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Civilian Department Medical Guide

This document shows all the knowledge all civilians should know when doing a medical call.

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Civilian Department

Medical Guide

📝 Last Revision: 05/24/2026

Table of Contents

  1. Vitals
  2. Common Medical Situations
  3. Medications
  4. Changelog

Vitals

1.1 Normal Vitals

🩺 Standard Adult Vital Signs

Vital SignNormal Range
Heart Rate60-100 BPM
Blood Pressure90/60 - 120/80
Respiratory Rate12-20 Breaths/Minute
Oxygen Saturation96-100%
Blood Glucose70-140 mg/dL

💡 Tip

A patient's condition may significantly alter their vital signs. Major trauma should present more severe abnormalities than minor injuries.

Common Medical Situations

2.1 Gunshot Wounds

🔴 Blood Loss Assessment

Blood LossSymptoms
Less than 15%Slightly elevated heart rate, minimal BP changes
15% - 40%Significant BP drop, elevated HR
Greater than 40%Severe hypotension, unconsciousness likely

⚠️ Warning

Arterial bleeding is difficult to control and can rapidly become life-threatening.

2.2 Drug Overdose / Poisoning

Opioids & Depressants

Examples:

• Heroin

• Prescription Opioids

• Benzodiazepines

Symptoms

• Respiratory depression

• Oxygen deprivation

• Cyanosis (blue skin)

• Cardiac arrest if untreated

Stimulants

Examples:

• Cocaine

• Methamphetamine

• Amphetamines

Symptoms

• Elevated heart rate

• Elevated blood pressure

• Increased body temperature

• Seizures

• Stroke

• Heart attack

2.3 Anxiety / Panic Attack

🟡 Common Findings

Vital SignExpected Findings
Heart RateUp to 200 BPM
Respirations20-30+ Per Minute

Symptoms

• Hyperventilation

• Lightheadedness

• Chest pounding

• Shortness of breath

2.4 Respiratory Distress

⚠️ Warning

Respiratory emergencies can deteriorate rapidly.

AssessmentFindings
RespirationsBelow 10 or Above 20
Oxygen SaturationBelow 96%
Blood PressureBelow 90/60

Symptoms

• Confusion

• Labored breathing

• Shortness of breath

• Disorientation

2.5 Diabetic Emergencies

Hypoglycemia (Low Blood Sugar)

Hyperglycemia (High Blood Sugar)

📝 Common Symptoms

• Sweating

• Dizziness

• Fatigue

• Hunger

• Shaking

• Agitation

• Tingling Lips

Diabetic Shock

🔴 Severe Symptoms

• Blurred vision

• Seizures

• Convulsions

• Slurred speech

• Confusion

• Loss of consciousness

2.6 Crush Syndrome

⚠️ Critical Condition

Occurs when blood flow is restricted to an extremity for an extended period.

Signs & Symptoms

• High Heart Rate

• High Respiratory Rate

• Severe Shock

• Sweating

• Anxiety

• Weakness

❌ Danger

Sudden release of crushing pressure can cause kidney failure and cardiac arrest.

2.7 Loss of Consciousness (Fainting)

Common Causes

• Severe Pain

• Extreme Fear

• Emotional Distress

• Overheating

• Extreme Exercise

• Blood Loss

Symptoms

• Dizziness

• Blurred Vision

• Cold Sweats

• Nausea

• Difficulty Speaking

2.8 Cardiac Arrest

🔴 Medical Emergency

Warning Signs

• Rapidly declining oxygen saturation

• Falling blood pressure

• Decreasing heart rate

⚠️ Oxygen levels below 70% can result in cardiac arrest within 20 minutes.

📝 Note

Not all cardiac arrests are heart attacks, but heart attacks may result in cardiac arrest.

Medications

Respiratory Management Medications

MedicationRouteDosePurpose
Ativan [P]IV2 mgSeizures, Anxiety, Respiratory Distress
Duoneb [P]Nebulizer2.5 mg/mlAsthma & COPD
Epinephrine [S]Nebulizer1 mg/mlSevere Asthma
Magnesium Sulfate [P]IV Drip1.2-2.0gSevere Acute Asthma

Sedation / Paralytics

MedicationRouteDosePurpose
Droperidol [P]IV2.9 mgViolent / Psychotic Patients
Etomidate [P]IV10 mgSedation & Intubation
Ketamine [S]IM1.5 mgIntubation Sedation
Rocuronium [S]IV10 mgMuscle Relaxant
Suxamethonium [P]IM50 mgParalytic

Pain Management

MedicationRouteDosePurpose
Aspirin [P]Oral300 mgPain / Fever
Toradol [S]Oral / IV / IMVariousModerate-Severe Pain
Fentanyl [S]IV10-50 mcgSevere Pain Relief
Morphine [P]IV2-5 mgPain Relief

<details>

<summary>Fentanyl Precautions</summary>

Do NOT administer if the patient:

• Has respiratory distress

• Has a head injury

• Is experiencing bradycardia

</details>

Cardiac Medications

MedicationPurpose
AdenosineTachycardia / Cardioversion
AmiodaroneVTach / VFib
AtropineBradycardia
DopamineShock Treatment
Epinephrine 1:10,000Cardiac Arrest
NitroglycerinChest Pain / Heart Attack
LidocaineVentricular Tachycardia

Seizure & Stroke Medications

MedicationPurpose
Ativan [S]Seizures
Diazepam [P]Seizures
Versed [S]Seizures / Post-Intubation

Miscellaneous Medications

MedicationPurpose
Activated CharcoalPoisoning
Dextrose 50%Hypoglycemia
NarcanOpioid Overdose
InsulinDiabetic Emergencies
Tranexamic AcidSevere Bleeding
Saline FluidRehydration
ZofranNausea & Vomiting

Changelog

DateChange
05/24/2026Current Revision
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On this page
Civilian Department 1.1 Normal Vitals 2.1 Gunshot Wounds 2.2 Drug Overdose / Poisoning Opioids &amp; Depressants Stimulants 2.3 Anxiety / Panic Attack 2.4 Respiratory Distress 2.5 Diabetic Emergencies Hypoglycemia (Low Blood Sugar) Hyperglycemia (High Blood Sugar) Diabetic Shock 2.6 Crush Syndrome Signs &amp; Symptoms 2.7 Loss of Consciousness (Fainting) Common Causes Symptoms 2.8 Cardiac Arrest Warning Signs Respiratory Management Medications Sedation / Paralytics Pain Management Cardiac Medications Seizure &amp; Stroke Medications Miscellaneous Medications