Ace Medical Advanced

This medical handbook is made by Sebastian Cucutianu (koeksama#5674) You can find the original document here https://l.tlbmilsim.com/?l=hD7Dc

A word before we start

In this handbook I will try to give you some of my notes and perspectives on the situations. It will be my way of giving examples and tips. Keep them in mind if you think they might help you. Also please acknowledge that “medic” is one of the most important roles it also takes a very long time until you master it, so if you wanna become a medic then please stick to it. Thank you.

With that being said, lets begin.

Thank you for joining

TLB

Basic Medical System

So… You wanna be a medic?

You use “H” to open up the medical system. You will get a lot of options: View Triangle Card, Examine, Bandage / Fracture, Advanced, Drag / Carry and toggle.

On the right side you will see a mannequin that will change color in damaged body parts. (the most important features are highlighted in red)

1 Basics

When hit, units start to lose blood depending on the severity of their wounds. Once the level of blood falls below a certain threshold, the unit will fall unconscious and eventually die. Units will also fall unconscious when sustaining large amounts of damage at once or from high amounts of pain.

1.0 Man Down!

When someone is bleeding, apply a tourniquet. It will stop the bleeding and give you time to patch up your patient. Please remove It after the treatment if it is left for too long it may inflict pain.

The wounds are color based and they go from light yellow to dark red.

Yellow: Small - medium sized wound: you will have to use around 4 bandages Red: Large wound: you will need 5 or more bandages.

You have 4 types of bandages.

  • QuickClot

QuickClot is the most basic bandage you throw it on in every situation but it's not the best. The efficiency is the lowest and it has a high reopening chance

  • Elastic

Elastic bandage is one of the best. It is very effective and has a low reopening chance.

  • Packing

Packing has the same properties as Elastic

  • Field dressing

Field Dressing is the second best one, It has a high effectiveness and a low reopening chance

1.1 Drugs?

Aah my favorite subject. You have 3 types of medication. In the game you will find them titled as Autoinjectors.

Autoinjector

Effect

Morphine

Removes pain

Epinephrine

Wakes up the patient

Adenosine

Servers no use in Basic Medical

1.2 I need blood do you?

Hmm fluids for the body. Just like the autoinjectors there are 3 types of IV’s you can use to replace the lost blood with. Thing is 2 of 3 are useless in basic medical. You have bags of 250ml , 500ml and 1000ml. The amount is to be applied according to the blood loss. (Lost some blood = 250ml, lost a lot of blood = 500/+250ml and lost a fatal amount of blood +- 1000ml)

IV

Effect

Saline

Servers no use in Basic Medical

Plasma

Servers no use in Basic Medical

Blood

Restores the blood of the patient

1.3 OHHH My legs!

What can't joke about it?. Splints, Splints is something you should never forget. Whenever you break your leg or arm you will have to apply a Splint.

1.4 N#### you aight?

Don’t judge me. Now that you have (hopefully) read what the items do it's time to put them to use.

  1. You see a man down, you go to him and carry / drag him to safety.

  2. You open the medical menu and start applying tourniquets.

Start patching the areas that are bleeding but have no tourniquet, like the head or torso

  1. After or during the bandaging you give him some blood this will keep stable until further needed treatment.

  2. Now if you have given him blood and done everything else and the bastard still didn’t wake up then you can present him an autoinjector, Epinephrine to be precise if he is at blood lvl lost some blood

*Note: Any type of IV can only be given by Medics*

BE AWARE!!

It takes time for someone to wake up (+- 4 min) and proceed with step 4 only after the 4 min have passed.

Also talk to your patient. Even if he is unconscious he can still hear.

Tell him to stay with you and not to walk into the light for example

1.5 Begone DEATH!

Listen to wake me up when doing this. If you examine your patient and his heart rate is 0 / none then you will have to select his chest and under advanced select perform CPR. This will bit by bit increase his heart rate. Having this while the Epinephrine is still in effect will give a bonus revival point.

Advanced Medical System

Now you wanna master it?

Congrats! If you read this it means you are considering to be a medic in TLB

If so… . It also means that you are about to join one of the most elite divisions in TLB.

That being said

Welcome to

medic training

2 Advanced

Same as with basic, when hit an injury is sustained. Different though is that the type of injury and the severity of it are based upon how the damage was done and what caused it. Also Now it matters what you use, how and when.

2.0 Wounds

2.0.1 Abrasions (or scrapes)

  • They occur when the skin is rubbed away by friction against another rough surface

  • Sources: falling, rope burn, vehicle crashes.

  • Effects: pain - extremely light, bleeding - extremely slowly.

2.0.2 Avulsions

  • Also called bruises, these are the result of a forceful trauma that injures an internal structure without breaking the skin. Blows to the chest, abdomen, or head with a blunt instrument (e.g. a football or a fist) can cause contusions.

  • Sources: bullets, backblast, punches, vehicle crashes, falling.

  • Effects: pain - light, no bleeding.

