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More Injuries User Manual

This document is intended to provide a comprehensive guide to the More Injuries mod for RimWorld. It is intended to be a reference for players who are looking to understand the mod's features and mechanics, as well as how to use them effectively.

About More Injuries

The More Injuries mod aims to increase the simulation depth of RimWorld's medical system by adding a variety of new injuries, medical conditions, and treatment options, as well as simulating body part damage in more detail. Its goal is to make the medical system more challenging and interesting in some aspects, while also making it more realistic and immersive. A detailed mod settings menu is provided to allow players to customize many aspects of the mod to their liking.

Table of Contents

New Injuries and Medical Conditions

The following sections provide an overview of the new injuries and medical conditions added by the More Injuries mod, as well as their effects and treatment options.

Adrenaline Rush

Adrenaline, also known as epinephrine, is a naturally occurring hormone that is released in response to stress or danger. It increases heart rate, blood pressure, and energy levels, preparing the body for a fight-or-flight response. In the game, an adrenaline rush can occur naturally in pawns as a result of combat and injury, or it can artificially be induced through the use of an epinephrine injection.

In-Game Description "Adrenaline rush — A rush of adrenaline temporarily increases heart rate and blood pressure, providing a boost of energy and alertness. The body's fight-or-flight response is triggered, increasing strength and speed. However, if the rush is too intense, it can cause anxiety, panic, and overdose symptoms such as dizziness, double vision, and nausea. In extreme overdose cases, the body can go into shock, causing heart attack, stroke, or death."

Causes: Injuries or epinephrine injections.

Effects: At lower levels, an adrenaline rush can provide a temporary boost to consciousness, moving, and pain tolerance. At higher levels, it can cause a reduction in manipulation and sight. In extreme cases of overdose, it can lead to anxiety, panic, nausea, as well as, coma, cardiac arrest, hemorrhagic stroke, and subsequent death. As adrenaline raises the heart rate and blood pressure, it can also reduce the effects of hypovolemic shock for a short period of time.

Treatment: Adrenaline is naturally metabolized by the body over time and effects last between a few minutes to a few hours in severe cases. In cases of overdose, the pawn may require medical treatment to treat symptoms and secondary effects.

Cardiac Arrest

Cardiac arrest is a sudden loss of blood flow resulting from the failure of the heart to effectively pump blood. It is generally divided into two categories: ventricular fibrillation and asystole (flatline, clinical death). Ventricular fibrillation is a condition in which the heart's electrical signals become disorganized, causing the heart to quiver or "fibrillate" instead of pumping blood effectively. In cases of ventricular fibrillation, a defibrillator can be used to shock the heart back into a normal rhythm, which may be faster and more effective than CPR. If left untreated, ventricular fibrillation can progress to clinical death, which is a condition in which the heart stops beating completely and CPR must be performed to restore blood flow and hopefully restart the heart. Applying a defibrillator to a clinically dead patient will not be effective and may cause additional harm.

In-Game Description "Cardiac arrest — Cardiac arrest is a sudden loss of blood flow resulting from the failure of the heart to effectively pump blood. The lack of blood flow causes the body to stop working properly, resulting in loss of consciousness and death if not treated immediately. Causes for cardiac arrest include conditions that starve the heart of oxygen, such as extreme blood loss. A skilled doctor must perform CPR to restore blood flow and hopefully restart the heart. In early stages of cardiac arrest, during ventricular fibrillation, a defibrillator can also be used to shock the heart back into a normal rhythm, which may be faster and more effective than CPR."

Causes: Extreme blood loss (hypovolemic shock), adrenaline overdose, and other conditions that starve the heart of oxygen.

Effects: Loss of consciousness, coma, multiple organ failure, and death if not treated immediately.

Treatment: Cardiac arrest must be treated immediately with CPR to restore blood flow and hopefully restart the heart. In cases of ventricular fibrillation, a defibrillator can be used to shock the heart back into a normal rhythm, which may be faster and more effective than CPR. In cases of clinical death, only CPR will be effective.

Note

Biotech DLC: Sanguaphages are immune to cardiac arrest and will automatically recover from it once entering deathrest.

Chemical Peritonitis

Also known as "intestinal spillage," chemical peritonitis is a life-threatening condition that occurs when gastric acid or other digestive fluids leak into the abdominal cavity, causing inflammation and tissue damage to surrounding organs (small and large intestines, stomach, kidneys, and liver). The condition carries a major risk of infection which can be life-threatening if left untreated.

In-Game Description "Chemical peritonitis — As a result of a perforating injury to the intestines or stomach, gastric acid has inflicted tissue damage on surrounding organs, causing inflammation. Carries a major risk of infection."

Causes: A perforating injury to the intestines or stomach, such as a gunshot wound or stab wound, that allows gastric acid to leak into the abdominal cavity and cause tissue damage.

Effects: Inflammation of the abdominal cavity, severe pain, and a major risk of infection. Potentially life-threatening if a resulting infection is left untreated.

Treatment: Medical treatment of the perforating injury and inflammation using high-quality medicine to prevent infection.

Choking

Choking is a medical emergency that occurs when a foreign object becomes lodged in the throat or windpipe, blocking the flow of air. It can be a life-threatening situation that requires immediate intervention to clear the airway and restore breathing.

Choking on Blood

In-Game Description "Choking on blood — Blood from traumatic injuries being aspirated into the airways triggers coughing and causes suffocation. The bleeding must be stopped and the airways cleared to prevent death. If the patient is conscious, they may be able to cough up the blood on their own and clear the airway. Otherwise, the airways must be cleared using a specialized airway suction device or by compressing the chest using CPR to expel the blood and restore breathing."

Causes: Severe injuries to the mouth, throat, or chest that cause bleeding into the airways.

Effects: Coughing, suffocation, loss of consciousness, and death if not treated immediately.

Treatment: Stopping the bleeding of the mouth, throat, or chest will prevent further blood from entering the airways and slow the progression of the condition. If the patient is conscious, they may be able to cough up the blood on their own and clear the airway. If the patient is unconscious, the airways must be cleared using a specialized airway suction device or by compressing the chest using CPR to expel the blood and restore breathing.

Note

Biotech DLC: Deathresting sanguaphages will alway be able to cough up the blood on their own and clear the airway - once the bleeding has been stopped.

Choking on Tourniquet

In-Game Description
"Choking on tourniquet — A severe lack of intellect caused a potentially fatal mishap in form of a misapplied tourniquet."

Causes: Someone had the bright idea to apply a tourniquet to the neck 🥴 Only a severe lack of intellect and medical incompetence can cause this condition.

Effects: Suffocation and death if not treated immediately.

Treatment: Removing the tourniquet from the neck will restore breathing and prevent death.

Concussion

In-Game Description
"Concussion — A concussion, also known as a mild traumatic brain injury (mTBI), is a head injury that temporarily affects brain functioning. Symptoms may include loss of consciousness; memory loss; headaches; difficulty with thinking, concentration, or balance; nausea; blurred vision; dizziness; sleep disturbances, and mood changes. Should resolve on its own within a few days, but can be worsened by repeated head injuries."

