Руководство по ранам

Главврач Кингстон says: "Каким, черт возьми, образом ты умудрился сломать все кости?!"

Персонаж может получить ранение, если любая часть его тела единоразово получит большое количество урона. По многим вещам, касающихся ранений, продолжается работа, однако ниже представлено приблизительное руководство: как получить конкретные ранения, какой они имеют эффект и как с ними справиться.

Сначала немного инфографики! (Она может быть несколько устаревшей)

Тут: [1]

И тут: [2]

Инфографика выше показывает, как примерно работают ранения, и как их лечить, но более подробная информация ниже.

Ранения 101: Или что же делать

И так, ты или кто-то рядом с тобой смертельно ранен, и тебе нужен совет здесь и сейчас! Ниже представлен каждый тип ранений, и что с ними делать.

Примечание: название ранений оставлены на английском языке, т.к. именно с ними вы будете иметь дело в игре.

• Повреждения костей: уменьшают скорость передвижения или выполнения действий в зависимости от конкретной части тела.
  • Joint Dislocation: используйте костоправ (bonesetter), либо попросите кого-нибудь агрессивно схватить вас Hold CTRL and left-click a person with your hand empty. It doesn't matter if Combat Mode Enable with 4, disable with 1 or toggle with F by default. Left-clicking people with an empty hand will Harm them if on, or Help them if off. Prevents you from switching places or being pushed when colliding with people. is on or off. Repeat after a short delay to upgrade grab to aggressive (lvl 2), neck (lvl 3) and strangling (lvl 4)., а затем кликнуть по вашему персонажу
    Turn off Combat Mode Enable with 4, disable with 1 or toggle with F by default. Left-clicking people with an empty hand will Harm them if on, or Help them if off. Prevents you from switching places or being pushed when colliding with people. and then left-click.
    .
  • Hairline Fracture: проведите соответствующую хирургическую операцию, либо примените костный гель (bone gel) и хирургическую ленту (surgical tape) на поврежденной конечности. Вы также можете наложить марлю (gauze) , чтобы уменьшить штраф, налагаемый раной.
  • Compound Fracture: То же самое, что и ранение выше, но хирургическая операция и применение геля/ленты занимают больше времени. Марля (gauze) позволит сделать конечность рабочей, пока та не получит нормальное лечение.

• Резаные раны: вызывают кровотечение тем сильнее, чем серьезнее порез.
  • Rough Abrasion: чаще всего можно игнорировать. Просто устраните урон.
  • Open Laceration: Наложите марлю (gauze) , чтобы значительно ослабить кровотечение, используйте жгуты (suture) и прижигатель (cautery) (сойдет всё, что достаточно горячее, чтобы зажечь сигарету). Экстренные инжекторы (emergency medipens) позволяют быстро справиться с кровотечениями.
  • Weeping Avulsion: Немедленно остановите кровотечение! Используйте экстренные инжекторы (emergency medipen), марлю (gauze), жгуты (sutures) и прижигатель (cautery).

• Проникающие раны: кровоточат меньше, чем резаные, но не закрываются со временем. Также при попадании по той же конечности есть шанс потерять немного крови.
  • Minor Breakage: неособенно опасная. Используйте жгуты (suture), марлю (gauze) или прижигатель (cautery) .
  • Open Puncture: наложите марлю (gauze) , чтобы значительно ослабить кровотечение, используйте жгуты (suture) и прижигатель (cautery) (сойдет всё, что достаточно горячее, чтобы зажечь сигарету). Экстренные инжекторы (emergency medipens) позволяют быстро справиться с кровотечениями.
  • Ruptured Cavity: немедленно проведите хирургическую операцию. Прижигатель (cautery) также эффективен, не смотря на то, что наносит ожоги при применении.

• Ожоги: атаки наносят дополнительный урон по обожжённым конечностям; ожоги третьей степени и катастрофические также могут быть инфицированы.
  • Second Degree: просто нанесите мазь (ointment) или регенеративную сетку (regenerative mesh) и подождите.
  • Third Degree: Удалите инфицированную плоть, либо используйте побольше мази (ointment) и регенеративных сеток (regenerative mesh) в сочетании со спейсацилином (spaceacillin) или ультрафиолетовой ручкой парамедика (paramedic UV penlight).
  • Catastrophic Burns: лечатся так же, как ожоги третьей степени, но требуют НЕМЕДЛЕННОГО вмешательства.

