Feature Requests

[FluffyGhoster]

A port of the feature requests from the Katalam/KAM repository and new additions from players

Description:

Add a detailed description of the feature you wish, if it's deemed accepted it will be moved to a feature request by itself and a target version will be added, on the completed development a pull request will contain the Issue ID and the issue will be closed

[FluffyGhoster]

Description:
Flight considerations for MEDEVAC/CASEAVAC; atmospheric pressure changes for pneumothorax. Need to ensure that the patient is stable enough for transport via aviation (helicopter).

How to implement:
ACE already has an option to effect ballistics of a bullet via barometric pressure so there should be a way to check for altitude changes to effect the overall barometric pressure for the wounded as well.

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XSTAT - Injectable sponge type pellet system to keep massive blood loss from happening with a patient either with gunshot would or from amputation (evulsion) from IED's, wrecks, etc... The system creates a pressure to close off severed vessels (veins and arteries) to reduce/stop blood loss.

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Description:
I reached out to you on discord but figured I'd post it here to make it more official. The Idea of having to have different size IV catheters/IOs and starting a "line" before being able to push fluids or medications into the patient. The limb the IV or IO is in is then the only limb that fluids can be pushed into. Be able to start multiple IV's on a patient. The size of the catheter can then determine the fluid transfusion rate etc.

Steps to treat:
ACE medical already has the option to determine transfusion rates in the settings. Should hopefully be simple to link the size of the catheter to the transfusion rate.

IV:
select limb, option to start (14, 16, 18, 20, 22, 24) gauge IV.
Once IV is in place give some type of indicator on that limb that an IV is established, same way with how there is an airway device notification.
Then in order to push fluids the provider has to select a limb that has an established IV (this could also allow the option to expand into dosed medications instead of the predosed auto injectors)

Also the possibility for an IV attempt to be unsuccessful and have to try again on the same or different limb.

IO:
An IO would be started the same way as an IV but should be faster and more reliable/secure since IRL it normally is.
Same steps as before but IO's have less size selections normally. (16, 18)
IO's should have some drawback for use on conscious patients like inflicting some pain if the patient is conscious. This will hopefully add some thought into the decision of and IO or IV on a patient.

Once an IV or IO is established on a patient is should stay with them until they are PAK'd or fully healed.

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It would be nice to see chest seals being used for any sucking chest wound and the implementation of decompression needle(s) to replace the functionality of chest seals. I think this is a very simple addition that would add to the immersion of TCCC (Tactical Combat Casualty Care) and most medics to this day carry a decompression needle for this very reason (pneumothorax). Thanks

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Description:

Add the ability to hang different types and sizes of IV solution on the IV stand. Saline, Blood, Plasma, Blood types in 250ml, 500ml, 1000ml...

If possible add a idea to implement it (logical):
Possibly use the same model for the IV stand if the smaller variants don't exist? Model can continue to be saline as long as the correct fluid is on the stand.

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**Finished to copy over the Katalam/KAM repository Feature Request thread

[FluffyGhoster]

Description:
Reduce asystolic monitoring volume when you are near, it tend to pierce your ears overtime

Implementation:
I see two options: either just reduce the maximum volume, or mute it when the medic is near after a short time (like the medic press the "silence alarm" button)

[YetheSamartaka]

Description:
Reduce asystolic monitoring volume when you are near, it tend to pierce your ears overtime

Implementation:
I see two options: either just reduce the maximum volume, or mute it when the medic is near after a short time (like the medic press the "silence alarm" button)

There is an option to mute the monitoring sound

[FluffyGhoster]

Description:
AED should apply shock pain only to people directly touching the patient, not just standing nearby

Implementation:
Currently the script search for people around the patient and give them ACE pain, however when a shock is administered only the people in direct contact to the patient risk to be affected, not just bystanders, hence the script should:

1. Select the people in the ACE treatment range
2. Check if they are doing a treatment to the specific patient
3. Apply pain to them if they are doing a treatment to the patient who is receiving the shock, with a small probability to cause an arrhythmia or stop the heart of the person that is touching the patient, possibly the probability depends on where the treatment is being applied (touching the torso is the maximum risk, touching the legs and arms is the lowest)

[FluffyGhoster]

There is an option to mute the monitoring sound

I may have missed it then, where is it?

