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First Aid

The First Aid chapter of the Stormwind Army Field Manual covers how the soldiers of the Stormwind Army are expected to treat wounds in the field while fighting the enemies of the Kingdom of Stormwind.

Injuries are a common occurrence in war, both from the blades of enemies and the harsh environments around us. From an arrow to the shin to a bad fever, this handbook will direct you and your companions in the proper actions to be taken in most any medical situation. However, it is important to understand and acknowledge one’s own physical capabilities, as well as psychological stress. At any time, if one feels that they are unable to carry out the tasks as a first responder, then allow someone else whom can. Remember that these guidelines should be followed to the letter and not fudged with home remedies.

Disclaimer: The information edited here has been adjusted to suit the lore of World of Warcraft, and is not meant to be used as real-life saving techniques. Techniques utilized, and information contained in this document may not be best practice.

Note: This is a draft under extensive editing and review!

Note: This page was last updated on 9/17/2017.

As a member of the Stormwind Royal Army’s medical corps, one’s primary operating directive is the protection of one’s platoon by providing medical intervention, both in and out of the area of operations.

One’s medical intervention is defined by:

  • Performing Preventative Medical Examinations upon all military and auxiliary personnel.
  • Providing emergency, On-Site Triage during combat; utilizing life-saving techniques to minimize casualties.
  • Providing Therapy in order to reconstitute wounded patients' physical and mental health outside of combat.
  • Mataining Documentation of patients' medical procedures, medication, nutritional intake, expelled material, and treatment consultation.

Medical staff should provide their patients with the best quality of care consistent with the circumstances of each case, conducting themselves in a professional manner in accordance with the laws set forth by the House of Wrynn. This should be accomplished through analysis, review, and evaluation while maintaining the mantra of ‘best research, based practice’.

One cannot treat medical ailments without knowing the workings of the body. All medical staff should be cognizant of the basic Medical Theories of bodily humours and their interactions with the organs.

Within a humanoid body are four fluids known as Humours. When in balance, one's humours promote good health, calm temperament, and long life. When the humours are thrown out of balance, however, either by wound, diet, or circumstance, one falls into illness, madness, and even death. The theory of the four humours originated within the Arathorian Empire and has served physicians and apothecaries since.

Sanguine (Blood)

When one tends to optimism, confidence, and mirth, they are known to favor the Sanguine Humour of Blood. It is thought to be brought to prominence in the hot, wet spring months, favoring the primal element of air. Blood originates from the heart - an organ situated in one's chest. Sanguine individuals are prone to be high-strung and may need to have and their blood thinned. They may become overweight if their diet is not checked.

Foods and herbs to manage the Sanguine:

  • Fish
  • Beets
  • Dark Berries
  • Ginger
  • Tumeric
  • Curry
  • Garlic

Choleric (Yellow Bile)

When one tends to passion, anger, fury, and violence, they are known to favor the Choleric Humour of Yellow Bile. It is thought to be brought to prominence in the hot, dry summer months, favoring the primal element of fire. Yellow bile originates from the gall bladder - a small organ next to one's stomach. The element of fire is thought to aid with the digestion of food, cooking it within one's stomach. Choleric individuals often require stress management and are prone to inflammation.

Foods and herbs to manage the Choleric:

  • Fresh Fruits
  • Bitter, Leafy Vegetables
  • Aloe Vera
  • Peppermint
  • Basil
  • Rose
  • Jasmine

Phlegmatic (Phlegm)

When one tends to relaxation, philosophy, tranquility and calmness, they are known to favor the Phlegmatic Humour of Phlegm. It is thought to be brought to prominence in the cold, wet autumn months, favoring the primal element of water. Phlegm originates from the brain, an organ contained within the head. Phlegmatic individuals tend to host digestive issues as well as a sense of bloating.

