EMS Guide

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    Ems

    Goto save lives



    Preface:
    Information in red applies only to EMS with the paramedics rank and up.


    As a first response unit, we are the front line of medical assistance. Keep this in mind as you patrol around. Although our highest priority is saving lives, we cannot provide care if we are injured ourselves. Always be careful, when not on call, obey the traffic rules. Do not engage with criminals. When being held captive, cooperate as much as you can. Leave the fighting to the police.

    IMPORTANT: You are an EMS or a criminal, you cannot be both. If you’re off-duty, and caught engaging in criminal activities, you run the risk of being fired.




    Clothing

    When on duty, all paramedics must be in the correct clothing. You are not to respond to calls wearing civilian clothing. On the server there is no such thing as an Off-Duty Paramedic. Please do not abuse the powers given to you.


    For Paramedics:
    -EMS Male outfit
    -EMS Female outfit


    For Aviators:
    -Custom civilian outfit approved by a superior


    Equipment:
    -Taser
    -Flashlight
    -Flare

    Acquire your outfit and equipment at the EMS fire station.





    Vehicles


    Ambulance:

    Standard EMS vehicle, to be used by all paramedics. Has equipment on board to stabilize the patient when transporting them to the hospital
    Use the HOME button to change livery, and use the red skin.


    Paramedic SUV:

    Permission from higher ranking EMS required (Senior-Paramedic or higher).
    Cannot transport patients to the hospital. SUV has on site operation equipment, and higher ranking Paramedics can perform on scene-Surgery



    Medi-Bird:

    Can only be taken out after following the EMS aviation course given by the head of aviation. There can be only 1 chopper out at a time. Chopper will take priority for emergency calls. The chopper has limited equipment on board.

    Read (“Helicopter Protocol”) for further information.


    Squad vehicle:

    Only to be taken out by Paramedics. Requires turnout gear when used.


    In case of vehicle failure:

    Contact dispatch for instructions, if dispatch is not active at that moment then;

    -On your way to a call, you are allowed to take hold of a civilian vehicle for temporary transport.
    -If you’re going back to station, request a pickup from a fellow paramedic. You are to run code 1 back, unless an emergency occurs.

    If your vehicle is damaged, and you’re not going to a call, return to station to replace it with a clean one.



    Radio operation/ On site


    IMPORTANT: while on duty, always be present in the EMS discord channel.

    (Check EMS Radio for codes)

    When trying to reach a specific Paramedic, make sure to use the correct callsigns stated in the “EMS Roster” Document.



    When you arrive on scene, you assess the situation. Possible injuries, body count etc. You are to contact dispatch and relay the information.


    Dangerous situation:

    If you encounter a dangerous situation ex. a shootout, you are to find safety and notify the police as soon as possible with “PNA” included in the message (Paramedic Needs Assistance). Stay around the premise to assist the police incase casualties were to occur.

    If there is already an officer present at the scene, request further instructions until the incident is resolved.


    EMS Alerts:

    As a paramedic you will receive alerts on your phone with distress calls from other players.Those alerts include a message and the location of the person that made the call. You can accept the call by either pressing E when the prompt is still on screen, or going in your phone, going to your messages and clicking the little pin next to the message. If the call was made anonymously, do not accept it. As we cannot trace those calls. If the the message is blank, send out a tweet stating that the EMS does not respond to blank calls.

    If an officer needs assistance, they will include “ONA” in the message.











    Standard Medical procedures on site:

    In-case of a: (non life threatening to semi-life threatening injuries)


    Broken limb:

    Apply a quick splint, give painkillers/ morphine if patient is in a grave pain and run code back to the hospital.


    Spraining:

    Apply temporary support to the joint and advice the patient to take it easy for a while.


    Dehydration/ Starvation:

    Give the patient an adrenaline shot to get m back to consciousness and give the patient some water/ sugar.


    Possible Concussion:

    If patient is unresponsive, and seems physically fine, determine the severity. Prescribe advil if the is no major damage against the pain. By more serious concussions, run code back to the hospital and make a ct scan of the brain.





    In-case of a: (semi-life threatening to life threatening injuries)


    Gunshot wound:

    Put pressure on the wound to stop bleeding. If the entry hole is too large, use medical glue to glue it shut. If patient is unconscious, check pulse. (see: “Heart Failure” if pulse is absent). Run code to hospital. See “Hospital Procedures” for further instructions.

    Option B: If the wound is non lethal to the victim, you can perform on scene surgery by removing the bullet, disinfecting the wound and sewing it shut.


    Stab wound:

    Temporary stitch/ glue the wound shut and run code to hospital. Make sure the patient doesn’t move around, to prevent internal damage. Make sure the blade stays in if the knife hit an artery.


    Airway Management

    To ensure that the patient can maintain a open and functional airway you must:

    Option A: Intubate the patient (inserting a tube with oxygen down their throat)

    Option B: Perform a Tracheostomy if the patient has a neck or spinal injury

    (A Tracheostomy is when you make an incision into the front of the patient's neck and insert a breathing tube in order to maintain a stable intake of oxygen)


    Pneumothorax

    Collapsed lung.

    A collapsed lung or pneumothorax refers to a condition in which the space between the wall of the chest cavity and the lung itself fills with air, causing all or a portion of the lung to collapse



    Hospital Procedures:



    Standard equipment:

    General anesthesia is treatment with certain medicines that puts you into a deep sleep so you do not feel pain during surgery. After you receive these medicines, you will not be aware of what is happening around you. Use this when you want a patient to go under.

    Morphine is a pain medication that acts directly on central nervous system to decrease the feeling of pain. Give this to patients that are in great pain.

    X-ray Detector is a machine that detects particle blockage between the detector and the metal plate. Used to visualize fractures in bones.




    Medicine:


    Bandages: 100 dollars a piece
    Painkillers: 500 dollars per bottle
    Medkits cannot be sold

    Use medical bills for the payment


    To be added:


    Prank calls

    If you ever encounter a “prank call” aka, someone abusing the alert system, send the phone number to either the chief or the co-chief. It will be reviewed, and possibly blacklisted. Meaning that whenever a call is made with that number, it will have to lowest priority.


    On-duty protocol

    You are not to take civilians with you without there being an emergency. When you’re not heading to a call, you are to obey all traffic rules. While driving code, you are not to destroy property or ram into other cars or civilians. Always drive with caution, EMS cannot afford to have both a civilian and a paramedic going down.


    Off-duty protocol
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