Our Medical System:

We have used ACE Advanced Medical from the beginning, but as of March 2021, we have switched to KAT Medical.

KAT Medical works upon ACE and adds some more advanced features - such as Airway Management and Circulation.
We encourage every player to learn our medical system - for redundancy and to give it a fair chance to see if they would enjoy playing as Medic.

As always, each new recruit is put through ACE Advanced Medical - training them to the level of Medic for only ACE (being an actual squad Medic requires further advanced training and verification).

KAT Medical - advanced features:

KAT brings many new features, that often change.
So please find the link to an official KAT medical guide, accurate as of October 2023.

KAT Guide

Bandages:

There are two types of bandages you need to take with you - Elastic and QuickClot. Elastic applies quicker to the wound, but has a higher risk of reopening. While QuickClot is slower, but has a low chance of reopening.
There are two other types of bandage - Basic and Packing - but these are inefficient and not worth taking over Elastic and QuickClot - you most likely will never see these in an Arsenal in-game.

As you should already know, to apply bandages you simply click the limb you wish to treat in the Medical Menu - then head to the "Bandage and Fractures" tab on the left. You can then pick the type and apply them to the selected limb.

As a Medic, we recommend you to take at least 30 bandages of each type.

Autoinjectors:

There are three types of Autoinjector; Epinephrine, Morphine and Adenosine.

Morphine relieves pain, but also lowers Blood Pressure and Heart Rate. If you use more than one stick every 10 minutes, you may overdose yourself and pass out. Please be weary of this. Typically Medics will never administer Morphine to patients, they will ask the patient to treat themselves - to avoid confusion and save time.

Epinephrine (Epi) increases the patient's Heart Rate (and blood pressure slightly), this can be used to counter the effects of a Morphine overdose. But typically Epi is used to boost an unconscious patients heartrate to regain consciousness.

Adenosine lowers the heartrate, this is used to counter the effects of too much Epi. You will rarely use this, so we advise you to take three sticks at most.

Note - Painkillers can be found within the "Magazines" section of the arsenal, they have ten uses each and can be used to treat mild pain without the undesired effects of Morphine.

IV Transfusions:

Until the rollout of KAT Medical, we have always used Blood IVs to increase Blood Pressure, but KAT Medical adds blood types, at the current time we do not wish to use this particular mechanic - So we advise you to take Saline or Plasma, all IVs have the same effect.

As a Medic, we recommend that you take ten 500ml bags of Saline or Plasma, along with at least five 1000ml IV bags to treat patients with severe blood loss. You may notice the option for 250ml bags, we advise against taking any of these, but as a non-medic, it may be wise to take some of these for yourself if you have sustained minor injuries.

Personal Aid Kits:

Personal Aid Kits, also know as a PAK, are effectively a full heal - as if you had just spawned into the game. These are Medic only items.

As PAKs are a full heal, they take a long period of time to apply to make them fair. They can also only be applied when a patient is stable - awake and in reasonably good health. The more injuries sustained, the longer it will take. 

Note - In some missions PAKs may be completely removed, or set to Single Use only in order to balance the gameplay.

Surgical Kits:

Surgical Kits are used to stitch bandaged wounds to stop them reopening, without this you would have to continuously treat a bandaged wound. 

These Medic only items are reusable and essential to your role, the speed of stitching may vary depending on the amount of wounds needing to be treated. 

Splints and Tourniquets:

These ACE Advanced Medical items allow you to assist in the treatment of limbs. We recommend you take around 10 of these items each. (Tourniquets are reusable, but you may lose them if you PAK in a rush).

Splints - Used on arms and legs if they are fractured. Applied under the "Bandage and Fractures" tab when you select a broken limb, which is signified by a bone being present on the Medical Menu Status Diagram. When a fracture occurs in the leg, you will begin to limp and your speed dramatically decreases.

Tourniquets - These are used to stop the limb from bleeding further, it simply cuts the blood supply to the affected limb. But do not leave these on for over 5 minutes or you will experience pain.
Tourniquets should be used when a patient has been injured in several limbs, allowing you to keep as much blood as possible inside the patient while you work on bandaging them. If someone is only hit in one limb, they should be able to treat themselves with no need for a Tourniquet.

AED X-Series and Pulse Oximeters:

These are two new devices added in by KAT Medical to monitor vitals automatically - removing the need to repeatedly check a patients pulse and blood pressure manually. 

AED X-Series - this device is a Defibrillator and Vital monitoring solution together. It will automatically read out Heart Rate, Blood Pressure and Blood Oxygen Saturation - it even has beeping to match the heart rate! (Which the volume can be adjusted by ACE Self Interacting)

Instead of doing CPR, you should now use the AED or AED-X, this is much more effective and faster - but remember to not touch the patient when using a defibrillator!

