Garry’s Mod: <:: Combat-Life Saver Handbook ::> TnB: HL2 NIP-Redux

Civil Authority medics provide much-needed emergency medical treatment to their fellow officers, administration, and citizenry. They are not skilled surgeons or actual doctors; rather, they adhere more closely to emergency medical technicians employed by the Civil Medical Service (CMS).

A medical certification can be pursued by any unit of rank 04 or higher, with a previous background in medicine preferred but not required. Training is performed by either authorized CMS personnel or medical instructors within the CCA.

Preserving the lives of your fellow units will always be the highest priority.

The highest priority of medical units is, naturally, providing first-aid as needed to injured units. All medics are expected to keep a basic trauma kit on them at all times while on duty for this reason.

Medics are still expected to perform all the standard CCA duties. Being a certified medic is rarely an excuse not to do something unless it would pose a significant risk to the unit in question. No medic is useful dead, after all, and they should not be taking unnecessary risks (Ie; being the first one in during a breach). All other standard duties are still expected, such as patrol quotas, but time will be allotted for required additional work of medical documentation or assisting in the medical bay.

Short of staffing issues, most stations have a well-prepared medical bay that can handle casualties, however, medical units may be mandated to work additional time to assist medical bay staff depending on circumstances. They also may be asked to perform routine medical duties such as physical exams.

Medics are provided with a standard set of equipment, including a well-stocked kit of first-aid supplies, painkillers, and stimulants. Generally there is enough in a standard kit to treat multiple casualties or a few severe ones. Some things of note among the standard equipment include:

Epinephrine and Lorazepam auto-injectors:

Epinephrine is used for emergency treatment of allergic reactions, while lorazepam is a sedative useful for seizures or combative malcompliants. Rarely used in either case, but useful and life-saving.

Exogen Based Medical Gelatin (Or Medi-Gel):

Medigel is a powerful compound used for first-aid purposes, often provided in a vial or an injector. It acts as a strong coagulant, antiseptic, and painkiller. It is unsuitable for large wounds and is useful for quick patch-ups in the field. It also boosts recovery by promoting healing but is by no means a miracle cure. Wounds should still be sutured and bandaged according to size.

Being a powerful coagulant, medigel should NEVER be injected directly into the veins and instead be provided intramuscularly in and around wounds. Injection directly into the circulatory system can result in life-threatening blood clots, strokes, and internal damage.

The only exception is internal injuries that cannot be operated on at the moment, with blood clots being a calculated risk.

All CCA-Issue stimulants listed here require additional training and certification before being issued to any medical personnel. Contact the Medical Chief or instructors for details.

Synaptic Inhibitor Gamma (DI-CCA.166):

An alternative to morphine, DI-CCA.166 (Or DI-166, as it is referred to from here forward) is a breakthrough drug approved for CCA use that provides the effects of morphine without the blood thinning effect or euphoria. A strong painkiller that can help most units push through injuries, it should still be used sparingly as it is both costly to produce and long-term use can result in a reduction to the body’s natural pain reception (analgesia).

Nocicepticide Compound Delta (RI-CCA.994):

A dangerous drug that is not routinely carried by medical units, but can be with proper authorization and training per local medical leads. This compound is utilized by the Transhuman Arm but is provided in a diluted form to CCA medics. The drug disables pain responses entirely and overrides the body’s natural limits on strength, allowing users to operate to their full potential without regard to their own safety. Injuries such as dislocated bones and fractures are common, but units can ignore the loss of entire limbs.

Additionally, it heightens aggression and is often paired with Hormonal Supressant Alpha (RI-CCA.412) to mitigate this. This drug is a last-ditch effort for extreme situations, and use of it should be reported to the medical lead. Long-term abuse results in neural degradation, dementia, and similar side effects to DI-166.

Hormonal Supressant Alpha (RI-CCA.412):

A drug used to curb aggression primarily with RI-994, this strong suppressant dulls a user’s emotions, primarily anger, rapidly after use. It can be used on both combative malcompliants or fellow units after administering RI-994 or in high-stress situations to improve focus and efficiency. While less controlled than RI-994, this stimulant still requires caution as long-term use results in a complete dulling of emotions, a loss of empathy, and creativity.

It is used in smaller doses of pills outside of the field for long-term use and can be prescribed via the medical officer or command to disobedient units to reduce disloyal or harmful behavior. Often as a form of punishment or willingly, depending on the subject.

NOTICE – MISUSE OF ANY STIMULANT OR SUBSTANCE MAY RESULT IN A REDUCTION OF RANK PRIVILEGES AND/OR REVOKED MEDICAL CERTIFICATION

The procedures for handling casualties are as follows: STSE

SECURE, TRIAGE, STABILIZE, EVACUATE

Secure the immediate area around the casualty.

You are unable to provide medical aid if you are dead. Attempting to provide medical aid in a dangerous situation could get you killed. Even if the scene has already been secured by other officers, take a moment to assess for yourself. If the casualty is in an open area, it is likely wise to move them out of sight if possible.

Triage any wounded.

Triaging means treating the ones with the most life-threatening injuries first. Assess the severity of all casualties and treat them according to standard triage procedures, factoring in unit rank.

Stabilize all casualties.

You do not have the equipment to properly treat a casualty in the field, your job is to get them stable enough to transport back for proper medical treatment. Control blood loss, stabilize any fractures, and administer drugs as needed to keep them alive for transport.

Evacuate all casualties from the area.

CCA personnel should ideally be brought to the most secure medical facility available, such as within the nearest station or outpost. However, exceptions can be made to transport them to CMS facilities if their injuries are too severe to survive being brought elsewhere. Their identity risks being compromised in a CMS facility, so it is not advisable in most scenarios.

Just a few notes on this guide and the certification in general.

This guide is a pretty loose guideline of what to do and your duties, if you have any questions feel free to reach out to the medical lead or CCA command about specific details.

A lot of people do not like being subjected to lengthy medRP, it is just boring, especially if they’re unconscious, so keep this in mind. I generally try to write one brief emote about what I am doing and leave it at that. Having someone unconscious on a table while you do ten emotes of surgery at them is boring.

This certification allows you the freedom to do other things to make it fun outside of patching people up in the field. You can call units down for routine check-ups, inquire about their health, etc, anything within that field to make things interesting.

Additionally nobody expects perfect OOC accuracy for medical treatment, unless you’re a doctor IRL or something. Even then, this is a roleplay server.