Backstage - OOC Forums
EVE-Online RP Discussion and Resources => Player Driven Content => Topic started by: Pieter Tuulinen on 29 Jun 2013, 23:37
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Note:- These files are under digital lock and key with Pyre Falcon. All Medical files are protected and special medical or executive clearances are required to access them, normally. Obviously whatever can be protected can also be made vulnerable - but access to them should not be a trivial matter.
Do not make IC references to information in these files, unless you have IC access to the information!
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Pale Mountain Medical Facility - CasRep
Incident Report #: PMCR-1001115-035
Date: 10.01.115
Patient: Esk. Pieter Tuulinen
Incident: Training Accident
Attending Physician: Doctor Kenji Watanabe
Incident Report:
Patient reported a minor incident during hand-to-hand combat training. Claimed that his attention was distracted during a controlled training bout, leading to accidental injury.
Symptoms Observed:
Simple Closed Head Injury
Comminuted Fracture of the left Infraorbital margin
Significant subdural hematomas of both eyes
Significant subdural hematomas of the Abdomen, Quadriceps, Adductors and Deltoids.
Partially remodelled recent fractures of the Metacarpals and Phalanges.
Stage Three General Adaptation Syndrome and mild Post Traumatic Stress Injury.
Physicians Notes:
The patient is a capsuleer and has had this particular clone for less than a week, but already has a series of injuries complete with remodelling that suggest profound and repeated trauma. The incident, as described, could certainly account for the Concussion and the cheekbone fracture, but the amount and age of the bruising, the partially remodelled fractures of the bones of the hand and fingers and some of the bruising in the face suggest that this incident has occured before.
The psychological indicators are that the patient has reached Stage Three of General Adaptation Syndrome, indicating recent changes in his routine or mental wellbeing that are acting as a stressor. This is most likely to be issues concerned with the ongoing Audit of the company as well as the current situation within the Warzone.
The patient displays several symptoms congruent with a mild case of Post Traumatic Stress Injury. Enquiries and the medical dossier forwarded from Sukuuvestaa Corporation's Peace and Order division seem to indicate that the trigger event was some time in the past and patient is coping well, apparently unaware of his symptoms.
Physicians Recomendations:
Several hours of sedated bed rest before the Patient is cleared to depart the Pale Mountain Facility during which the fractures will be treated with a general focus nanite repair solution (minor). During this time the patient's cranium should be scanned to monitor the concussion.
The patient's flight status is downgraded to 'grounded' for 24 hours whilst an implanted monitor assesses his concussion with an automatic return to 'Flight' status at the end of that period, unless contra-indicated.
I am tagging the Patient as 'excused from combat operations' for a period not less than two-weeks to allow him to naturally progress his General Adaptation Syndrome to a satisfactory level. (Note: Physician reccomendations are overruled during the current state of emergency. Pilot remains cleared for Combat Operations.)
I am reccomending the Patient recieve counselling to assess the current state of his Post Traumatic Stress Injury, but the current symptoms don't mandate enforced counselling or suspension of duties. The patient's psych profile suggest he will likely refuse counselling and I reccomend this be covered at his next performance appraisal.
The Physician reccomends that un-monitored combat training be discontinued to prevent incidents like this. If further reports are recieved Internal Affairs should seek to establish whether a pattern of abuse is forming. (Note: Physician reccomendations are overruled during the current state of emergency. Unmonitored training is upheld.)
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Kaalakiota 112th Striker Regiment - Initial Triage CasRep
Incident Report #: 112SR-2901115-06
Date: 29.01.115
Patient: Pieter Tuulinen
Incident: Combat
Attending Physician: Corporal Anien Haakan
Incident Report:
Firefight between Insurgents and off-duty Caldari Militia capsuleers on Hill 25.
Symptoms Observed:
GSW Left Bicep
30cm Laceration, Left forearm
Bullet Fragments, Lower back
Various small lacerations
Shock.
Physicians Notes:
Patient was responsive and mobile. Treated blood loss with sealant and irrigated/covered the GSW and major laceration. Left the smaller injuries untreated and applied notraum to treat shock.
