The Advanced Medical System (AMS) is largely similar to the Basic Medical System (BMS) but adds more depth and complexity, especially for medics. it's recommended that you read the the Basic Medical System Guide before this at it lays down a good foundation to make understanding the AMS easier if you're new to ACE's medical system.
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 | Pain | Bleeding |
|---|---|---|---|
| Avulsion | Tissue ripped away | Extreme | Extreme |
| Velocity | Bullet / shrapnel wounds | Extreme | Medium |
| Laceration | Tears | Light | Light to Medium |
| Cuts | Cuts | Light | Depends on size |
| Crush | Crush injury | Light | Extremely light |
| Puncture | Knives, nails, glass | Light | Slow |
| Contusion | Bruise | Light | None |
| Abrasion | Scrapes | Extremely Light | Extremely light |
Accessed from: Head
Tells you if the patient is responsive.
Accessed from: Head, Arms
Tells you the blood pressure of the patient.
Accessed from: Head, Arms
Tells you the pulse of the patient.
Step 1: Is the patient dead? (ragdolled)
Step 2: Is the patient conscious?
Step 3: Does the patient have heavy damage? (multiple limbs as well as torso and head that are wounded)
Step 4: Does the patient have multiple wounded limbs?
Step 5: Use surgical kit to stitch up the wounds
Step 6: Is the patient close to death? (systolic blood pressure below 70)
Step 7: Is the patient in pain?
Step 8: Is the patient conscious?
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 Type | Abrasion | Avulsion | Contusion | Crush | Cut | Laceration | Velocity |
|---|---|---|---|---|---|---|---|
| Basic | Highest | Low | Highest | Medium | Low | High | Low |
| Packing | Highest | Highest | Highest | Medium | Lowest | Low | Highest |
| Elastic | Highest | Low | Highest | Highest | Highest | Highest | Medium |
| QuikClot | High | Lowest | High | High | High | High | High |
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 are used to manage pain and heart rate.
Accessed from: Arms, Legs
Accessed from: Arms, Legs
Accessed from: Arms, Legs
IVs are used to increase blood pressure.
Accessed from: Arms, Legs
All IVs increase blood pressure.
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 maintaining their vitals. Failing to do so will result in Cardiac Arrest. Understanding how how blood pressure and heart rate affect their health of your patient to prevent Cardiac Arrest will make you a much more effective medic.
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 | SBP > 145 | |
| HR < 20 | CA | CA |
| HR Normal | – | – |
| HR > 150 | – | CA |
| HR > 200 | CA | CA |
Lowered by:
Raised by:
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Lowered by:
Raised by:
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This document is largely a reformated verion of the official ACE documentation and a work in progress document authored by:
Many thanks for laying the ground work for this document.