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Thread: Squad medic tips and wisdom

  1. #1
    Junior Member Big Man's Avatar
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    Squad medic tips and wisdom

    This is a verbose collection of my personal (and now others' too) experience playing a corpsman, finally put into writing after people occasionally asking me for advice on playing medic. Some points may seem obvious, some may not.
    I'm open to feedback and will update with more info!


    GENERAL

    • Heal/Revive first, engage in firefights second.


    • Heal/Revive away from frontlines, pull bodies away if you don't have time to revive. Watch out for a skirmish's dynamic, if everyone's being pushed back, it's better you retreat with the dead marine then heal.


    • Prioritise reviving medics over others. There is a chance they are stupid and will just retreat but generally they are of greater use immediately alive than other roles. When overwhelmed with dead marines - prioritise dead ones over those dying. When it's a dead marine and a critical marine, I instead go for the latter because not only they will be back in fight faster, but because they can actually die. Or at least try to pill them (tram, bica/kelo) and salve bad bleeding wounds (like chest with 100+ brute) or administer Quick Clot - it stops any type of bleeding.


    • After reviving a marine don't forget about their equipment (his armour and gun). Redress them if you have time and they aren't waking up just yet. Same goes for when pulling away an unconscious/dead marine, take their gun.


    • Loot perma-dead medics for pills, and other supplies. As pointed out by Phenom1250, this doesn't mean you shouldn't store up on medical supplies shipside, it's just an option to keep in mind.


    • When pulling someone away, be it one a stretcher or just dragging, use analyser and kits with your other hand - saves time.


    • When drugging someone, always check what they already have some in their bloodstream. Nothing as nasty as a critical overdose (usually above 50 units - or 4 doses of a drug)


    • When helping another medic, always let them know what you're doing (like "splinting", "suturing", "CPR"). And don't try to administer pills alongside other medics. More often than not this leads to ODs. And god forbid it's tramadol which metabolises cunningly slowly. Everything considered, you shouldn't be helping other docs in the first place, unless asked directly, or the patient is about to die (orange or flashing orange), as suggest by Phenom1250.


    • Splints come off when the respective body part is attacked, keep that in mind.




    On Triage

    • Actually use painkillers. They may not seem necessary (and I don't know why the fuck some medics don't use them) - one will be less slowed down and less distracted by screen blur. It also might save them if they are wounded again. Say, had they not been given painkillers, they would be critted. But thanks to tram they manage to make it out alive.


    • When someone is dead, meds don't metabolise (i.e. don't work) but pills get digested (i.e. get into your bloodstream and ready to metabolise once the heart starts pumping). It makes sense to administer inaprovaline (maybe peri+dex+dylo if you suspect bad organ dmage) before reviving so they get working right away and prevent them dying again (see on the drugs' mechanics below). That is if you're not running out of time on revival.


    • 300-400 damage marines can actually be revived. Don't abandon them. It is possible to revive someone even above 700, e.g. if it's evenly spread burn damage. Just salve and graft/suture them, inject epinephrine, and keep defibbing.


    • Defibrillation will only work on someone who has less than 200 overall damage. Each attempt heals a bit, but has a 25% chance to deal 5 damage to one's heart (see point on organ damage below), so don't overdo it. Epinephrine boosts heal per defib attempt and is partially consumed, use it when a guy's royally fucked and you intend to actually revive him. A dead person has 5 minutes before becoming permanently dead, flashing orange icon means 1 minute is left. Marines with broken heart sign are revivable but have a busted heart, thus can't be revived because there is nothing to pump blood - evac those ASAP. Surgeons will quickly fix their heart and proceed to revive them


    • When defibing you can freely operate with your other hand or even drop the defibrillator. So you can potentially administer pills or use kits while at it. Makes sense to employ that when one is badly damaged, so you're not getting them up after one or two defibs anyway. Salve and splint while defibing instead of simply waiting for another go.


    • Bicardine overdose (above 30u) heals internal bleeding, but only when other brute damage in that body part is gone and only the one coming from IB is left. Standard ratio is 3 bica + 1 kelo (counteracts bica OD), that is 15 bica OD, which is usually enough. But monitor that particular patient, in case he needs more OD or his burns are bad.


