This is an old revision of the document!
ACE Medical Advanced
The Advanced Medical System (AMS) is largely similar to the Basic Medical System (BMS) but adds more depth and complexity, especially medics.
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 | Pain |
|---|---|---|
| Avulsion | Tissue ripped away | Extreme |
| Velocity | Bullet / shrapnel wounds | Extreme |
| Laceration | Tears | Light |
| Cuts | Cuts | Light |
| Crush | Crush injury | Light |
| Puncture | Knives, nails, glass | Light |
| Contusion | Bruise | Light |
| Abrasion | Scrapes | Extremely Light |
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
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 | 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 |
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.
Step by Step Treatment
Keeping the patient's vitals stable is your first priority.
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's wounds. Skip to step 4 or 5 depending on the situation.
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.