Advanced Medical Guide

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

Abbreviations

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

General Info

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

1. 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
2. Performing CPR has a 40% chance to restore heart rate
3. If someone is unconscious, DO NOT give them morphine
4. 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
5. Pain increases blood pressure
6. Never take more than one morphine at a time
7. If you have lost enough blood, taking morphine can knock you unconscious.
8. You can not give someone too much blood
9. Tourniquets will stop medication and blood from going into your system
10. Medics perform medical actions faster than any regular infantry, so it's better to have a medic bandaging/giving blood instead of doing cpr
11. If someone is providing medical to someone downed do not crowd around them, they will ask for help if needed
12. Remember to get stitched after bandaging wounds since they will eventually reopen

TMTM Specific Settings (Compared to ACE default)

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

Useful Information

Types of Injuries

Type of Injury	Description	Effect
Avulsion	Tissue torn away from where it belongs	Extreme pain & high rate of bleeding can cause limping on legs w/o fracture
Velocity	Deep penetrating wound	Can cause fractures. Very high pain & fastest bleeding
Crush	Tissue crushed under heavyweights	Can cause fractures & limping. Slow bleeding & high pain.
Laceration	Tear that separates tissue without carrying it away	Moderate pain & medium blood loss
Fracture1	Broken bone	Cause extreme aim shake on arm injuries, cause limps on leg injuries. Extremely painful & no blood loss
Puncture	Caused by shrapnel or slow-moving sharp objects	Light pain & slow bleeding
Cut	Caused from shrapnel or sharp objects	Light pain & light blood loss
Abrasion	A scrape	Slow bleeding, though large ones can cause moderate amounts of pain.
Contusion2	A bruise	Cause moderate amount of pain

1. Fractures can only be healed by splints
2. Contusions cannot be healed by bandages, only PAKs or time
3. All other wounds can be healed by bandages

Injuries can be either Minor, Medium, or Large. The larger the wound the more bandages it will take to staunch the bleeding.

---

Bandages

Bandage	Effect (↑=Better)	Reopen Chance (↓=Better)	Delay to reopen (↑=Better)
Basic	Medium	Medium	Medium
Packing	Medium	High	High
Elastic	Highest	Highest	Low
Quikclot	Lowest	Lowest	Medium

Other Items

Splint	Instantly fixes one fracture
Tourniquet	Stops bleeding from limb, causes pain after 2 minutes, blocks injections, vitals, and PSB to affected limb

---

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. Takes 60 seconds for full effect and 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

---