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King of the Castle - Lopatino (Melee only - OOC Event)
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  1. 22 likes
    Link to the source of punishment (report/post): Why the verdict is not fair: These were the reasons given for the points. I did not bully anyone, I did not troll harass anyone, in fact the only person that I even insulted is my retarded neighbor. As a parent there are things that you want your kids to see and certain things you don't. A dude with a dick wearing dresses and stuffing hormones down his face is not something that most parents would want their kids to see. This is why, as per the previous post I stated I would do this if it had no repercussions. And I went on to explain that. I don't want people to think that I just want to kill people for no reason that would be edgy as fuck. Additional statements/comments explaining your point of view: Here just in case any of you are wondering here is a picture of my neighbor, try explaining that to a three year old when she asks why that man is wearing a dress and high heels when he goes out. What would you like to achieve with this appeal: Points removed What could you have done better?: Choose a better place to live.
  2. 11 likes
    (Al-Takhari Mujahideen) History (Founders of the Al-Takhari Mujahideen) The organization known as Al-Takhari Mujahideen came about in the year of 1987. The group's roots came from Zargabad, but they operated in the Takhari area. A majority of their missions were carried out within the Midwestern region of Takistan. The Takhari cell was formed due to the unstable region, the majority of the populace being Muslim and the potential of civil war breaking out at any given time. They were formed after they made contact with the Mujahideen from the Middle East with whom they established a weapon smuggling route from Russia to South Zagoria and into Takistan. The smuggled goods were then distributed from Takistan through other routes that the Mujahideen had previously established into the Middle East. Under the leadership of Fahad al-Zawahiri, the Takhari cell started radicalizing the local populace shortly into the Civil war in order to gain manpower and to make sure their smuggling operations were unhindered. There were those who opposed al-Zawahiri in the start, but after the 89’ bomb attacks in Zargabad, the opposition quickly dispersed. When the bomb attacks started the Al-Takhari were immediately labeled as a terrorist organization, and they became well known within the area. With the increasing influence of Western Civilization within Takmyr, the Al-Takhari decided to take action against those who supported the West. They started carrying out attacks on the Western military convoys using guerilla warfare tactics and planted several car bombs in residential areas that were mostly non-Muslim. Pre-Infection (Brothers of the Al-Takhari celebrating after another successful mission) Years had passed since the Al-Takhari Mujahideen was formed. After the civil war ended, a new Takistani political party came into power. In their desperation they allowed foreign militaries to come into Takistan and set up bases, the same foreign powers that the Mujahideen have been fighting since their inception. Due to the increased military oppression from western forces, the Al-Takhari decided to solidify their control of the Takhari ridge. They set up many underground bunkers, hideouts and caves complexes in the mountainous areas which proved ideal as the forces that opposed them had little information on the terrain while the Mujahideen were on their home ground. After the United States invasion of Takistan in 2012, the Al-Takhari suffered losses but the majority still held out in their bunkers and hideouts on the Ridge. In an attempt to behead the Mujahideen's leadership NATO forces bombed a meeting of the elders that took place in a village west of Zargabad. Fahad al-Zawahiri and the majority of the leadership that was present were killed in the operation and it left the Takhari cell without leadership. It was at that time that Ibrahim Al Suwaidi ibn Mustafa, a prominent soldier and commander, came into power of the Al-Takhari. He took an even more radical approach to dealing with the opposition with a submit or die ideology, and they began enforcing what they believed was true Islam. Although it became more difficult, they continued their gun smuggle trade to arm other Mujahideen in the East. The smuggle route was still possible because Ibrahim had connections within Chernarus that made it possible for them to continue where they had left off. The Al-Takhari became even more aggressive in their hit-and-run attacks on Western forces and they became well-known for their unmatched guerrilla warfare tactics under the new leadership. Due to their skill in rogue tactics and the tactical advantage of knowing every inch of the terrain, they could defeat enemies even when they were outmanned and outgunned. This came in handy considering it had become harder to smuggle weapons through the border due to the invasion, therefore there was a lack of arms coming to the Mujahideen. The Al-Takhari regularly would set missions to attack US and NATO force convoys in attempts to both disrupt their patrols and gather supplies. The Al-Takhari continued their fight against the western influences and continued their support to the Middle East. Post-Outbreak The situation only got worse with the outbreak of the new virus for the Mujahideen. With security becoming tighter around the border, the smuggle route had become practically non-existent. Supplies had begun to run low, and a lot of commotion had been happening in the west. Word had got to the Al-Takhari that there was something out there causing people to go crazy and attack others. The Al-Takhari blamed the infection on the western world and their way of life.They believed that the worst of the kuffars, moderates and those with ill morals were being struck by divine wrath. In their eyes, it was God's way of marking the “shaytans” so that they would have an easier time recognizing them and ridding the world of them once and for all. The Mujahideen now had a mission to do but the recent events made that entirely impossible. The Al-Takhari were low on supplies, and a majority of the military forces in the area had shifted their convoys towards the Takistani-Chernarussian border. It was around mid-August when the Takistani-Chernarussian border fell. A few more weeks had passed and the Mujahideen’s supplies were just about completely exhausted. Ibrahim ordered his right-hand man Said to organize a squad and head west towards the border to gather as many supplies as possible. Said and the men he brought with him dressed in civilian clothes and decided to head out on their mission. While in western Takistan the men had gathered some supplies but more importantly they also came back with valuable information about what was going on in Chernarus. Once Said and the other brothers returned Ibrahim and the other leaders of the Takhari cell sat down to discuss their findings. Said mentioned that some of his men overheard NATO soldiers talking about how the CDF had abandoned an entire region of Chernarus. He continued by adding that they could not hold the South Zagorian region due to constant civilian and paramilitary uprisings. Ibrahim was in disbelief that the Chernarussian defense force would abandon such a large region of their country. While, at the time, he believed it to just be a rumor the thought still lurked in the back of his mind. Ibrahim decided to investigate the matter and got into contact with his connection in Chernarus, Abdul Saddam. After he got in touch with Abdul via radio, Abdul explained the rumors to be true and more. Saddam went on in detail about how South Zagoria had fallen, and anarchy ruled the region. He told him how people ran around doing whatever they pleased, kill whoever they pleased, and robbing whoever they please. Abdul also explained that the CDF left their military bases unmanned and ripe for the picking. That meant military equipment which the Mujahideen sorely needed for their cause was completely unmanned and left behind. Journey to Chernaus Shortly after speaking with Abdul, Ibrahim summoned a meeting with the leaders of the Takhari to devise a course of action to exploit the situation at hand. It was then decided that a part of the forces were to stay behind and remain within Takistan to secure their territories and enforce the law while the rest will venture into South Zagoria. Using their established gun smuggling routes the men crossed the border into Chernarus with the help of Abdul Saddam and his men who knew the country like the back of their hand. Upon crossing the Takistani-Chernarussian border they found themselves West of Belozersk from where they crossed Lake Beloe in dinghy boats at night. Continuing their journey on foot they stuck to goat paths in the mostly unreachable mountainous terrain close to the Black Mountains to avoid detection. They moved in the night, they moved lights to avoid any detection. It was so dark that if one stuck his hand out he would not be able to see it. The moon was their source of navigation. Thanks to Abdul, they were able to make it to the northwestern corner of South Zagoria without detection. @Dew - Ibrahim al Suwaidi ibn Mustafa @Dusty - Abdul Saddam @Tom - Said al Saif ibn Saud @focus - Brahim al Fayed @Randle - Mohammad al Dukov @evanm23 - Abdul Al Samad Saleem @Shane - Shaheer bin Shafee @ExoticRainbow - Aaf al Abad @Gnikiv the Mountain - Maaz al Selim @Joffrey - Mohammed Al-Adeen @Pep - Saif Al Jabari ibn Saeed @Duorhs The Conqueror - Abdul Baasid al-Ismail @GreekGodx - Tarif al-Qahtani @Macbrine - Abdullah Al-Aziz @Undead - Omar Rasheed Faheen @Flash - Hassan Yasin - Send gasoline and valuable goods and resources home. -Acquire supplies to arm and aid Al-Takhari forces in the area -Expand the caliphate into South Zagoria for our Militant group. -Enforce the Al-Takhari’s vision of true Islam -Recruitment is set to [Open] - Must have been whitelisted for longer than 2 months. If you wish to join PM @Dew with why you would like to join and your experience roleplaying. Don't PM me if you think this is just some group you can join and PVP/Troll RP all day. This group is serious and realistic RP only. Special shoutout to @Clumsy for making the thread art.
  3. 9 likes
    We don't need a picture of your neighbor. I honestly don't give a fuck about your neighbor or if you think they are retarded. To be clear here, you are not calling your neighbor sub human or anything else of that nature, cause like I said, I don't give a fuck about your neighbor unless they are a member of this community. What you said, verbatim was What that indicates to someone reading it is that your thoughts about what is subhuman is not your neighbor but actually transgendered people. What I also find interesting is that wasn't your original post, as it originally ended at What you did there was turn this into something that alienated no one and showed your displeasure as a parent of what your kids might have to see to alienating members of this community that are transgender. Had you left it the way you wrote it the first time, thoughts of points would have been much more hesitant and who knows if it would have even occurred. Outcome: Appeal Denied; These points are not here to stifle whatever notion of free speech or to tell you what you should do with your kids, but keep the hateful shit to yourself.
  4. 8 likes
  5. 7 likes
    Since it got shut down and you feel the need to put me on blast like that here was a snippet of the rebuttal is was preparing. Also this whole thing I'm sure that has nothing to do with the stream of unnatural hormones they are taking on a daily basis just to try to be something they are not. Fact is that when you add hormones that are not supposed to be into the brain of someone who has a mental disorder already as defined by the DSM - not flaming it is actual fact. It creates a volatile yet sad mixture. These 50% that were killed themselves needed therapy yes, they needed help to get over their mental illness. But don't play the victim card and say that they killed themselves only because they were bullied. People get bullied every day transgender or not and they continue on. Time to settle down.
