Standard Medical Guide

TMTM’s standard medical system may be confusing to the uninitiated, but this will help you through the process of stabilizing and reviving downed friendlies. Use the table of contents below to navigate through this document. If you are playing Advanced Medical Operations use this guide instead.

Abbreviations

BP = Blood Pressure
PSB = Plasma, Saline, Blood
EPI = Epinephrine
HR= Heart Rate

General Info

Here are some general tips and pieces of advice that you should know whether or not you are a medic.

When a person's pulse is below 20 or above 200, they enter cardiac arrest and have 3 minutes (TMTM default) to be CPR’d again before they die
Performing CPR has a 40% chance to restore heart rate
If someone is unconscious, DO NOT give them morphine
If you have self-medicated yourself and you start to hear your heartbeat (it is tied to your effects volume), consult the closest medic. This can be caused by too much epi or morphine
Pain increases blood pressure
Never take more than one morphine at a time
If you have lost enough blood, taking morphine can knock you unconscious.
You can not give someone too much blood
Tourniquets will stop medication and blood from going into your system
Medics perform medical actions faster than any regular infantry, so it's better to have a medic bandaging/giving blood instead of doing cpr
If someone is providing medical to someone downed do not crowd around them, they will ask for help if needed
Don’t check pulse while CPR is being performed since it will give weak heart rate

TMTM Specific Settings (Compared to ACE default)

Players bleed out 50% as fast
IV transfusions are 4x faster

Useful Information

Resource Effects on Pulse and Blood Pressure

Resource	Pulse	Blood Pressure	Notes
PSB	None	Increases based on administered amount	Patients will have no pulse if blood is too low
Morphine	Decreases drastically	Decreases drastically	Will suppress an individual's pain levels. Lasts ~30 mins.
Epi	Increases	Increases	Will increase the chance of individual waking up when stable. Lasts ~2 mins
Adenosine	Decreases	Decreases	Can be used to counteract epinephrine. Lasts ~2 mins

Blood Loss Tables

There are two ways to find BP, one is through the ACE interactions (CTRL + Windows Key) another is through the medical menu (CTRL + H).

Medical Menu
Medical Menu Message	Lower Bound	Upper Bound
No Message	6.0 liters	6.0 liters
Lost some blood	5.1 liters	6.0 liters
Lost a lot of blood	4.2 liters	5.1 liters
Lost a large amount of blood	3.6 liters	4.2 liters
Lost a fatal amount of blood	3.0 liters	3.6 liters
Dead	0.0 liters	3.0 liters

There is no way to check the exact amount other than the prompts in the Medical Menu

If you go below 3.6 Liters you will instantly fall unconscious.
You can only wake up if you have 5.1 or more liters
If you fall below 3.0 Liters you will die

ACE Interactions
Message	Corresponding BP (Systolic)
Can't find BP	0-50*
Low BP	50-90*
Normal BP	90-160*
High BP	>160*

*These numbers are unconfirmed

Defintion of "Stable"

Not bleeding
Must have at least 5.1 liters of PSB
Not be in cardiac arrest
HR above 40
BR above 50/60

Non-Medic Roles

This section is a step-by-step for every role other than medic in operations. Info learned here can be applied to yourself if you are hurt, specifically steps 1, 3, 5, and 6.

Step 1

Report downed friendly over Short-Range radio
- Report over SR so the medic is notified and the Squad leader or Team leader knows who is down
Secure the area
- Do this by popping smoke for cover or killing the enemies that downed the friendly
- Do not grab them immediately or you might be the next one down

Step 2

Confirm they are alive
- If you can check their inventory, walk over their body, or not be able to drag them they are dead, if not they are alive
Drag to cover
- Incase a new enemy pops out you won't be shot while healing

Step 3

Check Vitals
- Check Pulse, it will be one of these four
  - No HR
  - Weak
  - Normal
  - Strong
- Check Blood Pressure if there is a HR, it will be one of these 4
  - Can’t find BP
  - Low
  - Normal
  - High

Step 4

CPR once if no heart rate
- Do this to possibly reset their countdown (3 minute timer to death once heart rate hits 0)
- Don’t check pulse while CPR is being performed since it will give weak heart rate

Step 5

Tourniquet
- If more than 3 parts of their body is heavily damaged tourniquet the respective limbs to stop the blood loss
- Do not pump PSB, morphine, epi, or adenosine into tourniqueted limbs since they do not take effect until the tourniquet is removed
Bandage
- Focus on chest and head first since limbs can be tourniqueted if needed
If multiple people are working on the same person call out which part you are bandaging as to not waste time double bandaging the same part
CPR Again
- If bandaging it taking too long (over 1.5 minutes) perform CPR again to possibly reset their timer
  - Check Pulse after every round of CPR to see if heart has started

Step 6

Recheck Vitals & Call over Medic again
- Check Pulse
  - If no pulse continue to perform CPR
- Check Blood Pressure
  - If it is any other than “Lost some blood”, Low or Can’t find BP call medic or pump in blood if you have it

Step 7

They are “stable” they can be moved to medic if
- They have a strong heart rate (don’t check while CPR is being performed since it will give weak heart rate)
- If blood pressure is “Lost a Large amount of blood” or higher
- Isn’t bleeding out

Medic

This section is a step-by-step for the medic role in operations. Remember that you are meant to heal others, do not put yourself in risky scenarios.