How to prevent patients from collapse?

[mikamurakaoru]

After I get hospitalization in various department, patients tend to collapse at very fast rate and I found some problem about this.

1. Patients collapse from dehydration - I don't think they should collapse from this, I don't know if water dispensor could reduce chance of collapse from dehydration or not. If the water dispensor could prevent this, enough water dispensor should do their job.

2. Patients collapse while still in hospitalization - Some patients are send to ward, but not fully diagnosed and maybe have a "risk" symptom still to be uncover even I set the confirmation rate in the department to "High". I don't know why doctors are not try to diagnose patients to the limit that nothing can be done, or prioritize the "risk" symptom to be uncovered before non-risk symptom.

3. Patients collapsed while waiting to be operated - Some patients are collapsed from symptom that need to be operated in operation room, but they're not transferred to operation room immediately after stabilization even the operation room is avaliable. I don't know if there're any "hidden queue" in operation room or not, but they should priortize collapse patients first, then first come first served.

4. Patients collapsed with symptom uncovered but not treated - Sometimes doctors tend to leave symptom that "risk" patient to collapse untreated, I have to manually treat them but that's not a healthy solution.

5. Patients collapsed in ICU while can't diagnosed more symptom - When patient collapsed and push to ICU while still not diagnosed the risk symptom, doctors can't do anything to patient to uncover the risk symptom, stabilization is no help because they tend to repeatedly collapsed be hidden risk symptom, I have to send them out to prevent dead.

Am I miss something in my management or there are some miscalculation by AI. Thanks for any comment.

[Aegon]

The game doesn't handle Collapse very well. Someone earlier made a post here. Urgent surgeries need to be carried out Urgently. Otherwise the patient will bounce between Ward/TC and ICU all the time. If the patient collapsed as soon as they are stabilised, Surgery STAT.

Instead the game hangs on and is slow to progress. I would not mind managing each collapsed or collapse risk patient myself if I had the ability to order a surgery.

Each OR should have a time table that we can edit. I would prioritise a patient who is at risk of heart failure or who had to be defibrillated in the past already.

In my opinion a collapsed patient should be HDU of the ward where treatment is. I assumed this is why we have HD Units... But no they go cross department.

What I can compliment the game on is how fast the nurse/doctor responds to collapsed patients anywhere in the building. I've seen 1-2 doctors rush off to a patient and a nurse rush for s stretcher.

[Oberkampfkater]

Let me revive this topic.

Axeell wrote: "What I can compliment the game on is how fast the nurse/doctor responds to collapsed patients anywhere in the building. I've seen 1-2 doctors rush off to a patient and a nurse rush for s stretcher. "

I wonder how the game determines who attends the collapsed patient. My observation is that numerous times a patient collapsed in the waiting room of the clinic, but someone from the other end of the hospital rushes to him while the doctors in the clinic literally walk over him.

Sometimes a near doctor/nurse reacts, but that only happens roughly in 1/3 of cases.

Has anyone insights into this? What are your experiences?

[ennekens.glenn]

I also think you should be able to prioratize the treatment. Cause i had this one guy with a deep cut. I gave him all the treatment, but they started all the less important stuff first..
Then the guy was dripping blood all over the place and i was like first fix that..

Also a person can be collapsing with a doctor in the room, and then still another person has to come from i dunno where...

[ennekens.glenn]

I am also noticing that a patient that is on the ICU dept. doesn't get his treatment all night.
The nurse is just playing games on her computer. The doctors are in their office. They only check up on them.. The patient collapses a few times. But still the right treatment isn't given...

he just died after not getting the treatment all night. I had enough personel. Just nobody did something...
https://steamcommunity.com/sharedfiles/filedetails/?id=1616043771

[Horst Marines]

u cant heal the needed treatment so long the patient is on ICU

[DS'er69420]

Dont allow your surgical team to do diagnostics/observation in the ward, otherwise surgeries are delayed

[Hessan]

Opprinnelig skrevet av Horsthammer:

u cant heal the needed treatment so long the patient is on ICU

In my opinion, The ICU at least at hospitals I have seen is the uber medical department that can handle any treatment needed. They have the authority to pull rank and get the doctors from the other departments to come in as required to perform the treatment. The ICU patents should be able to be prioritized into any treatment room in any department of the hospital as required. I have noticed that if someone has a dangerous condition and the department is dragging their arse, I will transfer the patient to ICU and in minutes they get transferred down to surgery.

Another thing is that most TCs are well equiped. There is a need to expand the TC to include TC Surgery Suites where the TC can employ actual surgical teams for emergency surgey assisted by a surgen from relevent department. The TC Surgery team would not perform highly specialized surgeries but would perform a stabilization type of procedure. Cut the person open, stop internal bleeding, maybe remove the apendex, emergency stuff. With this add the duty of emergency surgery to your surgens so you could limit them to surgery (as is not inside the department) or elect to have that doctor support the TC.

There should be an option in the TC and ICU to have doctors come in and administer the department specialized treatments if required before transfering the patient ex. "PERT Consultation" could have the drug normally administered in the surgery department given to a patient who is having ortho problems resolved by having two phisicians on the case from different departments consulting with each other on treatment..

[ennekens.glenn]

I totally agree on Hessan!
Almost all treatments are able in ICU, cause it's the dept. with the highest priority. You can't get patients out of ICU untill they are better. But ICU isn't treating the patients in this game.

On ICU you should get al the treatments needed. And you should be able to prioritze the threatments and maually assign a doctor/nurse to a patient in case of an emergency.
This would decrease the amount of dead patients a lot!!!

Opprinnelig skrevet av Hessan:

Opprinnelig skrevet av Horsthammer:

u cant heal the needed treatment so long the patient is on ICU

In my opinion, The ICU at least at hospitals I have seen is the uber medical department that can handle any treatment needed. They have the authority to pull rank and get the doctors from the other departments to come in as required to perform the treatment. The ICU patents should be able to be prioritized into any treatment room in any department of the hospital as required. I have noticed that if someone has a dangerous condition and the department is dragging their arse, I will transfer the patient to ICU and in minutes they get transferred down to surgery.

Another thing is that most TCs are well equiped. There is a need to expand the TC to include TC Surgery Suites where the TC can employ actual surgical teams for emergency surgey assisted by a surgen from relevent department. The TC Surgery team would not perform highly specialized surgeries but would perform a stabilization type of procedure. Cut the person open, stop internal bleeding, maybe remove the apendex, emergency stuff. With this add the duty of emergency surgery to your surgens so you could limit them to surgery (as is not inside the department) or elect to have that doctor support the TC.

There should be an option in the TC and ICU to have doctors come in and administer the department specialized treatments if required before transfering the patient ex. "PERT Consultation" could have the drug normally administered in the surgery department given to a patient who is having ortho problems resolved by having two phisicians on the case from different departments consulting with each other on treatment..