Pharma, Vitals - Update overrides for ACE update (#675)

**When merged this pull request will:** - make KAM work with ACE update 3.18.2 - _Each change in a separate line_ ### IMPORTANT - [Development Guidelines](https://ace3.acemod.org/wiki/development/) are read, understood and applied. - Title of this PR uses our standard template `Component - Add|Fix|Improve|Change|Make|Remove {changes}`. --------- Co-authored-by: MiszczuZPolski <71414303+MiszczuZPolski@users.noreply.github.com> Co-authored-by: Blue <itzblueman@gmail.com> Co-authored-by: mazinskihenry <33608576+mazinskihenry@users.noreply.github.com>
KAT-Advanced-Medical · Jan 28, 2025 · 9b44368 · 9b44368
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diff --git a/.hemtt/launch.toml b/.hemtt/launch.toml
@@ -10,3 +10,10 @@ extends = "default"
 workshop = [
     "843577117", # RHS USAF Workshop ID
 ]
+
+[anrop]
+workshop = [
+    "450814997", # CBA_A3's Workshop ID
+    "1882627645", # Anrop ACE3's Workshop ID
+    "2369477168" # Advanced Developer Tools's Workshop ID
+]
diff --git a/addons/gui/functions/fnc_menuPFH.sqf b/addons/gui/functions/fnc_menuPFH.sqf
@@ -25,6 +25,7 @@ if !(
     // Show hint if distance condition failed
     if ((ACE_player distance ACEGVAR(medical_gui,target) > ACEGVAR(medical_gui,maxDistance)) && {vehicle ACE_player != vehicle ACEGVAR(medical_gui,target)}) then {
         if (((getPosATL ACEGVAR(medical_gui,target)) # 2) < -9) exitWith {}; // handle dragging corpse/clone
+
         [[ACELSTRING(medical,DistanceToFar), ACEGVAR(medical_gui,target) call ACEFUNC(common,getName)], 2] call ACEFUNC(common,displayTextStructured);
     };
 };

diff --git a/addons/gui/functions/fnc_updateBodyImage.sqf b/addons/gui/functions/fnc_updateBodyImage.sqf
@@ -78,12 +78,22 @@ private _surgicalBlock = GET_SURGICAL_TOURNIQUETS(_target);
         [_bloodLoss] call ACEFUNC(medical_gui,bloodLossToRGBA);
     } else {
         private _damage = _bodyPartDamage select _forEachIndex;
+        // _damageThreshold here indicates how close unit is to guaranteed death via sum of trauma, so use the same multipliers used in medical_damage/functions/fnc_determineIfFatal.sqf
+        // TODO: make multipliers for head and torso a macro in medical_engine/script_macros_medical.hpp
         switch (true) do { // torso damage threshold doesn't need scaling
             case (_forEachIndex > 3): { // legs: index 4 & 5
-                _damageThreshold = LIMPING_DAMAGE_THRESHOLD * 4;
+                if (ACEGVAR(medical,limbDamageThreshold) != 0 && {[false, !isPlayer _target, true] select ACEGVAR(medical,useLimbDamage)}) then { // Just indicate how close to the limping threshold we are
+                    _damageThreshold = _damageThreshold * EGVAR(medical,limbDamageThreshold);
+                } else {
+                    _damageThreshold = LIMPING_DAMAGE_THRESHOLD * 4;
+                };
             };
             case (_forEachIndex > 1): { // arms: index 2 & 3
-                _damageThreshold = FRACTURE_DAMAGE_THRESHOLD * 4;
+                if (ACEGVAR(medical,limbDamageThreshold) != 0 && {[false, !isPlayer _target, true] select ACEGVAR(medical,useLimbDamage)}) then { // Just indicate how close to the fracture threshold we are
+                    _damageThreshold = _damageThreshold * ACEGVAR(medical,limbDamageThreshold);
+                } else {
+                    _damageThreshold = FRACTURE_DAMAGE_THRESHOLD * 4;
+                };
             };
             case (_forEachIndex == 0): { // head: index 0
                 _damageThreshold = _damageThreshold * 1.25;
@@ -107,4 +117,4 @@ private _surgicalBlock = GET_SURGICAL_TOURNIQUETS(_target);
     [IDC_BODY_LEGRIGHT, IDC_BODY_LEGRIGHT_S, IDC_BODY_LEGRIGHT_T, IDC_BODY_LEGRIGHT_B]
 ];
 
