Medical System - Skelly System | Advanced Injury & Treatment Mechanics
Transform your server's medical roleplay with the Skelly System, an advanced injury and treatment framework that brings realistic medical mechanics to FiveM. Instead of the simplistic press E to heal approach, this system introduces anatomically-based injuries, detailed medical treatments, and proper EMS roleplay that makes healthcare a central part of your server's gameplay instead of an afterthought.
With 160 servers implementing the Skelly System, this medical framework has become the gold standard for communities serious about medical roleplay. Hospitals become actual treatment centers, EMS jobs gain depth and challenge, and injuries matter beyond a simple health bar reduction.
What's Included
You're getting a complete medical framework built around anatomical injury zones, treatment protocols, and progressive damage systems. The Skelly System tracks injuries to specific body parts - head, torso, arms, legs - with different damage types (blunt trauma, lacerations, gunshots, burns) requiring appropriate medical responses. It's medical simulation that respects real-world treatment logic while remaining accessible for gameplay.
The system integrates with EMS jobs, providing medical professionals the tools and interface to diagnose injuries, apply treatments, transport patients, and manage healthcare logistics. Civilians experience consequences for risky behavior as injuries accumulate and require actual medical attention instead of magic instant-heal mechanics.
Key Features
- Anatomical Injury System - Track damage to head, chest, arms, legs independently
- Injury Type Classification - Blunt force, lacerations, gunshots, burns, fractures
- Progressive Damage - Untreated injuries worsen over time
- Bleeding Mechanics - Blood loss requires hemostatic intervention
- Treatment Protocols - Specific medical items for different injury types
- EMS Diagnostic Tools - Medical examination interface showing injuries
- Hospital Integration - Dedicated treatment facilities with proper equipment
- Ambulance Features - Mobile treatment, patient transport, emergency response
- Recovery System - Gradual healing based on treatment quality
- Pain Mechanics - Affects player movement and screen effects
- Medical Supplies Economy - Bandages, medication, surgical equipment have actual value
- Customizable Severity - Adjust realism level for your server's preference
Perfect For
- Serious roleplay servers wanting realistic medical systems
- Communities with active EMS departments
- Servers where injuries should have meaningful consequences
- Medical roleplay enthusiasts
- Servers wanting to slow down action-heavy gameplay
- Communities focused on authentic emergency services
How the Skelly System Works
Injury Detection: When players take damage from any source, the system determines which body parts were hit and assigns appropriate injuries. Getting shot in the chest creates a gunshot wound with bleeding. Falling from height causes leg fractures and internal trauma. Car crashes produce blunt force trauma to multiple zones. The damage isn't just a number - it's contextualized injury that requires specific treatment.
Injury Effects: Different injuries cause different gameplay impacts. Leg damage reduces movement speed and makes running painful. Arm injuries affect weapon accuracy and recoil control. Head trauma causes vision impairment and disorientation. Chest wounds create breathing difficulty affecting stamina. Players feel the consequences of their injuries through actual gameplay changes, not just visual indicators.
Bleeding System: Lacerations and gunshot wounds cause blood loss over time. Players see bleeding indicators and feel the progressive weakness as their condition deteriorates. Without treatment, bleeding leads to unconsciousness and eventual death. Basic first aid (bandages, tourniquets) can slow bleeding, but proper medical intervention is needed for stabilization.
Treatment Progression: Medical treatment follows logical protocols. EMS arrives on scene, assesses injuries using diagnostic tools, applies immediate stabilization (stop bleeding, immobilize fractures, administer painkillers), transports to hospital, and performs definitive treatment at medical facilities. Each step requires appropriate medical items and EMS knowledge.
Recovery Phase: Even after treatment, injuries don't instantly disappear. Players experience gradual recovery where damaged body parts slowly regain function. Severe injuries might require days of in-game recovery time, creating lasting consequences for major trauma and incentivizing careful behavior.
EMS Gameplay Enhancement
Diagnostic Interface: EMS professionals use a medical examination UI showing patient condition, injury locations, vital signs, and required treatments. They can see exactly what's wrong - right leg fracture, chest laceration, head contusion - and develop treatment plans accordingly. Medical roleplay becomes informed decision-making rather than guessing.
Treatment Tools: The system provides EMS with proper medical equipment - bandages for bleeding control, splints for fractures, IV bags for fluid replacement, painkillers for pain management, defibrillators for cardiac arrest, surgical tools for advanced procedures. Each item serves specific purposes in the treatment protocol.
Field Medicine: Paramedics can provide emergency treatment on-scene to stabilize critical patients before transport. The ambulance becomes a mobile treatment platform with medical equipment for working on patients during transport. EMS isn't just press E, patient healed - it's active medical intervention.
