APPENDIX—MEDICAL HISTORY OF THE DUFFLA EXPEDITION.
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2. Panniers for medicines, &c., on field service, and field companions, will be brought
up and distributed complete in every respect.
3. There will be a supply of medicines, hospital necessaries, and instruments sent up
for the use of the force; directions for the issue, &c., of which you will find in the printed
memorandum, No. 55, attached
.
4. The detachment should have, however, a sufficient and portable supply of medicines,
instruments, hospital necessaries, and bazaar medicines for the march or voyage to and from
the expedition, and to form a small reserve of articles that are generally in use.
You must be careful to include all necessary medicines, stores, and disinfectants for use,
should cholera or other epidemic break out on the march or voyage.
One complete set of splints, and one or two long splints, should also be taken.
5. Tarpaulins will be issued by the commissariat at the base depot for hospital use,
one of which will shelter ten sick. Disinfectants will be supplied from the same depôt.
Abstracts of sick will be supplied to you.
There will be a reserve of all statistical forms with the force.
The following rules for admissions and discharges were subsequently issued:— -
No. 92.—Rules for guidance of admissions and discharges
.
1. It is necessary to show all admissions and diseases in relation to the bodies of men
furnishing them, and this must be done so far as practicable as if each portion of the force
had its own separate hospital. As all the component parts of the force will be under a medi
-cal charge, this should not be difficult. If a hospital asssistant in charge of a small detach
-ment cannot write English, he should forward the returns in his vernacular to the particular
medical officer.
Each hospital, large or small, should keep its own statistics independently; but in such
a manner that admissions, transfers, casualties, &c., of all classes can be subsequently assigned
accurately to the bodies of men furnishing them.
On all periodical returns the average daily strength for the week or month, daily average
number of sick, and accurate accounts of cases transferred, should be recorded.
Cases received at hospitals as "transfers" are not to be called admissions, but their date
of arrival, discharge, departure, &c., are to be noted.
2.
Troops.—If with the head-quarter s of a detachment, every admission is to be en
-tered in the admission and discharge book as usual. If an admission is transferred, the
certificate form is to be given to the man himself, or to the non-commissioned officer
in charge, and date of arrival at new hospital, discharge, or further transfer, and to what
place, is to be written on the back of the certificate. W hen the case is finally discharged, the
certificate is to be sent back to the surgeon of the regiment.
3. Admissions and discharges taking place among the small detachments placed at
depôts, &c., &c., are to be daily registered. The name, rank, company, disease, date of ad-
mission, or discharge, or transfer, and to what place, is to be recorded, and a copy of the
week's account ending on Friday might be sent to the medical officer in charge of the main body
of the regiment every Saturday morning, forwarding on to the advance as opportunity offers.
He will include them in his weekly return of the regiment.
4. The monthly abstract of sick is to be forwarded to me, instead of the course laid
down in this office No. 29 of the 8th October.
5. The Transport Corps. —A register should be kept for every medical charge, under
which the main body or portions of the corps may be. The register should have the follow
-ing columns: number, company, name, date of admission, discharge, death, transfers,
disease; all transfers being particularly detailed. The morning state for these men has been
already explained to the medical officer of the corps; and he will be so good as to cause it to
be kept up when there are detachments from the main body.
On a transfer of a man from any hospital, an extract from the register must be sent with
him, which is to be filed in the hospital where he is received, or endorsed, with all particulars,
if he is sent further on.
6. A monthly return, form 35, is to be made out at the head-quarters of the corps
from the date of sailing: and all admissions, &c., from small parties or from depôt hospitals,
or detached in any way, if practicable, are to be sent to the medical officer of the corps for
inclusion in it.
The average daily strength from which admissions take place is to be always noted. The
return, when complete, is to be sent to me.
7. The sick of commissariat establishments and followers are to be registered separately
from the above whenever admitted for treatment, and in the same form of register, but with
employment instead of number, section and company. A monthly return for them is also to be
made out and forwarded to me.
8. Any police admitted are to be registered in the same way, and the same form of
monthly return is to be used for them in a similar manner.
JUBBULPORE, J. T. C. ROSS, F. R. C. S.,
5 th August 1875.
Deputy Surgeon-General.
O. S. G. P. No. 8 I. M. D.—28-1-76.—500.