2.0.3 Crush wounds

  • Occur when a heavy object falls onto a person, splitting the skin and shattering or tearing underlying structures.

  • Sources: falling, vehicle crashes, punches.

  • Effects: pain - light, bleeding - extremely slowly.

2.0.4 Cut wounds

  • Slicing wounds made with a sharp instrument, leaving even edges. They may be as minimal as a paper cut or as significant as a surgical incision.

  • Sources: vehicle crashes, grenades, explosions, artillery shells, backblast, stabs.

  • Effects: pain - light, bleeding - speed depends on length and size of the wound.

2.0.5 Lacerations (tears)

  • These are separating wounds that produce ragged edges. They are produced by a tremendous force against the body, either from an internal source or from an external source like a punch.

  • Sources: vehicle crashes, punches.

  • Effects: pain - light, bleeding - slow to medium speed (depends on wound size).

2.0.6 Velocity wound

  • They are caused by an object entering the body at a high speed, typically a bullet or small pieces of shrapnel.

  • Sources: bullets, grenades, explosions, artillery shells.

  • Effects: pain - extremely high, bleeding - medium speed (depends on wound size).

2.0.7 Puncture wounds

  • Deep, narrow wounds produced by sharp objects such as nails, knives and broken glass.

  • Sources: stabs, grenades

  • Effects: pain - light, bleeding - slowly.

2.1 Bandages matter?

Just adding stuff. Bandages matter now, they have the same properties as in basic but now you must make combinations in order to have a full effect.

For example let's say someone has a red arm, you will apply a tourniquet and start with QuickClot. After a while you will put an elastic bandage (so that the quikclot doesn't fall off if he moves. Add a packing so that the elastic doesn't spring off and finish it all off with a field dressing in order to keep everything together. What you can also do is throw 10 fieldressings and call it a day but it would be a waste of precious equipment.

Here is a chart on the bandage effectiveness (press link for better image)

2.2 Blood Bomb

Yes you read it right. If you give someone too much blood or “IV” they might die because of too much… . Also Plasma, Blood and Saline have different properties now so make sure you use the appropriate IV for the right situation.

Imagine someone has lost a fatal amount of blood but he is still bleeding. At that point you wanna give him plasma. Plasma is like blood but it drips waaaaay slower, like maple syrup. In this case he will receive blood without risks.

On the other hand if your patient is all white or blue (no wounds) .Then you can use Saline. Saline is more like water if flows very fast so don't use it when your patients has open wounds unless you are out of plasma

Now you might be thinking, Well if those 2 are bad then blood must be the best since it's a balance. WRONG! Blood is very sceptical about temperature. If it's too hot it gets bad and if it is too cold it also gets bad. I personally will only use the other 2 but it's always handy to have a plan B on hand.

IV

Effect

Saline

Restores blood at rapid speed

Plasma

Restores blood at slow speed

Blood

Restores blood but sceptical about temperature

2.3 Drugs But bad

Who would have toughed? Just like the IV’s the medication has some bad points as well. Again use the right medication in the right situation.

2 things you need to keep in mind. I call them the rules of normal human taught

  1. Don't use medication unless blood lvl is above Lost Some Blood

  2. If you use medication make sure you counter it with another type of medication.

Let's say someone is unconscious you will have to use an Epinephrine but your dear old EPPIE raises the heart rate by a bunch. So to keep your patient from dying you will have to counter it with an Adenosine. Make sure you insert the Adenosine the second after the Epinephrine

Now if someone is in pain you will have to give them an Morphine. Just keep in mind that it lowers the blood viscosity (after 2-3 injections in the same 5min your patient might die) and there is no drug to counter that. You will have to wait 5 min or so until you can inject it again.

And as last, the Adenosine. This thing can only lower your heart rate. The only counter attack for it is an Epinephrine.

Also i would like to say that The more blood your patient has the safer it is to play around with drugs. The less. The bigger the chance that 1 mistake could kill him.

Also the normal heart rate is around 90

Autoinjector

Effect

Morphine

Decreases the blood viscosity (suppress pain)

Epinephrine

Raises the heart rate of the patient (increases the chance of waking the patient up)

Adenosine

Lowers the heart rate

**Note morphine stays longer in the system than other medication**

2.4 Stitching…?

Yes yes. The surgical kit is only used when advanced wounds is enabled (That means that the wounds are reopening) You use a surgical kit to stitch wounds. In order to start the use of a surgical kit the patient must be stable. You only need one surgical kit in your inventory as they do not disappear when used. The only person who can use the surgical kit is the medic.

2.5 PAK me UP!

Oooooh yeah. A PersonalAidKit or what most people refer to as PAK is what medics use to fully heal someone. When used it fully removes any injury and pain. The person that can use the PAK is the medic. Anyone can carry it but can’t use it.

The End

This concludes the medical training.

Thank you for joining the TLB medics

My name is Sebastian Cucutianu and I hope to see you alongside me on the field.