 100 in coil................coils.. Sutures, silver-wire, yard lengths...............yards.. Syringes, fountain. (See Bags, rubber, hot-water, and syringe.) Syringes, hypodermic (par. 956)...............number.. Syringes, hypodermic, extra needles for.........do___ Syringes, penis, glass, in case.....................do___ Syringe, rectal, h. r., 6-ounce (par. 933)............do___ Tables, bedside, folding...........................do___ Tables for instruments............................do.... Tables, mess, folding.............................do___ Tables, operating, field, folding....................do___ Table, operating, post standard....................do___ Tags, diagnosis.................................books.. Tape measure, 60 inches.......................number.. Tea. green or black, 4 pound in package......packages.. Test tubes, 3 in nest............................nests.. Test tubes, 1 by 12 inches......................dozen.. Thermometers, clinical.......................number.. Thread, cotton, assorted.......................spools.. Tongue depressors, metal......................number.. Tourniquets (par. 907)...........................do___ Tourniquets and bandages, rubber.................do___ J* 3 ft 20 1,320 60 500 500 12 300 72 30 1,920 800 12 400 72 "3 § 20 24 "ioo 100 200 12 16 24 12 300 500 360 36 12 144 36 500 Remarks. In small bedding cases, 120 in each. 2 additional in each medical and surgical chest; 5 addi- tional in sterilizer chest. 1 additional in each medical and surgical chest. *1 in supplementary chest. Do. 12 additional in supplemen- tary chest. *1 Arnold sterilizer in steri- lizer chest. 1 additional in supplemen- tary chest. For operating room. 1 additional in sterilizer chest. 10 additional in each medical and surgical chest. 20 additional in each medical and surgical chest. 10 additional in each medical and surgical chest. 1 additional in each medical and surgical chest. Do. 12 additional in each medical and surgical chest. 12 additional in supplemen- tary chest. *1 in supplementary chest. 2 additional in each medical and surgical chest; 12 addi- tional in supplementary chest. 1 additional in supplemen- tary chest. 2 additional in supplemen- tary chest. * 6 additional in each medical and surgical chest. 1 additional in supplemen- tary chest. 1 additional in each medical and surgical chest. For II ospital Corps belts. 1 additional in each medical and surgical chest. FIELD SUPPLY TABLES. 301 Medical supplies—Continued. Articles. w 3 3-S Q, 03*; S Pi a d g f a> T3 w ffl s 50 75 4 6 2 96 144 3 24 * * 30 30 50 5 5 5 5 5 5 2 3 4 6 18 24 2 2 1 1 1 12 12 12 24 24 12 12 12 2 34,663 44,311 14,862 2,104 2,938 774 Remarks. Miscellaneous—Continued. Towels, bath....................................dozen. Towels, dish.....................................do... Towels, hand....................................do... Trays, instrument, enamel ware...............number. Tube, stomach...................................do... Tubing, drainage, unperforated, Nos. 1,2, and3.yards. Twine, coarse................................pounds. Twine, fine......................................do... Typewriters..................................number. Typewriters, record ribbons for..................do... Urinals, enamel ware or agate ware...............do... Urinometers.....................................do... Venereal prophylaxis unit (par. 958)..............-do... Vials, 1-ounce..................................dozen. Vials, 2-ounce...................................do... Vials, 4-ounce...................................do... Wire cutters.................................number. Total weight, packed...................pounds. Cubic space................................feet. In large bedding cases, 5 dozen in each. 2 dozen additional in chest, cooking utensils. In small bedding cases, 24 dozen in each. 2 additional in sterilizer chest, *1 in supplementary chest. 2 pieces "additional in each medical and surgical chest; 6 additional in supplemen- tary chest. 892. QUARTERMASTER SUPPLIES. [These supplies are not kept in store in Medical Department Articles. Axes, with helves...........................number. Bags, water, sterilizing.......................:. .do... Brush, marking.................................do... Bugles, with sling...............................do... Canvas, 12.4 ounces...........................yards. Cement, ambroid............................ounces. Flag, distinguishing, Red Cross..............number. Flag, halyards for...............................do... Flag, national, storm...........................do... Lampblack.................................pounds. Oven, field, No. 1, complete..................number. Paulins........................................do... Pickaxes, with helves...........................do... Pot, marking...................................do... Rakes, steel.....................................do... Range, field, No. 1..............................ao... Spades.........................................do... Stick, size, shoe...................- —.-........ao... Stoves, tent, with pipe and other accessories.......do... Stretcher, shoe..................................a°" Tape measure, foot..............................ao... Tentage, heavy: Canvas, latrine screen.......................ao... Covers, canvas, for ward tents...............do... Tents, hospital, complete...................do... Tents, pyramidal, large, complete............do... Tents, wall, small, complete.................do... Tents, ward, complete......................do... Total weight, packed.................pounds. Evacua- tion hospital. Base hospital. 19,275 2,922 Remarks. For repair of tents. Do. Istaff furnished by M. D. f (See par. 891.) See Appendix: Quartermas- ter Supplies. For contents see Equipment Tables, Q. M. Supplies. *When prescribed. For al- lowance, see Equipment Tables, Q. M. Supplies. ♦Base hospitals will be fur- nished with heavy tentage only when buildings are not available. 302 MANUAL FOR THE MEDICAL DEPARTMENT. BASE MEDICAL SUPPLY DEPOT. [See pars. 782 to 786.] 893. The supplies to be kept for issue by the depots in the theater of operations are determined upon as indicated in paragraph 782. 894. As a guide in organizing a base medical supply depot tho following list of articles is suggested as meeting the requirements for office and storeroom equipment. (o) MEDICAL SUPPLIES. Blank forms (see pars. 960 to 965). Brooms, corn.......................number.. Buckets, galvanized iron................do___ Chest, tool, No. 1 (par. 937).............do___ Desks, field, No. 1 (par. 940)............do___ Lanterns, globes for, white.............do___ Lanterns, wicks for...................dozen.. Lanterns, without globes or wicks___number.. Paper, wrapping, brown............quires.. Scales and weights, platform........number.. I Stationery (to be selected from post supplies, par. 844). Twine, coarse......................pounds.. Twine, fine...........................do— Typewriters.......................number.. Typewriters, record ribbons for.......do— (b) QUARTERMASTER SUPPLIES. Axes, with helves.............•......number Brushes, marking......................do.. Cans, drinking water...................do.. Flag, distinguishing, Red Cross:........do.. Flag, halyards for......................do.. Flag, national, storm...............number.. Lampblack........................pounds.. Pots, marking.....................number.. Range, field, No. 2............. Spades... .do. .do. ADVANCE MEDICAL SUPPLY DEPOT. (See pars. 787 to 792.) 895. If the advance depot is more or less stationary and occupy- ing buildings it will be organized like the base depot and require similar equipment. On the other hand, if this depot is keeping in close touch with troops in active operations it will constitute a rolling reserve for the divisions at the front. Under these condi- tions its own equipment and the supplies it keeps on hand for issue will be limited by the character and quantity of transportation available for its use. FIELD LABORATORY. 896. The technical supplies for a field laboratory are contained in the following chests, case, etc. The other equipment necessary in furnishing the laboratory will be supplied on requisitions approved by the surgeon, base group. Case, microscopical supplies, supplementary (par. 921)......................." .number.. Chest, field, laboratory No 1 (par. 930).. .do___ Chest, field laboratory No. 2 (par. 931).. .do___ Crate, field laboratory (par. 939)........do___ Microscope, field, with accessory case (par. 950)............................number... Total weight.................pounds.. 354 FIELD SUPPLY TABLES. 303 EVACUATION AMBULANCE COMPANY. 897, The supplies and equipment of an evacuation ambulance com- pany are, with the exceptions noted in paragraph 806, similar to those of an ambulance company. The dressing-station supphes may be used in establishing rest stations. HOSPITAL SHIPS AND SHIPS FOR PATIENTS. 898. These ships will be equipped under special instructions from the Surgeon General. HOSPITAL TRAINS AND TRAINS FOR PATIENTS. 899. Hospital trains, to consist ordinarily of 10 cars, will be equipped under special instructions from the Surgeon General. 900. Litter fittings for the conversion of box cars for hospital pur- poses are supplied by the Medical Department. These fittings are so assembled as to provide transportation for 24 recumbent patients in each car. OFFICE OF THE CHIEF SURGEON, FIELD ARMY, AND OF THE SURGEON, BASE GROUP. 901. No definite equipment is prescribed for these offices. The chief surgeon, field army, is not an administrative officer and will therefore not require as much office equipment as a division surgeon. On the other hand, as no transportation is required for the office equipment of the surgeon, base group, it will be unnecessary to limit his supphes to those allowed division surgeons. (For division sur- geon's office equipment see par. 884.) ARTICLE XX.—FORMULAE, CONTENTS OF CHESTS, CASES, ETC. 902. FORMULAE OF NONOFFICIAL COMPOUND MEDICI- NAL PREPARATIONS, LISTED IN THE SUPPLY TABLES. Foot powder. Acidum salicylicum..................parts.. Amylum.............................do— Talcum pulvis.......................do— Hydrargyri chloridum corrosivum, tablets (anti- septic). Ammonii chloridum................mgms.. Hydrargyri chloridum corrosivum.. mgms.. One tablet to J liter of water makes a 1 to 1,000 solution. Linimentum rubefaciens. Camphora...........................mgms.. Capsicum...........................mgms.. Extractum belladonnae foliorum — mgms.. Dissolve 2 tablets in 30 c. c. of alcohol. Mistura glycyrrhizae composita, tablets. Acidum benzoicum.................mgms.. Antimonii et pot. tartras............mgms.. Extractum glycyrrhizae purum.....mgms.. Camphora...........................mgms.. Oleum anisi.........................mgms.. Opium..............................mgms.. Each tablet is the practical equivalent of 4 c. c. of Brown mixture. Normal saline solution tablets. Sodii carbonas monohydratus, chemically pure................................gms.. Sodii chloridum, chemically pure......gms.. Three tablets to a liter make a 0.6 per cent solution of sodium chlorid. 475 500 250 250 250 2.5 1 6 2.5 2.5 2.5 Peptonizing tablets. Pancreatinum.......................mgms.. Sodii bicarbonas....................mgms.. One tablet peptonizes 250 c. c. of milk. Pilulae aloini compositae, chocolate coated. Aloinum............................mgms. Belladonnae fol. ext.................mgms. Oleoresina capsici...................mgms. Podophvlli resina...................mgms. Strychnina.........................mgms. Pilulae camphorae et opii. Camphora...........................mgms.. Opium..............................mgms.. Pilulae copaibae compositae. Copaiba.............................mgms.. Ferri citras..........................mgms.. Guaiacum..........................mgms.. Oleoresina cubebae..................mgms.. Pilulae ferri compositae. Ferri pyrophosphas.................mgms.. Quininae sulphas...................mgms.. Strychninae sulphas................mgms.. Sodii bicarb, et mentha pip., tablets. Ammonii carbonas..................mgms.. Oleum menthae piperitae...........mgms.. 162 487.5 8 8 2.7 130 65 100 24 24 40 Sodii bicarbonas....................mgms.. 258 CONTENTS OF CHESTS, CASES, ETC., AND SPARE PARTS. 903. APPARATUS, COMPRESSED AIR. Air container, with gauge...........number.. Cut-off, metal.........................do--- Force pump..........................do--- Sprays, De Vilbiss's, in set, viz:: A tomizer, Fig. 56.................do--- Atomizer, Fig. 80..................do--- Sprays, De Vilbiss's, in set, viz—Continued. Atomizers, Fig. 52.............number.. Rack, four holes...................do___ Tubing, thick rubber, connecting container with force pump...................yards.. Tubing, thick rubber, silk-covered, connect- ing container with cut-off..........yards.. 1.2 2.4 1 For larger posts, recruit depots, and general hospitals a larger set may be furnished. 904. APPARATUS, RESTRAINT. (In wooden box, with handle and lock.) Anklets..............................pairs.. Keys to lock buckles................number.. Muff, leather..........................do— Strap, bed.........................number. Strap, waist..........................do... Wristlets.............................pairs. 304 FORMULAE, CONTENTS OF CHESTS, CASES, ETC. 305 905. BAG, OBSTETRICAL. (In leather case.) Cases, canvas, for instruments.....number Container, metal, for sutures. .. do Containers, metal, with bottles for antiseptic' tablets, chloroform, and ergot, and jar for petrolatum.......................number.. Cranwclast.................... do Forceps,obstetrical, Elliott's.....'." do Forceps, obstetrical, Tarnier's, axis traction, Lusk's modification..............number Forceps, placental................ do Hook, blunt, Braun's..............number. Needle holder..........................do... Needles, case for....................'.'.'.do'.'.'. Needles, surgical, assorted............do Pelvimeter, Martin's..................do..'. Perforator, Smellie's...................do!'.'. Scissors, curved on flat, one point sharp, 8§", „ Sim's...........................number. Sutures, catgut......................grams Sutures, silk............ do 906. BEDPANS, ETC., BOX OP. (Pine box with hinged lid and hasps, weight 88 pounds.) Bedpans, white enamel.............number.. Pots, chamber, white enamel...........do. Urinals, white enamel..............number. 907- BELT, WEB, HOSPITAL CORPS. (The belt itself, with pouch for instruments, is furnished by the Ordnance Department.) CONTENTS OF BELT. Articles. Place in belt. (Pockets are numbered from left front around belt to right front.) Bandages, gauze, compressed..........number.. Gauze, sublimated, two ^-yard pieces in package, packages...................................... Individual dressing packets (par. 949). .number.. Iodine swabs, 6 in box___...............boxes.. Pins, common..........................papers.. Pins, safety.............................dozen.. Plaster, adhesive, z. o:, 5 yards by 1 inch.spools.. Spiritus ammoniae aromaticus, in flask withcup, flasks......................................... Tourniquet, field.......................number.. Pocket No. 9. Pocket No. 3. Pockets Nos. 4,5,6,7, and 8. Pocket No. 2. Pocket No. 10, front compartment. Pocket No. 1, front compartment. Pocket No. 1. Pocket No. 10. Pocket No. 1. CONTENTS OF POUCH. CaseAinen or canvas, containing: Forceps, dressing..............number.. Scissors, dressing..................do___ Pencil, lead, with metal cap.......number. Tags, diagnosis......................books. Note.—Medical officers are authorized to make such changes as they desire in the expendable contents of the belts worn by their orderlies. Under some circumstances it may also be desirable to make substi- tutions in the contents of belts worn by noncommissioned officers. In case of transfer of the belt to another medical officer the standard contents should be restored. 93440°—17- -20 306 MANUAL FOR THE MEDICAL DEPARTMENT. 908. BOOKS, MEDICAL, BOX OF. (Pine box with hinged lid, hasp, and padlock, weight about SB pounds.) Contains such works on surgery, practice of medicine, therapeu- tics, mihtary r^giene, tropical diseases, nursing, and medical field service as may be selected by the Surgeon General. The list of books on the inside of lid, signed by the officer in charge of a supply depot, will be the authorized list of contents. QQC) BOXES, PACK MULE. These boxes are fiber or canvas covered chests with locks and keys and with outside dimensions approximately the same as those of the medical and surgical chest (par. 932). The number of each box is plainly marked on the outside, and on the inside of the cover of each box is a list of the articles it is intended to contain, with directions for packing them. Box No. 1, with contents, and one medical and surgical chest, con- stitute the side loads for the pack mule assigned to the sanitary service of each regiment. (See par. 868.) Boxes Nos. 2, 3, 4, 5, 6, 7, and 8 with their contents, and one med- ical and surgical chest, constitute the side loads of the ambulance company pack mules. (See par. 878.) The weight of each box, empty, must nou exceed 30 pounds, except that of box No. 2, which may be 31 pounds. Note.—Until the supply is exhausted empty surgical chests (par. 894, M. M. D. 1911) with certain modi- fications of the trays will be issued in place of boxes 3, 4,5, and 6 of the new model. Oi() CASE, ASPIRATING. (In metal case.) 3 J 1 1 1 Tube, double current, metal, with rubber stop-TuDing, rubber.....................pieces.. 1 1 4 3 Note.—Many of the older cases are of leather or wood. CASE, DENTAL. (In leather-covered case.) Burnishers, Nos. 3,20,36..........number.. Chisels, Nos. 5 and 6..................do___ Drill, flat, spear-pointed? No. 102......do___ Engine bit hotder, revolving head.......do___ Excavators, Nos. 10, Vf, 16, 21,41, 82, 86,141, Files, Nos. 00,0,1, of each.............do___ 3 2 1 1 1 10 2 Mirror...............................do___ Spatula, No. 1........................do___ FORMULAE, CONTENTS OF CHESTS, CASES, ETC. 307 912. CASE, EAR, NOSE, AN» THROAT. (a) MODEL OF 1916. (In canvas roll, with metal case for delicate instruments. Outline of instruments stamped on roll and names of contained instruments stamped in case.) Adenatome, La Force..............number.. A pplicators, nasal, special.............do___ A pplicators, nasal, Bosw orth's.........do___ Catheters, eustachian, silver, sizes 1,2,3.do___ Chisels, mastoid, Schwartz's, sizes 1 and 2, number................................... Chisel,nasal, Freer's,submucous.. .number.. Curettes, adenoid, Barnhill's, sizes 1, S, 4i number................................... Curettes, mastoid, Buck's, sizes 1 and S, number................................... Elevator, dull-edged, Freer's, submucous, number................................... Elevator, sharp-edged, Freer's, submucous, number................................... Forceps, ear, angular, Wilde's......number.. Forceps, nasal,angular, Knight's.......do___ Forceps, oesophageal, spiral............do___ Forceps, septum, compression, Asch's. .do___ Forceps, septum, Jansen-Middleton, modi- fied .............................number.. Forceps, tonsil-seizing, Burrows.......do___ Gag, mouth, Denhart's.................do___ Gouges, mastoid, Schwartz's, sizes 1 and 2, number................................... Headband, metal,folding, WorraH's.number.. Head mirror, 3%-inch, with %-inch opening, number.................................. Knife, paracentesis, small, light, flexible shank, number.................................. Knife, submucous, Freer's, flat, round- bladed...........................number. Knife, submucous, Freer's, half-round, straight..........................number. Knife, «wud, Ballenger's, small size.. .do... Knives, turbinate, Ballenger's, right and left, ojeach...........................number. Mirrors, laryngeal, boilable (J-incft and 1-inch diameter)........................number. Otoscope, Siegel's, pneumatic, with 3 specula, number.................................. Punch, antrum, Wagner's, consisting of 1 universal handle, with 1 forward and 1 back- ward cutting tip.................number. Scissors, nasal, Watson's, saw-edge___do... Separator, tonsil, svecial model.........do... Snare, tonsil, Tyding's, 1 plain and 1 ring tip, number.................................. Specula, ear, Brown's, metal, set of 3___sets. Speculum,nasal,bivalve,Bosworth's.mimber. Speculum,nasal,septal, Goldstein......do... Syringe, ear, with metal shield, Pomeroy's, 2-ounce..........................number. Syringe, tonsil, with extension, metal, with 3 finger rings and 2 needles, gold points, 1 curved and 1 straight..............number. Tongue depressor, Bosworth's......... do... Tube, diagnostic, Toynbee's............do... Wire, for snares, sizes 3,5,7.........spools. (6) MODEL OF 1913. (In canvas roll, with metal case for delicate instruments. Outline of instruments stamped on roll and names of contained instruments stamped in case.) Applicators, nasal, AUen's.........number.. A pplicators, nasal, Bosworth's........do--- Catheters, eustachian, silver, sizes,l,2,3.do--- Chisels, mastoid, Schwartz's, sizes 1 and 2, number................................... Chisel,nasal, Freer's, submucous. ..number.. Curettes, adenoid, BarnhiU's, sizes 1, 3, 4, number................................... Curettes, mastoid, Buck's, sizes 1 and 3, number................................... Elevator, dull-edged, Freer's, submucous, number................................... Elevator, sharp-edged, Freer's, submucous, number..............................- — Forceps, ear, angular, Wilde's......number.. Forceps, nasal, angular, Knight's......do--- Forceps, cesophageal.spiral............do--- Forceps, postnasal, Brandegee's........do--- Forceps, septum, compression, Asch's, number..............................- — Forceps, tonsil-seizing, .Batterer's..number.. Gag, mouth, Denhart's................do--- Gouges, mastoid, Schwartz's, sizes 1 and 2, number..............................• — Headband, metal,folding, Worrall's.number.. Head mirror, S^-inch, with %-inch opening, number.............- ------- - • - - - -........ Knife paracentesis, small, light, flexible shank, number...:............................... Knife, submucous, Freer's,flat, round-bladed, number.................................. Knife, submucous, Freer's, half-round, straight..........................number. Knife,swivel, Ballenger's, small size___do... Mirrors, laryngeal, boilable (%-inch and 1-inch diameter)........................number. Otoscope, Siegel's,pneumatic, with 3 specula, number.................................. Punch, antrum, Wagner's, consisting of luni- versalhandle, with 1 forward and I backward cutting tip.......................number. Punch, septum, Foster-Ballenger's, small, number.................................. Saws, nasal, Bosworth's, 1 up-cutting and 1 down-cutting.....................number. Scissors, nasal, Watson's, saw-edge.....do... Snare, tonsil, Tyding's, l plain and 1 ring tip, number.................................. Specula, ear, Brown's, metal, set of 3.....sets. Speculum, nasal,bivalve, Coakley's.number. Syringe, ear, with metal shield, Pomeroy's, 2-ounce..........................number. Syringe, tonsil, with extension, metal, with 3 finger rings and 2 needles, gold points, 1 curved and 1 straight..............number. Tongue depressor, Bosworth's..........do... Tube, diagnostic, Toynbee's............do... Wire, for snares, sizes 3, 5, 7.........spools. Note.—A number of older model cases are in service, contents of which are listed in par. 815, M. M. D. 1911. 308 MANUAL FOR THE MEDICAL DEPARTMENT. 913. CASE, EMERGENCY. (In aluminum, brass, or leather case, with detachable sling.) Tablets, in \-ounce h. r. bottles: Acetphenetidinum (Phenacetin), mgms................................. Aspirin.........................mgms.. Bismuthi subnitras...............do— Caffeina citrata...................do.... Heroini hydrochloridum..........do— Hydrargyri chlor. corros. (par. 902)...... Hydrargyri chlor. mite..........mgms.. Mistura glycyrrh. comp. (par. 902)....... Morphinae sulphas..............mgms.. Pilulae aloini comp. (par. 902)........... Pilulae camphorae et opii (par. 902)..... Pilulae cathart. comp................... Potassii bromidum..............mgms.. Pulvis ipecac, et opii..............do--- Quininae sulphas.................do— Sodii bicarbonas..................do— Sodii bicarb, et menth. pip. (par. 902)... Sodii salicylas...................mgms.. Tinctura digitalis..................c.c. Veronal.........................mgms.. 324 324 324 65 5.5 32 324 324 200 324 324 0.3 324 Tablets, hypodermic, extra (one tube of each): Digitalinum.....................mgms.. Quininae hydrochlorosulphas.....do — Instruments, etc.: Bistouries, curved and straight, of each, number............................... Case, linen, for instruments.....number.. Forceps, dissecting.................do— Forceps, hemostatic................do — Needles, surgical, assorted........do— Plaster, isinglass, 5 by 18 inches.. .rolls.. Scalpel........................number.. Scissors, straight...................do--- Sutures, silk, sterilized, 3 sizes in pack- age.........................packages.. Suture, silver wire, sterilized, 1 yard, packages.............................. Syringe, hypodermic (par. 956). .number.. Thermometer, clinical.............do— Note.—For tropical uso the contents of the emergency case, as listed above, are packed in a canvas roll, each roll containing, in addition, a brass box for sutures and hypodermic tubes. 