Medical Treatment (Medicae & Chirugeons): Difference between revisions

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=== Providing Medical Treatment ===


All characters in DuD are treated as being capable enough to aid someone who is obviously bleeding this is represented by the '''First Aid''' trait which is free for all characters to take which allows them to;
=== Power Tests ===
Several traits and abilities request that a character performs a [[Power Test]] - this is a test with a 25% chance of failure. In the case of Medical characters this MUST be taken at the end of '''30s of Triage''' to identify if a Complication Card should be drawn.


* Providing they are '''Fine''' and haven’t got a limb disabled '''''' they can give '''First Aid''' to '''Grievously Wounded''' characters, pausing their '''bleed count''' while they do so (see beneath for more details) - this occupies both their hands so they may do nothing else while doing it and they cannot do this while a casualty is being moved.
=== First Aid ===
 
Providing they are '''Fine''' and haven’t got a limb disabled '''''' they can aid a '''Casualty''' to move, however they cannot stop the
 
However trained medics such as the '''Medicae''' who tend to battlefield casualties and '''Chirugeons''' who studied at the Imperium’s Medical Academies to hone their arts have a more significant role to play in treating Casualties. The individual abilities of each type of medic is covered in detail below.
 
 
'''Medicae''' can perform effective medical treatment in the field and under fire;
 
* '''They can perform First Aid with one hand''' enabling them to do it providing they have a functioning limb, or use a pistol to defend themselves while performing it, or use it to move the casualty while continuing First Aid.
 
* With patients with '''Grisly Injuries''' they can '''Mend''' their injury(s) with thirty seconds of medical roleplay due to their familiarity with battlefield injuries.
 
* They can perform '''Triage Checks''' on characters who are '''Shaken''' or '''Grievously Wounded''' - making draws from the '''Complications Deck''' if they discover a complication while doing the check.
 
If they discover a Complication with a '''Medicae Intervention''' option they can perform '''Surgery''' to return any casualty to '''Fine'''. They cannot operate on other complications.
 
 
'''Chirurgeons''' the pinnacle of medical expertise, and with access to a proper operating theatre they can achieve almost anything.
 
* With patients with '''Grisly Injuries''' they can '''Mend''' their injury(s) with 60s of medical roleplay taking a while to carefully and cautiously mend the wound based on their training rather than a familiarity with battlefield wounds.
 
* They can perform '''Triage Checks''' on characters who are '''Shaken''' or '''Grievously Wounded''' - making draws from the '''Complications Deck''' if they discover a complication while doing the check.
 
* Provided they have access to a Medbay, they may perform Surgery to return a casualty to '''Fine''' and resolve all '''Complications'''.
 
They can perform '''experimental surgery''' or, if they are a Tech Priest or under the Instruction '''''' of one, install bionics. This requires Game Team permission and may or may not be approved depending on your intended results.


'''All characters''' in DuD are treated as being capable enough to aid someone who is obviously bleeding, and of administering Chems at the direction of a '''Medicae''' or '''Chirurgeon'''. This is represented by the [[First Aid]] ability.


=== Triage ===
=== Triage ===


A casualty is a character who is currently '''Shaken''' or '''Grievously Wounded'''. While in these conditions, a character is vulnerable to further mutilation, capture or worse. Characters who are '''Shaken''' ''can'' recover on their own but it takes time unless they have certain traits, more often than not it is faster to get them back in the fight by doing a '''Triage Check''' on them to assess the nature of their injuries. A character cannot perform a '''Triage Check''' on themselves, or if they are '''Shaken''' or '''Grievously Wounded'''. This system is a way of providing an ic ‘skin’ for characters using triage cards (see beneath for an example) to create a more immersive medical ruleset.
A [[Professional_Traits#Medicae|Medicae]] or [[Professional_Traits#Medicae|Chirurgeon]] can perform '''Triage''' on a patient.
 
