Reforger medical

Reforger Series

• Tips
• Range finding
• Common Measurements
• Medical
• Rifle Section
• LAV

Vanilla

Vanilla medical is all about bandages and saline.

Vanilla Process

• First stop the the bleed with bandages applied directly to the wounded region
• Apply saline if they have lost more than a mild amount of blood
• DO NOT apply morphine to a patient who is still down
• Repair wounds with medikit
• Speak out loud as you work the situation, the patient can hear you

Equipment

Bandage

Stops bleeding. Apply directly to wound

Tourniquet

Stops circulation to bleeding site

Medical Kit (medkit)

Repair injuries directly, partial in the field, complete with a hospital or ambulance

Can restock medical equipment and medication

Medication

Saline

Treat blood loss and provides Blood Pressure stabilization

Morphine

DO NOT GIVE TO AN UNCONCIOUS PATIENT

Pain management only

Side effect reduces HR and BP

Effective in 1 minute

Hospitals and Ambulances

Hospital structures and mobile ambulances accelerate the patient's healing process within the vehicle or the hospital tent. Ambulances also spawn with medical items and can be utilized anywhere on the island. Hospitals, on the other hand, are static and generally tied to a base. Occasionally, you may encounter a player role-playing as an unarmed medic with an ambulance assisting anyone in need.

The medkit can heal a wound completely when in range of a Hospital or Ambulance.

ACE Medical

ACE Medical adds some more sophistication to the Medical process:

• Additional vitals
  • Heart Rate (HR)
  • Blood pressure (BP)
  • Blood loss (Hemorrhage class 1 through 5)
  • Sp02 (Blood Oxygen level)
• CPR
• More medications
• Repositioning the body

https://anvil.acemod.org/components/medical/#ace-medical-core

ACE Medical Process

• First stop the the bleed with bandages applied directly to the wounded region
• Apply saline if they have lost more than a mild amount of blood
• DO NOT apply morphine to a patient who is still down
• Speak out loud as you work the situation, the patient can hear you
• Stabilize vitals with drugs as needed
• Repair wounds with medikit

Vitals

HR

Heart Rate

BP

Blood Pressure

Blood loss

Measured in "Hemorrhage" and is treated with saline.

Sp02

Blood Oxygen level, in percentage

Less than 90% is and the patient will require supplemental oxygen

Currently this is with the King LT or Recovery Position

Vital ranges for circulation:

State	HR	BP
Cardiac Arrest	> 220	> 284/189
Stable	40 - 220	69/46 - 284/189
Unstable	< 40	< 69/46
Critical	< 30	< 51/34
Cardiac Arrest	< 20	< 51/34

Hemorrhage classes:

• Normal
• Class I hemorrhage (lost < 30%)
• Class II hemorrhage (lost 30%)
• Class III hemorrhage (lost 60%)
• Class IV hemorrhage (lost 80%)
• Fatal (lost 100%)

Equipment

Bandage

Stops bleeding. Apply directly to wound

Tourniquet

Stops circulation to bleeding site

Medical Kit

Repair injuries directly

Can restock medical equipment and medication

King LT

Opens up airway, allowing oxygen in

Chest Seal

Seals chest wound

Allows pressure to leave the chest cavity

Treats pneumothorax

Pneumothorax is a lung puncture which allows air into the chest cavity

If applied rapidly to a chest wound can prevent a tension pneumothorax

NCD Kit

Needle Chest Decompression kit

Treats tension pneumothorax

Tension pneumothorax is when the pressure in the chest cavity gets too high and starts interfering with organs

Medication

Saline

Treat blood loss and provides Blood Pressure stabilization

Ammonium Carbonate

aka "Smelling Salts" or "Salts"

Wakes up a stabilized patient if they have a Hemorrhage of Class 1 or less

Effective in 2 to 3 seconds

DO NOT give any of the following more than twice in 15 minutes.

Morphine

DO NOT GIVE TO AN UNCONCIOUS PATIENT

Pain management only

Side effect reduces HR and BP

Effective in 1 minute

Epinephrine

Treats Cardiac Arrest

Side effect raises HR and BP

Effective in 30 seconds

Metoprolol

Lowers HR and BP

Effective in 30 seconds

Phenylephrine

Raise BP, slows bleeding

Effective in 30 seconds

Naloxone/Narcan

Treat overdose to reduce effects

Effective in 1 minute and 30 seconds

Tips

Start with Phenylephrine

Dr. Harry V. from Task Force Broadsword recommends starting with Phenylephrine for serious bleeds.

For what it's worth on patients with 2 or more bleeds I find that pushing Phen before bandaging saves a lot of lives... I don't have hard data but it seems to make each hemorrhage act as at least one grade lower.

So in almost all cases it's probably best to just push phen before starting work... it takes almost no time for the animation to fire and has only one negative side effect that doesn't matter if they die before you finish bandaging everything.