  6. 5 likes
    Roleplaying with Medical Facilities and Medical Supplies So, we all know games have limitations. This is especially true for the medical facilities and items in DayZ. We all know the various items, blue buildings, tiny hospitals, etc. These things are made smaller for a variety of reasons, none of which have to constrict your roleplay. Hospitals also have a very extensive emergency program and how to enact it. Too much to write and read, look up Hospital Emergency Disaster Protocol and you will find all kinds of things. So let’s start with the areas that are in game, and game vs. logical reality. A few are not actually in game but can be easily pretended as they are in real life: Areas in game to use for roleplaying Before reading this I want to challenge the reader, I want you to name for yourself all the places you think you could find medical supplies. After you’ve done that, read down the list and consider things that you have not thought of. More than likely, other people have not either, meaning that these areas may be good places to look. Hospital Medical Clinic Military Compound Field Hospital Military Checkpoints Doctor’s offices/general offices Specialists offices Walk in clinics Pharmacies Grocery Stores Red Cross Camps Shipping Containers Most business places/bars/schools Downed Helicopters Ambulances Homes Colleges/Bookstores Infected Military and Doctors And probably many more PROMOTING MILITARY OPERATIONAL PRACTICE THAT ENSURES SAFE ACCESS TO AND DELIVERY OF HEALTH CARE http://healthcareindanger.org/wp-content/uploads/2015/09/icrc-002-4208-promoting-military-op-practice-ensures-safe-access-health-care.pdf In Depth Breakdowns Hospital- · Located in major cities. I believe 3 floor buildings including the roof. Three large rooms on the main floor, including waiting room and bathrooms. Go to the side is the entrance to the hospital, go around the corner and there is a small storage area. If you go up the stairs the next floor consists of one hallway and no open rooms. Continue up the stairs and you find a roof. There are also ladders to get up and down from the outside. DayZ Hospital / The closest I could find visually was a children’s hospital in Russia Then, you have to realize how BIG hospitals are. Even the smaller ones are large. These are hospitals in major cities, they’re going to be huge. Obviously the game can only put so much into them due to graphics and stuff, but IRL, these would be packed. Also one window, could be a room of anywhere between 1-6 beds. Operating rooms · Actual city hospitals are huge and have a lot of equipment · Lots of different supplies · Usually stocked for emergencies, disasters, and triage. This includes survival supplies. This is stated in protocol and procedures. · If you are interested in learning about hospital procedures go to google and look up things like ‘hospital emergency protocol’, ‘disaster hospital protocol, protecting hospital staff in crisis, hospitals during epidemic, etc. · Mandatory to have: Pharmacy inside or right next to Pharmacies during emergency crisis locate all medical supplies needed, often regulating what goes where via who need it. They also stockpile for specific emergencies if they get word ahead of something. – Example, if they know there was a radiological attack, they’re going to stockpile all the hospitals immediately with medication and other items needed specifically for treatment of mass casualties that will be swarming the hospital. During an epidemic having essential medicines readily available is critical At least 1 decontamination chamber and supplies including protective clothing to at least deal with 1 person with unknown contamination Laboratory with tools to run tests, stocked Backup generators · Lots of different kinds of wards and rooms. In house laboratory Birthing Center Neo Natal Cardiovascular Radiology Dialysis Emergency Operating Rooms Outpatient Mental Health Morgue/Cold Room Possible Autopsy Room Lots of large machines like MRI, X-Ray, Dialysis Cafeteria Nursing stations and rooms with food, drink, microwaves Waiting room Laundry Lobbies Janitorial closets Pharmacy Etc. · Even if a hospital is shut down during an emergency, the supplies and vehicles are still able to be used for other areas. Usually they are actually left specifically for that purpose. · In absolute extreme cases, even though it is antithetical to how hospitals usually operate, they may lock down the facility to not allow contaminated patients inside. Medical Clinic- http://blog.cmecorp.com/a-quick-check-list-of-medical-equipment-items-for-your-primary-care-practice Blue buildings located in rural areas. Large waiting room and I think its 4 separate rooms, one contains a table and lockers. Would have basic supplies. Essentially the same as a basic walk in clinics or general doctors’ offices Basic ability to do examinations, tests and some other things and provide basic care, possibly minor procedures Military Compounds / Military Hospitals- · While there are no ‘medical areas’ in the actual compound for the game, it would make no sense for there to not be an onsite medical facility, or one nearby. Especially considering the need for triage in such a war torn area. At the very least North West Airfield, Tisy and Kamensk. Though Kamensk’s has probably been blown to rubble. Probable to be about as stocked as a normal hospital, including some major medical devices. Also military hospitals can range between triage levels, simple to maximum, where they can fix simple to extremely complex problems. Debating on the level of triage and care provided, also determines the type of supplies that should be there. Military Hospitals have to be ready to face nearly any problem. People are usually stabilized as best they can, and then are sent to specific trauma centers to deal with the type and urgency of their injuries. So a Tier I hospital may have basic supplies, but a Tier III could have a bunch of neurological equipment for brain surgery and such. Helicopter Landing Pad Medical facility Trauma Area Emergency Operating Room Beds and rooms to keep people Lots of large machines like MRI, X-Ray, Dialysis May actually have Field hospital kits ready to be deployed More suited to military combat medicine. Tactical Stretchers Field hospitals- “A field hospital is a small mobile medical unit, or mini hospital, that temporarily takes care of casualties on-site before they can be safely transported to more permanent hospital facilities. This term is used overwhelmingly with reference to military situations, but may also be used in times of disaster.” Portable hospital including surgical areas, labs, etc. Field hospitals are set up by multiple groups, military, Red Cross, and other humanitarian organizations during times of disaster. Essentially they are a movable hospital, fully stocked and run by capable people. They are also extremely likely to be put up in areas of disaster or mass scale problems Field hospitals would also have a lot of other survival things- food, water, collapsible/portable beds, surgical tables, various furniture The Army also currently has solar powered tents Erecting a shower facility Tactical Stretcher Portable Beds The AllEvac® Patient Recovery Bed was designed to help provide a fast, effective, and economical response to mass casualty and hospital surge situations. The bed’s aluminum frame supports up to 500 lbs. so you can provide care to almost any size patient. Also these places are stockpiled with supplies. Using areas they call ‘plug and play’. Set up of a camp/tent and essentially plug in all of the machines etc. and go. Portable hospital bed Surgical Tents: https://en.wikipedia.org/wiki/Forward_surgical_teams http://www.army-technology.com/contractors/hvac/weiss/pressnew-mobile-clean-room-surgical-tent-system.html Surgical tents are part of a Field Hospital. Combat Support Hospital, a mobile surgery unit. Air conditioned/heated Spacious Airlock system Air filtration system Really easy to clean and disinfect Come with all needed equipment for performing Surgery Generators Etc Types of portable surgical tables • http://www.faretec.com/portable_surgery_table.html • http://leaderhealthcare.co/specialities/emergency-medical-services/doak-mk4-portable-surgical-table/ The AllEvac® Ready Station creates a casualty treatment area virtually anywhere — all packaged in an easily transportable, rugged case. Compact and deployable, the kit includes two AllEvac® litter stands with four mounting brackets, two IV poles and folding mayo stand and tray and accommodates the APE or any other quad-fold litter (optional). Easily stored, transported and implemented, the Ready Station is an immediate medical force multiplier during any crisis event. Rugged expeditionary kit. • http://en.medin.by/production/operating-tables/general-surgery-portable-folding-operating-table-ok-omega Military Checkpoints- “Civilian checkpoints or security checkpoints are distinguishable from border or frontier checkpoints in that they are erected and enforced within contiguous areas under military or paramilitary control. Civilian checkpoints have been employed within conflict-ridden areas all over the world to monitor and control the movement of people and materials in order to prevent violence.” It would probably have basic first aid and anything that may be needed as extra for a specific problem. Such as in case of pandemic; lots of masks, gloves, hand sanitizer, etc. Doctors’ offices- Not in game, different from medical clinics. Most towns should have a few. Basic supplies. Walk in clinics, emergency walk in, etc. general offices- Basic mid-level medical supplies, laboratory supplies Specialist’s offices- Most major towns should have a few. Specialty equipment depending on the type. Probably have a combination of basic items, laboratory, and specialty tools. Some types it would make sense to find Addiction Allergist Cardiologist Dermatologist Pediatrician Endocrinologist Family Medicine Gastroenterologist Nephrologist Neurologist Obstetrician Oncologist Ophthalmologist Oral Surgeon Orthopedic surgeon Otolaryngologist Pain management Psychiatrist Pulmonologist Reproductive Rheumatologist Sleep Disorder Thoracic Urologist Vascular Pharmacy- Medications, weights, bottles, OTC meds, braces, canes, etc Grocery stores- Most major towns, some rural ones. Medicine, some random things. Band-Aids, basic over the counter drugs, reproductive health, first aid, braces, etc. Red Cross Camps- While non-existent in game, we do have Red Cross running around as characters. It would make sense some supplies is still scattered around. Likley the same as a field hospital. Shipping containers at docks- random, you never know what’s inside Most business places- Bars, schools etc. would have basic first aid kits. Crashed helicopters- I know, you’re probably looking at this one going ‘what?’ Think about it, all military helicopters would make sense to have 3 things. Also depends on the type of crash, did you possibly find an evacuation helicopter? Military? Medical? Maps of the area First Aid Kit, if not Trauma Supplies (even better!) Survival Kit in case of crashing Survival gear either for crew or civilians Long distance traveling helicopters may have kits with rafts and ocean survival supplies The short version is there are hundreds of various types of survival and first aid packs that would be in helicopters/airplanes/etc. So… while most people go running around and will role play looking for people or ammunition etc. My characters, once upon finding no one there (or alive), will usually climb inside the thing and look all over for anything useful. Specifically first aid and survival kits that may have been left behind. She will usually flip through anything she can find paper wise as well just to see if anything useful shows up APLS Life Guard is an extremely effective portable litter that provides essential thermal and absorbent protection during emergency rescues and evacuations. APLS Transport is an innovative portable stretcher designed to safely and quickly move injured personnel out of harm’s way. It is ideal for emergency transport situations, especially when traditional EMS solutions are not readily available The Mojo® Medic Direct Action Aid Bag strikes the balance between smaller Combat Lifesaver bags and bulkier advanced care bags. Dead Mojo® Vehicle Medical Bag is the ultimate “point-of-wounding” vehicle-borne aid/litter kit with capabilities usually found in a Casualty Collection Point (CCP). This Mojo® Vehicle Medical Bag is a modular solution that offers versatile transport capability while matching advanced medical solutions. Blackhawk S.T.O.M.P. II Medical Pack- aka portable anesthesia kit- Ambulances – Not in game. But would have all of the tools, blankets, cleaner, medications, etc. an ambulance would carry • https://www.facs.org/~/media/files/quality programs/trauma/publications/ambulance.ashx Basic Ambulance Stock portable suction apparatus with regulator fixed suction apparatus with regulator wide-bore tubing rigid pharyngeal curved suction tip waterless hand cleaner tonsillar flexible suction catheters portable oxygen apparatus w adequate tubing portable and fixed oxygen supply equipment shoe covers tubing oxygen mask (adult and child) bag valve mask self-re-expanding bag adult and child disinfectant solution for cleaning equipment nasopharyngeal oropharyngeal pulse oximeter child/adult saline drops/bulb for infants standard sharps containers, fixed and portable defibrillator cervical collars, all sizes head immobilization device (not sandbags) lower extremity traction device disposable trash bags lower extremity limb support slings padded ankle hitch padded pelvic support traction strip adult/child respiratory protection (N95 or N100 mask) joint above/below fracture immobilization backboard and extraction device: short AND long, both 3 straps commercially packaged or sterile burn sheets triangular bandages, minimum 2 safety pins each protective helmet sterile multi-trauma dressings (various sizes) ABDs 10x12 4x4 gauze sponges gauze rolls all sizes fire extinguisher Occlusive dressing or equivalent various adhesive tape various hypoallergenic adhesive tape arterial tourniquet hazardous material reference guide two way communication device Obstetrical kit (towels, 4x4, dressing, umbilical tape, sterile scissors or cutting utensil, bulb suction, clamps for cord, sterile gloves, blanket) thermal absorbent