When dealing with characters who are '''Shaken''' the attendant '''Medicae''' or '''Chirugeon''' performs a '''Triage Check''' to see if there is a complication;
 
* If no Complication is found the character is a '''Category III''' casualty '''''' with 20 seconds of medical roleplay by a '''Medicae''' or '''Chirugeon''' they return to '''Fine''' with half their endurance.
 
If a Complication is found however the character is a '''Category II''' casualty, they are not bleeding out any time soon but they will not be able to recover from '''Shaken''' until the complication is treated by '''Surgery'''. Draw a card from the '''Complications Deck''' you are carrying at random and read its effects informing the Casualty of anything they should roleplay reacting to as necessary.
 
Where a card tells you to discard it if certain conditions are not met do not draw another card the patient has a lucky escape they are instead a '''Category III''' casualty. ''''''
 
Certain Complications will state that the casualty is a '''Category I''' casualty, at which point you should inform the character to move to '''Grievously Wounded''' and begin their bleed count.
 
The base chance of finding a Complication is 25%. A standard method of making the check would be to use a bag of beads, 9 white and 3 red; on blind-drawing a bead from the bag, a Complication occurs if a red bead is drawn. Digital randomisers, dice or other methods are also appropriate, at the player’s preference.
 
Characters who are '''Grievously Wounded''' '''''' however, do not require the Triage Check to be made, as they are immediately revealed to be a '''Category I''' casualty in immediate need of attention, as their bleed count is ticking down slowly. The medical character makes a draw a card from the '''Complications Deck''' you are carrying at random and read its effects informing the Casualty of anything they should roleplay reacting to as necessary they will continue to bleed unless their count is '''paused''' (by '''First Aid''' or '''Surgery''') or stopped (by some other means such as Coag).
 
Where a card tells you to discard it if certain conditions are not met do not draw another card the patient has a lucky escape they are instead their bleed count stops with some minor attention and they become '''Shaken'''.
 
=== Giving First Aid to a Grievously Wounded Casualty ===
 
All player characters have some degree of medical knowledge for dealing with situations where blood is oozing out of a wound. When they encounter a '''Grievously Wounded''' casualty they are able to tell they are bleeding and through a few moments roleplay, can determine the rough appearance and location of an injury (a quick OC check with the casualty for a description).
 
By using '''both hands''' (there is no need to make physical contact if you or the casualty to not wish it) a character who is '''Fine''' may '''pause a character’s bleed count''' by applying pressure to the wound, holding the injured limb braced or fussing with a medkit and so on. Should at any point you stop doing this, the bleed count resumes from where it left off, so make sure the casualty knows to keep in mind where they last were. This '''cannot''' be done on a Casualty who is being moved.
 
If a character has lost use of a limb due to a '''Grisly Injury''' they cannot perform '''First Aid'''.
 
Characters with '''Medicae''' only need one hand to do this, and may therefore use a '''Pistol''' to defend themselves while giving '''First Aid''' (melee requires too much movement) or do it even if they have a limb disabled by a '''Grisly Injury.''' More importantly they can use their free limb to '''move the casualty''' (as beneath) while continuing to pause their bleed count (make sure to inform the casualty)
 
=== Moving Casualties ===
 
'''Shaken''' characters or characters with '''Grisly Injuries''' to the legs, cannot move faster than a slow stagger unaided, and '''Grievously Wounded''' characters cannot move at all.
 
A character who is '''Fine''' and has no limbs disabled can aid a Casualty in moving allowing a '''Shaken''' character to move normally and a '''Grievously Wounded''' character to move at a slow stagger (while moving a character in this way the aiding character can also only move at a similar pace).
 
'''However''' a '''Grievously Wounded''' character cannot have their bleed count paused via '''First Aid''' they will continue to bleed while being aided in moving. Unless they are being moved by a '''Medicae'''.
 
 
=== Mending a Grisly Injury ===
 
Grisly Injuries are a status condition applied by calls of '''Rend''' or '''Burn''' as well as other effects. Though not life-threatening and debilitating, they are dangerous to leave open and make the patient in danger of serious injury or struck again.
 
