From 6b1e7c50301f20ff8d20cfe65d312e8ab9692c47 Mon Sep 17 00:00:00 2001 From: Grzegorz Date: Thu, 14 May 2015 03:04:41 +0200 Subject: [PATCH 1/3] Medical guide improvements Mainly based on my community experience with CMS, translated from exact same PL guide. --- documentation/feature/medical-system.md | 153 +++++++++++++++++++++++- 1 file changed, 152 insertions(+), 1 deletion(-) diff --git a/documentation/feature/medical-system.md b/documentation/feature/medical-system.md index 443fb4b182..19ad319866 100644 --- a/documentation/feature/medical-system.md +++ b/documentation/feature/medical-system.md @@ -31,6 +31,16 @@ To stop the bleeding, the combat life saver needs to bandage every wounded limb. Should a unit be in pain, materializing itself with a chromatic aberration screen effect, he can be given morphine. +### 2.2 Basic medical system - recommended gear +* Soldier: + * 10 x Bandage (basic) + +* Medic: + * 15-25 x Bandage (basic) + * 6 x Blood IV (500ml) + * 10 x Morphine Autoinjector + * 10 x Epinephrine Autoinjector + ## 3. Advanced Medical The advanced medical system provides a more complex and detailed medical simulation and is based off the CSE/CMS medical system. It focuses on a more realistic model for injuries and treatment, thus resulting in a more important and prominent role for combat medics, and a bigger incentive to not get shot. @@ -56,7 +66,7 @@ In order to stop the bleeding, all injuries on every bodypart requires treatment While a unit is bleeding however, the blood volume decreases which will result in a change of vitals. Depending on the factors such as current blood volume, the blood loss rate, medication used, the blood pressure will start to drop. To counter this drop, also based upon the previously mentioned factors and others, the heart rate will adjust accordingly to attempt to keep blood pressure at safe levels. This means that for any patient it is required to keep an eye on the vitals. This is done through the interaction system by selecting check pulse or blood pressure on either the arms or head. #### 3.1.3 Medication -To stabalize the vitals and to counter for example pain, a player/medic can use medication. Advanced medical has 3 different medications available: +To stabalize the vitals and to counter for example pain, a player/medic can use medication. All medications weights the same: 50 grams. Advanced medical has 3 different medications available: * Atropine * Morphine * Epinephrine @@ -68,3 +78,144 @@ Morphine is used to alleviate large amounts of pain. Has an effect similar to He Epinephrine is used to increase heart rate and blood pressure and alleviate unconsciousness. Epinephrine is a synthetic form of Adrenaline, which is naturally produced in the body. It can also be applied to counter-act the effects of Atropine. Be careful though, as it may only be given once. _Epinephrine must never be given to a casualty with a high heart rate or blood pressure._ + +#### 3.1.4 Types of wounds +Advanced medical system brings more different types of wounds, each with its own effects on patient. We distinguish minor, medium and large wound sizes. Below there is a list of those wounds: +* Abrasions (or scrapes) + * Also called scrapes, they occur when the skin is rubbed away by friction against another rough surface (e.g. rope burns and skinned knees). + * Sources: falling, ropeburn, vehicle crashes. + * Effects: pain - extremely light, bleeding - extremely slowly +* Avulsions + * Occur when an entire structure or part of it is forcibly pulled away, such as the loss of a permanent tooth or an ear lobe. Explosions, gunshots, and animal bites may cause avulsions. + * Sources: explosions, vehicle crashes, grenades, artillery shells, bullets, backblast, bites. + * Effects: pain - extremely high, bleeding - extremely fast (depends on wound size). +* Contusions + * Also called bruises, these are the result of a forceful trauma that injures an internal structure without breaking the skin. Blows to the chest, abdomen, or head with a blunt instrument (e.g. a football or a fist) can cause contusions. + * Sources: bullets, backblast, punches, vehicle crashes, falling. + * Effects: pain - light, no bleeding. +* Crush wounds + * Occur when a heavy object falls onto a person, splitting the skin and shattering or tearing underlying structures. + * Sources: falling, vehicle crashes, punches. + * Effects: pain - light, bleeding - extremely slowly. +* Cut