Medical Repository

Discussion in 'RP Guide' started by Carbine, Feb 17, 2017.

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  1. Carbine

    Carbine New Member

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    Medical
    Repository


    One on One guide on how to save a life.
    "Everything you need to know, and more."

    What's In My Kit?

    • Lidocaine Adrenaline Injector ‘Healstick’

    • Rapid Deployment First Aid Kit

    • First-Aid Booklet

    • HSE Medium Dressing

    • HSE Large Dressing

    • Disposable Non-Sterile Triangular Bandage

    • Finger Dressing

    • Conforming Bandage ‘Roll Gauze’

    • Assorted Gauze Pads

    • Eye Pad (Warning: Not patch, pad.)

    • Assorted Plasters

    • Antiseptic Cleaning Wipes

    • Aloe Vera & Petroleum Jelly Tubes

    • Medical Tape

    • Sterile Disposable Gloves

    • Resuscitator (For protected mouth-to-mouth)

    • Heat Retaining Blanket

    • ‘Burnshield’ Dressing

    • Cold Pack Unit

    • Tuff Cut Scissors

    • Forceps (Traditional)

    • Tweezers

    • Safety Pins

    • Bio-waste Bag, 1 Gallon

    • Antibiotic Ointment

    • Morphine Syrette(s)

    • Air Diversion Valve

    The Basics

    1. Medics save lives. Be prepared at all times to treat injuries - never be caught by surprise.

    2. Always treat the highest ranking soldier when there are injuries.

    3. Wear gloves when attending to patients.

    4. When performing a blood transfusion, check the patient's blood type and and the transferee's blood type. Consult your medical booklet to find out which blood types are compatible with others.

    5. Panicking will end up getting people killed. Never panic.

    6. Combat is your last priority. Treating the injured is your first. If there are advancing enemies, have the standard troopers handle that - do your job before anything else.

    7. If you need a safe place to operate on a patient, request a Med-Evac to the nearest starship immediately.


    How do I handle certain situations?


    Bullet Wound

    1. Check the vital signs and do not move the victim unless you are taking them to safety.

    2. Inject a syrette of Morphine, 5 CC’s, to slow the speed of blood cells’ travel. This will reduce pain for the victim and also significantly reduce the speed of blood that’s spewing out.

    3. Assess A.B.C.D.E. (Airway, Breathing, Circulation, Disability, Exposure).

    4. If the bullet had punctured the lungs, plug the wound with an airtight material such as plastic film. If the wound is cranial (head), in the unlikely event the victim survives, they must be airlifted to the nearest regional hospital for specialist surgery that is beyond the Division’s ability.

    5. Control the bleeding by applying pressure using a pad, and clean the area of the wound of blood for better visibility of the entry hole.

    6. Remove the bullet as soon as possible.

    7. Apply Calcium Zeolite to clot the blood and maintain pressure for 5 minutes.

    8. Clean the entry area of blood using an antiseptic cleansing wipe and stitch the entry wound up after the blood has clotted.-

    9. If the victim has lost a lot of blood, and he will if you’re slow about the process, you must hook them up to a Blood Transfer Unit after making sure you are injecting the right blood type (Direct B.T. or O-). Also, hook the victim up onto an I.V. unit.

    10. Let the victim rest and occasionally monitor them for the next several hours. They may be released after 5 days.


    Shrapnel Wound

    1. Check vital signs and inject 5 CC’s of Morphine.

    2. Remove the shrapnel as fast as possible and cure like an ordinary gunshot wound.


    Burn (1st degree)

    1. Run the burn under cool (NOT COLD) water as soon as possible. Let the water run for 5 minutes or more. The burn must be cooled down ASAP so it stops hurting and spreading (the MI should be instructed to do this step using their drinking bottles as that is as immediate as possible).

    2. Give the victim Ibuprofen pills for pain killing. Rub Petroleum jelly or Aloe Vera cream but not too much. This will bring back moisture to the burnt area. Lightly wrap the wound in gauze, do not overdo it, two roll-arounds are enough; replace the dressing every day.


    Burn (2nd degree)

    1. Same as curing a 1st degree burn. If the 2nd degree wound is widespread, the victim is to be Medevac’d to an ER.

    2. Do not pop the blisters, you must let them develop.

    3. Pus or increased swelling and pain mean it’s infected.


    Burn (3rd degree)

    1. Request Medevac immediately! Elevate the burned area. It prevents body fluids from reaching the burned areas.

    2. Inject 5-10 CC’s of Morphine depending on the extent of the burn. Give the victim painkillers such as Ibuprofen.

    3. Immerse the burned areas in cold water. No ice, use cloths to apply on hard to reach areas. Remove the water when the entire body begins cooling.

    4. Apply a generous coating of Aloe Vera cream (or Petroleum Jelly) on the burned areas.

    5. Attach the victim to an I.V. and make sure to keep them awake and lucid.

    6. Cover the burnt area with gauze. Change the gauze on an hourly basis.


    Bug Sting (Venomous)

    1. Elevate the bitten area to keep the venom at bay and keep the victim still. Wash the bitten area with soap and water. Give the victim an antihistamine to help alleviate swelling.

    2. Apply a Cold Pack Unit to the bite. Prepare the following.

    3. Apply antibiotic gel to the bite and watch for swelling. Wrap the area 10cm/4 inches above the bite in gauze tape or similar kit to stop/slow blood flow.

    4. If the sting is large and swelling occurs, immediately request Medevac.


    Hypothermia

    1. Look for symptoms: Confusion, memory loss, slurred speech, drastic drop in body temperature, exhaustion and drowsiness, numb hands or feet, shallow breathing and shivering.
     
