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| - | The Advanced Medical System (AMS) is largely similar to the [[ACE Medical Basic|Basic Medical System (BMS)]] | ||
| - | ===== Wound Types ===== | ||
| - | The AMS categorises wounds by specific type instead of simply as Minor or Major, as the BMS does. **As you can see, only Avulsions and Velocity Wounds are imminently life threatening.** | ||
| - | |||
| - | ^ Type ^ Description | ||
| - | | Avulsion | ||
| - | | Velocity | ||
| - | | Laceration | ||
| - | | Cuts | Cuts | Light | Depends on size | ||
| - | | Crush | Crush injury | ||
| - | | Puncture | ||
| - | | Contusion | ||
| - | | Abrasion | ||
| - | |||
| - | ===== Diagnosis ===== | ||
| - | ==== Responsive ==== | ||
| - | //Accessed from: Head//\\ | ||
| - | Tells you if the patient is responsive. | ||
| - | ==== Check Blood Pressure ==== | ||
| - | //Accessed from: Head, Arms//\\ | ||
| - | Tells you the blood pressure of the patient. | ||
| - | ==== Check pulse ==== | ||
| - | //Accessed from: Head, Arms//\\ | ||
| - | Tells you the pulse of the patient. | ||
| - | |||
| - | ===== Treatment ===== | ||
| - | ==== Step by Step Treatment ==== | ||
| - | |||
| - | |||
| - | **Keeping the patient' | ||
| - | |||
| - | Step 1: Is the patient responsive? | ||
| - | * Yes: Ask him if he has wounds / he is in pain and act accordingly. | ||
| - | * No: Go to step 2. | ||
| - | |||
| - | Step 2: Is the patient wounded? | ||
| - | * Yes: Treat the wounds. | ||
| - | * No: Skip this step. | ||
| - | |||
| - | Step 3: Does the patient have a pulse? | ||
| - | * Yes: Go to step 4. | ||
| - | * No: If you are alone provide CPR, if you have someone else get him to do CPR while you treat the patient' | ||
| - | |||
| - | Step 4: Did the patient lose a lot of blood? | ||
| - | * Yes: Use IVs to restore the volume of liquid in the blood stream of the patient. | ||
| - | * No: Skip this step. | ||
| - | |||
| - | Step 5: Is the patient in pain? | ||
| - | * Yes and stable pulse: Give him morphine. | ||
| - | * Yes and unstable heart rate: Stabilize the heart rate before administrating morphine. | ||
| - | * No: You're done. | ||
| - | |||
| - | Step 6: is the patient awake now? | ||
| - | * Yes: You're done. | ||
| - | * No: Stabilize his pulse / make sure he isn't in pain or missing blood. | ||
| - | |||
| - | ==== Bandage ==== | ||
| - | //Accessed from: Arms, Legs//\\ | ||
| - | Every part of the body can be bandaged if wounded. As in the BMS, head wounds are generally the most serious wounds when bleeding, then torsos and finally limbs. **When bandaging choose them bandage best suited to the wound type. If in doubt, use a packing bandage** (as this is most effective against the two most dangerous wounds). | ||
| - | |||
| - | === Bandage Effectiveness Cheat Sheet === | ||
| - | ^ Bandage Type ^ Abrasion | ||
| - | | Basic | Highest | ||
| - | | Packing | ||
| - | | Elastic | ||
| - | | QuikClot | ||
| - | |||
| - | |||
| - | ==== Tourniquet ==== | ||
| - | //Accessed from: Arms, Legs//\\ | ||
| - | **Tourniquets can be applied to arms and legs to slow bleeding from them when wounded**. Only use this as a stop gap while you bandage and remove as soon as possible. Prolonged used of a tourniquet will cause pain to the patient. | ||
| - | |||
| - | ==== Autoinjectors ==== | ||
| - | Autoinjectors are **used to manage pain and heart rate**. | ||
| - | === Morphine === | ||
| - | //Accessed from: Arms, Legs//\\ | ||
| - | * Suppresses pain.\\ | ||
| - | * Lowers blood pressure\\ | ||
| - | * Lowers heart rate\\ | ||
| - | === Epinephrine === | ||
| - | //Accessed from: Arms, Legs//\\ | ||
| - | * Raise heart rate\\ | ||
| - | === Atropine === | ||
| - | //Accessed from: Arms, Legs//\\ | ||
| - | * Lower heart rate\\ | ||
| - | |||
| - | ==== IVs ==== | ||
| - | IVs are **used to increase blood pressure**.\\ | ||
| - | //Accessed from: Arms, Legs//\\ | ||
| - | All IVs increase blood pressure. | ||
| - | |||
| - | ==== Kits ==== | ||
| - | === Personal Aid Kit (PAK) === | ||
| - | * **Fully heals soldier** (resets medical history) | ||
| - | * May be limited to certain classes / proximity to vehicle or facility (depends on settings) | ||
| - | * May require stable vitals (depends on settings) | ||
| - | |||
| - | === Surgical Kit === | ||
| - | * Only used if Opening Wounds is enabled | ||
| - | * **Stitches a wound closed** | ||
| - | * May be limited to certain classes / proximity to vehicle or facility (depends on settings) | ||
| - | * May require stable vitals (depends on settings) | ||
| - | |||
| - | ==== Maintaining Vitals ==== | ||
| - | Ultimately if your patient dies it will be because their blood pressure was too high or too low. Everything you do to treat them will ultimately be in service of // | ||
| - | |||
| - | === Causes of Cardiac Arrest === | ||
| - | When checking blood pressure, systolic blood pressure is the number on the left and the diastolic blood pressure is the number on the right.\\ | ||
| - | HR = Heart Rate. SBP = Systolic Blood Pressure. CA = Cardiac Arrest\\ | ||
| - | If diastolic blood pressure is below 40 and the heart rate is above 190 Cardiac Arrest will also result. | ||
| - | | | SBP Normal | ||
| - | | HR < 20 | CA | CA | CA | ||
| - | | HR Normal | ||
| - | | HR > 150 | -- | CA | CA | ||
| - | | HR > 200 | CA | CA | CA | ||
| - | |||
| - | |||
| - | === Blood Pressure === | ||
| - | Lowered by: | ||
| - | * Blood loss | ||
| - | Raised by: | ||
| - | * Blood / Plasma / Saline | ||
| - | Categories: | ||
| - | * **Non existent:** 0 - 20 Systolic | ||
| - | * **Low:** 20 - 100 Systolic | ||
| - | * **Normal:** 100 - 160 Systolic | ||
| - | * **High:** 160+ Systolic | ||
| - | |||
| - | === Heart Rate === | ||
| - | Lowered by: | ||
| - | * Morphine | ||
| - | * Atropine | ||
| - | Raised by: | ||
| - | * Epinephrine | ||
| - | Categories: | ||
| - | * **Low:** 45- | ||
| - | * **Normal:** 46 - 119 | ||
| - | * **High:** 120+ | ||
| - | |||
| - | ===== Dangers ===== | ||
| - | * Epinephrine should NEVER be used in case of cardiac arrest as it might make the patient harder to treat or kill them. | ||
| - | * Giving too much morphine to a patient (more than one every 10 minutes) will put him in cardiac arrest due to low blood pressure | ||
| - | |||
| - | ===== Acknowledgement ===== | ||
| - | This document is largely a reformated verion of the [[http:// | ||
| - | * Riley | ||
| - | * KmO | ||
| - | * zebraminge | ||
| - | * Dick Nixon | ||
| - | |||
| - | Many thanks for laying the ground work for this document. | ||