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  1. #1
    Old-School Veteran 500 Posts500 Posts500 Posts MistaCrowley's Avatar
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    How to role-play medical situations(Medical information for roleplay)



    In this guide, I will be presenting different situations you can occur, so you can get some inspiration about how to roleplay different situations/accidents. Also, you could maybe learn some general medical knowledge here, cause things will be well explained. I've seen so many situations, where people partly, or completely fail to roleplay a certain medical situation. Also good, experienced roleplayers fail. It's a shame, that many people wish to completely skip medical roleplay, because it discourages LSFMD members and their roleplay, and to some extent, it's powergaming not to roleplay your injuries.

    I also give credit to Chad Wallace and Curoar of other RP communities that have given me permission to re-distribute and edit this guide because of out dated information.



    Pulse/heart rate: A persons pulse represents how many times per minute his heart beats (BPM - beats per minute). A normal pulse rate when in rest, will be 60-100 BPM. The pulse can be measured by either placing your hand directly over the heart, or normally it is measured by places two fingers on the persons wrist or neck, or finally with electronic equipment, such as an ECG (electrocardiography). A persons pulse will rise during physical activity and in stressed situations. Furthermore, the more blood you lose, the higher your pulse will become. The higher pulse/heart rate, the more oxygen needs to be absorbed, and therefore a persons breathing will under normal conditions increase, along with the pulse.

    Blood pressure: A persons blood pressure represents the pressure of the vessels from the blood flowing. Blood pressure is measured by both the systolic (maximum pressure when coming FROM the heart), and a minimum diastolic (minimum when coming TO the heart). A big difference between the systolic and the diastolic pressure, can mean that blood is flowing from the body somewhere, so blood pressure can be a good way to check of a possible internal bleeding. Blood pressure is normally measured with a sphygmomanometer, or in layman's terms a blood pressure meter. If you lose a lot of blood, your blood pressure will begin to drop. A normal blood pressure is 90-120 (systolic) / 60-80 (diastolic). If the systolic blood pressure is over 140 mmHg, you have too high blood pressure (hyper-tension). A blood pressure under 90/60 is too low (hypo-tension).

    Respiratory rate: Rarer used by medical professionals, but means the breathing rate per minute. Normal for adults is 12-20 breaths per minutes when resting.

    How to perform CPR: Cardiopulmonary Resuscitation (CPR) is performed when a persons heart is stopped, and is performed by:
    1. Making two initial ventilation's, by slowly blowing air into the patients mouth, while pinching his nose to close it.
    2. Place your hands on top of each other the persons sternum (between the chest).
    3. Compress the sternum 30 times, hard and in a steady rhythm.
    4. Check his pulse, listen over his mouth, and look at his chest, to see if his heart begins to beat. If the persons starts to breathe, his heart is also started.
    5. Repeat these steps while someone else dials 911.



    In most RTC's (road traffic collisions) occupants inside a crashed vehicle may suffer from many different conditions, depending on how the crashed happened, speed, vehicle type etc. The most common things to suffer from a vehicle accident (and falls from heights) are:

    Neck or back (spine) injuries role-played as having pain in your neck and/or back when moving. If this occurs after a crash, you should be placed on spine board by the EMT, and avoid moving your body at all. Neck or spine injuries can easily lead to for example paralysis or a whiplash which will follow you the rest of your life

    Internal bleeding's role-played as having big blue marks on the area of the internal bleeding (as blood inside your body is blue and visible through the skin during a bleeding inside it, and very strong pain. Risk of coughing up blood, if the bleeding is in the tracheal (upper chest) area. The EMT will examine you for internal bleeding with a stethoscope on scene.

    Open or closed fractions (broken bones) A closed fracture (broken bone) is when a bone is broken, but not penetrating the skin. An open fracture is more serious, as it has penetrated the skin, and bones might be sticking out the skin. An open fracture needs to be closed (bandaged) before it is secured in a traction splint by the EMT. At the hospital, a doctor will perform an x-ray, to examine the bone fractures.



    Is probably most common medical situations, and most people know how to role-play it. LSFMD members are dead boring of making the same role-play every time a guy has been shot, so here is some ideas for more advanced injuries due to bullets:

    Internal bleeding bullet wounds can also cause internal bleeding's. Despite what many people might believe, a bullet most likely won't travel straight through your body, but cluster as soon as it penetrates the skin, and make a lot of havoc inside the body, meaning a huge risk of causing damage to vital organs, and cause internal bleeding's. It's a bit more tricky to spot internal bleeding in gunshot wounds, because there will most likely not be any visible injury from the outside. A stethoscope or a CT-scanning at the hospital, can reveal this.

