Medical Operations - Advanced medical procedures - UNITAF Force Manual (FM)




Medical Operations - Advanced medical procedures
The FM outlines our core skills, policies and guides to ensure every member stands ready for the mission ahead.



FM/G109 - Fundementals for medics

Guide
FM/BG-517 - Understanding vital signs
Guide

The following table contains the ranges of what normal vital signs look like, and what deviations indicate:

ConditionHeart rateBlood pressureSpO2
Normal80 BPM120/80100%
Stable40 - 160 BPM60/50 - 160/120> 85%
Deteriorating<40 BPM or >160 BPM<60/50 or >160/120> 20%
Critical0 BPM or 220 BPM (at 220 BPM heart will go into cardiac arrest)0/0 or >285/2400%

FM/G40 - Casualty triage

Skill
FM/BS-188 - Identify the triage category of a patient
Skill
  • Categorize a patient as CAT-1 IMMEDIATE if they:
    • are bleeding
    • lost a large or a fatal amount of blood
    • have blocked airways
    • are in cardiac arrest
  • Categorize a patient as CAT-2 DELAYED if they:
    • are unconscious
    • are not actively bleeding
    • have lost some or a lot of blood
    • have clear airways
    • are not in cardiac arrest
  • Categorize a patient as CAT-3 MINIMAL if they:
    • are conscious
    • require medical attention
  • Categorize a patient as CAT-4 DECEASED if they:
    • are dead
    • are wounded beyond recoverability
Skill
FM/BS-189 - Prioritize casualties based on triage
Skill
  • Prioritize patients in order of triage:
    • CAT-1 IMMEDIATE
    • CAT-2 DELAYED
    • CAT-3 MINIMAL
  • Within the same triage category prioritize patients in the following order:
    • People close to waking up
    • Medical personnel
    • Leadership
    • Force multipliers
    • Others

FM/G44 - Wound management

Skill
FM/BS-267 - Use a stitching kit to close wounds
Skill

Use a stitching kit on a body part to permanently close all currently closed wounds on that body part.

Skill
FM/BS-356 - Use TXA to automatically bandage wounds
Skill
  • Administer TXA to automatically apply a packing bandage every 6 seconds
  • Limit frequency of consumption to no more than 3 times every 2 minutes to avoid overdosing
  • TXA can only be administered through IV or Fast IO
Skill
FM/BS-357 - Use EACA to automatically stitch wounds
Skill
  • Administer EACA to automatically stitch a wound every 6 seconds
  • Limit frequency of consumption to no more than 10 times every 10 minutes to avoid overdosing
  • EACA can only be administered through IV or Fast IO
Skill
FM/BS-358 - Use a Personal Aid Kit to heal a patient
Skill

A personal aid kit removes all injuries, to use a PAK the patient must be stable, the requirements of being stable are:

  • is not actively bleeding
  • has a heart rate
  • is responsive 
  • can still have tourniquets on
  • has not lost more than some blood

FM/G36 - Airway management

Guide
FM/BG-435 - Understanding airways
Guide

Airways can become blocked when a casualty is unconscious, when rendering first aid the airway should be checked to see if it is blocked or occluded if this is not treated, then it will result in death of the casualty.

Airways can be cleared by turning or hyperextending the head or by using other advanced medical equipment. Once clear, a patient can be placed in the recovery position.

Skill
FM/BS-163 - Assess the airway
Skill

Assess the airway with “check airways” and categorize as one of the following states:

  • Clear
  • Occluded
  • Obstructed
The location of the

Above: The location of the "Check Airway" action and the result as seen in the activity log

Skill
FM/BS-263 - Turn the head to clear an occluded airway
Skill

Turn the patient's head to clear the occluded airway of the patient if an Accuvac is not available.

Action as seen in the medical menu

Above: Action as seen in the medical menu

Skill
FM/BS-262 - Use the Accuvac to clear an occluded airway
Skill

Use the Accuvac to clear the occluded airway of a patient.

Skill
FM/BS-266 - Hyperextend the head to clear an obstructed airway
Skill

Hyperextend the patient's head to clear the obstructed airway of the patient, and stay within 2m of the patient during the process.

