A guide for the Neurotrauma mod that covers every symptom, cause, treatment and procedure that you might encounter while playing
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)!
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
First aid
Treatment
Prognosis
Opioid
Scalpel
Endovascular balloon
Medical stent
Suture
Opioid
Scalpel
Endovascular balloon
Medical stent
Suture
Grim
First aid
Treatment
Prognosis
Surgery
Surgery
Grim
First aid
Treatment
Prognosis
Fire extinguisher, water or any diving suit
See burn
Depends on how long the patient was burning
First aid
Treatment
Prognosis
Tourniquet
Surgery
Worrying
First aid
Treatment
Prognosis
CPR or defibrillator
CPR or defibrillator
A sign of something worse
First aid
Treatment
Prognosis
CPR
CPR
A sign of something worse
First aid
Treatment
Prognosis
Removal from unsafe environment
Treating underlying causes
A sign of something worse
First aid
Treatment
Prognosis
Intravenous fluids
Surgery
A sign of something worse
First aid
Treatment
Prognosis
Plastiseal or bandage
Bone surgery
Survivable
First aid
Treatment
Prognosis
Bandage or plastiseal
Bandage or plastiseal, antibiotic ointment in severe cases
Common source of infection
First aid
Treatment
Prognosis
Suture
Suture
Potential source of infection
First aid
Treatment
Prognosis
Plastiseal or bandage
Whacking it with a wrench
(consider administering opiates first)
A painful annoyance
First aid
Treatment
Prognosis
Bandage, plastiseal
Tweezer surgery
Won’t go away without first aid or treatment
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.
First aid
Treatment
Prognosis
Caused by
Causes
None
Mannitol (takes a long time)
The main antagonist. Caused by low oxygen flow to the brain. Certain death if oxygen starvation is prolonged.
Hypoxemia, stroke
Unconsciousness, respiratory arrest, death
First aid
Treatment
Prognosis
Caused by
Causes
None
Surgery
Stroke should be treated as soon as possible to minimize risk of death.
Hypertension
Neurotrauma, coma, seizures, pain, headache
First aid
Treatment
Prognosis
Caused by
Causes
None
Auto CPR and a lot of time
The underlying causes should be treated ASAP, or else the patient might go into persistent vegetative state.
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
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.
Anesthesia is required for surgery to begin. Administer an opioid of your choice or propofol to the patient.
Use a scalpel on the body part that you wish to perform surgery on.
Use a hemostat on the body part that you incised.
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.
This procedure will heal fractures and bone damage.
First, perform the standard surgery procedure.
Use a surgical drill on the fractured bone.
Use osteosythesis implants on the affected bone. The fracture is now healed.
This procedure will extract organs from still-living humans and optionally transplant a new one.
First, perform the standard surgery procedure on the torso.
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.
Put the replacement organ inside the patient.
This procedure will amputate one of the patients limbs.
First, perform the standard surgery procedure on the limb you wish to amputate.
Use the surgical saw on the affected limb. Ending the surgery now will cause the limb to amputated.
Use the severed limb on the now sawed bone. The amputation should now be reverted.
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.
Health scanner
Obtained by
Use
Importance
Fabricator
Scanning for underlying causes of symptoms
Essential
Medical container
Obtained by
Use
Importance
Fabricator
Can store medical equipment and doesn’t require a hand to carry
Very important
Sutures
Obtained by
Treatment for
Importance
Medical fabricator
Open wounds, bleeding, terminates surgeries
Essential
Bandage, plastiseal, antibiotic glue
Obtained by
Treatment for
Importance
Medical fabricator
Open wounds, burns, prevents infection; bandage and plastiseal stabilize dislocations and fractures for later treatment
Essential
Bloodpacks
Obtained by
Treatment for
Importance
Using empty blood packs on patients
Bloodloss
Essential
Saline, Ringer’s solution
Obtained by
Treatment for
Importance
Medical fabricator
Low blood pressure
Important
Opioids (opium, morphine, fentanyl)
Obtained by
Treatment for
Importance
Medical fabricator
Pain, required for surgery
Essential
Antibiotic ointment
Obtained by
Treatment for
Importance
Medical fabricator
Burns, infected wounds
Important
Tourniquet
Obtained by
Treatment for
Importance
Medical fabricator
Bleeding arteries. Surgery should follow as soon as possible to avoid gangrene.
