These optional rules are meant to conform to the standard rules for injuries as detailed on pp.51-53 of Call of Cthulhu, 5.5 edition, and are not designed to reinvent the wheel. Not all DG WWII campaigns will take place on the battlefield, but some will and many will involve more firepower than the usual CoC campaign. There is a good chance that player characters could get killed through random violence rather than in a dramatic manner, and though this reinforces a gritty atmosphere it can ruin the logic of planned-out scenario. These rules are meant to preserve that gritty atmosphere through severe penalties for getting in the way of a bullet, yet allow the character a better chance to survive without forcing the Keeper to suspend disbelief by "fudging the rules" to keep player characters alive.
These rules can make combat a much-more complicated affair, so it is best reserved for PCs and named NPCs, and not for the average cultist or guard. If you prefer that death be more random, simply observe the standard rules that 1-2 HP is unconsciousness and 0 HP or less is death.
In game terms, shock is the final stage where the body begins to decompensate and will soon die. This is not meant to simulate any clinical definition of shock, as there are several different kinds of shock. A character is in danger of going into shock for any of the following reasons:
When a character is in danger of going into shock, follow this procedure:
If a character goes into shock, they immediately fall unconscious and loses 1 HP per round until they are stabilized. If at any time, a character in shock has an HP of zero or less, they die in 1D4 rounds unless they are immediately stabilized.
This is the use of basic life support techniques to stabilize the seriously wounded patient until advanced medical attention can be performed. In game terms, stabilization is accomplished by a either successful First Aid or Medicine roll. This roll can be attempted once per round until the victim is either stabilized or dies. Only one person can attempt the roll on any one patient at a time. Stabilization does not require any special tools and can be performed anywhere. A character can attempt to stabilize their own injury at half-skill, but the exertion could cause the character to go into shock. The roll for stabilization uses the same procedure as a First Aid or Medicine roll to restore 1D3 HP, but these are two seperate rolls.
Under these optional rules, when a character's HP reaches zero or less, they are not dead but are dying. If the character can recieve proper medical attention in sufficient time, they can survive. When a character suffers an injury that reduces their HP to zero or less, follow this procedure:
Surgical treatment is required to bring a character near death out of critical condition. To perform surgical treatment, a character must make a successful Surgery roll, with the following result:
The Surgery skill is modified by a number of factors and can be attempted more than once. See the expanded skill description for further details.
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