blanket and head cover, aluminum foil roll, or appropriate heat-reflective material (enough to cover newborn) sphygmomanometer adult and child sizes traffic signaling devices stethoscope length/width based tape or reference material for child equipment sizing and drug dosage based on estimated or known weight thermometer w low temp capabilities heavy bandage or paramedic scissors for cutting clothing, belts and boots reflective safety wear for each crew member cold packs Sterile saline solution for irrigation (1L bottle or bags) Flashlight (2) w extra batteries and bulbs blankets coveralls or gowns sheets (minimum 4), linen or paper, and pillows towels triage tags disposable emesis bags or basins Gloves, nonsterile disposable bedpan disposable urinal wheeled cot folding stretcher face protection (surgical masks) stair chair or carry chair patient care forms/charts lubricating jelly (water based) latex free equipment eye protection (full peripheral glasses or goggles, face shield) For Advanced Life Support Ambulance, all of the above AND Laryngoscope handle with extra batteries and bulbs laryngoscope blades: 0-4 straight, 2-4 curved Endotracheal tubes, sizes 2.5-5.5 and 6-8mm cuffed (2 each) Meconium aspirator adapter 10-mL non Luerlock syringes stylets for endotracheal tubes adult/child Magill forceps, adult and child lubricating jelly (water soluble) end-tidal CO2 detection capability Colorimetric or quantitative capnometry, adult and child crystalloid solutions, ringers lactate or normal saline solution in bags antiseptic solution (alcohol wipes and povidone-iodine wipes) IV pole, roof hook intravenous catheters 14G to 24G intraosseous needles or devices venous tourniquet, rubber bands syringes various sizes including tuberculin needles various sizes one at least 1 1/2 for IM injections intravenous administration sets (micro drip and macro drip) intravenous arm boards, adult and child portable battery operated defibrillator with tape write out recorder defibrillator pads quick-look paddles or electrode hands free patches ECG leads chest attachment electrodes paddles transcutaneous cardia pacemaker including pads and cables adult and child nebulizer glucometer or blood glucose measuring device with strips large bore needle at least 2.25 in length for needle chest decompression in large adults medications, preloaded syringes when available cardiovascular med- epinephrine, atropine, antidysrhythmics (adenosine and amiodarone) , calcium channel blockers, beta-blockers, nitroglycerin tablets, aspirin, vasopressor for infusion Cardiopulmonary/respiratory medications: albuterol (or other inhaled beta agonist) ipratropium bromide, epinephrine, furosemide 50% dextrose solution (and sterile diluent) glucometer elastic bandages, non-sterile, various sizes cellular phone alternative airway devices adult/children neonatal blood pressure cuff & stethoscope topical hemostatic agent chemical, biological, radiological, nuclear, explosive personal protective equipment, including respiratory and body protection chemical antidote auto injectors, enough for crew and victim on local or regional scale respirator blood sample tubes nasogastric tubes size 1 laryngoscope blade 3.3-5.5mm endotracheal tubes needle critothyrotomy capability albuterol epi pens oral glucose nitroglycerin (sublingual tablet or paste) Anxiolytics Intubation adjuncts including neuromuscular blockers extraction equipment (disassembly, spreading, cutting, pulling, protective, patient related) wrenches screwdrivers (flat and Philips head) pliers bolt cutter tin snips hammer spring loaded center punch axes bars (wrecking, crow) ram (4 ton) hydraulic jack/spreader/cutter combo saws (hacksaw, fire, windshield, pruning, reciprocating) air-cutting gun kit ropes/ chains come-along hydraulic truck jack air bags reflectors/flares hard hats safety goggles fireproof blanket leather gloves jackets/coats/boots stokes basket shovel lubricating oil wood/wedges generator floodlights Homes- Most homes stock basic things: over the counter medications as well as some prescription medications. The nice things about homes is there is a lot of things you could potentially find, not just medicine. Neosporin antibacterial ointments anti-itch creams burn gel Aloe Vera aloe vera w/ menthol lotions shampoo razors soaps cotton balls Q-tips toilet paper medical tape Band-Aids gauze towels laundry detergent bleach cleaning products prescription/nonprescription glasses/medications old/broken glasses nebulizer C-PAP sleep apnea machine Tylenol/Advil/Aleve/etc. cold meds upset stomach meds tums acid reflex meds basic first aid kit possibly survival gear bottled water dried food goods (flour, salt, sugar, grains) dishes, cutlery, pots, pans, cups, etc. possibly extra medication or machines if someone was in hospice at home generators lanterns farming equipment clothing, blankets, pillows sleeping medication anti-anxiety medication cough syrup cough drops tissues rope dried herbs/bottled oils preserved foods canned preserves lard potatoes, onions, garlic (prob all sprouting) chocolate chips seeds for gardening coal fuel toothpaste toothbrush bucket tweezers hair dye nail polish peanut butter honey vinegars furniture tools car parts mattresses nail polish and remover insulin, test strips, machine batteries flashlights candles matches Colleges/Bookstores/Libraries- Not necessarily for supplies, but they should have books, textbooks, etc. on medication, illnesses, nursing, various doctor/psychology textbooks and other books. textbooks on all kinds of subjects workbooks rulers pens/pencils paper/notebooks snacks drinks clothing books paraphernalia coffee tea office supplies folders Military Vehicles- Essentially military vehicles should have the same gear as the helicopters, along with things like road flares etc. for accidents Infected Military- They could carry items, especially military carrying tactical kits. Military are actually required to keep a M258A1 kit on them. The same with atropine, ampules, etc. The ABC-M8 chemical-agent detector paper Trauma kits http://www.precisionriflesupply.com/navy-seal-seal-team-6-survival-kit-suma-pro-suma-psk-large/ NBC suit https://en.wikipedia.org/wiki/NBC_suit The M256 chemical-agent detector kit is issued to squads. It is used to detect dangerous vapor concentrations of nerve, blister, or blood agents. It should be used when the platoon or company is under chemical attack, when a chemical attack is reported to be likely, or when the presence of a chemical agent is suspected. atropine auto injectors ampules of amyl nitrite (crush and put under nose for victims of blood agent attack) M258A1 skin decontaminating kit - This kit is especially made for skin decontamination however, you may use it to decontaminate some personal equipment such as your rifle, mask, and gloves. The container for the M258A1 kit is a plastic waterproof case with a metal strap hook for attaching to clothing or equipment. It contains three Decon 1 wipes and three Decon 2 wipes, sealed in tear-away envelopes. Each Decon 1 wipe packet has a tab attached for night identification and to assist in removal from the case.. DS2 decontaminating solution RIP AWAY EOD POUCH Small rip away medical pouch Personal medic rip off bag So let’s say you did run into someone who had been a combat medic going out for a mission, or find a helicopter that was transferring patients to a better level of care facility. What would they be carrying on them? The answer is, a lot. Combat Medic Gear Medical Equipment A combat medic will typically carry a backpack styled bag known as a "Unit One Pack". Aid bags are available from many different manufacturers, in many different styles. Depending on the unit and their standard operating procedures, the medic may have to follow a strict packing list, or may have the liberty of choosing their kit depending on the mission at hand. A typical aid bag will include: IV fluids and tubing saline- normal saline/sodium chloride saline- hetastarch/hextend saline- Lactated Ringers (LR) IV catheters, various sizes FAST 1 intraosseous infusion kit hemorrhage control CAT, SOFT-T or improvised tourniquets Emergency Trauma Bandages First aid pressure dressing Kerlix gauze Hemostatic agents (Celox, Hemcon, etc.) 14 gauge catheter, at least 3.25 inches long, for needle chest decompression Asherman chest seal, Bolin chest seal, hyfin chest seal, chest seal stickers, for sucking chest wounds Nasopharyngeal Airway (nasal trumpet) King LTD airway tube and cuff Combitube Surgical Cricothyrotomy kit Nitrile gloves alcohol/iodine swabs cravats (muslin bandages) Band-Aids assorted gauze bandages Coban (stretchy, self clinging wrap/gauze) Assorted sizes of medical tape Ace Bandages Assorted hypodermic needles and syringes combat casualty card SAM splint water jel burn dressing small sharps shuttle trauma shears safety pins morphine antibiotics Narcan Phenergan Epi-pen acetaminophen (Tylenol) naproxen/ibuprofen (NSAID) Pseudoephedrine (allergy) Guaifenesin (expectorant) Loperamide (Imodium AD) Pepto Bismol tablets Colace (docusate sodium) med strength stool softener stethoscope blood pressure cuff pulse oximeter otoscope ophthalmoscope thermometer How to Roleplay in These Areas? You get to be creative here, but also be logical. A hospital should have a lot of things: surgical room, tools, scrubs, patient clothing, cleaning supplies, and lots of things. While we can’t have an actual hospital in game that is open and we can run around and have all the rooms that should be there, we can still rp them being there. Does everything work? Probably far from it. A hospital would easily have surgery rooms, or a surgical room. I’ll usually commandeer Tyrus’s office as my triage room. (Usually because he’s not there at the time). This way I have a room to put the person in and can work. My character keeps check of stock and cleans everything up afterward. A downstairs office could also be a patient room. It really could be any room you want it to be. Just make sure that the people you are roleplaying with are on the same page or things will get very confusing. So via rp in the game, I’m tech using the downstairs office that Tyrus claimed as the surgical area because it’s all I’ve got in DayZ. In roleplay, I’m using a room inside the hospital that is a surgery room that my character maintains as best as she can. I had fun with Taryn as we were trying to find gynecological equipment. Considering the hospital we were at was in a larger town, (not the largest, but good size) after talking with Taryn a bit, we figured it would probably at the very least have basic exam rooms, reproductive health and probably a maternity section. Obviously the hospital was only so large via the game, but we emoted walking around hallways, looking at pictures, not understanding signs and looking until we finally found what we needed. Dice rolls explained below also had a large part in not finding, or finding supplies. How to get supplies? This is a rolling system I based off of one made by @Redbond9 during my introduction with him and @SpaceCowboy to the world of medical roleplaying via DayZ. Anyone can really make up their own system, just be sure that it’s a fair system. I may use different sized dice for different places I’m looking for something. A hospital would be a larger dice, while a helicopter would be very small. Again, you figure out your own system. For me, I use dice rolls in a similar way to this: Can I find what I am looking for? - If looking for specific items, higher numbers I find it. Just looking for supplies/anything- Same as above. How much do I find? – Depends on what I’m looking for, sometimes low dice, sometimes higher. I usually don’t take the number as literal, it could mean various things. 1 could be 1 box of items or 1 package (multiple boxes) depending on the area I’m role playing in. Hospital you are more likely to find boxes, while a clinic maybe packages or individual items. What condition is it in? - This is a big one. Things happen, medicine expires, places flood, etc. I use a large dice roll and separate the numbers evenly into three categories. Low. Medium. High. This translates to unusable, beat up but functional, great condition. Barriers- Sometimes add in things for your own experience. Looking for a book is it in a language you understand Can you get into an area due to locks to secure supplies Can you even find the special locker for chemicals Then can you get it open Is what you need there Is it in usable condition How many cabinets/drawers are in a room to look through Is the area or location compromised and thus making the safety of the equipment questionable There are a lot of fun ways to challenge yourself, or keep yourself in check during this sort of thing. You can come up with all sorts of things. Example: In blue medical facility, looking for a guide to suturing in English. Can I find what I’m looking for? Roll 1D20 Is it in English? Roll 1 D6 How many do I find? Roll 1 D6 What’s the condition? Roll 1D20 So I could end up not finding it at all, could find it in the wrong language, the correct language, multiple copies, in great or unusable conditions. How to Roleplay with Supplies. So, suddenly you have all of this stuff that isn’t actually in game. Imagination and descriptive typing time. You see us do this a lot with tools and the like. If someone gives me supplies or offers to keep an eye out for something, instead of things like saline and epi pens, I’ll ask for any and all suture thread they can find, certain medications, cleaning products etc. This makes roleplay more diverse in how you can interact with people. You’re not limited to just being given actual items you may have no room or use for because someone brings them to you. You get IC items you can use and would be in need of. Learn how to do certain procedures and how tools are used. Sometimes you may have to pause and say “I need to look this up”. Look up information online. Surgery guides, suture guides, etc. As long as you understand the process you can follow it and learn. WTF is this medical term? Google it. Learn about careers, learn about surgeries, learn about what tools you use and how. You don’t have to know everything by any means, tool names etc. Just get a basic concept of what is done during specific things and how would you go about rping it. Describing RP Description wise, you want things to be simple. I’m not going to sit in game and go: “She flips through a book, checking a chart. Then after sifting through some suture packages, she double checks one. Taking the 0.3 Pele Co. triple thread suture material with antibiotics properties, specific for organ suturing, back to the table.” That’s just too much for both my-not-actual-medical-field-self and for anyone else who I’ve lost already due to ‘wtf is she talking about.’ The much easier way; “She pulls out a book, and after double checking a chart in it, flips through a large amount of suture packets. Finding the right one, she double checks it against the chart and takes it back to the operating table.” I do something similar with medicines. You may not always know certain medications off hand, and doses? Nope. Painkiller, non-penicillin painkiller, muscle relaxant, etc. Much easier. Roleplay measuring the dosage in a syringe. If you want to get specific and have the right information, go for it. But don’t expect everyone to know it or to understand what you mean for rp. You will be learning and some people may know more or less than you do. The point is to have fun while being able to get a story across. Single Items vs. Kits So the awesome thing in this world, is we make things in kits. Medical supplies especially. You can have a kit for just about anything. Most places even have special kits with tools just to do that thing, so suture, or specific kinds of surgeries for example. Lots of hospital websites sell both Emergency Survival Kits as well as Procedure Trays etc. Here are some examples of items I’ve found. 50 person trauma first aid kit- trauma kit instruction sheet first aid guidebook first aid reference emergency document pouch folding stretcher (5) triage tags heavy-duty rubber gloves sanizide bottle (10) pairs latex gloves (15) single use thermometers (14) dust masks (2) 12- hour light sticks (12) biohazard bags writing tablet pens (5) disposable blankets (8) cardboard splints (3) triage bandage w safety pins (40 packets) triple antibiotic ointment (2 pints) hydrogen peroxide (2) sterile absorbent cotton roll (1) sodium chloride irrigation solution (10) 4oz water pouches (15) ABD pads, 8" x 10" sterile (100) Adhesive bandages, 3⁄4" x 3" plastic (3) elastic bandages, 2" x 4-1⁄2 yds (3) elastic bandages, 4" x 4-1⁄2 yds. (6) elastic gauze bandages, 2" (6) elastic gauze bandages, 4" (10) compress bandages, 4" (50) gauze pads, 4" x 4" sterile (10) butterfly adhesive bandages (6) eye pads with (6) pairs of adhesive strips Adhesive tape: (1) roll adhesive tape, 1" x 10 yds. (2) rolls adhesive tape, 1⁄2" x 10 yds. (1) pair tweezers (1) pair scissors, 5-1⁄2” (2) instant ice packets (2) sanitary napkins Mobile Trauma First Aid Station- suitcase with wheels that has medical storage All season shelter emergency pack 2 person tent (5lb) w carry bag vinyl ponchos PVC hood and closure 6 in 1 survival tool Multi-Person Emergency Kits meet the immediate needs of 15 or 30 people for the first several hours of an emergency. Keep essential supplies at hand, in a duffle bag (15-Person Kit) or a waterproof storage bucket (30-Person Kit), for easy transport in case of evacuation. Designed based on recommendations from the U.S. government and leading disaster response organizations. Carry-flat toilet sets up easily for emergency sanitation (stores in duffle), or sealed storage bucket converts to a portable toilet using a snap-on toilet seat. Dual hand-crank and battery-powered AM/FM radio ensures communication. Waterproof document pouch allows quick access to emergency instructions. Water in pouches has five-year shelf life. Contents: Search & Rescue: 15- work gloves, leather palm safety goggles pry bar multifunction tool (15) dust masks (1) office first aid kit latex gloves emer. Thermal blankets (1) roll duct tape (1) roll plastic sheeting (1) whistle w lanyard hand crank/battery/AM/FM radio flashlight & extra batteries (4) 12 hour light sticks writing tablet pen (30) 4oz drinking water pouches (7) toilet deodorizer packet (30) moist towelettes roll toilet paper waterproof document pouch instructions Multi-Person Extended Support Kits are used when more severe emergencies call for longer periods of self-sufficiency. These kits are used as a supplement to the 15- and 30-Person Emergency Kits (sold separately) and provide additional supplies to accommodate 15 or 30 employees for up to 24 hours. Water pouches and food bars have five-year shelf life. Light sticks have four-year shelf life. Storage bucket can be used to carry, store, and purify additional water. Bucket provides compact and secure storage. 15-Person Extended Support Kit: (30) 4oz water pouches (50) water purify tablets stir stick (5) 2,400 calorie food bars (60 portions) (15) thermal blankets (6) 12 hour light sticks instructions emergency instructions 30-Person Extended Support Kit: (30) 4oz water pouches (50) water purify tablets stir stick (10) 2,400 calorie food bars (120 portions) (30) thermal blankets (8) 12 hour light sticks instructions emergency instructions Personal Emergency Response Kits help your staff prepare for a potential disaster. In the event of an outdoor survival situation, kits can be customized. Personal Emergency Kit Contents provide support for one person in an outdoor survival situation for 24 hours. Each kit is packed in a leatherette bag with an adjustable strap. Contents: N95 respirator thermal blanket and poncho whistle flashlight with batteries (2) 4-oz. water pouches (2) 2,400-calorie food bars first aid pack biohazard bag pack tissues towelettes Infection Prevention Kit provides full protection for face and eyes, hands, body and feet. Includes a biohazard bag for safe and convenient disposal after use. Staff member dons all wearable components and uses wipes and sanitizer for clean up after use. Each personal infection prevention kit is designed to help protect one staff member from infection. 10-packs are available for a cost-efficient way to stock up in preparation for flu season or infection outbreaks. Large disposable coverall Sani-Hands wipes Shoe Covers Nitrile gloves (S-XL) Hand sanitizer Biohazard bag Coverall face shield Personal Biohazard Protection Kit protects personnel attending to the ill or injured. Provides head-to-toe protection against biohazard contaminants. Sturdy, reusable plastic case. cleansing wipes sealable bag biohazard bag disposable bonnet gown shoe covers latex gloves eye shield w ear loop mask Laparoscopy Tray - 3/cs. bag, bedside blade #11 (3) bandage, ash. Woven bowl, 32oz granulated Catheter, urethral connector medicine cup drape, laparoscopy drape, underbuttocks fog reduction device (10) gauze 4x4 16 ply gown XL gown XL Label card Leggings, lithotomy light handle cover mayo stand cover needle 22g needle counter pad premium wet tray skin marker syringe 10ml tubing table cover 50x90 OR towel Major Extremity Pack - 4/cs. bedside bag 6x12 basin 700cc blade #10 blade #15 elastic bandage 4x5 yd esmark bandage 4x9 bowl 32 oz cautery pencil medicine cup extremety drape drape 55x77 U drape, plastic w tape (10) Gauze 4x4, 12 ply (10) gauze, 4x4, 16 ply gown XL gown non-reinforced XL white label card light handle cover mayo stand cover needle 25g needle 20ct ruler for skin marker skin marker stockinet syringe 10ml syringe bulb tubing, suction table cover cautery tip OR towel Suture Removal Trays Sharp instrument every time. Fine, metal-tip scissors provide easy access to suture. Convenient easy-to-open packaging. Packaged in typical order of use. 50/cs. Tracheostomy Trays with absorbent pre-split dressing. Flexible trach brush for easy passage through inner cannula to minimize irritation. Angle-cut twill ties to aid in easy threading through cannula slots. 20/cs. Kit, surgical, suture, stapler: o Kit comes with assorted components including skin stapler and remover o All instruments are made of hospital grade stainless-steel o The difference in our kits is that we use only in date hospital grade sutures and components, not old surplus or expired sutures o The set comes with a leather zip pouch with clear flap inside; its compact size is perfect for glove compartments or backpacks o 5 1/2" wide x 7 1/4" long x 1 1/4" tall (when closed) The Blackhawk Stomp II Medic Bag can be used in emergency situations to start and/or complete one anesthesia case, provided that there is not sufficient time to unpack all of the medical supplies that will be needed to complete the mission. Specifications of the bag are that it weighs 7 lbs. and 9.6 oz, has dimensions of 20” × 10” × 13”, and has a cubic capacity of 2600”. The purpose of the bag is to be able to deliver an anesthetic within minutes of notification that a casualty is arriving, especially if a proper setup cannot be completed. It will not contain everything needed, but it will include the essential tools to deliver a safe, efficient anesthetic. The bag can be divided into two compartments A and B [Figure 4] and each compartment has two sides, the bag can contain limited supply of the most commonly needed anesthesia supply materials, from IV line placement to a difficult airway management tools replacing the regular OR anesthesia supply cart with a much compact and easily mobile item The Sentinel® Chest Trauma Kit is a comprehensive set of products that deliver an enhanced level of user confidence and improve casualty outcomes when faced with symptoms of tension pneumothorax, the third leading cause of preventable traumatic death.1 For open chest wounds, the Sentinel® Chest Seal maintains static placement and ensures effective channeling for the simultaneous release of blood and air. The transparent material provides a clear view of the wound and the design minimizes vent occlusion, reducing the need to apply multiple seals and lowering the risk of tension pneumothorax. Blood Boxx Evac- Prolonged field care capability Allows 110 hours of transport time in extreme environments with no power requirements Maintains 2-8 C Reusable Blood Boxx Tactical Delivers a single unit of blood to the battlefield in a durable, tested system. Light weight 12 hours of transport time with no power requirements in extreme environments Less than 2lb Constant 40C reusable Blood Kits- Whole blood transfusion set/recipient set/donor set The Mojo® Medic Multi-Mission Aid Bag is two medic bags in one. A main bag with 2,645 in3 of interior space designed and stocked to carry component resupply or to provide sustainment of multiple casualties for extended periods. The kit also includes a zip-off, low profile assault bag with 595 in3 of interior space that is configured and stocked for trauma and immediate tactical care. Assault, tactical or sustained care, together these two bags provide the Medic multiple options for every possible mission. Born from the real-life experiences of military special operations medics across years of deployments, “Mojo® Medic” Bags aim to simplify tactical medicine, even for the most advanced practitioners. Every pouch, pocket, strap and handle has been designed and purposefully placed to give first medics the best access to the life-saving equipment inside. Detachable Assault Bag, Mission Configurable, Ample Medical Storage PRODUCT ATTRIBUTES Main Features & Benefits Systematic access and full visualization of life saving equipment, Ergonomic design evenly distributes weight, Detachable zip-off smaller assault bag designed for trauma needs, rugged nylon will last, More than 3200 in3 of total medical supply storage Main Bag Multiple pull-out module bags for maximum organization, Removable padded waist belt, padded shoulder straps, Zippered drop-down bottom pouch for additional 850 in3 of on-call storage space, 1795 in3 interior space Assault Bag Easy zip-off from Main Bag for trauma care supplies in tactical operations, Contains airway, breathing and hemorrhage control supplies, Wearable low profile for in-vehicle wear, Clear pouches and multi-loop retainers, 595 in3 interior space CLINICAL BENEFITS Mission configurable: organize your medical bag according to operational need, Closes gap between team bags and tactical bags for medics Surgery kit 2 straight hemostats 1 curved hemostat 1 pair scissors 1 pair tweezers 1 #3 scalpel handle 2 scalpel blades 1 suture set 1 holder 1 needle probe 2 alcohol wipes 2 bzk/iodine wipes 1 pen light Ambulatory Surgery Center Kits by Covidien Surgistart Kits By Covidien Sterile Extremity Surgical Tray II TLDR: You can get stupid amounts of really important things in packs. Surgery preparation, tools etc. These are also incredibly common due to practicability. What kind of items can you interact with? Here is a breakdown of some things: Furniture Exam table Instrument table Massage table Tool stand Phlebotomy chair Treatment table Utility Table w wheels Warming cabinets Some ideas: 3M Steri-Strip Skin Closures Use for primary non-suture skin closure, for early suture or staple remover and for skin grafting. LIFE® OxygenPac Emergency Units 50 person trauma first aid kit LIFE® OxygenPac Emergency Units Absorbent cotton rolls Magnifier Absorbent powder- liquid spill control Major Extremety Pack Accu-Therm Cold Packs: Cold pack activates instantly and offers patients a new level of comfort. A compress holder is required because these cold packs should not be applied directly to the skin. The insulated version has a foam layer to help direct cold therapy to the affected area. 6" x 10", Heavyweight, Non-Insulated. Maskumm™ Scented Anesthesia Mask Spray. Maskumm makes induction more pleasant for both pediatric and adult patients. Eliminates the need for pre-scented masks and supports standardization efforts, Improves mask acceptance by pediatric patients, Approximately 300 applications per bottle, no refrigeration required and no fluorocarbons, Fast and easy to apply Accu-Therm Hot/Cold Gel Pack: Made using non-toxic gel, Medline's Accu-Therm Reusable Gel Pack cleans easily with soap and water. Biodegradable packs are made using poly/nylon bags. Can be microwaved or boiled for hot therapy or frozen for two hours for cold therapy. Packs remain pliable and soft after freezing, 5" x 10". Master Cardiology Stethoscope (low – high freq) Ace Bandages Matrasses Acetaminophen- Tylenol, anti-pyrectic and pain reducer Medical carts Air Casts Medical drills Air purifier Medical tool lubricant Air sanitizer MegaMover Transport unit- fits where stretches cannot Air Splints Micro Sterilization Tray with Handles & generator (sterilizes tools) Alcohol prep pads, swabsticks and tape remover pads Mini oxygen