User:Sirdog/Advanced medical concepts

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This page is designed for a soldier playing on an Endurance Coalition controlled environment to assess whether their condition can be self-managed during a firefight or whether they need a medic. For information useful to medics specifically, see the medic sub-page.

The addon used to simulate medical conditions in a more realistic manner than vanilla Arma is strictly from ACE3. At this time, Endurance does not use the additional addon KAT with expands upon ACE's medical system to make it even mroe complex.

Core principle

The primary way you can be an asset to your medic is to eliminate the immediate threat. The medic's first(-ish) priority is to tend to you and your teammates. Your first priority is fighting. With this in mind, when it comes to assessing yourself, your only real question is if your condition is bad enough to warrant a medic right now or if you can keep fighting until there is downtime.

Self-assessment

When you've been harmed (usually this is by being shot), and there is a lull in the fight, or enough people are putting shots down range, quickly open the medical menu using H and double check your name is at the top. If it isn't, click the circular icon to switch to yourself.

Once you are sure you are looking at your own condition, the list of priorities are:

  1. Are you currently bleeding? If so, how badly?
  2. Have you lost blood? If so, how much?
  3. Are you in pain? If so, is it hurting your combat effectiveness?

If you see any limb is not grey, and you see the bleeding indicator, go ahead and apply a tourniquet to all non-grey limbs. If not possible (i.e you don't have enough tourniquets or the bleeding is from a chest or head wound), apply sufficient bandages on limbs without a tourniquet to get bleeding to stop. Use Field Dressing or Basic Bandages for larger wounds (Medium+), whereas you should use QuickClot for smaller ones. ACE will automatically have bandages apply to wounds in order from largest to smallest. In other words, if you have a mix of wounds from Large to Small, use the first two bandages types then, when only small ones are left, switch to QuickClot.

If you see a lot of wounds in your chest or head (this is mostly a vibe check), go ahead and call a medic.

If you are:

  1. Not actively bleeding; and
  2. Your blood loss indicator is yellow; and
  3. You otherwise feel fine.

You are usually okay to stay in the fight. If you cannot get bleeding to stop (either at all or the number of wounds indicates it will take a long time), your blood loss indicator is orange or red, or your condition is causing you to otherwise be combat ineffective, call for a medic. Generally, if you are using due diligence, it is better for a medic to state you do not need attention rather than for you to keel over because you misjudged your wounds.

After the firefight has ended, you should immediately call for a medic. They'll get you fixed up in a jiffy... usually. The medic may ask you to remove tourniquets yourself near the end of your treatment. This is because tourniquet removal results in the person removing it taking it.

Pain

The only other thing to mention here is pain. You likely have morphine on your person. Morphine will eliminate pain, but it messes with your blood pressure and heart rate, and it stays in your system for a long time. This may complicate your health in future engagements. If you are not careful with morphine, you can overdose, or application in combination with your condition can cause a heart attack.

Only use morphine without a medic's consultation during a firefight if your pain level makes you truly combat ineffective. If you simply notice you have pain during downtime, ask a medic to give application a thumb's up.

CPR

Checking a patient's pulse while CPR is ongoing will result in a false positive.

A medic may occasionally ask you to perform CPR. This is because a medic performing CPR is not any more or less effective than a soldier. Medics are better than a soldier at bandaging and closing wounds, so the goal is for a soldier to CPR while they bandage. CPR is performed by opening the medical menu using H while looking at the patient, clicking the patient's chest, clicking the square icon with the zig-zag lines, and then clicking CPR.

Do so twice in a row, then check heart rate. If there is none, or it's weak, repeat the cycle until it reads as strong unless told otherwise by the medic. Once it's strong, you may return to the fight unless the medic requests further assistance.

References


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