How do you deal with mass casualty?

[DukeofCagliostro (Archibald V. Cartwright)]

This is all really good feed back in the event I run medic. Thank you all for the excellent feed-back.

[staykeu]

Hey Jayla, I saw you attempting multi-surgery during an LV-624 round as a groundside doctor, so I wanted to give my input here to see if I can help you out a bit on it.

First of all, I wholeheartedly agree with Reid’s sentiment of slow is smooth, smooth is fast. If you try to pull multiple things at once it can get very confusing, take one thing at a time. When you try to do thirty things at once, especially when things are sorted specifically in their own categories (I.E. three marines, one with two fractures, one with four fractures, and IB, one with heart damage, all fractures in different positions of the body) it can get confusing extremely easily, even for adept players, which causes slowdown. Of which can be slower than if you treated them one-by-one, counterintuitive to the goal of being faster.

Multi-surgery, though it may feel like its a necessity, should only really be reserved for synthetics and EXTREMELY ADEPT medical players, the best of the best. Personally the most multi-surgery I do is using the same tool on different parts of the body before moving onto the next, I’m used to it and I rarely fuck it up. When you introduce multiple people, it complicates it to a difficult degree.

In short, take one patient at a time, use rules of triage and priority; there is room to be slow and practiced in your work even in mass casualty situations as long as you aren’t slugging in spite of brevity.

On a side note make use of triage cards, they help majorly with keeping track of your patients. Otherwise, have a good one and I wish you well!

[NessiePendragon]

[Clockworks]

Take my advice with salt, I am only just gold, but I personally do:

Anyone about to perma

Medics

CO/CL

Officers

Specs

SG

Leaders

CT

Everyone else.

I do sometimes make the call, that if two guys are about to perma, I go for the easiest fix

[WestRover (Annie)]

Usually, I don’t have a “rev this person first” logic to my brain,

I look at most bodies, I run around scan every one, see who is the quickest to rev and rev them first.
then longer bodies second, the reason being is, after a mass cauality, you need to find man-power, quicker.

[Clockworks]

I never seem to be able to locate this button on the defib, oddly…lmao

[kek69420 (Sergio Konstantza)]

@osmos

Inaprovaline is godtier imo, any crit marine you should stab with a revive mix. If you can prevent them from flatlining it saves you a great deal of time having to remove their armor and using a defib on them. As it can become very messy keeping track of their weapon and armor if xenos do push you.

I have to disagree with this, mostly since there are chemicals (Dexalin Plus, Dexalin or Tricord) that actually treat the cause and not the symptom, but they are both in the classic Revival Mix, so it’s not a big issue.

One point that I didn’t see anyone mention in this thread is that while defibbing requires the patient to be around -100% (excluding oxy damage), to actually stand up you need/should to bring your patient to around 0 or higher- an unconscious marine is still a useless marine. In my personal opinion as HM, it is better to revive someone to actually decent health or even help another medic by using line/graft if the situation allows.

(This method will probably never get you the dopamine rush of most revives fun fact) (No, I am not coping (Yes I am ))

[detectivegoogle]

dealing with a mass casualty scenario is simple.
step 1: unholster your handgun
step 2: target the leg (right legs tend to have splints on them to knock off, so are ideal.)
step 3: place 1 bullet into the leg of every marine running away faster than you

remember kids, you only have to outrun the slowest poor bastard to survive the rout.
(don’t do this.)

[Baka9 (Jayla Smith)]

For that round, the problem was that Queen was assaulting FOB, but most of the marines were on the front line. The Alamo DP or auto mode launched so early that 10 marines were left at fob. I only sealed one of them (I forgot to drag one with me) when the Queen and crusher breached the cade. Luckily, we took the ground back and continued to treat the unconscious patient with 6 incision wounds.
How about these 3 patients? The first one is the chest, left leg, and right arm. The second one is gorin, left leg and feet, right leg and feet. The third one is head Ib.
They do not come in groups and seem not hurt by the same Xeno(or Xenos with the same tactic, yes I’m saying backline runners delimb legs and feet). The purpose of Multi-surgery is that you don’t even need to aim at different limbs when your patients have the same frac. (Small tip: change the HLF scanning method can have logs of different patients in the chat menu)
For the problem of redundancy, there are 2 cases. During a surgery, Scout brings ya a nearly perma marine or an HM brings ya a heartbreak marine. You have to stop treating the patient(frac fix) you are treating right now and save others’ lives. However, when it will become a big problem to stop treating 3 or 4 people. In this case, I will change my treatment method that not treating more than 2 patients when there is no other fobdoc.
Holograph is a method to tell the shipside docs the situation of the patient. Fob Doc is supposed to heal the orange and red cases unless they are dead or hugged, then I need to holograph purple or black and evacuate them.