regulator AliMed® Multiform™ Max Best for painful or post-surgical application. Materials require only a light touch to stretch or fold. Patients with weakness or pain will appreciate how easily the material conforms to contours with minimal handling. Recommended for face, neck, hand and wrist splints. Mobile Trauma First Aid Station - suitcase with wheels that has medical storage AliMed® Multiform™ Plastic Thin makes an exceptionally comfortable splint that's half the weight. Particularly appropriate for splinting patients with arthritis. Use to make light, compact finger splints. It works fast... ready to use in just 10 seconds. Try it today! Moncryl Suture for unprecedented monofiliament pliability and smooth passage through tissue. Indicated for general soft tissue approximation and/or ligation. AliMed® Multiform™ Plastic Best for neurological and orthopedic patients. Materials require constant pulling and continual effort to contour. Can be handled forcefully, making them ideal for beginner or infrequent splinters. Use when holding patient in a stretched position to correct deformity (ie. spasticity, abnormal tone, contracture or fractures). Use for larger orthoses: elbow, forearm, shoulder, trunk, and lower extremity. Available in nonstick or self-stick. Morphine AliMed® Multiform™ Trial Pack Experiment with our line of Multiform materials to see which ones meet your clinic's needs. Includes enough material to create two WHO splints –, one 1/8",x6",x18", solid sheet of each of the following materials: Multiform Max, Multiform Clear and Multiform Plastic Non-Bond and Self-Bond. Multi adhesive bandages AliPlast™ 4E softens the interior of any splint for more comfortable wear. Thermoplastic closed-cell foam won't absorb perspiration, bacteria, or odors. Smooth skin is tough and durable, easy to clean. Apply your splinting material before heating. White. Multi injections All kinds of braces and casts Multi storage plastic bottles/containers All season shelter emergency pack Multi types of dressing/bandages Allergy Medications Multiform™ Clear Elastic is clear at molding temperature so you can see the fit. Elastic feel of Aquaplast® Clings to skin and works with you when splinting against gravity. Non-bonding. The most rigid of all Multiforms. Clear at molding temperature so you can see the fit Elastic feel of Aquaplast® Clings to skin and works with you when splinting against gravity Alpha Pro Tech AquaTrak® Shoe Covers Proprietary AquaTrak material provides superior slip and fall protection in both wet and dry conditions. Specifically developed to outperform the market in wet conditions. Fluid-impervious and performs well even in low-level standing water 75 pr/cs. Multi-Language Communication Cards Ambu® Laryngeal Masks provide the safety and convenience of a sterile, single-use product, yet are remarkably cost-effective. They feature a special curve that carefully replicates natural human anatomy, ensuring that the patient's head remains in a natural, supine position when the mask is in use. Cuff, mask, and airway all come molded in individual sterile peel-packs. 10/bx. Multi-Person Emergency Kits Contents: Search & Rescue: AMD-Ritmed Impervious Gowns are white, highly fluid repellant (laminated coating). Complete front and back coverage, knitted cuffs. 10/bg Multi-Person Extended Support Kits Amplifying stethoscope Multiple kinds of disinfectant anesthesia machine and ventilator Muslin Bandages Antibiotics Naproxen/Ibuprofen NSAIDS which reduce pain and inflammation Antimicrobial Hand Wipes single use and tub sizes Nasal tube for oxygen Antiseptic hand cleaner Nasopharyngeal Airway (NPA)w/surgilube or "nasal trumpet." This flexible tube secures a nasal airway when the casualty does not have, or may lose their ability to keep their own airway open. Apron cleaning spray Nebulizers Areosol Mask Needle free injection kit Asherman chest seal, Bolin chest seal or Hyfin chest seal, as an occlusive dressing for sucking chest wounds. Nerve Agent Treatment, Auto Injector Assorted sized medical tape Neuro-Pulse Nerve Locator Band-Aid Butterfly Closures Nitrilke gloves Band-Aids No rinse bathing wipes Barbiturates. Amobarbital (trade name: Amytal) Methohexital (trade name: Brevital) Thiamylal (trade name: Surital) … No rinse body bath Basins No rinse shampoo/cap Beds Odor eliminators benzodiazepines the reversal agent is flumazinal or rumazicon. Oral swabs (tiny sponge on a stick) Blood pressure cuffs and replacement cuffs Oral thermometer kit with covers Blood borne Pathogen Kit Oropharyngeal Airway Bone saw Orthoplast II thermoplastic for general splinting needs: Ideal for contractures, neurological conditions, pediatrics and burns. Good for fracture bracing and lower extremity orthosis. Allows five to eight minutes of working time in 160° F (71° C) water. Can be heated in an air oven at low temperature for orthotic bracing. Buckets Oxygen Masks Buprenorphine injection Oxygen tanks Burn care kit Pathology Containers w/Lids Containers are made of high-grade, durable polypropylene and can be frozen without cracking. Secure, snap-lock caps minimize leaking. Burn dressing Perineal ob cold pads Cardiac Catheterization Procedure Tray Personal Biohazard Protection Kit protects personnel attending to the ill or injured. Provides head-to-toe protection against biohazard contaminants. Sturdy, reusable plastic case. Contains cleansing wipes, sealable bag, biohazard bag, disposable bonnet, gown, shoe covers, latex gloves and eye shield with ear loop mask. Wall mountable with easy-carry design. Cervical collars Personal Emergency Response Kits 1) N95 respirator • (1) thermal blanket and poncho • For communication and light: (1) whistle • (1) flashlight with batteries • For hydration and nutrition: (2) 4-oz. water pouches • (2) 400-calorie food bars • For medical needs: (1) first aid pack • (1) biohazard bag, (1) pack tissues • (3) towelettes Chemical cauterization sticks Phenergan- anti nausea which also increases pain-reducing effects of morphine Chest Seal Kits Picture communication board Circumference gauge Pillows Clean room defogger (sprays and cleans a room in 15 seconds) Plastic casts Coban- stretch, self-clinging, wrap/gauze Plastic face shield Cold/hot pads Portable toilets and accessories Commander Sleeping Cot is made from Denier 600™ vinyl-backed polyester fabric on a lightweight, foldable aluminum frame. Originally designed to be used by staff during deployments to afford them better sleeping accommodations (especially if you throw a sleeping bag on top), they are also a great item for the general population who need to be up off the ground. Head elevator allows you to sit up and read or talk while still getting off your feet. Water-resistant vinyl-backed material is clipped to the frame. Positioners Cordless Cauteries Battery-operated, single-use instrument available in fine tip or loop tip. Fast heat-up and cool-down, heats to 220°F. ABS plastic casing with plastic switch integrated with brass conductor strip to keep it in place. Guaranteed five-year shelf life (manufacturer date on product, expiration date on packaging). 10/pk. Procedure drapes (goes on patient during surgery) Cordless Surgical Ophthalmic Cautery Professional towels Coveralls Propofol vial Covers for equipment Puratin DM Stick (measures depth of wound, disposable) CPR Mask Rake retractors Critical Communicator™ Provides help understanding medical problems in foreign languages. Helps meet mandated communication guidelines. Visual cues with dual-language tags for 21 languages make a an attending clinician or first-responder's problem identification easier using image and word cues. Razors (shaving) Dental tools Regular stethoscope Denture adhesive Responder Holster Holster Made of tough, water repellent 1,000 denier nylon for durability. Includes snap-open belt loop that accommodates belts up to 2-1/2"W. Two deep slide-in pockets in back and three slide-in pockets beneath covered flap in front. Complete Kit: 5-1/2" Kelly straight forceps, 7-1/4" Medicut Shears, Adlite™ disposable penlight, 4-1/2" Lister bandage scissors, Puma 2002™ lightweight pocket knife with thumb-activated blade and integral clip, Adult hook and loop tourniquet. Disposable aprons Resuscitator bag w mask and reservoir Disposable Bedding Rubber tourniquets Disposable coveralls Rumazicon for reversal of benzodiazepines Disposable drape sheets Rüsch® Resuscitator Bag with Reservoir Bag Lightly textured PVC bag for sure grip and comfort. Transparent, flexible PVC cushion face mask ensures a tight seal and patient comfort. 360° swivel connection. Transparent re-breathing valve assembly allows for clear viewing of valve function. Meets ASTM standard F920-85. Non-sterile single use, no assembly required. Not made with natural rubber latex. 6/bx. Disposable examination sheets Safety pins Disposable pillows Sanitary Napkins, Tampons, Cups, etc. Disposable safety scalpels (retractable) Scienceware Eyewash Safety Station (portable) Disposable scrubs Search and Rescue Team Kit : (2) hard hats •, (2) pairs leather-palmed work gloves • (2) safety vests • (2) safety goggles • (1) roll of duct tape • (1) pry bar • for easy breathing (2) dust masks, for attending to injured people: (1) search and rescue first aid kit • (4) pairs latex gloves, for communication and light: (2) whistles with lanyards • (2) flashlights with tow sets of batteries • (2) 12-Hour Light sticks Disposable Stethoscopes Shaving cream Disposable washcloths Single Patient Use Ambu-Bags/Manual Resuscitators allow for a visual check of operation and assure uniform compression rate. Safety and reliability are key with our fully-disposable manual resuscitators. They meet or exceed BS, ISO, and ASTM specifications and eliminate the possibility of exposure to contagions due to inadequate sterilization. Utility and functionality are assured over the full range of clinical application. Textured compression bag with unique support strap Disposable wound measuring guides Single patient use shifter disposable (use to move a person) Drain Bags Reinforced hanger with built-in anti-kink drain tube guide. 50" of 11/32" STAR tubing facilitates drainage of thick, fibrous urine. Needleless sample port (accessible with either a blunt cannula or needle). Adjustable bed sheet clamp secures tubing. Not made with natural rubber latex. 2,000 ml capacity. 20/cs. Skin Staple Remover Trays Sharp instrument with stable finger-control. With fine point for easy access to staple. Convenient easy-to-open packaging. Packaged in typical order of use. Drape/Stretcher sheets Skin stapler kit Dressing and tissue forceps Solar Shower Sun heats 5 gallons of water. Large capacity. Sufficient for 3 to 4 showers. Includes on/off control, hose and shower head. Sturdy for hanging and carrying Dressing jars Solution soaking tray (cleans medical instruments) and soak liquid Drugs for Total intravenous anesthesia (TIVA) Specimen Bags with zip closure and additional document pouch. Includes Biohazard symbol. Electrocautery units Specimen containers Emergency drinking water pouches Splinter removal kit Emergency Trauma Bandages Splints Epinephrine Sponge basins ER sling Sponge Counters Clear visibility for monitoring sponge usage. Accurate for assessing absorbed fluid. Meet AORN recommendations. Available with clear or opaque back panel. Attach easily to IV stand or wall. Ten, 4" x 4" pockets may be expanded to form five 4" x 8" pockets. 250/cs. Ethicon PDS II (Polydioxanone) Sutures, 4/0 provide the longest-lasting absorbable monofilament wound support with outstanding pliability. Sutures are for use in all types of soft tissue approximation. Sutures have an undyed monofilament. Spring wire retractor Etomidate Sterile Operating Room towels Exam lights w generator Sterilization Tools Exam shorts Storage and transport cases Exam vests Stretchers Examination table paper Suction devices Expectorants Sundry jars (holds tongue dep. And other tools) Eye Tray Kit Surgical cleaning supply kits Ezeform™ Low-temperature, thermoplastic, splinting material. Exceptionally strong and durable. 1/8" thick Surgical headlight Face masks Surgical Kits FAST 1 intraosseous infusion kit. The FAST 1 is a quick way to administer fluids when peripheral and external jugular venous access is unavailable due to massive blood loss, burns, or loss of limbs. Surgical knives First aid cabinet Surgical masks with face shields Fluid resistant protective gowns Surgical Cricothyrotomy kit Flumazinal for reversal of benzodiazepines Suture Removal Trays Sharp instrument every time. Fine, metal-tip scissors provide easy access to suture. Convenient easy-to-open packaging. Packaged in typical order of use. 50/cs. Food bars - are ready-to-eat, non-perishable, and an important source of energy in an emergency or disaster. Taste like cookies and are non-thirst-provoking. Each bar contains 12 individually wrapped 200-calorie servings. The 200-calorie portions provide important portion control for groups or individuals in an extended emergency Syringe + Needle all kinds Forehead thermometer The Blackhawk Stomp II Medic Bag can be used in emergency situations to start and/or complete one anesthesia case, provided that there is not sufficient time to unpack all of the medical supplies that will be needed to complete the mission. Specifications of the bag are that it weighs 7 lbs. and 9.6 oz, has dimensions of 20” × 10” × 13”, and has a cubic capacity of 2600” Gauze Three-Day Personal Emergency Kit : For protection and shelter: N95 respirator • (1) thermal blanket • (1) poncho • For communication and light: (1) whistle • (1) flashlight with batteries • For hydration and nutrition: (6) 4-oz. water pouches • (2) 400-calorie food bars (12 portions) • For medical needs: (1) first aid pack • (2) biohazard bags • (1 pack) tissues • (6) towelettes Gauze Tissue adhesive 8 second bottles Gauze Bandages Tissues/Napkins Goniometers (measuring device) Toilet Paper Hand sanitizer Tongue depressors Heat Gun Tools to make casts Hemostatic agents, such as Celox, Hemcon bandages, and others. Toothbrush/paste Hydrogen peroxide/alcohol Tourniquets Immodium/Pepto Bismol/ Various acid reducers/stool softener Towelettes (antiseptic, sting free) Infection Prevention Kit -Large disposable coverall • PDI Sani-Hands Instant Sanitizing Wipes • Aqua Track Shoe Covers • Safe-Touch Nitrile Gloves (includes S-XL) • Citrus II Hand Sanitizer • Red Stick-On Biohazard Bag • Coverall Face Shield Tracheostomy Trays with absorbent pre-split dressing. Flexible trach brush for easy passage through inner cannula to minimize irritation. Angle-cut twill ties to aid in easy threading through cannula slots. 