Fourth Division Information: Trauma & Triage

[Darake Kitoushi [Old]]

-The Fourth Division Coordinated Relief Station

Home to the fourth division this hospital not only contains the handpicked best and the brightest of Soul Society, but as well as the most cutting edge treatments constantly being forged in the heat of wartime. What makes this hospital unique is that under the control of the Gotei Thirteen this is as well the backbone to the military relief efforts to which constantly attempt to keep their soldiers in the best possible condition. Within this location contains the vast waiting lobby to contain such an influx of injured, numerous personal treatment, operation, and recovery rooms. As well this place contains Soul Societies grand blood bank and pharmacy, their storage of drugs only second the the research chemicals of the twelfth to which they often work in concert with. More over the fourth divisions responsibilities contain more than the simple hospital and the battlefield, this includes all of Soul Society to which the sewers run all under. With an abundance of extra hands the lower learning members of the division are often left with the upkeep of these numerous tunnels twice over performing a necessary task for Soul Society to exist.


-Fourth Division Techniques




Reiki
Just as some are seemingly born with certain talents seemingly at random, some shinigami have a natural affinity to be able to summon up a healing energy that is converted from their own energy. Learning to focus this force and channel it into ones hands is known as the Japanese art of reiki. At first this is very weak and terribly unfocused to the point that there are no natural known prodigies at this talent without first obtaining formal instruction. It being such a unique form of energy, one must be taught how to use it and it must constantly be practiced. Those who have left the fourth division soon find without the constant training of the fourth division they soon fall out of practice and become nearly entirely unable to harness the energy. Usually some faint hint of this trait is seen in a shinigami early and after the first basic year of academy training they are transferred over to the medical program retaining only the basics of shinigami combat. Once these abilities are practiced and the healing of the spirit is cornered, the major concern then is mechanical issues within the persons body needed to keep them alive long enough for the energy to perform it's task. Furthermore there is the issue of concentration as various negative conditions on the healer including small distractions or stress can interfere with ones ability to effectively utilize the substance perhaps making it difficult for a medic to treat themselves.

Medical Kidou
There are a number of kidou techniques in the general categories that can assist a medic, but furthermore there are those exclusive to those constantly practicing the medical arts as they require both reiki and specific medical materials rather than incantation. With proper infusement of reiki a small piece of special cloth or bandage can then be used to create a tool that otherwise would never fit in such a medical pack. Finding the traditional length of kidou chants to be unacceptable, by using such materials found only in the fourth division they are able to greatly minimize the chants length. Rather than proper methods used in the care of a hospital, these were developed to be used in emergency field situations.


Bakudou #9 Shoushaku [Cauterization]
Using an existing source of fire and the application of a black powder along with infused reiki, this turns a tiny flame into a very quickly burning flash as if the reiatsu almost simulates gunpowder. As a likely unwanted shortcut to a very dangerous bleeding wound, this fries any skin it is directed at causing it to forcefully heal over in an very painful way.
"Ifrit, master of hellfire, touch of the furies. Skin and flesh, a broken shell, rebirth."

Bakudou #10 Josaidouki [Defibrillator]
With quick application of azure balm over ones hand and infusing it with reiki produces a very sudden burst of electrical energy forth in small arcs over ones hand, firing off with the contact of a flat palm. This provides a sudden jolt of quite a bit more energy than one would expect from a demon art of this level. This force however comes at the price of range and requiring palm contact.
"Raijin, master of lightning. Sting of death, shock of life. Sparked through muscle and bones."

Bakudou #35 Hageshii Shoushaku [Violent Cauterization]
Using an existing source of fire and the application of a black powder along with infused reiki, this turns a flame into a very quickly burning flash as if the reiatsu almost simulates gunpowder. As a likely unwanted shortcut to a very dangerous bleeding wound, this fries any skin it is directed at causing it to forcefully heal over in an very painful way. This increases the size of the flame from hadou number nine.
"Ifrit, master of hellfire, touch of the furies. Skin and flesh, a broken shell, rebirth. Impatient spark of violent creation and healing.Seize the moment, scars of temperance and experience."

Bakudou #36 Hageshii Josaidouki [Violent Defibrillator]
With quick application of azure balm over ones hand and infusing it with reiki produces a very sudden burst of electrical energy forth in small arcs over ones hand, firing off with the contact of a flat palm. This provides a sudden jolt of quite a bit more energy than one would expect from a demon art of this level. This force however comes at the price of range and requiring palm contact. This provides a higher level shock than that of bakudou number ten.
"Raijin, master of lightning. Sting of death, shock of life. Sparked through muscle and bones. Impatient spark of violent strike and stun. Seize the moment, pulse of beat and breath."


Bakudou #5 Houtai [Bandage]
Directing forth reiki with two fingers on top of the application of a small piece of medical material, a small light brown rectangle with circular ends resembling a bandage latches somewhat weakly itself onto the directed target. Capable of stopping the bleeding from rather minor wounds. Requires a roll of special cloth that can become infused with reiki.