-[QACEGVAR(medical_gui,updateBodyImage), [_ctrlGroup, _target, _selectionN]] call CBA_fnc_localEvent;
+[QACEGVAR(medical_gui,updateBodyImage), [_ctrlGroup, _target, _selectionN]] call CBA_fnc_localEvent;
diff --git a/addons/gui/functions/fnc_updateInjuryList.sqf b/addons/gui/functions/fnc_updateInjuryList.sqf
@@ -167,10 +167,18 @@ if (ACEGVAR(medical_gui,showDamageEntry)) then {
         private _damageThreshold = GET_DAMAGE_THRESHOLD(_target);
         switch (true) do {
             case (_selectionN > 3): { // legs: index 4 & 5
-                _damageThreshold = LIMPING_DAMAGE_THRESHOLD_DEFAULT * 4;
+                if (ACEGVAR(medical,limbDamageThreshold) != 0 && {[false, !isPlayer _target, true] select ACEGVAR(medical,useLimbDamage)}) then { // Just indicate how close to the limping threshold we are
+                    _damageThreshold = _damageThreshold * ACEGVAR(medical,limbDamageThreshold);
+                } else {
+                    _damageThreshold = FRACTURE_DAMAGE_THRESHOLD * 4;
+                };
             };
             case (_selectionN > 1): { // arms: index 2 & 3
-                _damageThreshold = FRACTURE_DAMAGE_THRESHOLD_DEFAULT * 4;
+                if (ACEGVAR(medical,limbDamageThreshold) != 0 && {[false, !isPlayer _target, true] select ACEGVAR(medical,useLimbDamage)}) then { // Just indicate how close to the fracture threshold we are
+                    _damageThreshold = _damageThreshold * ACEGVAR(medical,limbDamageThreshold);
+                } else {
+                    _damageThreshold = FRACTURE_DAMAGE_THRESHOLD * 4;
+                };
             };
             case (_selectionN == 0): { // head: index 0
                 _damageThreshold = _damageThreshold * 1.25;

diff --git a/addons/misc/functions/fnc_treatment.sqf b/addons/misc/functions/fnc_treatment.sqf
@@ -51,7 +51,7 @@ if (_treatmentTime == 0) exitWith {false};
 private _userAndItem = if (GET_NUMBER_ENTRY(_config >> "consumeItem") == 1) then {
     [_medic, _patient, getArray (_config >> "items")] call ACEFUNC(medical_treatment,useItem);
 } else {
-    [objNull, ""]; // Treatment does not require items to be consumed
+    [objNull, "", false]; // Treatment does not require items to be consumed
 };
 
 // Patient Animation Added from Old Ace

diff --git a/addons/misc/functions/fnc_treatmentIV.sqf b/addons/misc/functions/fnc_treatmentIV.sqf
@@ -32,4 +32,4 @@ switch (_className) do {
 };
 
 [_player, _value] call FUNC(removeIVbag);
-[_player, _target, _bodyPart, _className, objNull, _item] call ACEFUNC(medical_treatment,ivBag);
+[_player, _target, _bodyPart, _className, _player, _item] call ACEFUNC(medical_treatment,ivBag);
diff --git a/addons/misc/functions/fnc_useItem.sqf b/addons/misc/functions/fnc_useItem.sqf
@@ -21,12 +21,17 @@
 params ["_medic", "_patient", "_items"];
 
 if (_medic isEqualTo player && {!isNull findDisplay 312}) exitWith {
-    [_medic, _items select 0]
+    [_medic, _items select 0, false]
 };
 
 scopeName "Main";
 
-private _sharedUseOrder = [[_patient, _medic], [_medic, _patient], [_medic]] select ACEGVAR(medical_treatment,allowSharedEquipment);
+private _sharedUseOrder = [[_patient, _medic],
+    [_medic, _patient],
+    [_medic],
+    ([[_patient, _medic],[_medic, _patient]] select ([_medic] call ACEFUNC(medical_treatment,isMedic)))
+] select ACEGVAR(medical_treatment,allowSharedEquipment);
+
 private _useOrder = [];
 
 private _vehicle = objectParent _medic;