Foods and herbs to manage the Phlegmatic:

  • Red Meats
  • Beans
  • Ginger
  • Garlic
  • Horseradish
  • Pepper

Melancholic (Black Bile)

When one tends to nervousness, reclusion, and sadness, they are known to favor the Melancholic Humour of Black Bile. It is thought to be brought to prominence in the cold, dry winter months, favoring the primal element of earth. Black bile originates from the spleen, an organ attached to one's stomach. Melancholic individuals are most prone of all the temperaments to disease.

Foods and herbs to manage the Melancholic:

  • Grains and Breads
  • Basil
  • Cumin
  • Dill
  • Sage
  • Fennel
  • Coriander

Thanks be to our Gnomish allies and their wondrous technology, our understanding of humanoid bodies has deepened significantly within the past century. In conjunction with the four humours, Vital Organs regulate key functions within humanoid bodies. Disruption of these organs or their processes will result in severe illness or even death.

The Brain controls the body, and is responsible for our thoughts, memory, and perceptions of our environment. It is the source of phlegm and phlegmatic temperament in the theory of humours.

The Heart is a responsible for pumping blood throughout our body. It is the source of blood and sanguine temperament in the theory of humours.

The Lungs draw in breath. The primal element of air is necessary for humanoids to live, and favors those of the sanguine temperament.

The Spleen, Kidneys and Liver remove corruption from the blood. They produce urine and bile that is stored in the Bladder, though scholars debate their role regarding the humours.

The Stomach and Intestines digest food and draw energy from them, converting them into the four humours. Waste is released from them.

The Reproductive Organs are the means by which humanoids copulate and bear children - effected primarily by the sanguine.

The four humours and the vital organs are accompanied by Bodily Systems that support their function. Medical staff should know the terminology associated with each structure.

Skeletal Structure

The Skeleton supports the body's structure and protects vital organs from harm, consisting of roughly 206 bones in total. Cartilage is connective tissue covering the ends of the bone that reduces friction and acts as a shock absorber. Ligaments are fibrous tissue that connect bones or cartilage to strengthen and support joints.

Muscular Structure

The Muscles drive the body's movement, utilizing the humours and energy produced by digesting food. They act as a layer of protection for the organs. Muscles also give structural support to skeletal joints and sockets.

As a member of the Royal Army, you will likely find yourself in situations where immediate care needs to be administered. Assessing the Patient is the first step in determining what action should be taken. Your job as medical staff is to stabilize the wounded until the appropriate professional can begin treatment. All medical staff should know the basic procedures and expectations for such.

Whether in the city or on the field, a location should be designated for medical procedures as the Infirmary. This may be a temporary structure, a designated wing of a fortress or garrison, or even the bedding rooms of an inn. The location should be as secure, dry, and sheltered as reasonably possible. Means for extraction should be put in place in the case that a patient requires treatment beyond the experience of the present staff.

Refer to your assigned medic or ranking officers for the location of the infirmary when in the field. If superiors are unavailable, you may designate an infirmary for your patients yourself.

It is important to understand one thing: when treating a patient with dire injury or illness, you are fighting to preserve that person's life. Barriers to Responding may arise as concerns that may hinder your will to act.

  • Panic and fear of doing something wrong.
  • Uncertainty of the person’s condition and what to do.
  • Assuming that someone else will take action.
  • Fear of catching a disease or exposure to poison.
  • Environmental hazards.
While these are all equally concerning situations, it is important to remember the following: without intervention, the victim, your patient, could potentially die. For every minute one pauses in critical situations, their patient's chance of death increases.

With that said, however, before treating someone, the Scene of the Incident needs to be taken into consideration in terms of safety. For example, if a fellow soldier has been injured while surrounded by an opposing force, addressing their needs will have to be reconsidered as the possibility and risk of further injury is high. Acknowledge what the situation is by determining how many people are involved, who among them are available to help, and where the wounded should be treated.

Obtaining Consent to Treatment from a patient is key when performing intricate procedures that require patient cooperation. The sooner a patient cooperates, the sooner medical staff might act on potentially life-threatening injuries.

The House of Wrynn decrees that the lives of its subjects are sacred and that medical personnel should attempt to save all with consideration for quality of life should patients survive treatment. Soldiers and medics of the Royal Army should do everything in their power to save their lives of the King's servants, be they a lord, soldier, peasant or knight.