    • On oxygen, toxin and organ damage
      • By and large, organs get randomly damaged upon receiving extreme brute damage, moving with unsplinted fractures, and due to armour piercing damage to respective torso part. If organ damage occurs administer peridaxon (which doesn't heal organs but stops negative effects) and dexaline (heals 4 oxy/tick) or/and dylovene (2 toxin/tick), and send the marine to a surgeon or evac them.
      • Oxygen damage is caused by either a person simply being dead - it will build up until one is revived and will not come back or will stay capped at 21 after revival. Another cause is blood loss - bleeding wounds and internal bleeding. Minor one leads to the tell-tale 21 oxygen damage. Blood can be regenerated by eating or administering iron. Critical levels of blood (haven't seen these often so not sure on exact threshold - it's around 70%) will cause quick build-up of oxygen damage and even toxin damage until death. Bleeding intensity scales with wound severity, so be vigilant of chest/groin/head wounds as these can receive a lot of brute damage.
      • Yet another cause is lung or heart damage. Same 21-threshold works here. Usual cause is bad chest damage or people walking without chest splints (or it coming off). Lungs will get ruptured after certain amount of damage to them and will cause lots of oxy damage in that state. Any heart damage below 10 will instantly produce 21 oxy damage. At 10 heart damage, this jumps to 50 and slowly grows. At 30 the heart ruptures rendering a person unrevivable until fixed via surgery. In this case they need to be delivered to a surgeon ASAP. Another symptom of large heart damage I noticed once is a person constantly passing out though easily awoken. They will appear standing up then instantly falling.
      • Liver and kidney damage are pretty straightforward. They will cause toxin damage build-up depending on severity. Damage to them will also be caused by extreme toxin damage.


    • Artificial limbs and synths are healed using cable coil (brute) and welding (burn).


    • Shake freshly defibbed people if they are shakeable, it'll get them up if they are under 150 total damage. (by Ttly)


    • Shake hugged people to wake them up quicker so they can go and be treated, it takes about 25 minutes for a human to burst outside of nests. (by Ttly)


    • Stasis bags don't have much use now and are primarily useful for slowing larva growth, when a marine can't be promptly operated. Critical OD (4 doses of a drug - above 50u for most) is another case. You can put a marine in a bag and send him to surgery that way. But in the case of some critical ODs a stasis bag won't help much either, because the marine can still die and pop out of the bag. IB, crit-pain, and the rest don't warrant the stasis. The worst part is one falls asleep inside it, so they can't leave it when shit hits the fan, unlike any stretcher. (suggested by Ttly)




    On pills, meds and equipment

    • I always pack one additional bottle of tram, bica and kelo. I have rarely run out of those (Only when there were 4+ hour rounds a few years ago). I also pack a mini-extinguisher!


    • As mentioned in the general section, Quick Clot comes useful when you need to quickly stop bleeding from wounds, e.g. when you're overwhelmed with critically wounded and you have no time to salve/suture each and everyone. (by MistChristmas)


    • Inaprovaline works by making it so you won't take oxy damage once you hit 150 total damage, 150 total damage is called critical state, you instantly drop unconscious and build up oxy damage until you hit 200 total, this is unrelated to lung damage (by Ttly)


    • You can restock splints, kits, autoinjectors in medivendors/NanoMed dispensers - just click on them to refill an item. Debifs, however, have to be restocked manually: stock yours and vend a fresh one. On top of that, splints can be duped: grab one splint from a 5-stack, feed that one splint into whatever machine that accepts it, vend a full 5-stack - voila! Use this to get extra stacks before drop in a DS's wall vendor. I pack at least five stacks in my belt.


    • Always use splints and have plenty on hand - untreated fractures deal damage or even hurt internal organs: ribs go for lungs and liver, groin - for kidneys, skull - brain and eyes. All are very nasty and will certainly require evac.


    • Additional drugs: the most useful is ImiAlky which actually allows you to fix eye and brain damage, otherwise can only be healed via surgery. Iron is great too - regenerates blood much better than food. MeraBica, TriBica and KeloDerm are just better alternatives to conventional drugs, not really necessary but good to have.