wounds + * Slicing wounds made with a sharp instrument, leaving even edges. They may be as minimal as a paper cut or as significant as a surgical incision. + * Sources: vehicle crashes, grenades, explosions, artillery shells, backblast, stabs + * Effects: pain - light, w zależności od głębokości i szerokości rany dosyć szybkie wykrwawianie się. +* Lacerations + * Also called tears, these are separating wounds that produce ragged edges. They are produced by a tremendous force against the body, either from an internal source as in childbirth, or from an external source like a punch. + * Sources: vehicle crashes, punches + * Effects: pain - light, bleeding - slow to medium speed (depends on wound size). +* Velocity wounds + * They are caused by an object entering the body at a high speed, typically a bullet or small peices of shrapnel. + * Sources: bullets, grenades, explosions, artillery shells. + * Effects: pain - extremely high, bleeding - medium speed (depends on wound size). +* Puncture wounds + * Deep, narrow wounds produced by sharp objects such as nails, knives, and broken glass. + * Sources: stabs, grenades. + * Effects: pain - light, bleeding - slowly. + +We also distinguish different types of fractures (WIP/not implemented yet): +* Broken femur + * Description + * Sources: bullets, vehicle crashes, backblast, explosions, artillery shells, grenades. + * Effects: pain - extremely high, unable to stand until healed by medic. + +#### 3.1.5 Bandage types +Advanced medical system brings 4 different types of bandages and also properly working tourniquet. Below there is a list of all bandage types with effectiveness vs different wound types. Higher effectiveness bandages needs to be applied fewer times than ones with lower effectiveness. That depends on wound size. Applying bad type of bandage on given wound can yield wound opening after a while if not stiched fast enough. +All bandage types weights about 50 grams each. +* Bandage (basic) + * Abrasions - highest effectiveness + * Avulsions - lowest effectiveness + * Contusions - highest effectiveness + * Crush wounds - low effectiveness + * Cut wounds - very low effectiveness + * Lacerations - medium effectiveness + * Velocity wounds - lowest effectiveness + * Puncture wounds - low effectiveness +* Bandage (packing) + * Abrasions - highest effectiveness + * Avulsions - highest effectiveness + * Contusions - highest effectiveness + * Crush wounds - low effectiveness + * Cut wounds - lowest effectiveness + * Lacerations - lowest effectiveness + * Velocity wounds - highest effectiveness + * Puncture wounds - lowest effectiveness +* Bandage (elastic) + * Abrasions - highest effectiveness + * Avulsions - lowest effectiveness + * Contusions - highest effectiveness + * Crush wounds - highest effectiveness + * Cut wounds - highest effectiveness + * Lacerations - highest effectiveness + * Velocity wounds - low effectiveness + * Puncture wounds - wysoka effectiveness +* QuikClot + * Abrasions - medium effectiveness + * Avulsions - high effectiveness + * Contusions - medium effectiveness + * Crush wounds - medium effectiveness + * Cut wounds - medium effectiveness + * Lacerations - medium effectiveness + * Velocity wounds - high effectiveness + * Puncture wounds - high effectiveness +* Tourniquet + * Can only be applied on limbs + * Stops bleeding from wounds + * Should be taken off as fast as possible and applied only to give medic time to bandage all the wounds + * If not taken off for a while it will cause pain to patient, can yield to death that way + +#### 3.1.6 Transfuzions +In case of blood loss, blood should be replenished by three different types of IV: blood, plasma and saline. We distinguish 3 different sizes of IV bags: 250ml, 500ml and 1000ml. +Transfuzing 250ml of given IV takes about 1 minute to complete! + ++#### 3.1.7 PAK and Surgical kit +Using Personal Aid Kit brings patient to the best possible health state. Depending on module options, PAK can be used only in specified situations, specified place and by specified person. +Surgical kit is used to stich bandaged wounds so they will never open again. Depending on module options, surgical kit can be used only in specified situations, specified place and by specified person. + +### 3.2 Advanced medical system - recommended gear + +* Soldier: + * 4 x Bandage (basic) + * 3 x Bandage (elastic) + * 3 x Bandage (packing) + * 3 x QuikClot + * 1 x Tourniquet +* Combat