Feature Requests for ACE Anvil

[BaerMitUmlaut]

This is the exclusive thread for feature requests.

• Post your ideas here as a new comment.
• Please upvote other ideas you like by clicking the up arrow on a comment.
• Keep discussions to a minimum and use our Discord instead.

[PandaNerd1337]

I'd appreciate the different visual pain effects from ACE3 to return.

1.1.4.1 Pain Effect Type

When in pain the player will recieve a visual indicator in the form of either “White Flashing”[currently available], “Pulsing Blur”, “Chromatic Abberation” or “Only high pain effect”. By default this is set to “White Flashing”. This is personal preference and only impacts individuals.
ACE3 Medical feature catalog

Both chromatic abortion and pulsing blur are definitely my personal favorites.

[sarakgaming]

Add the possibility to have a parametre inside Ace Medical to have the same things than inside the mod https://reforger.armaplatform.com/workshop/5EDB1D94A87AA78B

Like we have in Ace3. This Parameter is very good for immersion and work for MEDEVAC

[soopgoof]

I think it would be beneficial to have a medical menu, trying to bandage a limb by looking at it is very inconsistent.

[BloodBullet69]

Yes! I loved the medical menu in Arma 3 and miss that the most.

[Koxnep]

A hasty firing position would be a nice add to the trenches. Walls on each side and a firing port in the middle, height as it would provide cover only when lying on the ground.

GRAD Trenches on Arma 3 had one like this and it worked very well.

[dedmen]

How about porting all the Arma 3 trench models? Anything preventing that? Probably need to adjust scale a bit.

[AlexMason1]

Addition of a suppression mechanic which influences both players and AI's perception, aim, sway, audio etc.

[XSilverrookX]

Kicking down doors, blood bags, blunt damage (non penetrating hits on body armor should still deal a small amount of damage)

[BaerMitUmlaut]

These are very different requests. Can you split each one in a seperate comment?

[BaerMitUmlaut]

See #2 (comment)

[svencc]

I talked to the medics in a clan that I am connected to. The first thing we would like to have in ACE Medical is that downed players are longer in the unconsciousness state before dying (implemented by using a configurable factor). This makes MEDEVAC use more sensible and even more worthwhile because the injured people do not die too early.

I think this is one of the first and groundbreaking features that will make ACE Medical truly usable and valuable and increase acceptance in communities.

[Kexanone]

In the current version, players die in unconscious state if they bleed out. How fast this happens depends on how many wounds they have and the global bleeding rate that can be configured by GM. This is in essence still the vanilla behavior. I would argue that MEDEVAC is already worthwhile in the current version to speed up the recovery of players that entered second chance, but first aid in form of treating all bleedings has to be done for stabilizing them for MEDEVAC.

[MrEnward]

ACE MEDICAL.

-No Pulse.
--If the intent is to keep check injuries present for a period of time even after the player is dead so that there isn’t an immediate indicator that they’re dead, change their injury status to no pulse if they are dead.

[SomeSangheili]

ACE Movement

• Slow down the time it takes to vault over certain objects/heights. Maybe restrict the height you can climb over, and make it that you need a fellow soldier nearby to help you vault over high walls. Maybe allow solo climbing walls if the soldier is light enough (wearing no armour). These things will make walls/fences more of an obstacle for infantry.
• Slow down the soldier’s movement speed in which he can move while strafing (there is a mod that does this, but unfortunately it doesn’t slow down the animation as well), aiming down sights and having a raised weapon. Maybe the heavier the weapon the slower you are when it's raised? If not, then maybe make the weapon sway a lot more when moving with heavier weapons.
• Restrict the speed in which the soldier can turn the weapon around while aiming heavier weapons (will restrict people bringing machineguns for CQB), but keep the head movement the same normal speed, so that the weapon is slower than the camera. Also weapon inertia would be cool.
• Gradual speed increase/decrease when starting/stopping sprint to simulate soldier's inertia. Smooth out or limit turning/changing directions while sprinting.
• Decrease speed in which soldier can aim down sights (the speed when the soldier goes from not-ADS to ADS) so that the player doesn't get pin-point accuracy straight away just by right-clicking (or maybe add a bit of aiming error for the first half second of being ADS)

These things will make the game a lot less arcady

[SomeSangheili]

ACE Bodyarmour
Disable bodyarmour and helmets that can only stop shrapnel/pistol rounds IRL having the ability to stop rifle rounds, making combat more realistic.

[Kexanone]

Would be neat indeed, but I don't think it fits the scope of ACE Medical to provide them.

Edit: Maybe someone can help improving this mod: https://reforger.armaplatform.com/workshop/610CA05A41A9BED9

[Kexanone]

That should already be possible by setting m_fMedicalKitMaxHealScaled to 1.0 in the server config (see https://anvil.acemod.org/components/medical/#settings).

