Surgery and you or How I learned to love IMS

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nerocavalier
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Surgery and you or How I learned to love IMS

Post by nerocavalier » 28 Mar 2017, 13:05

Probably isn't needed but I'm making this for future reference. Surgery shouldn't take long. Everything that's striked through is outdated information. The average marine with three broken bones, and internal organ damage should at worst take five minutes. With the advent of the WeylandMeds, internal organ damage is hilariously easy to treat seeing that you get peridaxon pills and peridaxon bottles. Purged. However, it takes four steps to stop someone from dying of them now.

But how do I surgery, you may ask.
It's a simple, repetitive affair. Sure, the steps may look daunting but if you can do it once and you can do it ten more times and get faster.

First things first, grab your patient with grab intent and click on the adv. scanner. If you have a good memory, memorize, if you don't print it and take it into surgery with you. With the new update, medHUDs allow you to see the scans if you examine them.

Now once there, plop your patient onto the surgery table. Pick up an anesthetic tank and mask on both hands, drag their sprite onto you click on their mask slot twice, switch hands, and click on their backpack twice and switch back. Wait until the mask is on, switch hands again, start washing your hands when the tank is on and click on set internals.

If you've followed these steps, congratulations! You've put on anesthetic tank, mask, cleaned yourself, and even put them under in ten seconds or less and in a fluid motion to boot.

Surgery Steps
Bone Repair: Aim at said location. Scalpel, hemostat, retractor, bone gel, bonesetter, cautery. Replace the first three surgery steps with the Incision management system. If brute damage > 40, the bone will break again.
Note: I recommend giving them 30u of tricordrazine before surgery. If not, cauterize after the setter, patch up their wounds, then scalpel, retractor and bone gel to finish it up.

Facial Reconstruction: Aim at mouth. Scalpel, hemostat, retractor, cautery.
Note: This surgery is something I always do to pad out surgery time plus my OCD demands it. It takes like 20 seconds max.


Shrapnel Removal: Aim at location. Scalpel, hemostat, retractor, (circular saw then retractor if chest or head), hemostat, (retractor then bone gel if chest or head), cautery.
Replace the first three surgery steps with the Incision management system.

Larva Removal: Aim at chest. Scalpel, retractor, circular saw, retractor, hemostat, hemostat, retractor, bone gel, cautery. Replace the first three surgery steps with the Incision management system.
Note: This makes it so you clamp the blood after removing the larva to decrease the amount of time before you get to that step. Irrelevant, unless you end up having to use scalpels, retractors, and hemostats.

Eye Repair: Aim at eyes. Scalpel, retractor, hemostat, cautery.
Note: If you’re doing the surgery switch thing, know that the retractor step on takes a few seconds so be quick. Also purged.

Fixing Organs: Aim at said location. Scalpel, hemostat, retractor, (circular saw then retractor if chest or head), adv. trauma kit, (retractor then bone gel if chest or head), cautery.
Replace the first three surgery steps with the Incision management system.Alternatively, apply peridaxon. Preferably apply peridaxon. Rest in pieces.

Limb Reattachment: Print out said limb right arm for right hand and so on. Aim at what they're missing. Scalpel, retractor, cautery, and robotic limb.

Internal Bleeding: Aim at necessary location. Scalpel, hemostat, retractor, fixovein, cautery. Replace the first three surgery steps with the Incision management system.

Once you're finished, pick up whatever was on their back click on the mask once and double click the tank twice. Now they're all set to go if everything was done properly and you just have to shake them up and kick them out.

But Nero, I've seen people do surgery lightning fast! How do I do it faster?
Alright, get all of your surgery tools and drop them at your feet. Altclick, tada, now you can reach all of your tools a lot faster.

Ok, still want to go faster? When you do a surgery step such as scalpel, switch hands and pick up the hemostat then switch back. You have the next step ready to go by simply switching hands and clicking on them again and your surgery won't mess up. Now drop the scalpel and pick up the retractor and so on. This may not seem like much but a couple of seconds add up over time. Not so recent changes mean that this is no longer possible.

For a specific trick, you can skip the hemostat step during bone surgery without any negative effects. Alternatively, get a laser scalpel to do scalpel and hemostat at the same time. The Incision management system planetside would let you do scalpel, hemostat, and retractor steps at the same time. You all get IMS's now.

To skip the whole anesthetic tank and mask process, apply 20u of oxycodone instead. How you get this is up to you, either fill a hypospray with oxycodone bottles or make 20u pills instead. You have enough time to do two surgeries or even three if you're fast with it. Not recommended at all.

To skip washing your hands, spray yourself with a space cleaner bottle or stuff a spaceacillin pill down their throat. Alternatively, fill a hypospray with spaceacillin and jab them once.

If there's no shrapnel, then just stuff peridaxon down their throat and now you don't have to fix their internal organs with surgery. You have to do internal organ surgery now. Steps are: IMS, (circular saw, retractor,) adv. trauma kit, (retractor, bone gel,) cautery. Steps in parentheses are required in chest and head. Groin do not require them.

