Barotrauma – The official Exhaustive Neurotrauma Guide

Barotrauma – The official Exhaustive Neurotrauma Guide 1 - steamlists.com
Barotrauma – The official Exhaustive Neurotrauma Guide 1 - steamlists.com

Table of Contents

A guide for the Neurotrauma mod that covers every symptom, cause, treatment and procedure that you might encounter while playing
 
 

Introduction

Welcome to the official exhaustive Neurotrauma guide.
 
 
 
 
 
If you are currently in a medical emergency and there are no medical professionals around, immediately proceed to the first aid section.

 
 

If you are experiencing worrying or unusual symptoms, please consult the nearest medical professional immediately.

 
 
Remember to always wear a helmet!
 
 
Grasping how the human body functions – or malfunctions – can take some time.
 
This guide aims to provide crucial information for aspiring medical doctors until they have gathered enough experience.
 
 
Doctors should always keep a medical scanner on their person – you won’t know exactly what’s causing all the symptoms of your patient unless you scan them (or you have extensive knowledge)!
 
 

Packing a first aid kit

 
First aid kits for expeditions
 
should contain the following (more suitable items are on the left):
 

  • Plastiseal or bandages
  • Sutures
  • At least one tourniquet
  • Blood packs (preferably O-), ringer’s solution, saline or adrenaline
  • Calyxanide
  • Antiparalyzant

It is recommended to also bring the following on an expedition:
 

  • A fully decked out surgery kit -> 13: Surgical procedures and you
  • An endovascular balloon
  • A medical stent

These items may save a patients life if they suffer catastrophical un-clampable bleedings of the neck or aorta that require immediate surgery.
 
 
First aid kits for accidents inside the submarine
 
should contain the following (more suitable items are on the left):
 

  • Plastiseal or bandages
  • Sutures
  • At least one tourniquet
  • Blood packs (preferably O-), ringer’s solution, saline or adrenaline
  • A defibrillator
  • An autopulse

 
 
 

1: Giving first aid

Immediate dangers
 
 
 
sorted from most to least severe

 
 

Aortic rupture

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 1: Giving first aid - F54E1B1

First aidTreatmentPrognosis
  1. Opioid
  2. Scalpel
  3. Endovascular balloon
  4. Medical stent
  5. Suture
  1. Opioid
  2. Scalpel
  3. Endovascular balloon
  4. Medical stent
  5. Suture
Grim

 

Carotid artery bleeding

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 1: Giving first aid - 6F15529

First aidTreatmentPrognosis
SurgerySurgeryGrim

 

On fire

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 1: Giving first aid - 29EC806

First aidTreatmentPrognosis
Fire extinguisher, water or any diving suitSee burnDepends on how long the patient was burning

 

Arterial bleeding

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 1: Giving first aid - 6F15529

First aidTreatmentPrognosis
TourniquetSurgeryWorrying

 

Cardiac arrest

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 1: Giving first aid - 99FC845

First aidTreatmentPrognosis
CPR or defibrillatorCPR or defibrillatorA sign of something worse

 

Respiratory arrest

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 1: Giving first aid - 87B1019

First aidTreatmentPrognosis
CPRCPRA sign of something worse

 

Seizure

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 1: Giving first aid - 4DF169B

First aidTreatmentPrognosis
Removal from unsafe environmentTreating underlying causesA sign of something worse

 

Vomiting blood

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 1: Giving first aid - 427C012

First aidTreatmentPrognosis
Intravenous fluidsSurgeryA sign of something worse

 

Fractures

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 1: Giving first aid - EFD3032

First aidTreatmentPrognosis
Plastiseal or bandageBone surgerySurvivable

 

Burns

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 1: Giving first aid - FBB8C8B

First aidTreatmentPrognosis
Bandage or plastisealBandage or plastiseal, antibiotic ointment in severe casesCommon source of infection

 

Wounds (bite wounds, gunshot wounds, lacerations)

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 1: Giving first aid - 80C704A

First aidTreatmentPrognosis
SutureSuturePotential source of infection

 

