#combat medicine

[awallofswords]

A grim reference to the horrors of the battlefield. 

#19th Century #military history #combat medicine #waterloo #British Army #Casualties #19th century medicine

[theangrycorpsman]

Techniques for Managing Injuries in High-Pressure Situations

As a military member, the potential for combat injuries is a constant reality. While preventing injuries should always be the priority, it is important to know how to manage and treat them in case they do occur. Combat medicine and injury management techniques are essential skills for military personnel to have. This post will discuss some of the most important techniques and strategies for…

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#combat medicine #emergency medicine #first aid #injury management #tactical medicine

[caramelteaa]

That one part before the leader 1v1 and red team was just fucking surrounding Phil dropping everything they have of value or might be useful, chasing/barking out anyone who's not bolas(I'm so sorry Tina that Cellbit beat you into lava).

They are a pack of dogs for me in that moment

#the imagery would be even funnier if amongst the dogs the one they're catering to is just #this little crow #they're not even dropping things that could be good in combat mid way through #they were giving him bings and radiation medicine and umbrella and even offer emerald blocks #yes shiny but not exactly the right moment lmao #qsmp #qsmpblr #qsmp purgatory #qsmp red team #bolas rojas #qsmp philza #calla cackles #I bet soulfire was probably much more calm #I know that they offer tubbo enchanted armors

[skyloftian-nutcase]

Febuwhump Day 3 - "Bite Down on This"

For @smilesrobotlover and her wonderful King of the Gerudo blorbos!

Things hadn't exactly gone according to plan.

The monster horde near Fort Hateno had needed to be addressed quickly. Although the soldiers had held it at bay fairly well, Link wanted to defend his home and had rushed to its aid. Mipha had joined him.

Everything had been fine until the blood moon had come in the middle of the fight.

Link supposed it wasn't a complete disaster - they'd still won, after all. But goddess above, at what cost?

Mipha whimpered a bit as she tried to sit up a little more. Link gently put pressure on her shoulders to get her to relax.

"Please," he nearly begged. "You've done enough, Mipha. Just let me help."

His beloved wilted a little at his tone, her love for him fighting against her worry for the other soldiers. Link adored her for her compassion, but by Hylia she could be stubborn.

Well. He could be too, he supposed. Both their parents had commented that if they could have children they would be the most hardheaded beings on the planet.

The current dilemma, though, was due to Mipha's stubbornness, and his own would win out in this fight. Mipha had gotten an arrow to her leg, and it had impaled all the way through. The scream she'd let out was still ringing in Link's ears, making his skin crawl. Ever since he'd almost lost her to the Calamity, any injury she received was like being thrown back to that awful day. His heart was still racing just thinking about it.

The injury itself was painful to look at it, but Link knew Mipha's healing skills were more than enough to take care of it. The issue was that she'd spent her energy healing the Hylian soldiers all around her instead, and at this point she was too exhausted.

"Why do you do this to yourself?" he murmured, not really expecting an answer as he traced his finger around the wound.

"I have to help," Mipha answered quietly, a little browbeaten.

Link felt bad for making her guilty over such a gift, for such tender and considerate love for all. He sighed, cupping her cheeks with his hands. "I know. But... you can't help others if you wear yourself out. You worry me."

Mipha sighed, leaning into his touch and closing her eyes. "I'm sorry, Link."

Link tapped her face with his thumb, making her look at him. He didn't say anything more, but he leaned in for a quick kiss before leaning back and letting her go. He sifted through his bag a little before finding a spare belt. He felt his insides grow a little cold as he pulled it out. He'd used this item time and again when handling his own wounds, but...

Goddess, he really wished they didn't have to keep fighting like this. Hyrule had known peace for so long.

He couldn't imagine a better partner in battle, though.

"Bite down on this," he ordered as he offered the belt to her. Mipha took it and complied without argument, knowing what was coming.

Link found himself wishing desperately that he had even an ounce of Mipha's healing magic. He seemed the least magically inclined person by his own observations - Zelda, Mipha, Urbosa, Daruk... even Revali to a degree had some kind of magical ability to their name. He supposed his magic was his fighting prowess.

It absolutely paled in comparison.

What good was such magic in the face of the others? The only closest equivalent was Urbosa, whose abilities were really only utilized for violence such as his. Link had never been ashamed of his gifts before, but in this moment he wished so desperately that his hands could heal more so than hurt.