    Substantial blood loss Role playing that you have lost a substantial amount of blood after a bleeding wound, will further challenge the LSFMD-crew. This will make your pulse rise, and increase the risk of sudden cardiac arrest, circulatory shock, or unconsciousness. You need a blood transfusion if you have lost more than one liter of blood. EMT's on scene may also inject you with lactated ringers solution, for fluid resuscitation after a great blood loss.

    Bleeding's in general An external bleeding occurs, when a blood vessel is ripped apart for some reason, and the bleeding is visible on the exterior of the body. Depending on the severity and location of the bleeding, it can be more or less life threatening. Major arteries are found on the wrists, neck, thighs and chest area. A single bandage may not always be enough to stop a serious bleeding. Sometimes more compression is needed, and sometimes a bleeding can't be stopped on-scene.



    Head trauma can be something as light as a normal concussion, to something very serious as a brain hemorrhage. Head traumas can be caused by everything from a vehicle accident, to a heavy bump to the head, a punch etc.

    Concussion: When you have a concussion, you will have a strong headache, become disoriented, nauseous, ringing for your ears for the most. An EMT will check you at first, by lighting into your eyes with a penlight, to find out whether your pupils are dilating (contracting due to the light as they should) and to see if the pupils have the same size. If your pupils are not dilating, you could have a concussion, if the other symptoms are also showing. Depending on the seriousness of the concussion, it is treated by just observing the patient, or checking for brain swelling and/or bleeding in a CT/MRI scanner.

    Skull fracture: Is caused by a break in the skull, normally caused by a blunt force, or in a fall. Typically it will bleed violently, and can cause concussions or hemorrhages depending on the severity. A skull fracture needs to be treated immediately. Light skull fractures can be treated by stopping the bleeding, and simply observing the patient, and it will heal itself eventually. Serious skull fractures requires acute surgery.

    Brain hemorrhage: Is a very serious condition which needs immediate treatment. It can be cause by many things, including hypertension (too high blood pressure), smoking, alcoholism and diabetes. A brain hemorrhage will show by defections in the body functions which is controlled by the bleeding part of the brain. Therefore it can be very difficult to spot at first. A CT-scan will reveal a brain hemorrhage i suspected. Treatment varies from daily intake of medication, to acute surgery to contract the bleeding veins inside the brain. In a severe case, a hemorrhage can cause an epileptic seizure (see under special conditions).



    A burn wound can be caused by heat, electricity, chemicals and more, and is a condition which normally only damages the skin tissue, but with serious burns, it can also damage muscles, bone and blood vessels. You talk about about up to six degrees of burn wounds:

    First degree burn: Is normally just a light redness of the affected skin area, with minor pain. This can be treated by simply applying cold water or a moist cloth to the area. Doesn't need medical treatment. IE: Sunburns, warm water burns.

    Second degree burn: Also causes redness, but also causes blistering of the skin. A second degree burn may not hurt as much, since the underlaying nerves can be temporary paralyzed or damaged by the burn. Takes much longer time to heal, and will leave a scar. Needs medical treatment, depending on the severity. IE: Chemicals, substantial heat

    Third degree burn: Is a serious burn, where nerves, underlying tissue, keratin and hair shafts is destroyed, and is creating major scars which will never heal. Therefore grafting (skin transplantation) is often needed. Most third degree burns can't be felt by the patient, because the nerves are destroyed completely. IE: Chemicals, burn wounds from fires

    Fourth degree burn: Can furthermore damage the muscles behind the skin, with permanent motor problems to follow, caused by a permanent damaged muscle.

    Five degree burn: Is a very serious burn, where all overlaying tissue and skin is destroyed, along with muscles and arteries and veins, making this burn very fatal. A five-degree burn may also bleed because of this. Amputation of limbs can also be required.

    Sixth degree burn: Is the most serious burn that can occur, which will completely destroy skin, tissue, nerves, muscles and everything overlaying the bone, so the bone will be exposed. If you're not already dead, an amputation is needed.