914. CASE, EYE. (In mahogany case.) Currette, chalazion, Meyhoefer's, size 2, number................................... Cystotome, Graefe's................number.. Dilator, lachrymal, Weber's,graduated, .do--- Forceps, chalazion, Ayer's.............do--- Forceps, cilia, plain...................do--- Forceps, fixation, Dudley's.............do--- Forceps, iris, angular..................do--- Forceps, trachoma, Noyes's............do--- Forceps, trachoma, Prince's............do--- Keratome, angular, Jaeger's...........do--- Knife, canaliculus, half-curved, Weber's, number................................... Knives, cataract, Graefe's, B. & C. .number.. Lid elevator, Desmarre's...............do--- Lid holder, hard rubber, Jaeger's........do--- Needle, cataract, narrow...............do--- Needle holder, Stevens's............number.. Needle, knife, Knapp's................do— Needles, assorted, full curved.........do— Probes, lachrymal, Bowman's, 4 in set. .sets.. Scalpel, small.....................number.. Scissors, enucleation, full curved.......do___ Scissors, iris...........................do___ Scissors, tenotomy, Stevens's...........do___ Scoop, Graefe's, hard rubber............do___ Spatula and probe, one handle..........do___ Speculum, Noyes's....................do___ Spud, Dix's, on fixed handle...........do___ Syringe, lachrymal, Anel's, all metal, with S tips.............................number.. Tenotomy hook........................do___ Test drum, with cannepin and Beudruche skin..............................number.. 915. CASE, FORCEPS, HEMOSTATIC. (In canvas roll.) Halstead's curved..................number. Halstead's mosquito....................do... 2 [| Jones's straight. .number.. Note.—In the older issues the forceps are cci a leather case. FORMULAE, CONTENTS OF CHESTS, CASES, ETC. 309 916. CASE, GENERAL OPERATING. (In canvas roll, with two metal boxes as containers. Outline of instruments stamped on cnvas and names written in metal box.) Bistoury, curved, probe pointed.......number Bistoury, curved, sharp pointed...... ao Bistoury, straight, sharp pointed..... do* Bougie, filiform.......................do. Box, suture, with 3 spools..........""""do Buttons, Murphy's, 3 in set........... .sets Catheter, silver, No. 18, French scale.number. Catheter, staff, tunneled, Gouley's.......do... Chisel................................do! ! Clamps, intestinal, Murphy's......... do'.'.'. Director, grooved, medium.............do... Drills, bone, in handle, set of 8..........sets. Earhook and spoon, Gross's........number. Elevator and raspatory.................do. Eye spud, Dix's.......................do!!! horceps, bone cutting, flat blade, Lis- ton's............................number. Forceps, bullet, long, Senn's...........do... Forceps, clamp, compression, Kelly's.. .do... Forceps, clamp, compression, Pean's.. .do... Forceps, clamp, straight, 6-inch........do... Forceps, delicate, spring...............ao... Forceps, dressing and bullet, Forwood's.do... Forceps, dressing, spring..............do... Forceps, hemostatic, curved, Halstead's.do... Forceps, hemostatic, Jones's, 2-inch bite.do... Forceps, hemostatic,straight, small jaw .ao... Forceps, mouse tooth..................do... Forceps, rongeur and bone holding, For- wood's...........................number. Forceps, T-shaped, Pratt's.............do... Gag, mouth..:........................do... Gouge................................do... Guide, filiform, Gouley's...............do... Knife, amputating, large, 7-inch blade... do... Knife, cartilage........................do... Mallet, Forwood's................number. Needle, aneurism......................do... Needle, helical.........................do... Needle holder, Truax's or Richler's.....do... Needles, artery, blunt, right and left.....do... Needles, case for.......................do... Needles, curved, assorted.............do... Needle, open-eyed, Robinson's..........do... Needles, straight, round..............do... Needles, straight, triangular..........do... Pins, Wyeth's.........................do... Probe, aluminum.....................do... Probe, double, 8-inch, silver............do... Razor, metal handle...................do... Retractors, double ends, nested.........do... Rongeur, De Vilbiss's, with extra blade, .do... Saw, amputating, 2 blades.............do... Saw, metacarpal......................do... Saws, wire, set of 3, with handles.........sets. Scalpels, assorted..................number. Scissors, angular......................do... Scissors, curved on flat................do... Scissors, heavy, blunt..................do... Scoop, Ferguson's, with elevator........do... Silkworm gut........................ .coils. Specula, ear, silver-plated, set of 8.......sets. Sutures, horsehair, 100 strands in coil, .coils. Sutures, silk, 3 assorted sizes in pack- age ............................packages. Syringe, aspirating, with 8 needles, .number. Tongue depressor, wire, folding........do... Trephine, De Vilbiss's................do... Trocar and canula, silver, set of 4, in metal box.............................,.....sets. Tube, tracheotomy, silver...........number. Wire, silver, Nos. 21 and 24..........yards. Note.—In the older issues the instruments are contained in a mahogany or oak case with leather pouch and strap, and a case of slightly different pattern is listed under par. 460, M. M. D., 1906. 917. CASE. CJENITO-URINARY. (In wooden case, or canvas roll with metal box for more delicate instruments.) Bougies a boule, Otis's, metal, nickel~plated, Nos. 8 to 30, inclusive, French scale, uumber.................................. Catheters and staffs, grooved, Gouley's, with stylets, assorted sizes.............number. Catheter, double current, silver..........do... Catheter, syringe, prostatic.............do... Dilator, Thompson's, modified by Gou- ley..............................numoer. Director, silver........................do... Forceps,urethral, Thompson's.........do... Gauge, steel, American and French.....do... Guides, whalebone, Gouley's...........do... Guides, whalebone, Otis's...........number. Meatotomes, Otis's, 2 sizes.............do... Sounds, Otis's, short-beaked, steel, nickel- plated, Nos. 20 to 80, inclusive, French scale.........:..................number. Sounds, tunneled, Gouley's............do... Tenaculum, Martin's.................do... Urethrotome, dilating, Otis's, straight, with 2 blades...........................number. Urethrotome, Maisonneuve's, No. 8, French gauge, with 2 blades, 2 filiform bougies and 1 extra tunneled tip for whalebone guide, number.................................. Note.—There are in service a number of cases of older models, which contain 33 instead of 23 bougies a beule, 21 instead of 11 sounds, and 3 endoscopes, hard rubber, together with the other instruments listed. 310 MANUAL FOR THE MEDICAL DEPARTMENT. 918. CASE, GYNECOLOGICAL. (In canvas case.) Canvas case, as instrument holder...number. Curette, double, McLauren's...........do... Curette, Holbrook's douche, set of 8, with handle...............................sets. Depressor, double end, Sims's......number. Dilator, uterine. Women's.............do... Douche, plain, Leonard's..............do... Forceps, compression, 7\-inch, 1 straight and 1 curved, Pean's.................number. Forceps, dressing, Bozeman's..........do... Forceps, tenaculum, Skene's...........do... Forceps, tissue, right angle.............do... Forceps, traction, small, Collins's......do... Needles, 3 with handle, Peaslee's........sets. PacKer, gauze, Cook's..............number. Probe, uterine, Sims's.............number.. Repositor, uterine, Elliott's............do___ Scissors, curved on flat, one point sharp, S£ inches, Sims's...................number.. Scissors, hawkbill, Skene's.............do— Scissors, straight, one point sharp, 8J inches, Sims's..........................number.. Sound, uterine, Simpson's.............do— Specula, Sims's, medium and large.___do— Speculum, urethral and cervical, Bru- nage's...........................number.. Speculum, vaginal, trivalve. Nott's.....do— Sponge holder, forceps, Kelly's.........do— Sponge holder, Sims's.................do--- Tenaculum, Dudley's.................do— 919. CASE, INSTRUMENT, FOR MEDICAL OFFICER'S BELT. (In khaki-colored canvas case.) Bistoury, straight..................number.. Container, metal, for scalpel and bis- toury............................number.. Forceps, artery and needle, Abbey's.....do___ Forceps, hemostatic, Jones's...........do___ Forceps, mouse-tooth, Liston's.........do___ Needle, aneurism and grooved director com- bined. ...........................number.. Needles, surgical, assorted.........number.. Scalpel..............'.................do--- Scissors, straight......................do--- Sutures, catgut, plain, sterilized, 18 inches each, 3 sizes in package.........packages.. Sutures, silk, braided, sterilized, 18 inches each, 3 sizes in package.........pa.kages.. 920. CASE, MEDICINE, FOR MEDICAL OFFICER'S BELT. (A metal case, with clips for five h. r. bottles containing the following tablets:) Acetphenetidinum (Phenacetin)___mgms. Mistura glycyrrhizae composita (par. 902).. Pilulae catharticae compositae............. 324 Pulvis ipecacuanahae et opii........mgms. Quininae sulphas.....................do... 324 200 Note.—Any medical oflBcer may make such substitutions in the contents of his own case as he may desire. 921. CASE, MICROSCOPICAL SUPPLIES, SUPPLEMENTARY. (Hardwood case with lock and key; weight 47 pounds.) Acid, acetic, glacial, in T. K. dropping bottle.............................ounces.. Acid, hydrochloric, c. p., in glass-stopper bottle.............................ounces.. A gglutometer (P. D. & Co.).......numoer.. Alcohol, absolute, in T. K. dropping bot- tle................................ounces.. Alcohol, methyl, Merck's reagent, in glass- stopper bottle.....................ounces.. Beakers, tall form, 3 in nest..........nests.. Bottles, dropping, 1-ounce T. K___number.. Clamp, Stoadart......................do___ Covers, glass, No. 1, square, 2 mm..ounces.. Eosin, w. g., dry, Gruebler, 0.1-gm. tablets, 6 in tube...........................tubes.. File, triangular, small, 4 inches.....number.. Fuchsin, Gruebler, 0.1-gm. tablets, 6 in tube...............................tubes.. Funnels, glass, 1-ounce............number.. Gentian violet, Gruebler, 0.1-gm. tablets, 6 in tube............................tubes.. Gower's solution, 1-ounce...........bottles.. Graduate, conical, 30 c. c..........number.. Hemacytometer, Zappert Ewing, with pi- pettes............................number.. Hemoglobinometer, Tallquist.........do___ Iodine and potassium iodide mixture .tubes.. Methylene blue, Gruebler, 0.1-gm. tablets, 6 in tube..........................tubes.. Normal saline solution tablets, in 2-ounce screw-top bottle....................bottles.. Oil, analine, in glass-stopper bottle.. .ounces.. Paper, filtering, 10 by 10 cm., 50 sheets in package........................packages.. Paper, litmus, red and blue..........vials.. Paraffin, in seamless tin box........ounces.. Petrolatum, in seamless tin box......do___ Phenol, in glass-stopper bottle.........do___ Pipettes, 1 c. c , graduated in hundredths, in aluminum^casc...............number.. Slides, glass, 3by 1 inch..............gross.. Slides, glass, 3 by 1 inch, with one concav- ity ..............................number.. Syringe, glass, Luer type, 10 c. c, with 2 needles, in metal case............number.. Test tubes, 5 in nest.................nests.. Tubing, glass, large and small, in aluminum case...............................pieces.. Tubing, rubber, A inch, in metal box. .feet.. Urinometer, small.................number.. Watch glasses. Syracuse, ground edge.do___ Wright's stain, 0.05-gm. tablets, (> in tube...............................tubes.. Note.—This case is supplementary to the microscope, field, with accessory case (par. 950). FORMULAE, CONTENTS OF CHESTS, CASES, ETC. 311 922. CASE, OPERATING, SMALL. (In canvas roll or wooden case.) Bistoury, curved, probe-pointed.....number. Bistoury, straight, sharp-pointed........do... Catheter, male, plated..................do... Chisel.................................do... Director, grooved, with myrtle leaf..... .do... Elevator and scoop.....................do... Forceps, bone, corrugated handles, scooped out..............................number. Forceps, bullet and dressing, combined, For- wood's...........................number. Forceps, dissecting, mouse-tooth........do... Forceps, hewiostatic....................do... Knife, amputating.................number. Needle, aneurism.....................do... Needle holder..............,...........do... Needles, surgical, assorted...........dozen. Probe, double, silver................number. Saw, amputating......................do... Scalpels...............................do... Scissors,curvedonfiat,withCollins'slock do... Scissors, straight, with Collins's lock.. .do... Sutures, silk, 3 sizes in package...packages. Sutures, silkworm gut................coils. 923. CASE. POCKET. (In canvas roll, with metal holder for knives, etc.) Bistoury, curved, sharp pointed.....number. Bistoury, straight......................do... Catheter, plated, male and female tips.. .do... Caustic holder and exploring needle com- bined............................number. Director, grooved, with myrtle leaf......do... Forceps, dissecting, mouse-tooth........do... Forceps, hemostatic and needle.........do... Forceps, hemostatic, long...............do... Forceps, hemostatic, short..........number Needle, aneurism......................do.. Needles, surgical, assorted............do.. Probe, double, with silver tips...........do.. Scalpels...............................do.. Scissors, straight.......................do.. Sutures, silk, braided, sterilized, 3 sizes in .....................packages.. Note.—In the older cases of this type, the instruments are contained in a leather case, with buckskin cover. 924. CASE, POST-MORTEM. (In canvas case, with metal box for knives, etc. Outline of instruments stamped on the canvas and names of contained instruments in metal box.) Blowpipe..........................number. Chain and hooks.......................do... Costotome chisel.......................do... Enterotome............................do... Forceps, dissecting.....................do... Hammer, steel.........................do... Knife, amputating, large...............do... Knife, amputating, small..........number. Knife, cartilage........................do... Needles................................do... Saw................................. .do... Scalpels, assorted......................do... Scissors, straight.......................do... Tenaculum...........................do... Note.—In the older cases the above articles are contained in a wooden case. 925. CASE, TOOTH-EXTRACTING. (In leather-covered case, with lock and double handle.) Elevators, Nos. 6 and 7.............number. Forceps, cowhorn, No. 23..............do... Forceps, lower bicuspid and canine, No. 21, number.......................-.......... Forceps, lower incisor and bicuspid, No. 21, number.................................. Forceps, lower molar, No. 15......number. Forceps, universal root, No. 7..........do... Forceps, upper bicuspid and canine, No. 11 number.................................. Forceps, upper front root, No. 1 ...number. Forceps, upper incisor and canine, No. 18. number.................................. Forceps, upper molar, No. 18......number. Forceps, upper wisdom, No. 10........do.. Lancet, gum...........................do... 312 MANUAL FOR THE MEDICAL DEPARTMENT. 926. CASE, TRIAL LENSES. (In mahogany or oak case.) Disks..............................number.. One plain metal. Two metal with stenopaic aperture. Two metal with stenopaic slit. One with Maddox rod. One with half-frosted disk. Two blue glass, dark and light. One red glass. Three smoked glasses, different shades. One plain glass. Geneva lens measure...............number.. Lenses, cylindrical, concave...........pairs.. Lenses, cylindrical, convex.............pairs.. Lenses, spherical, concave.............do— Lenses, spherical, convex..............do— Mirror, plain, retinoscopic, fJ-incA.number.. Prisms...............................do— One pair each of 1, 2, 3, 4. One-half pair each of 5,6,8,10,12,15, 20. Tape measure,small, spring, 1 meter, number.. Trial frame, graduated, doublecell......do— Trial frame, graduated, triple cell, outer cell rotating, adjustable frame and Aoofcs.number.. Note.—The spherical and cylindrical lenses are marked in both English and dioptric systems on the case and in the dioptric system on the lenses. 927. CHEST, ACETYLENE. (Brass-bound chest, with hasp and button, weight 41 pounds.) Packed in corners of chest: Canisters, three-cornered, for calcium carbide, number................................... Coiled on top of generator: Tube, distributing, rubber, g-inch.....feet.. Packed inside acetylene generator: Bucket, water, with bail............number.. Burner tips, acetylene, extra, J-foot.. .do— Can, metal, with lid, for holding extra parts, number.................................... Carbide magazine, automatic-feed, screwed in- side gas bell......................number.. Clamps, tent pole, to support distributing pipe, number................................... Diaphragm, rubber, extra.........number.. Drier and filter, acetylene gas..........do--- Drop pipe, screw, metal, for operating cluster fixture...........................number.. Felt, extra, for drier and filter.......pieces.. Fixture and burner, ward, L-shaped..number. Fixture and cluster of 4 burners, operating light.............................number. Funnel, metal, for charging carbide feed maga- zine .............................number. Gas bell...............................do... Heat deflector, for operating light fixture, number.................................. Pincers, gas fitter's.................number. Pipe, distributing, metal, 8-way, with stop- cock and tube clips...............number. Pipes, distributing, metal, 2-way, with tube clips.............................number. Reflector, metal........................do... Reflector support, with tube clip.......do... Screw driver..........................do... Washers, extra.......................do... Water container, outside, with clips.....do... White lead, in compressible tube___tubes. 928. CHEST, COMMODE. (Iron-bound wooden chest, with hinged top, removable bottom, and hasp and button, weight 62 pounds.) Bedpan, white enamel..............number. Chamber pot, white enamel...........do... Paper, toilet.................. Spit cup, white enamel............number.. Urinal, white enamel..................do___ 929. CHEST, COOKING UTENSILS. (Iron bound chest, weight 184 pounds.) Batter whip and mixer.............number.. Biscuit cutter, rotary...................do___ Bread board..........................do___ Cake turner...........................do___ Can openers..........................do— Cleaver, butcher's......................do— Clothesline............................feet.. Cookbook, Army..................number.. Corkscrew and opener.................do— Dipper...............................do— Dishes, vegetable and pudding..........do— Egg whisk.............................do— Emergency Diet for the Sick, Munson. ..do... Forks, flesh...........................do... Knife and saw, combination...........do... Knife, butcher's.......................do... Ladle, soup...........................do... Lantern...............................do— Masher, potato.....................number. Match box.............................do... Nail box, filled........................do... Nutmeg grater.........................do... Platters, meat.........................do... Pot chain and scraper.................do... Sickle.................................do... Soap box..............................do... Spice box, with 6 cans..................do... Spoons, serving.......................do... Squeezer, lemon......................do... Steel, butcher's........................do... Tea steeper............................do... Tea strainer...........................do... Towels, dish..........................do... Trays, serving.........................do... Wire, annealed.......................coils. Wire cutter and pliers..............number. FORMULAE, CONTENTS OF CHESTS, CASES. ETC. 313 930. CHEST, FIELD LABORATORY, NO. 1. ( Weight 90 pounds.) Baskets, wire, for test tubes..........number. Bath, water, copper....................do Bucket, copper, for media......!.!! do Burners, Bunsen......................do!!! Burners, Bunsen, chimney support for do Case, for pipettes, etc..................do. Pipettes, 1 c. c.............. do Pipettes, 10 c. c.......!!!!!!!!!!!.do Rods, glass, large and small !!!!! !do Thermometer, laborator v.........do Cotton, absorbent, in rolls...'.......pounds Dishes, Petri......................number. Paper, filtering, Munktell, No. 1,20 sheets in package........................packages. Plate holders, copper...............number. Retorts, stand for ,2-ring................do... Sterilizer, Arnold......................do... Test tubes, 9 mm. by 6 cm.............do... Test tubes, 15 mm. by 15 cm...........do... Towels, hand.........................do... Tubing, rubber........................feet. 931. CHEST, FIELD LABORATORY, NO. 2. ( Weight 87 pounds.) Agar-agar, powdered, in 3-ounce tin___tins.. Beef extract, in commercial tins.....ounces.. Book, record......................number.. Bottles, automatic stopper..............do___ Bottles, glass stopper, 4-ounce, for the fol- lowing: Acid, nitric, 10 per cent.......number. Acid, sulphanihc, 1 per cent......do... Acid, sulphuric, concentrated.....do... Diphenylamine, 0.2 per cent......do... Naphtylamine, 1 per cent.........do... Silver nitrate, saturated solution . .do... Sodium chloride solution.........do... Box, for matches.......................do... Box, soap.............................do... Brushes, test tube....................do... Cards, record.........................do... Cases, tin, for reagent bottles...........do... Colony counter........................do... Dextrose, in 3-ounce tin..............tins.. Funnels, agate ware, assorted.......number. Funnel, glass, 500 c. c, fluted..........do... Funnel, glass, 6.5 cm..................do... Gasometer.............................do... Graduate, glass, 250 c. c...............do... 1 1 1 1 1 1 2 1 1 2 200 Jars, Nessler, 50 c.c..............number. Lactose, in 12-ounce tin...............tins. Matches, safety......................boxes. Normal saline solution tablets, in 3-ounce tin..................................tins. Paper, filtering, Munktell, 4-inch, .packages. Paper, litmus, blue and red..........vials. Pencils, lead......................number. Pencils, wax..........................do... Peptone, dry, in 3-ounce tin..........tins. Racks, zinc, for test tubes, 6 in set.......sets. Scales and weights, metric..........number. Scissors...............................do... Soap, Ivory..........................cakes. Soda, washing, in 12-ounce tin.........tins. Sodium taurochlorate, in 12-ounce tin. .do... Stoves, alcohol.....................number. Stoves, alcohol, extra wicks for........do... Tags, cardboard......................do... Tanks for alcohol and mineral oil.......do... Tins, as containers....................do... Tripod, iron, Bunsen.................do... Tubes, rubber, 6-inch.................do... Tubes, rubber, stop cocks for............do... Water Analysis, Darnall..............do... 932. CHEST, MEDICAL AND SURGICAL. (Weight 100 pounds.) MEDICINES AND ANTISEPTICS. Acetphenetidinum (Phenacetin), 324-mgm. tablets, 500 in 12-ounce tin...........tins. Adrenalin chlorid, 1-mgm. tablets, 20 in tube...............................tubes. Alcohol, 12 ounces in bottle.........bottles. Apomorphinae hydrochloridum, 6-mgm. hy- podermic tablets, 20 in tube........tubes. Atropinae sulphas, 0.65-mgm. hypodermic tablets, 20 in tube..................tubes. Bismuthi subnitras, 324-mgm. tablets, 700 in 12-ounce tin......................tins. Chloroformum, J pound in tin........do... Cocainae hydrochloridum, 10-mgm. hypo- dermic tablets, 20 in tube..........tubes. Digitalinum, 1-mgm. hypodermic tablets, 20 in tube..........................tubes. Emetinae hydrochloridum,. 