Injury Analysis

## Injury Analysis Guide

In JO it isn’t a surprise when someone gets hurt. In order to help our aspiring medics with how they should treat and determine when a patient recovers, we’ve come up with a guide to help distinguish injuries and recovery times. If you have any questions, please feel free to ask in one of the medical corps channels

We want everyone to enjoy their RP as much as possible, with that said, we don’t want them stuck in a bed longer than they should be. The maximum in-game time a person should have to stay in the hospital is **Two days** for severe to life threatening injuries.

However, if the patient chooses to stay longer in order to get more story and RP that is okay and entirely their choice on when they want to leave.

While some injuries are GM enforced, **You are responsible for your character's injury severity and death.** Treatment will be applied accordingly. It should be noted that if you arrive in the hospital or need to be looked at rply and no one is there you should reach out to a medical corps member either OOC or through discord! We are not mind readers and can not be online every hour of every day. Keeping communication will help things run smoothly.

### **Chakra Exhaustion**

Rule of 4’s - Chakra exhaustion has quarter-ish stages that fall into percentages. Use each percent, and its symptoms to help determine how severe the character is and how they should be treated.

0-25%

* relatively fine. May be a little tired but overall safe and healthy. May require a short rest, food, and water.

25-50%

* The person affected will be tired. Symptoms may include heavy breathing and a feeling of being weighted down or tingly. They need to rest!!!

50-85%

* Chakra exhaustion is becoming life threatening. They will be tired, may lose consciousness. If they have not lost consciousness they may feel dizzy, blurred vision, and hot/cold. Hearing may be difficult. Moving about will take a lot of effort.

85-100%

* The patient will be in serious need of IV fluids and to be kept stable. Their organs may start to shut down and they will lose consciousness. They are entering a state in which the body is trying to preserve energy, shutting itself down and entering a coma-like state. Risk of death is High.

### **Burns**

Burns can fall into four categories. The first and second do not require hospitalization, whereas the third and fourth will need surgery in order for them to be healed, it is recommended not to bandage burns if they are blistering. Putting gels on burns is often frowned upon as it can smother the tissue and prevent proper healing. 3rd/4th degree burns will need IV to help replace lost fluids

1st degree

* First degree burns are often equivalent to a sunburn. Blisters are not likely, and no long-term damage will be dealt. A light burn spray and antibiotic will help

2nd degree

* Skin will be red and swollen looking. Often shiny/wet. The burns will blister, and it will hurt to touch
	+ 2nd degree burns that aren’t deep will not scar
	+ If the burn is deeper than just the under layer of skin it will likely scar

3rd degree

* May appear black, yellow, white, or brown. This is a full skin burn and will not hurt due to the nerves being destroyed. Surgery is needed to replace the skin

4th degree

* Life threatening burns that will affect skin, tendons, muscle, and bone. Risk of infection in the bone is high and surgery is needed.

Burns follow the rule of 9’s. Each part of the body can be explained as 9% of the burn. Use this to help gauge how severe the burn is.

### **Broken Bones**

Broken bones are common among Shinobi, remember that there are two types:

* Simple fracture
	+ Bone has not broken through the skin
* Compound Fracture
	+ Bone has punctured through the skin and is considered open

All Broken bones will need to be set back into place and casted with plaster or have mystic palm (Arumaze technique) used to mend them.

In the case that a bone splinters or ‘shatters’ leaving pieces behind, Surgery will be needed to help get the bones back in place and or removed.

### **Gates**

Gates are taijutsu techniques in which the user opens the gates points on their body to perform certain actions, increasing their strength and speed. However, the gates are a double-edged sword, injuring the user in the process

**Gates users will only face mandatory injury if they meet the amount used according to the gates guide. That being:**

**Genin**: 5 times using gates will injure the user after the combat.

**Chuunin**: 8 times using gates will injure the user after the combat.

**Special Jounin**: 10 times using gates will injure the user after the combat.

**Jounin**: 15 times using gates will injure the user after the combat, using gates of this rank will **always** cause injuries when the combat is finished, use wisely when it’s certain no more fights will take place during the mission.

**1-2nd gate**

* The User with feel fatigue, not terribly injured, but exhausted and in need of rest

**3-4th gate**

* The user will have suffered torn muscles, making it hard and painful to move.
* Likely blood vessels would have popped, making them bleed
	+ Ex: bleeding from the nose
* exhaustion

**5-6th gate**

* Gates users will suffer from torn muscles
* Popped vessels
* Compound fractures, if not worse
* Exhaustion

**7th- 8th gate**

* The muscle fibers would have shredded, causing immense pain for the user
* Bones will be broken
* User will be exhausted
* User may also be bleeding from the popped vessels either internally or externally

### **Arumaze Techniques**

Arumaze are a clan known for their healing ninjutsu. However, there are a few unspoken rules surrounding their abilities and what can be done.

Overall, Arumaze are able to:

* Use mystic palm to see internal damage
	+ Organs, bones, muscles, tendons and ligaments
* See if tissue is alive or dying
* Draw out poison from a patient
	+ Poisons can only be drawn out of the victim if the Arumaze is of **A rank PL**
		- Drawing out poison will partially effect the Arumaze making them sick, pained, or experience similar symptoms from the victim
	+ [Must be of A rank PL rank in order to draw all of it out successfully]
* Mend damage to the body using mystic palm
	+ Bones, cuts, tears in muscles, ligaments, tendons, etc.
		- **MYSTIC PALM TAKES TIME TO HEAL!! YOU WILL BE THERE FOR A WHILE HEALING THE PATIENT. IT IS NOT INSTANT.**
* Use Chakra Scalpel for cutting purposes
	+ An Arumaze will be able to determine what they cut with the scalpel
		- Can bypass the skin, etc, in order to cut what they need
* Use pathway derangement to numb and paralyze a patient for easier access while working with them.