Общий совет: шахтерская мазь (miner's salve) также постепенно лечит ранения, вызванные ожогами, а также может применяться в качестве обезболивающего.

Этих шагов достаточно, чтобы лечить большую часть ранений. Если по какой-то причине вы сомневаетесь или не знаете что делать, возьмите анализатор здоровья (health analyzer), переведите его в режим расширенной информации по ранам (wounds mode) и следуйте его инструкциям.

Ранения 305: Немного подробнее

Парамедик Джонс says: "Мало того, что этот гад решил истечь кровью, и мне пришлось собирать его по кусочкам. Он даже не удосужился помереть где-нибудь в публичном месте..."

Если вы хотите узнать о ранениях чуточку подробнее, то вы по адресу, вне зависимости от того, доктор ли вы и ищите способы эффективнее справляться с пациентами или же из тех, кто хочет нанести как можно больше вреда. Информации в предыдущем пункте в сочетании с использованием анализатора вполне достаточно, чтобы справиться с ранениями. Здесь же вы найдете дополнительную информацию о ранениях, различных эффектах, что они накладывают, а также о том, как с ними справляться чуть более эффективно.

Ранения определяются двумя параметрами: тип и тяжесть. Существует четыре типа ранений: тупые (blunt), резаные (slashing), проникающие (piercing) и ожоги (burns); а также три степени тяжести: умеренные (moderate), тяжелые (severe) и критические (critical). Чем серьезнее ранение, тем больше урона понесет игрок, и тем больше штрафы, которые оно накладывает.

• ТУПЫЕ ранения, то есть те, что наносят тупым (не острым) предметом или в следствие падения, вызывают смещения (dislocation) и переломы. Урон тупым оружием или предметами имеет больший порог, чтобы вызвать ранение, нежели режущий урон или ожоги, а также не портит скафандры. Проще говоря, сломать конечность сложнее, нежели вызвать кровотечение или ожоги второй степени и выше. Однако их также несколько сложнее лечить, а броня менее эффективна в противодействии им. Эффект от смещения и переломов зависит от поврежденной конечности.
  • Руки: замедляет взаимодействие с предметами, а также увеличивает минимальное время между регистрацией кликов мыши.
  • Ноги: уменьшает скорость передвижения.
  • Торс: последующие удары по торсу заставляют вас кашлять кровью. Переломы торса могут быть только тяжелыми и критическими.
  • Голова: вы получите временную травму мозга до тех пор, пока перелом не вылечен.

• РЕЗАНЫЕ раны наносятся острыми предметами наподобие мечей или ножей и часто вызывают обильное кровотечение. Лечение для всех ранений подобного типа приблизительно одно: перевяжите рану , используйте экстренные автоинжекторы , зашейте её или прижгите . Разница между степенями таких ран в скорости, с которой пациент истекает кровью - чем серьезнее, тем быстрее. Для устранения умеренных ран этого типа чаще всего достаточно убрать грубый (brute) урон, критические же раны требуют немедленно медицинского вмешательства.
  • Стандартные эпинефриновые инжекторы и инжекторы из экстренных аптечек содержат коагулянт, который эффективно останавливает кровотечения на некоторое время. Они отлично подходят, чтобы стабилизировать пациента до того, как ему окажут надлежащую помощь.
  • Режущие предметы обычно гораздо менее эффективны против брони и даже простых скафандров, однако они могут испортить их, если нанесут достаточно урона.

• ПРОНИКАЮЩИЕ раны повреждают кожу и вызывают внутренние кровотечение. Пули наносят проникающий урон. Они в целом ведут себя также, как и резаные раны, но меньше кровоточат и не закрываются без вмешательства. Кроме того, последующий урон по той же конечности заставляет дополнительно терять немного крови.
  • Проникающий урон можно вылечить при помощи хирургической операции, которая требует лишь скальпель и прижигатеть (сварочный аппарат/зажигалку/что угодно достаточно горячее). Это эффективный способ борьбы с проникающими ранениями, который не требует дополнительных ресурсов.