22-mgm. hypo- dermic tablets, 20 in tube..........tubes. Foot powder (par. 902)................tins. Hydrargyri chloridum corrosivum, tablets (antiseptic) (par. 902), 350 in 12-ounce tin..................................tins. Hydrargyri chloridum mite, 32-mgm. tab- lets, 1,000 in bottle...............bottles. Hyoscinae hydrobromidum, 0.65-mgm. hy- podermic tablets, 20 in tube........tubes. Iodum-potassii iodidum..............do... Linimentum rubefaciens, tablets (par. 902), 200 in 12-ounce tin...................tins. Magnesii sulphas, 3 pounds in tin.....do... Mistura glycyrrhizae composita, 3,600 in 12- ounce-tin............................tins. Morphinae sulphas, 8-mgm. hypodermic tablets, 20 in tube..................tubes. Nitroglycerin, 0.65-mgm. hypodermic tab- lets, 20 in tube.....................tubes. Petrolatum, in 12-ounce tin............tins. Phenol, crystals, i pound in bottle, .bottles. Pilulae camphorae et opii (par. 902), 875 in 12-ounce tm.........................tins. Pilulae catharticae compositae, 1,200 in 12- ounce tin............................tins. Potassii bromidum, 324-mgm. tablets, 500 in bottle..........................bottles. Protargol (or equivalent), 1 ounce in bot- tle................................bottles. Quininae hydrochlorosulphas, 32-mgm. hy- podermic tablets, 20 in tube........tubes. Quininae sulphas, 200-mgm. tablets, 1,000 in 12-ounce tin......................tins. Sodii salicylas, 324-mgm. tablets, 600 in 12- ounce tin............................tins. Strychninae sulphas, • 1-mgm. hypodermic tablets, 20 in tube..................tubes. Thymolis iodidum (Aristol), in sprinkler, number.................................. Unguentum hydrargyri chloridi mitis, 30 per cent, \ pound in wide-mouth bottle, bottles................................... The tubes of hypodermic tablets are all in one 12-ounce tin. 314 MANUAL FOR THE MEDICAL DEPARTMENT. Chest, medical and surgical—Continued. MISCELLANEOUS. Aprons, rubber....................number.. Bag, rubber, hot-water, and syringe.....do___ Bandages, gauze, compressed, 3 sizes.. .do— Bandages, plaster of Paris, in individual packets..........................number.. Bandage, rubber, Martin..............do.... Bands, elastic, m pouch..............do— Basins, hand, rubber...................do___ Book, blank, 8vo.....................do— Book, note, manifolding, 4by 6inches, binder, number................................... Book, note, manifolding, 4 by 6 inches, filler............................number.. Boxes, folding, for tablets............gross.. Boxes, ointment, 3 in nest............nests.. Box, soap, metal...................number.. Brushes, hand, fiber..................do— Case, forceps, hemostatic (par. 915).....do--- Case, operating, small (par. 922).......do--- Case, tooth-extracting, 3 forceps in canvas roll, number................................... Catheters, flexible, 17, 20, 24, French scale, in tin..............................number.. Corks, for 1-ounce vials, 50 in bag.....bags.. Corkscrew.........................number.. Cotton, absorbent, sterilized, 1-ounce pack- age.............................packages.. Cup, enamel ware.................number.. Gauze, sublimated, 2 half-yard lengths in package........................packages.. Gloves, rubber, in pouch, sizes 8 and9. .pairs.. Inhaler, chloroform, Esmarch, with drop bot- tle...............................number.. Labels, for vials.....................dozen.. Labels, poison........................do— Matches, safety......................boxes. Medicine glass, in wooden case.....number. Mortar and pestle, porcelain, 7 cm......do... Pencils, hair, 1 dozen in vial..........-rials. Pencils, indelible..................number. Pins, common......................papers. Pins, safety.........................dozen. Plaster, adhesive, z. o., 5 yards by 1 inch, spools.................................... Pouch, for gloves..................number. Razor.................................do... Razor, strop for........................do... Scissors...............................do... Soap, hand..........................cakes. Spatula, 3-inch....................number. Spoon, tea............................do... Sutures, catgut, chromicized, sterilized, 18 inches each, 3 sizes in package.. .packages Sutures, catgut, plain, sterilized, 18 inches each, 3 sizes in package.........packages. Sutures, silk, braided, sterilized, 18 inches each, 3 sizes in package.........packages. Sutures, silkworm gut, 100 in coil.....coils. Syringe, hypodermic (par. 956).....number. Syringe, hypodermic, extra needles for, number.................................. Tags, diagnosis......................books. Thermometers, clinical............number. Tins, enameled, as containers..........do... Tongue depressor......................do... Tourniquet and bandage, rubber........do... Towels, hand..........................do... Tubes, drainage, 2 sizes, in tin with cathe- ters...............................pieces. Vials, 1-ounce.....................number. 933. CHEST, MEDICAL AND SURGICAL, SUPPLEMENTARY. (Weight 95 pounds.) MEDICINES AND ANTISEPTICS. Acidum boricum, 324-mgm. tablets, 700 in 12-ounce tin.........................tins.. Acidum salicylicum, 324-mgm. tablets, 400 in 12-ounce tin......................tins.. Amylis nitris, 5-drop spirets, 12 in box, boxes..................................... Argenti nitras, crystals, 1 ounce in bottle, bottles.................................... Argenti nitras fusas, 1 ounce in bottle, bottles.................................... Argyrol, 1 ounce....................bottles.. Arsenii trioxidum, 1-mgm. tablets, 500 in 3-ounce tin.........................tins.. Aspirin, 324-mgm. tablets, 500 in bot- tle................................bottles.. Caffeina citrata, 65-mgm. tablets, 250 in bottle............................bottles.. Capsicum, 32-mgm. tablets, 600 in 3-ounce tin..................................tins.. Chloralum hvdratum, 324-mgm. tablets, 400 in bottle......................bottles. Chloroformum, £ pound in tin........tins. Codeina, 32-mgm. tablets, 600 in 3-ounce tin..................................tins. Collodium, 1 ounce.................bottles. Emplastrum belladonnae, 2 yards by 6 inches, in tin........................tins. Emplastrum cantharidis, 1 yard by 6 inches, in tin...............................tins. Glycerinum, A pint in bottle........bottles.. Heroini hydrochloridum, 5.5-mgm. tablets, 500in 3-ounce tin....................tins.. Hexamethylenamina (Urotropin), 324-mgm tablets, 600 in 12-ounce tin...........tms.. Hydrargyri iodidum flavum, 10-mgm. tab-' lets, 750 in 3-ounce tin...............tins.. Ichthyolum, 3 ounces..............bottles.. Morphinae sulphas, 8-mgm. tablets, 600 in 3-ounce tin..........................tins.. Normal saline solution tablets (par. 902), 150 in 12-ounce tin......................tins.. Oleum ricini, 3 pints in tin.............do___ Oleum terebinthinae rectificatum, 3 pints in tin................................tins.. Oleum theobromatis, £ pound in 12-ounce tin..................................tins.. Phenylis salicylas (Salol), 324-mgm. tablets, 500 in bottle......................bottles.. Pilulae aloini compositae (par. 902), 750 in 3-ounce tin..........................tins.. Pilulae ferri compositae (par. 902), 1,200 in 12-ounce tin.........................tins.. Plumbi acetas, 130-mgm. tablets, 600 in 3- ounce tin............................tins.. Potassii chloras, 324-mgm. tablets, 1,200 in 12-ounce tin.........................tins.. Potassii iodidum, 324-mgm. tablets, 500 in bottle............................bottles.. Potassii permanganas, 324-mgm. tablets, 1,200 in 12-ounce tin.................tins.. Pulvis ipecacuanhae et opii, 324-mgm. tab- lets, 700 in 12-ounce tin..............tins.. Sodii bicarbonas, 324-mgm. tablets, 1,000 in 12-ounce tin.........................tins.. Sodii bicarbonas et mentha piperita, tablets (par.902), 1,000 in 12-ounce tin.......tins.. Sodii carbonas monohydratus, for surgical use, J pound in 12-ounce tin..........tins.. Spiritus ammoniae aromaticus,} pound in glass-stopper bottle...............bottles.. Spiritus frumenti, J pint in bottle___do___ Sulphur lotum, £ pound in 12-ounce tin..................•................tins.. Tinctura digitalis, 0.3 c. c. tablets, 800 in 3- ounce tin............................tins.. Tinctura opii, i pound in bottle___bottles.. Trochisci ammonii chloridi, 350 in 12-ounce tin......................'............tins.. Unguentum hydrargyri, h pound in wide- mouth bottle...........1.........bottles.. Veronal, 324-mgm. tablets, 100 in 3-ounce tin..................................tins.. Zinci oxidum, powder, £ pound in 12-ounce tin..................................tins.. Zinci sulphas, 324-mgm. tablets, 250 in 3- ounce tin............................tins. FORMULAE, CONTENTS OF CHESTS, CASES, ETC. Chest, medical arid surgical—Continued. MILCELLANEOUS. 315 i'^'h^i \...................number.. Hags, rubber, hot-water, and syringe do Bandages, suspensory...... "dozen"" Bougies, flexible, Nos. 11, 13, Ys'it" 20 22" French scale, in tin with catheters..number' Catheters, flexible, Nos. 15, 17, 18 20 22 24 French scale, in tin with bougies., .number' Corks, for vials, 50 in bag baes" Corkscrew.. .......;.......".'.'.'.'.".'.'number!! Cups, enamel ware............. do Eye shades, single...................do Graduate, glass, 100 c. c, Incase."'''"do" Head mirror, in case.............. do Medicine droppers...........! [.......do Needles, common, assorted."!.".".....papers Paper, litmus, blue and red, lOOstripsin vial ofeach.......................... ...vials.. Pill tile, h. r.......................number.. Specula, ear, set of 3....................sets.. Speculum, rectal...................number.. Splints, wire gauze for, 1 yard in roll.. .rolls.. Stethoscope, double.................number.. Syringes, penis, glass.................do___ Syringe, rectal, hard rubber, 6-ounce___do___ Tags, diagnosis......................books.. Tape measure, 60-inch.............number.. Test tubes, 3 in nest..................nests.. Thread, cotton......................spools.. Tins, enameled, as containers.......number.. Tubes, drainage, unperforated, in tin with catheters..........................pieces.. Tube, stomach.....................number.. Vials, 1-ounce.......................dozen.. 934. CHEST, MESS. To serve 25 persons. (Iron-bound wooden chest, weight 225 pounds.) Batter whip and mixer..............number.. Biscuit cutter, rotary...................do___ Bowls, enamel ware or aluminum......do___ Bread board...........................do___ Cake turner...........................do___ Can opener............................do___ Chopper, meat and vegetable............do___ Cleaver, butcher's......................do___ Clothesline............................feet.. Cookbook, A rmy...................number.. Corkscrew and opener..................do___ Dipper................................do___ Dishes, vegetable, enamel ware..........do___ Egg whisk.........................:...do___ Emergency Diet for the Sick, Munson. .do___ Forks, flesh...........................do___ Forks, steel, triple-plated...............do___ Knife and saw, combination............do___ Knife, butcher's.......................do___ Knives, steel, triple-plated..............do___ Ladle, soup...........................do___ Lantern...............................do___ Masher, potato........................do___ 50 Match safe........................number. Nail box, filled........................do... Nutmeg grater, patent.................do... Pitcher, large, enamel ware.............do... Pitcher, small, enamel ware............do... Plates, enamel ware or aluminum......do... Platters, meat........................ .do... Pot chain and scraper..................do... Saucers, deep, enamel ware or aluminum, number........................<.......... Shakers, glass, salt and pepper, of each., do... Soap box..............................do... Spice box, with 6 cans..................do... Spoons, serving........................do... Spoons, steel, triple-plated.............do... Squeezer, lemon.......................do... Steel, butcher's........................do... Tea steeper............................do... Tea strainer...........................do... Towels, dish..........................do... Trays, serving.........................do... Wire, annealed........................coils. Wire cutter and pliers...............number. 935. CHEST, STERILIZER. (Weight 82 pounds.) Aprons, rubber....................number.. Bands, rubber........................do— Basins, rubber.........................do— Box, soap, metal.......................do— Brushes, hand, fiber..................do— Corks, extra, for 8-ounce bottles.......do— Funnel, agateware.....................do— Gloves, rubber, sizes 8 and 9............pairs.. Matches, safety......................boxes.. Phenol, £ pound, in bottle..........bottles.. Pouches, for gloves.................number.. Sapo mollis (green soap), £-pound jar in case..................................jars.. Soap, hand...........................cakes.. Sponges, gauze, 1 dozen in box.......boxes.. Sterilizer...........................number.. Stove, alcohol..........................do___ Tank for alcohol.......................do___ Tool, universal........................do___ Towels, hand..........................do___ Trays, instrument, nested..............do___ 316 MANUAL FOR THE MEDICAL DEPARTMENT. 936. CHBST, TABLEWARE. (Iron-bound chest, weight 175 pounds.) Bowls, enamel ware or aluminum. .number.. 106 Plates, enamel ware or aluminum, .number.. 106 Forks, steel, triple-plated.......... ....do.... 100 Saucers, enamel ware or aluminum... .do___ 106 Knives, steel, triple-plated......... ....do.... 100 Shakers, glass, salt and pepper, of each, .do___ 6 ....do.... 1 100 do.... 1 937. CHEST, TOOL, NO. 1. (In wooden chest with handles and lock, weight 120 pounds.) A wl, scratch.......................number.. A wis, brad, assorted...................do___ Bit, expansive, £ to l^inch.............do___ Bit, screw driver......................do___ Bits, drill, assorted....................do___ Brace, ratchet.........................do___ Brads and tacks, assorted, in tin box. .boxes.. Chalk line, with reel and awl, complete, number................................... Chisel, cold, i-inch.................number.. Chisel,socket firmer, i-inch, with handle.do___ Chisel,socket firmer, i-inch, withhandle.do___ Chisel, socket firmer, 1-inch, withhandle.do___ Chisel, socket firmer, H-inch, with handle number................................... Countersink.......................number.. Dividers, 8-inch........................do___ Drawing knife, carpenter's, oval blade, 10- inch.............................number.. File, flat bastard, 10-inch, with handle, numoer................................... File, round bastard (rat-tail), 10-inch, with handle...........................number.. File, saw, taper, Zi-inch, with handle...do___ File, saw, taper, 4-inch, with handle___do___ File, saw, taper, 4%-inch, with handle.. .do___ Gauge, marking.......................do___ Gimlets, wooden handles, assorted......do___ Hammer, nail, adz-eye.................do___ Hatchet, shingling.....................do___ Level, spirit, pocket, iron top plate, japanned, number................................... Mallet, carpenter's, round..........number. Nail puller, lar^e......................do... Nail set, square, 4-inch................do... Oiler, zinc.............................do... Oilstone...............................do... Pincers, carpenter's, steel jaw, 8-inch... ao... Plane,fore, iron frame, 18-inch,.........do... Plane, hollow, wooden frame...........do... Plane, jack, iron frame, 14-inch........do... Plane, rabbet, iron frame, 8-inch........do... Plane, rounding, wooden frame........do... Plane, smoothing, iron frame, 9-inch___do... Pliers, combination, 6-inch.............do... Rasp, wood, half-round, 10-inch, with handle, number.................................. Rule, boxwood, brass-bound, 2-foot..number. Saw, hand, 20-inch....................do... Saw, keyhole, 10-inch..................do... Saw, panel, 16-inch....................do... Saw, rip, 22-inch......................do... Saw set...............................do... Screw, bench,iron, 1-inch diameter......do... Screw driver, ratchet, 6-inch............do... Screw driver, regular, 4-inch...........do... Screw ,hand, 10-inch...................do... S pokeshave, 3-inch.....................do... Tape measure, 50-foot..................do... T-bevel, 8-inch.........................do... Try square, rosewood} 9-inch...........do... Wrench, monkey, 10-inch..............do... 938. CHEST, TOOL, NO. 2. (In wooden chest with handles and lock, weight 65 pounds.) Bits, auger, ft-inch, i-inch, \-inch, 1-inch, of each...........................number.. Bit, screw-driver.......................do___ Box opener............................do___ Brace, ratchet.........................do___ Chisel, cold, 6-inch.....................do___ Chisel, socket firmer, i-inch............do___ Chisel, socket firmer, 1 \-inch...........do___ File, 6-inch, mill bastard...............do___ File, saw, 6-inch.......................do___ Hammer, nail.........................do___ Hatchet, claw..........................do___ Nails, assorted.......................boxes.. Oilstone, Washita..................number.. Plane, smoothing......................do___ Pliers, combination....................do___ Rule, boxwood, 2-foot...............number.. Saw, panel, 20-inch....................do___ Saw, rip, 22-inch......................do___ Screws, assorted.....................boxes Spokeshave, 8-inch.................number.. Stencils, brass, letters and figures.......sets.! Stencil brush......................number.. Stencil pot, black......................do___ Tacks and brads, assorted...........boxes. Tags, shipping................... .number.. Tape measure, 60-foot..................do___ Tins as containers for nails, screws, and stencils..........................number.. Tool, universal........................do___ Try square, rosewood, 9-inch...........do..!. 939. CRATE, FIELD LABORATORY. (Weight a ? pounds.) Funnel, agateware.................number. Incubator, complete....................do___ Screw driver.......................number. FORMULAE, CONTENTS OF CHESTS, CASES, ETC. 317 940. DESK, FIELD, NO. 1. ( Weight 100 pounds.) (a) STATIONERY. B ands, el astic, assorted sizes..........gross.. Book, blank, 8vo, 150 pages.......number.. Books, note, manifolding, 4 by 6 inches, bind- ers ..............................number.. Books, note, manifolding, 4 by 6 inches, fill- ers ..............................number.. Envelopes, official, large..............do___ Envelopes, official, letter..............do___ Eraser, rubber........................do___ Eraser, steel...........................do___ Ink, black, powder or tablets........boxes.. Ink, red, powder or tablets...........do___ Ink wells..........................number.. Pads, prescription....................do___ Paper, blotting......................pieces.. Paper, carbon, letter, 100 sheets in a box, boxes..................................... Paper fasteners......................boxes.. Paper, writing, letter, 100 sheets in pad, pads...................................... Paper, writing, note, 100 sheets in pad, pads...................................... Paste, photo.........................tubes.. Pencils, indelible..................number.. Pencils, lead..........................do___ Penholders...........................do___ Pens, steel............................do___ Ruler.................................do___ Stamp, penalty, rubber, with pad......do___ Tags, shipping........................do___ 6 1 3 24 4 24 1 1 100 (6) POUCH FOR BLANKS. Pouch, canvas-lined, waterproofx.. .number.. Tubes, japanned tin, with close-fitting covers, nest of 4%...........................nests.. (c) MANUALS, ARMY REGULATIONS, ETC. A rmy Regulations.................number.. Drill Regulations and Service Manual for Sanitary Troops.................number.. Equipment Tables, Q. M. Supplies.....do___ Field Service Regulations...............do--- Manual for Courts-Martial........number. Manual for Medical Department.......do... Manual)or Quartermaster Corps.......do... Rules of Land Warfare................do... Tables of Organization.................do... All published changes in the above-named publications should be placed in the desk at the time of issue from the depot. (d) BLANK FORMS, MEDICAL DEPARTMENT (par. 961). Nos. 17,17c, 19, 24, 37, 48., 49a, 59,74, and 78, of each..........................number.. Nos 47a, 49,50, and 56, of each........do--- Nos. 28,35, and 53, of each.........number.. Nos. 77, 82, and 83, of each............do___ Nos. 17a and 176, of each..........___do___ 24 48 300 (e) BLANK FORMS, ADJUTANT GENERAL'S DEPARTMENT (par. 962). No. 370 W. D.....................number.. Nos. 489,526, and 527, of each.........do--- Nos. 3,15,17, 21, 22, 25, 26,30,59, 66, 99,135, 141,143,149,196,332, 339,380, 383, 415, and 525, of each......................number.. No. 34.............................number. No. 29................................do... Correspondence Book.......■..........do... (/) BLANK FORMS, QUARTERMASTER CORPS (par. 963). Nos. 366 W. D. and 366a W. D., of each, number................................... Nos. 38, 218, 223, and 406 (small), of each, books................................- — Nos. 69 and 70, of each............number.. Nos. 39,160,160a, 1656,180, 204, 208,213, and 213a, of each.....................number.. Nos. 8a and 41, of each................do___ No. 201...............................do.... No. 165...............................do.... 24 100 i To be used for carrying blanks, stationery, etc., when conditions are such that the field desk can not be taken. . ... 2 Containers for stationery, etc., m pouch. Sizes of tins as follows: One 2} inches diameter and 11 inches long. One 2 inches diameter and 10£ inches long. One 1? inches diameter and 10 inches long. One 1 inch diameter and 9 inches long. 318 MANUAL FOR THE MEDICAL DEPARTMENT. Desk, Field, No. 1—Continued. (g) BLANK FORMS, ORDNANCE DEPARTMENT (par. 964). Nos. 151 (pad of 30 sheets) and 1715 (pam- 1 2 Nos. 86,94, and 386, of each..... do.... 6 12 (h) INSPECTOR GENERAL'S DEPARTMENT (par. 965). 4 10 941. DESK, FIELD, NO. 2. (Weight 85 pounds.) (a) STATIONERY. Bands, elastic, assorted sizes..........gross.. Book, correspondence (issued by A. G. Dept.)..........................number.. Books, note, manifolding, 4 by 6 inches, bind- ers..............................number.. Books, note, manifoldmg, 4 by 6 inches, fillers............................number.. Envelopes, official, letter..............do___ Eraser, rubber........................do— Ink, black, powder or tablets........boxes.. Ink well...........................number.. Pads, prescription....................do— Paper, blotting......................pieces.. Paper, carbon, letter, 100 sheets in a box, boxes.................................... Paper, writing, letter, 100 sheets in pad, pads..................................... Paper, writing, note, 1Q0 sheets in pad, pads..................................... Paste, photo.........................lubes. Pencils, indelible..................number. Pencils, lead........■..................do... Penholders...........................do... Pens, steel............................do... Ruler.................................do... (6) MANUALS, ARMY REGULATIONS, ETC. Army Regulations.................number.. Drill Regulations and Service Manual for Sanitary Troops.................number.. Equipment Tables, Q. M. Supplies___do___ Field Service Regulations..........number.. Manual Medical Department..........do__ Rules of Land Warfare................do__ All published changes in the above-named publications should be placed in the desk at the time of issue from the depot. (c) BLANK FORMS, MEDICAL DEPARTMENT (par. 961). Nos. 17, 17c, 24, 37, 47a, 49, and 50, of each, number................................... Nos. 35, 56, and 78, of each.........number.. Nos. 28 and 53, of each.............number. Nos. 17a, 176, 77, 82, and 83, of each.. .do... 942. DISPENSING SET. Salt mouth bottles. 500 gm............................number.. 250 gm...............................do— 125 gm................................do--- 60 gm.................................do--- Salt mouth bottles, amber colored. 60 gm.............................number.. Steeple-top jars. 250 gm.............................number.. 10 Tincture bottles. 1 liter.............................number. 500 c. c................................do . 250 c. c................................do.. 125o. c................................do.!! 60 c.c.................................do... Tincture bottles, amber colored. 125 c. c............................number. Total bottles....................do... Total jars.......................do... 153 10 FORMULAE, CONTENTS OF CHESTS, CASES, ETC. 319 943. EQUIPMENT, HORSE, HOSPITAL CORPS. (New model.) Bridle, Cavalry....................number.. Carrier strap..........................do___ Cooling strap..........!!! "!..........do !! Currycomb.........!!!!!!!!.........do ! Feed bag.................."......... d0 Grain bag..............!!!!!!!!!!!!!! !do!!!! Horse brush............!!!!!!!!!!!!!! !do!""! Lariat.........................!!!!!!! do Picket pin.........................number. Picket-pin carrier, special..............do... Pommel pockets.......................pr.irs. Ration bag retaining strap, special. .number. Saddle................................do... Saddle blanket.........................do... Spurs................................pairs. Spur straps............................sets. Note.—With each equipment there is issued one halter and strap (or rope) for stable use, and one horse cover (or horse cover, blanket lined), when necessary. Spurs and spur straps are carried as personal equipment by the Ordnance Department. They are included here and omitted from paragraph 865 as a matter of convenience in accounting. 944. FIRST-AID PACKET. (In metal case 4 by 2\ by 1 inch.) Bandages, gauze, sublimated, 4 by 84 inches, number___•............................... Compresses, gauze, sublimated, 3| by 3J inches (one sewed to each bandage), number................................... Pins, safety, No. 3.................number. Directions for application, printed___do... Note.—Directions for applying first-aid packets are also given in the Drill Regulations and Service Manual for Sanitary Troops. For specifications for first-aid packets refer to Appendix: First-aid packets. 945. FIRST-AID PACKET, FOR INSTRUCTION. (In a cardboard box; contents unsterilized.) This packet consists of a cardboard box, with the same contents as given for the metal case (par. 944), but of stronger, more durable, and unsterilized material. 