    • Tricordrazine is a universal drug that heals all types of damage albeit slowly. But for a field medic it is useful because it boosts bica, kelo and dylo. If you happen to have a trica injector, use it to jab those with bad damage. Same goes for Meralyne (in MeraBica) and Dermaline (in KeloDerm) but there doesn't happen to be easily accessible respective injectors.


    • In March 2022, surgical line and synth-graft were added to CM as a part of regular medic's kit. These act like infinite kits that heal brute and burn damage respectively. However, they take time to apply. Good thing, they stack with kits as stated in the changelog: "Kits and sutures partly stack, kit effectiveness varying to a minimum of 50% healing on a fully-sutured limb. Same final heal amount no matter the order of mixed suture and kits". As for salving, rule of thumb is anything above 20. I always pack 2 advanced medkits for this reason.


    • It makes sense to wear default equipment that doesn't have medic markings on it (these are satchels/backpacks and helmets. Medic belts also have them, but there are no way around these). Yes, xenos can try and aim for special marine roles like it's 1945 all over again.


    • A short word on combat equipment. I actually learned to love pistols, because they effectively take up a single belt slot together with ammo. And I never ran out of ammo really, as I'm always busy with wounded. I even spend points on VP78, which packs a punch. You can also quite often find it in prep left behind by specs. Logistics IMP backpack is awesome too. It's a backpack-sized satchel (has immediate access). Or you can occasionaly find specs leaving rocket backpacks in prep, these work the same way.
    Last edited by Big Man; 05-20-2022 at 05:41 PM.

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    You forgot:

    -Shake freshly defibbed people if they are shakeable, it'll get them up if they are under 150 total damage.
    -Shake hugged people, it takes about 25 minutes for a human to burst outside of nests, they can run to the LZ or to the APC, or go and die until then.
    -Never use stasis bag outside of ODs, and even then it's shit.
    -Inaprovaline works by making it so you won't take oxy damage once you hit 150 total damage, 150 total damage is called critical state, you instantly drop unconscious and build up oxy damage until you hit 200 total, this is unrelated to lung damage.
    -Even 3-5u of tramadol OD is practically lethal, trama lasts longer than most drugs and the toxin damage build up is lethal.
    Last edited by Ttly; 05-06-2022 at 12:37 AM.

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    Junior Member Big Man's Avatar
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    Thanks for the insights, I updated the post with those + fixed some typos.

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    I'll throw my couple of habits at you too.

    If someone's bleeding out of anywhere, and you're too busy/don't want to waste the kits/can't be fucked to stop their bleeding. Just feed them Quick-Clot. It stops all bleeding not just internal. And IB is semi rare now. Blood loss can suck pretty hard when the marine just falls over. Also supplement with Iron+Sugar along with directing them to the nearest MRE. Sugar is basically food in a pill, so IronSugar (IS) is a stable of my pill bottles.

    If you have a MedAPC or someone has dragged a WeyMed off the Alamyer(If no ones done this just ask the CMO and grab a wrench), you can restock most all of your shit easily, if the pill bottles are out, grab the belt and raid that.
    Personally I carry about 5 Epi pens and some other pill bottles in two extra medkits in my bag. Usually the logi one. So that I can slap epi against any dead guy. Means slightly less time out of the fight for them. And I'll also use my burn/brute kits more frequently if I know I can restock them easily.

    Defibs can be traded into the WeyMed for one with full charge. Just like refilling chem bottles. And if you're only carrying one defib. Make space for a second. Especially if the round is low on medical numbers.

    And don't quote me on this but I think oxy damage above 23 units will make your patient unconscious regardless of other factors. So don't bother trying to shake people that have 23+ oxy damage casuse you'll just CPR them, just pill Dex and stab them with Dex+.

    Also yeah pistols are great cause you can one hand them and don't need to wield them. Usually I'll take the M4A3 because you can slap that twice as fast as anything else. Just ya know make sure Req is sending ammo for it down. 88s are the more reasonable choice with good fire rate, AP and 20rnd mags.

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    Fantastic guide and definitely the go to for new medic to get good at the job faster, but there's only 2 things I have critique on.
    Loot perma-dead medics for pills, and other supplies.
    Unless you're a battle medic you should almost never feel the need to loot your fallen medics for pills since you should have more than enough pills to last up to a 2.5 hour round(especially in this current state of the game), even if you go crazy on tram for whatever reason. You'll run out of splints and maybe Defib charges faster, which is a good idea to add a supply radio comm on your headset to order some more.