[YetheSamartaka]

There is an option to mute the monitoring sound

I may have missed it then, where is it?

ace interaction - turn down AED-X volume

[FluffyGhoster]

There is an option to mute the monitoring sound

I may have missed it then, where is it?

ace interaction - turn down AED-X volume

Uhm no I don't see it, I open the patient, click "Monitor Vitals", you get the sound, but there's no option to mute it, either in the medical menu or on the ace interaction?

[FluffyGhoster]

Description:
AED is an automatic external defibrillator, so you shouldn't be able to shock the patient whenever he's on the ground, it should shock automatically on certain kind or arrythmic complexes, but not on medic's will/decision.
The AED should just be attached to the patient like the Monitor Vitals, then it will start the analysis of the rythm, if the rythm is shockable the AED will inform people to clear the patient, then perform the shock, and then go back in monitoring for a bit of time (I think it's 3 minutes?), the medic have no option to choose by himself if the AED will shock or not, otherwise it would be a manual defibrillator.
Also, the AED do not shock if the rythm is absend (asystolic), the protocol is to NOT shock asystolic patients but do CPR instead, you can think to a defibrillator as a resetter, it's not a jump starter, you don't use it if there's no electrical activity.

[Conrimaceogain]

Regarding decompression, I've been putting a little bit of work into implementing hemopneumorthox, so I might look to decompression too.

[Conrimaceogain]

I might also recommend splitting up these feature suggestions into separate issues to make tracking them and their acceptance/progress simpler.

[FluffyGhoster]

Would you prefer to have an enhancement each for every idea?
I thought going with the ACE3 style (a single thread with all the ideas, once accepted move them in a dedicated issue) was a nice idea, but please let me know if you prefer to just have an issue for each idea and I'll split them all

[Conrimaceogain]

Hmm, hadn't thought about it that way. That may work, let's give it a shot.

[FluffyGhoster]

Description:
Intubation is performed with a sedation therapy consisting of an agent (like Etomidate), we should provide such a medication and punish intubations that are done without it (chance of intubation not being applied? more desaturation for the patient? straight inability to intubate?)

This does not apply to nasal intubation and does not apply to patient in cardiac arrest which are unable to have such a reflex, but once they are responsive again we should apply a penality to them too (coughing with decreasing saturation?)

[FluffyGhoster]

Description:
Ability to remove intubation once it's not needed

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Description:
Ambu baloon with the action to push it, will increase saturation when the push is performed if there's nothing obstructing the mouth, otherwise will exponentially reduce the saturation until sucking or, if done too much, until tracheotomy with suction is performed, would be cool to allow the connection to the ambu to the intubation or the tracheotomy mask

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Description:
Manual defibrillator in the medical facilites, we can add a certain chance of the AED to not function properly and that would require the patient to be transported to the medical facility where the manual defibrillator is available (and only usable by doctors by default) that would then check the patient and shock it on his will.
This would couple very well with the feature below

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Description:
A multiparametric screen able to be attached to the patient with a UI on it, it will then display the status of the patient with the SpO2, the SpCO2, and the rhythm (a picture that we can change, as generating it mathematically sounds like a nightmare, we can make a collection of PAAs for the conditions we want to show), this would couple well with a manual defibrillator because we can create our own statuses on the patient like a ventricular fibrillation, show the image on the screen that the doctor can then compare against a card (or not, and they do it the hard real way) and decide to shock it or use other medications (like amiodarone) to cardiovert the patient.
We should have a settings that allow the users to choose if they want this feature enabled or have the simple way, in case of the latter the AED will always work and it will cardiovert every condition.