Action as seen in the medical menu

Above: Action as seen in the medical menu

Skill
FM/BS-261 - Put the patient in the recovery position to keep the airway clear
Skill

Place the patient into a recovery position to keep the airway clear, if they:

  • are stable
  • do not need to be moved
Skill
FM/BS-264 - Use a guedeltube to prevent obstruction of the airway
Skill

Use a guedeltube to prevent obstruction of the airway after the airway has been cleared, if a King LT is not available.

Skill
FM/BS-265 - Use a King LT to keep the airway clear
Skill

Use a King LT to keep the airway clear after it has been cleared.

Skill
FM/BS-359 - Use a pulse oximeter to monitor patient breathing
Skill

Use pulse oximeter to monitor a patients blood oxygen levels, with low levels indicating the patient is not breathing normally.

FM/G46 - Pain management

Guide
FM/BG-212 - Understanding pain
Guide

Pain is typically caused by wounds and the prolonged use of tourniquets. Increased pain can effect weapon sway, stamina, vision and cause audible moaning. Painkillers can be used to suppress pain for first aid, however more advanced suppression is possible using morphine or fentanyl.

Skill
FM/BS-209 - Use painkillers to manage pain
Skill
  • Administer or take painkillers to decrease pain by about 30%
  • Limit frequency of consumption to no more than 6 pills every 10 minutes to avoid overdosing
  • Be aware of side effects:
    • a slight increase in heart rate
    • a decrease in blood pressure
Skill
FM/BS-210 - Use morphine to manage pain
Skill
  • Administer or take morphine to decrease pain by about 80%
  • Limit frequency of consumption to no more than 4 times every 30 minutes to avoid overdosing
  • Be aware of side effects:
    • a decrease in heart rate
    • a decrease in blood pressure
Skill
FM/BS-211 - Use fentanyl to manage pain
Skill
  • Administer or take fentanyl to decrease pain by about 100%
  • Limit frequency of consumption to no more than once every 15 minutes to avoid overdosing
  • Be aware of side effects:
    • a slight increase in heart rate
    • a decrease in blood pressure
    • blurry vision (chromatic abberation)

FM/G45 - Fluids management

Guide
FM/BG-309 - Blood levels and their effects
Guide

Our system assumes that an individual with full blood volume intact has 6 litres of blood, the current amount of blood loss is shown on the medical menu at all times, if relevant.

  • Lost some blood
    • the patient has lost up to 0.9 litres of blood
    • the patient does not suffer significantly from the blood loss itself
  • Lost a lot of blood
    • the patient has lost between 1.0 and 1.8 litres of blood
    • should the patient bleed and/or fall unconscious
    • the blood loss might prevent reawakening
  • Lost a large amount of blood
    • the patient has lost between 1.9 and 2.4 litres of blood 
    • it is unlikely that the patient is conscious
    • the patient will not reawaken until blood volume is restored
    • in case of cardiac arrest, resuscitation is possible but difficult
  • Lost a fatal amount of blood
    • the patient has lost more than 2.4 litres of blood
    • likely to suffer cardiac arrest due to blood loss
    • resuscitation is impossible until blood volume is at least partially restored
Skill
FM/BS-193 - Use IV bags to administer blood
Skill
  • Attach an IV bag to one of the patients limbs or an IO needle to give them blood.
  • Do not attach the bag to a limb with a tourniquet applied
  • Do not give more blood than needed, to prevent the blood pressure from becoming too high
Skill
FM/BS-364 - Use IO needles to administer blood and medication
Skill
  • Use IO needles to enable fluid and medication administration through a patients chest 
  • When IV needles are not an option.
  • Keep in mind IO needles cause pain to the patient
Skill
FM/BS-366 - Use field blood transfusion kit to take blood from players
Skill
  • Use a field blood transfusion kit to take 250ml of blood from a donor
  • The donor has not lost a large or fatal amount of blood
  • Only transfuse blood when no other source of blood is available
  • You need space in your inventory
Skill
FM/BS-363 - Use norepinephrine to slow down bleeding
Skill
  • Administer norepinephrine to
    • slow down bleeding
    • slow down transfusion speed
  • Limit frequency of consumption to no more than 12 times every 6 minutes to avoid overdosing
  • Be aware of side effects:
    • an increase in heart rate
    • an increase in blood pressure
Skill
FM/BS-362 - Use phenylephrine to slow down bleeding
Skill
  • Administer phenylephrine to:
  • Limit frequency of consumption to no more than 6 times every 6 minutes to avoid overdosing
  • Be aware of side effects:
    • a decrease in heart rate
    • an increase in blood pressure