Causes: Blunt force trauma to the head. May be caused by any violent impact to the head, such as hand-to-hand combat, being struck by a projectile, or explosions.

Effects: A concussion may range from a mild headache to full unconsciousness, depending on the severity of the injury. The pawn may experience a temporary loss of consciousness, memory loss, painful headaches, disorientation,difficulty with thinking, nausea and vomiting, blurred vision, and dizziness. Repeated head injuries may worsen the condition or lead to a hemorrhagic stroke.

Treatment: Concussions are generally self-limiting and will resolve on their own within a few days.

EMP Shutdown

In-Game Description "Servos disabled — A bionic bodypart was disabled by an EMP blast. It will take around one day to reboot itself."

Causes: Exposure to sources of strong electromagnetic interference, such as EMP grenades or psychic abilities.

Effects: The affected bionic body part will be disabled and unusable for a period of time.

Treatment: The bionic body part will reboot itself after around one day and return to normal function.

Fractures

When a pawn takes damage to a bone or solid body part, there is a chance that a fracture will occur, based on the severity of the injury and the mod settings.

Bone Fracture

In-Game Description
"Bone fracture — A partial or complete break of a bone caused by trauma, overuse, or disease. The bone may be cracked, splintered, or completely broken into two or more pieces. Until properly treated, the affected limb will be unable to bear weight or move properly, causing severe pain and loss of function.
Must either be splinted to immobilize the bone and promote healing over time, or surgically repaired to realign and stabilize the bone, allowing for quick recovery."

Causes: Sharp or blunt damage to a bone or solid body part.

Effects: A bone fracture will cause the affected limb to be unable to bear weight or move properly, causing full immobility of the corresponding body part and +15% pain. Bone fractures may also cause bone fragment lacerations if bone fragments break off and cut into the surrounding tissue.

Treatment: Bone fractures must be treated using a splint to immobilize the bone and promote healing over time, or osteosynthetic surgery to realign and stabilize the bone with metal implants, allowing for a quick recovery.

Healing Bone Fracture

In-Game Description
"Healing bone fracture — A bone fracture that is in the process of healing. The bone is still weak and restricted in movement, but the limb is slowly regaining function as the bone knits back together. Over time, the bone will become stronger and the limb will regain full function."

Causes: A bone fracture that has been stabilized with a splint and is in the process of healing.

Effects: The affected limb will be usable but restricted in movement. Over time, the effects will slowly diminish as the bone heals and the limb regains full function.

Treatment: Healing bone fractures do not require any additional treatment and will naturally heal over the course of several days to weeks, depending on how skillfully the splint was applied.

Bone Fragment Laceration

When a bone is fractured, there is a chance that fragments of the bone will break off and cause additional damage to the surrounding tissue, resulting in a laceration injury (a cut). The occurance and chance of bone fragment laceration can be adjusted in the mod settings.

In-Game Description
"Cut (bone fragments) — A cut caused by fragments of a bone."

Causes: A bone fracture may result in sharp bone fragments breaking off and cutting into the surrounding tissue.

Effects: A bone fragment laceration will cause additional pain and bleeding, as well as a risk of infection if not properly treated.

Treatment: Bone fragment lacerations can be treated like any other cut or laceration, by treating the wound with or without medicine, preferably in a clean environment to reduce the risk of infection.

Gangrene

Gangrene is a type of tissue death caused by a lack of blood supply. Symptoms may include a change in skin color to red or black, numbness, swelling, pain, skin breakdown, and coolness. Depending on the presence of infection, gangrene may be classified as dry or wet.

Dry Gangrene

In-Game Description "Gangrene (dry) — Dry gangrene is a form of coagulative necrosis that develops in ischemic tissue, where the blood supply is inadequate to keep tissue viable. The affected part is dry, shrunken, and dark reddish-black. The line of separation usually brings about complete separation, with eventual falling off of the gangrenous tissue if it is not removed surgically, a process called autoamputation. Over time, dry gangrene may develop into wet gangrene if an infection develops in the dead tissues. The affected body part is irreversibly damaged and should be amputated to prevent sepsis."

Causes: A lack of blood supply to a body part, often due to a tourniquet that has been applied for too long or other conditions that restrict blood flow.

Effects: The affected body part will become dry, shrunken, and dark reddish-black, and may eventually fall off if not removed surgically. Dry gangrene may progress to wet gangrene if an infection develops in the dead tissues.

Treatment: The affected body part is irreversibly damaged and should be amputated to prevent life-threatening infection.

Wet Gangrene

In-Game Description "Gangrene (wet) — Wet, or infected, gangrene is characterized by thriving bacteria and has a poor prognosis (compared to dry gangrene) due to sepsis resulting from the free communication between infected fluid and circulatory fluid. The affected part is saturated with stagnant blood, which promotes the rapid growth of bacteria. The toxic products formed by bacteria are absorbed, causing systemic manifestation of sepsis and finally death. The affected body part should be amputated as soon as possible to save the patient's life."

Causes: A lack of blood supply to a body part that caused the tissue to die and become infected with bacteria, often due to a tourniquet that has been applied for too long or due to dry gangrene that has become infected.

Effects: The affected body part will become saturated with stagnant blood, promoting the rapid growth of bacteria. The toxic products formed by bacteria are absorbed, causing systemic manifestation of sepsis and eventually death.

Treatment: The affected body part should be amputated as soon as possible to save the patient's life.

Hearing Loss

Hearing loss is a partial or total inability to hear. It may be temporary or permanent and can affect one or both ears and can be commonly caused by exposure to loud noises, trauma, or age-related degeneration.

Temporary Hearing Loss

In-Game Description "Temporary hearing loss — Temporary deafness caused by prolonged exposure to loud noises, such as gunfire, explosions, or machinery. The hair cells in the inner ear are damaged, leading to hearing loss. The damage can become permanent if the exposure is severe or prolonged."

Causes: Prolonged exposure to gunfire or explosions without hearing protection. More likely to occur indoors or in close proximity to the source of the noise.

Effects: Temporary reduction in hearing ability, ranging from mild to complete deafness, depending on the severity of the exposure. May progress to permanent hearing loss if the exposure is severe or prolonged.

Treatment: Temporary hearing loss will resolve on its own over time, but may become permanent if the exposure is severe or prolonged.

(Permanent) Hearing Loss

Vanilla RimWorld condition, see Hearing loss (RimWorld Wiki).

Causes: See Hearing loss (RimWorld Wiki), but can also be caused by severe temporary hearing loss.

Effects: Permanent reduction in hearing ability, see Hearing loss (RimWorld Wiki).

Treatment: Implants or bionic ears (see Hearing loss (RimWorld Wiki)), or cellular regenerative otologic surgery to repair the damaged hair cells in the inner ear.

