@dr.desastro

The main goal of my mods is to try and improve the realism factor of the simulation. Complex trauma cases regularly go through multiple surgeries after the initial resuscitation in the emergency department. It is not uncommon for a person who's been a really nasty road traffic accident for example, to be operated on by a cardio thoracic surgeon, an orthopedic surgeon as well a trauma surgeon. I do understand the point you make about how the patient can leave the first surgery with a pulsating symptom. I'm already planning a major review of all the diagnoses of the game and will look at the symptom make-up of every diagnosis. I haven't touched the trauma department and I'll probably be looking at that first.

This is going to be part of a larger mod I'm currently working on with a few fellow modders which will also include alterations to the code. We're adding complications arising from examinations and treatments (not just from surgeries like in vanilla) and so we'll be looking at everything again in great detail.

Well, my main point is, that Trauma patients can and will cause too many ICU/resuscitation events because the symptoms' collapse timers will time out eventually - and this by design. I am not for a one-click solution to cure all but I find it rather strange, that in a life-saving surgery not all life-threatening symptoms will be treated. In reality, yes, maybe the surgery teams will swap over the surgery while the patient is still open and another specialist will handle his stuff. But you won't fix shattered ribs and leave the damage greater arteries and collapsed lungs alone for something scheduled after lunch break.

And since the game seems to be unable to send in another team into the surgery theater and has to work with the one present it should be at least possible to cure all life-threatening stuff in one go. So only pulsating stuff like ruptured arteries or injured intestines but not 'simple' bone fractures. E.g.: a patient having spleen laceration, artieries damaged and broken fermur could get the first two cured and still needs another surgery for the fermur. It is just about multiple blinking things which need surgeries.

Originally posted by dr.desastro:

But you won't fix shattered ribs and leave the damage greater arteries and collapsed lungs alone for something scheduled after lunch break.

This gave me a good laugh. Yes you're absolutely right. The initial surgery would leave the patient stable enough for subsequent surgeries. The issue here requires a complete revision of all the trauma diagnoses and this is something I certainly intend to do. But as I mentioned, at the moment I'm working on a separate mod that adds complications to exams and treatments. Ofcourse that mod wont go live before I revise literally every diagnosis in the game. The trauma diagnoses will be front and center when it comes to revising symptoms. So I'll work this out.

I noticed that isolation ward patients keep getting transported to the diagnostics room just to get a temperature measurement. Is there anyway to make this doable from bedside?

What's the reasoning for PCR sampling, serologic testing and CBC to require hospitalisation? They're quick and easy tests,shouldn't they be able to be ordered from emergency without needing for the patient to be hospitalised?

Originally posted by Galanthus_ttv:

What's the reasoning for PCR sampling, serologic testing and CBC to require hospitalisation? They're quick and easy tests,shouldn't they be able to be ordered from emergency without needing for the patient to be hospitalised?

I ran into this also, while trying to differentiate viral vs bacterial tonsillitis. This should definitely be a bedside test.

Will this ever be a bedside test ?

Hello @Butch

Could you make this version available for those who don't have the game on steam?

I see the non-DLC version is on Nexusmods but this one is not. SteamCMD will not allow me to download the mod, can you please upload this version to Nexusmods? I have the game on GOG.