After roughly 30s of roleplay for a '''Medicae,''' 60s of roleplay for a '''Chirugeon''', they may declare that they have finished their work and the '''Grisly Injury''' condition is removed if the character has multiple '''Grisly Injuries''' then they are all removed at once by this roleplay.
 


=== Performing Surgery ===
* Triage requires 30 seconds of Medical Roleplay, followed by a [[Power Test]].
* A character’s bleed count is paused while undergoing Triage. If interrupted, the bleed count resumes.
* If the Power Check is passed, call '''Get it Together'''.
* If the Check is failed then draw a card from the [[Rules Downloads|Complications Deck]], read it and show it to the patient.
** If a card tells you to discard it, treat the test as a '''Pass'''.
** A character with an ongoing Complication is considered '''<span style="color:#DC143C">Bloodied</span>'''. Their death count is paused and reset to 0 unless they take damage or a '''Complication''' says otherwise.
** You must pick an option from the card to resolve the '''Complication''' in order for the character to be returned to a healthy state, this is called '''Surgery'''.


When a '''Complication''' is drawn from the '''Complication''' deck there will one or more options from the three possible forms of surgery written on it, these are;
==== Roleplaying Surgery ====


* '''Medicae Intervention:''' These treatments represent the few instances where a '''Medicae''' can perform Surgery, they can be done in the field without a '''Medbay'''. They are battlefield treatments to get a casualty on their feet but often don’t deal with the problem entirely. They take no more than a minute of roleplay to perform.
* The '''Complication''' card will guide you in the type and duration of Surgery roleplay you must perform.
** Some cards allow '''Quick Fixes''' - these can be accomplished by any Medicae or Chirurgeon, get a patient up on their feet or keep them stable, but usually at a penalty.
** Some cards allow '''Medicae Interventions''' - these are straightforward and can be accomplished by any Medicae or Chirurgeon.
** Some cards require '''Proper Procedures''' - these can only be performed by a '''Chirurgeon''' in a '''Medbay'''.
* If a surgery card does not specify a duration, it takes at least 1 minute to complete.
* You must give your patient a dose of '''Opia''' to remain still, otherwise you should prompt them to thrash and roleplay extreme pain.
* When you have completed surgery, you may call '''Get it Together''' unless the Surgery option you have chosen says otherwise.  


'''Quick Fixes:''' Performed by a '''Chirugeon''' these can be done in the field without a '''Medbay''' and can be done by a '''Medicae''' if there is a '''Chirugeon''' present to instruct them. These are quick and brutal solutions to get a casualty back on their feet but often cause more issues going forwards. They take no more than thirty seconds of roleplay to perform.
=== Medbays ===


'''Proper Procedures:''' Performed by a '''Chirugeon''' in a '''Medbay''' these are the correct surgical methods for dealing with injuries but often the resources needed to do them are not available. They should take upwards of a few minutes of roleplay to perform.
'''Medbays''' allow [[Professional_Traits#Chirurgeon|Chirurgeons]] to resolve Complications with '''Proper Procedures'''. They also allow Chirurgeons to attempt more complex procedures with Game Team approval, such as installation of Bionics or conducting Autopsies.


To perform any form of surgery, a Medicae or Chirurgeon must make use of tools to perform a period of roleplay treating a character’s wounds. Casualties must be given a dose of the Chem Opia in order to hold still for surgery without restraint otherwise they should be instructed to roleplay extreme pain and make a lot of noise while you work.
A Medbay is defined as a well equipped medical facility such as a small surgery or a field hospital. Medbays are set up as part of the game environment and in some cases may be deliberately absent to present a challenge to players. A medbay is usable as such if an '''Officio Medicae Banner''' is set up in the environment by the Game Team or if the Game Team tells you otherwise.


A character's Bleed Count '''pauses''' once Surgery begins, but will resume if the surgery is stopped or interrupted for whatever reason and '''First Aid''' or '''Coag''' are not being given.
'''It is possible for players to bring their own Field Hospital setups with Game Team approval. You must have your own Officio Medicae Banner to set up'''. You may ONLY set up the banner after getting approval from a member of the Game Team that your medbay is ready to take casualties.