Dislocations

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 1: Giving first aid - 803FDDD

First aidTreatmentPrognosis
Plastiseal or bandageWhacking it with a wrench
 
 
 
(consider administering opiates first)
A painful annoyance

 

Blunt force trauma

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 1: Giving first aid - F961B9F

First aidTreatmentPrognosis
Bandage, plastisealTweezer surgeryWon’t go away without first aid or treatment

 

Visit a medical professional as soon as you are able after applying first aid to yourself

 
 
 

2: Symptoms and causes

Barotrauma - The official Exhaustive Neurotrauma Guide - 2: Symptoms and causes - 353C606
 
 
In the chart above you can find a symptom you might have or might be curious about and visit the corresponding chapter of this guide.
 
 
 

3: The brain

Brain conditions and symptoms
 
 
 
sorted from most to least severe

 
 

Neurotrauma

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 3: The brain - 8C2CBB7

First aidTreatmentPrognosisCaused byCauses
NoneMannitol (takes a long time)The main antagonist. Caused by low oxygen flow to the brain. Certain death if oxygen starvation is prolonged.Hypoxemia, strokeUnconsciousness, respiratory arrest, death

 

Stroke

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 3: The brain - E1B12FB

First aidTreatmentPrognosisCaused byCauses
NoneSurgeryStroke should be treated as soon as possible to minimize risk of death.HypertensionNeurotrauma, coma, seizures, pain, headache

 

Coma

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 3: The brain - E1B12FB

First aidTreatmentPrognosisCaused byCauses
NoneAuto CPR and a lot of timeThe underlying causes should be treated ASAP, or else the patient might go into persistent vegetative state.Cardiac arrest, stroke, acidosisCardiac arrest, respiratory arrest, unconsciousness

 

Vomiting blood

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 3: The brain - 427C012

First aidTreatmentPrognosisCaused byCauses
Intravenous fluidsSurgeryVomiting blood is caused by dangerous amounts of internal bleeding.Internal bleedingBloodloss

 

Seizure

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 3: The brain - 4DF169B

First aidTreatmentPrognosisCaused byCauses
Removal from unsafe environmentTreating causesCould be life-threatening depending on the causeStroke, acidosis, alkalosis, radiation sicknessMuscle spasms

 

Unconsciousness

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 3: The brain - C7ED7FF

First aidTreatmentPrognosisCaused by
Removal from unsafe environmentTreating causesDepends on the cause. Causes all mental symptoms to become invisible.Hypotension, being below 0 health, coma, neurotrauma

 

Vomiting

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 3: The brain - 14D383D

First aidTreatmentPrognosisCaused by
NoneTreating causesDepends on the causeKidney failure, alcohol intoxication

 

Nausea

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 3: The brain - 14D383D

First aidTreatmentPrognosisCaused by
NoneTreating causesDepends on the causeKidney failure, alcohol intoxication, radiation sickness

 

Headache

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 3: The brain - 32345C9

First aidTreatmentPrognosisCaused by
NoneTreating causesDepends on the causebloodloss, acidosis, stroke, hypoxemia, hypotension

 

Lightheadedness

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 3: The brain - 32345C9

First aidTreatmentPrognosisCaused by
NoneTreating causesDepends on the cause of hypotensionHypotension

 

Confusion

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 3: The brain - 32345C9

First aidTreatmentPrognosisCaused by
NoneTreating causesDepends on the causeAcidosis, hypotension, hypoxemia, sepsis

 

Blurred vision

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 3: The brain - 54EF74D

First aidTreatmentPrognosisCaused by
NoneTreating causesDepends on the cause of hypotensionHypotension

 

Craving

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 3: The brain - 7F71C7A

First aidTreatmentPrognosisCaused by
NaloxoneNaloxoneVariesSubstance abuse, withdrawal

 
 
 

4: The heart

Heart conditions and symptoms
 
 
 
sorted from most to least severe

 
 