[Catzonwheelz]

@kek69420

One point that I didn’t see anyone mention in this thread is that while defibbing requires the patient to be around -100% (excluding oxy damage), to actually stand up you need/should to bring your patient to around 0 or higher- an unconscious marine is still a useless marine. In my personal opinion as HM, it is better to revive someone to actually decent health or even help another medic by using line/graft if the situation allows.

@kek69420

an unconscious marine is still a useless marine.

Ehh i mean yes that’s true but also the time needed to wake the apes, is time better served defibing the dead. after all you can’t (normally) pop a pill and leave the body to defib its self. but you can pop meds in sleepy ape and have them wake on there own. simply its more time efficient I.E more heals for less time.

Still i will say sometimes it is better to like that but generally its best to just move to the next body.

[BasilHerb]

In a triage situation your goal should be to juggle defib timers such that the least possible number of people perma.

When you’re swamped in mass casualties where every second delayed could mean perma deaths, you shouldn’t be wasting time focusing on getting each person back to consciousness when you can just multitask. Defib dead guy, pill unconscious guy, move on.

In a mass casualty situation, speed is king. Epinephrine Defib Spam + Kits + Pills during spam should be your bread and butter. If shit’s bad, don’t even splint them, just throw the splints on the floor and tell them to get a buddy to do it (it’s about as fast, anyway).

Lining and grafting should only be done in situations where time is NOT a pressing concern i.e. you will not risk a perma by choosing to line instead of defib spam.

[DukeofCagliostro (Archibald V. Cartwright)]

@detectivegoogle

dealing with a mass casualty scenario is simple.
step 1: unholster your handgun
step 2: target the leg (right legs tend to have splints on them to knock off, so are ideal.)
step 3: place 1 bullet into the leg of every marine running away faster than you

remember kids, you only have to outrun the slowest poor bastard to survive the rout.

This is my Medic Strat. Do not steal. Yes, I am banned from Corpsman.

[staykeu]

Ok. I wanted to help you until you responded to my helpful message with a rebuttal.

[Pablo_Excavator]

Flashing Red—> RED → Synth,medic → yellow → CO and john marine → Green

[Megaddd (Stabbers)]

These are all great theoretical examples.

In practice?

FULL RETREAT TO FOB ALAMO IS HOLDING GROUNDSIDE
-Signed, Sgt. Doomer

[HelennaC (HeleC)]

Focus Specialists/Highest rank.
I often keep the advanced first aid kit on stand-by to fast revive someone within 1 minute.

Normal revives take graft and surgical line. (And calling marines to CPR also helps a lot to give you time or as soon you revive someone? Tell them to CPR someone and repeat until you have the gang back up)

[Willzadl]

normal revives don’t necessarily need anything more than normal kits, i would only graft or surgical line 600 burns or like 150 on the same limb type thing

[Baka9 (Jayla Smith)]

I’m not meant to rebuttal your idea, just discuss it with my ideas. I do get some useful info from it, feel free to throw more ideas whatever are on mine or others

[ihatethisengine]

I mean, actually this is the best course of action. If you get some breathing room after a mass casualty, a lot of times that means xenos are flanking you with the intention to cut you off entirely. Retreating to FOB/fortifications with all the dead and wounded is actually the optimal course of action. Because otherwise you not only lose the people who are already dead, but also your medics and people who cover them.

[SubjectD9341]

The most underrated marine skill you should learn on any role HM included is when you need to gtfo. Too often marines freeze up when getting flanked or outmaneuvered by xenos and end up dying instead of running to safety.

If the front has sustained heavy casaulties AND the front is at the risk of collapsing. Do not continue reviving close to it. Just grab any dead you can, share your spare roller beds with PFCs, grab the dead and just leg it to a secure position.

If you successfully fallback from the front to the FOB with minimal corpses left behind, it’s an incredible success on your part leaving xenos in an uncomfortable situation where they have technically won the frontline but without doing any large damage to the whole marine force to win the FOB siege easily.