NyxRP SAMS

Field Guide

What to press, what to give, and when. Keep this open on your second screen for your first few shifts.

The first five minutes

When someone goes down they call you with G, and the call lands in dispatch with their street. From then on there are two stages.

StageWhenWhat it means for you
IncapacitatedThe first 5 minutesThey can still talk to you, so take a history while you work. Revive as normal.
DeadAfter 5 minutes, or straight away if they get hit again while downTheir screen goes black and the sound goes muffled. They can't be robbed. The Go To Hospital button unlocks. You can still revive them.

Your real deadline is the Go To Hospital button

The five-minute timer isn't when you lose the patient. You lose them when they get bored and press the button, and that only unlocks once the timer runs out. So get there fast and talk to them.

Tell them this early: taking the hospital button costs them everything they're carrying. A revive from you keeps it all. That's usually enough to make people wait.

Wounds don't bleed out on their own. The clock you're racing is the five-minute timer.

Treating a patient

Everything on a patient starts from the target menu: hold Left Alt and look at them.

  1. Diagnose. Pick Diagnose Injuries. You get a body map with six areas; the red ones are hurt. Click an area to see what's wrong with it.
  2. Take their vitals. Check their blood pressure and listen to their chest with the BP Monitor. Do this on every patient, and always at the hospital.
  3. Cut clothes off first. You can't treat an area that's still covered. Use Surgical Scissors on their top or trousers. If a procedure won't start, check their clothes before you check your bag.
  4. Treat each red area using the table below.
  5. Revive. It takes 10 seconds.
ProblemWhat you doYou need
Open woundStitch it — connect the points to close itSurgical Kit
Heavy bleedClamp it — grab the severed vessel ends and join themSurgical Kit
Bullet still insideRemove it — guide it back out through the arterySurgical Kit
Any woundDress it — antiseptic, then gauze pad, then surgical tapeBandage
VitalsPut the cuff on for blood pressure, stethoscope over the lungs and centre of the chestBP Monitor

Press Esc to back out of any procedure.

Getting them to hospital

  1. Hold Left Alt on the back of the ambulance and pick Take out Bed.
  2. Use Drag Bed to push it to the patient, then Put in Stretcher on them.
  3. Load up, and when you're done, Put Bed back in.

The bed is in the boot of the ambulances and the fire truck.

Other things on the target menu

  • Pronounce Dead (Body Bag) — bags the body. A bagged body can still go on the stretcher.
  • Prescriptions — the diagnosis screen has an Issue Prescription button. Civilians need one to buy Antibiotics, the Advanced First Aid Kit or a Wheelchair at the pharmacy, so a hospital visit is a real requirement for them, not a suggestion.

Drink, drugs and overdoses

Drunk and overdosing look the same from ten metres away, and the treatments have nothing in common. Work out which one you've got first.

1. Run the readout

Type /checkaddiction [their ID]. You get their heart rate, blood pressure, mental state, a risk score out of 100, and a list of what they've been using. The two summary cards at the top can be about different substances, so scroll the list before deciding what you're treating.

2. Read the vitals

Heart rateBlood pressureWhat's happeningGive
72120 / 80NormalNothing
120–150150 / 90Heading toward an overdosePropranolol for the heart, Labetalol for the pressure
180185 / 100Overdosing right nowNaloxone, then Lorazepam straight after

A heart rate above 72 always means drugs. Nothing else moves that number.

Ignore the drug names the readout suggests

The readout recommends Metoprolol, Hydralazine, Buprenorphine and Diazepam. We don't carry any of those — they don't exist in the city. Read the suggestion as a warning about how bad it is, then give the real drug from the table above.

3. The shakes

Shaking, sweating, "everything aches" — give Lorazepam. Cravings and withdrawal both cause shaking, and Lorazepam treats both. Withdrawal keeps chipping their health away, so check it before you let them go.

Mental state (Unstable, Compromised, Impaired, Critical) is about how hooked they are. There's no cure for that part. Write it up in a certificate and refer them on.

Drunks

Drink never shows up as an overdose. If the readout says overdose, it's drugs.

To check how drunk someone is, use the Breathalyzer from your inventory and pick them from the list. They have to agree to it, and it takes 10 seconds.

