> For the complete documentation index, see [llms.txt](https://kam-1.gitbook.io/kam-docs/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://kam-1.gitbook.io/kam-docs/medical-de/core/02_appendix_aid_procedure.md).

# Appendix: Complete Aid Procedure

***

This procedure is an example of the steps required to bring an unconscious patient back to full health. It does not dictate exactly which medications to use, but rather focuses on the desired physiological effects. Similar outcomes can be achieved using alternative methods depending on the situation.

{% stepper %}
{% step %}

### Control Massive Bleeding

* Tourniquet severely injured limbs.
* Bandage head and torso wounds.
* In cases of massive hemorrhage, **TXA** and **EACA** can be helpful to support coagulation factors.
  {% endstep %}

{% step %}

### Monitor Vital Signs

* Establish a baseline by monitoring vitals using the AED X-series monitor, or place a Pulse Oximeter on a limb without a tourniquet. (You may skip this step if equipment is unavailable).
  {% endstep %}

{% step %}

### Manage Airways

Check the patient's airway status and treat accordingly:

* **Occluded** → Recovery Position → Accuvac → Head Turning
* **Obstructed** → Recovery Position → Head Hyperextending *(Stay close to the patient)*
* **Clear** → Recovery Position → King LT → Guedel Tube
  {% endstep %}

{% step %}

### Fluid Resuscitation

* If a fatal amount of blood was lost, administer **1–2 liters** of fluids (Blood or Plasma are preferred to restore volume and manage pH/clotting factors).
  {% endstep %}

{% step %}

### Treat Cardiac Arrest

* If the patient has no pulse, perform **Cardiac Arrest Treatment** (CPR and AED analysis/defibrillation). If no AED is present, perform CPR and administer Epinephrine every 2 minutes.
  {% endstep %}

{% step %}

### Diagnose & Treat Lung Damage

Inspect the chest for lung injuries and follow respiratory treatment guidelines:

* **Pneumothorax (PTX)** → Apply Chest Seal → Auscultate. If the sound persists, perform needle decompression.
* **Tension Pneumothorax (TPTX)** → Execute immediate needle decompression (NCD/AAT Kit).
* **Hemothorax (HPTX)** → Apply Chest Seal → Perform fluid draining (AAT Kit) → Re-auscultate.
  {% endstep %}

{% step %}

### Evaluate Kidney Function

Use the **Check Breathing** action on the patient's head to check kidney status:

* **Good (OK breath)**: No action needed.
* **Pressure (Slightly Fruity breath)**: Administer Blood → Plasma → Dialysis.
* **Fail (Harsh & Metallic breath)**: Dialysis → Blood → Plasma *(Warning: Cardiac arrest is likely to occur if untreated).*
  {% endstep %}

{% step %}

### Finalize Wound & Fracture Care

* Bandage and stitch all open wounds.
* Remove tourniquets once bleeding is controlled.
* Treat fractures:Closed reductions/splints for simple fractures; surgery (Lorazepam sedation, Etomidate anesthesia, bone plates) for complex fractures.
  {% endstep %}

{% step %}

### Stabilize Blood Volume

* Administer fluids until at least the "Lost Some Blood" status is achieved.
  {% endstep %}

{% step %}

### Revive the Patient

* Administer Ammonium Carbonate, use the "Reorient Patient" action, or push Epinephrine to boost wake-up chances, then wait. *(See* [*Essential Values*](/kam-docs/medical-de/core/01_essential_values.md) *for wake-up requirements).*
  {% endstep %}
  {% endstepper %}