946. FIRST-AID PACKET, SHELL-WOUND. (In tough paper, with directions printed thereon.) Bandage, gauze, sublimated, 3 by 48 inches, attached to a compress of sublimated gauze 6 by 9 inches..............number.. Bandage, gauze, sublimated, 5 yards by 3 inches...........................number. Pins, safety, No. 3....................do... 947. FOOD, AMBULANCE BOX OF. (Wooden chest with padlock and two keys, weight 36 pounds.) Beef, soluble, liquid or extract, in 3-ounce container........................number.. Can opener...........................do — Cocoa, 8-ounce tin.....................tins.. Matches, safetv, in tin box..........boxes.. Milk, condensed, unsweetened, 1-pound tin..................................tms-- Pepper, black, 1 ounce, in dredge with screw cap..............................number. Salt, 3 ounces, in dredge with screw cap.do... Sugar, granulated, 4 pounds, in tin___tins. Tea, green or black.................pounds. Note —This box, with the special containers belonging to it, is ordinarily issued empty, with tho expectation that food for the sick will be purchased from the hospital fund. 320 MANUAL FOR THE MEDICAL DEPARTMENT. 948. POOD, BOX OF. ( Wooden box with padlock and two keys, weight 90 pounds.) Beef, soluble, liquid or extract, 3-ounce container........................number.. Can opener...........................do— Cocoa, 8-ounce tin.....................tins.. Coffee, ground, 2 pounds, in tin........tins.. Hard bread, i pound, in carton___cartons.. Milk, condensed, unsweetened, 1-pound tin..............................number.. Pepper, black, 1 ounce, in glass shaker number..............- — - • -.......- - - - • Salt,table,4 ounces,in glass shaker,number. Soup, assorted, 1-pound tin............tins. Sugar, granulated, 4 pounds, in tin.. .do... Tea, green or black................pounds. Note.—This box, with the special containers belonging to it, is ordinarily issued empty, with the expectation that the food for the sick will be purchased from the hospital fund. 949. INDIVIDUAL DRESSING PACKET. The contents of this packet are identical with those of the first-aid packet (par. 944), but they are inclosed in a nonmetal covering. Note.—The directions for applying the first-aid packet, as given in the Drill Regulations and Service Manual for Sanitary Troops, are equally applicable to the individual dressing packet. 950. MICROSCOPE, FIELD, WITH ACCESSORY CASE. ( The microscope case and the accessory case are both contained in a harness4eather case with handle.) MICROSCOPE. (In hardwood case with lock and two keys.) Microscope, with Abbe condenser and iris diaphragm.............:.........number.. Nose piece, triple......................do--- Objectives, Nos.Sand6, and fr-inch oil immer- sion, of each.....................number.. Oculars, Nos. 2 and 4, of each......number. Oil, immersion, bottle in case..........do... Stage, mechanical......................do... ACCESSORY CASE. (Hardwood case with lock and key.) Acid, hydrochloric, 1 per cent in 95 per cent alcohol, in glass stopper bottle......ounces.. Alcohol, absolute, 60 c. c .in glass stopper bottle, bottles.................................... Alcohol, methyl, 60 c. c. in glass stopper bottle, bottles.................................... Bottles, dropping, T. K. 30 c.c.....number.. Bottle, glass stopper, for cover glasses in al- cohol............................number.. Bottles, glass stopper, for slides in alcohol, number................................... Carbol-fuchsin, 0.1-gm. tablets, 6 in tube, tubes...................................... Covers, glass........................ounces.. Forceps, cover glass, Cornet's.......number.. Forceps, straight, medium fine..........do--- Forceps, straight, medium heavy........do--- Graduates, glass, 10 c. c. and 50 c. c. nested, of each..........................number.. Labels, microscopical, square........boxes. Lamp, alcohol.....................number. Lancet, blood..........................do... Loop, platinum, with handle..........do... Medicine droppers, straight...........do... Methylene blue, 0.1-gm. tablets, 6 in tube, tubes..................................... Needle, platinum, with handle.....number. Paper, filtering, Munktel, No. 1F.packages. Pencil, lead.......................number. Pencil, wax...........................do... Phenol, c. p. 30 c. c. in glass stopper bottle, bottles................................... Slides, glass.........................dozen. Wire, platinum, extra..................cm. Wright's stain, 0.05-gm. tablets, 6 in tube, tubes.................................... 951. MICROSCOPE, POST. (In hardwood case with lock and two keys.) Microscope, with Abbe condenser and iris diaphragm.......................number. Nose piece, triple......................do... Objectives, Nos. 3and6, and ^rinch oil immer- sion, of each.....................number. Oculars, Nos. .2 and 4, of each........number. Oil, immersion, bottle in case..........do... Stage, mechanical.....................do... FORMULAE, CONTENTS OF CHESTS, CASES, ETC. 321 952. RECRUITING OUTFIT, EMERGENCY. (See par. 887.) A stigmatic dial, triple line...... number Classification and Use of Finger Prints" Henry.. ......... ..............number. Container for test cards.......... do Cotton, absorbent, in roll.....! pounds Head mirror.......................number! Ink plate..................;...... ound"tube".'."."".tubes! Pads, practice. ..................number. Roller, ink, handlefor..................do... Roller, ink, summer...............number. Specula, ear, 3inset...................sets. Speculum, nasal..................number. Stethoscope, double.....................do... Syringes, glass, Luer type, 2 c.c.......do... Syringe, glass, extra needles for.......do... Tape measure, 60 inches...............do... Thermometers, clinical................do... Tongue depressor.......................do... Vision test card, folding................do... 953. SADDLE, PACK. (Net weight, complete, 75 pounds.) The Medical Department pack outfit consists of the packsaddle proper and a number of accessory articles. THE PACKSADDLE PROPER. Packframe, metal.................number.. Stretchers or spreaders for saddle pads, corru- gated metal......................number.. Saddle pads...........................do___ Quarter straps........................do___ Quarter strap ring sets, complete, consisting of 2 rings with leather union and 2 cincha straps...............................sets.. Cincha, horsehair, double..............do___ Accessory leather straps............number.. Breast collar straps................number. Breast collar body piece................do... Breast collar neck piece................do... Breast collar choke strap...............do... Fork straps for turnbacn...............do... Turnback and crupper, complete.......do... Breeching hip strap...................do... Breeching strap.......................do... Breeching body piece...................do... Thongs, rawhide......................do... ACCESSORY ARTICLES. Rice frames, modified, Nos. 1 and 2, of each............................number. Straps, leather, for attachment of frame to rear cincha ring......................number. Load straps, web, long and short, of each, num- ber ..........................'............ Load cincha (belly piece), short, complete with 2 cincha straps..................number. Load cincha (top piece), long, complete, number.................................. Manta, canvas, 6 by 6 feet, with 20 rawhide thongs..........................number. Saddle blanket.........................do... Blind, cupped, complete...............do... METH@D OF USING THE PACK OUTFIT. To use the pack outfit, the saddle blanket is placed on the animal and the packsaddle proper over the blanket. The breast collar and breeching are adjusted to the animal as required. The saddle is then firmly cinched in position. To prevent undesirable moving about on the part of the pack animal while the saddle and load are being placed in position, it is advisable to blindfold the animal by means of the cupped blind. To load the animal, place the No. 1 frame on the saddle followed by the No. 2 frame (the number is stamped on the horizontal bar of each frame). Adjust the leather straps attached to the D rings on the under side of each frame so that when snapped into the cincha rings of the saddle they will hold the frame firmly against the saddle but not so tightly as to bend the frame. The boxes or other articles 93440°—17---21 322 MANUAL FOR THE MEDICAL DEPARTMENT. constituting the side loads are placed in- the frames and secured by the short load straps passed to the D rings on the horizontal bar of each frame. The top load, if any, is then put in place. The long load straps are now thrown over all, the rings in their ends slipped into the hooks on the frames, and the straps drawn up tightly by means of the buckles. If necessary, the load may be further secured by the use of the load cincha. Experienced packers may find it an advantage to substitute for the load straps a single length of f-inch rope with a ring, or loop, in one end. The boxes carried as side loads need no protection from the weather. When a top load is carried it is wrapped in the manta before being loaded. Great care should be taken that approximately the same weight is carried on each side of the saddle, otherwise the load will carry badly and the pack animal will be likely to develop sore back. 954.^ SURGICAL DRESSINGS, AMBULANCE BOX OF. (Wooden chest. Weight 28 pounds.) Bandages, gauze, compressed, 3 sizes, | number................................... Chloroformum, J-pound tins......number.. | Cotton, absorbent, sterilized, in 1-ounce Individual dressing packets (par. number................................... Gauze, sublimated, 2 hall-yard lengths in package........................packages.. Hydrargyri chloridum corrosivum, tablets (antiseptic) (par. 902), 350 in 12-ounce tin..................................tins.. 36 Iodine swabs, 6 in box...............boxes. Pins, safety.........................dozen. Plaster, adhesive, z. o., 5 yards by 1 inch, spools.................................... Spiritus ammoniae aromaticus, J pound in glass stoppered bottle.............bottles. Vials, 4-ounce, with rubber stoppers, number.................................. 955. SURGICAL DRESSINGS, BOX OF. (Weight 93 pounds.) Bandages, gauze, compressed, 3 sizes, number................................... Cotton, absorbent, sterilized, in 1-ounce package........................packages.. Individual dressing packets (par. 949), number................................... Gauze, sublimated, 2 half-yard lengths in package........................packages.. Ioaum-potassii iodidum..............tubes.. Pins, safety, 3 sizes..................dozen.. 144 44 48 140 60 Plaster, adhesive, z. o., 5 yards by 1 inch, spools.........,.......................... Sapo mollis (green soap), J-pound jar in case, jars...................................... Splints, wire gauze for, 1 yard in roll, .rolls. Splints, wood veneer.............number. Tags, diagnosis......................books. Vials, 4-ounce, with rubber stoppers, number.................................. 956. SYRINGE, HYPODERMIC. This syringe, as now issued, has as accessories, besides two needles and'extra wires (the needles and wires are expendable), one tube of each of the following hypodermic tablets: Apomorphinae hydrochloridum.....mgms.. Atropinae sulphas....................do___ Cocainae hydrochloridum.............do___ 6 0.65 10 Morphinae sulphas.........•.........mgms. Nitroglycerin.........................do... Strychninae sulphas..................do... 8 0.65 1 957. FORMULAE, CONTENTS OF CHESTS, CASES, ETC. THERMO-CAUTERY, PAQUELIN'S. (In imitatioTi-leatheT covered case.) 323 Apparatus, double bulb, for supplying air, number..................... Cautery knife......"....".'.'..'.".'. .7.'.".'.number!! Cautery point.........................do___ Handle, canulated, ebony...........number. Reservoir, for hydrocarbon..............do... Tube, lengthening..................•... .do... Tube, rubber.........................do... Note.—Some of the older models have, in place of the cautery point, a cautery button, or both may be found m some cases. j * > * j 958. VENEREAL PROPHYLAXIS UNIT. (In pine box with hinged lid. Weight 46 pounds.) Basins, e.w.......................number.. Form 77, M. D........................do.... Graduate, glass, 120 c. c, in case......do___ Hydrargyri chloridum corrosivum, tablets (antiseptic) (par. 902), 350 in 12-ounce tin, tins....................................... Protargol, 2 gms. in ampul.........ampuls.. 3 200 1 1 200 Soap, Ivory..........................cakes.. Sponges, gauze, 1 dozen in box......boxes.. Syringes, penis, h.r................number.. Towels, hand..........................do___ Unguentum hydrargyri chloridi mitis, 30 per cent, i pound in wide-mouth bottle, bottles.................................... Note.—List of contents and directions for administering the prophylactic are pasted on inside of cover. 959# VISION TEST SET. Cards, folding, test, for testing visual acuity, number................................... Dial, triple line, astigmatic..........number. Eye color disk, blue and brown..........do___ Pamphlet of instructions for using the vision test set..........-................number.. Test type card, Jaeger, indestructible___do___ Testwools, Holmgren, fortestingcolorsense.sets.. ARTICLE XXI.—BLANK FORMS. 960. In the following lists are included all Medical Department forms, the War Department standard forms issued and used by the Medical Department, and those forms of other staff departments which are in common use by medical officers. These forms are sup- plied as indicated under each department, respectively, except that in the theater of operations blank forms are obtained as indicated in paragraph 551. MEDICAL DEPARTMENT. 961. Requisitions for these blanks for the use of troops under the jurisdiction of a department commander will be made on Form 37, on the basis of a six months' supply for posts or of a one month's supply for troops in the field, and be forwarded to the department surgeon, who will alter them as he deems appropriate and refer them as approved to the proper medical supply depot for issue. Requisi- tions for the use of troops under the immediate jurisdiction of the War Department will be prepared in like manner and forwarded to the Surgeon General. (See par. 551 b.) (0. M. M. D., No. 2.) Form No. Purpose. 14 320 320B 322 322A 325 326 327 329A 329B 330 330A 330B 330C 334 334A 335 341A 352 353 354 355 356 365 377 12 16a 166 16c 16d 17 17a 176 17c (a) War Department Standard Forms. Report of open-market purchases and procurement of services not personal exceeding S100. Account current (large size, 10 appropriations, 16 by 10J). Account current (small size, 2 appropriations, 14 by 8). Abstract of funds received from authorized sales of public property (exhibit to account current). Abstract of funds received from sales of medicines to civilians (exhibit to account current). Account of sales of public property at public auction or on sealed proposals (exhibit to account cur- rent). [Combination, invoice of and cash receipt for funds transferred (voucher to account current). Abstract of disbursements (medium size, 11 appropriations, 16 by 10>., exhibit to account current). Abstract of disbursements (small size, 3 appropriations, 14 by 8, exhibit to account current). Voucher to abstract of disbursements, for purchases and services other than personal, including laundry accounts (small size, 10^ by s). Voucher to abstract of disbursements, for purchases and services other than personal, including laundry accounts (long size, 1 i by »). Voucher to abstract of disbursements, for purchases and services other than personal, extra sheet, 10J by 8 (insert). Voucher to abstract 6f disbursements, for purchases and services other than personal (book form, double sheet, 16 by 10)). Voucher to abstract of disbursements, pay roll of civilian employees (including Army Nurse Corps). Voucher to abstract of disbursements, pay roll of civilian employees, extra sheet. Voucher to abstract of disbursements, personal services (individual pay roll of employee). Voucher to abstract of disbursements, for job printing (small size, 14 by 8i). Voucher to abstract of disbursements, for purchases of medicines on prescription. Voucher to abstract of disbursements, personal services, medical attendance by civilian physician. Voucher to abstract of disbursements, personal services, examination and vaccination of recruits by civilian physician. Voucher to abstract of disbursements, care and-treatment by civil hospital. Voucher to abstract of disbursements, personal services, civilian nurse. Subvoueher, receipt for cash payment. Voucher to abstract of disbursements, personal services, reimbursement of medical bills. (6) Medical Department. Invoice of articles purchased (to accompany bill for supplies). Issue slip, expendable property. Issue slip, nonexpendable property. Credit slip, nonexpendable property. Exchange slip, nonexpendable property. Return of medical property, front, card. Return of medical property, original. Return of medical property, retain. Return of medical property, back, card. List of medical property expended (for supply depots only). 324 BLANK FORMS. 325 Purpose. Medical Department—Continued. Invoice of or receipt for medical property delivered to Quartermaster Corps for transportation. Invoice of or receipt for medical supplies, post. Invoice of or receipt for medical supplies, field. Invoice of or receipt for medical supplies (single sheet). Invoice of or receipt for dental supplies. Packer's list. Requisition for post medical supplies, annual. Requisition for post medical supplies, field medical supplies, or dental supplies, special. Requisition for dental supplies, annual. Requisition for blank forms. Circular advertisement and proposal for supplies. Circular advertisement and proposal for laundry work. Abstract of proposals. Contract for medical supplies. Contract for laundry work. Contract for services as nurse. Contract with private physician (general form). Contract with private physician (special form). Contract with acting dental surgeon. Return of medical officers, etc. Return of the Hospital Corps, garrison. Return of the Hospital Corps, field. Application for transfer to the Hospital Corps. Statement of the hospital fund, etc. Employee's certificate of indebtedness for hospital service. Monthly sanitary report. Sanitary inspection report, Medical Department organizations. Report sheet for report of sick and wounded. Nominal check list for report ot sick and wounded (sheet 1). Nominal check list for report of sick and wounded (follow sheet). Register and report card.1 Index to register of patients (card). List of sick and wounded (used in the theater of operations only). Surgeon's request for descriptive list. Clinical record, brief. Clinical record, family and personal history. Clinical record, history of present disease. Clinical record, subjective symptoms. Clinical record, objective symptoms. Clinical record, objective symptoms, continued. Clinical record, progress. Clinical record, temperature, etc. Clinical record, temperature, etc., graphic. Clinical record, treatment. Clinical record, operation report. Clinical record, radiographic report. Clinical record, report on urine. Clinical record, report on feces. Clinical record, report on sputum. Clinical record, report on blood. Clinical record, Wassermann test. Clinical record, gonococcus fixation test. Clinical record, typhoid report. Clinical record, report on stomach contents. Clinical record, laboratory report, miscellaneous. Malarial register. Report of dental work. Report of surgical operations. n m't,i n»™ Reoort of examination for sergeant, or sergeant first class, Hospital Corps. Certificate of proficiency, Hospital Corps, field hospital or ambulance company. Certificate of proficiency, Hospital Corps detachment Certificate of proficiency, Hospital Corps, Army Medical School. Certificate of identity (in books of 100). Efficiency report, Army Nurse Corps. Return of the Nurse Corps. Morning report, Army Nurse Corps. Dental engagement slip. Record of assignment and pay, Army Nurse Corps. Certificate of graduation, Army Medical School. Nurse's bedside notes. ___ Report of physical examination, Army Nurse Corps. Chief surgeon's directory (cards). Surgeon's morning report of sick. Morning report of ward. Consolidated morning report of wards. Diet card. Mess account. Patient's property card. Patient's property tag. Venereal prophylaxis card. i When used for register of patients known as "register card"; for report of sick and wounded as "report card"- for transfer of patients as "transfer card"; for change of diagnosis as "change of diagnosis card"; for correction of report card as "correction card." 326 MANUAL FOR THE MEDICAL DEPARTMENT. Form No. Purpose. Medical Department—Continued. 78 Syphilitic register. 79 Register of dental patients (card). Efficiency report, Hospital Corps soldier. 80 81 Vaccination register. 82 Daily field report of sanitary personnel and transportation. 83 Daily field report of patients. 84 Consolidated daily field report of sanitary personnel and transportation, and consolidated daily field report of patients. 85 Noneffective curve chart. 94 Report of chemical analysis of water. Report of bacteriological examination of water. 95 97 Wassermann card. 99 Gonococcus fixation card. 100 Recruit depot Wasserman record. 962. ADJUTANT GENERAL'8 DEPARTMENT. Requisitions for these forms should be made January 1 and July 1 to the department adjutant general, except in the case of forms the titles of which are printed in itahcs, which are supplied directly by The Adjutant General's Office. Form No. Purpose. 370 W. D. Final statement. 3 Notification of discharge. 15 Statement of service. 17 Certificate of disability for discharge. IS Trimonthly report of enlistments. Muster roll, detachment. 21 22 Enlistment paper. 25 Descriptive and assignment card. 26 Field return. 27 Post return.i 27a Extra sheet to Form 27. 29 Descriptive list. 30 Return of detachment (with model).' 34 Inventory of effects of deceased soldier. Report of cases tried by summary court.1 59 66 Furlough. 95 Descriptive list of deserters. Record of summary court.1 99 135 Report of physical examination (recruit). Account 01 clothing issued to recruit. 140 141 Application for enlistment. Medical certificate for leave of absence. 143 149 Return of casualties in action. 196 Report of survey. 260 Identification record card. 261 Photograph and negative jacket. Monthly report of medical examination of applicants for enlistment. 265 277 Descriptive card of public animals. 332 Morning report, company or detachment. 339 Daily sick report. 377 Report of physical examination and test, field officers. 378 Report of physical examination and test, captains and lieutenants. 380 Designation of beneficiary of officer or enlistee man. Requisition for books and blank forms supplied by The Adjutant General's Department- 383 415 Report of death and disposal of remains.1 423 Preference card. 429 Efficiency report. 442 Reservist's enlistment paper. 443 Reservist's descriptive card. 444 484 Reservist's quarterly report card. Report of board on disability of enlisted men. 489 Model remarks for muster rolls. 525 Honorable discharge from United States Army. 526 Discharge from United States Army. 527 Dishonorable discharge from United States Army. 559 Report of soldier's transfer to Army Reserve. Correspondence book. Correspondence model. 1-107 (Interior Department) Medical certificate for insane persons. 1 For general hospitals or other independent commands only. BLANK FORMS. 327 963• QUARTERMASTER CORPS. The quartermaster at a garrisoned post is the source of sup- ply for all organizations at the post requiring blank forms of the Quartermaster Corps. (For reference to complete list of Quarter- master Corps forms see Appendix: Blank Forms.) Form No. Purpose. 336 350 350a 366 366£ 369 8a 38 39 41 42 69 70 160 160a 164 165 165a 165b 180 180a 201 204 208 211a 213 213a 218 218a 223 227 406 (a) War Department Standard Forms. Officers' pay account. Reimbursement of traveling expenses (book). Reimbursement of traveling expenses (loose sheet). Pay roll, enlisted men (first sheet). Pay roll, enlisted, men (insert sheet). Soldier's or nurse;s pay voucher (when entitled to commutation of quarters, heat, or light). (6) Quartermaster Corps. Advice of soldiers' deposits. Soldier's allotment, original and duplicate. Discontinuance of soldier's allotment. Soldier's deposit book. Certificate for commutation of rations (individual). Model remarks for pay rolls. Instructions (pay roll). Requisitions for supplies, general.1 Requisitions for supplies, general (extra sheet). Directions for measuring for clothing of special sizes. Individual clothing slip (original and duplicate). Individual dothing slip tor Alaska (original and duplicate). Statement of clothing charged to enlisted men. Abstract of clothing drawn on individual clothing slips. Abstract of clothing drawn on individual clothing slips, in Alaska. Invoice of or receipt for quartermaster property transferred. Requisition for issue of stationery. Statement of charges. Requisition for fuel and bedding (for field use). Requisition for clothing (in bulk). Requisition for clothing (in bulk) (extra sheet). Requisition for forage (book).1 Requisition for special substitution forage. Ration return (book). Memorandum receipt. Official telegrams (book, large and small). 1 For general hospitals or other independent commands only. 964. ORDNANCE DEPARTMENT. Ordnance Department blank forms are obtained on requisition forwarded direct to the Chief of Ordnance. Form No. Purpose. 18 18- cover 18a 19 86 94 146 151 152 386 1467 1715 1719 1879 Return for organizations for which the unit accountability system is not prescribed. |For returns for which forms numbered 18 are used. Return, individual officer's horse equipment. Certificate of expenditures, material. Statement of charges on pay roll. Monthly report of ordnance charges on pay rolls. Combination blank for issue of ordnance property (for invoice or receipt). Transfer of ordnance property. (Thin paper in pads of 30 sheets each.)l Invoice and receipt for transfer of ordnance property under Army Regulations. Requisition for ordnance and ordnance stores. List of blanks, pamphlets, etc2 . „„.,.., Equipment, Cavalry model of 1912: Description and directions for use and care of.