Medical Training

Our Medical System:

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

Bandages:

There are two essential types of bandages you need to carry:

Elastic bandages are faster to apply but have a higher risk of the wound reopening.

QuickClot takes longer to apply but has a much lower chance of reopening.

To apply a bandage, open the Medical Menu, click the limb you want to treat, go to the 'Bandage and Fractures' tab, select the type of bandage, and apply it.

There are also Basic and Packing bandages, but these are less effective and generally inferior to Elastic and QuickClot. You likely won’t encounter them in-game.

Autoinjectors:

There are two types of Autoinjector that the standard infantry need to be aware of - Morphine and Epinephrine.

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 overdosing and to save time.

Epinephrine (Epi) increases Heart Rate and Blood Pressure. It also boosts the patients wake-up chance.

Medications:

Combat Pill Pack, previously known as Painkillers. These items have 4 uses per packet and relieve mild pain.

Ammonium Carbonate increases the wake-up chase for an unconscious patient, with 10 uses per box.

Adenosine lowers the Heart Rate and Blood Pressure, on a lesser intensity than morphine. This may be used if an unconscious patient has had too much Epinephrine.

Naloxone treats morphine overdose on a 1:1 ratio. Meaning if a patient has had 3x morphine autoinjectors, 3x Naloxone must be administered.

Amiodarone is used to increase the success of AED usage.

TXA clots wounds quickly, this is incredibly useful if a patient in bleeding heavily from all limbs.

EACA stitches wounds quickly, again a great tool for mass-casualties.

IV Transfusions:

Until the rollout of KAT Medical, we have always used Blood IVs to increase Blood Pressure, but KAT Medical adds blood types.
To keep things  simple, we do not utilise blood types in-game, and instead use standard ACE blood.

To administer blood, a 16g IV or FAST IO must be applied to the patient.
The 16g IV is standard practice, it is inserted into a limb, however if all limbs have tourniquets applied, a FAST IO must be used.
FAST IOs are inserted into the torso and cause mild pain, however it allows direct access for IVs while a patient is not yet bandaged or stitched.

Some medications also require an IV to be applied. (TXA, EACA and Amiodarone)

As a Medic, we recommend that you take 10x 500ml bags and 5+ 1000ml bags of blood.
As infantry, try and take some 500ml IVs with you to help the medics load.

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 Doctor 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 most 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.

When stitching, under the "Advanced Treatments" tab, only one limb is stitched at a time - it does not stitch all limbs like previous versions of ACE.

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 to other players or respawns)

KAT implements a surgery system, with anesthesia, sedation, ultrasounds and scalpels - however this is not the gameplay we desire in Corpus, so it is disabled.

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:

KAT Medical adds two new devices that automatically monitor vitals, eliminating the need to manually check pulse and blood pressure repeatedly.

Pulse Oximeter:

• Can be used by anyone to monitor heart rate and blood oxygen saturation.

• Simply attach it to the patient’s arm under the "Examine Patient" tab.

AED X-Series:

• Combines a defibrillator and a vital monitoring system.

• Automatically displays heart rate, blood pressure, and blood oxygen saturation. It also beeps to match the heart rate (volume adjustable via ACE Self Interaction).

To use, select "View Monitor" in the "Examine Patient" tab. You can "analyse" the heart rhythm and the AED-X will advise the next steps, such as performing CPR or delivering a shock.

EKG Readings:

Normal: Displays sharp up-and-down lines, like what you see in movies.

Ventricular Tachycardia: A consistent, wavy up-and-down line of equal height.

Ventricular Fibrillation: Chaotic wavy lines of varying heights.

For Ventricular Tachycardia or Fibrillation, shock the patient using the AED-X chest pads. If shocking is unsuccessful, Amiodarone can improve the chance of success. After each shock, press "analyze" and follow the AED-X’s instructions.

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

Airway Management:

Airway management is an essential step is patient treatment.
If you notice SpO2 levels dropping, it is down to three possibilities - an obstructed airway, an occluded airway, or a pneumothorax injury.

Obstructions and Occlusions:

To check patient airways, use the "Airway Management" tab. Once the examination is completed it will state whether the airway is obstructed or occluded (or both) in the Activity Log and in the top right of your screen.

Obstruction - something is physically blocking the airway, imagine the patient's tongue or collapsed windpipe.

Occluded - some bodily fluid (blood, vomit) is blocking the airway.

Accuvac:

The Accuvac is used to clear an airway of Occlusions. 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, or manual suction pump. Anyone can do these, but they return 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 an existing Obstruction, and prevent future ones, while also preventing future Occlusions - making Guedel Tubes inefficient as a medic. These are not reusable, so we suggest you take around ten King LTs.

If you have neither a King LT or Guedel tube, you can perform a "head hyperextension" - which essentially tilts the patients head upwards to create clear passage down the throat/windpipe. This is very ineffective and will fail in time.

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, even if a King LT or other airway management instrument is applied.

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.

Chest Seal and AAT Kit:

A chest seal is used to treat a Pneumothorax, it always works 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 or Radio Operator 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.

Blood Oxygen Saturation (SPO2):

Saturation values are monitored from 100 to 0, if the level drops to 40 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.

To assist with maintaining SPO2 levels, a BVM or Pocket BVM can be used.

A BVM can be attached to the patients head to pump air into the lungs, an Oxygen Tank can also be linked to this to increase effectiveness.
For weight reasons, a Pocket BVM can be used. This however loses the ability to link an Oxygen Tank to it.

Patient Recovery / Treatment Procedure:

1. Tourniquet injured limbs (if multiple)

2. Bandage head + torso (apply TXA and EACA)

3. Apply vitals monitoring via AED-X

4. Manage Airways (Accuvac + King LT) and check for Pneumothorax

5. Administer blood, if large amount is lost (1000ml+)

6. Stitch limbs

7. Remove tourniquets

8. Administer blood to stable levels

9. Administer Ammonium Carbonate

10. Apply splints to broken bones