Hemorrhagic Stroke

In extreme cases of head trauma, a rupture of a blood vessel in the brain may occur, causing a life-threatening condition known as a hemorrhagic stroke. Blood from the ruptured vessel leaks into the brain, causing pressure to build up and compress the surrounding tissue, starving it of oxygen and nutrients and leading to rapid loss of consciousness and death if not surgically treated.

Basically a more severe and dangerous version of a concussion.

In-Game Description "Hemorrhagic stroke — A life-threatening condition caused by a rupture of a blood vessel in the brain. If left untreated, the patient will quickly lose consciousness as pressure builds up in the brain. Symptoms range from initial confusion and vomiting to coma and death. Can be temporarily stabilized to slow progression until surgery can be performed to permanently repair the rupture."

Causes: Severe blunt force trauma to the head, e.g., any violent impact to the head, such as hand-to-hand combat, being struck by a projectile, or explosions, as well as extreme blood pressure caused by adrenaline overdose may cause a rupture of a blood vessel in the brain. If simulation of hydrostatic shock is enabled in the mod settings, high-energy projectiles that cause massive temporary cavity formation and pressure waves in the tissue may also cause a hemorrhagic stroke.

Effects: Headache, memory loss, confusion, vomiting, rapid loss of consciousness, coma, and death if not surgically treated.

Treatment: Hemorrhagic stroke can be temporarily stabilized using medicine to slow progression until surgery can be performed to permanently repair the rupture. Ultimately, surgical intervention through trepanation, decompressive craniectomy, or stereotactic surgery is required to save the patient's life.

Hydrostatic Shock

Warning

The concept is controversial and not universally accepted in the medical community.

Hydrostatic shock, also known as Hydro-shock, is the controversial concept that a penetrating projectile (such as a bullet) can produce a pressure wave that causes "remote neural damage", "subtle damage in neural tissues" and "rapid effects" in living targets.

Due to the controversial nature of the concept, it is implemented as an optional feature that can be enabled in the mod settings.

If enabled, high-energy projectiles, such as bullets, may cause hemorrhagic stroke, even if the projectile does not directly hit the head.

Hypovolemic Shock

When a pawn loses a significant amount of blood, there may not be enough blood volume to circulate to the body's organs, leading to a life-threatening condition known as hypovolemic shock. Without immediate treatment, the insufficient blood flow can starve the organs of oxygen and nutrients, causing tissue damage, multiple organ failure, and ultimately death.

In-Game Description "Hypovolemic shock — A life threating state caused by insufficient blood flow to the body. Hypovolemic shock is a medical emergency; if left untreated, the insufficient blood flow can cause damage to organs, leading to hypoxia and multiple organ failure. Severity scales directly with blood loss severity until 60% severity, after which it continues to worsen, even if bleeding is stopped. Must be treated with blood transfusion or other means to restore blood volume. Progession can also be slowed by administering adrenaline to increase heart rate and blood pressure."

Causes: Severe blood loss from injuries, such as lacerations, gunshot wounds, or surgical procedures.

Effects: Hypovolemic shock is a medical emergency that can cause a rapid decline in consciousness, blood pressure, and heart rate, leading to organ hypoxia, multiple organ failure, cardiac arrest, and death if not treated immediately. Once the progression of hypovolemic shock reaches 60% severity, it will start causing organ hypoxia and accelerate the progression of the condition, even if the bleeding is stopped.

Treatment: Hypovolemic shock is primarily treated by treating the underlying cause of the blood loss (e.g., stopping the bleeding) and restoring blood volume to compensate for the loss of blood. Depending on the severity of the condition, preventing further blood loss may be sufficient to allow the body to recover on its own. In more severe cases, when the progression of hypovolemic shock has reached above 60% severity, blood volume must be restored through transfusion using blood bags, hemogen packs, or other means (i.e., any other mod that reduces blood loss severity). Once the blood loss is no longer severe, the severity of hypovolemic shock will start to decrease over time, allowing the patient to recover. Note that this recovery period may take several hours as the blood volume is restored by the IV fluids or blood transfusion. During this recovery period, the patient must be kept under close observation, especially when past 60% severity, and secondary effects, like organ hypoxia or cardiac arrest, must be treated as they might still occur until the patient has been fully stabilized (blood loss severity at moderate or lower and hypovolemic shock severity below 60%).
During the initial emergency treatment of hypovolemic shock, its progression can be slowed by administering epinephrine to increase heart rate and blood pressure, which will help to increase the blood flow to the organs and reduce the risk of organ hypoxia and multiple organ failure. Additionally, hypovolemic shock itself may be treated using conventional medicine to decrease progression further for a short period of time until the patient can be fully stabilized using blood transfusion. Note, however, that the only way to fully stabilize and save the patient's life is to restore blood volume.

Tip

As time is of the essence when treating hypovolemic shock, it is recommended to have a stockpile of blood bags or other blood transfusion items ready in your hospital to quickly treat patients with severe blood loss. You may even want to assign some medically skilled pawns to be dedicated combat medics who keep a few blood bags in their inventory at all times to immediately stabilize and treat injured pawns on the battlefield. This can be achieved by telling the medic to "pick up" a number of blood bags (or including blood bags in Combat Extended loadouts) and then telling the drafted medic to transfuse blood (from inventory, stabilize) to the injured pawn.

Note

Biotech DLC: Deathresting sanguaphages will automatically recover from hypovolemic shock over time, as they can regenerate blood on their own.

Inhalation Injury

Inhalation injuries are caused by the inhalation of hot gases, steam, or smoke, which can cause burns to the respiratory tract and lungs. If enabled in the mod settings, inhalation injuries manifest themselves as burn injuries to the lungs, for example, when a pawn is exposed to a fire or explosion.

Lung Collapse

When a creature is exposed to a sudden change in pressure, such as caused by thermobaric weapons and other high-explosive devices, the lung tissue may rupture, causing air to leak into the chest cavity and compress the lung, leading to a life-threatening condition known as a lung collapse.

In-Game Description "Lung collapse — A buildup of air inside the chest cavity creates pressure against the lung. Pressure increases as more air enters this space. The lung collapses, impairing normal breathing causing surrounding structures to shift. When severe enough to cause these shifts and hypotension, it is called a tension pneumothorax. In this life-threatening condition, the increased pressure inside the chest can compress the heart and lead to a collapse of the blood vessels that drain to the heart, causing obstructive shock. With the heart unable to fill, cardiac output drops. Hypotension and shock ensue. If left untreated treated, it can lead to cardiac arrest and death. Must be surgically repaired."

Causes: Exposure to a sudden change in pressure, such as caused by thermobaric weapons and other high-explosive devices.

Effects: Impaired breathing, chest pain, and a life-threatening condition known as a tension pneumothorax, which can lead to obstructive shock, cardiac arrest, and death if not surgically treated.

Treatment: Resuscitation if the patient goes into cardiac arrest and immediate thoracotomic surgery or video-assisted thoracoscopic surgery to repair the lung collapse and prevent further complications.