• ОЖОГИ немного отличаются от других типов ранений в плане лечения, так как вам нужно учитывать сразу два фактора: повреждения плоти и инфекция. Ожог будет вылечен, как только вы разберетесь с обоими.
  • Повреждение плоти: представляет собой обгоревшую поверхность тела, которая требует лечения. В случае с умеренными ожогами - это единственный фактор, с которым вам нужно справиться. Просто нанесите мазь (ointment) или регенеративную сетку (regenerative mesh) на обуженную часть тела и подождите. Перевязка раны в сочетании с мазью также заметно ускоряет регенерацию тканей.
  • Инфекция: в тяжелых и критических ожогах начинает размножаться инфекциями, причем в последних она делает это быстрее. Степень заражения вы можете увидеть, если посмотрите на пациента и прочитаете фиолетовый текст. Препараты sterilizine, spaceacillin, ультрафиолетовая ручка парамедика, а также операция по удалению инфицированной плоти эффективны в борьбе с инфекцией.

Other Fun Facts

• Jumpsuits offer very slight protection against wounds! If nothing else, your trusty grey jumpsuit may very well be the difference between a stray laser shot leaving you mostly unharmed other than the normal burn damage, and suffering debilitating second or third degree burns.
• Burning and slashing weapons generally are much more effective against completely bare flesh. To help with this, they can also shred basic clothing and jumpsuits, with multiple attacks on a specific limb disabling the clothing's protection on that limb. The clothing can be repaired with cloth to reenable it.
• When in doubt, applying gauze to most wounds will either lessen the negative effects of it, or actively speed recovery.
• Slashing wounds have very low thresholds and are easy to apply, especially against unarmored foes, but contribute little to further wound penalties. Bone wounds are fairly hard to apply, with higher thresholds, but aren't as affected by armor as cutting or burning wounds and make further wounds a decent bit easier to deal. Piercing wounds only deal a bit of bleeding and make other wounds only slightly easier, but can be applied from distance with guns, making them more of a nice add-on than a primary focus. Burning wounds are very unlikely to be dealt to covered skin, even if it's only a jumpsuit, but gain very large bonuses against bare flesh. They also apply the highest threshold penalties, making it almost trivial to deal serious slash, pierce, and bone injuries to burnt limbs.
• If you're really lazy, you can just throw them in cryo for a long while and they'll eventually regenerate wounds.
• Changelings can instantly heal all their wounds and scars through use of fleshmend and regenerate limbs.
• Regular folk can remove all their scars by ingesting carpotoxin.
• Neckgrab table slams are brutal, neckgrab table slams by a hulk are even more brutal.

Appendix 1: Full Wound Listing

Blunt Wounds

Moderate: Joint Dislocation

• Negative effects: Slightly slower interactions with that limb (arms), slight limp with that limb (legs). Cannot be dealt to the chest or head.
• Full Treatment: Use a bonesetter on the affected limb.
• Improvised Treatment: Get a friend to put you in an aggressive Hold CTRL and left-click a person with your hand empty. It doesn't matter if Combat Mode Enable with 4, disable with 1 or toggle with F by default. Left-clicking people with an empty hand will Harm them if on, or Help them if off. Prevents you from switching places or being pushed when colliding with people. is on or off. Repeat after a short delay to upgrade grab to aggressive (lvl 2), neck (lvl 3) and strangling (lvl 4)., target the dislocated limb, then interact with you with
  Turn off Combat Mode Enable with 4, disable with 1 or toggle with F by default. Left-clicking people with an empty hand will Harm them if on, or Help them if off. Prevents you from switching places or being pushed when colliding with people. and then left-click.
  . They'll start straining your limb and hopefully pop it back into place. Doing this with Combat Mode Enable with 4, disable with 1 or toggle with F by default. Left-clicking people with an empty hand will Harm them if on, or Help them if off. Prevents you from switching places or being pushed when colliding with people. on will instead try to snap the limb and cause a fracture, but you won't be able to tell which is which until they succeed!
• Improvised Treatment #2: Being crushed by an airlock or a firelock has a 33% chance to pop dislocated limbs back in place. Don't worry, crushing can't wound you, so all you have to lose is time and some brute damage!