diff --git a/addons/pharma/ACE_Medical_Treatment.hpp b/addons/pharma/ACE_Medical_Treatment.hpp
@@ -16,6 +16,8 @@ class ACE_ADDON(Medical_Treatment) {
         // The number of doses over maxDose where there is a chance to overdose.
         // Example with maxDose = 4 and maxDoseDeviation = 2: Dose 4: Safe | Dose 5 and 6: Possible overdose | Dose 7: Guaranteed overdose
         maxDoseDeviation = 2;
+        // The dose of the medication, to allow for different dose amounts of the same medication
+        dose = 1;
         // Function to execute upon overdose. Arguments passed to call back are 0: unit <OBJECT>, 1: medicationClassName <STRING>
         onOverDose = "";
         // The viscosity of a fluid is a measure of its resistance to gradual deformation by shear stress or tensile stress. For liquids, it corresponds to the informal concept of "thickness". This value will increase/decrease the viscoty of the blood with the percentage given. Where 100 = max. Using the minus will decrease viscosity

diff --git a/addons/pharma/functions/fnc_applyIV.sqf b/addons/pharma/functions/fnc_applyIV.sqf
@@ -49,13 +49,41 @@ if (_usedItem isEqualTo "kat_IV_16") then {
     _IVarray set [_partIndex, 1];
     _patient setVariable [QGVAR(IV), _IVarray, true];
 
-    private _lidocaineCount = [_patient, "Lidocaine", false] call ACEFUNC(medical_status,getMedicationCount);
-    private _morphineCount = [_patient, "Morphine", false] call ACEFUNC(medical_status,getMedicationCount);
-    private _nalbuphineCount = [_patient, "Nalbuphine", false] call ACEFUNC(medical_status,getMedicationCount);
-    private _fentanylCount = [_patient, "Fentanyl", false] call ACEFUNC(medical_status,getMedicationCount);
-    private _ketamineCount = [_patient, "Ketamine", false] call ACEFUNC(medical_status,getMedicationCount);
-    if (_lidocaineCount <=  0.6 && _morphineCount <=  0.6 && _nalbuphineCount <=  0.6 && _fentanylCount <=  0.6 && _ketamineCount <=  0.6) then {[_patient, 0.8] call ACEFUNC(medical_status,adjustPainLevel)};
-
+    private _medStack = _patient call ACEFUNC(medical_treatment,getAllMedicationCount);
+    private _medsToCheck = ["fentanyl", "ketamine", "nalbuphine", "morphine", "lidocaine"];
+    private _fentanylEffectiveness = 0;
+    private _ketamineEffectiveness = 0;
+    private _nalbuphineEffectiveness = 0;
+    private _morphineEffectiveness = 0;
+    private _lidocaineEffectiveness = 0;
+    {
+        private _medName = toLower (_x select 0);
+        private _effectiveness = _x select 2;
+        if ("fentanyl" in _medName) then {
+            _fentanylEffectiveness = _fentanylEffectiveness max _effectiveness;
+        };
+        if ("ketamine" in _medName) then {
+            _ketamineEffectiveness = _ketamineEffectiveness max _effectiveness;
+        };
+        if ("nalbuphine" in _medName) then {
+            _nalbuphineEffectiveness = _nalbuphineEffectiveness max _effectiveness;
+        };
+        if ("morphine" in _medName) then {
+            _morphineEffectiveness = _morphineEffectiveness max _effectiveness;
+        };
+        if ("lidocaine" in _medName) then {
+            _lidocaineEffectiveness = _lidocaineEffectiveness max _effectiveness;
+        };
+        } forEach _medStack;
+        if (
+            _fentanylEffectiveness <= 0.6 &&
+            _ketamineEffectiveness <= 0.6 &&
+            _nalbuphineEffectiveness <= 0.6 &&
+            _lidocaineEffectiveness <= 0.6 &&
+            _morphineEffectiveness <= 0.6
+        ) then {
+            [_patient, [0.6, 0.7, 0.8] select (floor random 3)] call ACEFUNC(medical_status,adjustPainLevel);
+        };
     [_patient, "activity", LSTRING(iv_log), [[_medic] call ACEFUNC(common,getName), "FAST IO"]] call ACEFUNC(medical_treatment,addToLog);
     [_patient, "FAST IO"] call ACEFUNC(medical_treatment,addToTriageCard);
 };

diff --git a/addons/pharma/functions/fnc_clotWound.sqf b/addons/pharma/functions/fnc_clotWound.sqf
@@ -113,8 +113,8 @@ private _fnc_clotWound = {
     private _openWounds = _unit getVariable [VAR_OPEN_WOUNDS, createHashMap];
     private _pulse = _unit getVariable [VAR_HEART_RATE, 80];
     private _coagulationFactor = _unit getVariable [QGVAR(coagulationFactor), 30];
-    private _countTXA = [_unit, "TXA"] call ACEFUNC(medical_status,getMedicationCount);
-    private _countEACA = [_unit, "EACA"] call ACEFUNC(medical_status,getMedicationCount);
+    private _countTXA = ([_unit, "TXA"] call ACEFUNC(medical_status,getMedicationCount)) select 1;
+    private _countEACA = ([_unit, "EACA"] call ACEFUNC(medical_status,getMedicationCount)) select 1;
     private _hasWoundToBandageArray = [];
 
