Crash to desktop

I guess its only english right?

I suddenly had a bunch of patients collapse, with one person even dying.

Since having this mod my ICU is getting absolutely slammed. Over night shift I just get collapse after collapse. Increasing my night staff in other departments doesn’t seem to do anything. Is there something I’m missing here? Uninstalling the mod breaks the save game, so that isn’t an option… at this rate I’m going to need to turn all my wards into ICU…

Jesus H. Frickin Christ I didn't know I needed this so bad. Thanks to you I don't have any more patientes collapsing of "Low elastase in poop" or "H. Pylori" but on the other hand, people waltzing around with bradycardia and hypotension like nothing's wrong

@Butch
I am not sure what I am doing wrong. But with this mod I am unable to do two things:
Diuretics and Corticosteroid Injections It is saying no nurse or doctor. But the departments where those treatments can be done are fully staffed.
As soon as I remove this mod I can do those treatments.
Can you please check ? Thank you in advance.

I watch patients come in, sit for only a few hours at most and then constantly collapse with septic shock and/or multiple symptoms known and unknown for collapse indicators. This mod is not executed very well and/or the developers have simply "locked" some features and no matter what you do they won't respond in game to modifications. I wouldn't bother with this mod if you haven't downloaded it already as once you install it and save your game, you must always keep it loaded. I like Oxymoron, but they need to improve their game designs moving forward.

There is a typo in the symptom 'severe dehydration', otherwise great mod thanks!

Enjoy!

OMG ! THANK YOU !!! This mod helps so much. With all the fainting of dehydration you would think my hospital was in the middle of a desert ! Now I get 3-4 collapses a day if that. Thank you again !

Thank you Butch! Awesome mod!

Latest Update:

- Fixed issue with "Elevated Pancreatic Enzymes" symptom which was leading to doctors being stuck.

hello, devs answered me this beacaude i have a problem with doctors who are stucked

"In this case, the doctors are stuck because of a little overlook in the mod. Symptom SYM_PANCREATIC_ENZYMES_ELEVATED_RCDI from mod Realistic Collapses has an empty treatment filled in, which breaks the game as soon as any patient with Acute Pancreatitis collapses. We'll let the mod author know about this. Speaking of patients in pharmacy there is a bug and the patient is stuck due to rare coincidence while shift change. We will fix that and send you the repaired save file back."

@niten Without DLC

I have all dlc but not infectious diseases dlc. Do I need this or the without dlc

why are you changing so much when the title of your mod is realistic collapses and disease incidence. leaves me thinking you've changed a lot more under the hood than one would think with this mod.

@dr.desastro

No I haven't touched Replantation or any of the Trauma diagnoses or there treatments (yet).

Question: does this mod change replantation as a treatment for degloved skin to orthopedy only? I had a patient with abdominal blast trauma (trauma dept. disease) and besides all the trauma surgeries necessary he also got degloved skin but could not be treated at trauma dept. In the official forums I was told, that in the vanilla database replantation should be possible at both trauma and orthopedy.

New Update:

Fixed issue that prevented doctors from carrying out microbial sampling for Acute Cholangitis patients.

Special thanks to @Yaumeister for finding the issue!

New Update:

- Fixed an issue with a new symptom for Acute Pancreatitis that was causing the game to freeze

Lol yes, I think that's it.

By pleural puncture do you mean "insert chest drain" to treat tension pneumothorax?

@RG What specific treatments? The idea behind the mod (especially if you use it with Bedside Examinations) is to transform the Emergency Department into a quick "rerouting" station where patients are very quickly diagnosed and sent to the appropriate department. This mod makes it much more manageable to operate larger hospitals with extremely busy ERs.

Butch is the god of this game

Outstanding work, Dr. Butch !
Question though: some treatments can't get done in the TC; like a pleural puncture. Shouldn't it?

New Update:

Changes to Stroke:

- Stroke is now diagnosed by CT scan, Angiography or MRI instead of Echo
- IV TPA can now be administered in the Emergency department as well as the ICU and Neurology Dpt
- Cardiologists no longer treat stroke patients
- Changed percentage chance of appearance for symptoms of stroke
- Added atherosclerosis as potential symptom for stroke
- Added new treatment called "statins" which is now the treatment for atherosclerosis and elevated LDL
- Updated tooltips and descriptions for Stroke diagnosis

Changes to Pancreatitis:

- Pancreatitis is now referred to as Acute Pancreatitis
- Acute pancreatitis main symptom is now diagnosed by CT scan or Ultrasound
- Changed percentage chance of appearance for symptoms of acute pancreatitis
- Added 2 new symptoms: "Elevated Pancreatic Enzymes" and "Gallstones Discovered"
- Patients with pancreatitis who also have gallstones require surgery.
- Updated tooltips and descriptions for Acute Pancreatitis

Enjoy :)

thank you :D as a paramedic i want this to be more realistic :)

Thanks

@Peter Benton Uninstall the original mod first then install this mod if you're playing with DLCs.

@Butch So, I have the original mod in game working with my dlc’s, do I uninstall that and install this one or it will overight it by downloading it?

@Vazsholik

No there are no conflicts with department mods that I'm aware of. Unless if those department mods make changes to the vanilla diagnoses. Make sure you have the Infectious Diseases and Traumatology DLC as well.

does this conflict with the mod departments out there? as they add alot of new diagnosis etc.

New Update :

Fixed problem with Hemothorax and Pneumothorax diagnoses that was making it impossible to diagnose them


Very special thanks to Sleepy068 for helping me track down the issue!

Finally! About time Butch updates this lovely mod!

@dragongal35 Let's move this conversation to the Bug Reports thread.

There's also some patients that are suddenly listed as having no possible examinations that can be done on them, even if I transfer them to another department. (I'd send you the save and the patient names to look at, but I don't know how.)

@dragongal35 Yes, the mod does alter some diagnoses in cases where it makes sense from a medical standpoint. Usually this is done in the form of altering the % chance that a patient with a specific diagnosis presents to the hospital with that specific symptom. In some cases I've removed symptoms or even added symptoms, but this is quite rare.

Having said that, the mod should not result in you having no possible diagnosis. If you're getting that pop up, chances are the patient can't run any exams in that department that would lead to a diagnosis. This happens rarely (even without the mod) and what you need to do is send them to another department that has the capability of running other exams. Hemothorax is a symptom that is only seen with the Penetrating Pulmonary Laceration diagnosis in the game. Looking at that diagnosis specifically, the main symptom can only be revealed by an ultrasound or FAST.

Does this mod alter what combination of symptoms results in what diagnosis? Because after subscribing to this mod, a patient with hemothorax went to having no possible diagnosis. I know it's this mod that caused that because after I unsubscribed, he went back to having hemothorax be his only possible diagnosis.

New Update:

- Changed descriptions of cholangitis which is now diagnosed with CT or Ultrasound.

- Cholangitis main symptom collapse changed from Heart Failure to Septic Shock.

- Added small chance for Bacteremia and Hypotension to be one of the presenting symptoms of Cholangitis.

- Changed occurence of Cholangitis from Rare to Uncommon.

5 awards from me, best and most useful mod for this game.

Enjoy :) Let me know if there are any new issues.

Wooohhoooo awesome, been waiting for this. Thank you and a happy new year Sir.