FM/G47 - Cardiac management

Skill
FM/BS-224 - Use CPR to restore a normal heart rate when a patient has no heart rate
Skill

After identifying a patient with no heart rate

  1. Perform CPR for at least 30 seconds
  2. Check pulse
  3. If no heart rate, repeat

Checking a patient's pulse whilst someone else is performing CPR or checking pulse on a limb with a tourniquet placed will provide an erroneous reading. 

Guide
FM/BG-201 - Recommended process for treating cardiac arrest with an AED(-X)
Guide

When utilising an AED or AED-X for resuscitation purposes, it is advised to follow the following procedure: 

  1. Place AED(-X) pads on the patient's chest
  2. Connect Vitals Monitor to one of the patient's hands
  3. Shock using the AED
  4. If patient's heart rate is not returning, administer epinephrine FM/BS-220 - Use epinephrine to manage the cardiac rhythm
  5. Shock using the AED
  6. If patient's heart rate is not returning, administer amiodarone FM/BS-221 - Use amiodarone to manage the cardiac rhythm
  7. Shock using the AED
  8. If patient's heart rate is not returning, administer lidocaine FM/BS-222 - Use lidocaine to manage the cardiac rhythm
  9. Shock using the AED

If by step 9 the patient's heart rate has not returned, do not administer any further heart rate medicines at this point. 

This process is stopped as soon as a continuous heart rate is detected.  

Skill
FM/BS-220 - Use epinephrine to manage the cardiac rhythm
Skill
Skill
FM/BS-221 - Use amiodarone to manage the cardiac rhythm
Skill
Skill
FM/BS-347 - Use ammonium carbonate to increase wake-up chance
Skill
  • Administer ammonium carbonate to increase wake-up chance
  • Limit frequency of consumption to no more than once every 30 seconds to avoid overdosing
  • Be aware of side effects:
    • an increase in heart rate
Skill
FM/BS-308 - Use epinephrine to increase wake-up chance
Skill
  • Administer epinephrine to increase a stable patient's wake-up chance
  • Limit frequency of consumption to no more than 6 times every 2 minutes to avoid overdosing
  • Be aware of side effects:
    • an increase in heart rate
    • an increase in blood pressure

See FM/BS-220 - Use epinephrine to manage the cardiac rhythm for usage of this medication for resuscitation purposes.

Skill
FM/BS-361 - Use a pulse oximeter to monitor heart rate
Skill

Use a pulse oximeter to monitor a patients heart rate

FM/G72 - Chemical managment

Guide
FM/BG-451 - Chemical warfare
Guide

Chemical warfare simulation involves using gas masks for protection against chemical threats, with their effectiveness depending on settings that determine how long you can go without a mask before experiencing negative effects. Gas masks require filters, which degrade over time and can be monitored and replaced via the ACE menu, using green stripes to indicate filter durability (each stripe represents 10% durability). Durability decreases in contaminated areas and can be adjusted in addon settings.

To detect contaminated areas, use a chemical detector, which emits a sound when entering a hazardous zone, even without active monitoring. The threat level, viewable by pressing “O” (pressing “O” twice toggles visibility), ranges from 0.0 to 1.0, with 1.0 indicating maximum danger.

Gas masks can also be fitted onto unconscious individuals through an ACE action targeting the head, automatically managing any existing face-wear by storing it in the inventory or dropping it if space is unavailable.

Skill
FM/BS-360 - Use atropine to counter chemical intoxication
Skill
  • Administer atropine to counter chemical intoxication
  • Limit frequency of consumption to no more than 4 times every 2 minutes to avoid overdosing
  • Be aware of side effects:
    • an increase in heart rate
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