[Kexanone]

There's already a mag repack mod: https://reforger.armaplatform.com/workshop/5ED143120C5465BD.
As for unflipping, there used to be one, but it didn't make it past early access.

[veteran29]

Unflipping mod is available here:
https://reforger.armaplatform.com/workshop/5C96333ACF4FA967-Unflipper

[zrq0058]

This mod does not have a true "flipping" function. It only provides "push" and "pull", but in the face of most overturning situations, "push" and "pull" do not provide much help. What we need is the ability to truly flip the vehicle, just like in A3.

[Kexanone]

There's a recently published mod that provides a true flip action again: https://reforger.armaplatform.com/workshop/612851D73DF01668

[Mortuummox]

Stretcher

So I am a 18D (Special forces medical sergeant) in a MilSim and I love the new medical system but when we're moving casualties away from an area or medivacing them out of an AO from a CCP we'd like a way to move them realistically instead of just fireman carrying them because for severe injuries doing that could kill them so having something like a stretcher to move people would be amazing to have. The stretcher itself would be a 1-2 person ability I know the animations would probably be difficult and I myself am not a modder so I understand not wanting to do all that for one thing but it would be greatly appreciated by the medic community and would satisfy my larping needs
•

[MastereFFe]

ACE MEDICAL
I'm thinking about a secondary Quick Menu line where stocked all the medical stuff, because the slots currently in the game are few and not enough to cover all the needs. In this way we could have more space for example to equip objects such as bandages, syringes, saline and tourniquet without giving up smoke nades or flashbangs. I personally remove the radio from the quick menu, but the slots are still few. Maybe a wheel like the one for radio frequencies. Alternatively it could be an object, like a pouch that is activated by pressing a button (exactly like the radio) as long as it is equipped inside the inventory!

[headxXxhoncho]

Splints/Stretcher/Surgical Kit

These 3 all kinda tie in together, splints would be for broken bones from GSW, shrapnel, fall damage etc. I think there should definitely be a movement penalty when the splints are used similar to the TQ but in reality, if you break both of your legs you shouldnt be able to walk. However, if the ability to carry someone with splints on that would be cool. Same thing with a stretcher, ive seen it discussed here previously but i think that would be very nice to have for immobilized casualties. Then to tie it all together, make a surgical kit that can heal these broken bones or other injuries.

[KyrA0101]

Bandaging should take longer. Currently, there's little incentive to use a tourniquet over a bandage since both are too quick to apply. Increasing the bandaging time to around 15 seconds instead of 6 seconds would create a more strategic choice between the two, making the tourniquet more valuable in critical situations.

[dijikul]

Providing users with rank-up experience for performing medical actions should be both on by default and configurable by server admins.

[Whiskey2shots]

Would it be possible to make the backblast component configurable? So a mod maker could add it to their launcher and decide how large the backblast area is, or if they want to disable it entirely

[drPanda1893]

Make it so you cant talk while beeing on 0 Heartrate

[Kexanone]

Vanilla already has SCR_GameModeHealthSettings.m_bPermitUnconsciousVON. You need mod the game mode or create a custom game mode to change it though. Maybe could be exposed in the server config.

[ruzmac]

For medical prototypes - the ability to pack wounds with gauze in areas such as the abdomen to try and contain bleeding.

Varying amount of gauze dependent on the nature of bleed to stop the bleed.

Different prompts on the user downed for check pulse on places like the neck, arm, hand.

Blood pressure to take slightly longer to reflect attaching cuff, getting readings etc - this is from the perspective of using an automatic bpm machine. Arguably, this would take longer using a manual machine as you would have to locate radial pulse.

Pulse check to take longer. If doing manual pulse check, would require checking pulse for up to a fifteen seconds and multiplying by 4.

Blood pressure machines and oximeter - attachable devices that can be recovered similar to a tourniquet. Oximeter readings could be shown automatically and a delay of around 2-3 seconds to get a reading. You can get continuous readings from these. Blood pressure machines could have prompt to use each time to get a reading and a delay of around 15-20 seconds till you get a reading.

[KyrA0101]

dilutional hypothermia and hyperglycemia when using saline

1. Dilutional Hypothermia

   Definition: This occurs when a large volume of cold saline solution or unheated blood products are infused into the body, lowering the overall body temperature.
   Cause: Saline solutions and blood bags are often stored at cooler temperatures, and rapid infusions, especially in trauma settings, can decrease core body temperature.
   Effects: Lowered body temperature can slow down blood clotting (increasing bleeding risk), decrease heart rate, and cause shivering. Hypothermia in trauma patients can also be part of the "lethal triad" (hypothermia, coagulopathy, and acidosis), which can worsen outcomes if not managed properly.
   Prevention: To reduce this risk, blood and saline are sometimes warmed before transfusion. Medical facilities often use fluid warmers in emergency and surgical settings.