Cardiac arrest

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 4: The heart - 99FC845

First aidTreatmentPrognosisCaused byCauses
CPR, defibrillatorTreating underlying causesUsually manageable.Bloodloss, hypotension, hypertension, hypoxemia, comaHypoxemia, coma

 

Heart attack

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 4: The heart - 3D33F78

First aidTreatmentPrognosisCaused byCauses
NoneTime, treating the causeWorryingHypertensionHeart damage, cardiac arrest, pain, nausea, sweating, shortness of breath

 

Cardiac tamponade

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 4: The heart - 3D33F78

First aidTreatmentPrognosisCaused byCauses
NoneSurgerySurvivable, grim if left for too longTraumaHypotension, shortness of breath, weakness, cough, lightheadedness

 

Heart damage

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 4: The heart - 3D33F78

First aidTreatmentPrognosisCaused byCauses
NoneTime, heart transplantSurvivable, grim if progressed to heart failureHeart attack, sepsis, antibiotics, radiation sicknessHypoxemia, hypotension, heart failure, cardiac arrest, shortness of breath, leg swelling

 

Palpitations

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 4: The heart - FA037FE

First aidTreatmentPrognosisCaused by
NoneTreating underlying causesSurvivablealkalosis

 

Tachycardia / Increased heartrate

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 4: The heart - FA037FE

First aidTreatmentPrognosisCaused byCauses
NoneTreating underlying causesSurvivable, potentially beneficialSepsis, pneumothorax, bloodloss, hypotension, acidosisHypertension, counters hypoxemia

 
 
 

5: The lungs

Lung conditions and symptoms
 
 
 
sorted from most to least severe

 
 

Respiratory arrest

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 5: The lungs - 87B1019

First aidTreatmentPrognosisCaused byCauses
CPRTreating underlying causesUsually manageable.Cerebral hypoxia, hypoxemia, opiate overdoseLow oxygen

 

Lung damage

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 5: The lungs - 32EA5AB

First aidTreatmentPrognosisCaused byCauses
NoneTime, lung transplantSurvivable, grim if progressed to lung failureSepsis, antibiotics, radiation sickness, smokingHypoxemia, lung failure, cough, shortness of breath, chest pain

 

Radiation induced lung injury

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 5: The lungs - 32EA5AB

First aidTreatmentPrognosisCaused byCauses
NoneTime, lung transplantSurvivable, grim if progressed to lung failureRadiation sicknessHypoxemia, cough, shortness of breath, chest pain, fever

 

Pneumothorax

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 5: The lungs - 32EA5AB

First aidTreatmentPrognosisCaused byCauses
NeedleDrainage during surgerySurvivable, grim if progressed far enoughTrauma, untreated rib fractureHypotension, hypoxemia, shortness of breath, tachycardia, hyperventilation, chest pain

 

Wheezing

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 5: The lungs - 8BAF181

First aidTreatmentPrognosisCaused by
NoneTreating underlying causesGrimAdministering an incompatible blood type

 

Cough

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 5: The lungs - B5E440D

First aidTreatmentPrognosisCaused by
NoneTreating underlying causesSurvivableLung damage, heart damage, cardiac tamponade

 

Hypoventilation

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 5: The lungs - F9A5E46

First aidTreatmentPrognosisCaused byCauses
NoneTreating underlying causesSurvivableSedation, opiate overdoseHypoxemia, acidosis

 

Dyspnea / Shortness of breath

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 5: The lungs - 4C413FE

First aidTreatmentPrognosisCaused byCauses
NoneTreating underlying causesSurvivableHeart attack, heart failure, hypoxemia, lung injury, pneumothorax, cardiac tamponadeHypoxemia

 

Hyperventilation

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 5: The lungs - FC0CD38

First aidTreatmentPrognosisCaused byCauses
NoneTreating underlying causesSurvivable, potentially beneficialHypoxemia, hypotension, pneumothorax, sepsisAlkalosis, counters hypoxemia

 
 
 

6: The blood

Blood conditions and symptoms
 
 
 
sorted from most to least severe

 
 