- Equipments, horse, and equipments for officers and enlisted men.8 Price list of small arms, personal equipment of soldier, etc.8 1 Used only in time of war and will not ordinarily be supplied except for such use. • Issued to organizations only. 328 MANUAL FOR THE MEDICAL DEPARTMENT. 965. INSPECTOR GENERAL'S DEPxVRTMENT. Requisitions for these blanks should be forwarded direct to the Inspector General of the Army. 1 Inventory and inspection report. la Inventory and inspection report, inside sheets for. APPENDIX. In the following pages an attempt is made to furnish medical officers a reference to such general orders, circulars, bulletins, etc., as contain information constantly needed in Medical Department admin- istration. The list is not complete, and medical officers are advised to make such additions thereto in their own copies of the Manual as they may find useful. To get the best results from the list medical officers should post necessary changes therein from time to time as orders, bulletins, etc., are received. With that procedure in view citation by number of any particular order is made as a rule but once, cross references under the various subject titles indicating where its text may be found. Administration and Supply: See Mobile Army. Applicants for Enlistment: English language, tests to determine knowledge of, G. O. 37, 1910. Enlistments to be made by medical officers, when available, G. O. 162, 1906. General qualifications required, Cir. 1, Adjutant General's Office, 1915. Identification records of, see Identification Records. Information to be imparted to, Cir. 2, Adjutant General's Office, 1915. Physical qualifications of, see Physical Examinations. Reenlistment after dishonorable discharge, G. O. 44, 1913. See also Recruits. Army: Mobile, see Mobile Army. Reserve, Bui. 15,1912; G. O's 11, 26,1913; Bui. 33,1913; Bui. 2,1915; Par. Ill, G. O. 4, 1915; not entitled to medical attendance, Bui. 18, 1915; transfers to, G. 0. 47, 1915; hospital treatment of those arriving at home ports on trans- ports, Bui. 8, 1916. Army Field Service and Correspondence School for Medical Officers: See Medical Officers. 93440°—17----22 S29 Sr APPENDIX. 331 Army Nurse Corps: Burial of deceased nurses, decision of Judge Advocate General, Bui. 50, 1914. Artificial Respiration: See First Aid. Baggage, Officers': See Officers' Baggage. Bedding Rolls: See Officers' Equipment. Beef, Inspection of: See Subsistence Stores. Blank Forms: Adjutant General's Department, List of Blank Forms and Books, Adjutant General's Office, Mar. 8, 1915. Quartermaster Corps, Appendix, Manual for the Quartermaster Corps. War Department, Bui. 38, 1915. Books and Manuals: Destruction of by organization commanders, G. O. 179, 1904. For sale or issue by the War Department, list of, Bui. 12, 1916. Bucket and Basin: See Officers' Equipment. Bulletins: See Orders, Bulletins, and Changes. Cadet Candidates: Physical examination of, see Physical Examinations. Campaign Badges: Extra allowance of bars and ribbons for, Cir. 82, 1908. May be turned in when unserviceable, G. O. 179, 1906. Of deceased soldiers, see Deceased Enlisted Men. To whom issued, G. O. 4, 1905; Cir. 27, 1907; G. 0. 129, 1908; Cir. 88, 1908; G. O. 96, 1909; G. 0. 22, 1913; G. 0. 61, 1914. Army of Cuban occupation, G. O. 40, 1915. t t i APPENDIX. 333 Candidates for Commission: Physical examination of, see Physical Examinations. Cavalry Seat: Definition of, G. O. 29, 1911. Certificate of Merit: Badge to be issued for each certificate, Cir. 33, 1908. Changes: See Orders, Bulletins, and Changes. Civilian Employees: Compensation act, for those injured, Cir. 68, 1908, and Cir. E, War Department, Apr. 23, 1912. Death of, action to be taken by senior medical officer present, G. 0. 67, 1910. Report of under "Compensation act," Cir. 68, 1908. Entitled to time in which to vote at congressional elections, Bui. 4, 1915. Issue of fuel in kind to, Bui. 43, 1914. Leaves of absence, Cir. A, War Department, Jan. 12, 1912. Ration allowance in military hospitals, Bui. 8, 1916. Ration returns of, G. O. 121, 1902. Civilian Physicians: Attending officers or enlisted men on garrisoned posts, G. O. 160, 1905; Cir. 26, 1907. Clothing and Equipment: Badges and medals, see Badges. Chevrons will not be issued to indicate service for which a campaign badge has been given, Cir. 83, 1907. "Clothing order," allowance in kind, articles issued without charge, money allowance, prices charged when lost, etc., sizes of clothing, and allowance of tableware and kitchen utensils, G. 0. 22, 1915. Deserter's, disposition of, G. O. 15, 1915. Field kits and surplus kits, G. O. 56, 1915. Identification tags, see "Clothing order"; also Uniform Regulations. Gratuitous issue of, when destroyed to prevent contagion, Cir. 20, 1899. Olive drab cotton cloth, directions for laundering, Cir. 59, 1910. tnofnh.f.-q"'i u APPENDIX. 335 Clothing and Equipment—Continued. Overcoats, see "Clothing order." Record of sizes to be kept by detachment commanders, Uniform Regulations. Shoes, neats-foot oil for, Cir. 72, 1907. Sweaters, issue and use of, see "Clothing order.?? When ordered oversea, G. O. 206, 1910. Clothing Order: See under Clothing and Equipment. Clothing Rolls: See Officers' Equipment. Confidential Documents: Responsibility of officers for, Cir. 78, 1907. Continuous Service: See Enlisted Men. Contract Surgeons: Entitled to admission to Government Hospital for Insane, Cir. 56, 1906. Forage for horses of, Cir. 61, 1902. Quarters of, Cir. 32, 1905. Cooks, Hospital Corps: See Hospital Corps. Correspondence: See Records and Correspondence. Deaths: Of civilian employees, see Civilian Employees. r Of enlisted men, see Deceased Enlisted Men. Of officers, see Deceased Officers. Deceased Enlisted Men: Action to be taken by senior medical officer present, G. O. 67, 1910. Campaign badges, part of the effects of, Cir. 45, 1905. Deceased Officers: Action to be taken by senior medical officer present, G. O. 67, 1910. r t APPENDIX. 337 Dental Surgeons: Acting, not officers of Army, Bui. 5, 1915. How carried on the rolls, Cir. 33, 1905. Quarters of, Cir. 32, 1905. Dentists' Assistants: See Hospital Corps. Descriptive Lists: See Records and Correspondence. Discharge of Enlisted Men: At isolated stations where there is no commanding officer, G. O. 52, 1906. By favor, illegal, G. O. 31, 1914. By purchase, G. O. 31, 1914. Circumstances under which boards should be convened, Cir. 18, 1909. Discharge may be signed by staff officers of field rank, Bui. 52, 1914. For inaptitude or bad habits, Bui. 16, 1915; Par. Ill, Bui. 24, 1915. On surgeon's certificate, Army Regulations; G. O. 174, 1909, as modified by G. O. 191, 1909, Cir. 62, 1909, G. O. 11, 1912, G. O. 69, 1913, G. O. 82, 1914. Porto Rico Infantry and Philippine Scouts, G. O. 174, 1909 does not apply, Cir. 62, 1909. When one dependent parent has died since enlistment, G. O. 31, 1914. Without honor, when caused by venereal disease, G. O. 185, 1905; Cir. 93, 1908. Efficiency Records: See Officers. Enlisted Men: Clothing of, see Clothing and Equipment. Commutation of rations, Bui. 8, 1916. Continuous service, accomplished only by actual reenlistment within three months, not by application, Cir. 3, 1908. Credit at post laundries, see Laundries. Death of, see Deceased Enlisted Men. Debts of, policy of War Department, Cir. 47, 1910. Discharge of, see Discharge of Enlisted Men. # ., .v > .i i .iri'mit -;ii,' % APPENDIX. 339 Enlisted Men—Continued. Identification of, see Identification Records. Insane, see Insane. Line of duty, see Line of Duty. Pay, loss of for "misconduct," Bui. 18, 1915. Pay of, when held after expiration of enlistment, Cir. 53, 1902. Physical examinations of, see Physical Examinations. Transferred from one arm to another, cost of, Cir. 45, 1906. Travel allowances of, see Travel Allowances. Enlistment Papers: See Records and Correspondence. Equipment: "A," "B" and "C," G. O. 85, 1914. Desks, regimental sanitary troops, carried on field train, G. O. 35, 1914. Of enlisted men, see Clothing and Equipment. Of the Hospital Corps, see Hospital Corps, and Clothing and Equipment. Of officers, see Officers' Equipment. Tables, Quartermaster Supplies, see Quartermaster Supplies. Unit accountability, G. O. 52, 1915. Examinations: For promotion of officers, see Officers. Physical, see Physical Examinations. Feet: Care of, G. O. 26, 1912; G. O. 30, 1913. See also The Soldier's Foot and the Military Shoe, Munson. Field Glasses: See Officers' Equipment. Field Service: See Mobile Army. Field Training: See Mobile Army. :«.'!. . mi. APPENDIX. 353 Paymasters' Clerks: Have the same status as officers and are entitled to medical attention and medi- cine, G. 0. 143, 1911. Pension Examiners: Permitted to make investigations in military hospitals, Bui. 47, 1914. Physical Examinations: Applicants for enlistment. In the Regular Army, (Rules for the Examination of Recruits) G. O. 66, 1910; Cir. 1, Adjutant General's Office, 1915. In the Porto Rico Provisional Regiment, Cir. 39, 1906. Teeth of, requirements concerning, Cir. 60, 1906. Visual requirements, Cir. 26, 1909. See also Recruits. Aviation service, G. O. 86, 1914; G. O. 20, 1915. Cadet candidates, Cir. Adjutant General's Office, Aug. 24, 1914. Candidates for commission in United States Army. Cavalry, Field Artillery, Coast Artillery, and Infantry, Pars. 6, 10, 17, and 31, G. O. 64, 1915. Engineers, G. O. 8, 1916. Medical Corps, visual requirements, G. O. 112, 1911. Philippine Scouts, G. O. 195, 1908. Porto Rico Provisional Regiment, G. O. 193, 1908. Candidates for commission in the Volunteers, G. O. 57,1909; G. O. 54,1914; G. O. 50, 1915. Officers. Annual, G. O. 148, 1910. For Mounted Service School, G. O. 59, 1913. For promotion, see Officers, Examination of for promotion. Physical defects to be reported in detail, G. O. 104, 1903. Post noncommissioned staff officers, G. O. 43, 1909. Recruits at depots and posts, G. O. 154, 1905; Cir. 15, 1907. Student candidates for military instruction camps, Bui. 23, 1915. APPENDIX. 355 Physical Examinations—Continued. Venereal inspections, see Venereal Diseases, Prevention of. Vision, color sense and hearing, methods of testing, G. O. 199, 1906. Physicians, Civilian: See Civilian Physicians. Porto Rico Provisional Regiment: Physical requirements for, see Physical Examinations. Post Exchange: Regulations for, G. O. 176, 1909, with amendments. Responsibility of Council, Opinion Judge Advocate General, Bui. 9, 1915. Post Noncommissioned Staff: See Enlisted Men; also Physical Examinations. Private Mounts: Additional pay for, where pay accounts are prepared in advance, G. O. 72, 1914 while on leave of absence with half pay, Bui. 1, 1916. Certificate to be furnished when shipped, G. O. 181, 1910. Additional when shipped to Philippine Islands, Bui. 2, 1915. Descriptive card to accompany, when shipped, Par. II, G. O. 6, 1915. Duties of commanding officers regarding, G. O. 125, 1908; G. O. 9, 1916. Must be maintained at officer's station, Cir. 69, 1909. Must be used in annual test rides, Cirs. 57, 59, 1909. Must meet specifications or no forage or additional pay can be drawn, Cir. 88,1908 Salt and vinegar for, Cir. 33, 1909. Six months allowed for training, G. O. 34, 1914. Specifications for, G. O. 29,1911; G. O. 46,1913; G. O. 33,1914; G. O. 9,1916. Stabling for, rent of, par. 9, G. O. 34, 1915. Stallions as mounts, Cir. 78, 1910; G. O. 9, 1916. Transportation of, for officers attending service schools, Bui. 4, 1916. Property: Of retired soldiers who die in Army hospitals, Bui. 46, 1914. Retained papers, disposition of, see Records and Correspondence. (j APPENDIX. 357 Property—Continued. Unit accountability for, see Equipment. See also Ordnance Property and Quartermaster Supplies. Public Animals: Horses, altering shape of mane or tail prohibited, G. O. 112, 1903. Mallein test, Cir. 74, 1909. Records to be kept, G. O. 252, 1909; Cir. 54, 1909; Bui. 19, 1913; Bui. 20,1915. Quartermaster Corps: Duties of the several grades of enlisted men, G. O. 40, 1912. Quartermaster Supplies: Equipment Tables, Q. M. Supplies, 1915, G. O. 39,1915. Title authorized Bui. 35, 1915. Loading tables, see Field Trains. Loan of, prohibited, Bui. 32, 1913. Method of marking and packing, G. O. 10, 1914. Ovens, field, G. O. 29, 1914. Pyramidal tent, method of folding, Bui. 9, 1913. Table ware and kitchen utensils, see Clothing and Equipment. Transferred with enlisted men, G. O. 65, 1915. Quarters: Commutation of, for commissioned officers, acting dental surgeons, pay clerks Nurse Corps, G. O. 35, 1915; G. O. 5, 1916. Where accounts are prepared in advance, G. O. 72, 1914. Rental of, G. O. 34, 1915. See also Enlisted Men, Contract Surgeons, and Dental Surgeons. Rabies: Treatment of suspected cases, Cir. 9, Surgeon General's Office, 1912. Railroads: Inferior equipment, Cir. 47, 1907. Kitchen cars, see Kitchen Cars. Land grant and bond aided, G. O. 41, 1907, as amended. c APPENDIX. 359 Rations: See Subsistence Stores. Records and Correspondence: Communications sent direct to The Adjutant General, G. O. 24, 1912. Correspondence book system of correspondence, G. O. 109, 1906; Bui. 4, 1914. Descriptive lists to be accompanied by authenticated copies of summary court trials and official copies of sentence by other courts, G. O. 137, 1909. Disposition of useless records, Bui. 8, 1916. Enlistment papers of those who have been dishonorably discharged from a pre- vious enlistment, G. O. 78, 1914. Letters and indorsements, G. O. 23, 1912; Bui. 24, 1912; briefs prohibited, G. O. 53, 1913; not to be addressed through The Adjutant General, Cir. 8,1909. Morning reports, G. O. 194, 1909. Muster rolls, corrections of, to be sent direct to The Adjutant General, G. O. 24, 1912; separate roll required for each company of the Coast Artillery Corps, Cir. 3, 1903. Record card system of correspondence, G. O. 92, 1909, Cir. 92, 1909. Retained property and money accounts, disposition of, G. O. 71, 1914. Telegrams, addresses to be used, G. O. 63,1914. Telegraph, instructions for use of, G. O. 14, 1913. Typewriters, use of, in preparing, Cir. 41, 1910. Recruit Depots: Supplies for, see Supplies. Recruits: Disinfection of clothing of, Cir. 37, 1906. Duties of boards of officers when convened at depots and posts, Cir. 15, 1907. See also Applicants for Enlistment. Red Cross: Geneva Convention of 1906, and Hague Convention of 1907, Bui. 6, 1913; also Rules of Land Warfare. National Red Cross Society, regulations for and organization of when employed with the land forces of the United States, G. O. 170, 1911. Russet Leather: Care of, see Ordnance Property. APPENDIX. 361 Saddle Blankets: Care of, see Ordnance Property. Salvarsan: Method of administration, Cir. 14, S. G. O., 1914. Sanitary Units: History of services to be kept, G. O. 1, 1905. Shoes: See Clothing and Equipment. Stables: Fires in, G. O. 1, 1912. State Department: Medical officers to examine certain candidates for appointment in, G. O. 64,1910. Steam Heating Plants: Care of, Cir. 1, 1902. Subsistence Stores: Beef, fresh, instructions for inspection of, G. O. 27, 1904; G. O. 28, 1906. Charged against enlisted men, Cir. 79, 1907. Rations, savings not allowed at maneuver camps, Par. II, G. O. 7, 1915. Supplies: For general hospitals, G. O. 11, 1912. For recruit depots, G. O. 11, 1912. See also Mobile Army, Quartermaster Supplies, and Ordnance Property. Surgical Operations: Refusal to submit to, par. 220, M. M. D., based on G. O. 43, 1906. Surplus Kits: • See Clothing and Equipment. Tableware and Kitchen Utensils: See "Clothing order" under Clothing and Equipment. Telegrams: See Records and Correspondence. c APPENDIX. 363 Transports: Liquors not allowed on, G. O. Ill, 1911. Meals on, reimbursement for, see Officers. Surgeons to go on board with first troops, G. O. 48, 1908. See also Army Transport Service Regulations. Typhoid Fever and Paratyphoid Fever: Diagnosis of, Cir. 11, Surgeon General's Office, 1913. Typhoid Prophylaxis: Instructions for administration and keeping records of, Cir. 16, Surgeon General'e Office, 1916. To whom administered and records to be kept, G. O's. 4, 23, 1915. Typhus Fever: Diagnosis and prevention of, Bui. 10, 1916. Unit Accountability: See Equipment. Vaccination: Antismallpox, G. O. 30, 1914. Method prescribed, Bui. 30, 1914. Antityphoid, see Typhoid Prophylaxis. Venereal Disease: Discharge without honor because of, see Discharge of Enlisted Men. Loss of pay because of, G. O. 31, 1912; G. O. 13, 1913; decision regarding mean ing of word "misconduct," Bui. 43, 1914. Prevention of, G. O. 17, 1912; G. O. 13, 1913. Vision and Hearing: See Physical Examinations. Visual Acuity: Medical reports on, Cir. 5, 1908. Volunteer Forces: Act concerning, Bui. 17, 1914. Physical examination of candidates for commission in, see Physical Examinations. INDEX. (Numbers refer to paragraphs.) Abandonment of Posts: Disposition of medical property on, 511. Records and reports, 425. Abbreviations: Field supply tables, 862. Register of dental patients, 465. Accountability: Appliances issued to discharged patients, 229. ' Army Medical School, property, 141. Articles destroyed to prevent contagion, 230. Hospital fund, 252, 253, 260, 262. Medical property, 229, 380, 501 to 503. Proceeds of sales of medical property, 509, 510. Public property brought in by patients, 227, 304. Returns of property, 141, 380, 497, 501, 508. Accounts: Hospital laundry, 271, 272, 274, 277, 278. Ice, 264. Mess, 234, 236, 237. Proceeds of sales of medicines to civil- ians, 243. Proceeds of sales of other medical prop- erty, 509, 510. Subsistence charges, etc., Army and Navy General Hospital, 330, 331. Subsistence charges, etc., Fort Bayard, 339 to 342. Supplies purchased, 377, 476. To be paid by disbursing officers, 377. Acetylene Chest: Contents of, 927. Acting Cooks: Provisions concerning, 37, 38. See also Hospital Corps. Acting Dental Surgeons: General provisions, 21 to 25. See also Dental Corps. Acting Hospital Stewards: See Hospital Corps. Administration of the Sanitary Service: Division, 716 to 750. (See also Divi- sional Sanitary Service.) Objects of, 530, 628. R<§sum<§ of, in war, 831 to 841. Administrative Zones: In time of war, 528, 529. Advance Medical Supply Depot: Issues from, 552, 789. Maximum and minimum limits of stock, 788. Operating equipment, 895. 93440°—17---23 Advance Medical Supply Depot—Continued. Purpose of, 791. Records, reports, and returns, 563, 575, 788. Replenishment of issues, 789. Requisitions from, 790. Shelter for. 792. Supplies to be kept at, 788, 792. Advance Medical Supply Depot Equipment: Operating equipment, 792, 895. Supplies for issue, 788, 792. Advertising: Hospital laundry, 272, 273. Aid Stations: Closing, 649, 650. Combination with dressing station, 679. Defensive engagements, 726. Diagnosis tags applied, 649. Duties at, 642, 645, 647, 649, 650. Effects of patients, 649. Equipment of, how carried, 633, 866 notes, 867 notes, 868. Equipment table, 866, 867. Establishment of, 642, 645, 646. Evacuation of, 642, 650, 655. Loading table for mule, 868. Location, 646. Moving, 649, 650. Number to be opened, 645. Offensive engagements, 727. Opening, 645, 740. Personnel, 647. Rear-guard actions, 730, 739. Shelter,' 646. Supplies for, 866, 867. Transportation of wounded to and from, 642, 647, 650, 674, 679, 680. Treatment at, character of, 649. With mounted commands, 740. Aid, Voluntary: Medical Department in the field, 535 to 541, 819. Allowances, Personal: Acting dental surgeons, 20. Candidates for Medical Corps, 8. Civilian employees, 103, 105 to 107, 117. Clothing, Hospital Corps, 47. Contract surgeons, 53, 54. Dental surgeons, 20. Hospital matrons, 265 to 269. Hospital stewards, 33. Medical Corps, 2. Medical Reserve Corps, 8, 14. Militia medical officers at Army Medical School, 145. Nurse Corps, 56, 80 to 91, 96. 365 366 INDEX. Ambulance Box of Food: Contents of, 947. Ambulance Box of Surgical Dressings: Contents of, 954. Ambulance Companies, Peace Organization: Certificates of proficiency for men under instruction, 164, 165. Commanding officer, 159, 160. Discipline, 160. Duties of permanent personnel, 158. Instruction, courses of, 161 to 165. Law authorizing, 33. Organization, 158. Personnel, 158. Records of class work, 163 to 165. Use of, in instruction of Hospital Corps, 157. See also Hospital Corps. Ambulance Companies, War Organization: Commanding officer, 534, 669. Designations, 667. Dressing stations, see that title. Duties, general, 671 to 673. Duties, in camp, 672. Duties, in combat, 674 to 690. Duty, to furnish supplies during combat, 551, 633. Duty, to guard field hospitals, 550. ' Law authorizing, 33. List of sick and wounded, 562. Personnel, 670. Uea r-guard actions, 730, 739. Records, reports, and returns, 562, ,579, 684. Report after each engagement, 562. Senior medical officer's title, 534. Station, on march, t>:;7 to 641, 673, 720. Supply table, 874 to 877. Wagons, station of in combat, 685, 728. With Cavalry divisions, 741. See also Ambulance Company Equipment and Dressing Stations. Ambulance Company Directors: General provisions, 652 to 656. See also Directors of Ambulance Com- panies. Ambulance Company Equipment: Articles kept in store, 874. Articles not kept in store, 875. Articles supplied by camp quartermas- ter, 877. Cubic measurements, as stored, 874. Loading table for mules, 878. Rail transportation for, 876. Requisitions for, 874, 875. Supply table, 874, 875. Vehicles, how marked, 668. Weight, as stored, 874. Weight for pack animals, 878. Ambulances: Marking of, 668. Not to be diverted from Medical Depart- ment, 549. With regiments on the march, 637 to 640. See also Transportation. Ambulances, Motor: For camp hospitals, 886, Ambulances, Motor—Continued. For evacuation ambulance companies, 806 For evacuation and base hospitals, 891. American National Red Cross: See Red Cross. Analysis of Water: Provisions concerning, 356 to 360. Antitoxins: At depots on line of communications, 891 note. Purchase of, 843 note. Requisitions for, 843 note. Apparatus: Compressed air, 903. Improvement of, medical officers to sug- gest, 474. Restraint, 904. Appliances: Improvement of, medical officers to sug gest, 474. Issues and sales to civilians, 242, 243. Issues to discharged patients, 229. Transferred with patients, 228. Applicants for Enlistment: Examination, physical, 391. Identification record, 392. Register of patients, 438. Appointments: Acting dental surgeons, 20 to 25. Civilian employees, 103, 104, 106, 108 to 111, 113, 114, 118. Civilian employees, Army and Navy Gen- eral Hospital, 318. Contract surgeons, 51 to 54. Dental surgeons, 26 to 31. Medical Corps, 2 to 9. Medical Reserve Corps, 8, 14 to 16. Nuyse Corps, 56, 57, 62 to 67. Sergeants first class, Hospital Corps, 31 to 36. Sergeants, Hospital Corps, 34 to 36. Appropriations: •' Replacing Medical Supplies" 510. Arms: Guards, sanitary formations, 550. Sick on the march, 640. Wounded on the field, 649. Array and Navy General Hospital, Hot Springs, Ark.: Administration, 318. Admissions, 320 to 327. Charges for subsistence, 328 to 332. Commutation of rations, 328. Discipline of patients, 333. Diseases for which suitable, 319. Law establishing, 317. Organization, 318. Reports of condition of patients, 287. Subsistence, 328 to 332. Army Field Service and Correspondence School for Medical Officers: Provisions concerning, 147. Army Medical Board: Examinations by, candidates for Medi< cal Corps, 4, 6, 9. Law establishing, 2. INDEX. 367 Army Medical Museum: General provisions, 131, 134, 135. Loan of specimens, 135. Method of transmitting specimens, 135. Army Medical School: Adjutant, 138, 140. Administration, 139 to 141. Candidates for Medical Corps, to attend, 8, 143. Certificates of graduation, 143. Civilian employees, 136. Commandant, 137, 138, 139. Course of instruction, 143, 144, 145, 146. Duties, 136. Enlisted men, H. C, 136, 142, 146. Faculty, 138. Graduation, 143. Instructors, 136, 137. Medical officers of the Army, 142, 144. Medical officers of the Organized Militia, 142, 145. Personnel, 136. Professors, 136 to 138. Property officer, 141. Records, 140. Reports, annual, 139. Special professors, 136, 137. Army Transport Service: Duties of medical superintendents and surgeons, 381. Medical superintendents, reports of, 424. Seamen of, in Army hospitals, 250. Surgeons, ports of embarkation, as super- intendents, 610. Aspirating Case: Contents of, 910. Attending Surgeons: Assignment, 375. Correspondence record and document file system, 402, 404. Duties of, 375, 376. Automobiles: Impressed, for evacuation of wounded, 629, 823. Aviation Service: Physical examinations for, 389, 395. Badge: Nurse Corps, 93, 97. Bag, Obstetrical: Contents of, 905. Bands: Assignment to sanitary service, 643. Base Dental Outfit: Contents of, 855. Base Hospital Equipment: Ambulances, motor, 891 note. Blank forms, 891 note. Cubic measurement of medical supplies, 891. MeSical supply table, 891. Not strictly limited to supply table, 859, 889. Quartermaster supply table, 892. Weights, 891, 892. Base Hospitals: Blanks for, 891 note. Base Hospitals—Continued. Closing, 765. Convalescent camp branches, 766. Designation of, 758. Evacuation of, 762. Function of, 762. General provisions concerning, 757 to 765. Location of, 759. Not strictly limited to supply table, 859, 889. Number to be established, 153, 759. Personnel of, 760. Records of sick and wounded at, 575. Regulations for interior administration, 761. Supplies for, 891, 892. Surgeon, base group, to clear before bat- tle, 819. See also Base Hospital Equipment. Base Medical Supply Depot Equipment: Operating equipment, suggestive, 894. Supplies for issue, 872, 893. Base Medical Supply Depots: Blanks, requisitions for> 551. Commanding officer, duties, 782. Establishment of, 782. General provisions concerning, 782 to 786. Issues from, 552. Operating equipment, 894. Purchases for, 786. Records, reports, and returns, 563, 57S, 782. Replenishment of issues, 783. Requisitions for supplies, 551, 783 to 785. Supplies, maximum and minimum list of, 782, 787. Supplies to be kept at, 782, 891. See also Medical Supply Depots and Medical Supply Officers. Battle: See Combat. Bayard, Fort: See Fort Bayard General Hospital. Bed Capacity: Amount necessary in war, 152. Bedding: Care of, in squad rooms, 279. Care of, in storerooms, 523. Care of, in wards, 279. Disinfection of, in wards, 279. Laundering of, 266 to 278. Repair of, 266, 267. Use of, by Hospital Corps, 523. Bed Linen: Disinfection of, 279. Bed Pans, Box of: Contents, 906. Belt, Hospital Corps: Contents of, 907. Belt, Medical Officer's: Contents of, 864. Instrument case, contents of, 919. Medicine ease, contents of, 920. 