A "wound" is defined as an injury to any part of the body from an outside force or agent sustained under one or more of the conditions listed above. A physical lesion is not required; however, the wound for which the award is made must have required treatment by a medical officer and records of medical treatment for wounds or injuries received in action must have been made a matter of official record. When contemplating an award of this decoration, the key issue that commanders must take into consideration is the degree to which the enemy caused the injury. The fact that the proposed recipient was participating in direct or indirect combat operations is a necessary prerequisite, but is not sole justification for award. The Purple Heart is not awarded for non-combat injuries.
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Enemy-related injuries which
justify the award of the Purple Heart include: injury caused by enemy
bullet,
shrapnel, or other projectile created by enemy action; injury caused by enemy placed
land mine,
naval mine, or
trap; injury caused by enemy released
chemical, biological, or nuclear agent; injury caused by vehicle or aircraft accident resulting from enemy fire; and,
concussion injuries caused as a result of enemy generated explosions.