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Active Baseline: Beta / V1Value of LifePlay the woundHospitals are green-ish

Medical & Injury RP

Goal: make injuries feel real, create scenes for EMS/PD/civilians, and turn “downs” into stories (not instant respawns). You can keep playing—just carry consequences forward.

Principle
Survival > ego
Fear weapons, numbers, and injuries realistically.
Scenes
Clarity beats power
Emote symptoms & intent. Don’t force outcomes.
Continuity
Consequences carry
Bills, fatigue, limps, follow-ups—use them.

Quick actions

What players actually need
Apply for EMS →
High-trust role. Triage, transport, handoffs, and aftercare that keeps the city alive.
Suggested read: EMS Flow, Hospital RP, Boundaries
Hospitals are not warzones
Beta/V1

No shootouts, no mass crowding, respect staff direction. If the ER gets flooded, keep it calm and play triage like a real system.

Beta / V1 baseline

1) Core principles

This is the standard for injuries, downs, and hospital scenes.

Value of Life
Required

Survival beats ego. Fear weapons, numbers, and injuries. Don’t act invincible.

Show consequences

Carry wounds, fatigue, legal heat, and bills into later scenes. Don’t “reset” because you left the hospital.

Consent & comfort

If a scene turns sensitive: pause → quick OOC check → adjust / fade-to-black.

2) Injury scale (play what fits)

Recovery means carrying behavior (limp/sling/rest), not “don’t log in.”

Light
Same day → 24h
  • Examples: bruises, cuts, sprains, tased
  • How to play: winces, slower pace, bandage/sling
  • Keep it honest: avoid sprinting/gunplay if it doesn’t fit
Moderate
2–4 days
  • Examples: deep cuts, minor GSW, concussion, small burns
  • How to play: limp/arm guard, fatigue, hospital check-in
  • Follow-up hook: meds, wound check, PT note
Severe
5–10 days
  • Examples: major GSW, fracture, stab to torso, big crash
  • How to play: surgery/ICU, crutches/wheelchair after
  • Carry limits: no running/lifting; take rides/elevators
Critical
10+ days + consult
  • Examples: cardiac arrest, multi-trauma, OD w/ respiratory failure
  • How to play: EMS resus + surgery, long rehab arc
  • Staff may set severity/timers; focus on story continuity

3) Memory & coma (common sense)

Use memory loss to protect realism, not to dodge consequences.

Knockout/coma

You may forget the moment around impact/attack—not your entire life.

Unknown assailants

Masks/unknowns mean you don’t “magically know.” Investigate IC later.

No amnesia abuse
Enforced

You can’t erase debts, relationships, charges, or business obligations by claiming memory loss.

4) Civilians & bystanders — first 5 minutes

This is how you turn an injury into a good city-wide scene.

1
Scene safety

Move off the road, secure firearms, keep traffic clear. Don’t crowd. Don’t escalate.

2
Call it in

Use /911 with: what / where / how many / how bad. Short, clear, useful.

3
Basic aid

Bleeding → pressure/tourniquet. Breathing → open airway/recovery position. Unconscious → CPR/defib if you have it. OD → Narcan if available.

4
Hand-off

Tell EMS what you did and the timeline. Don’t hide info to “win.”

Quick emotes you can copy-paste
Player Edition
/me applies direct pressure with a folded shirt, counting out loud.
/do You’d see shallow, rapid breaths and glass shards in the forearm.
/me checks for a pulse, starts compressions, and calls for a defib.

5) EMS flow (cinematic, not stalled)

Dispatch → Approach → Triage → Treat → Transport → Hospital → Handover → Notes.

On scene
EMS

Announce, control the scene, ABCs/MARCH, head-to-toe. Make it visible and paced.

Triage colors
EMS

Red (critical), Yellow (serious), Green (walking), Black (no signs after protocol).

Transport
EMS

Routine / lights / trauma alert. Radio ETA + mechanism. Keep the city informed.

Sample handover line (what good looks like)
EMS → Hospital
“25M, GSW LLQ, two 9mm, pressure dressing + TXA, stable, ETA 5.”
Common treatments
Beta/V1
  • Airway adjuncts + oxygen
  • Bleeding control + splints
  • IV fluids + pain management
  • Narcan + monitoring (OD)
  • Defib/resus per protocol
Aftercare hooks
Keep RP alive
  • Discharge notes + restrictions (no lifting/running)
  • Follow-up call a day later
  • Pharmacy pickup + payment plan
  • PT appointment + mobility aids

6) Hospital RP (keep it clean)

Hospitals are where consequences land. Respect the environment.

Zones (how to behave)
Beta/V1
  • Waiting/triage, treatment bays, OR/ICU, pharmacy, staff areas
  • No shootouts. No mass crowding. Respect staff commands.
  • Visiting hours can exist—use it to create social RP.
Scenes to play
Good RP
  • Imaging (X-ray/CT), sutures, casting, surgery brief
  • ICU check-ins and follow-ups
  • Billing + charity care + payment plans
  • Discharge: sling/splint/canes + restrictions
Scenario starters

7) Plug & play scenarios

Use these templates to instantly create a full city scene.

GSW / Knife
High impact
  • Evidence: casings, witness panic, blood trail
  • EMS: bleeding control, rapid transport
  • PD: scene tape, shell count, canvass, hospital guard
Vehicle crash
Multi-patient
  • Civ: hazards on, block traffic, 911
  • EMS: C-spine, extrication emotes, triage
  • PD: sobriety/write-ups, tow, roadway clear
OD / substance
Medical + social
  • Civ: Narcan, recovery position, call it in
  • EMS: airway/O2, monitor, transport
  • Hospital: harm-reduction kit + follow-up contact
Fire / burns / smoke
Danger
  • EMS: cool water (not ice), cover, O2 for inhalation
  • Fire: origin/cause emotes, red-tag if trapped
  • After: lingering cough, soot, fatigue
Concussion / blunt trauma
Carry it
  • Symptoms: nausea, headache, light sensitivity
  • Play: no sprinting/gunplay that day; doc orders rest
  • Hook: follow-up neuro check / work restrictions
Underground medicine (risky by design)
Illegal
  • Back-alley sutures, bullet pulls, forged scripts
  • Trade-offs: infection risk, bad meds, stings, higher cost
  • Play consequences: fever, weakness, return visit
Boundaries

8) Boundaries & red lines

Keep it immersive without crossing lines.

Always fade-to-black when needed
Enforced
No graphic torture/body horror. Suggest, imply, then fade-to-black if it gets too detailed.
Hard bans
Enforced
No pregnancy/children/SA roleplay. Mental health portrayal must be respectful—no caricatures.
V2 preview (organized placeholders)

V2 expansions (not enforced yet)

Reserved slots so V2 can layer in cleanly later.

V2: Persistent injuries + rehab system
Longer rehab arcs tied to actions (PT, prescriptions, mobility aids), plus optional follow-ups and case notes.
V2: Insurance, billing, and charity care depth
Payment plans, fundraising, insurance tiers, and medical debt arcs that feed civilian RP without “punishing play.”
V2: Hospital security + protected transports
Clean PD/EMS coordination patterns for high-risk patients and evidence handling—without turning hospitals into combat zones.