     if (_openWounds isEqualTo createHashMap) exitWith {}; // Exit when hashmap not initialized (Will not work when hashmap is set, cause ace only changes value of "woundCount" to 0)

diff --git a/addons/pharma/functions/fnc_getBloodVolumeChange.sqf b/addons/pharma/functions/fnc_getBloodVolumeChange.sqf
@@ -44,7 +44,7 @@ if (!isNil {_unit getVariable [QACEGVAR(medical,ivBags),[]]}) then {
     private _fluidHeat = 0;
 
     _bloodBags = _bloodBags apply {
-        _x params ["_bagVolumeRemaining", "_type", "_bodyPart"];
+        _x params ["_bagVolumeRemaining", "_type", "_bodyPart", "_treatment", "_rateCoef", "_item"];
 
         private _tourniquets = GET_TOURNIQUETS(_unit);
 
@@ -65,13 +65,13 @@ if (!isNil {_unit getVariable [QACEGVAR(medical,ivBags),[]]}) then {
             // Plasma adds to ECP. Saline splits between the ECP and ISP. Blood adds to ECB
             switch (true) do {
                 case(_type == "Plasma"): { _ECP = _ECP + _bagChange; _lossVolumeChange = _lossVolumeChange + (_bagChange / ML_TO_LITERS); };
-                case(_type == "Saline"): { 
+                case(_type == "Saline"): {
                     if (_enableFluidShift) then {
-                        _ECP = _ECP + _bagChange / 2; 
-                        _ISP = _ISP + _bagChange / 2; 
+                        _ECP = _ECP + _bagChange / 2;
+                        _ISP = _ISP + _bagChange / 2;
                         _lossVolumeChange = _lossVolumeChange + (_bagChange / 2000);
                     } else {
-                        _ECP = _ECP + _bagChange; 
+                        _ECP = _ECP + _bagChange;
                         _lossVolumeChange = _lossVolumeChange + (_bagChange / ML_TO_LITERS);
                     };
                 };
@@ -82,7 +82,7 @@ if (!isNil {_unit getVariable [QACEGVAR(medical,ivBags),[]]}) then {
         if (_bagVolumeRemaining < 0.01) then {
             []
         } else {
-            [_bagVolumeRemaining, _type, _bodyPart]
+            [_bagVolumeRemaining, _type, _bodyPart, _treatment, _rateCoef, _item]
         };
     };
 
@@ -142,7 +142,7 @@ if (_enableFluidShift) then {
 
     if (_defaultShift) then {
         _ISP = _ISP + ((((DEFAULT_ISP - _ISP) max -2) min 2) *_deltaT);
-        _SRBC = _SRBC + ((((DEFAULT_SRBC - _SRBC) max -1) min 1) * _deltaT);  
+        _SRBC = _SRBC + ((((DEFAULT_SRBC - _SRBC) max -1) min 1) * _deltaT);
     };
 };
 

diff --git a/addons/pharma/functions/fnc_medicationLocal.sqf b/addons/pharma/functions/fnc_medicationLocal.sqf
@@ -82,8 +82,6 @@ private _medicationConfig = _defaultConfig >> _classname;
 private _painReduce             = GET_NUMBER(_medicationConfig >> "painReduce",getNumber (_defaultConfig >> "painReduce"));
 private _timeInSystem           = GET_NUMBER(_medicationConfig >> "timeInSystem",getNumber (_defaultConfig >> "timeInSystem"));
 private _timeTillMaxEffect      = GET_NUMBER(_medicationConfig >> "timeTillMaxEffect",getNumber (_defaultConfig >> "timeTillMaxEffect"));
-private _maxDose                = GET_NUMBER(_medicationConfig >> "maxDose",getNumber (_defaultConfig >> "maxDose"));
-private _maxDoseDeviation       = GET_NUMBER(_medicationConfig >> "maxDoseDeviation",getNumber (_defaultConfig >> "maxDoseDeviation"));
 private _viscosityChange        = GET_NUMBER(_medicationConfig >> "viscosityChange",getNumber (_defaultConfig >> "viscosityChange"));
 private _hrIncreaseLow          = GET_ARRAY(_medicationConfig >> "hrIncreaseLow",getArray (_defaultConfig >> "hrIncreaseLow"));
 private _hrIncreaseNormal       = GET_ARRAY(_medicationConfig >> "hrIncreaseNormal",getArray (_defaultConfig >> "hrIncreaseNormal"));
@@ -93,6 +91,7 @@ private _alphaFactor            = GET_NUMBER(_medicationConfig >> "alphaFactor",
 private _maxRelief              = GET_NUMBER(_medicationConfig >> "maxRelief",getNumber (_defaultConfig >> "maxRelief"));
 private _opioidRelief           = GET_NUMBER(_medicationConfig >> "opioidRelief",getNumber (_defaultConfig >> "opioidRelief"));
 private _opioidEffect             = GET_NUMBER(_medicationConfig >> "opioidEffect",getNumber (_defaultConfig >> "opioidEffect"));
+private _dose                   = GET_NUMBER(_medicationConfig >> "dose",getNumber (_defaultConfig >> "dose"));
 