    Heart attack are caused by a sudden block of the coronary artery in the heart, and must be treated immediately to save the patients life. It can be role played as suddenly fainting on the street, in connection with the usage of drugs or alcohol etc. Right before a heart attack occurs, you will most likely feel a very strong pain in the left side of the chest, most likely radiating out in your left arm and/or jaw. The EMT on scene will need to perform CPR to start your heart, and rush you to the hospital for further treatment.

    Anaphylatic shock or just anaphylaxis, is a very strong, sudden allergic triggered reaction. Depending where it occurs, it can lead to swelling of the throat, coughing, asthmatic-like trouble breathing, chest pain, drop in blood pressure, heart attack and/or unconsciousness. The EMT should try to maintain free airways and breathing. Furthermore he should inject the patient with adrenaline from an EpiPen, which will make the veins contract, and the bronchis in the lungs to expand, so blood pressure rises and the patients breathes easier.

    Asthma attack can occur, when an asthmatic patient is exposed to smoke, pollution, or even psychological stress, or if the person forgot to take his medication. Although, asthma attacks can in rare cases, be triggered in a healthy person without asthma (as first indication of the disease). The symptoms are shortness of breath, wheezing and chest tightness. In case of acute attacks, the EMT will use an Albuterol-inhaler, and possibly oxygen, to calm down the patient.

    Epileptic seizure can occur among st people suffering from epilepsy, but can also rarely occur for healthy persons. It's caused by abnormal brain activity due to IE. damages in the brain from a hemorrhage. It represents as everything from slight confusion, abnormal body moments, to completely loss of body control, and falling to the ground. The EMT will roll the person over to prevent him from choking, secure his head, so the patient does not bang it, and treat him with diazepam to control the seizure. Despite wide-belief, you should NEVER but something in a seizing persons mouth. It can be swallowed or make damage to teeth and tongue. A person can't swallow his tongue or choke in it, during a seizure.

    Please tell me if I should edit the guide's color or font or whatever to make it look more appealing :)




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  3. #2
    5 Year Veteran 500 Posts Ilyass Kech's Avatar
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    This is a really good guide, it should be moved to Official and get stickied.
    Good job.
    Spoiler!



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  5. #3
    9 Year Veteran Mister Kordy's Avatar
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    I read your old guide and I could really get use of it well, right now I became well known for being the only paramedic who roleplays treating injuries well and I even went as far to performing operations.
    Special thanks to your guide.
    ALSO KNOWN AS PRIBOI

    Eli Schwartzman-Kenneth Schwartzman-Joseph Kordy-Keven Schwartzman-Richard Freeman-Joseph Priboi II-Joseph Trinidad-Joseph Priboi

    Spoiler!

    #historyhasbeenmade2018

    If there's just one thing SARP has taught me, it's how to handle and deal with obnoxious people in a calm manner even though their words/actions are so irritating to the point that I might feel so tempted to have a go at them.

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  7. #4
    Pot Head JimST's Avatar
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    This is very detailed and useful!
    Players without real life medical knowledge can roleplay being a medic in game properly by following your guide. I sure as hell am going to take some ideas from it :)
    Thanks a lot!

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  9. #5
    5 Year Veteran Michael Beneventi's Avatar
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    Sad this is a low roleplay server..

    However the guide is excellent, amazing effort and time.

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  11. #6
    2 Year Veteran 500 Posts500 Posts Elektra Natchios's Avatar
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    Quote Originally Posted by MistaCrowley View Post


    In this guide, I will be presenting different situations you can occur, so you can get some inspiration about how to roleplay different situations/accidents. Also, you could maybe learn some general medical knowledge here, cause things will be well explained. I've seen so many situations, where people partly, or completely fail to roleplay a certain medical situation. Also good, experienced roleplayers fail. It's a shame, that many people wish to completely skip medical roleplay, because it discourages LSFMD members and their roleplay, and to some extent, it's powergaming not to roleplay your injuries.

    I also give credit to Chad Wallace and Curoar of other RP communities that have given me permission to re-distribute and edit this guide because of out dated information.



    Pulse/heart rate: A persons pulse represents how many times per minute his heart beats (BPM - beats per minute). A normal pulse rate when in rest, will be 60-100 BPM. The pulse can be measured by either placing your hand directly over the heart, or normally it is measured by places two fingers on the persons wrist or neck, or finally with electronic equipment, such as an ECG (electrocardiography). A persons pulse will rise during physical activity and in stressed situations. Furthermore, the more blood you lose, the higher your pulse will become. The higher pulse/heart rate, the more oxygen needs to be absorbed, and therefore a persons breathing will under normal conditions increase, along with the pulse.

