The Emergency Medical Services on Takashima are entirely player-run. There are no NPC doctors, no automated healing stations, and no magic potions that instantly mend broken bones. From the paramedic who rushes to a roadside accident to the surgeon who carefully operates on a punctured lung, every medical professional on the island is a real player with real skill.
Takashima's anatomy-based injury system means that injuries are realistic and consequential. Cuts, fractures, internal bleeding, and organ damage all require proper medical treatment — not a splash potion and a prayer. A knife wound to the abdomen is fundamentally different from a broken wrist, and treating each one demands different knowledge, tools, and procedures.
This system makes EMS genuinely vital to the island. Without competent medical professionals, injuries have lasting consequences. The EMS faction doesn't just provide a service — it holds the line between life and death on Takashima.
The EMS faction offers a wide range of roles, each vital to keeping Takashima's citizens alive. Choose your path and build your medical career through roleplay.
These are just examples — there are infinite ways to approach each one, and countless more possibilities when you combine different aspects together.
The first on scene. Paramedics respond to emergency calls, stabilize patients in the field, apply tourniquets and splints, manage airways, and coordinate transport to the hospital. When seconds matter, they are the difference between life and death.
The backbone of hospital care. Nurses monitor patients, administer medication, manage IVs, track vital signs, assist doctors during procedures, and ensure patients receive proper ongoing care throughout their recovery.
The highest tier of medical care. Doctors diagnose complex conditions, prescribe treatment plans, and perform surgeries — from setting compound fractures to repairing organ damage. Mastery of the anatomy system is essential.
Behind every functional hospital is someone keeping the lights on. Administrators manage staffing schedules, allocate budgets, procure medical supplies, handle patient records, and ensure the hospital runs smoothly day and night.
Not every emergency happens near the hospital. Search and Rescue teams operate in Takashima's remote areas — mountains, forests, coastlines — responding to accidents, natural disasters, and missing persons where conventional ambulances cannot reach.
Push the boundaries of island medicine. Medical researchers develop new treatments, study diseases and epidemics, experiment with pharmaceuticals, and publish findings that advance the overall quality of healthcare available on Takashima.
Takashima uses a realistic anatomy system that fundamentally changes how injuries and medicine work. Forget generic health bars — every injury targets a specific body part with specific consequences.
A punch to the ribs is different from a stab wound to the leg, which is different from blunt force trauma to the head. Each type of injury affects the body in a distinct way: fractures limit mobility, lacerations cause bleeding over time, and organ damage can lead to cascading complications if left untreated.
Critically, light injuries are not immediately lethal. Cuts, bruises, and minor fractures take hours to become life-threatening, giving medical professionals a realistic window to intervene. Lethal outcomes require targeting vital organs — the heart, lungs, brain, or major arteries — making death something that happens through deliberate, escalated violence rather than random chance.
Without treatment, wounds worsen over time rather than magically healing.
Treating a fracture like a laceration does nothing. You need to identify the actual injury.
Major surgeries require bed rest and follow-up care — creating ongoing RP.
Poor medical care — or none at all — can leave lasting damage on a character.
Medical professionals must genuinely understand the anatomy system to treat patients properly. You cannot just press a button — you need to assess the patient, identify the type and location of injury, choose the right treatment, and perform the procedure through roleplay. This depth creates some of the most immersive and rewarding interactions on the server.
You're halfway through your shift at Takashima General when the radio crackles. A gang shootout downtown — multiple casualties reported. You grab your field kit, jump in the ambulance, and race through the streets with sirens blaring.
On scene, it's chaos. A police officer waves you toward two victims. The first has a fractured right arm — painful but stable. You apply a splint, administer painkillers, and mark them for secondary transport. The second is worse: a knife wound to the abdomen, bleeding heavily. You pack the wound, start an IV, and call it in — this one needs surgery.
Back at the hospital, you brief the surgeon on arrival. Vitals are dropping. The team preps the operating room while a nurse takes over monitoring. You have just enough time to catch your breath before checking on yesterday's patient — the one recovering from a collapsed lung after a construction accident. Their breathing has improved. You update the chart and adjust their medication.
Your shift isn't over. A walk-in arrives at the front desk — a factory worker with chemical burns on their hands. Meanwhile, the hospital administrator stops by to discuss next week's supply order. The radio hums again. Another call. You grab your kit.
Stabilize & transport
Surgery & recovery
Follow-ups & walk-ins
EMS is one piece of Takashima's player-driven society. Every faction interacts with the others — crime creates patients, businesses fund the hospital, and the government sets health policy.
Gangs, smuggling, and the underworld that keeps EMS busy.
The economy that funds hospitals and medical supply chains.
Where future doctors and nurses learn their craft.
Government, law enforcement, and the policies that shape healthcare.
Spiritual guidance and comfort for patients and the community.
See the full picture
The wiki has everything you need — anatomy charts, treatment guides, surgery procedures, and pharmaceutical references.