Hemotransfusion shock

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 6: The blood - 751D7FB

First aidTreatmentPrognosisCaused byCauses
Administering compatible blood types against bloodloss until symptoms stopAdministering compatible blood types against bloodloss until symptoms stopLife-threatening.Administering incompatible blood typeBloodloss, widespread organ damage

 

Sepsis

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 6: The blood - BD8FA7D

First aidTreatmentPrognosisCaused byCauses
NoneAntibioticsLife-threatening.Infected wounds, gangreneSeizures, fever, widespread organ damage, hyperventilation, confusion, tachycardia, hypotension, gangrene

 

Bloodloss

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 6: The blood - E48BE0A

First aidTreatmentPrognosisCaused byCauses
Compatible blood packsTime, compatible blood packsDepends on severityBleeding, internal bleedingHypoxemia, tachycardia, headache, weakness, pale skin, cardiac arrest

 

Hypoxemia

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 6: The blood - D532981

First aidTreatmentPrognosisCaused byCauses
NoneTreating underlying causesDepends on severityOxygen deprivation, bloodloss, cardiac arrest, heart damage, hypotension, hypoventilation, shortness of breath, lung injuryHyperventilation, shortness of breath, neurotrauma, confusion, headache, cardiac arrest, respiratory arrest, organ damage

 

Hypotension

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 6: The blood - F626D58Blood pressure that is lower than 70%
 

First aidTreatmentPrognosisCaused byCauses
Intravenous fluids, adrenalineTreating underlying causesDepends on severityPneumothorax, sepsis, heart injury, bloodloss, administering incompatible bloodtypeTachycardia, hypoxemia, pale skin, hyperventilation, lightheadedness, blurred vision, kidney damage, cardiac arrest, unconsciousness

 

Hypertension

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 6: The blood - 07A705BBlood pressure that is higher than 130%
 

First aidTreatmentPrognosisCaused byCauses
Drawing bloodTreating underlying causesDeadly if severeExcessive intravenous injection, liver damage, adrenalineTachycardia, leg swelling, heart attack, stroke

 

Acidosis

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 6: The blood - F54E1B1

First aidTreatmentPrognosisCaused byCauses
NoneTreating underlying causesSurvivableSaline, hypoventilationTachycardia, headache, weakness, confusion, nausea, seizures, coma

 

Alkalosis

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 6: The blood - F54E1B1

First aidTreatmentPrognosisCaused byCauses
Saline + drawing bloodTreating underlying causesSurvivableHyperventilationSweating, palpitation, seizures

 

Pale skin

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 6: The blood - EE9E1B8

First aidTreatmentPrognosisCaused by
NoneTreating underlying causesSurvivableBloodloss, hypotension

 
 
 

7: The bones

Bone conditions and symptoms
 
 
 
sorted from most to least severe

 
 

Bone death

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 7: The bones - 5271FA5

First aidTreatmentPrognosisCaused byCauses
NoneCore decompression surgeryDebilitatingExcessive bone damageSpontaneous fractures everywhere in the body

 

Fractures

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 7: The bones - EFD3032

First aidTreatmentPrognosisCaused byCauses
Bandage, plastiseal, opioidsOsteoynthetic surgeryImpairingTrauma, failing to correct a dislocationPain, in rib fractures: pneumothorax, in neck fractures: paralysis

 

Bone damage

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 7: The bones - 5271FA5

First aidTreatmentPrognosisCaused byCauses
NoneTreating underlying causes or Osteoynthetic surgerySurvivableKidney failureBone death if severe enough

 

Dislocation

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 7: The bones - 803FDDD

First aidTreatmentPrognosisCaused byCauses
Bandage, plastiseal, opioidsWhacking it with a wrenchImpairingTrauma, fallingPain, Fractures if improperly handled

 
 
 

8: The liver

Liver conditions and symptoms
 
 
 
sorted from most to least severe

 
 