It's not hurting. It's defending. And that's equally important, he reminded himself.

And then he glanced again at Mipha, who could both heal and defend. His heart swelled, a smile pulling at his lips. Goddess, he loved her.

Mipha gave him a bewildered look for a moment before softening and returning the smile. But then she grimaced as she moved her leg a little, and Link focused on the moment again, warmth forgotten.

Positioning her leg a little better, Link visualized both sides of the arrow where it pierced all the way through. In her state, Mipha wasn't likely to be able to heal the wound for at least a few hours, so he'd have to stop the bleeding in the best way he knew how. He prayed she could heal herself sooner rather than later as... well...

Tourniquets hurt. But the risk for further injury and bleeding and infection were too high to sit on this.

He glanced at Mipha, silently asking if she was ready. She nodded, face determined, though her nervous wringing of her hands belayed her anxiety.

Link pushed the shaft with a fast, fluid motion. He wasn't sure if the whimper that escaped his beloved was better or worse than a scream. His hands went back to her face quickly, leaning his forehead against hers in comfort before he eased the belt out of her clenched jaw and tied it around her thigh. Mipha gasped in pain as he tightened it, watching the bleeding slow and then stop entirely.

Mipha leaned against the wall, sighing, her eyes closed tightly. Link shuffled to sit beside her and pulled her to him.

"I'm sorry," he mumbled. I'm sorry I can't heal like you can.

"Don't--ah!--don't be," Mipha said shakily, huddling closer to him. "You h-helped me. Thank you."

Link sighed heavily. Mipha just couldn't help being nice. One of these days he was going to kidnap her to some beautiful place where she didn't have to lead, worry, heal, or do anything for at least a week and he could just take care of her.

"I'll be able to heal it soon, I think," Mipha noted.

Link nodded, pulling away before scooping her into his arms. She yelped in surprise, making him smile.

"Well, in the meantime, I'll take care of you."

#writing #miphlink #lovely smiles #and her lovely story ideas #king of the gerudo #mipha #this girl is too stubborn for her own good #but then again so is link #who can out-duty the other #the healer who has to take care of everyone and also protect her people #or the hero of destiny who has to protect all of hyrule and the princess #the world may never know but by heaven these two will try to win this competition #febuwhump #Also Link doesn’t know this but tourniquet info: #When putting on a tourniquet you tighten it until that limb loses a pulse - NOT until the bleeding stops #This is because there might still be bleeding you can’t see #So you tighten that sucker down until there’s NO way blood is circulating #Hence why you don’t want to keep a tourniquet on for ages - no blood flow! #But we’ve learned from combat medicine that you can wear one for a few hours #Skye time travels through the queque

[sauronbussy]

I am still salty about how Bethesda didn't implement the Confirmed Bachelor or Cherchez La Femme in Fallout 4, and just excluded perk based speech in general. Yeah sure, we finally had romance options and all of the companions you can romance are "player sexual", but the lack of including those perks just makes the game feel so shallow in comparison to the Original Fallout games and New Vegas. And unless you romance a woman as Nora or a man as Nate, same sex relationships might as well not exist in their Fallout games.

#fallout #fallout new vegas #fallout 4 #honestly just the speech checks in Bethesda are so lacking in general #only charisma counts and those are percentage based #where are the high or low intelligence options? #the survival or medicine options? #talking to people in fallout 3-4 after playing new vegas makes me want to cry #my perks don't matter at all outside of combat

[ranahan]

Free tactical medicine learning resources

If you want to learn first aid, emergency care or tactical medical care for real, you will need to practice these skills. A lot. Regularly. There’s no way to learn them just from books. But if you’re looking to supplement your training, can’t access hands on training, are a layperson doing research for your writing or otherwise just curious, here are some free resources (some may need a free account to access them).

TCCC

The current gold standard in the field is Tactical Combat Casualty Care (TCCC), developed by the US army but used by militaries around the world. There is also a civilian version of the system called Tactical Emergency Casualty Care (TECC). Training materials, Standards of Care, instructional videos, etc. can be accessed at deployedmedicine.com. You’ll need a free account. This should be your first and possibly only stop.

There’s also an app and a podcast if those are more your thing, although I haven’t personally tried them.