Physicians Recomendations:
Assessed at triage as "Yellow" and referred to Camp Unity surgical staff for treatment due to bleeding and internal injuries from fragments.
Kaalakiota 112th Striker Regiment - Camp Unity Surgical Unit CasRep
Incident Report #: 112SR-2901115-06a
Date: 29.01.115
Patient: Pieter Tuulinen
Incident: Combat
Attending Physician: Captain-Doctor Astitoh Ihora
Incident Report:
Triaged from field personnel assessed category 'Yellow'
Symptoms Observed:
GSW Left Bicep
30cm Laceration, Left forearm
Bullet Fragments, Lower back
Various small lacerations
Loss of blood.
Physicians Notes:
Patient arrived suffering from excessive bleeding in addition to assessed symptoms. Started replacing blood, sedated and moved to surgical unit three. Surgical team was pre-scrubbed and standing by.
Explored the back injury and removed several larger fragments of metal that were close to the spine. Irrigated wound to remove smaller fragments and sealed it. Some smaller pieces were too close to the spine to be removed and were left in place.
GSW, Left Bicep was explored and found to be a clean 'through and through'. Packed wound and injected patient with anti-infection nanite baseplate at wound site. No bullet fragments detected. Bone uncompromised.
Laceration, Left Forearm was cleaned and major blood-vessel damage was repaired. Wound did not require packing, but injected patient with a second anti-infection nanite baseplate and sealed it.
Assessed various small lacerations, grazes and contusions and cleaned them of debris. No further treatment required.
Physicians Recomendations:
Patient is fit to travel when he awakes. Reccomend follow-up visit at duty-station medical facility for assessment and any further treatment that is indicated.
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Files regarding the infamous Jello Incident go here.
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Kaalakiota Tasti System - C-SAR Vessel 'Infinity' Initial Triage
Incident Report #: INF-1406115-01
Date: 14.06.115
Patient: Pieter Tuulinen
Incident: C-SAR Recovery
Attending Physician: Lieutenant-Doctor Lek Taalnen
Incident Report:
Subject recovered from deep-space shipwreck.
Symptoms Observed:
Large burn on neck. Deep tissue affected and some infection.
Weakness from extended period in capsule.
Physicians Notes:
Patient was decanted and cleansed/dried. Treated for shock and dressed burn until escalation to surgical unit. Pushed IV fluids. Administered oxyrich air. Administered mild sedative for shock and trauma and began warming.
Physicians Recomendations:
Assessed at triage as "Red" and immediately escalated to a surgical unit due to the severity of the burn, duration in capsule and underlying trauma.
Kaalakiota Tasti System - Surgical Unit
Incident Report #: INF-1406115-01a
Date: 14.06.115
Patient: Pieter Tuulinen
Incident: C-SAR Recovery
Attending Physician: Captain-Doctor Eino Huovinen
Incident Report:
Triaged from field personnel assessed category 'Red'
Symptoms Observed:
Partially healed and heavily infected internal electrical Third-Degree burn on the back of the neck between C3 and C6.
Weakness from extended period in capsule.
Borderline malnutrition/dehydration.
Shock and Trauma.
Physicians Notes:
Addressed Burn, finding it to have occured due to a malfunction of the Patient's implants fitted into sockets numbered two and five. Layers of tissue were necrotic, inflamed, scarred and badly healed. Debrided wound where needed, packed it and covered it. Patient's spine was reinforced and limited infection fighting nanites had deployed from nearby baseplate - nanite production was limited by type of injuries and patient installation in Capsuleer Pod.
Immediately began IV supplements to increase patient's reserves of energy and counter malnutrition. Dyhydration itself had been countered by Paramedic use of IV fluids, although some weeks will be required to fully hydrate deep tissues.
Prescribed sedation to aid in pain management and reduce the trauma to the patient's system.
Physicians Recomendations:
The Patient is far from treated and requires the immediate attentions of a specialst neurology unit. Spinal damage is moderate, but the effect of the overload in the patient's implants could be far-reaching. The damage will need to be rebuilt by surgery, the implant sockets will need to be fully replaced.
