My thanks to Roger Sanger, the copyright holder, for granting me
permission to host this article on my web site. To quote him, "I was looking
for a new home for DGP's 2300 AD articles, and naturally I picked the best fan
sites on the Web for that purpose. Kudos to Pentapod's World! Enjoy!"
- Kevin Clark
- January 24th, 2000.
Paramedic Kit
by Nancy Parker
Copyright © 1987, 2000 Digest Group
Publications ( DGP). All Rights Reserved. Used with permission.
Originally published in DGP's The Travellers' Digest #10
HTML entry/layout/editing by
Kevin Clark ( kevinc AT cnetech DOT com)
http://members.cnetech.com/kevinc/2300ad/medkit.htm
Disclaimer required by Far Future Enterprises:
This item is not authorized or endorsed by Far Future Enterprises ( FFE)
and is used without permission. The item is for personal use only. Any
use of FFE's copyrighted material or trademarks in this file should not
be viewed as a challenge to those copyrights or trademarks. In addition,
this item cannot be republished or distributed without the consent of
the copyright owner ( DGP).
All commercial vehicles with seating capacity of 30 or more, as well
as military medics and civil paramedics, carry a medical kit. In
additional to common bandaging materials and topical antiseptics, specialized
items for treatment of more serious injuries are included. A typical
example of a modern medical kit follows:
-
Fibrinogen Dressing: A pad of fibrinogen fibers impregnated with
antibiotics can be placed directly on freely bleeding wounds, followed
by a pressure dressing. Clots form around the fibers in 1/5th of the
normal clotting time. This layer of bandage is not removed or changed
later; it will fall off as the wound heals. The speed with which
these dressings halt bleeding has been credited with saving many lives
even in the hands of those unskilled in first aid.
-
Spray Hypo: The spray hypo uses a quick burst of compressed air
to force a liquid drug through the skin. This method of delivering
medicines has several advantages over needles. Contamination of the
hypo is impossible, even if used repeatedly without cleaning. A poorly
placed shot cannot accidentally enter an artery or hit a nerve.
The technique of using spray hypos is easily learned even by needle-shy
personnel. Sprays can be set for administration through most thickness
of clothing or even vacc suits. For these reasons the needle has
all but vanished from medical practice. A kit usually contains 10 or 20
ampules of broad-spectrum antibiotics/antivirals, 20 local anesthetics,
6 stimulants labeled for specific uses, and 10 sedatives. Ampules
of chemical painkillers may be included, as well as the pain disc listed
below.
-
Pain Discs: Taped on to the base of the skull, these electronic
transmitters stimulate the production of endorphin, relieving pain without
the loss of other senses caused by morphine substitutes. Individual
capacity for endorphin production varies, but as a rule, the discs can
be used exclusively for a week before a rest of two days is needed to recharge
the brain's chemicals. Chronic low-grade pain can be handled by this
method for months without pause. The normal discs are not suitable
for use as surgical anesthesia.
Experimental versions of these disc have been made using a "white noise"
principle to block the pain signal from the spinal nerves. This is
more effective than the endorphin method but produces a peculiar buzzing
sensation in some patients and can dangerously dull the touch sense.
One variety of transmitter disc is designed to put the patient in a deep
trance or coma, oblivious to all sensory input. This can be used
as surgical anesthesia or to ward off shock and promote healing.
Members of certain elite branches of the military and intelligence branches
are conditioned by hypnosis to be able to induce such trances in themselves
by code words and to come out of them only when signaled by a voice they
know. Enhanced rates of healing can be induced in the same way.
This trick is very useful in combat and even more so to prisoners of war.
A medkit will contain at least one coma-inducing disc.
-
Wound Glue: Collagen and a special tissue adhesive are spun in long
strings and packaged for sterility. These strings are placed inside
the edges of a wound which are then pressed together. Simpler and
less painful than stitches, wound glue, when properly used, can help even
a complicated laceration heal with little scarring.
As with stitches, rough handling may tear healing tissue, so a firm protective
bandage is preferred. Use of the affected body part should be avoided
for 3-5 days and it should be favored until movement is not painful.
If muscle layers are cut, several layers may have to be glued separately.
-
Probe: For removing bullets or other foreign bodies from deep wounds,
this flexible probe has a fiber optic light and lens, and a grasping end
which can be controlled by the operator. Naturally, local anesthetic
is recommended before probing.
-
Nuskin Burn Dressing: Serious burns should not be covered with fibrinogen
dressing, yet such injuries can cause severe fluid loss and are open to
infection. The Nuskin package contains a chemical debrider to remove
charred skin, and large pieces of a waterproof, germ-proof covering for
the denuded areas. Hospital attendants will finish debriding dead
tissue latter.
The kit includes a second type of nuskin for completely cleaned burns.
It adheres to provide a structure for new tissue growth while protecting
the patient in lieu of his own skin. Rather than area grafts, the
nuskin matrix is seeded with healthy skin cells collected and placed with
a large needle. It helps prevent drawn scars, but therapy still includes
frequent exercise of affected joints.
-
IV Fluids: Five 0.5 liter units of fluid, containing glucose and
electrolytes, are provided. Placing an IV correctly is a ROUTINE
task for anyone with medical skill but is one level more difficult, as
well as hazardous by anyone without medical skill.
-
Survival blankets: These are tough, waterproof fabric lined with
reflective foil to hold in body heat, large enough to wrap an adult patient.
Packages of heat-producing chemicals can be placed inside the blanket to
help prevent shock or aid recovery from exposure. Ten each are in
the kit.
If the regular medic of a group is incapacitated, an unskilled player may
use the supplies to attempt first aid by following instructions, but first
aid tasks are uncertain -- and hazardous for head or internal injures.
Reroll the task each hour that a patient is under the unskilled character's
care until proper medical help is obtained or the real medic recovers sufficiently
to supervise.
The complete kit masses 15 kg and occupies 30 liters of volume.
Initial purchase price is Lv100, and perishable supplies must be replaced
( if not used) every six months, at a cost of Lv20.
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