Organ Hypoxia

Hypoxia is a condition in which the body or a region of the body is deprived of adequate oxygen supply at the tissue level. The cause of hypoxia may vary, but it is often the result of a severe lack of blood flow to the affected area, such as in cases of hypovolemic shock.

In-Game Description "Organ hypoxia — Damage from lack of oxygen to the organ. Most commonly caused by insufficient blood flow."

Causes: Severe lack of blood flow to an organ, such as in cases of hypovolemic shock.

Effects: Damage to the affected organ, which may lead to multiple organ failure and death if not treated immediately.

Treatment: Organ hypoxia must be treated by restoring blood flow to the affected organ, which may require treating the underlying cause of the blood loss, such as stopping the bleeding or restoring blood volume through transfusion. See hypovolemic shock for more information on treatment.

Paralysis

In-Game Description "Paralysis — Damage of spinal cord caused irrepairable movement disability, ranging from sensory loss to complete loss of movement. Paralysis is often a life-changing condition and may require the use of bionic implants or prosthetics to restore function."

Causes: Severe back injuries, such as a gunshot wound or stab wound to the spine, that crush or sever the spinal cord.

Effects: Damage to the spinal cord prevents the transmission of signals between the brain and the affected body parts, causing a loss of movement and sensation in the affected limbs. Depending on the severity of the injury, patients may experience a range of symptoms, from sensory loss to complete loss of movement.

Treatment: By itself, paralysis is an irreversible condition that cannot be treated with conventional medicine. However, bionic implants or prosthetics may be used to restore partial or full function to the affected body parts.

Spalling Injury

When high-velocity projectiles are stopped by armor, the large amount of kinetic energy can cause the projectile and top layer of the armor to shatter into fragments, which can cause additional injuries to the wearer of the armor, even if the projectile itself did not penetrate. The chance and severity of spalling depends on a variety of factors, such as the angle of impact and the hardness and condition of the armor.

Modern armor is designed to prevent spalling by adding softer layers above the hard armor plates to catch and absorb bullet fragments. As armor condition deteriorates after absorbing damage, the chance of spalling naturally increases when these absorbing layers are compromised.

In-Game Description "Cut (spall) — A cut caused by spall of a bullet and armor fragments."

Causes: High-velocity projectiles impacting degraded armor plating.

Effects: Additional cuts and lacerations caused by bullet fragments and armor shrapnel.

Treatment: Spalling injuries can be treated like any other cut or laceration, by treating the wound with or without medicine, preferably in a clean environment to reduce the risk of infection.

Tip

You can significantly reduce the risk of spalling injuries or even prevent them entirely by keeping your armor in good condition and replacing it when it becomes damaged. Alternatively, you can research into advanced spacer armor types that are designed to prevent spalling entirely.

Tip

You can tweak the chance, severity, and armor condition thresholds for spalling injuries in the mod settings to better balance the risk and reward of using degraded armor plating in combat.

New Body Parts

More Injuries simulates a variety of new body parts and re-scales the coverage of existing body parts to provide a more detailed and realistic simulation of injuries and medical conditions.

Small and Large Intestines

The small and large intestines are part of the digestive system and play a crucial role in the absorption of nutrients and the elimination of waste. Damage to the intestines can cause life-threatening internal bleeding or cases of chemical peritonitis, which poses a major risk of infection.

Femoral and Popliteal Arteries

arteries of the leg (wikimedia commons)

The femoral and popliteal arteries are major blood vessels that supply blood to the legs and feet. As such, injuries to the legs can cause severe blood loss and can quickly lead to hypovolemic shock, loss of consciousness, and death if not treated immediately. Cutting the femoral artery is especially dangerous due to the high volume of blood that flows through it.

Emergency treatment often requires the use of a tourniquet to restrict blood flow to the affected limb and prevent the patient from bleeding out.

Spinal Cord

The spinal cord is a bundle of nerves that runs down the center of the back and connects the brain to the rest of the body. Damage to the spinal cord can cause irreversible and life-changing paralysis, ranging from sensory loss in the legs to complete loss of movement in the entire body. Surgical intervention and bionic implants may be used to restore partial or full function to the affected body parts.

Medical Devices and Procedures

In order to effectively treat the new injuries and medical conditions introduced by More Injuries, several new medical devices and treatment options have been added to the game.

Airway Suction Device

Airway Suction Device

In-Game Description "Airway suction device — An airway suction device is a medical device used to clear the airway of blood, vomit, or other obstructions that may prevent a patient from breathing properly. It is commonly used in emergency situations, such as when a patient is choking from blood or other fluids, to prevent asphyxiation and death. The hand-operated device uses a vacuum to remove fluids from the airway, allowing the patient to breathe freely and restoring normal respiration."

Used for: Clearing the airway of patients who are choking on blood or other fluids to prevent asphyxiation. The airway suction device is a hand-operated device that uses a vacuum to remove fluids from the airway, allowing the patient to breathe freely and restoring normal respiration. It can be reused multiple times and is more effective than CPR in clearing the airway of obstructions.

Usage:

  1. Tell a drafted pawn capable of doctoring to use the airway suction device on a patient using the Clear airways option in the right-click context menu of the patient. The airway suction device must be accessible in a stockpile or the doctor's inventory. Self-treatment is not possible. The device will not be consumed during the treatment and can be reused multiple times.
  2. Clearing the airway with an airway suction device is part of the First Aid order for drafted pawns.

Production: At a machining table.
Production Skill Requirement: Crafting at level 4
Research Requirements: Medicine Production
Ingredients: 25x Steel, 20x Chemfuel, 1x Component, 5x Plasteel
Success Chance: <medicine skill> / 8, but at least the configured minimum success chance in the mod settings.

Bandage

Bandage Bandage

In-Game Description "Bandage — Pieces of fabric prepared to slow the flow of blood from wounds. This type of elastic bandage is designed as a temporary measure to apply pressure to a wound to reduce the bleed rate and promote clotting. It is not a substitute for proper medical treatment, but can be used to stabilize a patient until they can be treated by a doctor. Moderately fast to apply, but may not be as effective as a hemostatic agent in stopping severe bleeding."

Used for: Temporarily reducing the bleed rate of wounds to allow the patient to be stabilized by a doctor. Bandages are a simple and effective way to slow the progression of blood loss and prevent the patient from going into hypovolemic shock until more advanced medical treatment can be provided. This type of elastic bandage allows to reduce the bleed rate of the wound by up to 50% and lasts approximately 12 hours until fully soaked with blood. Effectiveness scales linearly with time during this period. Bandages are a good choice for treating minor to moderate bleeding wounds, but may not be as effective as hemostatic agents in stopping severe bleeding.

Usage:

  1. Tell a drafted pawn capable of doctoring to apply a bandage to a wound using one of the Stabilize with bandages options in the right-click context menu of the patient. The bandage must be accessible in a stockpile or the doctor's inventory. Self-treatment is possible.
  2. Applying a bandage is part of the First Aid order for drafted pawns.