### Arumaze Capabilities By Rank:

#### D Rank:

* Can heal stab wounds from small tools or weapons
* Heal superficial cuts
	+ Attempts to heal severe wounds (anything not listed here) can be performed daily
		- User will need to /roll 500. if they meet the 250 mark. they can attempt to heal hourly
		- User will need to reach rolls of 200 after they reach the first rolls goal
		- 3 successful rolls of 200 may be made hourly to fully hel a wound

#### C rank:

* May treat bleeding and organ damage by burns, slashes, or stab wounds
	+ Can only heal these successfully if they are not lethal to the victim
	+ May destroy said wound partially or entirely
	+ Burns may be treated if they are 1st degree

#### B rank:

* May treat bleeding and organ damage by burns, slashes, or stab wounds
	+ Can only heal these successfully if they are not lethal to the victim
	+ May destroy said wound partially or entirely
	+ Burns may be treted if they re 1st-2nd degree

#### A rank:

* May treat bone fractures, missing body parts in small amounts
	+ Ex: Hands, toes, fingers, teeth. etc
	+ Regrowing missing limbs (listed above) requires **end game jutsu**
* May treat Burns of 2nd-3rd degree
* treat large slashes
* May draw out poison from a patient
	+ Drawing out poison will partially effect the arumaze

#### S rank:

* The arumaze may now stabilize patients for transportation to a medical facility

End Game Jutsu, or the Arumaze A-S rank techniques are stronger than normal techniques, however they will need to be logged with Staff if they are used!

* **Creation Rebirth**
	+ Able to bring someone back from the dead
		- Needs to be within 24 hours of their death
		- If you do not have the proper health and chakra reserves you risk dying in the attempt to bring them back
		- Able to heal severe mental trauma symptomatcally. This does not mean you CURE someone, but you may treat them as if it were therapy without speaking or medication. Arumaze can not bring back memories

**Please log these with staff and make sure they are agreeable with the other player. Remember that you cannot use the A and S rank jutsu’s if you do not have the spells and rank in game unless told otherwise by a staff member**

#### **Arumaze Limitations**

The Arumaze can be handy when it comes to healing However, they have limitations to their clan abilities.

* Arumaze cannot heal themselves **unless they use their Strength of 100 seal**
	+ (please refer to the arumaze guide for this)
* They cannot use mystic palm to see the chakra network (tenketsu points), A hyuuga would be needed to see this.
* The Arumaze must keep total focus on the patient while they are working, interruption will only hurt the patient and or do more damage than is already done.
* Arumaze cannot heal dead tissue
	+ Ex: necrosis
		- Tissue will have to be removed before you’re able to heal it again
* Arumaze healing takes more than just chakra. If the user goes past their capibilities, or runs low on chakra they may injure themselves or grow ill from healing others.

**If you have the endgame spells, healing someone within the A and S rank spell category will drain you of most of your chakra and you will be unable to use healing jutsu for a while**

* creation rebirth will place the arumaze in a coma for 4-5 days with severe chakra exhaustion

### **Hyuuga Techniques**

The Hyuuga clan is known for their kekkei Genkai, the Byakugan. Aside from their combative techniques, they can also be used medically. A Hyuuga clan member will be able to:

* Use the Byakugan to see chakra systems
* Use gentle fist to close or open a tenketsu point
* View things in detail using the byakugan
	+ Keep in mind the byakugan is NOT an X-ray machine. The only thing visible internally will be the chakra system!!!

### **Samurai Techniques**

The most common usage of the Samurai also known as lai-do enhances their physical abilities with their fury dashes. Performing fury dashes too often or too fast a succession will result in the muscle tearing or shredding.

### **Hospital Stay:**

Many people have questioned if they should stay in the hospital or leave. Medics are not always on hand but you should report any hospital visits to the KMD in which they can check up on you when needed or tell you wht your treatments were.

**Reasons that would warrant a Hospital stay:**

While mystic palm is reliable it will not be used 100% of the time for all injuries. If you are not fully healed by mystic palm you may be asked to stay in the hospital for a **maximum of 2 irl days** for the following reasons:

* Near death injury/deadly wound
	+ you will be weak and depending on how serious you rp the wound, may be asked to stay
* extreme chakra exhaustion in which the organs begin to shut down (85-100% exhaustion)
	+ 50-85% will only require 2 hours irl dependant on your symptoms rp'd according to the guide
* Stay mandated by the Hokage or MOJ officials
* extreme blood loss that requires a transfusion
	+ will require an hour stay
* loss of conciousness/coma
	+ this is **dependant on YOUR rp**. If you wake up and are better, please inform a medic and you will be sent on your way

If you are not told to stay, you may leave after your treatment, it is asked you please rp your injuries accordingly.

### **PGing Injury**

In the event you are caught powergaming an injury, or you arrive at the hospital every other day with a new injury after only recieving minor treatment, Ex: Heiri has 3rd degree burns, is only banadaged, acts fine and in the same day gets stabbed deeply, stitched, is out of the hospital despite blood loss being extreme, and then chakra exhausted all within the span of 3 days..... your next hospital visits will add **more injury** to your character.

Not all doctors can and will use mystic palm. If you happen to be arriving in the hospital doing just fine without taking note of your injury pain, restricted movement, tiredness etc then an admin will force these injuries onto you and give you a warning. This falls under the Community rule #14 on our discord and will be punishable if done enough.