Pawns performing medicine need to fix the worst injuries first

[CrazyEyes]

It's utterly stupid that they don't.  I can't count how many colonists I've lost because it was right down to the wire with their blood loss and the doctor decided to bandage their shot pinkie toe rather than their shredded heart.

I can deal with losing a colonist because a scyther got a lucky headshot.  Hell, even the ridiculous surgery failures don't bother me as much as they do others.  But this is downright stupid.  Why are my doctors seemingly rolling the dice to see which wound to fix next when they should be dealing with the most life-threatening stuff first?  It's basic triage.

[tmo97]

lmao YES. 

[cotocobr]

Up!

[Lurmey]

Bump. This seriously needs fixing, it's so aggravating seeing my doctor tending to stupid bruises before seeing to the person's neck that's gushing blood from a shotgun blast. Seriously, why did Tynan make them prioritise the smallest wounds before the largest?

[b0rsuk]

Current implementation makes it very hard to ration medicine. 60 medicine in second year is low if you're playing melee colony.

[makkenhoff]

Medicine in general is getting some work done for A17, just for those who are keep track of this topic.

[CrazyEyes]

Yeah, I posted this same suggestion on Reddit and Tynan replied saying changes were in the works.  Fingers crossed.

[BetaSpectre]

+1 Though unless there's a combat realism mod it's not that bad.

[Lurmey]

+1 Though unless there's a combat realism mod it's not that bad.

There is a mod literally titled "Combat Realism", and I happen to be using it. It's been taken off the workshop though because I think the original developer has returned and is remaking it as "Combat Extended". Don't quote me on that though, as I'm not 100% certain.

[SpaceDorf]

Aaaaw come on guys, I bet this tiny wooden splinter in the fingertip hurts a lot more than those crushed legs.

[RyanRim]

Aaaaw come on guys, I bet this tiny wooden splinter in the fingertip hurts a lot more than those crushed legs.

Yeah you dont feel the pain in a lost leg!

[nccvoyager]

Perhaps a "weighted" approach would be better than straight-up "all pawns treat most severe wounds first."

For example, a pawn with 1 medical skill would randomly work on injuries.
A pawn with 20 medical skill would be extremely "weighted" towards working on the most severe (let us say the most blood-loss-intense) injuries before others, though there is still a chance they would work on a lesser injury first.

This would allow for experienced doctors to work on the most severe injuries as a matter of course, while inexperienced colonists, with maybe a basic first aid course at best, just do the best they can.
(Going through occupational first aid level 1, I was taught to treat wounds as I found them, not by the severity.)

[charkesd]

make it the same as failure rate

WHICH SHOULD BE MUCH LOWER IM TRYING TO FIT 10 PAWNS WITH COMPLETELY NEW BODIES OVER HEE DO YOU KNOW HOW MANY LOADING SAVED GAME SCREENS I HAVE TO SIT THROUGH

[Lurmey]

Perhaps a "weighted" approach would be better than straight-up "all pawns treat most severe wounds first."

For example, a pawn with 1 medical skill would randomly work on injuries.
A pawn with 20 medical skill would be extremely "weighted" towards working on the most severe (let us say the most blood-loss-intense) injuries before others, though there is still a chance they would work on a lesser injury first.

This would allow for experienced doctors to work on the most severe injuries as a matter of course, while inexperienced colonists, with maybe a basic first aid course at best, just do the best they can.
(Going through occupational first aid level 1, I was taught to treat wounds as I found them, not by the severity.)

I like the sound of this. I too was taught to treat wounds as and when they are found as opposed to tallying up every wound and treating the worst ones first, but that's simple first aid, not suturing gunshot wounds and lost limbs. It does still, however, make a lot more sense for more experienced doctors to treat the worst wounds first, making it more important to try and keep your best doctors out of direct combat.

Plus, like you said, an inexperienced doctor would just do the best they can. Although, I did have one incident where my doctor, Prissy, fought a scyther in hand-to-hand combat. With her hyperweave jacket, she only got a bunch of bruises but lost her left hand. The inexperienced (medicine level 2) colonist that had to treat her decided to tend to her missing hand LAST. Anyone with any common sense would surely bandage the wrist that's gushing blood all over the room before tending to petty bruises.

[nccvoyager]

I like the sound of this. I too was taught to treat wounds as and when they are found as opposed to tallying up every wound and treating the worst ones first, but that's simple first aid, not suturing gunshot wounds and lost limbs. It does still, however, make a lot more sense for more experienced doctors to treat the worst wounds first, making it more important to try and keep your best doctors out of direct combat.

Plus, like you said, an inexperienced doctor would just do the best they can. Although, I did have one incident where my doctor, Prissy, fought a scyther in hand-to-hand combat. With her hyperweave jacket, she only got a bunch of bruises but lost her left hand. The inexperienced (medicine level 2) colonist that had to treat her decided to tend to her missing hand LAST. Anyone with any common sense would surely bandage the wrist that's gushing blood all over the room before tending to petty bruises.

Indeed.
Perhaps something based upon "seeing" a wound?

*Background Diagnostic*
Look at the pawn as a whole.
Check if there is a wound.
*Background Diagnostic End*
Can the tending pawn "see" it immediately? (Not covered with clothing, like a hand or eye, or visibly bloody, like a gunshot.)
Tend to that first.
Bones would be tended to last since it is most difficult to diagnose fractures. (Since in RimWorld bones never seem to break the skin, and can always be set almost perfectly even by inexperienced pawns, they must be partial breaks only, and therefore cannot be diagnosed easily. Unless instant portable X-Rays. Then, you know. Stuff.)