    Blood pressure: A persons blood pressure represents the pressure of the vessels from the blood flowing. Blood pressure is measured by both the systolic (maximum pressure when coming FROM the heart), and a minimum diastolic (minimum when coming TO the heart). A big difference between the systolic and the diastolic pressure, can mean that blood is flowing from the body somewhere, so blood pressure can be a good way to check of a possible internal bleeding. Blood pressure is normally measured with a sphygmomanometer, or in layman's terms a blood pressure meter. If you lose a lot of blood, your blood pressure will begin to drop. A normal blood pressure is 90-120 (systolic) / 60-80 (diastolic). If the systolic blood pressure is over 140 mmHg, you have too high blood pressure (hyper-tension). A blood pressure under 90/60 is too low (hypo-tension).

    Respiratory rate: Rarer used by medical professionals, but means the breathing rate per minute. Normal for adults is 12-20 breaths per minutes when resting.

    How to perform CPR: Cardiopulmonary Resuscitation (CPR) is performed when a persons heart is stopped, and is performed by:
    1. Making two initial ventilation's, by slowly blowing air into the patients mouth, while pinching his nose to close it.
    2. Place your hands on top of each other the persons sternum (between the chest).
    3. Compress the sternum 30 times, hard and in a steady rhythm.
    4. Check his pulse, listen over his mouth, and look at his chest, to see if his heart begins to beat. If the persons starts to breathe, his heart is also started.
    5. Repeat these steps while someone else dials 911.



    In most RTC's (road traffic collisions) occupants inside a crashed vehicle may suffer from many different conditions, depending on how the crashed happened, speed, vehicle type etc. The most common things to suffer from a vehicle accident (and falls from heights) are:

    Neck or back (spine) injuries role-played as having pain in your neck and/or back when moving. If this occurs after a crash, you should be placed on spine board by the EMT, and avoid moving your body at all. Neck or spine injuries can easily lead to for example paralysis or a whiplash which will follow you the rest of your life

    Internal bleeding's role-played as having big blue marks on the area of the internal bleeding (as blood inside your body is blue and visible through the skin during a bleeding inside it, and very strong pain. Risk of coughing up blood, if the bleeding is in the tracheal (upper chest) area. The EMT will examine you for internal bleeding with a stethoscope on scene.

    Open or closed fractions (broken bones) A closed fracture (broken bone) is when a bone is broken, but not penetrating the skin. An open fracture is more serious, as it has penetrated the skin, and bones might be sticking out the skin. An open fracture needs to be closed (bandaged) before it is secured in a traction splint by the EMT. At the hospital, a doctor will perform an x-ray, to examine the bone fractures.



    Is probably most common medical situations, and most people know how to role-play it. LSFMD members are dead boring of making the same role-play every time a guy has been shot, so here is some ideas for more advanced injuries due to bullets:

    Internal bleeding bullet wounds can also cause internal bleeding's. Despite what many people might believe, a bullet most likely won't travel straight through your body, but cluster as soon as it penetrates the skin, and make a lot of havoc inside the body, meaning a huge risk of causing damage to vital organs, and cause internal bleeding's. It's a bit more tricky to spot internal bleeding in gunshot wounds, because there will most likely not be any visible injury from the outside. A stethoscope or a CT-scanning at the hospital, can reveal this.

    Substantial blood loss Role playing that you have lost a substantial amount of blood after a bleeding wound, will further challenge the LSFMD-crew. This will make your pulse rise, and increase the risk of sudden cardiac arrest, circulatory shock, or unconsciousness. You need a blood transfusion if you have lost more than one liter of blood. EMT's on scene may also inject you with lactated ringers solution, for fluid resuscitation after a great blood loss.

    Bleeding's in general An external bleeding occurs, when a blood vessel is ripped apart for some reason, and the bleeding is visible on the exterior of the body. Depending on the severity and location of the bleeding, it can be more or less life threatening. Major arteries are found on the wrists, neck, thighs and chest area. A single bandage may not always be enough to stop a serious bleeding. Sometimes more compression is needed, and sometimes a bleeding can't be stopped on-scene.