 private _heartRate = GET_HEART_RATE(_patient);
 private _hrIncrease = [_hrIncreaseLow, _hrIncreaseNormal, _hrIncreaseHigh] select (floor ((0 max _heartRate min 110) / 55));
@@ -109,10 +108,10 @@ if (_maxRelief > 0) then {
 
 // Adjust the medication effects and add the medication to the list
 TRACE_3("adjustments",_heartRateChange,_painReduce,_viscosityChange);
-[_patient, _className, _timeTillMaxEffect, _timeInSystem, _heartRateChange, _painReduce, _viscosityChange, _alphaFactor, _opioidRelief, _opioidEffect] call EFUNC(vitals,addMedicationAdjustment);
+[_patient, _className, _timeTillMaxEffect, _timeInSystem, _heartRateChange, _painReduce, _viscosityChange, _dose, _alphaFactor, _opioidRelief, _opioidEffect] call EFUNC(vitals,addMedicationAdjustment);
 
 // Check for medication compatiblity
-[_patient, _className, _maxDose, _maxDoseDeviation, _incompatibleMedication] call ACEFUNC(medical_treatment,onMedicationUsage);
+[_patient, _className, _incompatibleMedication] call ACEFUNC(medical_treatment,onMedicationUsage);
 
 if (_className in ["Lorazepam","EACA","TXA","Atropine","Amiodarone","Flumazenil"]) then {
     [format ["kat_pharma_%1Local", toLower _className], [_patient, _bodyPart], _patient] call CBA_fnc_targetEvent;

diff --git a/addons/pharma/functions/fnc_tourniquetRemove.sqf b/addons/pharma/functions/fnc_tourniquetRemove.sqf
@@ -42,7 +42,9 @@ TRACE_1("clearConditionCaches: tourniquetRemove",_nearPlayers);
 
 // Add tourniquet item to medic or patient
 if (_medic call ACEFUNC(common,isPlayer)) then {
-    private _receiver = [_patient, _medic, _medic] select ACEGVAR(medical_treatment,allowSharedEquipment);
+    private _allowSharedEquipment = ACEGVAR(medical_treatment,allowSharedEquipment);
+    if (_allowSharedEquipment == 3) then { _allowSharedEquipment = [0, 1] select ([_medic] call ACEFUNC(medical_treatment,isMedic)) };
+    private _receiver = [_patient, _medic, _medic] select _allowSharedEquipment;
     [_receiver, "ACE_tourniquet"] call ACEFUNC(common,addToInventory);
 } else {
     // If the medic is AI, only return tourniquet if enabled

diff --git a/addons/pharma/functions/fnc_treatmentAdvanced_EACALocal.sqf b/addons/pharma/functions/fnc_treatmentAdvanced_EACALocal.sqf
@@ -21,7 +21,7 @@ params ["_patient", "_bodyPart"];
 private _partIndex = ALL_BODY_PARTS find toLower _bodyPart;
 private _IVarray = _patient getVariable [QGVAR(IV), [0,0,0,0,0,0]];
 private _IVactual = _IVarray select _partIndex;
-private _countEACA = [_patient, "EACA"] call ACEFUNC(medical_status,getMedicationCount);
+private _countEACA = ([_patient, "EACA"] call ACEFUNC(medical_status,getMedicationCount)) select 1;
 private _allowStack = missionNamespace getVariable [QGVAR(allowStackScript_EACA), true];
 private _keepRunning = missionNamespace getVariable [QGVAR(keepScriptRunning_EACA), false];
 private _cycleTime = missionNamespace getVariable [QGVAR(bandageCycleTime_EACA), 5];