Bakudou #7 Tanka [Stretcher]
Producing a large rolled up piece of medical material, one can then infuse reiki into it for it to gradually harden and take on a faintly white glow. A large thin platform is created that can hover off the ground at waist height and can be pushed around with relative ease. It however can neither be raised to fly from the ground or carry an amount weighing more than the above average patient. It can be shattered easily so it has no value as a barrier.
"White hue of divine energy. Platform of light, lifting the weight of worry, a companion of the caretaker."

Bakudou #10 Kyougijou Shoudoku [Field Sterilization]
Using the small powder cube provided by the fourth division, it begins to become transparent with orange energy and spinning in ones palm haphazardly with the infusion of reiki. As this picks up speed it begins to grow in size to expand, almost looking like it is searing the environment as it passes, though one merely gains the sensation of feeling clean. Eventually it grows to the size enough to encompass several yards and immediately stops it's rotation with a dull flash signaling the death of any foreign materials short of that created by an opponents zanpakutou.

Bakudou #17 Masui [Anesthesia]
Lightly dipping ones fingers within the proper green vial of material, adding an infusion of reiki then gives it the familiar light green hue. A small tap of two fingers of direct contact to a patient can then cause a small degree of numbness in a rather small diameter to the touched area. The effect is minimal, but it succeeds as a rapid use technique.

Bakudou #23 Jizoukaru [Synthetic Drive]
This can be quickly prepared by dipping ones fingers in the appropriate red gel supplemented by an infusion of reiki. Using the fingers like a shot to puncture the enemy, they then suddenly get a slap on the face that doesn't really provide a painkilling effect, but rather produces the ability to somewhat ignore minor wounds for a very short time. Granting a rush to ones adrenaline this allows someone to continue for a brief moment amounting to less than five minutes under exhaustion, but can make them increase the severity of their wounds and even produces a harder crash afterward.
"Shocking light, increased pulse, pupils dilated, a sudden rush. Enter a gamble, make an exchange, regret is no longer a path, Awaken."

Bakduou #31 Kotai Tanka [Solid Stretcher]
Producing a large rolled up piece of medical material, one can then infuse reiki into it for it to gradually harden and take on a faintly white glow. A large thin platform is created that can hover off the ground and can be pushed around with relative ease. It cannot carry an amount weighing more than the above average patient. It can be shattered easily so it has no value as a barrier.
"White hue of divine energy. Platform of light, lifting the weight of worry, a companion of the caretaker. Twenty-two threads, patchwork lift. Evacuate the injured."

Bakduou #33 Harimasui [Acupuncture Anesthesia]
Dipping ones fingers within the proper purple salve and with an infusion of reiki this causes the tip of two fingers to then glow with a deep purple energy. Firing off a small spike of energy this doesn't simply stop at the enemy, nor does it keep going through as it attempts to pin the enemy to the spot whilst causing a numbing force to spread to a small surrounding area. Deceptively small this can be used to not only numb a wound, but to cause a patient to remain still at least at that singular point.

Bakudou #34 Houtai Sokubaku [Bandage Binding]
A special cloth gauze bandage roll glowing faintly white explodes from the casters sleeve and seeks to wrap itself around the nearest target with significant force. This is an extremely efficient way to wrap an injured limb or rib cage for not only blood, but to properly set the wound in a speedy manner. It however can remain a rather painful way to do so.

Bakudou #35 Kururuhorumu [Chloroform]
Requiring further preparation of a medical material infused with ones reiki dipped in the appropriate yellow substance, this must then be placed over the enemies mouth usually requiring they be restrained or taken surprised. Like chloroform it takes an amount of inhaling the substance for it to begin to take effect, but the symptoms begin rather rapidly afterward. Like all anesthesia it can be resisted by those with enough reiatsu, but someone in an injured state would have a more difficult time to resist it's knock out effect.

Bakudou #64 Soushi Houtai Sokubaku [Twin Bandage Binding]
Doubling that of bakduou thirty-four this produces an even more efficient spell. A number of gauze bandage rolls that glow faintly white explode from the casters sleeve and seek to wrap themselves around the nearest target with significant force. This is an extremely efficient way to significantly wrap an injured limb, possibly two or rib cage for not only blood, but to properly set the wound in a speedy manner. It however can remain a rather painful way to do so.





-Fourth Division Materials


Every fourth divisioner is tasked to always have their bag on them when on duty outside of the hospital in order to be ready at a moments notice. To lose ones bag would be akin to losing your uniform or even worse when someones life depends on the fact. Within this shoulder sling are several items that are tasked out to only the fourth medics and can even only be activated in their hands to prevent theft. Included are bandages and material that ordinary looks deceive their nature to accept reiki. Furthermore than this includes several vials of liquids that allow them to administer various effects to give or take ones energy in the forms such as the revitalization pill and shinten.