Production: At a crafting spot or machining table.
Production Skill Requirement: None
Research Requirements: None
Ingredients: 2x any fabric
Success Chance: 100%

Blood Bag

Blood Bag

In-Game Description "Blood bag — A bag of whole blood from a standard blood donation, ready for transfusion. It is used in the treatment of massive bleeding and allows quick restoration of blood volume to combat the effects of hypovolemic shock. Must be stored in a refrigerator or freezer. Blood can be drawn from a healthy colonist or prisoner and stored in a blood bag for later use."

Used for: Restoring blood volume in patients suffering from severe blood loss and hypovolemic shock. Blood transfusion is the only way to fully stabilize and save the patient's life in severe cases of hypovolemic shock. It is recommended to keep a ready supply of blood bags in your hospital supply room for emergency situations. You may even want to keep a few blood bags in the inventory of your combat medics to perform immediate blood transfusions on the battlefield.

Usage:

  1. Tell a drafted pawn capable of doctoring to transfuse blood from a blood bag to a patient using one of the Transfuse blood options in the right-click context menu of the patient. The blood bag must be accessible in a stockpile or the doctor's inventory. Self-treatment is not possible. Depending on the selected options (stabilize or fully heal), the patient's blood loss will be reduced by a certain amount, or the patient will be fully healed. Each blood bag is capable of restoring 35% blood volume.
  2. Transfusing blood (stabilize) from a blood bag is part of the First Aid order for drafted pawns.
  3. Alternatively, restoring blood volume to a stable condition is now part of a new general, high-priority work type for all doctors. So, if you have a patient in a hospital bed with severe blood loss, any non-drafted doctor will automatically attempt to restore blood volume using a blood bag, in accordance with the configured work priorities.

Production:

  1. Colonists, visitors, or prisoners can donate blood by scheduling the Extract blood bag procedure on the operations tab of the selected pawn. Colonists will donate blood willingly and know that they are helping to save lives of their fellow colonists. Prisoners and guests, on the other hand, may require a little more "convincing" to donate blood - at the cost of faction relations.
  2. Downed enemies can be executed through the Harvest blood (finish off) option in the right-click context menu to extract blood bags from them (requires a medically skilled, drafted pawn capable of doctoring). This is a quick and effective way to obtain blood bags from enemies on the battlefield, but is considered a war crime and will have severe consequences for your faction relations.
  3. Blood bags can be automatically and safely extracted from prisoners using the blood bag farm prisoner interaction option. It works analogous to the hemogen farm option from the Biotech DLC and allows to automatically schedule the extraction of blood bags from prisoners at regular intervals when it is safe to do so and does not pose a risk to the prisoner's health. It is still considered an unethical and offensive practice and will have consequences for your faction relations.

Research Requirements: None
Ingredients: N/A
Success Chance: 100%

CPR

Cardiopulmonary resuscitation (CPR) is an emergency procedure that combines chest compressions with artificial ventilation to manually preserve brain function until further measures can be taken to restore spontaneous blood circulation and breathing in a person who is in cardiac arrest, suffering from a heart attack, or is choking on blood.

In-Game Description "CPR — Perform CPR to stabilize patients with cardiac or respiratory arrest."

Used for: Stabilizing patients suffering from cardiac arrest (during ventricular fibrillation and clinical death stages), heart attacks, and choking on blood.

Usage

  1. Tell a drafted pawn capable of doctoring to perform CPR on a pawn suffering from cardiac arrest (during ventricular fibrillation and clinical death stages), heart attack, or choking on blood using the Perform CPR option in the right-click context menu. Self-treatment is not possible.
  2. CPR is part of the First Aid order for drafted pawns.
  3. Alternatively, resuscitating patients using CPR is now part of a new general, high-priority work type for all doctors. So, if you have a patient in a hospital bed with a condition that requires CPR, any non-drafted doctor will automatically attempt to resuscitate the patient using CPR or a defibrillator, in accordance with the configured work priorities.

Severity Reduction: $f_{\text{sigmoid}}($ medicine skill> / 15 $)$ where $f_{\text{sigmoid}}$ is a diffused sigmoid function defined as $f_{\text{sigmoid}}(x) = \frac{1}{1 + e^{-10\cdot(x - 0.5)}} + z$ where $z$ is a random factor between $-0.1$ and $0.1$. See Wolfram Alpha for a visualization of the function.

Important

Depending on the randomized factor $z$, poor medical skill of the doctor may do more harm than good when performing CPR. It is recommended to have a decently skilled doctor perform CPR to ensure the best possible outcome.

Defibrillator

Defibrillation is a treatment for life-threatening conditions that affect the rhythm of the heart, such as heart attacks and the ventricular fibrillation stage of cardiac arrest. It involves delivering a high-energy electric shock to the heart with a reusable device called a defibrillator to restore normal heart rhythm. It is a more specialized and faster treatment than CPR in these cases, however, it requires a defibrillator to be available and accessible to the treating doctor.

Defibrillator

In-Game Description "Defibrillator — A defibrillator is a reusable device that gives a high energy electric shock to the heart through the chest wall to restore normal heart rhythm in cases of ventricular fibrillation (irregular heartbeat) which may be caused by heart attacks or in early stages of cardiac arrest. Note that the defibrillator can only be used on patients suffering from heart attack or ventricular fibrillation. In case of full cardiac arrest (clinical death), only CPR can save the patient."

Used for: Treating heart attacks and cardiac arrest during the ventricular fibrillation stage.

Usage

  1. Tell a drafted pawn capable of doctoring to use the defibrillator on a pawn suffering from a heart attack or ventricular fibrillation using the Defibrillate option in the right-click context menu. The defibrillator must be accessible in a stockpile or the doctor's inventory. Self-treatment is not possible. In case of the clinical death stage of cardiac arrest, only CPR can save the patient.
  2. Defibrillation is part of the First Aid order for drafted pawns.
  3. Alternatively, resuscitating patients using a defibrillator is now part of a new general, high-priority work type for all doctors. So, if you have a patient in a hospital bed with a heart attack or ventricular fibrillation, any non-drafted doctor will automatically attempt to resuscitate the patient using a defibrillator or CPR, in accordance with the configured work priorities.

Production: At a machining table.
Production Skill Requirement: Crafting at level 6
Research Requirements: Medicine Production
Ingredients: 25x Steel, 20x Chemfuel, 4x Component, 25x Plasteel, 10x Gold, 100x Silver
Success Chance: <medicine skill> / 8, but at least the configured minimum success chance in the mod settings.

Epinephrine Autoinjector

Splint Splint

In-Game Description "Epinephrine autoinjector — An epinephrine autoinjector (or adrenaline autoinjector) is a medical device for injecting a measured dose or doses of epinephrine (adrenaline) by means of autoinjector technology."