diff --git a/addons/pharma/functions/fnc_treatmentAdvanced_TXALocal.sqf b/addons/pharma/functions/fnc_treatmentAdvanced_TXALocal.sqf
@@ -21,7 +21,7 @@ params ["_patient", "_bodyPart"];
 private _partIndex = ALL_BODY_PARTS find toLower _bodyPart;
 private _IVarray = _patient getVariable [QGVAR(IV), [0,0,0,0,0,0]];
 private _IVactual = _IVarray select _partIndex;
-private _countTXA = [_patient, "TXA"] call ACEFUNC(medical_status,getMedicationCount);
+private _countTXA = ([_patient, "TXA"] call ACEFUNC(medical_status,getMedicationCount)) select 1;
 private _allowStack = missionNamespace getVariable [QGVAR(allowStackScript_TXA), true];
 private _keepRunning = missionNamespace getVariable [QGVAR(keepScriptRunning_TXA), false];
 private _cycleTime = missionNamespace getVariable [QGVAR(bandageCycleTime_TXA), 5];

diff --git a/addons/surgery/functions/fnc_closedReductionLocal.sqf b/addons/surgery/functions/fnc_closedReductionLocal.sqf
@@ -22,15 +22,41 @@ params ["_medic", "_patient", "_bodyPart"];
 private _part = ALL_BODY_PARTS find toLower _bodyPart;
 private _activeFracture = GET_FRACTURES(_patient);
 private _fractureArray = _patient getVariable [QGVAR(fractures), [0,0,0,0,0,0]];
-private _lidocaineCount = [_patient, "Lidocaine", false] call ACEFUNC(medical_status,getMedicationCount);
-private _morphineCount = [_patient, "Morphine", false] call ACEFUNC(medical_status,getMedicationCount);
-private _nalbuphineCount = [_patient, "Nalbuphine", false] call ACEFUNC(medical_status,getMedicationCount);
-private _fentanylCount = [_patient, "Fentanyl", false] call ACEFUNC(medical_status,getMedicationCount);
-private _ketamineCount = [_patient, "Ketamine", false] call ACEFUNC(medical_status,getMedicationCount);
-if (_lidocaineCount <=  0.6 && _morphineCount <=  0.8 && _nalbuphineCount <=  0.8 && _fentanylCount <=  0.8 && _ketamineCount <=  0.8) then {
-    private _pain = random [0.7, 0.8, 0.9];
-    [_patient, _pain] call ACEFUNC(medical_status,adjustPainLevel);
-};
+private _medStack = _patient call ACEFUNC(medical_treatment,getAllMedicationCount);
+private _medsToCheck = ["fentanyl", "ketamine", "nalbuphine", "morphine", "lidocaine"];
+private _fentanylEffectiveness = 0;
+private _ketamineEffectiveness = 0;
+private _nalbuphineEffectiveness = 0;
+private _morphineEffectiveness = 0;
+private _lidocaineEffectiveness = 0;
+{
+    private _medName = toLower (_x select 0);
+    private _effectiveness = _x select 2;
+    if ("fentanyl" in _medName) then {
+        _fentanylEffectiveness = _fentanylEffectiveness max _effectiveness;
+    };
+    if ("ketamine" in _medName) then {
+        _ketamineEffectiveness = _ketamineEffectiveness max _effectiveness;
+    };
+    if ("nalbuphine" in _medName) then {
+        _nalbuphineEffectiveness = _nalbuphineEffectiveness max _effectiveness;
+    };
+    if ("morphine" in _medName) then {
+        _morphineEffectiveness = _morphineEffectiveness max _effectiveness;
+    };
+    if ("lidocaine" in _medName) then {
+        _lidocaineEffectiveness = _lidocaineEffectiveness max _effectiveness;
+    };
+    } forEach _medStack;
+    if (
+        _fentanylEffectiveness <= 0.8 &&
+        _ketamineEffectiveness <= 0.8 &&
+        _nalbuphineEffectiveness <= 0.8 &&
+        _lidocaineEffectiveness <= 0.8 &&
+        _morphineEffectiveness <= 0.8
+    ) then {
+        [_patient, [0.7, 0.8, 0.9] select (floor random 3)] call ACEFUNC(medical_status,adjustPainLevel);
+    };
 
 playSound3D [QPATHTOF_SOUND(sounds\reduction.wav), _patient, false, getPosASL _patient, 8, 1, 15];