More TCCC (video) resources

STOP THE BLEED® Interactive Course

TCCC-MP Guidelines and Curriculum presentations and training videos

EURMED’s Medical Beginner's Resource List has suggested list of video materials (disclaimer: I haven’t watched the playlists, but I have been trained by nearly all of the linked systems/organisations and can vouch for them)

Tactical Medical Solutions training resource page (requires registration; some of the courses are free)

North American Rescue video downloads

Emergency medicine

WHO-ICRC Basic Emergency Care: approach to the acutely ill and injured — an open-access course workbook for basic emergency care with limited resources

Global Health Emergency Medicine — open-access, evidence-based, peer-reviewed emergency medicine modules designed for teachers and learners in low-resource health setting

AFEM Resources — curricula, lecture bank, reviews, etc.

Global Emergency Medicine Academy Resources (links to more resources)

OpenStax Anatomy and Physiology textbook

Open-access anatomy and physiology learning resources

Principles of Pharmacology – Study Guide

Multiple Casualty Incidents

Management of Multiple Casualty Incidents lecture

Bombings: Injury Patterns and Care blast injuries course (scroll down on the page)

Borden Institute has medical textbooks about biological, chemical and nuclear threats

Psychological first aid: Guide for field workers

Prolonged field care

When the evac isn’t coming anytime soon.

Prolonged Field Care Basics lecture (requires registration)

Aerie 14th Edition Wilderness Medicine Manual (textbook)

Austere Emergency Medical Support (AEMS) Field Guide (textbook)

Prolonged Casualty Care (PCC) Guidelines

Wilderness Medical Society Clinical Practice Guidelines

Austere Medicine Resources: Practice Guidelines — a great resource of WMS, PFC, TCCC, etc. clinical practice guidelines in one place

The Wilderness and Environmental Medicine Journal (you can read past issues without a membership)

Prolonged Field Care Collective: Resources

National Park Services Emergency Medical Services Resources

Guerilla Medicine: An Introduction to the Concepts of Austere Medicine in Asymmetric Conflicts (article)

Mental health & PTSD

National Center for PTSD

Psychological first aid: Guide for field workers

Combat and Operational Behavioral Health (medical textbook)

Resources for doctors and medical students

Or you know, other curious people who aren’t afraid of medical jargon.

Borden Institute Military Medical Textbooks and Resources — suggestions: start with Fundamentals of Military Medicine; mechanism of injury of conventional weapons; these two volumes on medical aspects of operating in extreme environments; psychosocial aspects of military medicine; or Combat Anesthesia

Emergency War Surgery textbook and lectures

Disaster Health Core Curriculum — online course for health professionals

Médecins Sans Frontières Clinical guidelines

Pocket book of hospital care for children: Second edition — guidelines for the management of common childhood illnesses in low resource settings

Grey’s Quick Reference: Basic Protocols in Paediatrics and Internal Medicine For Resource Limited Settings

The Department of Defense Center of Excellence for Trauma: Trauma Care Resources (links to more resources)

#feel free to share and add more #tactical medicine #tactical combat casualty care #prolonged field care #austere medicine #military medicine #tccc #tecc #disaster medicine #wilderness medicine #emergency medicine #emergency medical services #learning resources #writing resources #mandalorian medics

[hato-mercenary]

Wake up babe. New CLS bag just dropped.

Holy shit I have a lot more room for meds n shit in here than my old fannypack. I'm definitely throwing my drug box, a cric kit, and a ton of other stuff in here. May need to set up some more dividers in here though.

#combat medic #military #russia ukraine conflict #medicine #tactical gear #medic

[tentacion3099]

⚕️

#donbas #combat medic #medicine #field medicine

[cowardlycowboys]

medicine I just got says it will make you gain weight

#omg kiera no one cares #am i not suffering enough i got off quetiapine BECAUSE I THOUGHT IT WAS MAKING ME GAIN WEIGHT EMMY I'M GONNA BUY A GUN #hate anti psychotics hate medication hate living and being alive #taking wellbutrin so I'm too anxious to eat to combat this medicine i guess

[devotedly-jovialb1ossom]

Take this!!!