Remember to combine surgeries. There's no need for you to cauterize someone after taking out shrapnel and cutting them up again to fix their bones.
Example: Urist McInPain has a broken chest, larva, ruptured lungs and internal bleeding. Aim at chest. IMS, saw, retractor, hemostat, adv. trauma kit, fixovein, retractor, bone gel, bone gel, bone setter, and cautery.

In this situation, remember to apply peridaxon so they don't die.

No Adv. Scanner!
Well, for one, don't panic. First, see if you can get your patient or their medics to tell you what's wrong. If you get a good answer, do surgery. If not, drag them in anyway. First, examine them and note if there are any splints in chest, head or groin. Then take off their splints and scan them with your health analyzer.

Any broken limbs will show up on your analyzer. Fix them, then scan again. If no broken bones are still detected, then let them go, if there are, move on to the next step.

Ok, now look at them. If it says "brain damage detected" or they're talking like "Unknown as Urist McInjured" then their head is broken. Fix it. Fix their face if you have time.

If those things aren't there, check to see if they have minor oxygen loss at a stable blood level, if so fix their chest.

If they have minor toxins damage, fix their groin.
This is also how you diagnose people in FOB surgery.

Transporting tools 101
You see those surgery crates that people drag around behind them? Don't. Instead get a first aid kit, empty it out, and stick in all of the surgery tools but fixovein. Stick that, an anesthetic tank, and a mask into your satchel/backpack so you don't have to deal with the pull slowdown. Roll up a stretcher and hold it in your hand. Congratulations, you're ready for mobile surgery. Remember to take the fixovein.

Field surgery and you or OH GOD WHERE DID MARINES G-
Congratulations on being selected as the expendable doctor sent down to support the marines. Most likely, marines will throw up some tables and call it a day for your defences. Yeah, no.

Here are some things you'll need. A WeylandMed, surgery tools, a roller bed, and an IV if you're feeling like dragging stuff around. Find a MT or Engi and ask them to wrench the WeylandMed, and pull it around with you. If you're asking how to transport your tools, scroll back up and read Transporting tools 101. Normally, you'd have to bring down pills and so on but with the advent of the WeylandMed, not anymore! Get a space cleaner bottle if you want to clean yourself, otherwise get ready to give marines spaceacillin.

Ideally, you won't need a helmet but knowing marines, you probably will need one. Go get a helmet. Since you're not allowed to have a rifle or shotgun or smg, ask for a pistol or a revolver if you want. It won't do anything for you but hey, nice to have. (Not really).

Once planetside, look for the most secure place where xenos won't barge in and elope with you. Preferably close to a LZ so you can stuff injured marines that don't have limbs and so on back onto the Almayer. If possible, set up next to sentry that's on 360 so any larva and aliens will get blasted by it. Said sentry will be better than marines when it comes to defending you.

Leave the WeylandMed close to you, drop the roller bed and wait for marines to trickle in wounded and dying. Remember to remind marines to come to you and also remember to ask if any have larva. Apply peridaxon and quickclot as needed to stop marines from dying as you do surgery.

Now do surgery. Yeah, that's pretty much it. Send up wounded if there's already one-two injured waiting for you to finish a surgery because really, the other doctors would want something to do too.

Go up and read No. Adv. Scanner! if you don't know how to figure out where marines are broken.
Also for field surgery it goes. Stretcher > Table for better chances.

Basic triage: Larva > Defibbable Marines > Ruptured Lungs > Everyone else.
If you have any information and or complaints, share it below. Keep in mind that I randomly made this on mobile because I was bored.
Last edited by nerocavalier on 11 Jan 2018, 18:58, edited 10 times in total.
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Re: Surgery and you or How I learned to love oxycodone

Post by Imperator_Titan » 28 Mar 2017, 13:08

I haven't ever been a doctor, but I might now try it since I couldn't be bothered to read up on what every single item does. Thanks, really helpful guide.

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Re: Surgery and you or How I learned to love oxycodone

Post by xeno366 » 28 Mar 2017, 16:33

Make more info about field surgery please.





THANKS
Last edited by xeno366 on 28 Mar 2017, 17:03, edited 1 time in total.
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Re: Surgery and you or How I learned to love oxycodone

Post by Feweh » 28 Mar 2017, 16:43

Stickied

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Re: Surgery and you or How I learned to love oxycodone

Post by nerocavalier » 28 Mar 2017, 16:52

xeno366 wrote:Make more info about field surgery please.
Done.
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Re: Surgery and you or How I learned to love oxycodone

Post by Katsukai » 28 Mar 2017, 17:41

There is an bug regarding bone surgery, if you only use bone gel only once after bone settler step. The affecting limb won't function and will show on adv scanner that he/she has no broken bones. So always use bone gel twice on each step.

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Re: Surgery and you or How I learned to love oxycodone

Post by nerocavalier » 28 Mar 2017, 17:55

Katsukai wrote:There is an bug regarding bone surgery, if you only use bone gel only once after bone settler step. The affecting limb won't function and will show on adv scanner that he/she has no broken bones. So always use bone gel twice on each step.
I'm fairly certain that they had some other broken bone in their system because not once have I ever encountered that problem.