Used for: Administering a large dose of epinephrine (adrenaline) to increase heart rate and blood pressure of the patient, which can help to slow the progression of hypovolemic shock for a short period of time until the patient can be fully stabilized using blood transfusion. Alternatively, the pain relief from the adrenaline rush can help to wake up a patient who has lost consciousness due to severe pain or other conditions. There have also been reports of epinephrine being used as a combat stimulant to increase the combat effectiveness of soldiers in the field, however, there is a risk of adrenaline overdose if used excessively.

Usage:

  1. Tell a drafted pawn capable of doctoring to use the epinephrine autoinjector on a patient using the Inject epinephrine option in the right-click context menu. The epinephrine autoinjector must be accessible in a stockpile or the doctor's inventory. Self-treatment is possible.
  2. Alternatively, as epinephrine is considered a drug, it can be administered as part of the normal medical treatment using the operations tab of the patient or by telling the pawn to injest the drug directly by right-clicking on the drug and selecting Use epinephrine autoinjector.

Production: At a drug lab.
Production Skill Requirement: Crafting at level 6, Intellectual at level 4
Research Requirements: Drug Production and Medicine Production
Ingredients: 1x Neutroamine, 1x Yayo
Success Chance: 100%

First Aid

First aid is the initial assistance or treatment given to a person who is injured or suddenly ill before full medical treatment can be provided. With More Injuries, Provide first aid is a new command that can be given to drafted pawns capable of doctoring to attempt to automatically stabilize patients with life-threatening conditions. It is an aggregated work type that includes the use of CPR, defibrillation, airway suction, blood transfusion, stopping bleeding using bandages or hemostatic agents, and other emergency treatments.

In-Game Description "Provide first aid — Evaluating treatment options for <patient name>."

Used for: Automatically stabilizing and treating patients with life-threatening conditions.

Usage

Tell a drafted pawn capable of doctoring to provide first aid to a patient using the Provide first aid option in the right-click context menu. The pawn will automatically go through a defined sequence of emergency treatments to stabilize the patient and prevent further deterioration of their condition. Self-treatment is not possible.

  1. The pawn will first attempt to reduce the severity of any externally, bleeding injury by applying bandages or hemostatic agents to the wounds.
  2. The pawn will then attempt to treat cardiac arrest through defibrillation or CPR, if necessary.
  3. An airway suction device will be used to clear the airway of any obstructions.
  4. If neither a defibrillator nor an airway suction device is available, but treatment is required, the pawn will start performing CPR to stabilize the patient.
  5. An immediate blood transfusion will be performed to restore blood volume in cases of severe blood loss and hypovolemic shock.
  6. Finally, normal medical treatment will be started to fully stabilize the patient and treat any remaining injuries.

After each step, the doctor will re-evaluate the patient's condition and decide on the next course of action. The treatment sequence will continue until the patient is fully stabilized or until the doctor is unable to access the necessary medical devices or treatments.

Caution

Beware that due to the complexity of the treatment sequence, the doctor may not necessarily choose the most optimal treatment at each step. As the severity of the conditions are not taken into account, the doctor may not always prioritize the most life-threatening conditions first. It is recommended to keep a close eye on the treatment progress and intervene manually if necessary.

Hearing Protection

🚧 This feature is still under development.
Currently, hearing protection is evaluated by the number of clothing layers covering the ears. The more layers of clothing covering the ears, the higher the protection against hearing damage from loud noises. In the future, this feature may be expanded to include ear protection items, such as earplugs or earmuffs, that can be worn by pawns to further reduce the risk of hearing damage.

Hemostatic Agent

Hemostatic Agent Hemostatic Agent

In-Game Description "Hemostatic agent — A special chemical compound designed to promote blood clotting and reduce the flow of blood from wounds. Hemostatic agents are used to control bleeding in emergency situations, such as when a patient is suffering from severe trauma or has been injured in combat. The compound is fast-acting and can be used to stabilize a patient until they can be treated by a doctor. However, it is not a substitute for proper medical treatment. Quick to apply and effective at stopping severe bleeding, hemostatic agents are an essential part of any first aid kit."

Used for: Temporarily reducing the bleed rate of wounds to allow the patient to be stabilized by a doctor. Hemostatic agents are a fast-acting and effective way to stop severe bleeding and prevent the patient from going into hypovolemic shock until more advanced medical treatment can be provided. This chemical compound is designed to promote blood clotting and reduce the flow of blood from wounds, allowing to reduce the bleed rate of the wound by up to 80% and lasts approximately 8 hours until its active ingredients are depleted. Effectiveness scales linearly with time during this period. Hemostatic agents are an excellent choice for treating severe bleeding wounds, but may be overkill for minor to moderate bleeding.

Usage:

  1. Tell a drafted pawn capable of doctoring to apply a hemostatic agent to a wound using one of the Stabilize with hemostatic agent options in the right-click context menu of the patient. The hemostatic agent must be accessible in a stockpile or the doctor's inventory. Self-treatment is possible.
  2. Applying a hemostatic agent is part of the First Aid order for drafted pawns.

Production: At a machining table.
Production Skill Requirement: Crafting at level 4
Research Requirements: Medicine Production
Ingredients: 5x any textile, 3x Chemfuel
Success Chance: 100%

Tip

Hemostatic agents are a powerful tool to stop severe bleeding in an emergency, so make sure you have a few hemostatic agents ready in your hospital or carried by your combat medics to quickly treat severe injuries on the battlefield.

Splint

Splint Splint

In-Game Description "Splint — A splint is a rigid device used for immobilizing and protecting an injured bone or joint. It is used to prevent further damage to the bone and surrounding tissue and promote healing over time. Splints are commonly used to treat bone fractures, sprains, and dislocations."

Used for: Treating bone fractures, allowing them to heal over time (see healing bone fracture).

Usage

  1. Tell a drafted pawn capable of doctoring to apply a splint to a pawn with a bone fracture using the Splint fractures option in the right-click context menu. The splint must be accessible in a stockpile or the doctor's inventory. Due to its simplicity, the procedure can be performed anywhere and even in combat situations, to quickly restore partial stability to the injured limb and allow the pawn to move again. However, this treatment method comes at the cost of treatment quality and a slightly longer time for the fracture to heal.
  2. Alternatively, use the operations tab of the injured pawn to schedule the application of a splint to a bone fracture in a controlled environment, such as a hospital bed, to ensure the highest treatment quality and fastest healing time.

Tip

Alternatively to splinting the fracture, the bone can be surgically repaired to realign and stabilize the bone, allowing for a quicker recovery.

Production: At a crafting spot or machining table.
Production Skill Requirement: None
Research Requirements: None
Ingredients: 4x Wood or Steel, 1x any textile
Success Chance: 100%

Tourniquet

Tourniquet Tourniquet

In-Game Description "Tourniquet — A tourniquet is a constricting or compressing device used to control venous and arterial circulation to an extremity for a period of time. It is used to stop hemorrhaging (bleeding) and is most commonly used in emergency situations, such as battlefield injuries or accidents, to prevent hypovolemic shock and death. As a tourniquet restricts blood flow to the limb, it should be removed as soon as possible to prevent ischemia (starvation of oxygen) and necrosis (cell death) in the limb, which can lead to gangrene or death from sepsis."

