Guide to Wounds

Chief Medical Officer Kingston говорит: "Are you going to be alright? Well, let's deal with all those broken bones, and then I'll get back to you on that..."

Wounds are specific injuries that can happen to people if they accumulate large spikes of damage on a specific limb, or in other words, when they get hurt really bad all at once. Most things regarding them are still WIP and up in the air, but here's a rough guide on how to deal with them and what's important about them.

First, some helpful infographics!

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These will give you general insight into how wounds work and how to treat them, but we'll include a bit more information below.

Types of wounds

Wounds are classified by two things: Type, and severity. There are three types (brute-sharp, brute-other, and burning), and three main severities (moderate, severe, and critical). The higher severity a wound is, the more damage it takes to suffer, and the more debilitating it is until treated.

• BRUTE-SHARP wounds are cuts and slashes that cause you to bleed and are caused by sharp weapons and attacks. The treatment for all sharp wounds is the same: apply a bandage, sutures, and maybe cauterize it with a burning tool or a laser weapon if you're desperate, the difference is that more severe cuts bleed much faster, and while moderate and severe cuts will slowly clot themselves, critical cuts will instead slowly open up and get worse, so dealing with it quickly is important! The emergency medical pens available in emergency medkits found in O2 lockers have small amounts of coagulant, which greatly helps clotting.
• BRUTE-OTHER wounds are broken and dislocated bones, and are dealt by brute attacks that aren't sharp. These have higher thresholds than sharp or burning wounds, and will likely be less common, but can still be a nuisance when suffered.
  • Moderate bone wounds, or dislocated joints, can be treated with the application of a bonesetter from surgery, or by simply aggressively grabbing the patient, and interacting with them helpfully while targeting the limb to set it back in place. This may take a few tries! You can also snap their arm this way by interacting with them on disarm or harm intent if you're a sadist. They can't tell the difference until it's too late!
  • Severe and critical bone wounds are broken bones. They incur sizeable slowdowns to interactions with that arm, or force you to walk with a limp if it's a leg, and critical wounds will disable that limb entirely. These penalties can be lessened, and in the case of critical fractures the limb can be reenabled, by splinting the limb with medical gauze or sticky tape. The better the splint (gauze being the best, standard sticky tape being the worst), the more the penalties are lessened. To be fully healed, you must perform surgery.
• BURN wounds are nasty burns that are dealt with lasers and fire weapons like the welding tool. These wounds are dangerous in the long run, as while they don't harm you much directly immediately, they increase further damage on that limb, make further wounds much easier to deal to the limb, and at severe and critical levels can breed infection. In addition, there are a few things you need to treat when it comes to severe and critical burns, making them a bit more tricky to heal. The following are the three factors that go into healing a burn wound:
  • Flesh damage: This represents the flesh that needs to be healed, and is the only factor relevant for moderate burns. To heal flesh damage, simply apply ointment or regenerative mesh to the affected limb, and wait! Having a bandage applied to the limb will make flesh regeneration much more efficient, and let a little bit of ointment go a long way.
  • Dead flesh: This represents flesh that's outright dead and needs to be removed entirely. You can remove it safely and quickly through debriding surgery, but in a pinch, you can simply aggressively grab the patient and apply a sharp object to the limb on help intent to carve the dead flesh off directly. This may take a little bit and will incur some brute damage, so be prepared to deal with that.
  • Infection: Severe and critical burns will breed infection, with critical wounds becoming infected more quickly. This is really important to keep track of, and you can helpfully do so by simply examining yourself and seeing how dire the purple text describing your wound is. If there's none, great! No infection yet. The infection works by an "infection" level counter, which increments naturally as time goes on, and decrements if a separate "sanitization" counter is above 0. Basically, sanitization freezes the progress of infection and reverts it, so it's best to get on it early. You can increase sanitization by: applying ointment or regenerative mesh, having spaceacillin or sterilizine in your bloodstream, using the special paramedic penlights that paramedics spawn with on them to blast them with UV light! Bandages will also extend the usefulness of sanitization, making them great to slap on early. Infection is the only factor that gets worse after the wound is created, so once the other two are taken care of, this is all you'll have to worry about
  • Once all three of these are at 0, the burns go away! Hooray!

Bone Wounds

Moderate: Joint Dislocation

• Negative effects: Slightly slower interactions with that limb (arms), slight limp with that limb (legs)
• Full Treatment: Use a bonesetter on the affected limb.
• Improvised Treatment: Get a friend to put you in an aggressive grab, target the dislocated limb, then interact with you on HELP intent. They'll start straining your limb and hopefully pop it back into place. Doing this on DISARM or HARM intents will instead try to snap the arm and cause a fracture, but you won't be able to tell which is which until they succeed!
• Improvised Treatment #2: Being crushed by an airlock or a firelock has a 33% chance to pop dislocated limbs back in place. Don't worry, crushing can't wound you, so all you have to lose is time and some brute damage!