Liver damage

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 8: The liver - 24380C3

First aidTreatmentPrognosisCaused byCauses
NoneTime, liver transplantSurvivable, grim if progressed to liver failureSepsis, antibiotics, radiation sickness, alcohol abuseLiver failure, abdominal discomfort, leg swelling, bloating, jaundice, hypertension, nausea

 

Jaundice

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 8: The liver - DACCDA2

First aidTreatmentPrognosisCaused by
NoneTreating underlying causesHarmlessLiver damage

 

Bloating

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 8: The liver - 9B20E33

First aidTreatmentPrognosisCaused by
NoneTreating underlying causesHarmlessLiver damage

 
 
 

9: The kidneys

Kidney conditions and symptoms
 
 
 
sorted from most to least severe

 
 

Kidney damage

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 9: The kidneys - 24380C3

First aidTreatmentPrognosisCaused byCauses
NoneTime, kidney transplantSurvivable, worrying if progressed to kidney failureSepsis, antibiotics, radiation sickness, hypotension, hypertensionkidney failure, nausea, vomiting, leg swelling, bone damage

 
 
 

10: The torso

Torso conditions and symptoms
 
 
 
sorted from most to least severe

 
 

Aortic rupture

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 10: The torso - 6F15529

First aidTreatmentPrognosisCaused byCauses
None
  1. Opioid
  2. Scalpel
  3. Endovascular balloon
  4. Medical stent
  5. Suture
Survival very unlikelyExtreme bleedingMassive bloodloss

 

Internal bleeding

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 10: The torso - F54E1B1

First aidTreatmentPrognosisCaused byCauses
Intravenous fluidsSurgeryDepends on severityTrauma, radiation sicknessBloodloss

 

Abdominal discomfort

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 10: The torso - 9B20E33

First aidTreatmentPrognosisCaused by
NoneTreating underlying causesHarmlessLiver damage

 

Sweating

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 10: The torso - 029B0BE

First aidTreatmentPrognosisCaused by
NoneTreating underlying causesHarmlessAddiction, heart attack

 

Fever

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 10: The torso - 65EB58A

First aidTreatmentPrognosisCaused by
NoneTreating underlying causesHarmlessSepsis, radiation induced lung injury

 
 
 

11: The extremities

Extremity conditions and symptoms
 
 
 
sorted from most to least severe

 
 

Arterial bleeding

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 11: The extremities - 6F15529

First aidTreatmentPrognosisCaused byCauses
TourniquetSurgeryWorryingExtreme bleeding, traumatic amputationMassive bloodloss

 

Gangrene

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 11: The extremities - BE9A36F

First aidTreatmentPrognosisCaused byCauses
NoneSurgical amputationDepends on severityCutoff bloodflow due to tourniquet or balloon, sepsisSepsis

 

Leg swelling

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 11: The extremities - 9DEE332

First aidTreatmentPrognosisCaused by
NoneTreating underlying causesHarmlessLiver damage, kidney damage, heart failure, hypertension

 

Weakness

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 11: The extremities - 1FE0941

First aidTreatmentPrognosisCaused by
NoneTreating underlying causesHarmlessCardiac tamponade, bloodloss, acidosis

 
 
 

12: Any bodypart

Conditions and symptoms that can occur on any bodypart
 
 
 
sorted from most to least severe

 
 

On fire

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 12: Any bodypart - 29EC806

First aidTreatmentPrognosisCaused byCauses
Fire extinguisher, water or any diving suitBandaging badly burnt bodypartsDepends on how long the patient was burningFiresMassive burns

 

Infected wound

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 12: Any bodypart - F54E1B1

First aidTreatmentPrognosisCaused byCauses
Ointment or antiseptic, bandagesOintment or antiseptic, bandagesWorryingUntended wounds or burnsSepsis, necrosis, inflammation

 

Foreign body

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 12: Any bodypart - 695FCF7

First aidTreatmentPrognosisCaused byCauses
NoneTweezer surgerySurvivableGetting shotInflammation, arterial cuts if very severe

 

Intense pain

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 12: Any bodypart - A3299D6

First aidTreatmentPrognosisCaused by
OpioidsTreating underlying causesPhysically harmlessOrgan damage, dislocations, fractures

 

Inflammation

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 12: Any bodypart - E055928

First aidTreatmentPrognosisCaused by
NoneTreating underlying causesBeneficial (aids in fighting infection)infected wounds, foreign bodies

 

Spasms

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 12: Any bodypart - FCD8E4B

First aidTreatmentPrognosisCaused by
NoneTreating underlying causesHarmlessSeizures

 
 
 

13: Surgical procedures and you

To perform surgery, you will at the very least need a surgery kit.
 