Severe: Hairline Fracture

• Negative effects: Fairly slower interactions with that limb (arms), sizable limp with that limb (legs), random mild brain traumas (head), chance to cough up blood when hit in chest (chest). Counts as mangled bone for purposes of dismemberment.
• Full Treatment: Two step surgery, requiring a scalpel and a bonesetter/bone gel/sticky tape (one of these). This will instantly repair the bone upon completion.
• Improvised Treatment: Apply bone gel directly to limb, then apply surgical sticky tape to the limb and wait. It's much better to have a friend apply these, as self-applying the bone gel can fail and cause you to pass out briefly (consuming one use of bone gel). The chance to fail and pass out is much higher with compound fractures than hairline fractures, though being drunk, on morphine, or in a combat high from a wound will lower your chance to fail. Lastly, applying the sticky tape will start to regenerate the limb, during which you will randomly take brute/stamina damage around your body. This regeneration period is longer if you apply the surgical tape to yourself, and is also longer for compound fractures than for hairline fractures. After a few minutes, the wound will be gone.
• Triage Stabilization: You can secure the bone with a "splint" by using medical gauze on it. This will lessen your interaction/limp slowdowns, though you'll still need to get the bone treated.

Critical: Compound Fracture

• Negative effects: If suffered on an arm or leg, the limb is disabled until treated or splinted. If suffered in the head, random severe brain traumas until fixed. If suffered in the chest, significant chance to cough up blood when hit in chest. Counts as mangled bone for purposes of dismemberment.
• Full Treatment: Six step surgery, starting with the standard incise/clamp/retract, and ending with the standard cauterize to close. Step 4 is to reset the bone, and is best done with bonesetters, though surgical sticky tape or standard sticky tape can do in a pinch. Then step five is to repair the fracture, which is done with either bone gel or surgical sticky tape, with normal sticky tape working as an alternative. Truly, duct surgical sticky tape is a miracle fixer that no self-respecting paramedic should be without.
• Improvised Treatment: Apply bone gel and surgical sticky tape to the affected limb, same as with hairline fractures. Having a friend help you is even more important than with hairline fractures, as your penalties for successful gel application and tape recovery time are more punishing than for hairlines.
• Triage Stabilization: You can still secure the bone with gauze, same as hairlines. In addition, a splint will reenable the limb, though you still have severe penalties.

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Slash Wounds

General notes:

• Unlike dislocations and fractures which have different properties at different severities, slashing wounds all function the same and use the same treatments, just with different levels of severity and urgency. As such, their mechanics are described below, and each severity will have a short note for how to approach them.
• Cuts are based off a blood_flow counter that increases with wound severity. Every tick, you lose that much blood, and your blood flow is modified based on a few factors noted below. When your slash's flow goes below a certain threshold, it is demoted to the next lowest severity, but while it is possible to increase blood flow, you cannot raise the severity directly by doing so. The factors for modifying your bleeding rate are:
  • Clot rate: Moderate and severe cuts will slowly clot naturally on their own (severe more slowly than moderate), while critical cuts slowly open up more over time. Just another reason that reducing the severity of cuts as soon as possible is important!
  • Bandaging: Wrapping the cut with bandages significantly amps up your clotting rate while active, providing a potent buff to recovery speed.
  • Coagulants: Epipens and emergency medipens contain a coagulant reagent that treats all bleeding wounds, excellent for when you need to immediately slow down bleeding or are dealing with a patient with multiple cuts.
  • Suturing/Cauterization: Sutures and cauterization immediately reduce bleeding with each application, which you can repeat until treated. Sutures are great because they reduce bleeding and heal brute damage at the same time, but if you don't have any available, you can cauterize the cut with anything that can light a cigarette. It'll hurt a bit, but you won't use up any consumables.
  • More Slashes: Not only can further slash attacks upgrade the wound severity, they'll also directly increase the blood flow by a percentage of the damage dealt.
• Remember: A stitch in time saves nine! Your blood_flow is both a tracker for how serious your wound is, as well as how much blood you lose every tick, so sinking it as soon as possible is important. Immediately applying a bandage, jabbing a medipen, or even managing one or two sutures/cauterizations can make a big difference in the total amount of blood lost by the time the wound is healed.