Occasionally, the bone breaks again because the brute damage is over 40 but never because I didn't apply bone gel twice. And if it's a bug, why haven't you reported it in the bugs section?
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Re: Surgery and you or How I learned to love oxycodone

Post by Katsukai » 28 Mar 2017, 17:57

Had a mod pming me why I had 3 patients with non functioning hands while they all seemed fine on adv scanner, the reason we discovered is that I forgot to apply bone gel twice every step.

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Re: Surgery and you or How I learned to love oxycodone

Post by nerocavalier » 28 Mar 2017, 17:59

Katsukai wrote:Had a mod pming me why I had 3 patients with non functioning hands while they all seemed fine on adv scanner, the reason we discovered is that I forgot to apply bone gel twice every step.
Which mod?
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Re: Surgery and you or How I learned to love oxycodone

Post by Katsukai » 28 Mar 2017, 18:30

nerocavalier wrote:Which mod?
Can't remember been a week ago, when this happened could be Jay.

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Re: Surgery and you or How I learned to love oxycodone

Post by Wubs4Scrubs » 29 Mar 2017, 03:02

How many uses can you get out of the laser scalpel before you have to let it recharge? I had a moment a few weeks ago where a patient had a few separate broken limbs and needs a few surgeries to fix them up. After the first couple the laser scalpel stopped functioning and gave a pop up about it sputtering before failing the surgery step. I tried examining it to see if it has any charge indication but as far as I could tell it was all guesswork.
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Re: Surgery and you or How I learned to love oxycodone

Post by EXOTICISME » 29 Mar 2017, 03:47

You forgot the step where you threaten marines who stay in medbay with two quickcloth, god i hate them, if they are not hurt or have something important to do just GTFO from medbay

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Re: Surgery and you or How I learned to love oxycodone

Post by nerocavalier » 29 Mar 2017, 11:24

Wubs4Scrubs wrote:How many uses can you get out of the laser scalpel before you have to let it recharge? I had a moment a few weeks ago where a patient had a few separate broken limbs and needs a few surgeries to fix them up. After the first couple the laser scalpel stopped functioning and gave a pop up about it sputtering before failing the surgery step. I tried examining it to see if it has any charge indication but as far as I could tell it was all guesswork.
It's RNG. Sometimes, it works smoothly without any errors, other times it really wants to kill this one marine. My rule of thumb is that if it messes up twice, I'm going back to normal scalpel.
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Re: Surgery and you or How I learned to love oxycodone

Post by spicemoron » 01 Apr 2017, 09:36

nerocavalier wrote: I recommend giving them 30u of tricordrazine before surgery.
Or just give em bicard since it heals faster, or give em both, assuming you made yourself the right pills.

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Re: Surgery and you or How I learned to love oxycodone

Post by nerocavalier » 01 Apr 2017, 10:26

spicemoron wrote:Or just give em bicard since it heals faster, or give em both, assuming you made yourself the right pills.
Ease of access, really. There's tricordrazine autoinjectors inside of the surgery rooms and all you have to do is pop two and get to work.
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Re: Surgery and you or How I learned to love oxycodone

Post by Swagile » 01 Apr 2017, 11:15

Been using the oxy method and its superior than using anesthetics.

The time it takes to put on / off shit, turn on / off internals is better spent popping 15u into a dude with a hypospray and doing surgery; its faster even if they flinch since they get like 0.1 damage per flinch or something like that.
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Re: Surgery and you or How I learned to love oxycodone

Post by Terran » 08 Apr 2017, 22:14

Add the fact that you can do multiple same surgeries. For example, a patient has 2 broken legs or 2 patients have a lavra inside. You can repair 2 legs at once. Aim left leg, make incision, aim right leg, incision, hemostat, left leg hemostat, retractor... And to do 2 lavra-removal surgeries you need to put 1 patient on operating table and second on ordinary table. Then do the same surgeries on each. By you need to wait for ending of a step on one infected before starting it on the other.

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Re: Surgery and you or How I learned to love oxycodone

Post by Swagile » 08 Apr 2017, 23:55

Multiple surgeries is currently bugged due to the "You need to target the original limb you were working on!" spamming you (even when you don't aim for any other limbs), so I don't advise doing it.
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Re: Surgery and you or How I learned to love oxycodone

Post by Terran » 09 Apr 2017, 10:16

I said, you have to wait for a step on 1 surgery to end.

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Re: Surgery and you or How I learned to love oxycodone

Post by Szunti » 30 Jun 2017, 11:30

Only engineers can move vendors.
Rule clarification thread at http://www.colonial-marines.com/viewtopic.php?f=64&t=13164 wrote:Can standards unwrench and move vendors and machines? No. Engineers should be doing that.

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Re: Surgery and you or How I learned to love oxycodone

Post by nerocavalier » 30 Jun 2017, 11:36

Szunti wrote:Only engineers can move vendors.
Note the dates. Either way, changed.
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Re: Surgery and you or How I learned to love IMS

Post by nerocavalier » 11 Jan 2018, 18:58

Updated.
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