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Medical

Priorities

1. Safety

Deal with enemy.

Get to hard cover.

2. Triage

Check injuries.

Tourniquet limbs.

3. Report

Report condition clearly.

Request medical if serious.

4. Assist

Hold the perimeter.

Assist fallen comrades.

Triage

Minimal

Fight on, soldier!

  • Minor wounds to a single limb.
  • Bleeding has been stopped.
  • Normal blood pressure.
  • Normal heart rate.
  • Minor pain.
  • Remained conscious.
Delayed

War is hell!

  • Serious wounds to one limb.
  • Minor wounds to head or torso.
  • Bleeding has stopped.
  • Normal blood pressure.
  • Normal heart rate.
  • Temporarily unconscious.
Immediate

Requesting MEDEVAC!

  • Serious wounds to multiple limbs.
  • Serious wounds to head or torso.
  • Bleeding can not be stopped.
  • Low blood pressure.
  • Low or high heart rate.
  • Remained unconscious.
Expectant

He's dead, Jim! Almost.

  • Serious wounds to every limb.
  • Serious wounds to head or torso.
  • Bleeding can not be stopped.
  • Very low blood pressure.
  • Is or was in cardiac arrest.
  • Remained unconscious.

Wounds

Abrasion Minor scrape that has removed layers of skin and may bleed minimally.
Avulsion Serious wound involving the loss of a chunk of flesh, with significant bleeding.
Contusion Light bruising of the affected area. Minor injury that does not bleed.
Crush wound Significant bruising and possible bone fractures, often alongside other wounds.
Cut Deep cut with a straight edge that will bleed profusely until treated.
Laceration Similar to a cut, but jagged edges make it harder to close the wound.
Puncture Serious wound from penetration by a sharp object, with significant bleeding.
Velocity Similar to a puncture, but includes an exit wound that makes it harder to close.

Bandages

Elastic bandage
  • Affected area wrapped in elasticated bandages.
  • Best for minor injuries or as a temporary measure.
  • Bleeding wounds will quickly saturate and reopen.
  • Excellent coverage of multiple wounds.
Field Dressing
  • Padded bandage tied to affected area.
  • Best at light wounds or when other choices limited.
  • Serious wounds will quickly saturate and reopen.
  • Mediocre coverage of multiple wounds.
Packing Bandage
  • Cavity packed with material to stop bleeding.
  • Best used for puncture and velocity wounds.
  • Minor wounds less likely to require surgery.
  • Poor coverage of multiple wounds.
QuikClot
  • Clotting agent applied to stop bleeding.
  • Best used when surgery not imminent.
  • Serious wounds will likely require surgery.
  • Good coverage of multiple wounds.

Vitals

Heart Rate
  • A good pulse is in the range of 70 to 130.
  • A pulse below 20 or above 200 will lead to cardiac arrest.
  • Never give morphine to a patient with a pulse lower than 70.
Blood Pressure
  • A good blood pressure is between 100/60 and 120/80.
  • Use IV bags to increase a patient’s blood pressure.
  • Blood pressure will slowly rise on its own over time.

Medication

Morphine
  • Reduces heavy pain and lowers the heart rate.
  • Should never be given to a patient with a low heart rate or blood pressure.
  • Never use morphine without accurate vitals!
  • Pain relief from morphine is temporary.
  • Does not directly impact consciousness.
Epinephrine
  • Increases the heart rate and blood pressure.
  • Should never be given to a patient with a high heart rate or blood pressure.
  • Do not assume epinephrine is required following morphine. Wait for vitals to settle first.
  • Does not directly impact consciousness.

Treatments

Tourniquets
  • Applied to limbs to prevent rapid blood loss.
  • Intended as a temporary emergency measure.
  • Causes ever increasing pain while applied.
  • Remove as soon as open wounds are bandaged.
CPR
  • Performed on a casualty in cardiac arrest.
  • Not guaranteed to be successful. Repeat as required until pulse recovers.
  • Performing CPR generates a fake pulse.
  • Causes of cardiac arrest must still be treated!
Surgery
  • Stitches wounds, preventing them reopening.
  • Casualty must be in a stable condition.
  • Can only be performed by a Corpsman.

MEDEVAC

1. Assess

Triage the casualty.

Assess the situation.

2. Position

Move away from threats.

Mark location as "CCP".

3. Request

Request MEDEVAC to CCP.

Specify casualty's status.

4. Help

Hold the position.

Load the casualty.

Stamina

Anaerobic Energy
  • Short-term stamina reserve.
  • Drains rapidly when sprinting.
  • Recovers rapidly when resting.
  • Limits maximum running time.
  • Represented by the stamina bar.
  • Factored into breathing audio.
Aerobic Energy
  • Long-term stamina reserve.
  • Drains slowly when jogging.
  • Recovers very slowly when resting.
  • Limits maximum running speed.
  • Not represented by the stamina bar.
  • Factored into breathing audio.

Fatigue

Gradual Factors
  • Stance and movement speed.
  • Raised or lowered weapon.
  • Terrain and temperature.
Long-Term Effects
  • Reduction in maximum stamina.
  • Reduction in maximum speed.
  • Reduction in stamina recovery.
Immediate Factors
  • Weight of gear carried.
  • Carrying or dragging objects.
  • Pain and low blood volume.
Short-Term Effects
  • Unable to sprint or jog.
  • Black flashing at edge of vision.
  • Increased weapon sway.

What Not To Do