2. Hyperglycemia with Saline Solutions

   Definition: Hyperglycemia refers to high blood glucose levels. Certain types of IV solutions, such as dextrose in saline (e.g., D5W or D5NS), contain glucose and can contribute to elevated blood sugar levels if infused in large amounts.
   Cause: If saline is mixed with glucose (dextrose), this glucose can elevate blood sugar levels, especially in patients with diabetes or metabolic disorders.
   Effects: Increased blood sugar can cause dehydration, increased urination, and exacerbate metabolic stress, especially in critically ill patients.
   Prevention: Monitoring blood glucose levels closely in patients receiving dextrose-containing solutions is key. Adjusting the IV fluid type can also help manage or avoid hyperglycemia.

[KyrA0101]

Blood Bags and Blood Types in Transfusion

When transfusing blood, matching blood types is essential to prevent adverse reactions:

ABO Blood Group Compatibility:
    Type O: Universal donor for red cells but can only receive O blood.
    Type A: Can donate to A and AB; can receive A and O.
    Type B: Can donate to B and AB; can receive B and O.
    Type AB: Universal plasma donor and can receive any blood type for red cells.
Rh Factor:
    Positive (+) or negative (-) Rh factor must also be matched.
    Rh-negative individuals should ideally receive Rh-negative blood to prevent immune reactions.

In emergency settings, O-negative blood is used when the patient’s blood type is unknown because it is the universal donor type and least likely to cause a transfusion reaction.
Combining Saline with Blood Transfusions

Using saline in conjunction with blood transfusions is common, but there are key guidelines:

Saline (0.9% NaCl) is compatible with blood products and often used to keep IV lines open before or after transfusion.
Avoid mixing blood with other solutions, like lactated Ringer's or dextrose, as they can cause clotting or hemolysis (breaking down of red blood cells).

[KyrA0101]

Leg Splints

Types of Leg Splints

Rigid Splints
    Description: These splints are made from solid, non-flexible materials like wood, metal, or plastic. They provide strong support and are typically used for fractures.
    Usage: Rigid splints are commonly used for immobilizing broken bones in the leg (femur, tibia, fibula) and may be used temporarily until the patient can be transported to a medical facility.
    Examples:
        Sager splint: A rigid splint that can be applied from the ankle to the groin for femur fractures.
        Air splint: A plastic splint that is inflated to immobilize the injured area.

Soft or SAM Splints (Self-Adjusting Material)
    Description: These splints are made from flexible materials (typically foam or padded plastic) that can be molded to fit the injured leg. SAM splints are lightweight and versatile, making them popular for both pre-hospital care and transport.
    Usage: Soft splints are great for immobilizing fractures or sprains and can be applied quickly in field conditions. They are more comfortable than rigid splints and often used for emergency transport to the hospital.
    Examples:
        SAM splint: Often used for fractures of the tibia, fibula, and even femur.
        Padded splints: Can be used for sprains, strains, or minor fractures.

Traction Splints
    Description: These splints are used primarily for femur fractures and work by applying gentle traction (pulling) to the leg to realign the bone and reduce muscle spasms.
    Usage: Traction splints are commonly used by paramedics or emergency medical personnel in pre-hospital settings, as they help stabilize the fracture and prevent further damage to the bone or surrounding tissues.
    Examples:
        Sager splint: A form of traction splint that can be applied to the femur.
        Thomas splint: Often used in more severe cases, especially for displaced femur fractures.

Ankle or Lower Leg Splints
    Description: These are typically shorter splints used to immobilize the ankle, foot, or lower leg. They are used for sprains, strains, or fractures in these areas.
    Usage: Ankle fractures, severe sprains, or soft tissue injuries may require these types of splints to keep the area immobile during the healing process.
    Examples:
        Short leg splints: Padded splints that can be used for ankle or foot fractures.
        Air splints: Used for more localized injuries or post-surgical immobilization.

Application of Leg Splints

The general steps for applying a leg splint are as follows:

Check for Circulation: Before applying the splint, ensure that the leg is not impaired by a severe circulation problem. Check the pulse, skin color, and temperature.
Positioning the Splint: If possible, the injured leg should be kept in a natural position and not be moved excessively.
Padding the Splint: If using a rigid splint, add padding around the injury site to prevent pressure sores or discomfort.
Securing the Splint: The splint should be secured above and below the injury site, ensuring it immobilizes the entire area. Use bandages or cloth strips to tie the splint in place. Don’t tie it too tight, as this could compromise circulation.
Reassess for Circulation: Once the splint is in place, reassess the leg to ensure blood flow is not obstructed. The skin should not become blue, cold, or numb.