Used for: Stopping severe bleeding in the corresponding limb to prevent extreme blood loss, hypovolemic shock, and death. When applied to a limb, a tourniquet will restrict blood flow to the tissue below the tourniquet, which can severely reduce the bleed rate of injuries in that limb up to 95% until the tourniquet is removed. While a tourniquet can save a life in an emergency, prolonged use can cause severe damage to the limb in the form of ischemia (starvation of oxygen) and necrosis (cell death), which can lead to a life-threatening condition known as gangrene. Therefore, a tourniquet should be removed as soon as possible after the bleeding has been stopped to prevent further complications.

Usage:

  1. Tell a conscious pawn capable of doctoring to apply a tourniquet to a limb using the Apply tourniquet to <limb> of <patient name> option in the right-click context menu of the patient to apply a tourniquet to the corresponding limb. The tourniquet must be accessible in a stockpile or the doctor's inventory. Self-treatment is possible. Conversely, choose the Remove tourniquet from <limb> of <patient name> option to remove a previously applied tourniquet and restore blood flow to the limb.

  2. Tourniquet

    Alternatively, use the tourniquet gizmo (depicted on the right) to apply or remove a tourniquet from the currently selected pawn. The gizmo can be found in the bottom of the screen when a pawn is selected and is capable of applying or removing a tourniquet from themselves.

Production: At a crafting spot or machining table.
Production Skill Requirement: None
Research Requirements: None
Ingredients: 1x Wood or Steel, 4x any textile or leather
Success Chance: 100%

Tip

Tourniquets are a powerful tool to stop severe bleeding in an emergency, so make sure you have a few tourniquets ready in your hospital or carried by your combat medics to quickly treat severe injuries on the battlefield.

Tip

Should the patient decease during treatment, the tourniquet can be recovered from the corpse to be reused on another patient. This is automatically done as a new low-prority work type for all non-drafted doctors.

Warning

While generally easy to handle, severly incompetent doctors (medicine and intellectual skill below 3) may have a hard time applying a tourniquet correctly, potentially even having the not-so-bright idea to apply it to the neck. It goes without saying that such misuses of a tourniquet are not recommended and may lead to the patient choking to death.

Surgeries

Some injuries and medical conditions require surgical intervention to repair the damage and restore the patient to full health. More Injuries introduces a variety of new surgeries that can be performed by skilled doctors to treat complex injuries and medical conditions.
Just like base game surgeries, these new surgeries will be available in the operations tab of the selected pawn.

Cellular Regenerative Otologic Surgery

$\rightarrow$ see permanent hearing loss

In-Game Description "Repair hearing loss: cellular regenerative surgery — Cellular Regenerative Otologic Surgery (CROS) is an experimental glitterworld surgery that uses mechanites to repair damaged hair cells in the inner ear, restoring hearing to a person with permanent hearing loss. The procedure is expensive and not widely available, but has shown moderate success in restoring hearing, even in very severe cases."

Used for: Treating permanent hearing loss with advanced medical techniques and glitterworld medicine.

Skill Requirements: Medicine at level 12
Research Requirements: None
Ingredients: 2x Glitterworld Medicine
Surgery Success Chance Factor1: 110%
Death on Failed Surgery Chance2: 0%
Work Amount: 4500

Tip

Cellular Regenerative Otologic Surgery is a highly advanced and experimental procedure that can restore hearing to patients with permanent hearing loss. Alternative treatment options include bionics and cochlear implants (see Hearing loss (RimWorld Wiki)).

Decompressive Craniectomy

$\rightarrow$ see hemorrhagic stroke

In-Game Description "Cure stroke: decompressive craniectomy — Perform a decompressive craniectomy to cure a hemorrhagic stroke. Decompressive craniectomy is a neurosurgical procedure in which part of the skull is removed to allow a swelling or herniating brain room to expand without being squeezed. It is performed on victims of traumatic brain injury, stroke, and other conditions associated with raised intracranial pressure. Use of this surgery is controversial and associated with a higher risk of complications, but it can be life-saving in cases of severe brain swelling. A challenging surgery that requires familiarity with neurosurgical techniques and a steady hand. Yields a moderate success rate."

Used for: Treating hemorrhagic stroke with good medical knowledge and industrial equipment at a moderate success rate.

Skill Requirements: Medicine at level 5
Research Requirements: None
Ingredients: 3x Medicine or better
Surgery Success Chance Factor1: 110%
Death on Failed Surgery Chance2: 2.5%
Work Amount: 3000

Osteosynthetic Surgery

$\rightarrow$ see bone fracture

In-Game Description "Repair fracture: osteosynthetic surgery — Surgically repair a bone fracture. The bone will be set in place, realigned, and reinforced with metal plates and screws to prevent micromovements and promote proper healing, allowing the patient to regain full use of the affected limb much faster than with other methods. Although being more invasive than other methods, surgery allows for a more precise and stable repair of the fracture, ensuring a faster and more complete recovery."

Used for: Treating bone fractures with more expensive and invasive surgical techniques to speed up the healing process significantly.

Skill Requirements: Medicine at level 5
Research Requirements: None
Ingredients: 2x any Medicine, 5x Plasteel
Surgery Success Chance Factor1: 125%
Death on Failed Surgery Chance2: 0.5%
Work Amount: 2500

Stereotactic Surgery

$\rightarrow$ see hemorrhagic stroke

In-Game Description "Cure stroke: stereotactic surgery — Perform stereotactic surgery to cure a hemorrhagic stroke. Stereotactic surgery is a minimally invasive form of surgical intervention that makes use of a three-dimensional coordinate system to locate small targets inside the body, allowing for precise localization of the ruptured blood vessel while minimizing damage to surrounding tissues. A very complex and delicate procedure that requires a high level of skill and precision but yields a very high success rate."

Used for: Treating hemorrhagic stroke with excellent medical knowledge and advanced medical equipment at a high success rate.

Skill Requirements: Medicine at level 8
Research Requirements: None
Ingredients: 4x Medicine or better, 1x Glitterworld Medicine
Surgery Success Chance Factor1: 150%
Death on Failed Surgery Chance2: 1%
Work Amount: 4500

Thoracotomy

$\rightarrow$ see lung collapse

In-Game Description "Repair collapsed lung: thoracotomy — Perform a thoracotomy to repair a collapsed lung. Thoracotomy is a surgical procedure that involves making an incision in the chest wall to gain access to the lungs and the surrounding structures. The source of the air leak causing the lung collapse is identified and repaired, and pleural space is drained to allow the lung to re-expand and to relieve the pressure on the heart and other organs. Finally, the chest wall is closed and the incision is sutured. A complex and invasive surgery that requires a skilled surgeon and yields a moderate success rate."

Used for: Treating lung collapse with invasive surgical techniques to repair the damage and restore the lung to full function. Moderate success rate and moderate risk of complications.