Moderate: Rough Abrasion

• Notes: Not very threatening on their own, and will seal themselves up shortly if not made worse. While you won't lose much blood by leaving them to clot on their own, they're very vulnerable to further attacks which can cause more severe slashes and other wounds.

Severe: Open Laceration

• Notes: Worth worrying about, at the very least you should get it bandaged or apply a few sutures or cauterizations before you lose too much blood. As noted above, reducing blood flow is better done sooner rather than later, and if you're not busy dealing with an actively hostile environment or treating patients in worse conditions, you should be prioritizing reducing the cut to moderate severity before losing too much blood.

Critical: Weeping Avulsion

• Notes: While moderate and severe slashes usually aren't immediate matters of life and death, critical slashes are by far the most dangerous wound you can suffer. Not only have you likely suffered large amounts of damage to your limb, you're also losing blood at a dizzying rate that is actively getting worse rather than better. Either wrap up what you're doing within the next minute, or run and hide for a bit to treat yourself before too long passes. Your top priority, whether you're treating someone with a critical slashes or are the patient yourself, should be to do everything you can to lower your bleeding, starting with applying bandages and sticking yourself with a medipen, followed by sutures or cauterization. Otherwise, you'll be flirting with passing out before too long.
• Also note that critical slashes count as mangling flesh, which means that if you have this, you're pretty close to getting this bodypart severed entirely. Just another reason to get it fixed ASAP!

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Pierce Wounds

General notes:

• Like slashing wounds, these mostly cause bleeding. Unlike slashing wounds, these require manual treatment in order to stop bleeding, though they're not nearly as pressing. Also, lowering the bleeding rate will not demote it to a lower tier wound.
  • Bandaging: Wrapping the pierce with bandages significantly amps up your clotting rate while active, providing a potent buff to recovery speed.
  • Coagulants: Epipens and emergency medipens contain a coagulant reagent that treats all bleeding wounds, excellent for when you need to immediately slow down bleeding or are dealing with a patient with multiple cuts.
  • Suturing/Cauterization: Sutures and cauterization immediately reduce bleeding with each application, which you can repeat until treated. Sutures are great because they reduce bleeding and heal brute damage at the same time, but if you don't have any available, you can cauterize the cut with anything that can light a cigarette. It'll hurt a bit, but you won't use up any consumables.
• Remember: A stitch in time saves nine! Your blood_flow is both a tracker for how serious your wound is, as well as how much blood you lose every tick, so sinking it as soon as possible is important. Immediately applying a bandage, jabbing a medipen, or even managing one or two sutures/cauterizations can make a big difference in the total amount of blood lost by the time the wound is healed.

Moderate: Minor Breakage

• Notes: Causes a little bit of bleeding, but not to the point that you should interrupt what you're doing to fix it by itself. Simply suture, cauterize, or gauze at your convenience.

Severe: Open Puncture

• Notes: Still not super serious, but remember that every blow to this limb can cause you to lose extra blood from the hole in it. For reference, the base bloodflow here is a bit higher than a moderate slash. If you have a surgical drapes, a hemostat/scalpel, and a cautery, the Repair Puncture surgery is very quick (simply incise, hemo/scalpel, cautery/anything hot, repeat 2 & 3 until treated, close surgery) and effective at treating piercing wounds.

Critical: Ruptured Cavity

• Notes: Almost every hit to this bodypart will cause you to lose additional blood, and you're bleeding at the rate of a severe slash. Not pretty! While not as immediately life threatening as a critical slash, this is still a very big issue and should be treated rapidly. At this point, the Repair Puncture surgery is likely your best option.
• Also note that critical pierces count as mangling flesh, which means that if you have this, you're pretty close to getting this bodypart severed entirely. Just another reason to get it fixed ASAP!