  2. Carbine

    Carbine New Member

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    2. Restore warmth slowly: get the person indoors, remove wet clothing. Use Warm Pack Units through a cloth. Wrap the victim in a warm blanky.

    3. Begin CPR using a resuscitator. Give the person a warm drink if they are conscious. Avoid caffeine or alcohol.


    Heat Exhaustion

    1. If the person has a weak pulse, is disoriented or has an abnormally high body temperature, request a Med-Evac depending on the severity of the symptoms.

    2. Attach an I.V. inlet into the patient and begin oral rehydration with non-alcoholic beverages.

    3. Authorize rest for the rest of the day!


    Heat Stroke


    1. Request Medevac. It can be fatal if not taken seriously.

    2. Ensure plenty of ventilation by loosening the clothing. Attach an I.V. and start oral rehydration.

    3. Cool the victim using water or place them next to a windy source.


    Pneumonia

    1. It’s different from the common cold, and much more intense. It can be cured with over-the-counter medications, namely antibiotics, as it is caused by bacteria.

    2. Make the victim drink plenty of water; orange juice (Natural) will help boost the immune system.

    3. Give pain medication if the symptoms are extreme. Antibiotics won’t treat the pain.

    4. Allow rest for two days.

    5. Thick mucus can cause respiratory difficulty and even asthma attacks. Compress the chest area with a warm cloth (or Heat pack) and a weight.

    6. As a last resort, give an expectorant.


    Respiratory Infection

    Warning: There have been cases where our troopers (the poorly disciplined ones) have smoked a spliff that was secretly mixed with glass filings by the Seps. The inhalation of glass particles caused immediate death. Similar things are prone with dust/sand.

    1. Determine the type of infection. If the infection is caused by bacteria, antibiotics are necessary. I.V. may be necessary.

    2. Use a nebulizer, an inhalation device that helps broaden narrowed airways and helps cure the shortness of breath.

    3. Undergo chest physiotherapy, as it helps loosen mucus.

    4. Respiratory Tract Infection may reduce Oxygen levels in the blood resulting in fatigue, confusion and loss of consciousness. If it has, it is crucial to get Oxygen therapy via mask or nasal cannula.


    Infected Wound

    1. Thoroughly wash your hands with antiseptic soap. Infected wounds must be treated immediately.

    2. Sanitize the area of the infected wound with antiseptic wipes, alcohol or an antibacterial solution. This will prevent accidental contamination by bacteria which is present on the skin.

    3. Clean the foreign matter and pus that have been produced by the infection. Do not scrub, wipe carefully or just rinse with alcohol.

    4. Remove as much dead tissue as possible. Be careful not to cause bleeding as it will let the bacteria enter the bloodstream.

    5. Apply antibiotic ointment and cover with sterile gauze. Change the dressing frequently.


    Dislocated Limb

    1. Determine the severity and location of the dislocation by X-ray or similar imaging methods. Look for swelling.

    2. Create a splint using nearby materials that are rigid and straight. Never realign bones before consulting an image and specialist.

    3. Apply ice packs to the area of dislocation. Elevate the dislocation.

    4. Offer painkillers (Ibuprofen) if immediate treatment is not available.

    5. Rest and do not stress the dislocated limb. Avoid drinking excess fluids (you’re fucked if you get a stroke at the same time).


    Missing Limbs

    1. Don’t bother with checking the vitals as long as poor bastard is yelling and bleeding.

    2. Call for a Medevac.

    3. Inject 10 CC’s of Morphine and block blood flow by tightening the area above line where the limb was usually attached with a piece of rope or medical tape.

    4. DO NOT PANIC! Seeing a lot of blood and picturing the near future is absolutely deconstructive.

    5. Apply Calcium Zeolite.

    6. Attempt to bring the edges of the tissue together in order to ease the process of stitching later.

    7. By now, you should have acquired a bag of equivalent blood type and hooked the patient onto it.

    8. Inject a syringe of Nanites so they can begin doing their work on gathering the nerves and readying to main bone for mating with a bionic limb.

    9. After the blood has clotted, wash the area with antiseptic wipes and apply antibiotic ointment.

    10. The victim must be Medevac’d to a Surgery room.

    11. During the surgery, the end of the limb is to be cleaned with antiseptics, and antibiotic ointment. Attach an I.V. to the trooper and supply them with more blood.

    12. If a bionic limb is supplied, then the surgeon is to attach it, connecting the entire nervous link with the help of the Nanites. If not, an end piece (a metal jug shaped instrument) is to be placed on the tip and the skin stitched together with a regional application of skin transplant.

    13. Let the patient heal and rest for a very long time. They must undergo rehabilitation and preparatory accustoming training for the bionic limb. If they have not been reconstructed with a bionic limb, teach them in the use of crutches.


    Blisters

    1. Clean the blister with disinfectant soap.

    2. With a fully sterilised scalpel (or any other sharp sanitary tool), make a small incision on the base of the blister. Make sure to leave the roof of the blister on as it protects the skin.

    3. Push the fluid out using a gloved finger.

    4. Apply antibiotic ointment onto the blistered area via a piece of gauze.

    5. Apply a low allergy ventilated plaster onto the blister tip.


    H.I.V.

    1. Discharge, we don’t have the resources to treat sex addicts.


    Hepatitis C

    1. The process of recovery is long. Do the following over time:

    2. Avoid caffeine and alcohol.

    3. Make sure to hydrate them. A special diet is required.

    4. Get bowel cleansing occasionally.

    5. Sweat it out. With sweat, toxins are released.

    6. Volunteer for experimental drugs.

    7. Ribavirin and interferon work well.

    8. If they fail to recover, discharge them.

    Poisoning

    1. The process of recovery is long. Do the following over time:

    2. Get bowel cleansing occasionally.
     
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