    Head trauma can be something as light as a normal concussion, to something very serious as a brain hemorrhage. Head traumas can be caused by everything from a vehicle accident, to a heavy bump to the head, a punch etc.

    Concussion: When you have a concussion, you will have a strong headache, become disoriented, nauseous, ringing for your ears for the most. An EMT will check you at first, by lighting into your eyes with a penlight, to find out whether your pupils are dilating (contracting due to the light as they should) and to see if the pupils have the same size. If your pupils are not dilating, you could have a concussion, if the other symptoms are also showing. Depending on the seriousness of the concussion, it is treated by just observing the patient, or checking for brain swelling and/or bleeding in a CT/MRI scanner.

    Skull fracture: Is caused by a break in the skull, normally caused by a blunt force, or in a fall. Typically it will bleed violently, and can cause concussions or hemorrhages depending on the severity. A skull fracture needs to be treated immediately. Light skull fractures can be treated by stopping the bleeding, and simply observing the patient, and it will heal itself eventually. Serious skull fractures requires acute surgery.

    Brain hemorrhage: Is a very serious condition which needs immediate treatment. It can be cause by many things, including hypertension (too high blood pressure), smoking, alcoholism and diabetes. A brain hemorrhage will show by defections in the body functions which is controlled by the bleeding part of the brain. Therefore it can be very difficult to spot at first. A CT-scan will reveal a brain hemorrhage i suspected. Treatment varies from daily intake of medication, to acute surgery to contract the bleeding veins inside the brain. In a severe case, a hemorrhage can cause an epileptic seizure (see under special conditions).



    A burn wound can be caused by heat, electricity, chemicals and more, and is a condition which normally only damages the skin tissue, but with serious burns, it can also damage muscles, bone and blood vessels. You talk about about up to six degrees of burn wounds:

    First degree burn: Is normally just a light redness of the affected skin area, with minor pain. This can be treated by simply applying cold water or a moist cloth to the area. Doesn't need medical treatment. IE: Sunburns, warm water burns.

    Second degree burn: Also causes redness, but also causes blistering of the skin. A second degree burn may not hurt as much, since the underlaying nerves can be temporary paralyzed or damaged by the burn. Takes much longer time to heal, and will leave a scar. Needs medical treatment, depending on the severity. IE: Chemicals, substantial heat

    Third degree burn: Is a serious burn, where nerves, underlying tissue, keratin and hair shafts is destroyed, and is creating major scars which will never heal. Therefore grafting (skin transplantation) is often needed. Most third degree burns can't be felt by the patient, because the nerves are destroyed completely. IE: Chemicals, burn wounds from fires

    Fourth degree burn: Can furthermore damage the muscles behind the skin, with permanent motor problems to follow, caused by a permanent damaged muscle.

    Five degree burn: Is a very serious burn, where all overlaying tissue and skin is destroyed, along with muscles and arteries and veins, making this burn very fatal. A five-degree burn may also bleed because of this. Amputation of limbs can also be required.

    Sixth degree burn: Is the most serious burn that can occur, which will completely destroy skin, tissue, nerves, muscles and everything overlaying the bone, so the bone will be exposed. If you're not already dead, an amputation is needed.



    Heart attack are caused by a sudden block of the coronary artery in the heart, and must be treated immediately to save the patients life. It can be role played as suddenly fainting on the street, in connection with the usage of drugs or alcohol etc. Right before a heart attack occurs, you will most likely feel a very strong pain in the left side of the chest, most likely radiating out in your left arm and/or jaw. The EMT on scene will need to perform CPR to start your heart, and rush you to the hospital for further treatment.

    Anaphylatic shock or just anaphylaxis, is a very strong, sudden allergic triggered reaction. Depending where it occurs, it can lead to swelling of the throat, coughing, asthmatic-like trouble breathing, chest pain, drop in blood pressure, heart attack and/or unconsciousness. The EMT should try to maintain free airways and breathing. Furthermore he should inject the patient with adrenaline from an EpiPen, which will make the veins contract, and the bronchis in the lungs to expand, so blood pressure rises and the patients breathes easier.

    Asthma attack can occur, when an asthmatic patient is exposed to smoke, pollution, or even psychological stress, or if the person forgot to take his medication. Although, asthma attacks can in rare cases, be triggered in a healthy person without asthma (as first indication of the disease). The symptoms are shortness of breath, wheezing and chest tightness. In case of acute attacks, the EMT will use an Albuterol-inhaler, and possibly oxygen, to calm down the patient.