First Responder (CFR): + * 10-15 x Bandage (basic) + * 15-20 x Bandage (elastic) + * 5-8 x Bandage (packing) + * 10-15 x QuikClot + * 3 x Tourniquet + * 4 x Saline IV (500ml) + * 5 x Morphine Autoinjector + * 5 x Epinephrine Autoinjector + * 8 x Atropine Autoinjector +* Medic: + * 10-15 x Bandage (basic) + * 15-20 x Bandage (elastic) + * 8 x Bandage (packing) + * 10-15 x QuikClot + * 5 x Tourniquet + * 6 x Saline IV (500ml) + * 8 x Morphine Autoinjector + * 8 x Epinephrine Autoinjector + * 12 x Atropine Autoinjector + * 1-3 x *Surgical kit* + * 1-3 x *Personal Aid Kit* +* Paramedic: + * 10-15 x Bandage (basic) + * 15-20 x Bandage (elastic) + * 8 x Bandage (packing) + * 10-15 x QuikClot + * 5 x Tourniquet + * 2 x Saline IV (500ml) + * 3 x Blood IV (1000ml) - Taken from vehicle inventory only when needed + * 3 x Plasma IV (1000ml) - Taken from vehicle inventory only when needed + * 8 x Morphine Autoinjector + * 8 x Epinephrine Autoinjector + * 12 x Atropine Autoinjector + * 1-3 x *Surgical kit* + * 1-3 x *Personal Aid Kit* + +*medical item* - number of items that should be carried depends on module settings From 1f556bb1c47716583c257d783923c6f261edc7ec Mon Sep 17 00:00:00 2001 From: Grzegorz Date: Thu, 14 May 2015 12:44:23 +0200 Subject: [PATCH 2/3] Some more improvements --- documentation/feature/medical-system.md | 5 +++-- 1 file changed, 3 insertions(+), 2 deletions(-) diff --git a/documentation/feature/medical-system.md b/documentation/feature/medical-system.md index 19ad319866..824f33ea82 100644 --- a/documentation/feature/medical-system.md +++ b/documentation/feature/medical-system.md @@ -66,7 +66,7 @@ In order to stop the bleeding, all injuries on every bodypart requires treatment While a unit is bleeding however, the blood volume decreases which will result in a change of vitals. Depending on the factors such as current blood volume, the blood loss rate, medication used, the blood pressure will start to drop. To counter this drop, also based upon the previously mentioned factors and others, the heart rate will adjust accordingly to attempt to keep blood pressure at safe levels. This means that for any patient it is required to keep an eye on the vitals. This is done through the interaction system by selecting check pulse or blood pressure on either the arms or head. #### 3.1.3 Medication -To stabalize the vitals and to counter for example pain, a player/medic can use medication. All medications weights the same: 50 grams. Advanced medical has 3 different medications available: +To stabalize the vitals and to counter for example pain, a player/medic can use medication. Advanced medical has 3 different medications available: * Atropine * Morphine * Epinephrine @@ -166,7 +166,7 @@ All bandage types weights about 50 grams each. * If not taken off for a while it will cause pain to patient, can yield to death that way #### 3.1.6 Transfuzions -In case of blood loss, blood should be replenished by three different types of IV: blood, plasma and saline. We distinguish 3 different sizes of IV bags: 250ml, 500ml and 1000ml. +In case of blood loss, blood could be replenished by three different types of IV: blood, plasma and saline. We distinguish 3 different sizes of IV bags: 250ml, 500ml and 1000ml. Transfuzing 250ml of given IV takes about 1 minute to complete! +#### 3.1.7 PAK and Surgical kit @@ -180,6 +180,7 @@ Surgical kit is used to stich bandaged wounds so they will never open again. Dep * 3 x Bandage (elastic) * 3 x Bandage (packing) * 3 x QuikClot + * 1 x Morphine Autoinjector * 1 x Tourniquet * Combat First Responder (CFR): * 10-15 x Bandage (basic) From 6cc446e69ec1951315d389807efbd007795968bb Mon Sep 17 00:00:00 2001 From: Grzegorz Date: Thu, 14 May 2015 18:16:47 +0200 Subject: [PATCH 3/3] Update medical-system.md --- documentation/feature/medical-system.md | 2 +- 1 file changed, 1 insertion(+), 1 deletion(-) diff --git a/documentation/feature/medical-system.md b/documentation/feature/medical-system.md index 824f33ea82..756e19295e 100644 --- a/documentation/feature/medical-system.md +++ b/documentation/feature/medical-system.md @@ -149,7 +149,7 @@ All bandage types weights about 50 grams each. * Cut wounds - highest effectiveness * Lacerations - highest effectiveness * Velocity wounds - low effectiveness - * Puncture wounds - wysoka effectiveness + * Puncture wounds - high effectiveness * QuikClot * Abrasions - medium effectiveness * Avulsions - high effectiveness