Buggy ICU and heart monitoring

[Sayushi]

Hey! I have recently noticed that in several cases in my hospital, there always seems to be one "Crash symptom" I cannot catch in my trauma cases.

Using autopsy and common sense, this symptom is always related to Tachykardia or Arrythmias. This presents a big problem as the ICU is for whatever reason not capable of running ECGs and Tachykardia in particular cant be catched by either Heart monitoring or Pulse oximetry, which is idiotic. Simple Tachykardia can be catched by an untrained eye using Pulse-Oxys wprth 10 bucks.

Because they are in the ICU and unstable you cannot send them to a ECG lab. This causes them to repeatedly crash until they die, even if everything else has been treated. As soon as they crash once and get sent into the ICU, they enter an endless loop leading to death. This severly drags down ratings and is just simply frustrating because this is not some incredibly hard to find symptom. Does anyone know a fix to this?

[Manouche]

Originally posted by Sayushi:

Tachykardia in particular cant be catched by either Heart monitoring

Tachycardia and similar symptoms, they are all revealed by a heart monitoring.

Have you identified the problem correctly or did you make modifications to the base game ?

[Sayushi]

Originally posted by Manouche:

Originally posted by Sayushi:

Tachykardia in particular cant be catched by either Heart monitoring

Tachycardia and similar symptoms, they are all revealed by a heart monitoring.

Have you identified the problem correctly or did you make modifications to the base game ?

I have made some modifications but none regarding examinations other than bedside physical examination. Tooltip for all heart related crash symptoms shows that they are only revealed by ECG - same in the wiki

[Manouche]

True, the tooltip doesn't show it. Same for FAST for sonography. But believe me and try it, it will reveal the symptom.
I think I remember there was a discussion about this some time ago and Oxymoron have planned to update the tooltips.

There are several wikis. The one pinned at the top of the General Discussions forum will confirm you that heart monitoring reveals tachycardia.

[Emi]

I'm having the same problem, they've been diagnosed with a cardiac blunt injury and only an irregular heartbeat isn't a revealed symptom, so I can't treat it. They're stuck in ICU, I've already done heart monitoring (thinking it may reveal it in place of an ECG), only it didn't. They've had heart failure three times, and it's frustrating me that I can't transfer them out of the ICU to a HDU ward in Cardiology to treat them properly.

[Emi]

I have an update! I decided to throw everything at the wall to see if anything would miraculously reveal the symptom, and an echo revealed that the symptom changed to cardiac tamponade (I'm guessing after she crashed the first time?), so now I can save her! I'll try to remember this if it happens again, seems like it probably isn't a glitch, though I do think it should list it as a potential symptom on the little helpful popup!

[Manouche]

AFAIK, this isn't explained anywhere in the game so it's normal you didn't know and weren't prepared.

Cardiac tamponade is a surgery complication symptom.
It can only appear after a cardiovascular surgery. It's not listed in the diagnosis possible symptoms because it is not a symptom for this diagnosis, it's a post-op complication.
It is revealed by an Echo and the treatment is a surgery procedure.

So this patient never had an irregular heartbeat. This is why it was not revealed by an ECG/Heart monitoring.
He had a hidden Cardiac tamponade which appeared after the CV surgery and left untreated, it caused the patient to collapse.

Cardiac tamponade is the meanest possible complication IMO. It can make the patient collapse very fast and requires surgery to be treated.

So after a cardiovascular surgery, the patient needs an echo test to check for this potential cause of collapse.
He also needs his blood pressure checked to search for a possible Unstable blood pressure and a physical examination to look for a possible Wound infection or a Bleeding from the wound. They can all cause collapse.

[Sayushi]

Originally posted by Manouche:

AFAIK, this isn't explained anywhere in the game so it's normal you didn't know and weren't prepared.

Cardiac tamponade is a surgery complication symptom.
It can only appear after a cardiovascular surgery. It's not listed in the diagnosis possible symptoms because it is not a symptom for this diagnosis, it's a post-op complication.
It is revealed by an Echo and the treatment is a surgery procedure.

So this patient never had an irregular heartbeat. This is why it was not revealed by an ECG/Heart monitoring.
He had a hidden Cardiac tamponade which appeared after the CV surgery and left untreated, it caused the patient to collapse.

Cardiac tamponade is the meanest possible complication IMO. It can make the patient collapse very fast and requires surgery to be treated.

So after a cardiovascular surgery, the patient needs an echo test to check for this potential cause of collapse.
He also needs his blood pressure checked to search for a possible Unstable blood pressure and a physical examination to look for a possible Wound infection or a Bleeding from the wound. They can all cause collapse.

This is also a possibility but in the most cases i had patients collapse in a manner like this, the autopsy "showed" it was an irregular heartbeat