Physical weakness will likely continue for some weeks, until the patient has rebuilt his muscle mass and returned to a normal nutritional regime. Due to the condition of the CSC Dread's life support system there may be problems with systemic infections and weaknesses that will need to be addressed. Patient is likely to be immunodepressed in at least the short term.
There has been no time to do a psych-workup of the Patient due to the need to medevac him and the other wounded from this outpost. From interviews with other surviving crewmembers there is likely to be significant trauma. A full psychiatric evaluation should be undertaken before clearing the patient for flight duties - or any duties where he will carry significant responsibilities.
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Pieter has horrible luck with health, but all the luck with the ladies.
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Jealous ? :D
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Files regarding the infamous Jello Incident go here.
(http://i2.kym-cdn.com/photos/images/newsfeed/000/478/172/4b4.gif)
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Pieter has horrible luck with health, but all the luck with the ladies.
Honestly, if every capsuleer built themselves a medical history it would look this bad or worse. Wait until the psych workup joins it.
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Wait was I supposed to write the jello thing?
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Actually, it really ought to be you or SchereSchere.
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Ugh....fine...
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Thanks!
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Files regarding the infamous Jello Incident go here.
(http://i2.kym-cdn.com/photos/images/newsfeed/000/478/172/4b4.gif)
Tbh
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Very well done and quite consistent with actual medical/trauma reporting and management, Pieter. The (very) few things that aren't consistent are unlikely to be noticed by anyone outside the health professions.
That said, if you're OCD on details and want any advice/feedback feel free to ask me - I spent a bit over a decade as a general surgeon dealing with trauma similar to what you seem to like your toon experiencing :)
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Please! Any feedback is appreciated - the more detailed the better.
These writeups are based on my own first aid training for the field back in the day. They are out of date. A lot of the medical terms are basically looked up on the internets. I have no medical quals.
If you can make me better, that makes me happy. :)
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If you're going to expect reports from me they're all going to be based on ICD-10s with little else. :/
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If you're going to expect reports from me they're all going to be based on ICD-10s with little else. :/
I'd actually use this too if I knew the STUPID CODING SCHEME WHAT AM I LOOK AT OH MY GOD
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Ok ok.. ICD-9. ;)
Cause that's all better somehow....
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Ok ok.. ICD-9. ;)
Cause that's all better somehow....
Well at least there's guides for ICD-9, but I can't find a sample report ><!
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If you're going to expect reports from me they're all going to be based on ICD-10s with little else. :/
Reports would be nice. Which reminds me - should schedule another session.
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Ok ok.. ICD-9. ;)
Cause that's all better somehow....
Well at least there's guides for ICD-9, but I can't find a sample report ><!
I have piles of them in my file cabinet, on me. They're usually pretty boring. I think the doctors make them boring and cryptic specifically to annoy insurance companies anymore.
Here is the treasure: http://www.icd9data.com/2012/Volume1/default.htm
And if it's not a cryptic mix of numerics and words that make little sense, it's not proper Amarr/Khanid paperwork!!
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If you're going to expect reports from me they're all going to be based on ICD-10s with little else. :/
Reports would be nice. Which reminds me - should schedule another session.
Make an appointment!
I am going to end up having to make a channel for this eventually.... >.>
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Ok ok.. ICD-9. ;)
Cause that's all better somehow....
Well at least there's guides for ICD-9, but I can't find a sample report ><!
I have piles of them in my file cabinet, on me. They're usually pretty boring. I think the doctors make them boring and cryptic specifically to annoy insurance companies anymore.
Here is the treasure: http://www.icd9data.com/2012/Volume1/default.htm
And if it's not a cryptic mix of numerics and words that make little sense, it's not proper Amarr/Khanid paperwork!!
er mah gerd I'm turned on. Dat coding system.
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Record Retrieval: INCOMPLETE; reason: high encryption method.
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6.28
Patient reporting sleep disturbances, exhaustion, displaying signs of depression, agitation, and anxious mood.
Displaying acute PTSD. (Later inclusion: pre-exsiting stage 3 GAD unresolved from 01.10)
Testing possible positive for one out of the three primary diagnostic criteria for CDD (Reality Testing). It is unclear with current information if this is a differential diagnosis as this time.
