ACM Extended
ACM Extended expands Advanced Combat Medicine with deeper IV access, medication infusions, blood transfusion workflows, advanced monitoring, shock physiology, TBI progression, and tactical medical training tools.
This mod is built on top of ACM. It does not replace ACM. It extends ACM with more detailed procedures, devices, and physiology for units that want medical gameplay to feel more deliberate and training-focused.
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- Advanced IV Access: interactive IV starts, BOA constricting band placement, prep stages, catheter gauge choices, access-site logic, missed sticks, bruising, and persistent IV hub visuals.
- Medication Infusions: draw meds, inject them into bags, create labeled infusions, hang bags, select drop sets, and control drip rates with a roller clamp.
- Pressors and Push-Dose Support: norepinephrine, epinephrine, dirty epi, push-dose epi, volume-gated pressor effects, and pressor resistance from acidosis and hypothermia.
- Blood Transfusion Expansion: whole blood workflows, filtered Y-tubing concepts, saline prime and flush behavior, blood warmers, cold-chain handling, coolers, spoiled blood, and empty bag handling.
- Shock and Acidosis Physiology: metabolic and respiratory acidosis, coagulopathy interaction, calcium effects, hypothermia interaction, Plasma-Lyte buffering, and over-resuscitation complications.
- TBI / ICP / Herniation System: ICP and CPP tracking, Cushing physiology, pupil assessment, anisocoria, blown pupils, GCS-M degradation, head elevation, HTS, mannitol, and evacuation urgency.
- Respiratory and Chest Treatment: improved chest inspection, chest-seal mini-game, front and back wound inspection, NAR SPEAR needle decompression, finger thoracostomy integration, NRB, BVM, and EMMA capnography.
- Junctional Hemorrhage Tools: junctional wound support, direct pressure, Combat Gauze packing, pressure wraps, AAJT-S inguinal and axilla use, and XSTAT 30.
- Rhythm and Monitoring Additions: AFib RVR, controlled AFib, SVT, atrial tachycardia, torsades and polymorphic VT, custom EKG-style outputs, AED sync/cardioversion support, thermometer, skin checks, stethoscope findings, and auto BP support.
- Training and Zeus Support: medical scenario tools, megacode-style patient control concepts, blood fridge module, debug tools, and systems built for structured training lanes.
ACM Extended is meant to make medical treatments more deliberate, realistic, and overall fit more in line with the scope of what ACM intends.
Players must think through access, line patency, medication route, drip rate, perfusion, ventilation, bleeding, temperature, TBI progression, and evacuation instead of simply clicking treatments until vitals improve.
- Advanced combat medicine training
- TCCC-style medical lanes
- Prolonged field care scenarios
- Ranger Medic, SOF Medic, PJ, and 18D-style environments
- Zeus-controlled casualty simulations
- Multiplayer medical training events
- CBA
- ACE
- Advanced Combat Medicine
ACM Extended is under active development. Systems may change as features are tested, balanced, and expanded.
Required items:
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CBA_A3 — Steam Workshop
Advanced Combat Medicine — Steam Workshop
ace — Steam Workshop
