How to Survive and Thrive in Modern Combat 6: Tips and Tricks
Original soundtrack from Gameloft's "Modern Combat 4 - Zero Hour" game for iPhone, iPad and Android.From mission 6 (Man Hunt) level State: high combatMusic composed by Carl VaudrinCopyright 2012 Gameloft
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The battlefield treatments of spinal and spinal cord injury vary from civilian settings. However, there is no unified battlefield treatment guidelines for spine trauma in PLA. An expert consensus is reached, based on spine trauma epidemiology and the concepts of battlefield treatment combined with the existing levels of military medical care in modern warfare. Since the specialized treatment for spine trauma are no significant difference between civilian settings and modern war, the first aid, emergency treatment and early treatment of spine trauma are introduced separately in three levels in this consensus. In Level I facilities, the fast and accurate evaluation of spine trauma followed by fixation and stabilization are recommended during the first-aid stage. Re-evaluation, further treatment for possible hemorrhagic shock, dyspnea and infection are recommended at Level II facilities. At Level III facilities, it is recommended to strengthen the intensive care and the prevention of urinary system and lung infection for the wounded with severe spinal injury, however, spinal surgery is not recommended in a battlefield hospital. The grading standard for evidence evaluation and recommendation was used to reach this expert consensus.
The levels of evidence and recommendations in the process of compiling this expert consensus are mainly based on criteria recommended by the Oxford Centre for Evidence-based Medicine (OCEBM) and some common standards in the clinical medical research [1,2,3]. Due to the specificity of the care for combat-related injuries (for example, the inability to carry out randomized double-blind studies), we used the evidence quality grading and recommendation strength system of the Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) [4]. The advantage of the GRADE system is that a strong recommendation can be proposed according to a comprehensive assessment under circumstances of low levels of evidence and the absence of high-level evidence-based medicine. Therefore, this GRAGE system is appropriate for combat-related injury assessment and recommendation grading of the diagnostic method. The evidence level and recommendation class are provided for each opinion in this article, which are presented as the evidence level/recommendation class.
Consensus 1: Compared with daily life and previous wars, the incidence of spinal injury is high in modern warfare, along with an increase in the incidence of penetrating spinal fractures, multilevel noncontiguous spinal fractures, associated injuries and associated spinal cord injuries. To save more lives and prevent secondary damage of the nerves, it is necessary to strengthen the treatment of spinal injuries during each medical care step based on the characteristics of these injuries (Level C/ Class I).
Consensus 8: According to the emergency treatment agencies, the key to the treatment of combat-related spinal injury is to prevent shock, respiratory circulatory failure and lung infection and further improve spine stability (Level B/Class I).
Consensus 9: When a patient with a combat-related spinal injury has many other injuries, he or she is more prone to hemorrhagic shock and should be subjected to active anti-shock treatments. It is recommended to infuse the patient with red blood cells/fresh frozen plasma/platelets in a 1:1:1 ratio for fluid resuscitation in the first place (Level A/Class I).
Neurogenic shock can also occur during combat-related spinal injury, and the associated clinical features and medical treatments are different from those of hemorrhagic shock. The mechanism of neurogenic shock is that spinal cord injury leads to interruption of the sympathetic nerve innervated by thoracic segment 1 to lumber segment 2, resulting in weakened inhibition of the vagus nerve and, subsequently, the presence of moderate hypotension and bradycardia. Neurogenic shock is determined by the presence of flaccid paralysis, moderate hypotension and varying degrees of bradycardia after spinal fracture. Under the circumstance of neurogenic shock, blood pressure can be increased by vasoactive drugs [36, 37].
Consensus 12: In early-phase medical agencies, the key to the treatment of patients with combat-related spinal injuries is further injury assessment. Based on the assessment, it is required to strengthen the intensive care and treat patients with urinary system and lung infections, shock, pressure sores, deep vein thrombosis and disturbances of water, electrolyte and acid-base balances. Patients with indications should be subjected to surgical treatments. After being stabilized, the patients should be transported to specialized treatment agencies as soon as possible (Level B/Class III).