    Epileptic seizure can occur among st people suffering from epilepsy, but can also rarely occur for healthy persons. It's caused by abnormal brain activity due to IE. damages in the brain from a hemorrhage. It represents as everything from slight confusion, abnormal body moments, to completely loss of body control, and falling to the ground. The EMT will roll the person over to prevent him from choking, secure his head, so the patient does not bang it, and treat him with diazepam to control the seizure. Despite wide-belief, you should NEVER but something in a seizing persons mouth. It can be swallowed or make damage to teeth and tongue. A person can't swallow his tongue or choke in it, during a seizure.

    Please tell me if I should edit the guide's color or font or whatever to make it look more appealing :)


    Fix the following things because they're actually wrong:

    - GENERAL INFORMATION.

    1) ''Furthermore, the more blood you lose, the higher your pulse will become.''

    At the very beginning of the hemorrhage yes, after a while the blood pressure will decrease actually (physics logical) and as well the heart rate will decrease significantly (critical state).

    2) How to perform CPR: ''1. Making two initial ventilation's, by slowly blowing air into the patient's mouth, while pinching his nose to close it.''

    If the patient doesn't get their airways opened (head tilt chin lift maneuver), closing the nose won't mean a thing. By this means putting the patient's chin up and the forehead back, so the airways get a straight line and the air you blow into his mouth actually reaches his lungs.

    - ROAD TRAFFIC COLLISION AND FALLS.

    3) Neck or back (spine):

    Before moving the person anywhere, it HAS to be put on them a 'Philadelphia Collar', other way the minimum movement can end messing his spine more to an irreversible damage.

    4) Internal bleeding:

    Besides what's said that is correct, in emergencies can be used the simple technique of measuring the blood pressure at different spots. Example: The patient complains he has a very strong pain in the middle of his arm, measuring the blood pressure at the pre and post joint area, if there is a difference in the blood pressure, then there is a high chance there are some blood vessels and such broken (internal hemorrhage).

    5) Open or closed fractions (broken bones):

    After what you mentioned about open fractions, the patient must get through surgery to fix it, a velcro bandage won't fix it (as I read in the handbook when I was in FMD lol).

    - HEAD TRAUMA

    6) Concussion:

    Asking the person their name, the year where we are, asking them to grab and compress your hands hard, to stick out the tongue checking if it's symmetric, are normal procedures in this case as well.

    7) Brain hemorrhage: ''Therefore it can be very difficult to spot at first.'''

    The same as the point I wrote above this, it can actually be detected by doing what I wrote. As well brain hemorrhage is a type of 'stroke'. One of the most important things to do meanwhile an ambulance come is not NOT to lay the person down, keep the head always higher than the level of their body, to release some the blood pressure in the head.

    - OTHER.

    8) Heart Attack: ''The EMT on scene will need to perform CPR to start your heart''

    It's impossible to make the heart 'beat' again by doing CPR. CPR just keep the blood running taking oxygen to the tissues and organs. The only way to make a heart start pumping again is with a defibrillator.


    9) Epileptic seizure: ''The EMT will roll the person over to prevent him from choking''


    It's correct to move the person to a side in case he vomits when the seizure passes, so he won't chocke with his own vomit, as well for a better breathing, never rolling the person all over, no.


    I hope this tips can be useful as well and contribute to make a better FMD handbook in the future. Besides these things I corrected, I think the guide it's pretty well done and easy for players to understand it!





    Sleep tight, ya morons!
    #LeftSARP


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  13. #7
    Old-School Veteran 500 Posts500 Posts500 Posts MistaCrowley's Avatar
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    Quote Originally Posted by Elektra Natchios View Post
    Fix the following things because they're actually wrong:

    - GENERAL INFORMATION.

    1) ''Furthermore, the more blood you lose, the higher your pulse will become.''

    At the very beginning of the hemorrhage yes, after a while the blood pressure will decrease actually (physics logical) and as well the heart rate will decrease significantly (critical state).

    2) How to perform CPR: ''1. Making two initial ventilation's, by slowly blowing air into the patient's mouth, while pinching his nose to close it.''

    If the patient doesn't get their airways opened (head tilt chin lift maneuver), closing the nose won't mean a thing. By this means putting the patient's chin up and the forehead back, so the airways get a straight line and the air you blow into his mouth actually reaches his lungs.

