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The achievement's criteria is to complete every mission in the campaign without using medkit.
Likely for most people, are already completed missions without medkits, but nobody knows which one, so you obviously have to start from the beginning.
All you have to do is to bind the medkit's key in options to a button that you will never use, just in case to avoid reflex heal mistakes.
For me the achievement popped before the last mission.
I tried to finish it like it reads but, for me, it was impossible trying to get hit to only using one kit per mission. It was not get hit at all or, get hit so many times, I had to use more than one per mission.