#Naruto series #Naruto Shippuden official art #Naruto Shippuden #Official art #Masashi Kishimoto #studio pierrot #Teen Sakura Haruno-Uchiha #Medic-nin #Tsunade no.2 #Chuninhood #Chunin days #Medicine and strength #beauty & strength #strength of 100 seal #Byakugo seal #byakugou activated #4th shinobi world war #queen of the chakra-imbued fist #Chakra reliant fighting style #Close-range Combatant #konoha's cherryblossom #The Cherryblossom #Shounen #Fantasy #action and adventure #Martial arts #Slapstick-based comedy

[99point9percentwhump]

Combat! - s4e15 Finest Hour

#Combat! #vintage whump #wounded #unconscious #cared for #field medicine #pain #sweaty #waking up

[brainmoss]

2 weeks off of sertraline and the suicide ideation comes back with a revenge

#tw suicide ideation #tw sui ideation #tw suicide #im fine at least now i can recognize the thoughts come from the brain problem #the friend i talked about a while back is ok too not great but finally found a therapist that doesnt break confidentiality #im in a light mood but its always better to have the tw's present #i do however wonder wtf my doctor has planed for me #he says its best to not take sertraline for long times and i believe #around the 1 year mark i started forgetting to take the medicine and he said it happens to most ppl cause the brain gets tired of it #and maybe to combat that there would be the need of a higher dose #but that sucks #so i guess just cope and if things get real bad ask to go back on it but in appointment ill see #but damn after a couple of months feeling and thinking how its suposed to do that its weird #dont want to go back to needing to handle overwhelming emotions #negativity snowballs #and overthinking headaches #just having a reference point for being balanced helps #the doctor warned me ocd is like riding a bike for the brain #and that it would come back again just the same #but damn #i wish i could reorganize tags here cause i want to add to previous stuff but i wont delete any nor write stuff that needs new context

[imissjensi]

trying to determine whether to create a whole new dnd system to replace spells for a keeper dnd campaign or just to keep spells because on one hand spells are complicated and creating ability based skill trees is really tempting but on the other hand it’s so much work but i’ll probs do it anyways just for fun.

#elaborating in the tags #so basically i have already begun sorting dnd 5e spells out according to ability #but it’s not balanced at all #pyrokinetica get like 33 spells #frosters get 15 #and telepaths get 8 #which isn’t fair at all #in my head i want to make a campaign that follows prodigies through the foxfire years #taking place the same time jolie went through her foxfire years #having relationship dynamics like in strixhaven if anyone knows how that works #think like hogwarts mystery that pay to play harry potter mobile game that takes place before harry gets to hogwarts #i feel like a skill tree would be best in this scenario #since prodigies are developing their skills #think how flashers can use their abilities for entertainment combat and medicine #so three seperate branches for that #and like the choices a player makes could get them knowledge points to spend on the tree #that way i can balance each ability so that empaths aren’t stuck with like profeciency in insight and four spells #it’s a lot of work but would be worth it in the end #but if i made a campaign focusing on older elves who already have mastery over their ability #that could use spell slots #i personally find a foxfire focused campaign more interesting since that’s what i find most interesting about kotlc #i will still post spell lists by ability once i finish thatsince regardless of how i choose to proceed i still think it’s interesting #i’m also thinking about like having stuff play out day by day like persona 5 but that is way too much work and is more suited for a video #game than for a dnd campaign #maybe it could be weekly #whatevs this is all very much in the early stages in my head but still fun to think about #also pls forgive me for not posting recently ive been very busy with other dnd things #kotlc #kotlc fandom #keeper of the lost cities

[broodparasitism]

happy WBW! How are disabilities (physical and otherwise) accommodated?

Thank you! Disclaimer that I cannot discuss every single disability here, I'll do my best but will be primarily thinking of the disabilities the central characters have.

The world of Helst is not at our level of progress with medicine - a lot of disabilities are not as well understood or not manageable as they are now, but accomodations are there, depending on who you are.

