Paramedic/EMS Ultimate RP Guide

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Ultimate Guide to EMS RP

Although EMS on OCRP is a fairly simple job, sometimes even boring, this guide will show you how to get the best out of EMS RP.


Basic Systems:
If you haven't already done so, this section will help orientate you with the systems and sweps the EMS use in OCRP2. They're fairly simple, however can be confusing at first.

First-Aid Kit: Simply press your primary fire button while looking at an injured person to begin replenishing their health. The health delivered comes in moderate increments of about 25 hp per shot. The first aid kit needs to recharge between shots.

Defibrilator: This swep is used to revive players who are dying. Press the secondary fire to charge the defib and primary fire to deliver a charge. A charge can be delivered at 75%, however there is a higher chance of revival at 100%. The defib unit can only be used on players who are dying, not unconscious.

Ambulance: This is your means of getting around. It has 2 seats and can drive relatively fast. Keep safety in mind and dont expect people to move when running with lights and sirens. To turn on the lights, press shift once. To turn on the siren, press q while the lights are on.

Radio: Simply, use this to communicate with dispatch and anyone youre workig with. Dont use it for commenting or chatting. More about the radio will be covered later in this guide.

Life Alert: The life alert system is used to alert EMS about unconscious or dying persons. If a player is knocked unconscious, the system is activated. A tone plays over your speakers and an indicator shows up on your screen, showing the location of the life alert. The persons time left is not shown but they wont have much so dont hesitate to respond to these.


Radio Communication:
One thing all players should know is how to use the radio. Radio communication is necessary for efficient response of all emergency personnell and to prevent any confusion. It is essential you use the radio only for important messages such as keeping dispatch up to date where you are or calling for help. Do not use the radio to talk to your friends. Refrain from making comments over the radio about anything. Keep radio messages as short as possible by knowing what you're going to say before saying it and using acronyms when necessary.

If dispatch is available, listen to them and acknowledge them whenever they send you a message. Heres an example:

Disp: EMS 1-02, Priority 2 MVA at Downtown BP intersection. 2 involved. One male, conscious and breathig, one female, unconscious and not breathing. Copy call.
You: Copy dispatch, 1-02 en route.

Make sure you keep dispatch up to date with your intentions and whereabouts. Even if there is no dispatch available, announcing your intentions and whereabouts is necessary so people know where you are and what you're doing. This will prevent too many EMTs responding to the same call. Examples are below:

With dispatch:
9-02: Dispatch, 9-02.
Disp: Go ahead 9-02.
9-02: We are en-rout priority 1 to a life alert call at outer city gas bar. Requesting police support.
Disp: Copy. Call when on scene. Police will be dispatched.

Without dispatch:
9-02: EMS 9-02 responding priority one to life alert at Gas Bar. Requesting one police backup.


Basic Radio Terminology
There are many terms used over the radio. Some are not necessarily needed but there are a few you need to know:

Priority 1-3 - Lights and Sirens (number based on urgency)
Priority 4-6 - No lights no sirens (drive normally)
MVA - Motor Vehicle Accident
(UNIT) en-rout to (CALL) (PRIORITY). - When calling en-rout
(UNIT) on scene. - When on scene of call
(UNIT) available for call. - When done with the scene.

Examples:
9-01 en-rout to MVA, priority 2.
1-03 on scene.
4-04 available for call.


Types of Calls
There are several types of calls you may have respond to. Each call has a certain protocol to follow.

Injured Persons:
This is probably the most common call you will respond to. This is usually done by a person calling 911 be it the injured person or a bystander. Dispatch will usually be the one to receive the call if it is done by a cellphone. If the 911 call is done by text and dispatch is available, let them dispatch you. If no dispatch is available, be the judge on the priority and call over the radio. You may or may not receive information about the person calling, especially if it is done by text. When responding, be prepared for anything.

When you arrive on scene, let dispatch know you're on scene and locate the injured person. Keep in mind, the player may play it seriously, they may not. If its done seriously, treat them according to serious treatment guidelines stated later in this guide. If not, use your first aid kit to fix them up and return to base. Let dispatch know you're done before you return.

Motor Vehicle Accident (MVA):
A MVA is broken into 3 categories. Vehicle vs Pedestrian, Vehicle vs Vehicle, and Vehicle vs Static (wall, sign, tree, etc). All three however are treated similarly.

Dispatch will send out police for crowd control, fire for extraction and fire control, and EMS for medical support. Whether all three have arrived or not, start work immediately. Let dispatch know youre on scene. Access the situation and perform triage. Use defibs on anyone who is dying. If the person is inside their vehicle and fire is inbound, wait for fire to extract them. Otherwise, extract them yourself and treat them based on serious/unserious guidelines.

