“DR-ABCs” There are certain things which should be checked at the incident. These are the DR-ABCs. DR-ABCs is an abbreviation for ‘Danger, Response, Airway, Breathing, Circulation’. Danger, Is it safe? If there are any opposing forces in the vicinity vacate the area immediately or you are at risk. (Unless you can easily transport the victim.) Leave the patient and get to safety. Your doing more harm than help if you get injured trying to assist those in the field. Response, does he reply to your voice? A pinch of his ear? If he does skip this part, to check circulation press on an artery. If the casualty has lost a lot of blood his heart rate will be high. For airways and breathing perform the Jaw-Pull maneuver. If he is unconscious check these. Also be sure to check for trauma. You should assume trauma until you’ve made sure it isn’t. Common Procedures: In the field Bullet Wound 1.Check DR-ABCs 2.Check for internal bleeding with a stethoscope. If there is internal bleeding it will sound like a waterfall 3. Apply Coagulant. 4. Withdraw and apply 3cc or Morphine to the Cubital vein. 5. Cover the wound with a sterile gauze pad and bandage roll, Move them on a stretcher to a safe and sterile area. 6. Call for someone with expertise, If none available continue with the following. 7. Put them onto an ECG, eight pad set to the bare torso. This will monitor the HR and BP 8. Give them 10 cc of Methohexital if they’re conscious as it’s a General Anaesthetic, which numbs and puts them to sleep. If They’re unconscious, use 5cc of Lidocaine which is used for numbing. 9. Make an incision with a scalpel, use clamps to hold it open. If you’re with a partner, have them use a bovie pen to cauterize the blood vessels. 10 If there was internal bleeding, use acetaminophen in the form of an IM to remove the clottage the Coagulant created 11. Remove the bullet with a pair of forceps. Have your partner finish up the cauterizing. 12. Suture the incision. 14. If they need a transplant, place them onto an IV packet of O – blood until you get their blood type. Otherwise, give them NASAIDs and antibiotics. (Transplants would probably only be for important units.) Normal Lacerations. Sterilise it, give them a local Anaesthetic and suture it. Artery Bleeding 1 Check DR-ABCs. 2 90 percent of Artery bleeding is usually when the skin isn't present. The other 10 percent is where it's swollen, hot to touch and has the whole web of capillaries clear to be seen. 3 There is different approaches, usually the area differs. For example, the arm most you just treat as usual bleeding. However, from the Brachial V(Near top of the arm) to the Radial Collateral A(Just about at the elbow) you use a Tourniquet instead of applying a powdered QuiKclot. For the leg, it's the Iliac(top of the leg) to the Femoral artery (just about at the kneecap) that requires a tourniquent. If it is not in need of a tourniquent, handle it like normal bleeding. 4 If the casualty has received a hit to the torso that caused artery bleeding(there is a shit ton of them in the human torso, it is a grain of salt chance they'll go unharmed), the casualty is usually more than likely dead. Bullet wounds you usually want to claim the Kevlar took most of the impact. Extreme Lacerations 1 Check DR-ABCs 2 Check for internal bleeding with a Stethoscope. It will sound like a waterfall, if there is. 3 Apply the powdered QuiKclot Calcium Zeolite 4 Withdraw and apply 3cc of Morphine in the form of an IM to the Cubital Vein. 5 If you suspect your patient had been like this for awhile or was in a bad condition, use a tourniquet to promote the cubital vein, take an IV of Lactated Ringer's Solution D50NS 500cc. This will help with what blood has been lost. You can hang it from your own gun to anything that's at a higher elevation. 6 Cover the open wound with a sterile gauze pad and bandage roll, transfer the casualty onto a gurney. Take them to a safe and sterile area, usually the med bay. 7 Call for someone of expertise. If none are available, continue with the following. 