 
Packing a surgery kit
 
A surgery kit stores all the essential tools and instruments needed for surgery neatly in one place.
 
Surgery kits should contain the following:
 

  • Opioids or anesthetics (propofol, fentanyl, morphine or opium)
  • Scalpel
  • Hemostat
  • Skin retractors
  • Sutures
  • Blood packs (preferably O-), ringer’s solution, saline or adrenaline

Packing a bone surgery kit
 
If you are working with bones, there might be some additional tools you need.
 
Bone surgery kits should contain the following:
 

  • Surgical drill
  • Surgical saw
  • Osteosynthesis implants
  • Spinal cord implants

 

Standard surgery procedure

 
The standard surgery procedure is a sequence of steps that a surgeon follows to initiate surgery.
 
A suture can be used at any point during the surgery to terminate the process. You should always operate at an operating table, if possible. Regular beds can be used as an alternative in a pinch.
 
In case emergency surgery is required on the field (as is the case with carotid artery bleedings or aortic ruptures), dragging the patient all the way back to the submarine would waste precious seconds and do more harm than good. You will have to operate without a table.
 
 

Step 1: Anesthetics

 
 
 
Anesthesia is required for surgery to begin. Administer an opioid of your choice or propofol to the patient.

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 13: Surgical procedures and you - 1897366

Step 2: The incision

 
 
 
Use a scalpel on the body part that you wish to perform surgery on.

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 13: Surgical procedures and you - 8343E98

Step 3: Clamping the bleeders

 
 
 
Use a hemostat on the body part that you incised.

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 13: Surgical procedures and you - A0FC93E

Step 4: Retracting the skin

 
 
 
Use a skin retractor on the body part that you incised.

 
 
You are now ready for more specialized applications such as osteosynthesis, amputation or organ procurement and transplantation.
 
 

Osteosynthetic surgery

 
This procedure will heal fractures and bone damage.
 
First, perform the standard surgery procedure.
 
 
Barotrauma - The official Exhaustive Neurotrauma Guide - 13: Surgical procedures and you - 0A0240C

Step 5: Drilling the broken bone

 
 
 
Use a surgical drill on the fractured bone.

 

Step 6: The implants

 
 
 
Use osteosythesis implants on the affected bone. The fracture is now healed.

 

Organ procurement/transplant surgery

 
This procedure will extract organs from still-living humans and optionally transplant a new one.
 
First, perform the standard surgery procedure on the torso.
 
 
Barotrauma - The official Exhaustive Neurotrauma Guide - 13: Surgical procedures and you - F5C3029

Step 5: Cutting it out

 
 
 
Use one of the specialized organ procurement scalpels on the torso. You should receive the patients organ(s). If their organ damage was too high then the organ(s) will be destroyed instead.

 

Step 6 (optional): The transplant

 
 
 
Put the replacement organ inside the patient.

 

Amputation / limb reattachment surgery

 
This procedure will amputate one of the patients limbs.
 
First, perform the standard surgery procedure on the limb you wish to amputate.
 
 
Barotrauma - The official Exhaustive Neurotrauma Guide - 13: Surgical procedures and you - 645E5E6

Step 5: Sawing the bone

 
 
 
Use the surgical saw on the affected limb. Ending the surgery now will cause the limb to amputated.

 

Step 6 (optional): Reattaching the limb

 
 
 
Use the severed limb on the now sawed bone. The amputation should now be reverted.