20/cs. Infection protection kits 15-Person Infection Protection: (1) instruction card • (30) respirators (dust masks) • (10) eye shield frames • (30) disposable eye shields • (50) pairs vinyl gloves • (10) disposable thermometers • For Sanitation (10) Hand sanitizer solution (4 oz.) • (2) SaniZide surface sanitizer spray (2 oz.) • (10) tissue packs • (3) biohazard bags • (160) germicidal surface sanitizer wipes Transfer boards Iodine swabs Trauma shears Irrigation syringes Various forceps Irrigation Syringes A unique barrier flange with "ears" minimize hand slippage and subsequent contamination of barrel or solution container. The 2 oz./60ml syringe barrel features large, raised, easy-to-read graduations which are calibrated in both oz. and ml. Various Hemostatic forceps Irrigation Trays w/Bulb Syringe for irrigation or enteral feeding. Designed for one-handed operation. Easy-to-read graduations, 60 cc capacity. 20/cs.+ Various hooks IV Fluids Various kinds of heavy duty cleaning wipes IV Poles Various medical gloves IV Tubing Various needle holder tools Kerlix gauze, for stopping hemorrhage, or creating a bulky dressing. Various Needle Holders (for sutures) Ketamine Various ointments King LTD, a simple tube airway with an inflatable cuff to create a sealed airway. Various scalpels and blades Kit, surgical, suture, stapler Various scissors Lab sponges Various Surgeons needles Laparoscopy Tray Kit Various surgical clamps Laryngoscopes Various surgical retractors Latex free surgical gloves Various surgical forceps Lidocaine Various titanium plating and screws/hardware LIFE® OxygenPac Emergency Unit LIFE-101 is a disposable/replaceable or refillable oxygen cylinder for model 612. It features a constant reading supply gauge with simple full to empty symbols so identify amount of oxygen on hand. Ships full and ready to use. Welch Allyn Eye, Ear, Nose and Throat Diagnostic Sets LIFE® OxygenPac Emergency Unit Model 612 has an easy to use 6 & 12LPM (reads as Normal and High) regulator which provides the regulatory minimum 6LPM oxygen and offers 12LPM flow to deliver the AHA recommended 100% inspired oxygen. The unit comes full with 566 liters of USP Medical Grade oxygen for a 90 minute supply, ready to use and includes a CPR mask for administration of supplemental oxygen to a breathing victim. Wheelchairs LIFE® OxygenPac Emergency Unit The 025 Model is for professional use only and provides a variable selection of 12-liter flow rates for administering supplemental first-aid emergency oxygen for patient survival. Xylocaine 10mg Anesthetic Spray is a topical, local anesthetic, metered pump spray to help numb a part of your body to relieve pain or discomfort. Xylocaine 10mg Anesthetic Spray contains an active ingredient called Lidocaine which is a local anesthetic used to numb chosen areas - to relieve pain or discomfort. Yes third world countries do not have good health care or resources. Yet humanitarian groups have been working for years to deal with ways around that problem. While things usually would not be very good, remember that there was a lot of relief aid sent this direction. Honestly I don’t have the energy to care about this part of the guide. There are a lot of resources you can dig up about groups that help third world countries with medical stuff. Quality healthcare is available http://www.alternet.org/story/79768/doctor_proves_that_quality_health_care_is_possible_in_the_third_world A lot of items are also donated to third world countries. Thankfully medical innovation is very advanced for these areas to help with all of the problems. Debbie Teodorescu demonstrating a prototype of the SurgiBox she invented, which creates a sterile field around a surgical patient so doctors can operate in unsterile conditions, with fellow team member Robert Smalley. PHOTO: CHRISTOPHER MURRAY The SurgiBox can be carried in a backpack and uses a pump, to sterilize the air inside the box, that can be operated manually if there is no electricity. Dr. Teodorescu and her colleagues are still refining the design and working to keep the cost as low as possible. Ultimately, they hope the SurgiBox will save users so much, by reducing infections that it pays for itself.” Universal Anesthesia Machine http://medicalfuturist.com/the-10-most-innovative-health-technologies-saving-millions-in-the-developing-world/ Eco-Cooler In developing areas without electricity, soaring temperatures can leave huts unbearably hot. Eco-Cooler, a low-cost cooling system created from recycled plastic bottles, helps solve the issue by drawing cool air into homes. The cooler is made of halved plastic bottles on a board, which is then installed like a window. When in place, each bottle's neck compresses the hot breeze, cooling it down and dropping temperatures inside a hut as much as 40 degrees Fahrenheit. Hemafuse In emergency situations and during childbirth, blood transfusions are often necessary to save a person's life. But in poor nations, access to a safe, reliable blood supply is relatively rare, leading to preventable deaths each year. The Hemafuse, from Sisu Global Health, takes the donation and storage barriers out of blood transfusions, recycling a person's own blood back into their body. The low-cost device acts like a large syringe, collecting blood and filtering it internally to remove clots and other particulates. The blood can then be deposited into a blood bag, where it can be pumped back into a patient's body. Paper Centrifuge Centrifuges, or machines that rapidly separate fluids, are critical pieces of laboratory technology, especially in developing countries where they can help detect diseases like malaria, HIV, and tuberculosis. Inspired by the whirligig, a children’s toy, Stanford bioengineers created a 20-cent centrifuge made of paper, twine, and plastic powered by humans (no electricity required). Blood is simply placed into a slot in the white disc (see below), and the “paperfuge” can separate plasma from red blood cells after about 90 seconds of rhythmically tugging on the twine. More info here. Solar-Powered Medical Sterilizer In developing countries, about 33 percent of patients suffer from infections at the site of their surgery—a rate nine times higher than in the developed world. Researchers at Rice University tackled this issue by creating the Sterile Box, an all-in-one, off-the-grid sterilization station inside a 20-foot shipping container. Sterile Box houses everything doctors and nurses might need to prepare surgical instruments for safe use, including a water system for decontamination as well as a solar-powered pressure chamber for steam sterilization. Because it’s self-sustaining, the sterilization unit could work anywhere, but its most effective in areas where there isn’t reliable electricity or safe drinking water like developing countries or post-disaster areas. Watch the video below, or click here to learn more. • http://www.builditsolar.com/Projects/OddProjects/AutoClaveFirstplace_2.pdf • http://www.who.int/medical_devices/poster_a18.pdf • https://www.engineeringforchange.org/how-to-sterilize-medical-instruments-in-off-grid-clinics/ • http://www.sterilux.ch/en/ • http://www.designindaba.com/articles/creative-work/sterilisation-kit-medical-tools-has-been-designed-hospitals-developing “The SteriBox is a portable container that can both sterilize and store medical equipment long-term. It was designed by Jordane Vernet, a graduate of École cantonale d'art de Lausanne (ECAL) and member of Sterilux, and integrates the sterilization technology that Spaltenstein developed. Designed as a box with a quartz glass on the top, the SteriBox is placed in a machine that generates ultraviolet (UV) light. Only a small amount of water – less than a milliliter – is needed per sterilization cycle. Essentially, the design uses UV light to turn the air’s oxygen into ozone. The items to be sterilized do not require any kind of preparation or wrapping. They are placed inside the SteriBox, and UV light shines through the glass fitting. This generates ozone, which in turn sterilizes the medical equipment. The process simulates the oxygen-ozone cycle in the earth’s stratosphere, where ozone is used as means of converting UV radiation into heat. The sterilization is further amplified by the generation of hydroxyl radicals from water, which are powerful oxidants and can destroy even the most resistant microorganisms. …. Sterilizing surgical tools in hospitals is a routine procedure in private healthcare, but it is difficult to do in public hospitals and emergency and disaster health care units in developing countries. Sterilux’s system is primarily targeted to countries that do not have access to conventional sterilization equipment. However, it will also prove essential to sites where mobile sterilization is required, e.g. temporary emergency centers and clinics.” Iwanejko Electronics s-teemer.com S-teemer (HandyShower) is a multipurpose, light and simple portable valve, making it especially convenient in post-disaster conditions. The solution serves as a portable hand tap, a shower or a bidet (shattaf) in one pen-like device. It ensures maximum water efficiency which is particularly important in water-scarce areas. Hand washing valve may be pedal operated, hence contactless and minimises the risk of spreading bacteria - a distinctive quality among portable valves. PneumoDart® The PneumoDart is a reliable solution for treating a tension pneumothorax injury, or sucking chest wound. Our robust innovation helps you to get it right, first time. It offers better efficiency, safety and important physical features. Typical methods for treating this kind of injury include the application of a plastic seal over the chest wound to inserting a needle catheter into the chest to drain air out of the chest and relieve pressure. However, successful application of a traditional pneumothorax needle has proven difficult. Our needle is 3.25” which is the optimal length as recommended by the Tactical Combat Casualty Care (TCCC) who inspired the PneumoDart and we developed it with the US Department of Defense during a robust testing and evaluation phase. Reality vs. Game So there are a lot of things you have to keep in mind. As much as you may learn a lot of things, it’s all only really a guideline when it comes to roleplaying. • Trauma/war surgeon doctors do need to know how to put a patient under anesthesia safely, but it’s not something they’re supposed to constantly do. In a more appropriate setting, there would always be an anesthesiologist on hand, along with possibly 1-2 nurses for them. The anesthesiologist tells the doctor how long they have etc., not the doctor bossing around the anesthesiologist. There is a delicate line in what the body is willing to take, and that’s the job of the anesthesiologist. The surgeons job is to do what they can in that time period. • Obviously there are going to be very dire circumstances, especially with military, where a surgeon is the only person capable of putting someone under, so they do make sure it is a part of their training. • Game wise, you see doctors and surgeons running around, I’ve met one anesthesiologist and have not seen him since. So, it’s extremely impractical when you have to do surgery on people in game to be trying to go by actual rules of medicine. Like anesthesia machines, they are very complicated. We sort of just ignore their existence or use tiny versions. Can’t be perfect with everything. • It’s the same with medicine etc. The reason before surgery, that you are not allowed to eat or drink for so many hours, is because while under, it is extremely easy for your body to throw up something in your stomach. In this regard one of two things happens, either you choke to death, or get pneumonia. I read a story where a kid had this happen and the surgeon literally grabbed him by the ankles and hung him upside down in an attempt to save him. Thankfully, it sort of worked, poor kid got a nasty case of pneumonia, but lived. Obviously, when we do surgery in game, there is no waiting period, its emergency. So, we tend to toss this rule out the window. • Sterile environments are nearly out the window. Thankfully, this is actually a major part of war surgery. The environment is always contaminated, and the thought of a sterile surgical room is pretty much laughable for them. Obviously a regular surgeon would be petrified at the conditions of a surgery on the field. The surgical area (usually a tent) is kept as clean as possible, and everything is sanitized to the best of their ability. Yet in war surgery, they always treat the wound as if it is infected, because likely, it is. A lot of nasty things get into wounds when they’re from bullets, shrapnel, etc. There is nothing they can do about that except clean it the best they can and give antibiotics. My character always gives antibiotics for a few days to her patients due to this. It is one of the rules in war surgery. While the area the surgery is taking place in could be questionable, it’s the knowledge and skill of the surgeon that will make the impact of how clean the wound ends up being. • People will not react in any ways near reality with wounds. Some may come close, but most won’t. Bullet wounds seem to be people’s favorite thing here. Shoot in the foot, arm, leg, shoulder, etc. What most people don’t realize, is that even a limb shot has a high probability of killing you, depending on the bullet and where you were hit. Bones break, veins and arteries are severed, etc. Also pellet guns have the likelihood of amputating the limb it shot. • Essentially for rp, just don’t expect reality. It won’t happen. Go along as best you can with it. Hospital Items Honestly there is so much, it’s impossible for me to list without adding another 50 pages. Look at your own leisure. Not only are there multiple types of everything, there is also multiple brands of the same thing. Gowns https://www.medline.com/catalog/category-products.jsp?iclp=cat1520063&N=105904&itemId=cat1520063&No=0 Dressings https://www.medline.com/catalog/category-products.jsp?iclp=Z05-CA01_05&N=111446&itemId=Z05-CA01_05&No=0 Cast materials https://www.medline.com/category/Casts/Z05-CA01_03 Bandages https://www.medline.com/category/Bandages/cat260149 Gauze