Pulse Oximeters can be used by anyone to monitor Heart Rate and Blood Oxygen Saturation, it simply attaches to an arm under the "Examine Patient" tab.

Note - In some Operations set in the 20th Century you may only have access to an AED, rather than an AED X-Series.

Accuvac:

The Accuvac is used to clear an airway of Occlusions (a buildup of fluid in the airway) without clearing an occlusion, the Blood O2 Saturation will decrease - resulting in suffocation. You should take one Accuvac machine as it is reusable, it is also a Medic only item.

An alternate way to clear an Occlusion is head turning, anyone can do this but it has a low success rate.

Guedel Tube and King LTs:

These devices are both used to clear Obstructions in the airways. These are not reusable so we suggest taking around ten of these. 

Guedel Tubes are used to clear an airway only of obstructions, along with preventing any further ones. Non-Medics can use these items, so we advise that each soldier take one for emergencies.

A King LT is used to clear Obstructions and Occlusions - making Guedel Tubes inefficient. These are not reusable, so we suggest you take around ten King LTs.

Chest Seal and AAT Kit:

A chest seal is used to treat a Pneumothorax, it always work and is quick to apply. Pneumothoraces are somewhat uncommon, so five chest seals should be enough. If you are unlucky enough to encounter more, don't forget to coordinate with the squads JTAC to request a Medical Resupply.

AAT Kits are used to puncture through the chest to treat a Hemopneumothorax or Tension Pneumothorax, these are single use needles, so you should take between five and ten.

Treatment Methods:

In this section we will discuss varying treatments for different injuries - primarily the new KAT Medical additions.

Pneumothorax:

When receiving damage to the torso you have the chance of getting a Pneumothorax, a injury where your lungs collapse. This can very easily be noticed in the "Overview" category in the Medical Menu. This injury results in your Blood Oxygen Saturation (SP02) to drop.

To treat this wound, click on the torso and open the "Advanced Treatments" tab, you will then see the "Chest Seal" option. This is a quick treatment that always works.

Tension Pneumothorax:

A Tension Pneumothorax occurs upon injury to the torso, like a normal Pneumothorax, but this injury requires the use of an AAT Kit. The treatment is essentially pushing a needle into their torso to decompress the area. 

Hemopneumothorax:

Hemopneumothoraces can happen upon receiving a normal Pneumothorax, it is identified in the "Overview" section like the other wounds. 

When this uncommon injury occurs, you need to use an AAT Kit, then a Chest Seal. This procedure cannot fail and does not take long.

Obstruction:

Obstruction is where the actual airway is blocked, resulting in the patient not being able to breath - Blood O2 saturation will rapidly drop. You can only treat an obstruction if there is no Occlusion.

KAT adds the need to check the patients airways, this is done in the "Airway Management" tab. Once the examination is completed it will state whether the airway is obstructed or occluded in the Activity Log and in the top right of your screen.

There are three methods of treating an Obstruction:

Head Hyperextension - Temporarily stabilises an airway, with a low success rate.

Geudel Tube - A simple device that anyone can use, it has a high success rate and clears the obstruction and prevents any further ones.

King LT - This Medic only item clears an airway of obstruction with a high success rate. It also prevents any further obstructions and occlusions. (Medics should take these instead of Geudel Tubes)

Occlusion:

Occlusion is where the airway is blocked due to a buildup of fluid, like blood or vomit. When a patient is unconscious, there is a chance that they will vomit - occluding the airway, so ensure to regularly check the airways if no King LT is in place. To treat this there are two methods:

Head Turning - A treatment anyone can do, it is a quick method but has a low success rate.

Accuvac - A Medic only machine that clears the occlusion with a high success rate, it is essentially a vacuum - accompanied with a slurping sound.

Vital Monitoring:

As mentioned previously, there are two new methods to monitor vitals - the AED X-Series and Pulse Oximeter.

The lightweight Pulse Oximeter can be attatched to an arm to monitor Heart Rate and Blood Oxygen Levels of a patient - anyone can attach this, so you may advise each squad member to carry one if necessary. 

The better option is the AED X-Series - a larger device that measures all vitals, including Blood Pressure. This device will emit beeping at the speed of the patient's heart rate so you know immediately if they enter cardiac arrest. This device also includes a built-in defibrillator, making the standard AED redundant. 

Regarding AEDs, it is no longer an efficient method to simply perform CPR on a patient - this has a low success chance compared to an Automated External Defibrillator.

When using the AED, remember to instruct nearby personnel to stand clear of the body - otherwise it will hurt them.

Blood Oxygen Saturation (SP02):

Saturation values are monitored from 100 to 0, if the level drops to 5% the patient will die. Typically, the saturation will not drop below 65%. This should be kept at 100% whenever possible, to do this you need to ensure the airways are secured - with a King LT for example, you should then see the levels increase. If the airways are secured and it is still dropping, it may be a sign of a pneumothorax.