After you have treated everyone, notify dispatch and return to base. A tow truck should be used to clean up the scene so dont try to push cars off the road.

Fire and Other Standby Calls:
Sometimes, you will be called out to stand by for something be it a fire, a raid, or a hostage situation. All three calls should be priority 4-6, unless there is suspicion of an injured person. Drive to he scene, let dispatch know you have arrived, and wait close by to provide support if needed. When you're done, let dispatch know and return to base.

Life Alert:
Life alerts will be another common call for you. They could either be a dying person or a person knocked unconscious. Either way, respond as soon as possible and respond priority 1. Based on the location, you may or may not want police support. Generally, unless you're in the city, you will want police support. Let dispatch know when you're done and return to base.


Emergency Driving

In the event you get a priority 3 to 1 call, you will be required to drive emerg. Theres a few things you need to remember when driving emerg:

-only drive speeds that are safe for the conditions. Although you can bypass the speed limit, dont drive 45 around tight corners of the coty.

-although you have right of way at intersections, allow cars to go through who may not have noticed you

-use your horn or bump the siren to warn drivers before approaching an intersection or tight corner

-when arriving on scene, park your ambulance properly on the side of the road unless you need to use it to protect yourself on the road


Serious EMS RP

Some players in the server are willing to play seriously with the use of /me and RP aspects. This guide is not to teach you how to serious RP, just how to do EMS RP in a serious manner. This section will go over steps to take and procedures to do.

Arriving on scene:
Put on your PPE (gloves). Access the situation and locate the injured person. Upon arrival, tell them your first name and that you're there to help. Ask them their name and whats happened to them. While they answer, examine their body for any signs of injury or illness.  If there is more then one patient, get your partner to examine them or tell the current patient you'll be right back. Get a bystander or other emergency personnel to watch them if available and necessary. If there are two patients, figure out who needs help first based on their injuries and condition. This is called triage. If someone is dying and needs defibbed, treat them first. Try to make any RP quick as a death timer doesn't wait for RP.

Treatment and Transport:
Treat all injuries you can. If it needs stitching or surgery, you'll need to transport to hospital. If you need to transport to hospital, make sure all patients are taken care of. Contact dispatch you are transporting and let then know if you're going emerg or non-emerg. Emerg or non-emerg should be based on the patients condition and if they need emergency surgery or just a couple stitches. An example of a call would be "9-03 transporting one patient to hospital, emerg. Male, conscious and breathing. Severe abdominal trauma." Once youre done offloading the patient at the hospital, tell dispatch you're done just like you would any other call.

Medical Care:
People who are injured generally need immediate care be it cleaning a wound to stabilizing a partially detached limb. Regardless, it is important to know what you need to do to treat them. I wont go into too realistic detail, however ill go over the necessities.

Disclaimer: This section may not be 100% accurate however i am open for criticism.

Suspicion of spinal injury:
You need to place the injured person on a backboard carefully with the assistance of a firefighter or another EMT. One person must stabilize the c-spine (the neck and head) with their hands until a c-spine collar has been put on. Do not let them turn their head.

Burns:
Place saline soaked bandage over any severe burns for protection and to keep the. Moist. Minor burns can be protected by loosely securing a gauze pressure pad over top.

Severe Skin Breaks:
Control bleeding with sterile gauze pressure pads. Sanitize the wound with a sanitizing agent. Protect the wound with a tightly wrapped bandage. Place a gauze pad under the bandage if bleeding still continues.

Shock:
Keep the pt warm and calm. Stop anything that may be causing shock such as bleeding. Administer saline packs to alleviate blood pressure via IV if absolutely needed.

Hypothermia:
Keep the patient warm with a thermal blanket and monitor vitals constantly.

Gunshot Wounds:
This will probably be the most common so I made its own section. Basically the same as severe skin breaks. Control breathing. If the wound is to the chest, seal it with a plastic sheet, leaving one side unsealed so blood can drain.

Airway Complications:
Sometimes the patient may be bleeding into their airway or are unable to breathe through their mouth. A tachometry may be needed. This is when an emergent incision is cut inthe trachea and a trach tube is inserted down toward the lungs. A BVM is then attached to manually force the patient to breathe.

Cardiac Arrest:
Begin CPR immediately. One person work compressions, the other work the BVM and Crash Unit. Do not stop compressions without a doctors order (in this case, offload them at the hospital and let them decide their fate)


Downtime:

When nothing is going on, dont leave from boredom. Make some passive RP at the station with your co-workers. Order a pizza. Play a game of dice or cards. Anything to pass the time. Whatever you do, be prepared to respond on a moments notice.


I hope you enjoyed this guide and have learned a thing or two. If you have any comments, criticism, or suggestions, feel free to reply to this thread. I hope to see you out there responding to calls and making EMS RP as realistic as possible!