Using the 7-step process - Medical - United Task Force (UNITAF) Arma 3


Using the 7-step process

UNITAF / Arma 3 / Medical Procedures



Version 1 / 3min read / Updated Tue 25 Feb 2020 / 239 views


We have designed the following process which you can follow with any patient using the UNITAF medical settings for Arma 3.

 

The 7-step process:

If a fully operational team member is nearby, delegate them to Step 1 and Step 3. Under dire circumstances delegate them to assist you in Step 2 and Step 5 as well.
 

  1. Apply tourniquets on limbs with multiple wounds. Delegate this task whenever you can.
     
  2. Treat torso, head, and tourniquet-free limbs, and check pulse if patient is non-responsive. You should avoid delegating this task.
     
  3. Start CPR - CPR – check pulse routine if patient is non-responsive and no pulse is found. Delegate this task whenever you can
     
  4. If the patient lost a lot of blood – use IVs to restore its volume. You cannot delegate this task.


    ---- at this point the patient is stable they should be able to be re-categorised as DELAYED ----

     
  5. Once pulse is back, apply splints to legs, and then treat wounds limb by limb and remove tourniquets after fully treating each limb. Monitor pulse in the meantime. If the patient goes into cardiac arrest again, go back to Step 3. You should avoid delegating this task.
     
  6. If the patient does not wake up after blood level has been restored – use Epinephrine. You cannot delegate this task. Wait for the patient to wake up.
     
  7. If the patient is in serious pain, ask him if he has used Morphine in the past 30 minutes. If not, administer or ask him to take Morphine. Remind him not to use Morphine if he used it in the past 30 minutes.
     

 

 

Tips for this process

  • Remember that you must not apply any IV or auto-injectors to a limb with a tourniquet. On taking the tourniquet off, auto-injectors will start working simultaneously, possibly harming or killing your patient. IVs will not work on a tourniqueted limb as well.
     
  • If wound reopening is enabled make sure from time to time that they did not reopen.
     
  • Tourniquets immediately stop blood loss from a limb. They raise pain levels after around 5 minutes. Pain levels, in turn, raise heartrate and blood pressure but are rarely a threat to the patient’s life.
     
  • Try to prioritise wounds. Velocity and avulsion have highest bleeding rates – 0.2 and 0.1 respectively.
     
  • Morphine stays in the system for up to 30 minutes.
     
  • While doing CPR try to follow “CPR – CPR – check pulse” routine. It will allow you to minimise the time spent on both checking pulse and needlessly resuscitating a patient with his heartbeat already back. This will allow you more time for other tasks.
     
  • Use elastic bandages as your universal bandages. They treat best velocity and avulsion wounds, which are most common, most severe, and cause most blood loss.
     
  • Move the wounded to a safer place. Delegate this task whenever you can. As a CLS you are a valuable asset and should not take unnecessary risks.
     
  • Patients cannot feel pain while incapacitated. Take advantage of that.


UNITAF Standard Operating Proceedure (SOP) is adapted from two primary source materials - in addition to our own experience and past learnings:
US Army Techniques Publication, Infantry Platoon and Squad (ATP 3-21.8) ->view online
Dyslexi's Tactics, Techniques, & Procedures for Arma 3 (TTP3) -> view online



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