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Tips and Tricks When Treating Patients
Forum » Sicarii's Mil-Sim forum » The Training Room
Joined: 31st Jul 2014
Rank: SE5
Likes 32
18th Aug 2015

A few factoids to help you be more effective at treating injuries in the field (Arma 3, using ACE 3)

When addressing a patient, there are some vital things you need to do in order. I'll explain the reasoning why in a second.

1: First and foremost, you need to get the patient to safety.

While monitoring the shoothouse scenario we did last weekend one thing I noticed was that there was a tendency to try and treat patients in the middle of the field of fire.

You MUST be aware at all times what areas are clear from enemy fire (especially windows, and corridors... Imagine any zone that hasn't been cleared as producing light, and anywhere that light falls can be potentially hazardous. For example, if there is a building across from the building that you are in, treating the patient in an area of the room exposed by a window and a clear field of fire is just asking to get sniped. Get the patient to a safe corner somewhere, clear of enemy fire.

2: After securing the patient, you must address their wounds. If the patient is losing blood, then you must stop the bleeding FIRST, whether it's internal, or external. If you push IV fluids while the patient is still bleeding, you aren't fixing the problem, and the patient will still continue to lose blood. A quick way of doing this is to apply a tourniquet, but those have a 5 minute limit.

3: Check their heart rate. Sometimes, the patient might have no pulse (but might still be alive). You may have to perform CPR to get their heart beating. DO NOT USE EPINEPHRINE TO REVIVE A PATIENT. This creates complications later, as they will randomly pass out at times, after you've supposedly treated their wounds. This is a bad thing in the middle of battle.

4: After the patient is stabilized, you need to check their blood pressure. What you are determining is what level of fluid is in their body. Without sufficient blood, their body isn't getting oxygen. If their fluids are low, give them an IV. If they've only lost a small amount of blood, give them a smaller amount, and if they've lost a large amount of blood... you get the idea.

5: After the patient has been treated, you will need to get them combat ready. Address their pain with morphine, but keep in mind that this lowers their blood pressure and their heart rate, and often times you will have to push epinephrine and a small IV to counter the effects. A common sequence of medications goes like this: morphine -> epinephrine - > small IV (500mL) Double check all of their limbs, torso, and head to make sure you didn't miss anything, and check that you removed all of their tourniquets.

For now, this is enough. We'll go into triage cards at a later time.

Keep it deadly!
-XO
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"If you can't be safe, be deadly."

[SE5] TheZenWalker
Executive Officer
Sicarius Elitist

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