Skill Requirements: Medicine at level 6
Research Requirements: None
Ingredients: 3x Medicine
Surgery Success Chance Factor1: 100%
Death on Failed Surgery Chance2: 2.5%
Work Amount: 3000

Trepanation

$\rightarrow$ see hemorrhagic stroke

In-Game Description "Cure stroke: trepanation — Perform a trepanation to cure a hemorrhagic stroke. Trepanation is a surgical intervention in which a hole is drilled or scraped into the human skull to treat health problems related to intracranial diseases or release pressured blood buildup from an injury. It is one of the oldest surgical procedures known to humanity, with evidence of its practice dating back to the Neolithic era. While it is a simple and straightforward procedure, it carries a high risk of infection and complications. A basic surgery that can be performed by anyone with rudimentary medical knowledge. Yields a low success rate."

Used for: Treating hemorrhagic stroke with readily available equipment and basic medical knowledge at a mediocre success rate.

Skill Requirements: Medicine at level 2
Research Requirements: None
Ingredients: 2x Herbal Medicine or better
Surgery Success Chance Factor1: 90%
Death on Failed Surgery Chance2: 7.5%
Work Amount: 1500

Caution

While cheap and easy to perform, trepanation carries a very high risk of failure and death due to the rudimentary tools involved. Unless absolutely necessary, it is strongly recommended to use more advanced surgical techniques, such as decompressive craniectomy or stereotactic surgery, to treat hemorrhagic stroke in a more controlled and effective manner.

Video-Assisted Thoracoscopic Surgery

$\rightarrow$ see lung collapse

In-Game Description "Repair collapsed lung: video-assisted thoracoscopic surgery — Perform a video-assisted thoracoscopic surgery to repair a collapsed lung. Video-assisted thoracoscopic surgery (VATS) is a minimally invasive surgical procedure that involves making small incisions in the chest wall and using a camera and specialized instruments to repair the collapsed lung. Since the surgery is performed through small incisions, it is associated with less pain, shorter recovery time, and reduced risk of complications compared to traditional open surgery. While VATS is less invasive and offers a higher success rate than thoracotomy, it requires highly specialized equipment, additional training, and takes longer to perform, given the complexity of the procedure."

Used for: Treating lung collapse with minimally invasive surgical techniques to repair the damage and restore the lung to full function. High success rate and low risk of complications.

Skill Requirements: Medicine at level 8
Research Requirements: None
Ingredients: 3x Glitterworld Medicine
Surgery Success Chance Factor1: 135%
Death on Failed Surgery Chance2: 1%
Work Amount: 5000

New Work Types

More Injuries introduces several new automated work types for doctors to handle emergency situations and stabilize patients without the need for manual intervention. These new work types are designed to reduce the micromanagement required to treat patients with life-threatening conditions and allow the player to focus on managing the more severe injuries and medical conditions.

Defibrillation

In-Game Label "Stabilize or resuscitate patients with arythmia or cardiac arrest"

Assigned doctors will automatically attempt to defibrillate patients in hospital beds who are suffering from a heart attack or cardiac arrest during the ventricular fibrillation stage. The doctor will search for an accessible defibrillator and start the defibrillation procedure to restore normal heart rhythm and save the patient's life.

Parent Work Type3: Doctor
Priority In Type4: 125

Airway Management

In-Game Label "Manage airways of patients with respiratory distress"

Assigned doctors will automatically attempt to clear the airways of patients in hospital beds who are choking on blood. The doctor will search for an accessible airway suction device and start the airway suction procedure to remove the obstruction and allow the patient to breathe normally again.

Parent Work Type3: Doctor
Priority In Type4: 120

Performing CPR

In-Game Label "Perform CPR to stabilize patients with cardiac or respiratory arrest"

Assigned doctors will automatically start performing CPR on patients in hospital beds who are suffering from cardiac arrest, heart attacks, or who are choking on blood. The doctor will attempt to stabilize the patient and restore normal heart rhythm and breathing to prevent further deterioration of the patient's condition.

Parent Work Type3: Doctor
Priority In Type4: 115

Blood Transfusions

In-Game Label "Perform a blood transfusion to stabilize patients with severe blood loss"

Assigned doctors will automatically perform blood transfusions on patients in hospital beds who are suffering from severe blood loss. The doctor will search for an accessible blood bag and start the blood transfusion procedure to restore blood volume and prevent hypovolemic shock.

Parent Work Type3: Doctor
Priority In Type4: 105

Tourniquet Recovery

In-Game Label "Recover a tourniquet from a deceased patient to reuse it in the future"

Unless having other tasks to perform, assigned doctors will recover tourniquets from deceased patients for reuse in future treatments. This work type is a very low-priority task and will only be performed if no other tasks are available. The doctor will search for corpses with tourniquets applied and remove the tourniquet from the deceased patient.

Parent Work Type3: Doctor
Priority In Type4: 5

Known Issues and Incompatibilities

This section lists known issues and incompatibilities with other mods that have been identified during testing and development of More Injuries. If you encounter any issues or incompatibilities with other mods, please report them on the GitHub issue tracker with a minimal, reproducible example. - meaning the minimum set of mods in a new save game that still reproduces the issue. To allow for a quick resolution of the issue, please provide as much information as possible, including the exact steps to reproduce the issue, the expected behavior, and the actual behavior observed.

Currently, no incompatibilities have been verifiably pinpointed to any specific mods, although there have been reports of issues with massive mod lists that may or may not be related to More Injuries.

Important

When reporting an issue, please make sure to include the following information:

  • The minimal set of mods required to reproduce the issue. This list can be obtained by starting a new game with only the required mods enabled and adding the mods back one by one until the issue reappears. This process may be sped up by using any helpful information from the game logs.
  • The exact steps necessary to reproduce the issue in a new save game. This information is crucial to help the developers understand the issue and find a solution.
  • The expected behavior and the actual behavior observed. This information helps the developers to understand the issue and verify that the issue has been resolved.
  • Any stack traces, error messages, or other relevant information from the game logs that may help to identify the cause of the issue. If possible, please load the Visual Exceptions mod which will help indentify integration issues with other mods.

Caution

Before reporting exceptions or errors from the debug console, please make sure that at least one line of the stack trace mentions MoreInjuries or that you are able to prove that the issue is caused by More Injuries. Otherwise, the issue may not be related to More Injuries and is unlikely to be resolved by the developers for lack of avenues to investigate the issue.

Footnotes

  1. see Surgery Success Chance Factor on the RimWorld Wiki for more information on how the success chance of surgeries is calculated in the base game. 2 3 4 5 6 7

  2. see Doctoring#Failure on the RimWorld Wiki for more information on how the chance of death on failed surgeries is calculated in the base game. 2 3 4 5 6 7

  3. see Work Types on the RimWorld Wiki. 2 3 4 5

  4. Priority in Type indicates the priority of the work type within the parent work type. The higher the number, the higher the priority of the work type. 2 3 4 5