Very important
Defibrillator
Obtained by
Treatment for
Importance
Fabricator
Cardiac arrest
Important
Autopulse
Obtained by
Treatment for
Importance
Fabricator
Cardiac arrest, respiratory arrest, low oxygen
Very important
Mannitol
Obtained by
Treatment for
Importance
Medical fabricator
Neurotrauma, requires stabilized blood pressure and oxygen
Very important
Body bag
Obtained by
Use
Importance
Medical fabricator
Allows for faster transportation of bodies – deceased or alive
Niche
Stasis bag
Obtained by
Use
Importance
Medical fabricator
Temporarily 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
Obtained by
Treatment for
Importance
Medical fabricator
Pneumothorax. This is only a first aid measure.
Important
Hematology analyzer and collection cartridge
Obtained by
Use
Importance
Fabricator
Determining blood type
Non-essential
Antiseptic spray and antiseptic
Obtained by
Treatment for
Importance
Fabricator
Infected wounds
Important
I ran out of characters in the previous section so here’s the continuation.
Scalpel
Obtained by
Use
Importance
Fabricator
Initiating surgery
Essential
Hemostat
Obtained by
Use
Importance
Fabricator
Stopping bloodloss from surgery
Essential
Skin retractors
Obtained by
Use
Importance
Fabricator
Surgery
Essential
Tweezers
Obtained by
Use
Importance
Fabricator
Removing tissue or objects from the body during surgery
Important
Surgical drill
Obtained by
Use
Importance
Fabricator
Preparing bones for implants during surgery
Important
Surgical saw
Obtained by
Use
Importance
Fabricator
Amputating limbs during surgery
Niche
Organ procurement scalpels
Obtained by
Use
Importance
Fabricator
Removing organs during surgery. There’s four types: heart, lungs, liver and kidneys
Niche
Drainage
Obtained by
Treatment for
Importance
Medical fabricator
Pneumothorax. Retracted skin is required.
Important
Osteosynthetic implants
Obtained by
Treatment for
Importance
Fabricator
Fractures. Drilled bones are required.
Very important
Spinal cord implants
Obtained by
Treatment for
Importance
Fabricator
Paralysis. Surgery is required.
Niche
Endovascular balloon and medical stent
Obtained by
Treatment for
Importance
Medical fabricator
Aortic rupture. Retracted skin is not required. See the first aid section for details.
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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March 2023) Barotrauma is physical damage to body tissues caused by a difference in pressure between a gas space inside, or in contact with, the body and the surrounding gas or liquid.
Ear injury barotrauma: Your provider may prescribe decongestants. If you ruptured your eardrum, you might need surgery called tympanoplasty to patch your torn eardrum. Pulmonary barotrauma: Treatment depends on your situation. In most instances, you'll need oxygen therapy and bed rest.
Items are pieces of equipment that can be picked up and used in Barotrauma. Most of them can be purchased from the in-game shop in exchange for Marks; a currency earned by completing Missions. Some Items can be used with only one hand, while others require both. For a list of Item Identifiers, see Item IDs.
Barotrauma is a side scrolling game that takes place in the distant future, on a submarine traversing the inhospitable oceans of Europa, one of Jupiter's moons.
They can stun people for 5 seconds, which can have drastic consequences during an attack. Endworms cannot be inflicted with bleeding, adding to their incredible resilience. As the Endworm is the most dangerous creature in Barotrauma, players are advised to kill it at all costs.
First off open the console by pressing F3, then type 'enablecheats'. Afterwards you can use a variety of commands to give yourself skills, experience, items or money.
This causes potential blockage of circulation at distant sites or interferes with normal organ function. Barotrauma can cause sinus injury, ear injury, facial injury, tooth injury, an acute abdomen, pneumothorax, pulmonary hemorrhage, and subcutaneous emphysema.
If the eustachian tube is blocked, the air pressure in the middle ear is different than the pressure on the outside of the eardrum. This can cause barotrauma. Many people have barotrauma at some time. The problem often occurs with altitude changes, such as flying, scuba diving, or driving in the mountains.
This compression and expansion can cause pain and damage to tissue. Barotrauma most often affects the ears. However, barotrauma affecting the lungs (pulmonary barotrauma) is the most serious.
Pulmonary barotrauma is a potentially life-threatening complication in patients on mechanical ventilation. It is important to recognize and quickly act to prevent barotrauma for prolonged periods as this may lead to significant morbidity and mortality in patients intubated in the intensive care unit.
Pulmonary barotrauma on the ascent is the most serious and potentially life-threatening. Breathing gas at depth during SCUBA causes the in gas in the lungs to be at a higher pressure than the atmospheric pressure.
Barotrauma means injury to your body because of changes in barometric (air) or water pressure. One common type happens to your ear. A change in altitude may cause your ears to hurt.
Introduction: My name is Terence Hammes MD, I am a inexpensive, energetic, jolly, faithful, cheerful, proud, rich person who loves writing and wants to share my knowledge and understanding with you.
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