Patient has been counseled spiritually in the appropriate traditional framework for their belief-system (the "Terms Method", Edani VI) in a manner similar to AAS (Imperial Navy standard Protocol, Amarr Prime), with exception being a one on one session as opposed to AAS Mass. A cognitive therapy approach was used for non-spiritual issues. Inability to prescribe medication across faction lines to a militia officer limits treatment to naturopathic methods at this time, however if the patient continues suffering acute symptoms, arrangements will be made with the Lai Dai Institute.
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07.12
The patient appears to have made strides toward recovery within normal parameters and time-frame. Purposeful re-connection with spiritual traditions and teachings has had the expected positive effect on relieving exhaustion, anxiety, and depressive mood associated with the mixed diagnosis of GAD and PTSD.
The inclusion of an involvemet a spiritual leader occurred, as well as a positive life change (marriage), which intermingled in the time frame of consultation. This seems to have added a positive effect in overall mood and outlook, likely due to establishing and/or reaffirming connections with the communal frame-work, despite (or could even attributed to) the danger and difficulty of the tasks. The patient has been advised to spend to spend some time to continue solidifying relations with their partner in a situation that will not add stressors. The patient has mutually agreed to re-consult in four weeks, or if a relapse in disruption of psychic, occupational, or social activity occurs.
CDD is not indicated at this time.
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((Added for reference, lawl))
CDD:
Capsuleer Depersonalization Disorder: Know the Signs
A disassociative condition similar to the Baseliner disorder, marked by a rapid decline of thought processes, reality testing, and synthesis. Episodes can be acute or chronic.
The causes of CDD vary. Though it occurs in all demographics, Pilots with highly inconsistent and/or limited decantating schedules are in the top percentage of reported cases, the second highest being Pilots living in Sleeper space, followed thirdly by high combat exposure.
There are currently no standardized treatment options, though cognitive therapy shows moderate efficacy. Anectdotal reports have been made of ethanol halting symptoms when delivered in a high nonlethal dose, but this is not advised as it is shown to only briefly mitigate the disorder, and the time-frame of an episode can vary from hours to months.
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<3 - Thank you Arista. Excellent addition.
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Again, not a doctor - just a Motel 6 ;)
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Because I've been putting this shit off way too long (WIP).
(http://i44.tinypic.com/1z68pr8.jpg)
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Nice report, Anslol!
I think Pieter is 115kg though and 204cm.
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Malkalen Ishukone Watch Medical Facility - CasRep
Incident Report #: MLK-IW10-20.08.115/A13
Date: 20.08.115
Patient: Pieter Tuulinen-Haan
Incident: Training Accident(Assault)
Attending Physician: Doctor Svaan Viingaar
Incident Report:
Trainees in a special training session reported a training incident between Agiri Falken and Pieter Tuulinen. Witnesses are confused as to the specific details of the incident, but both parties were injured in the fracas. Ishukone Watch SWAT neutralised Agiri Falken and medics responded to both parties.
Symptoms Observed:
Extensive bruising to the face, chest and limbs. (910 - 916)
Crush injuries to the lungs and heart. (926)
Cardiac Arrest. (861)
Physicians Notes:
It appears that the patient was in a training scenario that got out of hand - uncertain which party escalated it. When medics arrived on scene the patient was unresponsive, not breathing, no heart activity. Medics quickly revived him on the scene and pulled him into the clinic where I diagnosed cardiac and respiratory failure due to crush injuries to the torso. All other injuries were superficial.
Patient was put onto artificial oxygenation while nanites scrubbed the blood from his lungs and repaired ruptured blood vessels. His heart activity was monitored and found to be strong.
Physicians Recomendations:
Due to surgical reinforcement of the skeletal system no injuries to the bones were suffered and injuries within the organ cavity were greatly reduced. The patient was assessed as walking wounded and a light reinforcement to his existing nanite baseplates was prescribed.
Pyre Falcon's medical personnel were informed via reciprocal agreement. No further action required.
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Get your shit together, Agiri.
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Hehehe