A victim of sound mind and body is able to properly consent to medical treatment. However, the situation becomes more complicated in the event the individual is unconscious. In this case, the victim should be treated as if they are automatically consenting to medical treatment with the belief that they wish to preserve life.

A victim who cannot communicate linguistically (IE: Darnassian vs. Common), an interpreter must be utilized. If an interpreter cannot be located, evidence that supports the individual wishes medical treatment must be sufficient (IE: Pointing to injury, then bandage).

A victim with cognitive or intellectual deficit must speak with someone whom has guardianship, or best convey the message to a level of understanding for the patient. If such cannot happen, and it is an emergency, immediately begin treatment and perform best practices to the best of one’s ability.

To ensure effective use of medicinal supplies and maximize the number of soldiers treated, a system of Triage should be followed when deciding whom to treat in what order.

Pending executive command from one's officers, wounded Soldiers should be treated in the following order:

  • The injured who could survive if immediately transported to the infirmary for treatment.
  • The injured whose transport can be delayed.
  • Those with minor injuries who need help less urgently.
  • The expectant with mortal wounds that are beyond help.
Soldiers are trained to cope with their wounds and have been taught to remain resilient. Civilian noncombatants have not. They are more likely to fall victim to their injuries and must be treated right away. If Civilian casualties enter the picture, tend to them first.

When volatile, contagious illness or maladies are present amongst one's patients, a medic should declare a Quarantine about their infirmary. Outbreaks of the plague, volatile fel magic, posession, or other contagious and deadly maladies could all warrant quarantine. Medics should do their best to separate patients who are infected with contagions from those who do not yet show symptoms.

When under quarantine, those entering the infirmary should wear doubly protective garb to prevent contamination. Always check to see if the infirmary is currently under quarantine before entering for your safety and the safety of others. Objects and implements leaving a quarantined infirmary should be cleansed by a priest or army chaplain.

If the infirmary is under quarantine, do not under any circumstances take it upon yourself to inform the public. The appointed chaplain or an acting commanding officer will inform the public if deemed necessary. Doing so without caution could cause wide-spread panic.

If a citizen not within the king's service requests information on a patient, or asks if a patient is currently in care or comatose, do not give them the information. The patient must give their consent before allowing a Visitor acknowledgment of their status in the infirmary.

In the event that a patient is not capable of giving verbal or physical consent, then he who seeks to visit must provide evidence of familial relation to the patient in order to be granted visitation with supervision.

Check to ensure there are no Quarantines before admitting visitors.

Citizens of no immediate relation who are not in service to the crown and have been approved to visit are to be given fifteen to twenty minutes with the patient and should be monitored by an agent of the crown.

Family members may be given a maximum of one hour of supervised time, provided that there is no request by medical personnel that the family members leave the room or immediate area.

If the patient is a prisoner of the kingdom, officers of the crown may question the patient freely.

If a patient is not able to respond, it is one's duty as a medic to Diagnose the patient's ills to the best of their ability by means of careful analysis of the patient's body. A medic should first check the following vitalities:

  • Is the patient breathing?
  • Is the patient's airway clear?
  • Is the patient's heart beating?
  • Is the patient bleeding?
Without Breath or Heartbeat, a patient will surely perish.

When presented with a patient conscious and able to communicate, it is your duty to calm the patient and diagnose the severity of his or her injuries. Reassure the patient that you are trained in the field of medicine and that you will do everything in your power to assist the patient in recovery.

After you have calmed the patient, ask the following series of questions to assist your diagnosis and treatment:

  • "What is your name?"
  • "Do you have medical conditions that I should know about?"
  • "What has happened to you?"
  • "Where does it hurt?"
Record the answers and make self-determinations when observing the patient to make judgment on treatment.

Currently Involved:

Special Mention:

  • Amyrissa Baker, Medical Practitioner
  • Tanya Seltara, Deacon of Stromgarde