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Burn Wounds

General notes:

• While you can technically get burn wounds from any burning type weapon, in reality the mixture of a general lack of high damage burning melee weapons and the high thresholds required to deal burn wounds means that the vast majority of these will come from lasers. In addition, since undirected/general damage don't qualify for wounds, you cannot suffer serious burns from being set on fire or being exposed to space. Lava can though, so I've heard...
• Unlike cutting wounds, serious burns have very high threshold penalties (the highest of all three types in fact). This means a limb suffering from bad burns is almost trivial to cause bone wounds in, and the penalty for a moderate burn is actually higher than the threshold for a moderate cut, meaning any sharp attack that does enough damage to roll wounds (5 force) will automatically cause an abrasion, if not worse, without strong armor. Combined with the fact that burns increase all incoming damage on that limb, lasers make for an excellent way to soften up lightly armored/unarmored targets for melee fighting.
• Burn wounds will slowly heal their flesh as long as the limb has < 10 burn damage, the burn has no infection, and the patient is fed.

Burns from exposure:

When your body temperature is over the 400.5 K (126.8 C, 260.3 F) threshold you have a chance to gain a burn wound, the longer you are exposed the more likely you will gain a burn wound on a random limb. All burn wounds from exposure to high temperatures slowly progress to even more severe burns if the temperature is high enough.

Temperature thresholds for increasing wounds

• 400.5 K (126 C, 260 F) Moderate: Second Degree Burns
• 800.5 K (526 C, 980 F) Severe: Third Degree Burns
• 3200.5 K (2926 C, 5300 F) Critical: Catastrophic Burns

Moderate: Second Degree Burns

• Negative effects: Fairly easier to deal wounds to this limb, take 10% damage on incoming attacks on this limb.
• Full Treatment: Slap on some ointment or regenerative mesh and wait a bit.

Severe: Third Degree Burns

• Negative effects: Significantly easier to deal serious wounds to this limb, 20% extra damage on incoming attacks on this limb, slow infection.
• Full Treatment: Two step surgery with hemostat/scalpel and bandages will resolve all infection and some flesh damage. Otherwise, infection can also be treated by spaceacillin, sterilizine, or paramedic UV penlights. Ointment and regenerative mesh can heal the rest of flesh damage.
• Improvised Treatment: Miner's Salve is fairly effective at both healing flesh damage and sanitizing any infection.

Critical: Catastrophic Burns

• Negative effects: The limb is incredibly easy to cripple with serious wounds, takes 30% extra damage on incoming attacks, and becomes a hotbed of infection.
• Full Treatment: Two step surgery with hemostat/scalpel and bandages will resolve all infection and some flesh damage. Otherwise, infection can also be treated by spaceacillin, sterilizine, or paramedic UV penlights. Ointment and regenerative mesh can heal the rest of flesh damage.
• Improvised Treatment: Miner's Salve is fairly effective at both healing flesh damage and sanitizing any infection.

Appendix 2: Wounding Table

Wounding table

Wound Name	Threshold Minimum	Threshold Penalty	Base Atk Force*
BLUNT
Joint Dislocation	35	(+15)	~15 force
Hairline Fracture	50	(+30)	~15 force
Compound Fracture	115	(+50)	~25 force
SLASH
Rough Abrasion	20	(+10)	~10 force
Open Laceration	50	(+25)	~15 force
Weeping Avulsion	80	(+40)	~18 force
PIERCE
Minor Breakage	30	(+10)	~20 force (.38, medium-close range buckshot, autorifle)
Open Puncture	50	(+25)	~25 force (.38 close range, buckshot close range, L6 SAW)
Ruptured Cavity	100	(+40)	~30 force (repeated .38 close, buckshot close range, most repeated large guns)
BURNS
Second Degree Burns	40	(+30)	Lasers!
Third Degree Burns	80	(+40)	Lasers!!
Catastrophic Burns	140	(+80)	Lasers!!!

*Base Attack Force: Assuming a weapon/attack has 0 wound bonuses (cutting weapons may need more vs armor, less vs flesh), how much force it will take to have a decent chance at dealing this wound assuming either no existing wounds, or only the lower tier version of this wound type.

• Note that some wounds, critical bone wounds especially, may require multiple types of active wounds to be feasible.
• Burning wounds are simply listed as Atk Force "Lasers!" since lasers are the main source of them by far anyway. Continually lasering the same limb with no armor will probably deal critical burns within a half dozen shots, maybe plus a few.