https://www.medline.com/category/Gauze/cat260155 Hemostatic agents https://www.medline.com/category/Hemostatic-Agents/cat6610003 Saline Spray/wound cleaner https://www.medline.com/category/Saline-Spray/Z05-CA01_04 Gel dressings https://www.medline.com/category/Gel-Dressings/Z05-CA01_05_12 Nutrition https://www.medline.com/category/Clinical-Nutrition/cat5080004 Saline https://www.medline.com/category/IV-Solutions/Z05-CA18_13 Wound care https://www.medline.com/category/Wound-Care/cat260148 protector clothing https://www.medline.com/category/Protective-Sleeves/Z05-CA01_10 wound closure https://www.medline.com/category/Wound-Closure/Z05-CA01_13 OR Surgery https://www.medline.com/category/OR/Surgery/cat1460009 Surgical accessories https://www.medline.com/category/Accessories/cat1460076 Equipment https://www.medline.com/category/Equipment/cat1460072 Closed Wound Drainage https://www.medline.com/category/Closed-Wound-Drainage/cat1460031 Needle and sponge counters https://www.medline.com/category/Needle-Sponge-Counters/Z05-CA14_08 OR Sheets https://www.medline.com/category/OR-Sheets/Z05-CA08_01_10_03 Orthobiologics https://www.medline.com/category/Orthobiologics/Z05-CA25_01_06 Prep Packs https://www.medline.com/category/Prep-Packs/Z05-CA14_10 Prep Trays https://www.medline.com/category/Prep-Trays/Z05-CA14_11 Room Turnover kits https://www.medline.com/category/Room-Turnover-Kits/Z05-CA14_09_03 Skin Prep https://www.medline.com/category/Skin-Prep/cat1460022 Protection kits https://www.medline.com/category/Kits/Z05-CA13_11_02 Infection Control https://www.medline.com/category/Infection-Control/cat1470085 Procedure Packs https://www.medline.com/category/Sterile-Procedure-Packs/Z05-CA14_13 Procedure Trays https://www.medline.com/category/Sterile-Procedure-Trays/cat2080009 Sterilization equipment https://www.medline.com/category/Sterilization-Equipment/Z05-CA16_01_17 Equipment/furniture https://www.medline.com/category/Equipment/cat1460072 Surgical kits https://www.medline.com/category/Equipment/cat1460072 Protection kits https://www.medline.com/category/Kits/Z05-CA13_11_02 Surgical tools https://www.medline.com/category/Surgical-Instruments/Z05-CA16_02 Advanced wound care https://www.medline.com/category/Advanced-Wound-Care/Z05-CA01_17;ecomsessionid=nN-P0IqSDO+0-2PMlgJaNA__ Epidural trays https://www.medline.com/category/Pain-Management/cat6120004 Anesthesia https://www.medline.com/category/General-Anesthesia/Z05-CA14_01_15 Beds https://www.medline.com/category/Beds-Mattresses/cat1470087 Sterilization https://www.medline.com/category/Central-Sterile/cat500406 Medical equipment https://www.medline.com/category/Durable-Medical-Equipment-DME/cat500328 Vascular https://www.medline.com/category/Vascular-Access/cat7150013 Pharmacy https://www.medline.com/category/Pharmacy/cat1470146 https://www.medline.com/category/Prescription-Drugs/Z05-CA23_01 https://www.medline.com/category/Medication-Aids/Z05-CA23_02 https://www.medline.com/category/Over-the-Counter-Drugs/cat1470147 https://www.medline.com/category/Drug-Testing/Z05-CA10_13_03 Skincare https://www.medline.com/category/Skin-Care/cat500285 Decontamination products https://www.medline.com/category/Decontamination-Products/cat6790003 Sterile containers https://www.medline.com/category/Sterilization-Containers/cat500407 Useful Links Actual wounds 6 deadly injuries you’d think you’d survive thanks to movies • http://www.cracked.com/article_18862_6-deadly-injuries-you-think-youd-survive-thanks-to-movies.html • Wound Treatment Prevention and management of wound infection • http://www.who.int/hac/techguidance/tools/guidelines_prevention_and_management_wound_infection.pdf?ua=1 Guidelines for Essential Trauma • http://www.who.int/violence_injury_prevention/publications/services/en/guidelines_traumacare.pdf Dislocated Jaw • http://www.merckmanuals.com/home/mouth-and-dental-disorders/urgent-dental-problems/jaw-dislocation Chemical Attacks Manual for the public health management of chemical incidents • http://apps.who.int/iris/bitstream/10665/44127/1/9789241598149_eng.pdf Disaster Preparedness and Response Disaster Prep and Response Training https://www.cdc.gov/nceh/hsb/disaster/Facilitator_Guide.pdf Communicable diseases and severe food shortage • http://www.who.int/diseasecontrol_emergencies/publications/food_shortage/en/ World Health Organization (WHO) Pandemic/Influenza • http://www.who.int/influenza/preparedness/pandemic/en/ • http://www.who.int/influenza/resources/documents/FluCheck6web.pdf Policies • http://www.who.int/chp/gshs/policy/en/ Emergency Response Framework • http://www.who.int/hac/about/erf_.pdf?ua=1 Essentials for Emergencies • http://www.who.int/hac/techguidance/tools/emergency_essentials.pdf?ua=1 Health Emergency Program • http://www.who.int/features/qa/health-emergencies-programme/en/ Health Emergency Partners • http://www.who.int/emergencies/partners/en/ Disease network • http://www.who.int/csr/edcarn/en/ Policy and Strategy for WHO/EHA action in Disasters • http://www.who.int/hac/techguidance/tools/policy_and_strategy_natural_disasters/en/ United Nations Resources available for staff emergency preparedness and response • https://hr.un.org/sites/hr.un.org/files/file/refmaterials/documents/Resources available for staff emergency preparedness_Aug2013.pdf Hospitals- Emergency Hospital Emergency Response Checklist • http://www.euro.who.int/__data/assets/pdf_file/0008/268766/Hospital-emergency-response-checklist-Eng.pdf Disaster Prep • https://www.nap.edu/read/11621/chapter/9 Hospitals- Rural/Developing Countries Rural Emergency Preparedness and Response • https://www.ruralhealthinfo.org/topics/emergency-preparedness-and-response Emergency medical systems in low- and middle-income countries: recommendations for action • http://www.who.int/bulletin/volumes/83/8/626.pdf Starting a Rural Health Clinic - A How-To Manual • https://www.hrsa.gov/ruralhealth/pdf/rhcmanual1.pdf Understanding the Role of the Rural Hospital Emergency Department in Responding to Bioterrorist Attacks and Other Emergencies: A Review of the Literature and Guide to the Issues • http://www.norc.org/PDFs/Walsh Center/Links Out/WalshCtr2004_LitRev_final.pdf Medical care in developing countries Medical Care in Developing Countries • http://www.who.int/bulletin/archives/80(11)900.pdf Health care innovation in developing nations • https://www.wsj.com/articles/the-challenge-of-health-care-innovation-in-developing-nations-1474855561 Psychological Trauma/Treatment IASC Guidelines on Mental Health and Psychosocial Support in Emergency Settings: Checklist for Field Use • http://www.who.int/hac/network/interagency/news/iasc_guidelines_mental_health_checklist.pdf?ua=1 Emergency/War Surgery Best Practice Guidelines on Emergency Surgical Care in Disaster Situations • http://www.who.int/hac/techguidance/tools/Best_practice_guidelines_on_ESC_in_disasters.pdf?ua=1 War Surgery: working with limited resources in armed conflict and other situations of violence • https://www.icrc.org/eng/assets/files/other/icrc-002-0973.pdf Part II • https://www.icrc.org/eng/assets/files/publications/icrc-002-4105.pdf Emergency War Surgery • http://www.cs.amedd.army.mil/Portlet.aspx?ID=cb88853d-5b33-4b3f-968c-2cd95f7b7809 Surgical Care at the District Hospital • http://apps.who.int/iris/bitstream/10665/42564/1/9241545755.pdf Children Protecting Children from sexual exploitation and sexual violence in disaster and emergency situations • http://www.preventionweb.net/files/2709_protectingchildren.pdf Manual for the health care of children in humanitarian emergencies • http://www.who.int/hac/techguidance/tools/children_in_humanitarian_emergencies_aug2008.pdf?ua=1 Mass Casualty Mass Casualty management systems • http://www.who.int/hac/techguidance/tools/mcm_guidelines_en.pdf?ua=1 Medical Supplies Stock/Lists Medical supplies and equipment for primary health care • http://apps.who.int/medicinedocs/documents/s20282en/s20282en.pdf Comprehensive list of basic medical supplies 2014 • https://www.bis.doc.gov/index.php/documents/product-guidance/894-comprehensive-medical-supplies-updated-list-2014/file Quick check-list of medical equipment items for primary care practice • http://blog.cmecorp.com/a-quick-check-list-of-medical-equipment-items-for-your-primary-care-practice Standard List of Medical Equipment and their TS • http://www.who.int/medical_devices/survey_resources/medical_device_technical_specifications_armenia.pdf Medical Equipment List for Typical District Hospital • http://www.who.int/medical_devices/survey_resources/medical_devices_by_facility_provincial_hospitals_kenya.pdf Humane Org Conflict Resolution Ends & means: human rights approaches to armed groups • http://www.ichrp.org/files/reports/6/105_report_en.pdf Increasing Respect for International Humanitarian Law in Non-international Armed Conflicts • https://www.icrc.org/sites/default/files/topic/file_plus_list/0923-increasing_respect_for_international_humanitarian_law_in_non-international_armed_conflicts.pdf Humanitarian Negotiations with Armed Groups • https://www.unocha.org/sites/unocha/files/HumanitarianNegotiationswArmedGroupsManual.pdf Battlefield Euthanasia, “Coup de’ grace.” • http://oai.dtic.mil/oai/oai?verb=getRecord&metadataPrefix=html&identifier=ADA519236 • https://ke.army.mil/bordeninstitute/published_volumes/ethicsVol2/Ethics-ch-13.pdf Radiation • https://www.remm.nlm.gov/nuclearexplosion.htm • https://en.wikipedia.org/wiki/Radioactive_contamination • https://en.wikipedia.org/wiki/Acute_radiation_syndrome • https://emergency.cdc.gov/radiation/emergencyfaq.asp • https://www.remm.nlm.gov/nuclearexplosion.htm Anesthesia • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3507077/ • * The Blackhawk Stomp II Medic Bag • https://ke.army.mil/bordeninstitute/published_volumes/anesthesia/ANch7.pdf • http://pattersonscientific.com/products/new-product-2/ • https://www.dremed.com/catalog/index.php/cPath/65_620 • https://www.engr.washington.edu/news/bwb_anesthesia Military medical equipment • http://www.usamma.army.mil/assets/docs/Web Master TOC Jan 2017.pdf Medical Supplies Medical supplies and equipment for primary health care A practical resource for procurement and management • http://apps.who.int/medicinedocs/documents/s20282en/s20282en.pdf
  7. 5 likes
    Watching "Two Strong Silent Types" make first contact is amazing in the wild. (@Irish) Getting some fresh air without doing a PT lesson. (@derNils, @Majoo) Taking a casual walk. (@HarveyJ, @Iso) Getting ready for a road trip. (@Lemons, @DinoCasino, @Faith, @Crim, @VodkaWolf) A man and his Duchess. An patrol that took a slight bizarre turn at the end. (@Samti, @RogueSolace, @PCJames) Taking a well deserved breather. (@Malet) Operation "Saving Major Holmen". (@Spartan)
  8. 4 likes
    Note: I'll come back and make the charts bigger later, have to leave for work! Wound Guide for Role Playing This guide is to help understand the actual wounds certain weaponry make, in order to use better judgement in roleplay. Both for attack, and injuries. I’m going to use several books to cover various types of injuries and the damage they cause. This gives you a lot of information to roleplay with in how you decide to use weaponry or wounds. A lot of material is simply going to be copied to make it easier to read and understand. The majority of this book is either quoted directly, or condensed from multiple books. I will be sure to list them all at the end, but this will be too complicated to provide actual cites for each statement. Part 1: anatomy and science of wounds Projectile/Ballistics / Bullets What kind of damage does a bullet actually do? In most RP cases, it’s a straight in, straight out, usually nothing damaged case. The reality couldn’t be more opposite. I do have to think this is in relation though more to how many trigger happy players we have IC. Bullet wounds are far, far more devastating than role played out to be, with makes sense considering too many people are all too happy to simply shoot you. Personally I think a lot more actual study into psychology needs to happen because honestly, that’s not how so many people would be reacting, especially so suddenly. That is another topic though, that of which there are many debates already upon the forms for. So, how does a bullet actually hurt you? Bullets cause damage primarily via crushing, and stretching. The bullet/projectile does damage by first crushing tissue. This hole or missile track represents the so called permanent cavity. Dimension are roughly about the same size for all tissues. After the passage of the projectile, the walls of the permanent cavity are temporarily stretched outward. The maximum tissue displacement is the temporary cavity. Any damage from the temporary cavity is due to stretching the tissue. The result in temporarily displaced tissue is blunt force trauma. Damage is figured by measuring of both. Misconceptions: Some people think that only more modern, higher velocity projectiles produce temporary cavitation. This is NOT true as the diagram below of an 1870-1890 Vetterli deforming bullet. A larger exit-than-entry is not actually evidence for increased velocity. Velocity highest at the smaller entry wound, and less at the greater exit wound. Multiple other factors contribute to the damage the bullet does, including yaw, projectile fragmentation, etc. Construction: Bullet Flight and Kinetic Energy: Once shot, several things affect the bullet in flight that can have large differences between damage. · Spinning and given stability · Distance · Air drag · Crosswind directions · Raindrops hitting bullet · Hitting obstacles before target Yaw: the nose of the bullet moving up and down, away from the line of Flight, and describes an angle with the target surface at impact. Obstacles: bullets routinely hit obstacles during flight, this causes ricochet. Ricochet: the bullet from impact is given a small ‘push’ that destabilizes it. Can create yaw and tumbling. If the push is strong enough, the bullet can even be deformed or broken into fragments before hitting the target, if it hits the target at all. Kinetic Energy Any moving object has kinetic energy. Total kinetic energy Is the potential for causing damage, while transferred kinetic damage is the capacity to cause damage. Actual tissue damage, however, depends on the efficiency of the energy transfer. Kinetic Energy Formula Kinetic Energy Impact Formula If there is no exit, then v(2) = 0, and all kinetic energy has been transferred. If the bullet breaks up into fragments, then