 

Core decompression surgery

 
This procedure will heal bone death.
 
It is best advised to first transplant a fresh kidney to the patient so the bone death doesn’t return post-surgery.
 
To successfully reverse bone death, you will need to perform osteosynthetic surgery on every bodypart in a relatively small amount of time. Bringing dead bones back to the living is no small feat. You should make sure to bring extra osteosynthesis implants in case something goes wrong.
 
 
 

14: The exhaustive item list pt.1

Health scanner

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 14: The exhaustive item list pt.1 - 5188A14

Obtained byUseImportance
FabricatorScanning for underlying causes of symptomsEssential

 

Medical container

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 14: The exhaustive item list pt.1 - 1CA67A9

Obtained byUseImportance
FabricatorCan store medical equipment and doesn’t require a hand to carryVery important

 

Sutures

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 14: The exhaustive item list pt.1 - 4E09DF2

Obtained byTreatment forImportance
Medical fabricatorOpen wounds, bleeding, terminates surgeriesEssential

 

Bandage, plastiseal, antibiotic glue

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 14: The exhaustive item list pt.1 - B176123Barotrauma - The official Exhaustive Neurotrauma Guide - 14: The exhaustive item list pt.1 - 9F36CECBarotrauma - The official Exhaustive Neurotrauma Guide - 14: The exhaustive item list pt.1 - 5A7FEA9

Obtained byTreatment forImportance
Medical fabricatorOpen wounds, burns, prevents infection; bandage and plastiseal stabilize dislocations and fractures for later treatmentEssential

 

Bloodpacks

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 14: The exhaustive item list pt.1 - 1E7B028

Obtained byTreatment forImportance
Using empty blood packs on patientsBloodlossEssential

 

Saline, Ringer’s solution

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 14: The exhaustive item list pt.1 - B88B303

Obtained byTreatment forImportance
Medical fabricatorLow blood pressureImportant

 

Opioids (opium, morphine, fentanyl)

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 14: The exhaustive item list pt.1 - F4602B2Barotrauma - The official Exhaustive Neurotrauma Guide - 14: The exhaustive item list pt.1 - 5395F45Barotrauma - The official Exhaustive Neurotrauma Guide - 14: The exhaustive item list pt.1 - A15BAE4

Obtained byTreatment forImportance
Medical fabricatorPain, required for surgeryEssential

 

Antibiotic ointment

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 14: The exhaustive item list pt.1 - B3B076B

Obtained byTreatment forImportance
Medical fabricatorBurns, infected woundsImportant

 

Tourniquet

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 14: The exhaustive item list pt.1 - 6FF6F8D

Obtained byTreatment forImportance
Medical fabricatorBleeding arteries. Surgery should follow as soon as possible to avoid gangrene.Very important

 

Defibrillator

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 14: The exhaustive item list pt.1 - 97DB280

Obtained byTreatment forImportance
FabricatorCardiac arrestImportant

 

Autopulse

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 14: The exhaustive item list pt.1 - 073EE29

Obtained byTreatment forImportance
FabricatorCardiac arrest, respiratory arrest, low oxygenVery important

 

Mannitol

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 14: The exhaustive item list pt.1 - 9C4CE3B

Obtained byTreatment forImportance
Medical fabricatorNeurotrauma, requires stabilized blood pressure and oxygenVery important

 

Body bag

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 14: The exhaustive item list pt.1 - FBBB47E

Obtained byUseImportance
Medical fabricatorAllows for faster transportation of bodies – deceased or aliveNiche

 

Stasis bag

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 14: The exhaustive item list pt.1 - EEFEC74

Obtained byUseImportance
Medical fabricatorTemporarily halts most biological processes, allowing for transport to further treatment. It is recommended to keep a defibrillator ready when it’s time to take off the bag.Very important

 

Needle

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 14: The exhaustive item list pt.1 - 097C485

Obtained byTreatment forImportance
Medical fabricatorPneumothorax. This is only a first aid measure.Important

 