Ulric has what we’d call Erb's Palsy - he had a difficult birth that damaged a nerve in his shoulder and left it paralysed. He sometimes wears a splint that can help aid some very limited movement in his hand, and has his clothing/cutlery/jewellery/shoes etc tailored for the use of one arm, as well as medicine for pain relief since it gets pretty painful (more on that below). Book holders are a must for him, he reads a lot. Ulric is neutral on his disabililty for the most part, save for the pain - he was born with it, it’s all he’s known. There is the caveat that he has the financial means for these accomodations and to not need to do any manual labour that poorer people would not have that same access to, however. There’s also that he’s faced ableism from his family in particular: the men of his family are all soldiers in some form or other except him, and his father and brothers placing so much value on the military has led to him being somewhat of an outcast among them. There are other characters, such as Etienne, who experience chronic pain - within the Enclave and therefore within proximity to the most accomplished healers in the country. With that, and that most of the senior positions in the church are also, well senior citizens (Aurelius is the first to hold his position under the age of 40, the Emperor and most other Benandante being 60+) and so more likely to have health problems, there’s abundant access to various treatments for all the residents - again, this cannot be said for all of Helst - Adeline la Tellier, who Ninon works for, doesn’t have much she can do for the various dancer’s injuries that have come back in old age. It’s really a matter of where you are and how much you can afford in terms of accomodation. They have quite a different grasp on learning and developmental disabilties and mental illness that we do. Kreszentia’s autistic, for example, and but there’s no terminology used to describe it, let alone a diagnosis or any kind of community. When she got accepted to Iosph, Konrad just wrote to them with a warning of, “My daughter is just bizarre in a lot of ways and there seems to be nothing to be done about it, be prepared.” Ninon’s dyspraxia is viewed fairly similarly - at the Miloche hospital she’d have been punished for percieved untidiness but with Mrs Devereux, she just thinks Ninon means well, she just gets her thoughts muddled and can’t be trusted with precise tasks. Mental health? As a concept it isn’t really there. Ninon as per our understanding have religious OCD, but she and the other characters would never percieve it that way, nor is she aware that the environment she’s in is actively making it worse.

#we hate ulrics dad here sir #more research into medicine needed!!! #this is a really thought provoking thing theres so much more i could say #very little of it good #ableism cw #thatd #the values of this society being one that glorifies physical combat and also justifying hardship do not lend themselves #to being good to disabled people #but id rather say that yes irl oppression in this case ableism exists in this world #than say its without discrimination and then not be true to it #bc i see the latter happening so much #if that makes sense

[novelmeds]

Navigating Faster MS Progression: Genetic Insights Offer New Hope

The battle against Multiple Sclerosis (MS), a chronic and potentially debilitating disease that affects the central nervous system, has taken a promising turn with recent genetic discoveries. Scientists have identified a specific genetic variant associated with faster progression of the disease, offering a new target for therapeutic intervention and a beacon of hope for patients…

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#central nervous system diseases #combatting MS #genetic variants in MS #MS genetic research #MS therapeutic strategies #MS treatment advancements #Multiple Sclerosis #neurodegenerative disorders #personalized medicine #rapid disease progression

[hato-mercenary]

Let's talk about tactical medicine. Or more specifically, what not to fucking do to a patient that has been shot in the neck. I'm not even going to touch on the tactical failures here (like the guy with the machine gun getting off the line to render aid during an active firefight), but they are numerous and painful for those that understand.

So, Soldat Dipshitovitch takes one to the neck. He gets run behind some concealment, where his fellow Nobel candidates begin rendering aid yet make several critical errors.

1. Failure to apply direct pressure to the source of the bleed. Ideally one of the people rendering aid should have a finger inside that hole. Failing that they should be at least one pressing down on the wound at all times and yet even that is not happening. At one point, the person with the camera is just holding a roll of gauze while waiting for the other guy to remove the plate carrier. While this is happening, Soldat Dipshitovitch is continuing to bleed to death.

2. Failure to pack the wound. Once the plate carrier is off they begin to bandage the wound by wrapping gauze around the neck. This is wrong. You are supposed to pack wounds like this. Failing that, at least wrap the bandage under the opposing arm so you aren't choking your patient. You don't put a tourniquet on someone's neck for the exact same reason. This is basic shit.

3. Giving morphine to a hemodynamically unstable patient. Seriously they just hit him with a WWII style morphine syrette. If Soldat Dipshitovitch wasn't going to die before they did that, he's definitely going to now. Morphine reduces blood pressure and respiratory drive. If you have a patient in compensated shock, administering just 2mg of morphine can easily push them to decompensate. The patient here has already lost a lot of blood due to the above mentioned fuckery. This is why our first line drug for trauma patients here is ketamine. You can administer it with far less risk of killing your trauma patients.

And that's it. Thanks for reading through my explanation as to why Russian TCCC or whatever they call it is a mess. Unless the goal was to recreate the scene where the medic dies in Saving Private Ryan only way more avoidable, in which case they succeeded brilliantly.

#russia ukraine conflict #military #combat medic #tw blood #tw death #combat footage #medicine