8 Place them onto an ECG, eight pad set to the bare torso. This will monitor the HR and BP. 9 Give them 10cc of Methohexital if they're conscious and if you suspect organ damage or anything of the sort as it is a General Anaesthetic, which numbs and puts them to sleep. If they're unconscious, use 5cc of Lidocane which is a local anaesthetic, numbing. 10 Check for organ damage, if none then just cauterize the blood vessels and suture it. Prescribe NSAIDs and Antibiotics, example being Daptomycin and Ibuprofen. 11 If there is organ damage, continue reading. Burns Check DR-ABCs Apply cloth or gauze pad coated in petroleum jelly. If you just apply it by itself, It will hurt upon removing. You can also use cold water. Remove the skin around area of the Burn. Sterilize it with Vaseline. Prescribe Solarcane, And Daptomycin (Antibiotic.) Broken Limbs. Check ABC’s Use a stethoscope to check for internal bleeding, It will sound like a waterfall. Secure the limb with a splint. Transfer a patient onto a stretcher. Once at the bay or area which is sterile and clean. Remove splint, Apply moulding solution. Apply casting wrap. Concussed Patients Check ABC’s Check for pupil dilation if there is none or is blown open, It means the patient is concussed. Not much can be done aside from drawing blood from their head with a sterile syringe and placing an ice pack on them. Bring them in for a CAT scan. If it checks out, the patient will be fine. If there is brain damage, then their screwed. If the brain has shifted out of place their dead. Punctured Lung 1 Check DR-ABCs 2 Check for internal bleeding with a Stethoscope. It will sound like a waterfall, if there is. 3 Apply the powdered QuiKclot Calcium Zeolite 4 Withdraw and apply 3cc of Morphine in the form of an IM to the Cubital Vein. 5 If you suspect your patient had been like this for awhile or was in a bad condition, use a tourniquet to promote the cubital vein, take an IV of Lactated Ringer's Solution D50NS 500cc. This will help with what blood has been lost. You can hang it from your own gun to anything that's at a higher elevation. 6 Place them onto an ambu-bag. Manuel pump instrument. You pump it, they recieve oxygen from the mask. Simple. 7 Cover the open wound with a sterile gauze pad and bandage roll, transfer the casualty onto a gurney. Take them to a safe and sterile area, usually the med bay. 8 Call for someone of expertise. If none are available, continue with the following. 9 Place them onto an ECG, eight pad set to the bare torso. This will monitor the HR and BP. 9 Place the patient onto the M.A.B (Mechanically assisted breathing) 10 Give them 10cc of Methohexital if they're conscious as it is a General Anaesthetic, which numbs and puts them to sleep. If they're unconscious, use 5cc of Lidocane which is a local anaesthetic, numbing. 11 Make an incision with a scalpel, use clamps to hold it open. If you're with a partner, have them use a bovie pen to cauterize the blood vessels. 12 If there was internal bleeding, use acetaminophen in the form of an IM to remove the clottage Calcium Zeolite created, before cauterizing the blood vessels. 13 Remove the rib puncturing the lung. If it's still attached, remove it with a bonesaw, reposition it and secure it with screws. If it is a bullet, remove the bullet. Chances are it would've passed through however. You remove them with a pair of Forceps. 14 Drain the lungs of blood with a vacuum tube. Cauterize the blood vessels and secure the puncture with staples. 15 Cauterize the blood vessels (I know I say this alot but it's usually what needs to be done) and remove the clamps. Suture the incision. 16 If they need a blood transplant, place them onto an IV of O - blood 17 Prescribe NSAIDs and antibiotics. In this case, clarithromycin and Ibuprofen. (This guide is intended for RP and should not be used in real life scenarios.) (This guide is intended for people who have been harmed in combat. I may make a more in depth guide for different scenarios.)
Just a note. 90 percent of this stuff is not applicable in a combat environment. Most of this applies to a hospital or field aid station. Y'all ain't gonna have the equipment or the time to remove a bullet from someone, and you definitely won't be hauling morphing around; not to mention advanced monitoring tech.