Special Considerations:

Immobilization: It’s crucial to avoid unnecessary movement of the injured leg. Even if pain is not severe, movement could cause further injury.
Elevating the Leg: If there is swelling, elevate the leg to help reduce it, unless there is a reason to avoid elevation (e.g., a suspected spinal injury).
Transport: After applying a splint, ensure the patient is transported to the appropriate medical facility for further treatment, such as X-rays or surgery.

[Kexanone]

Duplicate

[AidynST]

Hello, as far as intros go I am a bit of a nerd, current 68W combat medic, and often a milsim cringelord on the side. I apologize in advance if any of this has been referenced above, but I didn't see it, so I thought I would make an account and pop in a suggestion:

One major feature that I both love and hate the presence of in game is blood pressure; I love that it is a thing that is there as a consideration, but I abhor the way some parts of it function and some very minor tweaks could help in my opinion;

1. Make it so that the maximum "stable" blood pressure is MUCH lower; I understand that you wouldn't want to make it as low as actual TCCC guidelines want it (hypotensive resuscitation with systolic not to exceed a value of ~90 mmHg or so as to not blow blood clots), but I do wholeheartedly believe that it should never be considered stable by default at a value of 284/189! This is over 100 points higher than AHA recommends you seek immediate medical attention so you don't stroke out (which is at 180/120)! I think this should really be something more in the range of 140/90 mmHg or so (which in my opinion is still far too high, and considered stage 2 hypertension, but for the game I think this works much better).
   TLDR: BP default high is far too high, and should come down to something more reasonable like 140/90 mmHg to be considered "Stable" (As this is something more of a default setting tweak, I imagine this would be a very easy implementation).

2. I think there should be a BP cuff item which allows you to actually take the blood pressure. Before you get up in arms about this ruining a gameplay perspective on using this part of the system, my next point will cover how that is not the case because of a super cool trick we use IRL for field expedient BPs when we don't want to grab a cuff right away. (This would probably not be quite as easy to implement as it would require a model and animation if you wanted to be fancy)

3. Make it so that pulse points depend on blood pressure: IRL we use the standard that different pulse locations are only adequately perfused (and pulsating) if there is a certain systolic BP. This is as follows:
   - 80 mmHg for a pulse in the extremities like the radial or pedal pulses
   - 70 mmHg for a pulse at the femoral
   - 60 mmHg for a pulse at the carotid
   The way this would work in game is that taking a pulse at the given site (ex: radial being the arm) it would say 0 if the BP is not at the given threshold value. This would allow you to assess the pt BP to a relatively decent degree still without needing a BP cuff item if you thought you were too cool for it or if you just wanted to take an estimate instead of doing a long action. (To me this seems like it would be a relatively easy change of just adding a statement line for each area saying if BP < X, HR = 0)

4. Which brings me to my last major BP overhaul point: taking a BP should take a few seconds longer; even having a pretty good experience taking BPs, it takes a little bit. I would say that this value should be something more like 10-15 seconds to take a BP as that would probably be what it would take a normally skilled (and not hearing damaged) individual to take a BP while bullets aren't even flying around you and being super loud. (This seems like it would also be a pretty easy implementation as this would only take a change to the time value y'all already have put in there)

5. My final recommendation (which kind of builds off the aforementioned ones) is that you should be able to remove a saline bag: this would be a good detail to add especially if you lower the stable BP maximum as I have implored you to do as it would allow for the control of the fluid volume so you don't always have to wake someone up with a BP of 200+/110+ mmHg. (this I am unsure of the difficulty of given that you can already remove a medical item (tqs), but there obviously isn't already infrastructure to do this particular action)

Even just those couple of relatively easy tweaks here would not only make the system feel significantly more detailed, but would also establish a much bigger use case for certain medications.

If you took the time to read this I thank you a lot! I appreciate the effort it takes to make this sort of thing for a community and be constantly evolving it as time goes on and want to thank you for that as well. Nothing in this is meant to demean your system, just offer some improvements that I have noticed would be appreciated on this front by the medics of the game who enjoy this system.

[MRXCZ]

ACE Trenches Mod feature.

•Adding fully build trenches to the garbagesystem so we can let them despawn if needed

•Or create a config for server owners and have it Off on default so we can activate it if needed and set a timer inside the config.

[DerivenLoki]

ACE Squad Leader Feature

• Takes vanilla SL system and applies the Ping mechanics from ACE Point to them, allowing squad leaders to better lead and coordinate their troops on the battlefield. Example of this system in another game are the Move, Attack, Defend, and Observation markers in Squad.