368 INDEX. Bile Medium: For cultures, 191, 352. Births: Record of, on reports of sick and wound- ed, 459. Reports to Director of Census, 401. Reports to municipal and State health authorities, 401. Blankets: Airing and care of, 279, 523. Disinfection of, 279. Laundering of, 266 to 278, 523. Blank Forms: Adjutant General's Department, list of, 962. Base hospitals, 891 note. Division surgeon's emergency supply, 885. Evacuation hospitals, 891 note. Field desks, 940, 941. Inspector General's Department, list of, 965. Medical Department, list of, 961. Ordnance Department, list of, 964. Quartermaster Corps, list of, 963. Requisitions for, 960 to 965. Requisitions for, in the theater of oper- ations, 551. Blood: For diagnostic purposes, 191, 352. Boards of Health: To be notified of appearance of infec- tious disease, 203. Boards of Review: Law establishing, 2. Bonds: Contracts for laundry work, 276. Books: Dental, requisitions for, 494. Medical, box of, 908. Medical, disposition, on abandonment of posts, 511. Medical, removal from hospital, 513. Bougies: Preservation of, 525. Boxes: Bed pans, contents of, 906. Books, contents of, 908. Food, ambulance, contents of, 947. Food, contents of, 948. Pack mule, description of, 909. Surgical dressings, ambulance, contents of, 954. Surgical dressings, contents of, 955. Boxes, Packing: Field supplies, 863. Water for analysis, 359. Brassards: Red Cross personnel, 536. Sanitary service, 542 to 544. Brigades: Duties of senior medical officer, 663, 745. Buildings, Hospital: Provisions concerning, 245, 246. See also Hospital Buildings, Cadets and Cadet Candidates: Examinations, physical, 382, 383. Subsistence charges at the Army and Navy General Hospital, 330. Camp Hospital Equipment: Ambulances, motor, not included in ship- ping weight, 886 note. Ambulances, motor, not kept in store, 886 note. Articles furnished by camp quartermas- ter, 888. Cubic measurements, 886. Field hospital equipment as a nucleus, 604, 886. Not strictly limited to supply table, 60.4, 859. Recruiting outfit for, 887. Regimental hospital equipment as a nucleus, 604, 886. Supply table, 886. Weights, 886. Camp Hospitals: For concentration camps, 600. For mobilization camps, 596. General provisions, 602 to 605. Not strictly limited to supply table, 859. Records of sick and wounded, 427, 575, 583. Transfer of patients from, 583. Camp Infirmaries: Assignment of, 659. Command of, 656, 659, 663. Designation of, 661. Dispensary service for regimental organi- zations, 633. Duty to furnish supplies in combat, 551, 633. Evacuation of, 672. Forage for animals, 660, 870 note. Function of, 662. In combat, possible use of, 666. Number allowed, 657, 658. Personnel of, 659, 660. Property, accountability for, 659, 664. Rations for personnel, 660. Service of, 663, 665. Shelter and camp supplies for, 870 note. Station on the march, 723, 724. With mobilized divisions, 658. With regiments, 657. Camp Infirmary Equipment: Accountability for, 659, 664. Articles kept in store, 869. Articles not kept in store, 870. Camp infirmary reserve, 871. Cubic space occupied, 869. Distribution of, in time of peace, 504 to 506. For station for slightly wounded, 666. Supply table, 869, 870. Wagon, how marked, 661. Weight carried by wagon, 873. Weight of, as stored, 869. Camp Infirmary Reserve: Cubic space occupied, 871. Loading table, 873. INDEX. 369 Camp Infirmary Reserve—Continued. Supply table, 871. Weight of, 871. When furnished, 871. Camps: Casual, 773. (See also Casual Gamps.) Concentration, 598 to 601. (See also Concentration Camps.) Convalescent, 607, 608. (See also Cow- valescent Camps.) Hospitals for, 596, 600, 603. Medical service of, 593 to 597, 599 to 601. Mobilization, 592 to 597. (See also Mo- bilization Camps.) Camp Surgeons: Concentration camps, 599 to 601. Mobilization camps, 593 to 595, 597. To report deficiencies in equipment, etc., 832. Candidates for Commission: Examinations, physical, 384, 385. Medical Corps, 2 to 9, 142, 143. See also Dental Corps, Medical Corps, and Medical Reserve Corps. Canvas for Litters: Washing and replacing, 526. Cases, Contents of: Accessory, microscopical, 950. Aspirating, 910. Dental, post, 911. Ear, nose, and throat, 912. Emergency, 913. Eye, 914. Forceps, hemostatic, 915. General operating, 916. Genitourinary, 917. Gynecological, 918. Hemostatic forceps, 915. Instrument, medical officer's belt, 919. Medicine, medical officer's belt, 920. Microscopical, accessory, 950. Microscopical supplies, supplementary, 921. Operating, general, 916. Operating, small, 922. Pocket, 923. Post-mortem, 924. Small operating, 922. Tooth-extracting, 925. Trial lenses, 926. Casual Camps for Sanitary Troops: Establishment and functions of, 773. Line of communications unit, 756. Relation to Medical Department organi- zation in campaign, 586. Casualties in Action: Estimate of, 152. Catalogue Index: Library, Surgeon General's Office, 132. Catheters: Preservation of, 525. Cautery, Paqnelin's: Contents of, 957. Cavalry Division: Sanitary service of, 741, 742. Cavities In Teeth: Classification of, 471. Cerebrospinal Meningitis: Report of appearance of, 201. Certificates: Graduation from Army Medical School, 143. Identity, 542 to 544. Identity, for Red Cross personnel, 536. Proficiency, Army Medical School, 144 145, 146. Proficiency, Hospital Corps, 146, 164, 165, 178. Change of Diagnosis Cards: Provisions concerning, 209, 211, 212, 213. Chests, Contents of: Acetylene, 927. Commode, 928. Cooking utensils, 929. • Field laboratory No. 1, 930. Field laboratory No. 2, 931. Medical and surgical, 932. Medical and surgical, supplementary, 933. Mess, 934. Sterilizer, 935. Supplementary, 933. Tableware, 936. Tool No. 1, 937. Tool No. 2, 938. Chief Nurses: Assistants, 315. Duties of, 311. General provisions concerning, 58 to 61. Law authorizing, 56. Pay, 78, 79. Quarters, 80. Rations, 81. To prepare efficiency reports, 99. See also Nurse Corps. Chief Surgeon, Field Army: Duties, general, 828 to 830. Duty to act as surgeon, base group, when, 829. Equipment of office, 901. Report on campaign, at conclusion of, 561. Supplies to be kept on line of communi- cations, 782, 830. Title, 534. Voluntary aid, individual, may accept, 537. Civilian Employees: Allowances of, 103, 105 to 107, 117, 289. Appointment of, 103 to 106, 108 to 111, 113, 114, 118, 318. Army and Navy General Hospital, ap- pointment and discharge, 318. Assignment, 103, 113. Changes of station and status, 118, 119. Classified, 102, 113, 116, 117. Death of, 118, 130, 218, 219, 226, 459. Depot and office employees, 108 to 117. Discharge of, 105, 106, 110, 113, 115, 116, 118, 126, 318. Efficiency reports of, 120 to 128. 370 INDEX. Civilian Employees—Continued. Employment by surgeon, base group, 819. Expenses in changing station, 117. Expenses proceeding to place of employ- ment, 103. Hospital employees, 104 to 107, 290, 318. In general hospitals, 290. Injuries of, 130. Issues and sales to, of appliances, dress- ings, medicines, etc., 242 to 244. Laborers, unskilled, 103, 108 to 112. Labor regulations, 108, 109, 111. Leaves of absence, 129. Number allowed, 104, 110, 113. Pay, 103, 105, 106, 110, 113, 117. Post exchanges, medical and hospital care, 346. Prescriptions for, to be kept on separate file, 240. Promotion of*, 113 to 118, 125. Qualifications of, 103, 104, 109, 113, 114. Quarters of, 103, 107. Rations of, 105, 106. Reduction of, 105, 106, 110, 113, 116 to 118, 126. Sanitary squads, 775. Subsistence, 103, 105, 106. Subsistence charge at Fort Bayard, 341. Suspensions, 116. Transfers, 113, 117, 118, 119. Transportation and expenses, 103, 117. Vaccination of, 186. Civilian Hospitals: Kmployment of, to clear field hospitals on the march, 700. Civilian Physicians: Practicing on military reservations, 348, 349. Red Cross, 536. Volunteers for field service, 537 to 541. Civilians: Care of, at Fort Bayard, 341, 342. Issues and sales to, of appliances, dress- ings, medicines, etc., 242 to 244. On register of patients, 438. Physical examination of, preparatory to field service, 589. Reports of sick and wounded, data con- cerning, 459. See also Inhabitants of Occupied Terri- tory. Civil-Service Rules: Application to appointment of civilian employees, 108, 113, 114. Cleaning Mixtures: Issue of medical property for, prohib- ited, 518. Clerks: Civilian, 103, 108, 113, 117. See also Civilian Employees. Clinical Records: Brief used as admission card, 209. Disposition of, 211, 279. Files for, 844. General hospitals, 293. General provisions, 407 to 411. Clinical Records—Continued. List of blanks, 961. Patients transferred from ward to ward, 211, 408. Patients transferred to general hospital, 215. Clinical Thermometers: Requisitions for, 845 note. Clothing: Disinfection or destruction of, 222, 230, 279. Hospital Corps, allowances, 47, 865. Hospital Corps, white duck, to be worn when, 47. Hospital, repair of, 266, 269. Hospital, to be marked as hospital prop- erty, 228. Hospital, to be worn by patients, 228. Laundering of, belonging to enlisted at- tendants in hospital, 47, 266 to 278. Laundering of, belonging to Medical De- partment, 266 to 278. Laundering of, belonging to patients, 222, 266 to 278. Laundering of, uniforms of Nurse Corps, 96, 266 to 278. Repair of, Medical Department, 266. Coal: Requisitions for, 486. Color Sense: Examinations for, 397. Combat: Aid stations, 642, 645 to 650. Ambulance companies, function of, 671, 674 to 690. Bands, assistance of, 643. Base hospitals in, 759. Camp infirmaries in, 666. Care of wounded devolves on sanitary troops, 644. Diagnosis tags, use of, 567 to 574. Director of ambulance companies, duties, 655. Director of field hospitals, 692, 694. Divisional sanitary service in, 724 to 742. Division surgeon, duties concerning, 724 to 742, 744. Dressing stations, establishment of, 674 to 684, 690. Evacuation ambulance companies func- tion of, 807, 809 to 812. Evacuation hospitals, function of, 795, 798, 801. Field hospitals, function of, 699, 701 to 709. First-aid packets, use of, 644. Objects of Medical Department in, 530, 531, 628, 629, 754. Regimental medical service of, 642 to 650. Replenishment of supplies, 551, 633. Reports and returns after each engage- ment, 558, 562, 567 to 574, 579. Stations for slightly wounded, 711 to 715. Supplies for troops on the line, replenish- ment of, 551, 633. Index. 371 Combat—Continued; Surgeon, advance group, duties of, 822 to 825. Surgeon, base group, duties of, 819. Combat Equipment, Regimental: Table of, 866, 867. See also Regimental Combat Equipment. Commode Chest: Contents of, 928. Commutation of Rations: Army and Navy General Hospital, 328. Hospital matrons, 265. Nurse Corps, 81, 232, 248. Patients in hospital, 232, 248. See also Rations in Kind and Subsist- ence. Complications: Record of, on register of patients and re- ports of sick and wounded, 449, 462. Compressed-Air Apparatus: Contents of, 903. Concentration Camps: Camp hospitals for, 600. Definition of, 598. Equipment of troops at, 599. Instruction at, 599. Physical examinations at, 599. Sanitary service at, control of, 599. Sick call, supplies for, 601. Surgeons of, 599. Vaccinations at, 599. Contagious Disease Hospitals: In the field, 586, 756, 767, 768. Records of sick and wounded at, 575. Contagions Diseases: Boards of health to be notified of appear- ance, 203. See also Diseases, Infectious. Contract Dental Surgeons: General provisions, 21 to 25. See also Dental Corps. Contracts: Bonds for contracts for laundry work, 276. Laundry work, 274 to 276. Contract Surgeons: Allowances of, 53, 54. Annulment of contracts, 52, 53. Appointment, 14, 51 to 54. Compensation, 51 to 54. Contracts with, 52 to 54. Deaths of, reports, 219. Discharge of, 52, 53. Duties, 53, 54. Employment of, by surgeon, base group, 819. Enlistments not to be made by, 40. Examinations for employment as, 53. Expenses of applicants, 53. Law authorizing employment, 51. Number allowed, 51. Pay, 51, 52. Personal reports, 55. Qualifications for employment, 53. Quarters, 53, 54. Contributions, Voluntary: Surgeon, base group, may receive, etc.* 819. Convalescent Camps: Branches of general hospitals, 289, 766, Establishment of, 766. Line of communications unit, 756. Records.of sick and wounded of, 608. Relation to Medical Department organi- zation in campaign, 586. Cooking Utensils, Chest of: Contents, 929. Cooks, Acting: General provisions, 37, 38. See also Hospital Corps. Cooks, Hospital: Civilian, 103 to 106. Gratuities to, 255. Volunteer, for field service, 537 to 541. See also Acting Cooks. Corporals, Hospital Corps: General provisions, 39. See also Hospital Corps. Correction Cards: Reports of sick and wounded, 463, 464. Correspondence: Attending surgeons, 404. Books, 405, 962. Channels in the field, 557, 744, 828. Convalescent camps, 607. Correspondence book system, 403. Department surgeons, 369, 402. Directors of field hospitals and ambu- lance companies, 652, 692. Disposition of retained records in the field, 566. General hospitals, 402. General orders governing, 406. Hospitals, 403. Indelible pencil may be used in the field, 565. In the field in time of war, 556, 557, 560, 564 to 566. Line of communications, 557. Medical supply depots, 402. Mobilization camps, 595. Mobilized divisions, 557. Record card system, 402, 405. Records of, 402 to 406. Correspondence School: For medical officers, 147. Cosmetics: Issue of medical property for, prohibited, 518. Crate, Field Laboratory: Contents of, 939. Crutches: Transfer of, with patients, 228. Curtains, Window: Requisitions for, 845 note. Dead: Diagnosis tags applied to, 558, 567, 570. Disposition of, 279, 300. Effects of deceased patients in hospital, 225, 226. 372 INDEX. Deaths: Acting dental surgeons, reports of, 219. Civilian employees, reports of, 118, 130, 218. Contract surgeons, reports of, 219. Dental surgeons, reports of, 219. Enlisted men, reports of, 218. Hospital Corps, reports of, 45.- Medlcal officers, reports of, 219. Nurses, reports of, 100. Officers, reports of, 218, 219. Patients' effects, disposal of, 225, 226. Patients en route, 584. Record of, on list of sick and wounded, 576. Record of, on register of patients, 428, 450. Record of, on reports of sick and wounded, 401, 459. Reports to Boards of Health, 401. Reports to Director of Census, 401. Sergeants first class, Hospital Corps, re- ports of, 219. Dental Assistant: Provisions concerning, 42. Dental Case: Contents of, 911. Dental Cases: Record of, on register of patients, 430. Dental Corp*: Allowances, 20. Appointments, acting dental surgeons, 20 to 25. Appointments, dental surgeons, 20, 26 to 31. Authority of, 20. Contracts, acting dental surgeons, 25. Deaths, reports of, 218, 219. Discharge, acting dental surgeons, 25. Enlisted assistant, 42. Examinations for appointment, 22 to 24, 25 to 30. Expenses of candidates, 21. Grades In, 20. Law establishing, 20. Number allowed, 20. Part of Medical Department, 1, 20, 533. Pay, 20. Personal reports, 32J Promotion, 26. Rank of dental surgeons, 20. Retirement, 20. Status, acting dental surgeons, 20. See also Dentists. Dental Patients: Register of, 465 to 472. Dental Property: Returns of, 508. Dental Supplies: Accountability for, 501 to 503. Articles furnished by surgeons, 491, 852. Expendable articles estimated for six months, 651. General provisions, 849 to 853. Dental Supplies—Continued. Plate work, 853. Requisitions for, 491 to 495, 853. Supply table, 854 to 856. Dental Supply Table: Additional supplies, 856. ' Base outfit, 855. Portable outfit, 854. Dental Surgeons: General provisions, 20 to 32. See also Dental Corps. Dental Work: Reports of, 473. Dentists: Accountability for medical property, 501 to 503. Issues of post supplies to, 491, 852. Returns of medical property, 507, 508. See also Dental Corps. Department Hospitals: Provisions concerning, 282. See also General Hospitals and Hospital Service. Department Laboratories: Containers for specimens, 355. Material for identification, 353. Packages sent by mail, 355. Purpose of, 351. Secretions, excretions, and tissues, 352. Special media supplied, 354. Water, 356 to 360. Department Sanitary Inspectors: Duties of, 371. Inspections by, 372 to 374. Reports, 372 to 374. Department Surgeons: Correspondence, record, and document sys- tem, 369, 402. Duties of, 364 to 370. Hospital fund, duties respecting, 257, 260. Instruction, Hospital Corps, duties re- specting, 176. Laundry of hospitals, authority over, 269. Mobilization camps, to furnish program for instruction, 594. Nurses, transfer of, 77. Provision of camp hospitals, 603. Reports and papers, 368 to 370. Reports, annual, 370. Reports of sick and wounded, duties re- specting, 461. Reports of surgical operations consoli- dated, 420. Requisitions for supplies, action on, 481, 487, 489, 492. Sanitary inspector, assistant to, 371. Deposits: Proceeds of sales of medicines to civilians, 243. Proceeds of sales of other medical prop- erty, 509. Depots, Medical Supply: See Advance Medical Supply Depots. Base Medical Supply Depots, and Medical Supply Depots. INDEX. 373 Descriptive and Assignment Cards: Copies of, to be forwarded to the Sur- geon General in cases of men trans- ferred to the Hospital Corps, 41. Medical property in possession of men transferred, to be noted on, 49. Descriptive Lists: Camp infirmary personnel, 659. Copies of, to be forwarded to the Surgeon General, in cases of men transferred to the Hospital Corps, 41. Medical property in possession of men transferred, to be noted on, 49. Proficiency of Hospital Corps men trans- ferred, to be noted on, 46, 179. Deserters: Effects of patients who desert, 225. Physical examinations of, 393. Desertions: Hospital Corps, reports of, 45. Record of admission from, on register of patients, 445. Record of, on register of patients, 450. Desks, Field: Contents of No. 1, 940. Contents of No. 2, 941. Diagnosis: " Change of diagnosis " cards, 211, 212, 213. Change of, entry as to line of duty, 449. Change of, upon admission of patients by transfer, 446. Changes of, on register, to be reported to Surgeon General for correction of re- port cards, 462. Nomenclature to be used in recording, 555, 556. Record of, on register, alterations in, 436. Record of, on register of dental patients, 472. Record of, on register of patients, 446, 455, 456. Diagnosis Tags: General provisions concerning, 558, 567 to 574. Use of, at aid stations, 649. Use of, at dressing stations, 684. Use of, at stations for slightly wounded, 713. Use of, on the march, 639. Diet Cards: Use of, 235. Diet Kitchens: Provisions concerning, 239. See also Mess Management. Diet of Sick: See Mess Management. Diphtheria: Antidiphtheritic serum, procurement of, 843 note, 879, 891 note. Report of appearance of, 201. Director of the Census: Reports of births and deaths to, 401. Directors of Ambulance Companies: Command camp infirmaries, 656. Duties, general, 652, 653, 656. Directors of Ambulance Companies—Continued. Duties in combat, 655, 676. Duties on the march, 639, 654. Records and files, 652. Relation to organization of Medical de- partment in campaign, 586. Station on the march, 654. With cavalry divisions, 742. Directors of Field Hospitals: Duties, general, 692 to 694. Duties in combat, 692 to 694, 701. Records and files of, 692. Relation to organization of Medical De- partment in campaign, 586. Station on the march, 693. Directory of Medical Personnel: To be kept by department surgeons, 369. Disbursements: Hospital fund, division surgeons to au- dit, 365. Mess bills to be settled promptly, 234. Disbursing Officers: Duties of, 377 to 379. Proceeds of sales, how to account for, 509, 510. Discharged Soldiers: At Army and Navy General Hospital, 327, 329. At Fort Bayard, 335, 357. On register of patients, 438. Discharges: Acting dental surgeons, 22. Civilian employees, 105, 106, 110, 113, 115, 116, 118, 126. Civilian employees, Army and Navy Gen- eral Hospital, 318. Contract surgeons, 52, 53. Enlisted men, for refusal of surgical treatment, 220. Enlisted men, physical examinations for, 394. Hospital Corps, reports of, 45. Hospital matrons, 268. Medical Corps, 2. Medical Reserve Corps, 8, 14, 143. Nurse Corps, 56, 57, 60, 68 to 73, 86, 100. Record of, on register of patients, 427, 431, 450. Students at Army Medical School, 143, 145. Discipline of Patients: At Army and Navy General Hospital, 333, At Fort Bayard, 344. In hospital wards, 279. Diseases: Nomenclature, dental, 470. Nomenclature, general, 455. To be treated at Army and Navy Gen- eral Hospital, 319. Diseases, Epidemic: Duty of civilian practitioner on military reservation respecting, 348, 349. Reports of, 201 to 203. Diseases, Infectious: Civilian physician discovering, duty re- specting, 348, 349. 374 INDEX. Diseases, Infectious—Continued. Examinations of personnel for, before go- ing on field service, 589, 594. General provisions, 183 to 200. Malarial fever, 195 to 197. Paratyphoid fever, 184 to 191. Reports of, 201 to 203. Smallpox, 192 to 194. Syphilis, 200. Typhoid fever, 184 to 191. Venereal diseases, 198 to 200. Disinfection: Bed linen, 279. Beds, 279. Clothing, 230, 279. Rooms, 843 note. Dismissal: Record of, on register of patients, 431, 450. Dispensary Management: Provisions concerning, 240 to 244. Dispensing Set: Bottles and jars of, 942. Distribution of Field Supplies: Regimental, for field operations, 632, 633. Regimental, in time of peace, 504 to 506. Distribution of Sanitary Troops: Of division, 716 to 742. Of Medical Department in campaign, 572. Divisional Sanitary Service, Administration of: Ambulance companies on the march, 721. Battle order, 732 to 739. Camp infirmaries on the march, 723, 724. Cavalry division, 741, 742. Defensive engagements, 726, 736. Division surgeon's orders, 732, 735, 738. Information required by combatant troops, 733, 735. Information required by regimental sur- geons, 734, 735. Offensive engagements, 727 to 729, 737. Rear-guard actions, 730, 739. Rencontre engagements, 731. Sanitary train, control of, 717 to 720. Sanitary train in camp, 719. Sanitary train in combat, 725, 726. Sanitary train on the march, 718, 720 to 724. See also Division Surgeons and Division Sanitary Inspectors. Division Sanitary Inspectors: Assistant to division surgeon, 746. Duties of, 746 to 750. May be authorized to correct defects di- rect, 749. Reports of, 747, 748. Sanitary squads, 750. Divisions, Tactical: Administration of sanitary service, 716 to 742. Reserve supplies for, 890, 891. See also Divisional Sanitary Service, Di- vision Sanitary Inspectors, and Divi- sion Surgeons. Division Surgeons: Correspondence records and paper work, 557, 560, 744. Division Surgeons—Continued. Diagnosis tags, disposition of, 573. Duties, general, 743, 744. Duties in combat, 725 to 742. Duties on march, 720 to 724. Equipment of office, 884. Field hospitals, duties in respect to estab- lishment of, 701, 702. List of sick and wounded, 578. Paper work, method of conducting, 560, 744. Provision of camp hospitals, 603. Red Cross units, command of, 743. Reports on campaign, at conclusion of, 561. Reports to chief surgeon, field army, 744. Report to division commander after each engagement, 744. Requisitions from divisional units, action on, 552. Sanitary inspections, 744. Sanitary train, control of, 716 to 724, 743. Station on march, 744. Title, 534. Transfer of supplies between sanitary formations, 551. Voluntary aid, individual, may accept- 537. See also Divisional Sanitary Service. Division Surgeon's Office Equipment: Blank forms, emergency supply, 885. Cubic measurement, 884. Other supplies, 884 note. Supply table, 884. Weight, 884. Documents: Files of, 402, 403, 405, 406, 564. Obsolete, disposition of, 426. Retained, in theater of operations, 566. Dressing Packet, Individual: Contents of, 949. Dressings, Surgical: Ambulance box of, contents of, 954. Box of, contents of, 955. Civilians, issues and sales to, 242 to 244. First-aid packets, contents of, 1)44 to 946. Individual dressing packet, contents of, 949. Replenishment of, in combat, 551, 633. Shell-wound, 946. Dressing Stations: Bearers, 670. Closing, 690. Combination with aid station, 679. Defensive engagements, 726. Departments of, 681. Diagnosis tags, use of at, 682, 684. Effects of patients, 649. Equipment table, 874 to 878. Establishment of, 676, 677. Evacuation of, 680, 682, 685 to 690. General provisions, 675 to 684, 690. Location of, 676, 678, 679. Moving, 690. Offensive engagements, 727. Opening, 676, 677. INDEX. 