    When helping another medic, always let them know what you're doing (like "splinting", "suturing", "CPRing"). And don't try to administer pills alongside other medics. More often than not this leads to ODs. And god forbid it's tramadol which metabolises cunningly slowly.
    Honestly I just say don't help at all unless it's request(usually never is outside of Medbay) or a niche dire situation. I feel it's not only disrespectful, but more hurtful than helpful for a medic to jump into another medic's work on a patient and the only time it's acceptable is if someone needs to be ready to be defibbed ASAP. A patient can easily get OD'd from that and neither you nor the patient will never know until it's too late since 7 out of 10 times marine grunts are too impatient to wait for you to finish healing them and will rambo back into battle.

  6. #6
    Junior Member Big Man's Avatar
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    Quote Originally Posted by MistChristmas View Post
    If someone's bleeding out of anywhere, and you're too busy/don't want to waste the kits/can't be fucked to stop their bleeding. Just feed them Quick-Clot. It stops all bleeding not just internal. And IB is semi rare now. Blood loss can suck pretty hard when the marine just falls over. Also supplement with Iron+Sugar along with directing them to the nearest MRE. Sugar is basically food in a pill, so IronSugar (IS) is a stable of my pill bottles.

    Defibs can be traded into the WeyMed for one with full charge. Just like refilling chem bottles. And if you're only carrying one defib. Make space for a second. Especially if the round is low on medical numbers.

    And don't quote me on this but I think oxy damage above 23 units will make your patient unconscious regardless of other factors. So don't bother trying to shake people that have 23+ oxy damage casuse you'll just CPR them, just pill Dex and stab them with Dex+
    Mentioned most of what you said, good to see we follow the same habits. However, I totally overlooked QC, it's been some time since I used it. I'll certainly add that. And I should also mention the bit about defibs, as they should be restocked manually.
    As for the oxygen damage, I'll keep an eye out for that and see if it works that way.

    Quote Originally Posted by Phenom1250 View Post
    Unless you're a battle medic you should almost never feel the need to loot your fallen medics for pills since you should have more than enough pills to last up to a 2.5 hour round(especially in this current state of the game), even if you go crazy on tram for whatever reason. You'll run out of splints and maybe Defib charges faster, which is a good idea to add a supply radio comm on your headset to order some more.

    Honestly I just say don't help at all unless it's request(usually never is outside of Medbay) or a niche dire situation. I feel it's not only disrespectful, but more hurtful than helpful for a medic to jump into another medic's work on a patient and the only time it's acceptable is if someone needs to be ready to be defibbed ASAP. A patient can easily get OD'd from that and neither you nor the patient will never know until it's too late since 7 out of 10 times marine grunts are too impatient to wait for you to finish healing them and will rambo back into battle.
    Thanks for appreciating the guide!
    You have a fair point that you shouldn't be finding yourself in need to loot dead medics, because you should be spending your points on medical supplies first. But it was more about simply pointing out this option. It was also due to my penchant for over-preparedness, heh.
    As for helping other medics, I usually do that when it's a bad patient. But, yeah, you shouldn't do that otherwise. I'll clarify that.

    Thanks for your input, both of you!

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    Whitelisted Captain Total_Epicness's Avatar
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    Half the medics in CM don't know the second one. They really be defibbing guys 5 tiles from the frontline
    Benson 'Bengus' Gusman, Frankie 'LTB' Sulyard (old TC name)



  8. #8
    Member BatteryBan's Avatar
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    Lovely guide you have here. This is very well put together and hammers home some core principles that I think every medic player should know. I also appreciate that you don't go all nitty-gritty into what you think or believe is THE META for medics.

    The only thing I don't see here that some guy grilled me for two years ago, was that you should always kit someone if they're bleeding before giving meds. And given that I see medics not doing this, I think it could be included. I don't know if this matters or not but I still religiously follow this man's word of advice two years later.
    Keagan Richter: Working slave of the BRAVO SQUAD.

    Also the fattest XO of them all.

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