I make a picture of a mil-dot reticle on paper. The size of the paper fits into the inside cover of my Butler Creek Scope cover.
The distance between the dots is 3.5 MOA (You need to know what power setting that is true at on your scope). Then I print out a chart using exbal for my particular load. I then write the yardage distance point of impact for each dot.
Then I cut this out and paste it into my Butler Creek Scope Cover on the Eye piece cover. When I open the cover, I am looking right at the chart. I then use my range finder to determine distance to target. In hurried conditions, I look to see which dot to hold near to hit my target. This is not a perfect method, but gives me a very refined guess for the proper holdover.
In my particular setup, with a 200yd zero, the second dot is has a 536yd POI. If I range an elk at 500 yards, by looking at my little chart, I know to hold the second dot just near the bottom quarter of his chest to put a bullet thru the center of his chest.
In a ddition to this crude scope cover chart, I also have a piece of paper taped to the side of my rifle that has a full break down of Yardages in 25 yard increments out to 1000yds, with a listing of how many MOA I need to dial into my scope. That is what I would use for long range shots if I had more time to setup. It is the more accurate way of shooting.
But if time does not permit proper setup, I can use the mildot holdover chart for getting close. It's still a lot better than just guessing.
So no, I don't use the mildots for ranging. Even though an elks chest is approximately 34" tall, as another poster mentioned, they do vary and so does your angle of view on the animal.
I always use a range finder and dial in the proper elevation. The Mildot is a back up system, or if the exact range just happens to be the same as one of my dot holdover points, I will just use that for holding dead on my target.
That's how I use the mildot reticles.
Regards,
Vic