375 Dressing Stations—Continued. Rear-guard actions, 730, 739. Records, number of patients, etc., to be noted, 684. Shelter from fire, 678. Transportation of wounded to and from, 689. Treatment at, character of, 683. Durable Property: Disposition of, 259. Purchase of, 259. Return of, 260, 262. Transfer of, 261. See also Hospital Fund. Duty, Line of: Record of, on daily sick report, 207. Record of, on register of patients, 448, 449. Duty, Return to: Record of, on register of patients, 450. Surgeon to decide when patients shall, 281. Ear, Nose, and Throat Case: Contents of, 912. Education and Training: General provisions concerning, 131 to 181. Effects of Dead and of Patients: Infected clothing, 230. In hospitals, 221 to 226, 279. In general hospitals, 293, 301, 303. Efficiency Reports: Civilian employees, 120 to 128. Hospital Corps, 46. Nurse Corps, 99. Electric Batteries: Dry cells, recharging of, 845 note. Electric Current: Requisitions for, 486. Emblem of Sanitary Service: Personnel, formations, and materiel, 542 to 546. Emergency Case: Contents of, 913. Employees: Civilian, 103 to 130. See also Civilian Employees. Enlisted Men: Deaths, reports of, 218, 219, 279, 300. Discharge, physical examinations for, 394. Identification records of, 392. Laundry of clothing of, 267. Surgical treatment, refusal of, 220. Valuables of patients, forbidden to re- ceive, 221, 279. See also Hospital Corps. Enlistments: While in hospital, effect of, on register of patients, 431. See also Hospital Corps. Epidemic Diseases: Civilian practitioners treating on mili- tary reservations, 348, 349. Reports of, 201 to 203. Equipment: "A," " B," and " C " defined, 860. Equipment—Continued. Field, suggestions for improvement of, 474. Horse equipments, 943. Hospital Corps, transfer of, 48, 49. Sick and wounded in the field, 640, 649. Wheel transportation for equipment "A" only, 860. Equipment Tables: Advance medical supply depot, 895. Ambulance company, 874 to 878. Base hospital, 891, 892. Base medical supply depot, 894. Camp hospitals, 886. Camp infirmary, 869, 870, 873. Camp infirmary reserve, 871, 873. Chief surgeon, field army, office, 901. Division surgeon, blank forms, 884, 885. Division surgeon's office, 884. Evacuation ambulance company, 897. Evacuation hospital, 891, 892. Field hospital, 879 to 883. Field laboratory, 896. Hospital Corps, horse, 943. Hospital Corps, individual, 865. Hospital ship, 898. Hospital train, 899, 900. Medical officers, individual, 864. Medical reserve unit, 891. Regimental combat equipment, 866 to 868. Regimental hospital, 872, 873. Surgeon, base group, office, 901. Estimates, Construction and Repair of Hospitals: General provisions, 245. Evacuation Ambulance Companies: Commanding officer, duties, 805. Defensive engagements, 726. Designation of, 804. Duties of, 808 to 812. Emergency supplies for, 552. Equipment, 806. Function of, 807. General provisions concerning, 804 to 812. Increased transport for, 809. Location of, 810. Motor ambulances for, 806. Number of, allowed, 804. Personnel, 806. Records, reports, and returns, 562, 581. Relations to Medical Department organi- zation in campaign, 586. Report after each engagement, 562. Rest stations established by, 781. Supplies for, 806. Evacuation Ambulance Company Equipment: Motor ambulances for, 806. Pack mules probably unnecessary, 806. Reserve dressings probably unnecessary, 806. Similar to that of an ambulance company, 806, 897. Evacuation Hospital Equipment: Ambulances, motor, 891 note. Blank forms for, 891 note. 376 INDEX. Evacuation Hospital Equipment—Continued. Cubic measurement of medical supplies, 891. Medical supplies, 891. Not strictly limited to supply table, 859, 889. Quartermaster supplies, 892. Weight, 891. 892. Evacuation Hospitals: Blanks for, 891 note. Buildings to be used when available, 796. Commanding officer, duties of, 799. Defensive engagements, 726. Designation of, 793. Emergency supplies for, 552. Evacuation of, 801. Function of, 795, 799. Line of communications units, 793. Location of, 796, 797. Moving, 797, 798. Not strictly limited to supply table, 859, 889. Number allowed, 793. Opening, 798. Personnel of, 794. Records, reports, and returns, 575, 803. Relation to organization of Medical De- partment in campaign, 586. Supply tables, 891, 892. Transportation for evacuation of, 802. Treatment of wounded at, character of, 800. See also Evacuation Hospital Equipment. Evacuation of Sick and Wounded: Additional transport for, 629, 687, 809, 823. Chief problem of Medical Department, 530, 627, 754. Line of communications, 754, 819, 825. Selection and classification of patients for, 628, 826, 839. See also under the several field units. Examinations: Acting dental surgeons, for appointment and promotion, 20, 21 to 24, 26 to 30. Chief nurses, 59. Contract surgeons, for appointment, 53. Dental Corps, for appointment, 26 to 30. Field appliances and chests, 516. Hospital Corps, sergeants first class and sergeants, 33, 35, 36. Infectious diseases, examinations of troops for discovery of, 589. Instruments, monthly, 519. Laboratory specimens, 352 to 355. Medical Corps, for appointment and pro- motion, 2, 10, 11. Medical property, annual, 512. Medical Reserve Corps, for appointment, 14 to 17. Nurse Corps, by superintendent, 57. Nurse Corps, chief nurses, 59. Nurse Corps, for appointment, 56, 63 to 65. Red Cross units, by medical officers, 536. Pathological specimens, 352 to 355. Examinations—Continued. Physical, 382 to 397. (See also Physical Examinations.) Water, 356 to 360. Examining Boards: For acting dental surgeons, 22 to 24. For contract surgeons, 53. For Dental Corps, 22 to 24, 26 to 30. For Hospital Corps, sergeants first class and sergeants, 33, 35, 36. For Medical Corps, 2 to 9. For Medical Reserve Corps, 15 to 17. Exchanges, Post: Dividends from, 348. Medical and hospital care of employees of, 346. Expenses of Sales: Medical property, 509. Expenses, Traveling: Acting dental surgeons, candidates for employment as, 21. Civilian employees, 104 to 117. Contract surgeons, 53. Medical Corps, candidates for appoint- ment in, 3, 8. Militia officers, while attending Army Medical School, 145. Nurse Corps, 56, 72, 73, 82 to 85. Red Cross personnel, 536. Eye Case: Contents of, 914. Families: Definition of, with respect to medical at- tendance, 345. Feces: For diagnostic purposes, 191, 352. Female Nurses: See Nurse Corps and Nurses. Field Army, Chief Surgeon: General provisions, 828 to 830. See also Chief Surgeon, Field Army. Field Chests: Contents of, 927 to 938. Field Desks: Contents of No. 1, 940. Contents of No. 2, 941. Field Equipment: See Equipment and Equipment Tables. Field Hospital Directors: General provisions, 691 to 694. See also Directors of Field Hospitals. Field Hospit.il Equipment: Articles kept in store, 879. Articles not kept in store, 880. Articles supplied by camp quartermas- ter, 882. As a nucleus for camp hospital equip- ment, 604, 886. Containers for, how marked, 879 note. Cubic measurements as stored, 879. Grain, 1 day's in jockey box, 883 note. Loading table for wagons, 883. Rail transportation required, 881. Requisitions for, 879, 880. Supply table, 879, 880. Tentage, directions for loading, 883 note. INDEX. 377 Field Hospital Equipment—Continued. Wagons, how marked, 696. Weight as carried on wagons, 883. Weight as stored, 879. Field Hospitals, Peace Organization: Certificates of proficiency for men under instruction, 164, 165. Commanding officer, 159, 160. Discipline, 160. Duties of permanent personnel, 158. Instruction, courses of, 161 to 165. Law authorizing, 33. Organization, 158. Personnel, 158. Records of class work, 163 to 165. See also Hospital Corps. Field Hospitals, War Organization: Blanks for, 879, 940. Civil hospitals, transfers to, 700. Closing, 708, 709. Collecting points for sick, 700. Commanding officer, 697. Defensive engagements, 726. Departments of, 703, 704. Designations of, 695. Diagnosis tags, use of, 572. Dressing stations, replacement of, 701. Duties, general, 699 to 709. Duties, in combat, 701 to 707. Duties, on the march, 700. Establishment of, 701, Evacuation of, 699, 700, 704, 706 to 708. Function of, 699. General provisions concerning, 695 to 709. Guards, 550. Immobilization of, to be prevented, 603, 700, 707. Law authorizing, 33. Location of, 701. Moving, 708, 709. Number to be established, 701. Offensive engagements, 729. Opening, 700 to 702, 709. Personnel, 698. Rear-guard actions, 730, 739. Records, reports, and returns, 562, 704. Report after each engagement, 562. Station, on march, 722. Supply tables, 879 to 882. Treatment at, character of, 705. With cavalry divisions, 741. See also Field Hospital Equipment. Field Laboratories: Establishment and function of, 778. Records of sick and wounded at, 575. Relation to Medical Department organiza- tion in campaign, 586. Supply table, 896. ■ Field Laboratory Chests: Contents of No. 1, 930. Contents of No. 2, 931. Contents of crate, 939. Field Medical Supplies: Base supply depots, on hand at, 782. Containers for, 863, Field Medical Supplies—Continued. Delivery of, in the zone of the advance, 555. Department sanitary inspector's duties regarding, 371. Department surgeon's duties regarding, 365. Distribution of, in time of peace, 504 to 506. Equipments "A", " B ", and " C " de- fined, 860. Hospital Corps man may accompany, 554. Inspections of, 516. Litters, replacement of canvas, 526. Maximum and minimum list of, 782, 788, 830. Not to be used at posts, 515. Packing of, 863. Replenishment, how often, 858. Replenishment in combat, 551. Requisitions for, in peace, 489, 490. Requisitions for, in war, 551 to 553. Returns of, 507. Tables of, 857 to 901. Transportation of, 549, 554. Wheeled transportation for "A" supplies only, 860. See also Equipment and Equipment Tables. Field Microscope with Accessory Case: Contents of, 950. Field Problems for Medical Officers: Casualties in action, 152. General provisions concerning, 148 to 153. Medical personnel required in war, 153. Field Supply Tables: General outline, 857 to 901. See also Equipment Tables. Fire: In hospitals, 279, 300. Firearms: Guards for sanitary formations, 550. Wounded on the field, 640, 649. '.irst Aid: .Instruction in, 131, 155, 162, 170, 594; 634. First-Aid Packets: Contents of, 944 to 946. Issues of, to line troops, 845 note. Personnel provided with, 632, 633. Wounded to apply, when, 644. Flags: Sanitary service, 545. Floors: Hospitals, oiling, painting, etc., 246. Food Boxes: Contents of ambulance box, 947. Contents of box, 948. Foot Powder: Issue of, to troops, 843 note. Forceps Case, Hemostatic: Contents of, 915. Formaldehyde: Gas, rule for generating, 843 note. 378 INDEX. Forms: See Blank Forms. Formulas: Unofficial compound medicinal prepara- tions, 902. Fort Bayard General Hospital: Admissions, 334 to 338, 396. Discipline of patients, 344. Examinations, physical, for admission, 396. General provisions, 334 to 344. Hospital charges, 339 to 343. Navy patients, 335, 341. Transfers to, 334, 336. Fractures: Record of, on register of patients, 456. Fuel: Requisitions for coal, gas, and oil, 486. Fund, Hospital: General provisions, 248 to 262. See also Hospital Fund. Furloughs: Hospital Corps, 45. Record of, on register of patients, 450. Gardener, Hospital: Gratuities to, 255. Gas, as Fuel: Requisitions for, 486. General Hospitals: Additional in time of war, 606. Adjutant, 290, 2!>2, 297, 301. Administration division personnel, 290. Admissions to, 288, 301, 307. Assistants to officer of the day, 298, 301 to 306. Augmentation of, in war, 587, 606. Capacity of those of standard size, 289. Chaplain, 290. Chief of medical service, 290, 307, 310. Chief of surgical service, 290, 307, 310. Commanding officer, 284, 290, 291. Commanding officer, detachment Hospital Corps, 290, 296. Commanding officer, detachment of pa- tients, 293. Consulting board, 316. Control of, 284. Convalescent camp, 290. Dental service, 290. Enlisted men under treatment three months, 287. Executive officer, 292. Expansion of, plans for, 289. Fire in, 300. Function of, 283. Guards for, 300, 305, 306. Hospital Corps detachment, 290, 296. Hospital fund, 295. Hospitals, ports of embarkation, as branches of, 609. Laboratory, 290. Matrons on duty at, 266. Mess, 290, 295, 300. Money and valuables of patients, 293, 301. General Hospitals—Continued. Nursing service, 290, 311 to 315. Officer of the day, 290, 297 to 302. Officer of the guard, 290. Officers under treatment three months. 287. Patients' effects, 293, 301, 303. Patients under treatment three months, 287. Personnel of, 290. Plans and specifications for, 289. Professional division personnel, 290. Public property at, 294, 304. Purposes of, 283. Quartermaster, 290, 294. Quartermaster Corps men, 290. Red Cross, use of, in time of war, 290. Registrar, 290, 293. Report on cases under treatment three months, 287. Reports and returns, 287, 292, 293. Return to duty of those under treat- ment, 285. Supplies for, how obtained, 286. Temporary, 289. Voluntary aid, acceptance of, 539 to 541. Wards, 279, 290, 308 to 310. Ward surgeons, 290, 307 to 310. Watchmen, 300, 305. See also Hospital Service. General Operating Case: Contents of, 916. Geneva Convention of 1906: Provisions of, 543, 547 to 549. Genito-Urinary Case: Contents of, 917. Gonorrhea: Provisions concerning, 198, 199. Government Hospital for the Insane: Examinations, physical, for transfer to, 396. Transfer cards of cases sent to, 216. Gratuities: To cooks and gardeners, 255. Guards: For general hospitals, 306. Sanitary service, in the field, 550. Gynecological Case: Contents of, 918. Health, Boards of: To be notified of appearance of infectious disease, 203. Hearing: Examinations of, 397. Hemostatic Forceps Case: Contents of, 915. Hernia: Record of, on register of patients, 455. History, Medical, of Posts: General provisions, 412. See also Medical History of Posts, Horse Equipments: Hospital Corps, 943. Hospital Boats: See Hospital Ships, INDEX. 379 Hospital Buildings: Construction and repair of, 245, 294, 365. Floors, 246. Quarters of sergeant first class, Hospital Corps, 245, 365. Repair of, 245, 365. Reports of progress of work on, 245. Hospital Charges: Army and Navy General Hospital, 329, 330. Fort Bayard, 339 to 343. Hospital Corps: Acting cooks, 37, 38. Acting hospital stewards, 33. Assignment to duty, 44. Bedding, use of by, 523. Certificates of proficiency, 146, 164, 178. Changes of station or status, reports of, 45, 46, 47. Clothing, allowances, 47. Clothing, sizes of, 47. Clothing, white, when to be worn, 47. Constitution of, 33. Cooks, acting, 37, 38. Corporals, 39. Deaths, reports of, 45, 2l\). Dentist's assistant, 42. Descriptive and assignment cards, 41, 49. Descriptive lists, 41, 47, 49, 179. Desertions, 45. Discharges, 45. Duties, general, 33, 43, 270, 298. Duties in general hospitals, 301 to 306. Efficiency reports, 46. Enlistments in, 40, 41, 45. Equipment, method of packing, 865 note. Equipment table, 865. Equipment transferred with, 48, 49. Field kits, 865 note. Furloughs, 45. Horse equipments, 943. Hospital stewards, 33. Instruction of, 131, 156, 167 to 181, 296. Instruction of dental assistant, 42. Lance corporals, 39. Laundering of white clothing, 47, 267. Law establishing, 33. Noncommissioned officers, duties, 43. Number allowed, 33. Personnel for general hospitals, 290. Return of, 50, 180. Sergeants first class and sergeants, 33, 34 to 36. Service kits, 865. Sickness, report of, 45. Surplus kits, 865 note. Transfers of, to other stations, 44 to 49. Transfers to, 33, 40, 41. See also Ambulance Companies and Field Hospitals. Hospital Corps Belt: Contents of, 907. Medical officers may make changes In con- tents, 907 note. Transfer of, 907 note. Hospital Councils: To audit hospital fund, 258. Hospital Employees: See Civilian Employees. Hospital Fund: Accountability for, 253, 260 to 262, 295. Audit of, 258, 365. Company fund, equivalent to, 251. Custodian of, 252, 253, 260, 261, 295. Department surgeon, action of, 255, 257, 259, 260, 365. Durable property bought with, 259 to 262. Expenditure of, 251, 254, 256, 365. General hospitals, 295. Gratuities, 255. Liquors, purchase restricted, 256. Mess accounts, 237. Proceedings of council, 258. Purchases with, 231, 256. Receipts to be taken, 254. Sources of, 248, 249, 331, 343. Statements of, 260 to 262, 365. Transfer of, 257 to 261. Hospital Garden: Products of, 231, 248. Hospital Gardener: Gratuities to, 255. Hospital Laundry: General provisions, 265 to 278. See also Laundry, Hospital. Hospital Matrons: Allowances of, 265 to 269. Discharge, 268. Duties, 266 to 269. Farming work forbidden, 268. Law authorizing, 265. Leave of absence, 268. Pay, 265 to 269. Rations, 265 to 269. Statement of work done by, 278. Hospital Rules: (References are to subsections of para- graph 279.) Absence without leave, a 14. Arising, hour of, a 7. Bedding, squad room, care of, a 9. Bedding, ward, care of, b 13. Beds, squad room, arrangement and care of, a 8, a 9, a 10. Beds, ward, care of, 5 13. Borrowing from patients, a 16. Clinical records, b 10. Clothing, disposition of, a 8. Deaths, ft 5. Diet orders, b 2. Duties of senior noncommissioned officer, a 1. Duties of those in charge of departments, a 5. Emergency squads, a 17. Equipments, disposition of, a 10. Fire, a 18, a 19. Formations, all to be present at, a 6, Gambling, b 14. General rules, *. Inspections, a 15, a 18, a 19. S80 INDEX. Hospital Rules—Continued. Kitchen and mess attendants, a 7. Lights, unauthorized, a 18, a 19. Liquors, precautions concerning, b 4, 6 14. Noncommissioned officer in charge of quarters, a 17, a 18, a 19. Patients, care of, a 1, b 8. Patients, discipline of, 6 1, 6 14, 6 15. Patients' effects, 6 2, b 9. Patients, giving information regarding, prohibited, b 11. Tatients to be made acquainted with ward rules, 6 6. Personal cleanliness, a 12. Poisons, precautions concerning, b 4. Police, a 15. Prescriptions and medicines, b 2, b 3. Profanity in wards, b 14. Public property, care of, a 2, a 3, a 4, b 2. Squad rooms, care of, a 11. Uniform, a 13. Visitors, 6 12. Wardmaster, duties of, b 1 to b 15. Ward records, 6 3, 6 10. Ward rules, ft. Wards, cleanliness of, 6 2. Watchmen, a 18, a 19. Hospitals: Army and Navy General, 317 to 333. Base, 757 to 765. Camp, 602 to 605. Contagious disease, 767, 768. Department, 282. Evacuation, 793 to 803. Field, 695 to 709. Fort Bayard General, 334 to 344. General, 283 to 316. Port of embarkation, 609. Post, 280, 281. Prisoners of war, 611. Regimental, 632. See also under the above several heads. Hospital Safe: Combination of, 247. Hospitals, Civilian: Transfer of patients to, in the field, 700. Hospital Service: Admission and distribution of patients, 209 to 211. Bedding, hospital, to be used only in hospitals, 523. Buildings, 245, 246. Change of diagnosis cards, 212, 213. Civilian employees, post exchanges, 346. Civilian patients, charges for medicine, 242. Civilians, issues to prevent suffering, 244. Correspondence record and document file system, 402 to 406. (See also Corre- spondence.) Deaths, 218, 219, 225. (See also Deaths.) Diet kitchens, 239. Dispensary management, 240 to 244. Durable property, 250 to 262. Effects of patients, 221 to 226. Gratuities, 255. Hospital Service—Continued. Hospital fund, 248 to 262. (See also Hospital Fund.) Hospital rules, 279. (See also Hospital Rules.) Hospital safe, 247. Ice for, 263, 264. Infected property, destruction of, 230. Laundry, 265 to 278. (See also Laundry.) Matrons, 265 to 269. Medicine, issued or sold to civilians, 242, 243. Mess management, 231 to 239. (See also Mess Management.) Patients, admission and distribution of, 209 to 211. Patients, appliances transferred with, 228. Patients, civilian, charges for medicine, 242. Patients, clinical records of, 209, 279. (See also Clinical Records.) Patients' clothing, disinfection of, 222. Patients' clothing, laundering of, 222, 267. Patients, clothing to be worn by, 228. Patients, duties to be performed by, 281. Patients' effects, 221 to 226. Patients, transfers and transfer cards of, 209 to 211, 214 to 217. Prescriptions, 240 to 244. Property brought in by patients, 227, 304. Property, infected, 230. Property, use and care of, 512 to 526. Regulations for interior administration, 279. Sales of medicine, disposition of proceeds, 243. Seamen, Army Transport Service, 250. Sick call, 206 to 208. Ward morning reports, 211. Ward rules, 279. (See also Hospital Rules.) See also General Hospitals and Post Hos- pitals. Hospital Ships: Command of, 623. Equipment and supplies for, 622, 898. Insignia of, 542. Line of communications, 769, 772. Not to be diverted from Medical Depart- ment, 549. Personnel, 621. Records, reports, and returns, 582, 584, 625. Red Cross, 623. Register of patients on, 584. Relation to organization of Medical De- partment in campaign, 586. Report after each trip, 562. Service of the interior, 619 to 625. Ships for patients, 619 to 625, 769 to 772. Use and operation of, 624. INDEX. 381 Hospitals, Ports of Embarkation: Control of, 609. Establishment of, 609. May be branches of general hospitals, 609. Hospital Trains: Command of, 616. Equipment and supplies for, 615, 899 Line of communications, 769 to 772. Litter fittings for box cars, 900. Not to be diverted from Medical Depart- ment, 549. Personnel, 614. Records, reports, and returns, 562, 582, 584, 617. Report after each trip, 562. Register of patients on, 584. Relation to Medical Department organi- zation in campaign, 586. Service of the interior, 613 to 617. Trains for patients, 613 to 617, 769 to 772. Hygiene: Instruction in, 131, 154, 594, 634. Hypodermic Syringe: Accessories, 956. Ice: For hospitals, 263, 264. Identification Records: Of recruits, 392. Identification Supplies: Ice, 264. Requisitions for, 486, 847 note. Supply table, 847. Identification Tags: Provisions concerning, 221, 227, 303. Identity, Certificates of: Provisions concerning, 542 to 544. Index Catalogue: Library, Surgeon General's Office, 132. Index Medicus: Library, Surgeon General's Office, 132. Index to Register of Patients: How made, 432. Individual Dressing Packet: Contents of, 949. Individual Voluntary Aid: General provisions, 537 to 541. Percentage of, that may be used in war, 153. Infantry Division: Administration of sanitary service of, 716 to 750. Infected Clothing and Property: Treatment of, 230. Infectious-Disease Hospitals: See Contagious Disease Hospitals. Infectious Diseases: General provisions, 183 to 200. See also Diseases, Infectious. Infirmary, Camp: General provisions, 657 to 666. See also Camp Infirmaries. Inhabitants of Occupied Territory: Relief of distress and suffering, 755. Sanitation among, 531, 754. Insane: Physical examinations of, 396. Transfer cards of, 216. Insignia: Brassards, 542 to 544. Flags of sanitary service, 545. Sanitary materiel, 546. Sanitary personnel, 542 to 544. Sanitary units, 545. Inspections: Ambulance companies, by directors, 653. Divisional units, administrative, 747. Divisional units, sanitary, 744, 746. Equipment, at mobilization camps, 594. Field appliances and chests at posts, 516. General hospitals, by officer of day, 300. Hospitals, daily, 279. Instruments, monthly, 519. Line of communications, administrative and sanitary, 827. Nurse Corps, by superintendent, 57. Posts, by sanitary inspectors, 371 to 374. Posts, by surgeons, 182, 414 to 417. Red Cross, by medical officers, 536. Regiments, by surgeons, 634. Service of the interior, by sanitary inspec- tors, 626. Troops, before going in field, 589. Troop trains, 590. Venereal, 198. See also Sanitary Inspections. Inspectors, Sanitary: See Sanitary Inspectors. Instruction: Army Field Service and Correspondence School, 147. Army Medical Museum, 134, 135. Army Medical School, 136 to 146. Field problems for medical officers, 148 to 153. First aid, 131, 155, 162, 170, 594, 634. Hospital Corps, 131, 156 to 181, 296. Hygiene, 127, 154, 594, 634. Library, Surgeon General's Office, 132, 133. Mobilization camps, 594. Professional training, military services, 131, 283. See also Army Field Service and Cor- respondence School, and Army Medical School. Instrument Case: Medical officer's belt, 919. Instruments: Cases of, receipts for, 498. Examinations of, monthly, 519. Meteorological, 527. Removal from hospital, 513. Repair of, 521. Rust, prevention of, 520. Intercurrent Diseases: Record of, on register of patients and reports of sick and wounded, 446, 449, 462. 93440°—17----24 382 INDEX. unvoices: Articles purchased, 378, 476. Articles transferred, 496 to 499, 503, 551. As requisitions, 783. Broken packages, 503. Nomenclature, 475. To conform to supply tables, 475. Unserviceable articles, 499. Kits, Service: Hospital Corps, 865. Laboratories, Department: General provisions, 351 to 360. See also Department Laboratories. Laboratories, Field: General provisions, 778, 779. See also Field Laboratories. Laboratories, Hospital: Supplies for, 846. Laborers: See Civilian Employees. Labor Regulations: See Civilian Employees. Lance Corporals: Appointment of, 39. See also Hospital Corps. Laundry, Hospital: Accounts for, 271, 272, 274, 277, 278. Advertising for proposals for, 272, 273. Bedding, 266, 523. Blankets, 523. Bonds for contracts for, 276. Canvas for litters, 526. Contracts, 274 to 276. Cost of, 269. Definition of what comprises, 267. Excess, not done by matron, 269, 270, 278. Matron to do not less than 500 pieces, 266. Nurses' quarters, linen from, 80. Nurses' uniforms, 96, 267. Patients' clothing, 222, 267. Leaves of Absence: Civilian employees, 129. Matrons, hospital, 268. Nurse Corps, 56, 76, 89 to 92. Record of, on register of patients, 428, 450. Sick leaves, officers, physical examina- tions for, 388. Lenses, Trial, Case of: Contents of, 926. Library, Surgeon General's Office: General provisions, 132, 133. Part of educational system, 131. Line of Communications: Administration of sanitary service of, 813 to 827. Advance section, 752, 815. Base section, 752. Description of, 529, 751 to 753. Divisions of, 753, 756. Inhabitants of occupied territory, 754, 755. Intermediate section, 752, 815. May act in the zone of the advance, 726, 752, 809. Line of Communications—Continued. Medical Department units on, 756. Medical service of, 751 to 827. Mission of the sanitary service of, 628, 754, 755, 826. Relation to other zones, 586. What constitutes, 751. Line of Duty: Record of, on daily sick report, 207. Record of, on register of patients, 44S, 449. Liquors: In storerooms, 514. Prescriptions for, to be kept on separate file, 240. Purchase of, with hospital fund, 256. List of Sick and Wounded: Cases to be entered on, 576, 577, 579. Casualties in action, method of entering, 579. Disposition of, 578. Evacuation ambulance companies, 581. Hospital trains and hospital ships, 5.82. Number of copies required, 578, 579. Stations for slightly wounded, 580. Use of, in making nominal list of pa- tients transferred, 583. Use of, in making returns of casualties, 579. Use of, to check list of soldiers reported as missing, 579. " With the command," meaning of, 577. Litters: Canvas for, repairing and washing of, 526. Fittings for freight cars, 900. Issue of, to line troops, 845 note, 866 note. Number issued to different arms of serv- ice, 866. Transportation of, on the march, 866 note. Wounded on, when to be removed from. 689. . Loading of Mules and Wagons: Camp infirmary, 873. Camp infirmary reserve, 873. Dressing station, 878. Field hospital, 883. Regimental combat equipment, 868. Regimental hospital, 873. Malarial Register: Provisions concerning, 195 to 197. Malingering: Record of, on register of patients, 456. Marine Corps: Patients at Army and Navy General Hos pital, 325, 327, 329. Patients at Fort Bayard, 335, 341. Marriages: Record of, on reports of sick and wound- ed, 459. Matrons, Hospital: General provisions, 265 to 269. See also Hospital Matrons. INDEX. 