Hello.I thought of a Medical Guide for people who want to Roleplay a Doctor/Medic.I did NOT make it but I think it's nice tp share with people interested in this.Here are the basics but you can practice and earn experience.Here are some medical terms which were not wrote in the guide.
1)AVPU - Alert | Verbal Responsive |Pain Responsive | Unresponsive ( this is the scale when you first take care of a patient )
2) GCS - Glasgow Coma Scale ( It is from 1 to 15.It's the coma scale of a patient.I'll update the guide about the scale)
In the guide are included EMS procedures and Surgical Operation procedures.Here are also some EMS Radio Codes and drugs.
So here is the guide : (sorry,I just copy-pasted) ( and please replace the /do's with /em's.It's from other server)
Post Merge: March 07, 2012, 01:52:13 pm
Local Anesthetic
Drugs: Lydocaine
Indications: For minor surgery
Adminstering route: Injection
General Anesthetic
Drugs: Methohexital, propofol, Ether gas
Indications: For major surgery
Administering route: Intra venous, inhalation (for Ether gas)
Pain Reliever
Drugs: NSAID (Aspirin, Ibuprofen, etc), Corticosteroid (Hydrocortison), Opiate (Morphine)
Indications: For relieveing mild pain (use NSAID), moderate pain (Corticosteroid), and severe pain (Morphine)
Administering route: Per-oral
Anti Fever
Drugs: Paracetamol
Indications: Fever
Administering route: Per-oral
Antibiotics
Drugs: Antibacterial (Penicillin, Amoxycilline), Antifungal (Ketoconazole), Antiparasit (Albendazole, Mebendazole)
Indications: Used to treat infection or to prevent secondary infection upon invasive procedure
Administering route: Per-oral, injection
Sedatives
Drugs: Valium, Benzodiazepine (Diazepam)
Indications: For maniac patient, psychiatrist patient
Administering route: Intra venous
Cardiac Drugs
Drugs: Sympatho adrenergic (Adrenaline, epinephrine, nor-epinephrine) and Sympatholytic (Verapamil)
Indications: For increasing Blood pressure (Adrenaline, epinephrine, nor-epinephrine) or decreasing Blood pressure (Verapamil). Nitroglycerine administered sublingual is he first drug to be used in coronary heart disease (To dilate coronary vessels)
Administering route: Intra venous
Antidotes
Drugs: Naloxone
Indications: used to treat morphine overdose
Administering route: Intra-Muscular injection and Intra-venous injection (For life-threatening conditions)
Basic Diagnostic Procedure
1. Anamnestic
This is a procedure which you can ask the patients about their problem, their main complaints (What makes them come to you). Within this step, please make sure you ask it with the calm manner, such as regular conversation with your friends. Do not make this procedure such as investigation things. Do not use medical terms, since most of people don't understand it. Your purpose is to find what their main complaints, and by asking them politely, they'll answer you with complete answers in return.
This procedure, however, can't be done with unconscious patient.
2. Inspection
When patients come to you, you should inspect them at your first sight. Look for their general conditions, are they holding specific region of their body, etc. if the patient is conscious, ask them to lay on the examination bed, and ask them to take their clothes off. If they're unconscious, you may take their clothes off. Then you'll be able to see their body completely. Take a close look for any abnormalities, look their body for any visible injuries, protruding bone, swelling, bruises, etcetera.
3. Palpation
This is a good way to find out any problems which you can't find it with inspection alone. To do this, simply put your arm gently and feel for any enlargement of lymph nodes, abnormalities, tumor, ulcer, checking pulses, etc.
4. Percussion
Percussion can detect internal bleeding or effusion easily. Simply put your left arm on the area that you want to examine, then using your middle and index finger of your right hand, tick your left arm's finger. Hear the sound as you do the percussion all around the area. Normally, the sound around the stomach (bowel area) will be sonor, sound of the liver area will be dull. If there's liquid, such as internal bleeding or pleural effusion, the sound will be dull too. So be careful when you find dull sound on patient's chest or their stomach. There might be an internal bleeding or tumor.
5. Auscultation
Auscultation is an exellent way to detect internal bleeding or abnormalities in breathing. To do this, you should use your stethoscope. Place the drum of the stethoscope on the area that you want to examine. If there's internal bleeding, you should find cripple sound when you move the area gently. If there's abnormality within the heart, you can hear murmur sound, or even gallop sound. You can also hear their breathing sound. If there's pleural effusion, you can hear cripple sound within their chest. If there's pneumoni, the breathing sound will be coarsed. If there's a cancer, you can hear blood murmur sound, since there's neovascularisation.