When surgery is completed, the treated character is restored to '''Fine''' '''with Half Endurance (round up)''' unless a complication specifically states otherwise. Some treatments may have additional conditions attached, be sure to inform the casualty of them.


=== The Medical Complications Deck ===


=== '''Medbays''' ===
The [[Rules_Downloads#Medical_Complications_Deck|Medical Complications Deck]] consists of 48 cards, with effects of varying severity and danger. Players should check the [[Rules Downloads]] page shortly before each event to confirm they are still using the most up to date version.


A '''Medbay''' is defined as a well equipped medical facility such as a small surgery or a field hospital. Medbays are set up as part of the game environment and in some cases may be deliberately absent to present a challenge to players. A medbay is usable as such if an '''Officio Medicae Banner''' is set up in the environment by the Game Team or if the Game Team tells you otherwise.


'''It is possible for players to bring their own Field Hospital setups with Game Team approval you must have your own Officio Medicae Banner to set up''' - you may ONLY set up the banner after getting approval from a member of the Game Team that your medbay is ready to take casualties.
[[Category:Rules]]

Latest revision as of 16:02, 17 June 2023

Power Tests

Several traits and abilities request that a character performs a Power Test - this is a test with a 25% chance of failure. In the case of Medical characters this MUST be taken at the end of 30s of Triage to identify if a Complication Card should be drawn.

First Aid

All characters in DuD are treated as being capable enough to aid someone who is obviously bleeding, and of administering Chems at the direction of a Medicae or Chirurgeon. This is represented by the First Aid ability.

Triage

A Medicae or Chirurgeon can perform Triage on a patient.

  • Triage requires 30 seconds of Medical Roleplay, followed by a Power Test.
  • A character’s bleed count is paused while undergoing Triage. If interrupted, the bleed count resumes.
  • If the Power Check is passed, call Get it Together.
  • If the Check is failed then draw a card from the Complications Deck, read it and show it to the patient.
    • If a card tells you to discard it, treat the test as a Pass.
    • A character with an ongoing Complication is considered Bloodied. Their death count is paused and reset to 0 unless they take damage or a Complication says otherwise.
    • You must pick an option from the card to resolve the Complication in order for the character to be returned to a healthy state, this is called Surgery.

Roleplaying Surgery

  • The Complication card will guide you in the type and duration of Surgery roleplay you must perform.
    • Some cards allow Quick Fixes - these can be accomplished by any Medicae or Chirurgeon, get a patient up on their feet or keep them stable, but usually at a penalty.
    • Some cards allow Medicae Interventions - these are straightforward and can be accomplished by any Medicae or Chirurgeon.
    • Some cards require Proper Procedures - these can only be performed by a Chirurgeon in a Medbay.
  • If a surgery card does not specify a duration, it takes at least 1 minute to complete.
  • You must give your patient a dose of Opia to remain still, otherwise you should prompt them to thrash and roleplay extreme pain.
  • When you have completed surgery, you may call Get it Together unless the Surgery option you have chosen says otherwise.

Medbays

Medbays allow Chirurgeons to resolve Complications with Proper Procedures. They also allow Chirurgeons to attempt more complex procedures with Game Team approval, such as installation of Bionics or conducting Autopsies.

A Medbay is defined as a well equipped medical facility such as a small surgery or a field hospital. Medbays are set up as part of the game environment and in some cases may be deliberately absent to present a challenge to players. A medbay is usable as such if an Officio Medicae Banner is set up in the environment by the Game Team or if the Game Team tells you otherwise.

It is possible for players to bring their own Field Hospital setups with Game Team approval. You must have your own Officio Medicae Banner to set up. You may ONLY set up the banner after getting approval from a member of the Game Team that your medbay is ready to take casualties.


The Medical Complications Deck

The Medical Complications Deck consists of 48 cards, with effects of varying severity and danger. Players should check the Rules Downloads page shortly before each event to confirm they are still using the most up to date version.