the mass (m) also changes, and E(kexp) is modified. · Low energy – knife or hand-energized missiles · Medium energy- handguns · High energy- military or hunting rifles, with a muzzle velocity above 600m/s or a large mass of projectile. Bullet Damage Via Types of Guns: Long Rifle Special NATO 7.62 AK-47 AK-74 357 Magnum JSP 22 CAL FMC (M-193 bullet shot from M-16A 1 assault rifle). .224 Soft-point (M-16) Fragments A moving projectile has kinetic energy. When the projectile enters the human body, it releases energy to the tissues thus causing a wound. There are two types of wounding projectiles: bullets and metallic fragments (or splinters, such as shards and shrapnel). Fragment Wounds Exploding bombs, shells, rockets, grenades, sub munitions, and some landmines, produce metal fragments from the weapon casing (primary projectile). In modern weapons the casing is scored, creating weak points that break off easily on explosion. Other shrapnel can be added such as nails, bolts, steel pellets, or any other metallic debris. Fragments are shot off at very high speed, which decreases rapidly with distance travelled. The farther the victim is from the explosion, the more superficial the wounds. At very close range, multiple high-energy fragments combined with the blast effect create mutilating injuries and are often fatal. Explosions may cause stones or bricks to break up, shatter glass panes, or force of the blast can transport other debris (secondary projectiles). Fragment wounds are usually multiple and the wound tract is always widest at the entry. There may or may not be an exit wound. Explosions/Bombs Explosive blast injuries The detonation of high-energy explosives creates a travelling pressure blast wave in the air, (or in water for underwater explosions). The wave causes rapid and large changes in the outside atmospheric pressure: the positive pressure shock wave is followed by a negative pressure phase (Figure 3.5). Immediately behind the pressure wave is a mass movement of air: the blast wind. As the blast wave passes any unprotected person it affects all parts of the body, especially those normally containing air. A victim of blast may not have any external injury. A single, large explosion may injure many people at the same time. Explosions in a closed space (building, bus, etc.) are more fatal than those out in the open. Categorization of blast injuries Blast injuries are commonly categorized into four types. 1. Primary These are direct pressure effects. Rupture of the tympanic membrane is the most common injury. Rupture of the lung alveoli and their capillaries (“blast lung”) is the most lethal injury amongst survivors. 2. Secondary These injuries include missile wounds. Fragments may arise from the bomb casing or contents (primary missiles). Home-made bombs (improvised explosive devices, known as IED) may be packed with nuts and bolts, screws and ball bearings. In addition, the blast wind may mobilize various objects (secondary missiles) that then cause penetrating wounds. 3. Tertiary These effects are directly due to the blast wind. It can cause total body disintegration in the immediate vicinity of the explosion; traumatic amputations and evisceration further away. The wind can make buildings collapse or throw people against objects. Trauma may be blunt, crush or penetrating. 4. Quaternary Miscellaneous types of harm due to burns, asphyxia from carbon monoxide or toxic gases, or the inhalation of dust, smoke or contaminants. The various injuries caused by major blasts cover a whole spectrum of trauma and many patients suffer several injuries from a variety of effects: i.e. multiple injuries from one single weapon system. Other situations of blast injuries The blast wave travels more rapidly and much further in water than in air. Blast injuries in water occur at greater distances and can be more severe. Moreover, underwater explosions tend to cause pure primary blast injury. A “fuel air explosive” – the liquid explosive material is dispersed in the air like an aerosol and then ignited – also tends to bring about pure primary blast injury and quaternary effects due to the consumption of all oxygen in the nearby air. The blast effect of a marine mine exploding below an icy surface, or the “deck slap” of a ship hit by a torpedo, produces a shock wave that can severely fracture the bones of anyone on deck or inside the ship. Similarly, some anti-tank mines send a blast wave through the floor of the vehicle causing closed fractures of the foot and leg. The foot appears like a “bag of bones” inside intact skin, which was described in World War I as “pied de mine”: a mine foot. Anti-personnel blast mines have a local blast effect, vaporizing the tissues of the contact foot, as described previously. Burns TBC
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    My favorite group of hostile RPers. ♥ Seriously, I'm so glad that you guys are the ones that are willing to push "controversial" ideas out there seeing as most people wouldn't. I don't believe many people on this community would be able to provide great RP with such a group. Personally, I'm a bit excited to see what the hostage/torture RP is going to be like. The thread looks spectacular, the lore is lit & between those two and the roster, I'm not sure which I like more. I hope to see you guys in-game soon & I wish all of you the best of luck!
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    Finally a group to really make you feel at home :).
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    It's a fuckin' game and it's the internet. Why so serious?
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    God forbid you try to play a video game with your friends & have fun.
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    Yeah, not gonna lie, that was probably the dumbest thing I've read from Rolle in awhile. "I see you're playing with your friends... Sounds pretty boring and dumb to me". Lol
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    Hopped in RP for a good 30 minutes ran into no one, oh well I tried.
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    Well if they are all friends then they are going to make a group together, tbh id rather see more hostile groups on the server to actually make the servers enjoyable. VDV worked, the problem was the community didnt want it to work much like how the community didnt want offworld to work. Thats the problem with DayZRP its become too care bear. Not enough firefights and banditry going on and everyone is quick to criticise a group or bunch of individuals for not being how they want them to be. So to anyone reading this, if you hate firefights and hostile RP you are the problem. Now good luck with this idea guys, hope it can help the servers with the state they are in. Hopefully more will move into this type of RP and we can get some decent interactions going that make good entertainment to promote the community over twitch and youtube.
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    That moment when your Community Rep is classified as 'Noobie' but you've been here since 2013
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    Alright, I'm going to clear something up here really quick before this turns into another possibly good group getting archived over 7 pages of BS. The group name is fictional as far as I can tell. The group concept is realistic and fits with the lore for both DayZRP and ArmA II. The Mujahideen is a commonly used name to reference a terrorist group, but it fits here, based on the words actual translation. Don't get it twisted, no one here is funneling money to an extremist group and supporting them. This is a roleplay community, and with that comes the need to separate IC and OOC. Do not mix the two up. I'd really like it if we can knock off calling people terrorist sympathizers because of something created to bring some drama and fear IN GAME. To answer your further question, don't try and bring in an "SS" group. I'll shut that shit down really fucking quick. You want to know why, PM me about it, because I'm not cluttering up a groups thread with BS about something that has no bearing on it. Now, lets carry on please, keep it relevant to the actual group, like feedback, etc.
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    Okay. So a long time ago, in a Kevin far far away: I used to be scared to post shit on the forums, or say/do things involving anything to do with this community in fear of being banned. That me has died long ago. I simply do not care. This place used to be a lot of fun, I used to base all my free time out of this place. Many fond memories were made here, and I've made some great friends here. All in all; a fairly good experience. I'm afraid that this place will never be what it once was, and that this place will just never return to how it was. I miss the people that I once played with, they were the only reason that I was here. The majority of people reading this won't even know who tf I am, or was. That's fine with me. To put things simply, I'm done. This community is just a forums now, cause there's no good projects and Dayz is dead. I do not wish to discourage anyone from continuing to value this community, God knows I once did. If you do plan on living out this community my one piece of advice would be don't take shit seriously. It's a fucking gaming community run by some dude living in Sweden. I'm not going out in some blaze of glory, that's just stupid. I'm just leaving. Introduction threads are for losers. I'm not @ing people in this post cause that's for attention craving, bean grabbing hoes. I'm out. Later niBBas
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    Here is a day I'm extremely glad to have slept through However in light of things, I feel that my absence is required for just a little while... I'm sorry
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    The shit I've seen on today is more than enough to warrant a right of opinion. This community, no matter how comfortable you are with it, is no place to start throwing political/personal beliefs around, regardless of any and all reasoning. This is absolutely disappointing and the fact that I'm even witnessing such things on a community about RP disgusts me.
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    https://dayz.com/blog/status-report-september-2017-2 New Status Report is up, looks juicy.
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    https://plays.tv/video/59ca11747ce1910ab0/welp @Ender @Lyca @Aiko Explain to me what this is? First Off this has nothing to do with the community. so what community rules gives you the fucking right to ban them for hmm do tell me? Jake tells you that the nudes aren't anyone in the fucking staff via voice. But then you still accuse him. If it was a staff member you should ask the fucking Staff Members and not make fucking accusations. I'm gonna finish up with this, think before you give someone a ban, and do more investigating - Welden The Fucking OG #SaveMyPapaChiefAndThatOneXzeborDudeJakeWalford
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    @Rory @Ronan @Eddie Sorella @Boston Basher @SkinVest @Amerdan
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    Spiderlord is ddosing the server's. All is lost. "The End Is Night" - Joe Niggley 2017
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    Terrorist groups have been done before and have been allowed. They only get disbanded if they prove they cannot properly handle it in a mature roleplay sense. Ex: IRA groups in the past have caused nothing but shit in the community thus they are essentially not longer allowed. Anything Nazi related is strictly off limits in this community, for many reasons. However I'm not going to take the time to explain why, you can pm an admin if you feel you need an answer for that. There is no reason to create drama as noting is wrong with this group idea, terrorists are a part of life and they make it pretty interesting in their own way. Maybe these ones will do the same to roleplay. If you can't handle that shut your computer off and go take a breather.
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    If I was Lesbian I'd totally be @Honeybees Baby Boy
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    *opens dayzrp* *sees 36 notification* *closes dayzrp*
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    We have a Group of Islamic terrorists, a group of Crusading Catholics, all we need now is the local Atheistic population to form then we got ourselves a party lol. Love the lore and backstory can't wait to deal with these boys in game good luck my dudes.
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    Got a solid roster full of people I know can put out some amazing roleplay. Good luck with this guys!
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    The best fucking part of this was seeing this at the end. Gave it a quick read, looks pretty good at a quick glance, but I'm happy at the roster too. You guys got a proper bunch of together to strike fear into us infidels.
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    I mean that's cool, but i'm aware the outside world doesn't love my look. I love myself and my poor fashion choices ✌ I also updated your image for accuracy because c'mon they aren't 100% gone
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    This is beautiful god help me!
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    *Lawrence activates his radio* I should be round in a few hours, will see if you are still there then cause this shits gunna get infected soon. Catch you later love. *Transmission ends*
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    Since @Taryn and @Kriss Blade have come to an agreement where the report would be closed and Kriss Blade would apply for the Mentor Program, we will close this report. Had this report stayed open however, Kriss Blade would most likely been found guilty of an Invalid Kill as he had no rights to kill anyone in this scenario. If Kriss Blade does not follow through with his participation in the mentor program, this report will be reevaluated and he will be found guilty of the rules broken here. Using the mentor program as an excuse to escape punishment is not acceptable and as such we expect Kriss Blade to hold up his end of the bargain. /closed
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