Hematology analyzer and collection cartridge

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 14: The exhaustive item list pt.1 - 862F44CBarotrauma - The official Exhaustive Neurotrauma Guide - 14: The exhaustive item list pt.1 - ED288D8

Obtained byUseImportance
FabricatorDetermining blood typeNon-essential

 

Antiseptic spray and antiseptic

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 14: The exhaustive item list pt.1 - A5EAB40Barotrauma - The official Exhaustive Neurotrauma Guide - 14: The exhaustive item list pt.1 - 718101A

Obtained byTreatment forImportance
FabricatorInfected woundsImportant

 
 
 

15: The exhaustive item list pt.2

I ran out of characters in the previous section so here’s the continuation.
 
 

Surgery


 

Scalpel

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 15: The exhaustive item list pt.2 - 2791901

Obtained byUseImportance
FabricatorInitiating surgeryEssential

 

Hemostat

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 15: The exhaustive item list pt.2 - 49605FC

Obtained byUseImportance
FabricatorStopping bloodloss from surgeryEssential

 

Skin retractors

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 15: The exhaustive item list pt.2 - 0956BFB

Obtained byUseImportance
FabricatorSurgeryEssential

 

Tweezers

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 15: The exhaustive item list pt.2 - 0956BFB

Obtained byUseImportance
FabricatorRemoving tissue or objects from the body during surgeryImportant

 

Surgical drill

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 15: The exhaustive item list pt.2 - 7DB9216

Obtained byUseImportance
FabricatorPreparing bones for implants during surgeryImportant

 

Surgical saw

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 15: The exhaustive item list pt.2 - B9740D9

Obtained byUseImportance
FabricatorAmputating limbs during surgeryNiche

 

Organ procurement scalpels

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 15: The exhaustive item list pt.2 - 5CEAEBF

Obtained byUseImportance
FabricatorRemoving organs during surgery. There’s four types: heart, lungs, liver and kidneysNiche

 

Drainage

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 15: The exhaustive item list pt.2 - 9E64290

Obtained byTreatment forImportance
Medical fabricatorPneumothorax. Retracted skin is required.Important

 

Osteosynthetic implants

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 15: The exhaustive item list pt.2 - 554DDA2

Obtained byTreatment forImportance
FabricatorFractures. Drilled bones are required.Very important

 

Spinal cord implants

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 15: The exhaustive item list pt.2 - 554DDA2

Obtained byTreatment forImportance
FabricatorParalysis. Surgery is required.Niche

 

Endovascular balloon and medical stent

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 15: The exhaustive item list pt.2 - 4A0AC34Barotrauma - The official Exhaustive Neurotrauma Guide - 15: The exhaustive item list pt.2 - 4E1D830

Obtained byTreatment forImportance
Medical fabricatorAortic rupture. Retracted skin is not required. See the first aid section for details.Important

 

Refrigerated containers

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 15: The exhaustive item list pt.2 - 7C9B4A5Barotrauma - The official Exhaustive Neurotrauma Guide - 15: The exhaustive item list pt.2 - D77BD1B

Obtained byUseImportance
FabricatorStoring organs and limbsVery important

 

Organ transplants

 
Barotrauma - The official Exhaustive Neurotrauma Guide - 15: The exhaustive item list pt.2 - 6C86DDCBarotrauma - The official Exhaustive Neurotrauma Guide - 15: The exhaustive item list pt.2 - D97FA34Barotrauma - The official Exhaustive Neurotrauma Guide - 15: The exhaustive item list pt.2 - 68F760EBarotrauma - The official Exhaustive Neurotrauma Guide - 15: The exhaustive item list pt.2 - 83ED681

Obtained byTreatment forImportance
Organ procurement surgery, station shopsOrgan damage, organ failure, requires surgeryVery important

 
 

Written by Mannatu

 
 
Hope you enjoy the Guide about Barotrauma – The official Exhaustive Neurotrauma Guide, if you think we should add extra information or forget something, please let us know via comment below, and we will do our best to fix or update as soon as possible!
 
 


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