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Post by Mosin on Apr 27, 2009 23:31:12 GMT -5
Well.. I really just drew up some stuff last night off the top of my head. I would love improvisation. But I could probably teach a very basic very low speed medium drag casuality assessment to just make it seem like they know what they're doing.
We're shooting for MilSim? Why not find people as dedicated about the art of scouting/sniping (Like myself) as we do in the medical field of airsoft. Nothing in my opinion would be more awesome to see a guy doing a blood scan on someone that got hit and trying to apply a strip of cloth or something under heavy weapons fire.
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Post by El Phantasamo on Apr 28, 2009 10:36:31 GMT -5
Hell yeah, write it up Mosin ;D
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Post by Mosin on Apr 28, 2009 20:47:28 GMT -5
Alright, so pretty basic casuality assessment starts now: Roll up on the scene, they need a medic. First thing is scene safety, is it safe to approach this patient? Or are you certain to be a purple heart recipient if you went for it? Maybe ask for some cover fire from some friends or whatever you need to do to get to them.
We have three main phases of the Hospital Corpsman in the 1st echelon of care for patients. First being care under fire, this is immediate life threating injuries that require swift and skillful intervention. First thing you want to do in these situations in determine the patients LOC (Level of consciousness). Here is an acronym we have for this, AVPU (pronounced Ave-poo). First letter in that being A, is he alert and orientated? if not, then we try yelling in his ears "Buddy, are you ok!?" that covering V for verbal stimulus. IF we still don't have anything we move to painful, painful stimulus can be as simple as a sternum rub or a brachial pinch (Google for example). But also take into consideration that maybe if your patient was shot in the chest, are you going to try and rub real hard down on the sternum? Possibly sending fractured ribs into the lungs and puncturing them? Obviously not. So our final thing in AVPU is Unresponsive, this pretty much means they're not responding to anything, and they're more than likely dead, or really jacked up, for a lack of better words.
After we've determined AVPU and Scene Safety and all that jazz, we go for the life threatening injuries, obviously in the battlefield we're looking for shots to the femorial arteries or brachials, in which case we'd apply a tourniquet. One thing you might want to remember here is that we never apply tourniquets on parts of the body that contain two bones within (such as the lower aspect of the arms, or legs, where you have your tib/fib and your radial/ulner bones) so make sure you always go for the singular bone structures to apply that tourniquet.
Once this has been done, your next move is called "Tactical Field Care". This is a more in depth process at looking at what might be wrong with your patient, and really it's something that I don't want to go very much in depth, because it'd be pretty hard for you to be able to retain it and get it all down pat first time in the field. So I guess for the sake of this we could say this is the part where you drag/carry your patient to a safer area and you can re-evaluate the overall status of the patient. For training purposes only, we'd say this is the part where you would wait 45 seconds or a minute or two and then get them back in the fight.
That's pretty much it. If the patient is dead and the game has enough players it wouldn't be a bad idea to try and get some army litters and maybe assign a few litter task forces to go in and claim the dead, take them to a collection point (Maybe 50 or 100 yards from the front lines) and get them back into the battle as a respawn.
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Post by Captain Wrinklestick on May 5, 2009 20:47:41 GMT -5
Great tips Mosin. Thanks!!! Now, how do we incorporate this into airsoft? I have played very few medic scenarios but the ones that I have I enjoyed. Essentially the Medic came to the downed player and waited for a set amount of time, say a 30 count, before being revived (read miraculously healed) and getting back into the fight.
Given the amount of time required with the real combat lifesavers stuff the medic would run up and yell in the guys ear, assess the situation, apply a bandage. etc. Would the wait time be more like 90 seconds then? I do like the application of some sort of bandage to add to the realism and that could take some additional amount of time as well as adding a limit to the number of times a guy can get shot because, lets face it, any injury in real battle is likely to put a soldier out of the fight anyway.
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Post by Mosin on May 9, 2009 15:10:56 GMT -5
Not nessicarily true Treerat. We have catagories of Triage which state what can and cannot put us out of the fight. Most cases in battle are green tag, or known as "walking wounded". These are people that can go about a day or two without having advanced care and can still perform basic functions of a soldier (Squeezing a trigger). If the soldier has minor lacerations (Cuts) or just got shot once or twice in the arm or leg, in a non-arterial location, they can usually stay in the fight for extended periods of time, but again, that all depends on the soldier themselves, and their will to fight.
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Post by Captain Wrinklestick on May 9, 2009 20:59:17 GMT -5
True, I hadn't really considered the minor type of injuries, I was assuming the worst like a sucking chest wound, guts spilling onto your buddy's shoes and the pink mist behind the head.
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Post by Mosin on May 15, 2009 22:19:18 GMT -5
Yeah, sucking chest wounds are a big thing in the field, but as far as abdominal eviscorations go... It's considered the lowest priority of care (Something you'd do next to last, after treating all other injuries) simply because if a guys guts spill out they still work, they're just not in the soft shell. We have a general rule here with that, and that is that if casevac (We don't use the term "Medevac" anymore) is more than two hours away, then you attempt to place the organs back into the patients body via taking the two flaps of skin in which it fell out and almost doing a swoosh like motion to get them to fall back in, and apparently from what my instructors say it's pretty easy. But if it's less than two hours away you just take a battle dressing and get it moist and secure it to the patients organ and abdominal area.
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Post by Captain Wrinklestick on May 16, 2009 7:27:45 GMT -5
Wow, what a mental picture to go with my breakfast cereal!!! I think I'll not eat this now. The good news is I'm not eating spaghetti with the red sauce.
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Post by Mosin on May 18, 2009 0:41:56 GMT -5
Speaking of breakfast cereal, the plastic bag makes a great occlusive dressing to help treat a sucking chest wound. I actually did that for FinEx when we had these high tech dummy patients and I pull out a frosted flakes top and the instructor was like "What the hell?" but when it worked he was just like "Eh, I guess it'll do" Hahah.
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