Severe: Hairline Fracture

• Negative effects: Fairly slower interactions with that limb (arms), sizable limp with that limb (legs)
• Full Treatment: Three step surgery, requiring a scalpel, a bonesetter/bone gel/sticky tape (one of these), and a cautery. This will instantly repair the bone upon completion.
• Improvised Treatment: Apply bone gel directly to limb, then apply surgical sticky tape to the limb and wait. It's much better to have a friend apply these, as self-applying the bone gel can fail and cause you to pass out briefly (consuming one use of bone gel). The chance to fail and pass out is much higher with compound fractures than hairline fractures, though being drunk, on morphine, or in a combat high from a wound will lower your chance to fail. Lastly, applying the sticky tape will start to regenerate the limb, during which you will randomly take brute/stamina damage around your body. This regeneration period is longer if you apply the surgical tape to yourself, and is also longer for compound fractures than for hairline fractures. After a few minutes, the wound will be gone.
• Triage Stabilization: You can secure the bone with a "splint" by using medical gauze on it. This will lessen your interaction/limp slowdowns, though you'll still need to get the bone treated.

Critical: Compound Fracture

• Negative effects: Your limb is outright disabled, and cannot be reenabled by healing the brute damage on the limb.
• Full Treatment: Six step surgery, starting with the standard incise/clamp/retract, and ending with the standard cauterize to close. Step 4 is to reset the bone, and is best done with bonesetters, though surgical sticky tape or standard sticky tape can do in a pinch. Then step five is to repair the fracture, which is done with either bone gel or surgical sticky tape, with normal sticky tape working as an alternative. Truly, duct surgical sticky tape is a miracle fixer that no self-respecting paramedic should be without.
• Improvised Treatment: Apply bone gel and surgical sticky tape to the affected limb, same as with hairline fractures. Having a friend help you is even more important than with hairline fractures, as your penalties for successful gel application and tape recovery time are more punishing than for hairlines.
• Triage Stabilization: You can still secure the bone with gauze, same as hairlines. In addition, a splint will reenable the limb, though you still have severe penalties.

Cut Wounds

General notes:

• Cuts are based off a blood_flow counter that is initially set when the cut wound is gained, with worse cuts having higher blood_flow values. Every tick, you lose that much blood, and your blood flow is modified based on a few factors (hopefully lowered), noted below. When your cut's flow goes below a certain threshold, it is demoted to the level below, but while it is possible to increase the blood flow, you cannot raise the severity directly by doing so. The factors for modifying your bleeding rate are:
  • Clot rate: Moderate and severe cuts will slowly clot naturally on their own, though moderate cuts clot at a faster rate than severe cuts. A moderate cut can heal by itself in as little as 20 ticks if left alone, while a severe cut will take around 15 ticks to demote to moderate, then another 20-ish ticks to clear up. Keep in mind that you lose your blood_flow counter in blood every tick, so
  • Bandaging: Wrapping the cut with bandages significantly amps up your clotting rate while active, providing a potent buff to recovery speed.
  • Suturing/Cauterization:

Moderate: Rough Abrasion

• Negative effects: Small cut, small bleeding that will slowly clot itself. Not terribly dangerous by itself, but makes it easier to accumulate worse cuts or other wounds. Treatments reduce the wound's blood flow
• Full Treatment: Suturing is an effective way of directly stopping bleeding while also healing damage. You can also cauterize the limb with almost anything you can light a cigarette with by using it on the limb with help intent, though this incurs burn damage. In desperate cases, you can turn laser guns on your cuts to reduce the bleeding, though doing this yourself is more harmful than a friend doing it.
• Triage Stabilization: Applying gauze or sticky tape to the cut will greatly increase the speed of clotting, making immediate bandaging a very effective way to limit blood loss. In addition, epinephrine medipens and emergency medical kit medipens contain a coagulant reagent that gives you a large boost to blood clotting for a short duration

Other fun facts that I need to work into a real guide:

• Jumpsuits offer very slight protection against wounds! If nothing else, your trusty grey jumpsuit may very well be the difference between a stray laser shot leaving you mostly unharmed other than the normal burn damage, and suffering debilitating second or third degree burns.
• Burning and slashing weapons generally are much more effective against completely bare flesh. To help with this, they can also shred basic clothing and jumpsuits, with multiple attacks on a specific limb disabling the clothing's protection on that limb. The clothing can be repaired with cloth to reenable it.
• When in doubt, slap a bandaid on it and hope for the best.
• If you're really lazy, you can just throw them in cryo for a long while and they'll eventually regenerate wounds.