NyxRP SAMS
What to press, what to give, and when. Keep this open on your second screen for your first few shifts.
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.
| Stage | When | What it means for you |
|---|---|---|
| Incapacitated | The first 5 minutes | They can still talk to you, so take a history while you work. Revive as normal. |
| Dead | After 5 minutes, or straight away if they get hit again while down | Their 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.
Everything on a patient starts from the target menu: hold Left Alt and look at them.
| Problem | What you do | You need |
|---|---|---|
| Open wound | Stitch it — connect the points to close it | Surgical Kit |
| Heavy bleed | Clamp it — grab the severed vessel ends and join them | Surgical Kit |
| Bullet still inside | Remove it — guide it back out through the artery | Surgical Kit |
| Any wound | Dress it — antiseptic, then gauze pad, then surgical tape | Bandage |
| Vitals | Put the cuff on for blood pressure, stethoscope over the lungs and centre of the chest | BP Monitor |
Press Esc to back out of any procedure.
The bed is in the boot of the ambulances and the fire truck.
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.
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.
| Heart rate | Blood pressure | What's happening | Give |
|---|---|---|---|
| 72 | 120 / 80 | Normal | Nothing |
| 120–150 | 150 / 90 | Heading toward an overdose | Propranolol for the heart, Labetalol for the pressure |
| 180 | 185 / 100 | Overdosing right now | Naloxone, 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.
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.
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.
| Reading | What you'll see |
|---|---|
| 0.10 | Tipsy |
| 0.60 | Drunk, but still walking and driving fine |
| 1.50 | Can't drive straight |
| 3.00 | Falling over every half a minute or so |
| 3.80 | Wasted. Likely to throw up as it wears off |
| 4.50 | Losing control, may wander off on their own |
| 9.00 | Blacked out and losing health. Pump their stomach. |
Anything short of a blackout wears off by itself within a few minutes.
Nothing gets used up, so you can't run out.
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.
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.
| Medication | Give it for | What it does |
|---|---|---|
| Naloxone | An 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. |
| Propranolol | A racing heart (120 and up) | Slows the heart and brings overdose risk down. |
| Labetalol | High blood pressure (150/90 and up) | Brings the pressure down, along with overdose risk. |
| Lorazepam | Shaking, cravings, withdrawal | Calms 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.
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.
| Item | What it's for |
|---|---|
| Medical | |
| Bandage | Dressing wounds. Patients can use one on themselves too. |
| Advanced First Aid Kit | General treatment. Takes about five seconds. |
| Painkillers | Minor pain only. They're refused for serious injuries. |
| Advanced Painkillers | Prescription strength. Works where normal painkillers are refused. |
| Antibiotics | Infections and serious trauma. |
| Surgical | |
| Surgical Kit | Stitching, clamping bleeds and removing bullets. |
| Surgical Scissors | Cutting clothes off. You need these before you can work on a covered area. |
| Equipment | |
| Medical Bag | A bag with its own storage. Drop it on scene and work out of it. |
| BP Monitor | Blood pressure and listening to the chest. |
| Oxygen Mask | Breathing support for critical patients. |
| Stretcher | Moving patients. |
| Breathalyzer | Checking how drunk someone is. |
| Medication | |
| Naloxone, Propranolol, Labetalol, Lorazepam | See Medication above |
| Gear | |
| Radio | Channel 2 is SAMS. Channels 1 to 3 (LSPD, SAMS, DOJ) are open to all three services. |
| Flashlight | Night calls and dark interiors. |
| Fire Extinguisher | Small fires. |
| Taser | Defending yourself only. It recharges on its own. |
| Handcuffs | For a patient who's a danger to themselves or to you. |
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.
Radio codes are on their own page: Codes.
| Command | What 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. |
/invoices | The full billing menu. |
/emscertificate | Write a certificate and sign it. |
/mycertificates | What a patient types to see their 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.