    - ROAD TRAFFIC COLLISION AND FALLS.

    3) Neck or back (spine):

    Before moving the person anywhere, it HAS to be put on them a 'Philadelphia Collar', other way the minimum movement can end messing his spine more to an irreversible damage.

    4) Internal bleeding:

    Besides what's said that is correct, in emergencies can be used the simple technique of measuring the blood pressure at different spots. Example: The patient complains he has a very strong pain in the middle of his arm, measuring the blood pressure at the pre and post joint area, if there is a difference in the blood pressure, then there is a high chance there are some blood vessels and such broken (internal hemorrhage).

    5) Open or closed fractions (broken bones):

    After what you mentioned about open fractions, the patient must get through surgery to fix it, a velcro bandage won't fix it (as I read in the handbook when I was in FMD lol).

    - HEAD TRAUMA

    6) Concussion:

    Asking the person their name, the year where we are, asking them to grab and compress your hands hard, to stick out the tongue checking if it's symmetric, are normal procedures in this case as well.

    7) Brain hemorrhage: ''Therefore it can be very difficult to spot at first.'''

    The same as the point I wrote above this, it can actually be detected by doing what I wrote. As well brain hemorrhage is a type of 'stroke'. One of the most important things to do meanwhile an ambulance come is not NOT to lay the person down, keep the head always higher than the level of their body, to release some the blood pressure in the head.

    - OTHER.

    8) Heart Attack: ''The EMT on scene will need to perform CPR to start your heart''

    It's impossible to make the heart 'beat' again by doing CPR. CPR just keep the blood running taking oxygen to the tissues and organs. The only way to make a heart start pumping again is with a defibrillator.


    9) Epileptic seizure: ''The EMT will roll the person over to prevent him from choking''


    It's correct to move the person to a side in case he vomits when the seizure passes, so he won't chocke with his own vomit, as well for a better breathing, never rolling the person all over, no.


    I hope this tips can be useful as well and contribute to make a better FMD handbook in the future. Besides these things I corrected, I think the guide it's pretty well done and easy for players to understand it!
    I put all the info that I did so that it'd apply to SA-RP's style of roleplay and so it's easy to understand.


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    Chartered Old-School Legend Mike's Avatar
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    Thank you.

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    500 Posts500 Posts500 Posts500 Posts500 Posts Panky's Avatar
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    Sadly, no one will even bother to read this.

    They'll stick to their 'cotton balls and alcohol' because they think it's 'a light RP server'.

    Good job nonetheless.




    Paul Sheldon || Pankaj Sarnaik || Trevor Phillips || Ernest Franklin || Arthur Allen
    Pankaj Diamond || Paul Mercer || Minnie Maus || Pluto Doug || Jet Jr. Diamond || Raimond Juno


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  17. #10
    Old-School Veteran 500 Posts500 Posts500 Posts MistaCrowley's Avatar
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    Quote Originally Posted by Panky View Post
    Sadly, no one will even bother to read this.

    They'll stick to their 'cotton balls and alcohol' because they think it's 'a light RP server'.

    Good job nonetheless.
    Quote Originally Posted by Mike View Post
    Thank you.
    Nice to see the old school support coming in <3


  18. #11
    Criminal Carlo Messina's Avatar
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    Quote Originally Posted by Panky View Post
    Sadly, no one will even bother to read this.

    They'll stick to their 'cotton balls and alcohol' because they think it's 'a light RP server'.

    Good job nonetheless.
    Well isn't sarp a light rp server?

    Nice guide btw
    le sarpe. . .

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  20. #12
    7 Year Veteran 500 Posts MyCroft's Avatar
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    Preety useful! Thanks.
    I don’t know what I may seem to the world. But as to myself, I seem to have been only like a boy playing on the seashore and diverting myself now and then in finding a smoother pebble or a prettier shell than the ordinary,
    whilst the great ocean of truth lay all undiscovered before me.



    Gotham Redfield / Terenzio / Jessica Brooks
    Imran Zelimkhanov / Yakub Zelimkhanov
    Legendary Chief of SAFMD || Secretary of State || Black Lotus Security Firm



    Spoiler!

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  22. #13
    Chief of SAFMD
    7 Year Veteran
    500 Posts500 Posts500 Posts Alex Brooks's Avatar
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    Awesome guide Mr Crowley. Thanks.







    Spoiler!



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