The early-phase treatments of combat-related spine injuries are normally completed at division aid stations or equivalent medical agencies at approximately 6 h after injury. In early-phase medical agencies, the key to the treatment of patients with combat-related spinal injuries is further injury assessment. Based on the assessment, it is required to strengthen the intensive care and treat patients with urinary system and lung infections, shock, pressure sores, deep vein thrombosis and disturbances of water, electrolyte and acid-base balances. Patients with indications should receive surgical treatments. The patients should be transported to specialized treatment agencies as soon as possible once they are stable.
X-ray devices are available in early-phase medical agencies of the Chinese military. Patients with combat-related spinal injuries who are stable should undergo X-ray examination to determine the types of spinal injury to guide treatment.
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Penetrating spine and spinal cord injuries. In modern wars, the incidence of penetrating injury-induced spine and spinal cord injuries has increased along with the widespread use of high-speed light weapons. Generally, simple debridement is needed for penetrating spine and spinal cord injuries, but thorough intraspinal canal debridement and spinal cord decompression are not recommended, as they are not beneficial for the recovery of neurological functions but instead increase the risk of complications including infection, cerebrospinal fluid leakage and hemorrhage [55, 56]. Surgery is required when penetrating spinal fractures are associated with compression-induced incomplete and deteriorating spinal cord or cauda equina injuries or when there is cerebrospinal fluid leakage or associated thoracic abdominal organ injuries [57,58,59,60].
In early-phase medical agencies, the key to the treatment of patients with combat-related spinal injuries is an extensive injury assessment of the patients. Based on the assessment, it is required to strengthen the intensive care and treat patients with urinary system and lung infections, shock, pressure sores, deep vein thrombosis and disturbances of water, electrolyte and acid-base balances. Patients with indications should receive surgical treatments. After being stabilized, patients should be transported to specialized medical agencies as soon as possible.
Read-Ahead Fire: Normal missile fire is done by locking on to nearby enemies and launching missiles that pursue their target. While this approach of air-to-air combat is suitable for eliminating most enemies, it requires the player to spend valuable time getting closer to their opponents. Advanced players can utilize "Read-Ahead Fire" to predict the path of their enemy and fire missiles from long-distances without needing a lock-on. This tactic requires precise flying and strong knowledge of enemy flight patterns, but can quickly devastate an opposing fleet if properly executed.
High-G Turn: Modern combat planes are stabilized via computer control, delivering a smooth and safe flight for the pilot, but limiting the overall maneuverability of the plane in emergency situations. By temporarily overriding their flight computer (holding the left and right trigger on the Xbox 360 controller), players can execute a "High-G Turn" and make extremely tight cornering maneuvers, but risk stalling their plane if they hold this extreme flight pattern for too long.
Mid-Flight Landing %26amp; Midair Refueling: Introducing massive battle areas with multiple combat fronts, Ace Combat 6 forces pilots to strategically manage their arsenal and the condition of their plane. Some missions will feature more enemies than players can destroy in a single load of missiles, in which case they can either take on the remaining foes with machine guns alone or attempt a challenging mid-flight landing on an aircraft carrier or occupied airfield. One mission will require the player to execute a mid-air refueling. By carefully docking with a refueling plane, players will be able to continue their mission without risking their safety by landing and taking off in the middle of a battlezone.
Activision's Call of Duty 4: Modern Warfare, which drops you into some of the world's most dangerous hot spots, is simply one of the best 3-D shooters to surface in a long while, while fighter pilots are wanted in Namco Bandai's Ace Combat 6: Fires of Liberation, which lets you soar through the unfriendly skies in modern-day jets.
You can use the Xbox 360 controller to play the game, but serious aerial combat fans might opt for the Ace Combat 6 bundle ($149.99), which includes the game, a durable flight stick and throttle controller and an Xbox 360 faceplate to decorate your console.
There are awesome and more realistic smart phones FPS series that normally returns with more intense and devastating battle for the emancipation of the US, especially for one of more players. Modern combat is developed by Gameloft SE and the current version is 5.