Hospital Procedures: Medical facilities feature dedicated treatment areas with surgical equipment, recovery beds, and specialized tools. Serious injuries require hospital treatment that can't be provided in the field. This creates natural workflow from emergency response through transport to hospital care.
Realistic Medical Scenarios
Shooting Incident: Player gets shot during a robbery. Chest wound causes severe bleeding and breathing difficulty. They call 911 gasping for help. EMS arrives, assesses multiple gunshot wounds, applies pressure bandages to control bleeding, administers painkillers, and rushes to hospital. At the hospital, surgical team removes bullets and repairs damage. Patient spends recovery time healing before full function returns.
Traffic Accident: High-speed crash causes blunt trauma to driver and passengers. EMS responds to multiple patients with varying injuries - broken legs, head trauma, chest contusions. Triage determines treatment priority. Critical patients get immediate attention while stable patients wait. Each requires different treatments based on specific injuries.
Police Pursuit Crash: Fleeing suspect crashes after police chase. Multiple fractures and head injury. EMS must treat a potentially hostile patient under police supervision, balancing medical ethics with safety concerns. Treatment happens before arrest processing, creating inter-department roleplay.
Gang Violence: Shootout leaves multiple casualties with various wounds. EMS faces mass-casualty incident requiring coordination, triage, and resource management. They can't save everyone immediately - decisions matter about who gets treatment first.
Installation & Configuration
- Download the Skelly System medical framework
- Extract to your resources folder
- Import database tables for injury tracking and treatment records
- Configure injury severity levels and recovery times
- Set up medical item definitions and treatment protocols
- Integrate with your ESX or QBCore EMS job
- Configure hospital locations and treatment areas
- Add resource to server.cfg
- Train your EMS team on the new system
- Adjust settings based on community feedback
The system includes extensive configuration options letting you balance realism versus playability. Hardcore medical simulation or more forgiving arcade-style healing - adjust to fit your server's identity.
Technical Specifications
- Framework Required: ESX or QBCore
- Database: MySQL for injury tracking and medical records
- Performance: Optimized injury calculations, minimal server impact
- Customization: Extensive config for severity, recovery times, treatments
- Compatibility: Integrates with EMS job scripts
- Medical Items: Supports custom items or standard medical supplies
Framework Compatibility
- ✅ ESX - Full integration with ESX framework and EMS jobs
- ✅ QBCore - Native QBCore medical job integration
- ✅ QBOX - Compatible with QBOX servers
- ✅ Custom EMS Scripts - Adaptable to custom medical job systems
Customization & Balance
Severity Scaling: Adjust how much damage creates what injuries. Make gunshots instantly critical or allow survival with treatment. Configure fall damage thresholds, vehicle collision impact, and melee attack severity. Balance between realistic and enjoyable.
Recovery Times: Set how long injuries take to heal. Fractures might need 2 hours of in-game time. Minor cuts heal in 15 minutes. Gunshot wounds require days. Customize recovery to match your server's pace and player tolerance for lasting consequences.
Treatment Requirements: Decide what medical items are needed for treatments. Require specific supplies for specific injuries, or allow general medical kit approach. Complex treatment requirements create medical supply economy and EMS resource management.
Pain System Intensity: Configure how much injuries affect gameplay. Make pain severely limit capabilities or keep it to minor inconveniences. Balance between immersion and frustration prevention.
What Makes It Stand Out
Most FiveM medical systems are shallow - you're hurt, EMS presses button, you're fine. Skelly System introduces actual medical gameplay with injury specificity, treatment protocols, and recovery progression. Medical roleplay gains depth because there's actual medical knowledge and decision-making involved.
The anatomical injury system creates varied scenarios. No two medical calls are identical because injuries vary by cause, location, and severity. EMS professionals develop real expertise in handling different injury types rather than performing the same heal-button routine every call.
The consequence system makes player actions matter. Risk-taking has medical costs. Reckless driving, shootouts, and dangerous stunts create legitimate healthcare demand. The medical system isn't background flavor - it's integrated into core gameplay loops.
Why Servers Choose Skelly System
With 160 active installations, Skelly System has proven itself as the premier medical framework for serious roleplay communities. EMS departments love the added depth and challenge. Players appreciate that injuries feel meaningful rather than trivial inconveniences. Server owners benefit from slowed-down action pacing as players become more cautious.
The system creates natural roleplay scenarios where EMS, police, and civilians interact around medical situations. A shooting isn't just combat ending when someone dies - it's an evolving situation with emergency response, medical treatment, hospital care, and recovery that involves multiple departments and extends gameplay.
The configurability means servers can dial in the exact balance of realism versus accessibility they want. Start with forgiving settings and gradually increase realism as your community adapts. The flexibility supports both hardcore medical simulation and more casual injury mechanics.
Video Preview
https://www.youtube.com/watch?v=eHbeDGs8kaw
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