383 Measles: Report of appearance of, 201. Medical and Surgical Chest: Contents of, 932. Medical and Surgical Chest, Supplementary: Contents of, 933. Medical Attendance: Civilian employees of post exchanges, 346. Families of officers and enlisted men, 345. Inhabitants of occupied territory, 755. March, on the, 638. Nurse Corps, 56, 86 to 88. Private practice of medical officers, 347. Refusal of treatment, 220. Seamen, Transport Service, 250. Medical Books, Box of: Contents, 908. Medical Corps: Allowances, 2. Appointments in, 2 to 9. Army Medical School, qualified candidates to attend, 8. Candidates for, pay and allowances, 8. Constitution of, 2. Discharges from, 2. Examinations for appointment in, prelim- inary and final, 2 to 7, 9. Examinations for promotion in, 10, 11. Expenses of candidates for appointment, 3, 8. Law establishing, 2. Pay, 2. Promotions, 2, 10, 11. Qualifications for appointment in, 3. Rank, 2. Retirement, 2. Medical Department: Constituents of, 1, 532. Distribution in campaign, 585, 586. Duties, educational, 131. Duties in the field, 148, 531, 627 to 629. Duties of, general, 1, 148. Organization, field, 585, 586. Organization, general, 1. Personnel, 153, 532, 533. (See also Sani- tary Personnel.) Purpose of, in war, 530. Medical History of Post: Binder for, 844. General provisions, 412. Punch for perforating leaves of, 844. Sanitary report filed in, 414. Sick and wounded, report sheet, filed in, 460. Medical Inspections: See Inspections. Medical Inspectors: See Sanitary Inspectors. Medical Officers: Accountability of, for medical property, 501 to 503, 507, 508. Administrative capacity, 361, 362. Advisory capacity, 361, 363. Army Medical School, in attendance at, 143 to 145. Medical Officers—Continued. Changes of station or status, reports of, 12, 13. Deaths of, reports of, 218, 219. Disbursing officers. (See Disbursing Of- ficers.) Duties of, general, 361 to 363. Equipment table, 864. Field problems for, 148 to 153. Field service and correspondence school for, 147. Personal reports of, 12, 13, 18, 19. Private practice of, 347. Reports and returns by, 398.- Responsibility of, for unsanitary condi- tions, 362. Sanitary duties, 182. Titles of, 534. Training of, 148, 157, 283. Transport service, 381. Volunteer, 14. See also Dental Corps, Medical Corps, and Medical Reserve Corps. Medical Officer's Belt: Contents of, 864. Instrument case, contents of, 919. Medicine case, contents of, 920. Medical Officers, Organized Militia: At Army Medical School, 142, 145. Medical Property: Abandonment of posts, disposition of, 511. Accountability for, 380, 497, 501 to 508, 633. Appliances issued to or transferred with patients, 228, 229. Army Medical School, 141. Bedding, use of by Hospital Corps, 523. Blankets, airing, inspection, and laundry of, 523. Books loaned to medical officers, 134, 513. Bougies, preservation of, 525. Canvas for litters, washing and replac- ing, 526. Care of, 512 to 526. Catheters, preservation of, 525. Cleaning mixtures, 518. Cosmetics, 518. Examinations of, annual, 512. Exchange with druggists, 517. Field appliances and chests, inspections of, at posts, 516. Field equipment will not be used at .posts, 515. Furniture, repair of, 522. Instruments, monthly examinations of, 519. Instruments, prevention of rust, 520. Instruments, repair of, 521. Perfumery, 518. Removal from posts, 513. Returns of, 507, 508. (See also Returns of Medical Property.) Sales, 509, 510. Typewriters, packing of, 524. Unserviceable, 499, 510, 511. See also Field Medical Supplies and Medi- cal Supplies. 384 INDEX. Medical Reserve Corps: Addresses, changes of, Inactive, 19. Allowances, 8, 14. Appointments in, 8, 14 to 16. Assignment to active duty, 9, 14, 17. Authority of officers of, 14. Discharge, 14, 143. Forfeiture of commission, 14. Law establishing, 14. Pay, 8, 14. Pension, 14. Personal reports of, 18, 19. Physical examination upon assignment to, and relief from, active duty, 17. Qualifications for appointment in, 14 to 16. Rank of officers of, 14. Relief from active duty, 14. Retirement, 14. Use of personnel of, in war, 587. Medical Reserve Unit: Composition of, 891. Definition of, 890. Number at advance depot, 788. Number at base depot, 782. To be kept in store in time of peace, 890. Medical Superintendents, Army Transport Service: Surgeon, port of embarkation, to act as, 610. To report Medical Department personnel on transports, 424. Medical SuppUes: Accountability, 380, 497, 501 to 508, 633. All necessary articles for military service included in supply tables, 474. Allowances of, see Supply Tables. Apparatus and appliances, improvement of, 474. Care and use of, 512 to 526. Care necessary In receipting for cases, chests, etc., 498. Defects in quality, quantity, and packing to be reported, 500. Dental surgeons, issues of post supplies to, 491. Distribution in the zone of the advance, 555. Distribution of field supplies in time of peace, 504 to 506. For general hospitals, 286. General provisions concerning, 474 to 527, 551 to 555. Improvement of, 474. In combat, replenishment of, 551, 858. Maximum and minimum list of, 782, 788, 830. New remedies, 474. Nomenclature, 475. Packing, methods and defects, 500, 863. Purchases of, 476. (See also Purchases.) Requisitions for, 477 to 495, 551 to 553. (See also Requisitions.) Transfer of, 496 to 500. Transportation of, 549, 554. See also Field Medical Supplies, Medical Property, and Supply Tables, Medical Supply Depots: Additional, to be established in time of war, 612. Advance medical supply depot, 787 to 792. Augmentation of, in war, 587. Base medical supply depot, 782 to 786. Correspondence record and document file system, 380, 402, 405, 406, 564. Purchases at, 476, 488, 786. Records, reports, and returns, 563. See also Advance Medical Supply Depots and Base Medical Supply Depots. Medical Supply Officers: Action on approved requisitions, 488, 552. Duties of, 380, 476, 488, 782 to 792. See also Medical Supply Depots. Medical Supply Tables: See Equipment Tables and Supply Tables. Medicinal Preparations, Nonofficial: Formulae of, 902. Medicine Case, Medical Officer's: Contents of, 920. Medicines: Alcohol and alcoholic liquors, 240, 241, 514. Exchange of, with druggists, 517. Formula? of nonofficial compounds, 902. Habit-forming drugs, 240, 241, 514. Issues and sales to civilians, 242 to 244. Liquors, 240, 241, 514. Method of accounting for, 240, 514. Poisons, 240, 241, 514. Prescriptions for, 240. Mess: Kitchen and mess attendants, 279. Provisions concerning, 234, 236, 237. Mess Chest: Contents of, 934. Messengers: Employment of, 103, 108, 113. Mess Management: General hospitals, 295. Provisions concerning, 231 to 239, 255. See also Hospital Fund. Meteorological Observations: Apparatus for and reports of, 527. Metric System: To be used in prescriptions, 240. Microscope, Field, with Accessory Case: Contents of, 950. Microscope, Post: Contents of, 951. Microscopical Supplies, Supplementary: Contents of case, 921. Militia Officers: At Army Medical School, allowances, ex- penses, graduation, etc., 145. MiUtia Patients: Record of, on register of patients and report of sick and wounded, 438 Mineral Oil: Requisitions for, 486. INDEX. 385 Mobilization: Department sanitary inspector's duty re- garding plans for, 371. Department surgeon's duties regarding, 366, 370. Medical Department at camps of, 594. Of the Organized Militia, 592 to 594, 832, 833. Of the Regular Army, 831, 833. Mobilization Camps: Camp hospitals for, 596. Definition of, 592. Duties of department surgeons concern- ing, 366. Equipment for, 596. Equipment of individuals and organiza- tions at, 594. Instruction at, 594. Letters and reports, 595. Physical examinations at, 594. Sanitary service at, control of, 593. Sick call, supplies for, 597. Surgeons of, 593, 597. Vaccinations at, 594. Money of Dead and of Patients: See Effects"of Dead and of Patients. Morning Reports of Sick: Provisions concerning, 208. Morning Reports of Wards: Provisions concerning, 209 to 211. Mules, Pack: Directions for loading, 868, 878, 953. Museum, Army Medical: General provisions, 134, 135. See also Army Medical Museum. National Red Cross: See Red Cross. Navy: Patients at Army and Navy General Hos- pital, 325, 327, 329. Patients at Fort Bayard, 335, 341. Nomenclature of Diseases: For register of dental patients, 470. For register of patients, 455. Nomenclature of Supply Tables: To be followed on supply papers, 475, 484. Nominal Check Lists: With reports of sick and wounded, 457, 460. Nominal Lists: Of patients transferred, 583, 584. Nose, Ear, and Throat Case: Contents of, 912. Nurse Corps: Allowances, 56, 80 to 90. Appointments, 56, 57, 62 to 67. Assignments, 57, 74 to 77. Badge, 97. Changes of station or status, reports of, 76, 100. Chief nurses, 56 to 61, 78 to 80, 311. Chief nurses' assistants, 315. Commutation of quarters, 56. Commutation of rations, 81, 328. Constitution of, 56. Nurse Corps—Continued. Deaths, reports of, 100. Dietists, 239, 290. Discharges from, 56, 57, 60, 68 to 73, 87, 100. Discipline, 57. Duties, 311 to 314. Efficiency reports, 99. Examinations, candidates for appoint- ment and promotion, *56, 57, 59, 63, 64, 396. Head nurse, 313. Inspections by superintendent, 57. Laundering of uniforms, 96, 267. Law establishing, 56. Leaves of absence, 56, 76, 89 to 92. Letter of appointment, indorsements on. 76, 79, 88. Medical attendance to members of, 56, 86. Mess, 81. Misconduct, 60, 68, 69, 71, 73. Pay and payments, 56, 61, 78, 79. Personnel for general hospitals, 289. Physical examination on first joining, 74. Promotions to chief nurse, 57 io 59, 61. Qualifications for appointment, 56, 62 to 64, 67. Quarters, 56, 80, 311. Record of assignment and pay, 76. Reports and returns, 60, 75, 76, 98 to 100. Reserve nurses, 56, 102. Resignations, 68, 70, 71. Sickness of nurses, to be reported to surgeons, 311. Stations and tours of duty, 74 to 77. Subsistence, 56, 81, 328. Superintendent, 56, 57. Supervising night nurse, 312. Surplus nurses, 75. Transfers of nurses, 57, 76, 77, 99, 100. Transportation and traveling expenses, 56, 72, 73, 82 to 85. Uniforms, 93 to 97, 267. Vaccination of, 88. Nurses: Female (not in Nurse Corps), 103 to 107. Hospital Corps privates to do duty as, 33. Male, 103 to 107. Red Cross, 536. Reserve, 102. Volunteers for field service, 537 to 541. See also Nurse Corps. Obstetrical Bag: Contents of, 905. 'Officers: At Army and Navy General Hospital, see Army and Navy General Hospital. At Fort Bayard, see Fort Bayard. Deaths of, reports of, 218, 219. Line or staff, detailed with Medical De- partment, 532. Medical, see Medical Officers. Militia, see Militia Officers. 386 INDEX. Officers—Continued. Physical examinations of, 384, 385, 886 to 390, 396. (See also Physical Ex- aminations.) Sick in quarters, 350. Oil, Mineral: Requisitions for, 486. Operating Case, General: Contents of, 916. Operating Case, Pocket: Contents of, 923. Operating Case, Small: Contents of, 922. Operations, Dental: Abbreviations for, 471. Operations, Surgical: Record of, on register of patients, 449. Reports of, 418 to 420. Opium: Precautions regarding, 240, 241, 514. Ordnance Department Property: Brought in by patients, 227, 640, 649. Reports and returns, 227, 398. Ordnance Department Supplies: Horse equipments for Hospital Corps, 943. See also Equipment Tables. Organization of Medical Department: In time of war, 586. See also Medical Department. Organized Militia: At mobilization camps, 592 to 597. Mobilization of, 592, 832. Physical examinations of, 396. Pack-Anlmal Equipment: Boxes for, 909. Saddle and accessories, 953. Packers, CiviUan: Employment of, 103, 108, 113. Packers' Lists: Use of, 496. Packsaddle: Boxes for use with, 909. Directions for use of, 953. Saddle and accessories, 953. Paquelln's Thermocautery: Contents of, 957. Paratyphoid Fever: Diagnosis of, 190. Reports of, 201 to 203. Study of, 190. Pathological Specimens: See Specimens. Patients: Arms and equipment, disposition of, on the field, 649. Arms and equipment, disposition of, on the march, 640. Disposition of, on the march, 638, 639, 641. Effects of, 221 to 226. (See also Ef- fects of Patients.) Horses, disposition of, 640. See also Hospital Rules, Hospital Serv- ice, and Medical Attendance. Patients, Dental Register of: Rules for keeping, 465 to 472. Patients, Register of: General provisions, 427 to 456. See also Register of Patients. Pay: Candidates for Medical Corps, 8. Civilian employees, 103, 105, 106, 110, 113, 117. Contract surgeons, 51, 52. Dental Corps, 20. Hospital matrons, 265 to 269. Medical Corps, 2. Medical Reserve Corps, 14. Nurse Corps, 56, 61, 78, 79. Perfumery: Issue of medical property for, 518. Personal Reports: Acting dental surgeons, 32. Contract surgeons, 55. Dental surgeons, 32. Medical Corps, 12, 13. Medical Reserve Corps, 18, 19. Personnel, Sanitary: In time of war, 153, 532. See also Sanitary Personnel. Photographic Supplies: Ice, 264. Requisitions for, 486. Supply table, 847. Physical Examinations: Acting dental surgeons, for contract, 24. Applicants for enlistment, 391. Army and Navy General Hospital, for admission, 396. Army, commissions in, 384. At concentration camps, 599. At mobilization camps, 594. Aviation service, 389, 395. Cadets at Military Academy, 383. Civilians, preparatory to field service, 589, 594. Color sense, vision, and hearing, 397. Contract surgeons, for appointment, 53. Dental Corps, candidates for commis- sion, 28. Deserters, 393. Enlisted men, Aviation service, 395. Enlisted men, for discharge, 394. Enlisted men, identification record, 392. Fort Bayard, for admission, 396. Hearing, color sense, and vision, 397. Hospital Corps, for sergeants first class and sergeants, 35. Insane, for admission to Government Hospital, 396. Medical Corps, candidates for commis- sion, 5, 9. Medical Corps, for promotion, 11. Medical Reserve Corps, candidates for commission, "16. Medical Reserve Corps, on first assign- ment and upon discharge, 17. Military Academy, cadets, 383. MHitary Academy, candidates, 382. Nurse Corps, for appointment, 63. Nurse Corps, on first assignment, 74. Officers, annual, 390. Officers, aviation service, 389. INDEX. 387 Physical Examinations—Continued. Officers, promotion, 386. Officers, retirement, 387. Officers, sick leave, 388. Organized Militia, 396, 594. Troops, preparatory to field service, 589. Vision, color sense, and hearing, 397. Volunteers, commissions in, 385. Plaster, Adhesive: Issue of, to line troops, 845 note. Pocket Case: Contents of, 923. Poisoning: Record of, on register of patients, 456. Poisons: Precautions concerning, 240, 241, 279, 514. Portable Dental Outfit: Contents of, 854. Post Exchanges: Dividends, 248, 249. Medical and hospital care of civilian em- ployees of, 346. Post Gardens: Dividends, 248. Gratuities to gardener, 255. Post Hospitals: Augmentation of, in war, 587. Patients may be given light employ- ment, 281. Reports and returns, 281, 398. Surgeon's duties, 281. Surgeon's relation to post commander, 281. See also Hospital Service. Post Medical Supplies: Based on population, 842. Identification supplies, 847. Laboratory supplies, 846. Medicines and antiseptics, 843. Miscellaneous supplies, 845. Requisitions for, 477 to 488. Stationery, 844. X-ray supplies, 848. See also Medical Supplies, Requisitions, and Returns of Medical Property. Post-Mortem Case: Contents of, 924. Posts, Abandonment of: Disposition of medical property, 511. Records and reports, 425. Posts, Medical Histories of: General provisions, 412. See also Medical History of Post. Posts, Supplies for: Table, 842 to 848. See also Post Medical Supplies. Prescriptions: Books for filing, 844. Provisions concerning, 240 to 242. Prisoners of War: Captured sanitary personnel, 547. Hospitals for, 586, 611. Private Practice: Of civilian practitioners on military res- ervations, 348 Of medical officers, 347. Private Property: Of patients in hospitals, and en route to hospitals, 221 to 226, 279, 293, 301, 303. Privates, and Privates First Class, Hospital Corps: See Hospital Corps. Promotion: Civilian employees, 113 to 118, 125. Dental Corps, 20, 26. Medical Corps, 2, 10, 11. Nurse Corps, 57 to 59, 61. Physical examinations of officers for, 386. Property Cards: How used, 221, 227, 303. Property, Dental: Returns of, 508. Property, Durable: General provisions, 259 to 261. Sales of, 248. See also Hospital Fund. Property, Medical: See Medical Property. Property, Private: See Private Property. Property, Public: See Public Property. Property Returns: See Returns and Returns of Medical Property. Prophylaxis Unit, Venereal: Contents of, 958. Publication: Articles for, 423. Public Health Service: Admission of officers of, to Army and Navy General Hospital, 326. Public Property: Arms and equipments of patients sepa- rated from their commands, 640, 649. Care of in hospitals, 279, 512 to 526. Destroyed to prevent contagion, 230. Disinfection of, 230. Transferred with Hospital Corps men, 48, 49. With patients admitted to hospitals, 227, 279, 304. See also Medical Property and Returns of Property. Purchases: Antitoxins, 843 note. Army and Navy General Hospital, sub- sistence stores, 332. Army Medical School, 141. Authority for, 476, 786. Base medical supply depots, 786. Depots, 476, 488, 786. Durable property, 259. Hospital fund, 231, 256, 259. Ice, 264. Invoices of articles purchased, 377, 476. Local and post, 476. Serums, 843 note. Surgeon, base group, to authorize when, 786, 819. Unauthorized, 476- 388 INDEX. Pus: Laboratory examination of, 352. Quartermaster Corps: Allowance of men for general hospitals, 289. Duties of the several grades, 289. Quartermaster Corps Reports and Returns: From Medical Department units in the field, 558. Quartermaster Property: Brought in by patients, 227, 304, 640, 649. Quartermasters: Of general hospitals, 290, 294. Quarters: Civilian employees, 103, 107. Nurse Corps, 56, 80, 311. Sergeants first class, Hospital Corps, 245. Railway Cars: Capacity of different classes of, 876 note. Rations in Kind: Civilian employees, 105, 106. Hospital matrons, 265, 266. Hospitals, when to be issued, 232. Nurse Corps, 81. See also Commutation of Rations and Subsistence. Receipts: For hospital-fund payments, 254, 261. For medical supplies transferred, 475, 496 to 500, 503, 551. For meteorological instruments, 527. Records, Reports, and Returns from the Several Medical Offices and Organizations: Ambulance companies, 163, 165, 562, 680, 684. Army Medical School, 139. Attending surgeons, 375. Base medical supply depots, 563, 782. Chief surgeons, field army, 830. Convalescent camps, 608. Department laboratories, 360. Department sanitary inspectors, 373, 374. Department surgeons, 365, 369, 370. Detachment commanders, 40, 41, 45 to 47, 49, 50, 178. Directors of ambulance companies and field hospitals, 652, 654. Disbursing officers, 379. Division sanitary inspectors, 747, 748. Division surgeons, 561, 573, 744. Evacuation ambulance companies, 562, 583. Evacuation hospitals, 562, 803. Field hospitals, 163, 165, 562, 704, 709. General hospitals, 287, 292, 293, 294, 296, 299, 302. Hospital ships, 562, 583, 584, 625. Hospital trains, 562, 583, 584, 617. . Medical superintendents, Army Transport Seryice, 424. Medical supply depots, 380, 563. Medical supply officers, 380, 782. Post hospitals, 281. Ships for patients, 562, 583, 584, 625. Stations for slightly wounded, 580, 713. Records, Reports, and Returns, etc.—Contd. Surgeons, base group, 561, 788, 819. Surgeons of posts, 281. Trains for patients, 562, 583, 584, 617. See also Correspondence. Records, Reports, and Returns, General Pro- visions : Abandonment of posts, 426. Authentication of, 400. Births, 401. Channels through which forwarded, in the field, 557. Deaths, 401. Disposition of old records, 426, 566. Disposition, on abandonment of posts, 425. Field commands, 556 to 584. General article on, 398 to 473. Indelible pencil, use of, in preparation of, 565. List of, those required in war, 558. List of, usually required from posts, 398, 399. Marriages, 459. Special reports and articles for publica- tion, 421 to 423. Recruiting Outfit, Emergency: Contents of, 952. Recruits: Identification record, 392. Red Cross: Application for services, by Secretary of War, 563b. Brassards and certificates of identity for, 536c, 542 to 544. Character of employment, 53624. Medical Department transportation to be used for, 549, 554. Railway cars required for an ambulance company, 876. Railway cars required for a field hospi- tal, 881. Specimens for Army Medical Museum, 135. Wheeled transportation provided for equipment "A" only, 860. Transportation of the Sick and Wounded: Additional transport required, 629, 687, 809, 823. Chief task of field medical administra- tion, 530, 627. From the aid stations, 679, 680. From the base hospitals, 762, 763. From the battle field to the aid stations, 645, 647. From the dressing stations, 671, 682, 685, 686, 690. From the evacuation hospitals, 801, 802, 819, 825. From the field hospitals, 699, 700, 704, 706 to 708, 744, 807, 808, 811, 8*2, 822. From the station for slightly wounded, 714. On lines of communication, 754, 819, 822, 823. On the march, 638, 639. Service of the interior, 588. See also Ambulances and Transportation, Medical Department, INDEX. 395 Transport Service: Duties of medical superintendents and surgeons, 381. Medical superintendents to report Medi- cal Department personnel on, 424. Seamen of, in hospital, 250. Surgeons, ports of embarkation, as medi- cal superintendents of, 610. Traveling Expenses: See Expenses, Traveling. Trial Lenses, Case of: Contents of, 926. Troop Trains: Sanitary inspection of, 590. Tuberculin: Use of, 334. Tuberculosis: Treatment of, at Fort Bayard, 334. Typewriters: Packing of, 524. Ribbons, requisitions for, 845 note. Typhoid Fever: Bile medium for cultures, 191, 352. Blood for diagnosis, 184. Care of, 184, 185. Diagnosis from paratyphoid, 190. Release of cases, 185. Reports of cases, 189, 201 to 203. Vaccinations for, 88, 186 to 188. See also Vaccination. Trine: For diagnostic purposes, 191, 352. Vaccination, Antismallpox. At concentration camps, 599. At mobilization camps, 594. ^ Civilians, 192. Enlisted men, 192. Method of performing, 194. Nurses, 88. ^ Officers, 192. Records of, 193, 594. Vaccination, Antityphoid: At concentration camps, 599. '\ At mobilization camps, 594. ' Civilian employees, 186. ■ Enlisted men, 186. Method of administration, 186. Nurses, 88.; Officers, 186. Records of, 187, 188, 594.: See also Typhoid Fever, Vaccines: Requisitions for, 843 note. Valuables of Patients: Provisions concerning, 221 to 226, 279, 293, 301, 303. Venereal Diseases: Care of, 198. Daily sick report, marking of, 207. Inspections to detect, 198. List of cases to be kept, 198. Orders concerning, 198. Records of, 198, 199, 200. Syphilitic register, 200. I Venereal Prophylaxis Unit: Contents of, 958. Vision: Examinations of, 397. Record of errors of, on register of pa- tients, 456. Vision Test Set: Contents of, 959. Voluntary Aid: Individual, 153, 537, 541. Organized, 153, 535, 536. Volunteer Medical Officers: Appointment of, 14. Volunteers: Physical examinations for commissions in, 385. Use of, in war, 587. Von Pirquet Reaction: Use of, 334. Vouchers: For hospital laundry, 271, 272, 274, 277, 278. For purchases, 378, 476. Seamen, Transport Service, subsistence of, 250. Wardmasters: Duties, general, 279. Duty, to list effects of patients, 221. See also Hospital Rules. Ward Morning Reports: Provisions concerning, 210, 211. Wards: In general hospitals, 308 to 310. See also Hospital Rules. Watchmen: Duties of, 279, 305, 306. Employment of, 103, 108, 113. In general hospitals, 305, 306. Water, Examination of: Bacteriological, 358. Chemical, 359. Collection of, 356 to 359. Reports concerning, 356, 360. Water Supply: Inspection of, on trains for troops, 590. Supervision of, by sanitary detachments, 634. Weights and Measures: Metric system to be used on prescrip- tions, 240. Supply tables to be followed, 475. Window Shades and Fixtures: Requisitions for, 845 note. Wounded: See Sick and Wounded. Wounds: Record of, on register of patients, 446, 455, 456. Zone of the Advance: Classification of the sanitary service of, 630. Description of, 529. Mission of the sanitary service of, 628. Replenishment of supplies, 858. Zone of the Line of Communications: See Line of Communications. k o NLM029273311