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Radio diagnostic procedure
There're several radiodiagnostic procedures that can help you to diagnostic many kind of anatomical abnormalities, specially internal abnormalities, which you can't find it by using basic diagnostic procedure. Each of radiologic equipment has their own speciality and transcendence against the other. So please make sure you choose the right one. Before performing the radiological procedures, you need to put a Plumbum contained appron. Plumbum will act as a radiation reppelant, thus will provide a first-line defense against the radiation. Please make sure to check the patients for any metal belongings. If he/she has some, takes all of their belongings, and put it on the safe cabinet.
a. Ultrasound device (USG=Ultrasonography)
An ultrasound machine creates images that allow various organs in the body to be examined. The machine sends out high-frequency sound waves, which reflect off body structures. A computer receives these reflected waves and uses them to create a picture. Unlike with an x-ray, there is no ionizing radiation exposure with this test. The test is done in the ultrasound or radiology department. You will be lying down for the procedure. A clear, water-based conducting gel is applied to the skin over the area being examined to help with the transmission of the sound waves. A handheld probe called a transducer is then moved over the area being examined. You may be asked to change position so that other areas can be examined. You can use USG to detect internal bleeding easily. Please be noted that you can use USG to detect pregnancy too. However, you will be able to see the baby when the age of pregnancy is above 6 months.
b. Conventional radiography (X-ray photos)
This is the simplest and the most common radiodiagnostic procedure used by doctors. We have 2 types of X-ray scanner in All Saints General Hospital and Country General Hospital, Static X-ray scanner, and Portable X-ray scanner. You can use the portable one to take the X-ray photos of unconscious patient on the bed. X-ray scanner is used to detect bone abnormality. If there're any broken or protruding bones, you can find it easily using X-ray scanner.
c. Computerised Tomography (CT scan or CAT scan)
CT stands for computerized tomography. In this procedure, a thin X-ray beam is rotated around the area of the body to be visualized. Using very complicated mathematical processes called algorithms, the computer is able to generate a 3-D image of a section through the body. CT scans are very detailed and provide excellent information for the physician. CT or CAT scans are special x-ray tests that produce cross-sectional images of the body using x-rays and a computer. These images allow doctors to look at the inside of the body just as you would look at the inside of a loaf of bread by slicing it. This type of special x-ray, in a sense, takes "pictures" of slices of the body so doctors can look right at the area of interest. CT scans are frequently used to evaluate the brain, neck, spine, chest, abdomen, pelvis, and sinuses. During the test, the patient will lie on a table that is attached to the CT scanner, which is a large doughnut-shaped machine. The CT scanner sends X-rays through the body area being studied. Each rotation of the scanner takes less than a second and provides a picture of a thin slice of the organ or the examined area. All of the pictures are saved as a group on a computer. They also can be printed.
d. Magnetic Resonance Imaging (MRI scan)
MRI stands for magnetic resonance imaging. It is a relatively new technology that allows imaging of the interior of the body without using x-rays or other types of ionizing radiation. An MRI scan is capable of showing fine detail of different tissues. Its use is rapidly increasing while the use of standard x-rays is decreasing. Magnetic resonance imaging (MRI) is a test that uses a magnetic field and pulses of radio wave energy to make pictures of organs and structures inside the body. In many cases MRI gives different information about structures in the body than can be seen with an X-ray, ultrasound, or computed tomography (CT) scan. MRI also may show problems that cannot be seen with other imaging methods. An MRI scan can be used as an extremely accurate method of disease detection throughout the body. In the head, trauma to the brain can be seen as bleeding or swelling. Other abnormalities often found include brain aneurysms, stroke, tumors of the brain, as well as tumors or inflammation of the spine.
Post Merge: March 07, 2012, 01:55:39 pm
Airway Management & Theatre Prep
Endotracheal Intubation
Endotracheal Intubation is a procedure commonly used by surgeons before they operate to assist the casualty in breathing, this is only to be used when the patient is under heavy sedation or is unconcious as it could potentially worsen the current health of the casualty if they are concious when this is performed.
This is being done via the endotracheal tube (ETT).
a. Take a laryngoscope and slide it into the patient's throat until you can see the vocal cords.
b. Slide the ET-Tube down and remove the laryngoscope.
c. Inflate the ETT cuff with an air syringe.
d. Connect the UCI ventilator to the ETT.
* Ovidiu takes out an endotracheal tube, a laryngoscope and an air syringe, opening the patient's mouth.
* Ovidiu inserts the laryngoscope through their open mouth, down the right side of their tongue.
* Ovidiu slides the ETT down the blade of the laryngoscope, past the vocal cords and down the windpipe.
* Ovidiu inflates the bulb of the ETT with the nearby air syringe.
* Ovidiu connects the UCI ventilator to the ETT
Theatre Preparation
It is your responsibility to prepare the patient for an operation/surgery. You must first, however determine if the patient is going to undergo surgery, such as a GSW, or if he has a concussion, etc. If you have determined he is going to be undergoing surgery, you will have to make sure his vitals are fine and keep him stable until the doctor arrives. Provide your patient the appropriate IV fluids. It is important to then determine whether you're going to be applying a general anesthetic or local anesthetic.
Magill Forceps
Magill Forceps are used to primarily remove objects in a throat that a finger sweep can't reach, they are used with the Laryngoscope to insert into the throat and obtain the blockage quickly and efficiently by grabbing it with the ends, theres nothing that needs to be excessively covered here as it's all common sense, make sure you use the correct size though, there are an 8" size for children and an 11" size for Adults.
* Ovidiu unzips his ALS kit, taking out a pair of magill forceps and a laryngoscope.
* Ovidiu opens the patient's mouth, tipping their head back.
* Ovidiu inserts the laryngoscope through their open mouth, down the right side of their tongue.
Post Merge: March 07, 2012, 01:57:53 pm
I'LL UPDATE IN ONE HOUR BECOUSE NOW I AM GETTING DATEBASE ERRORS
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