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Preface: In my opinion, medical roleplay is such an interesting dynamic of HL2RP that's often not utilized to its full potential. There are a few reasons for this, as outlined by the following guide, but the overarching theme seems to be that the area often seems niche until there's a trauma case to operate on. This guide will attempt to educate both non-medical and CMRU people to diversify Medical RP in order to make it enjoyable for both patient and CMRU characters. Common Medical RP concerns: "I don’t know much about medical RP" - This is both a barrier for patient RP as well as induction into the faction, whilst having some knowledge of the condition you're either presenting with or treating is recommended, this isn't real clinical practice and there isn't an expectation to know a great deal on either side. For CMRU workers, a lot of the RP education and learning happens whilst roleplay. "I don’t want my character to be PK’d or have debilitating injuries" - A totally valid point, players who engage in Medical RP may often feel they risk losing their character or will be forced into some disability for the rest of their characters' existence. This is not the case in most scenarios as due to being player-led roleplay, those on the brink of death often make a full recovery. However, freedom should be balanced with logic and those who undergo massive surgery should incorporate recovery into their RP somewhat. "Medical RP can take a long time, I don’t want to sit around for hours." - Engagement from both sides is important to consider, whilst in best practice we will attempt to include our patients in the roleplay, there is also the option to "Fade to black" if longer procedures, such as surgeries, take too long. Repetitiveness, Burnout and Lack of Variety: From my own experience, 90% of all roleplay interactions as CMRU tend to be wounds from stabbings, Xenian creatures and the occasional major surgery for a citizen lurking in the wrong side of the slums. Whilst this can provide some interesting moments, you can only patch up the same leg wound a few hundred times before it becomes monotonous, boring and routine. I believe this to be one of the deterrents for both patient and CMRU roleplay, and to fix this I propose this guide to inform all on the different conditions commonly seen in real life clinical practice, particularly in Emergency Medicine (from my own experience). This guide will cover the basics, but I recommend that you research signs and symptoms of these before you engage in RP. So, without further rambling, here are the most common conditions in practice, an explanation of what they are, and their treatments. | ||||||
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Overview: Healthcare, Divisions & Roles Healthcare is considered to be more than the simple diagnosis and treatment of disease, moreover, it is an umbrella term which considers the diagnosis, treatment, education and prevention of ill health. Broadly speaking, there are four divisions within healthcare (excluding non-clinical sectors, such as administration and support) these are; Medical, Surgical, Healthcare Sciences & Therapy. Each sector works interchangeably to provide clinical care across the lifespan, here I will very briefly discuss these areas, their function, and the roles that encompass them.
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Just when you thought Medical Practitioners were going to hog the spotlight, here come the Nurses... What is Triage? Triage is the term used for deciding who is in need of the most urgent care, and who is able to wait for for non-urgent treatment. Triage in a clinical setting usually involves admission (either from "walk-ins" or emergency handovers) where current symptoms are assessed by a nurse in order to be directed into the most appropriate level of care. Adding elements of real-world Emergency Departments, here is the different areas where a patient may be sent when presenting to the clinic. Resuscitation Unit (Resus) Reserved for the most critically ill patients, Resus a wing consisting of usually 5 - 6 beds heavily outfitted with oxygen, cardiac monitors, ventilation and "crash" trolley. The resuscitation is usually staffed with 2 to 1 (patient to staff) specialist nurses, and two stationed doctors (one of which is usually a senior doctor). Conditions which warrant admission include; peri or post cardiac incident, cardiovascular accident (Stroke), severe shortness of breath, major trauma or catastrophic bleeding, severe hypo-tension (low blood pressure), septic shock among others. Patients in Resus are generally escalated to Intensive Care Units or stepped down to Majors if condition improves. Rapid Assessment Unit (RAU) All patients presenting to the clinic will go through RAU to assess their symptoms, this consists of a pre-admissions trained nurse that will assess symptoms and co-ordinate the patient into the appropriate level of care. This area consists of a set of initial observations (Blood Pressure, Pulse, Oxygen Saturation, Temperature and Respiration rate) which may factor into the decision. Neurological observations may also be required (If reason to suspect neurological injury such as head trauma, stroke, alcohol excess or substance misuse). Majors Patients who are sick enough to require a bed are escalated to Majors, an area staffed by 5 - 1 nursing care and doctors on standby, treatment is provided within this area with consistent observations dependent on patient condition. Conditions that may warrant admission to Majors include; moderate trauma, falls and acute frailty, substance misuse, seizure, hypoglycemia, asthma, acute radiation poisoning. Minors Treated more as an outpatients section that doesn't admit patients, Minors is staffed by nurses and doctors specializing in same-day care. Conditions that may warrant this area include; Minor trauma that can be treated same-day (such as a broken arm), missed medication, post-choking incident, non-traumatic head injury. Critical Incident / Major Incident Critical Incident is the term for when the number of patients presenting to the clinic is overwhelming to the extent that resources cannot be managed (staff and/or beds). A Major Incident is where an incident has occurred outside of the clinic resulting in multiple casualties in critical condition. In instances where this happens, medical practitioners treat patients according to their needs following a system such as this:  Priority 1 - Requires immediate care and is in imminent risk of death. Priority 2 - Requires immediate care but is not at immediate risk of death, can be left Priority 3 - Requires care but not considered critically unwell, usually treated once all P1 and P2 patients attended 2. Dead - Classed as dead on arrival, may not be clinically dead but intervention is unlikely to benefit the patient. |
For Xenian-Based procedures, please Click Here |
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If you would like to know more about pharmacology, please refer to this document:
Pharmacology - Complete Guide“Medicine is not only a science; it is also an art. It does not consist of compounding pills and plasters; it deals with the very processes of life, which must be understood before they may be guided.” - Paracelsus Pharmacology, What is it? Pharmacology, in lay terms, in the study of med...
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Disclaimer - This is an archive for clinical practice, for specific Civil Medical Union legislation, please access the following document:
Click Here for Handbook
Click Here for Handbook
Credit: |
@Lost Coast Chanties - Format (Heavily inspired by The Digital Library Archive) The many websites, text books, lectures and teaching that went into this |
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