ReadingWhat you'll see
0.10Tipsy
0.60Drunk, but still walking and driving fine
1.50Can't drive straight
3.00Falling over every half a minute or so
3.80Wasted. Likely to throw up as it wears off
4.50Losing control, may wander off on their own
9.00Blacked out and losing health. Pump their stomach.

Anything short of a blackout wears off by itself within a few minutes.

Pumping a stomach

  • On foot: hold Left Alt on the patient and pick Perform stomach lavage.
  • In your ambulance: the option won't show on someone sitting inside. Hold Left Alt on the ambulance itself and pick Perform stomach lavage. It treats whoever is sitting nearest you, so with two patients aboard, stand by the right door.

Nothing gets used up, so you can't run out.

Stumbling, but the breathalyzer reads clean?

That's a meth comedown: about a minute of drunken walking and tripping after the high wears off. It can't kill them. Run /checkaddiction anyway — meth hooks people fast.

Medication

These four are the only medications we carry. Hand one to your patient and have them take it. The first dose does the most; repeat doses do less each time.

MedicationGive it forWhat it does
NaloxoneAn overdose happening now (heart at 180)The biggest single drop in overdose risk of anything we carry. It also makes withdrawal worse, so always follow it with Lorazepam.
PropranololA racing heart (120 and up)Slows the heart and brings overdose risk down.
LabetalolHigh blood pressure (150/90 and up)Brings the pressure down, along with overdose risk.
LorazepamShaking, cravings, withdrawalCalms them down. Hits cravings and withdrawal hardest.

Overdose? Always two drugs

Naloxone first, Lorazepam straight after. Naloxone pulls them back but leaves them feeling awful; Lorazepam sorts that out.

Your kit

Everything here is free from EMS Supplies inside Kivo Medical Center in Little Seoul. You have to be on duty to use it, and there's no map marker, so learn where it is.

ItemWhat it's for
Medical
BandageDressing wounds. Patients can use one on themselves too.
Advanced First Aid KitGeneral treatment. Takes about five seconds.
PainkillersMinor pain only. They're refused for serious injuries.
Advanced PainkillersPrescription strength. Works where normal painkillers are refused.
AntibioticsInfections and serious trauma.
Surgical
Surgical KitStitching, clamping bleeds and removing bullets.
Surgical ScissorsCutting clothes off. You need these before you can work on a covered area.
Equipment
Medical BagA bag with its own storage. Drop it on scene and work out of it.
BP MonitorBlood pressure and listening to the chest.
Oxygen MaskBreathing support for critical patients.
StretcherMoving patients.
BreathalyzerChecking how drunk someone is.
Medication
Naloxone, Propranolol, Labetalol, LorazepamSee Medication above
Gear
RadioChannel 2 is SAMS. Channels 1 to 3 (LSPD, SAMS, DOJ) are open to all three services.
FlashlightNight calls and dark interiors.
Fire ExtinguisherSmall fires.
TaserDefending yourself only. It recharges on its own.
HandcuffsFor a patient who's a danger to themselves or to you.

Take out on every shift

Medical Bag, a stack of Bandages, a few Advanced First Aid Kits, Painkillers, Surgical Scissors, BP Monitor, Breathalyzer, and one of each medication. Add the Surgical Kit and Oxygen Mask once you're comfortable with the procedures.

Commands

Radio codes are on their own page: Codes.

CommandWhat it does
/checkaddiction [ID]Opens a patient's medical readout.
/emsinvoice [ID] [amount] [reason]Quick bill for treatment. The patient has to be within about 8 metres, and it expires after 10 minutes.
/payemsinvoice [number]What the patient types to pay it.
/declineemsinvoice [number]What the patient types to refuse it.
/invoicesThe full billing menu.
/emscertificateWrite a certificate and sign it.
/mycertificatesWhat a patient types to see their certificates.

Medical certificates

The /checkaddiction readout has a Medical Conclusion box and an Issue Medical Certificate button. It saves your name, your notes, and the patient's vitals at that moment to their file. The patient can show it to someone nearby or hand over a copy. It's the only medical paperwork other players can read, so it's what carries a diagnosis into court, a job interview or a rehab storyline.