SCAV TRIAGE
Help, I am dying!
Don't panic! Out of all these horrible afflictions and states, your own panic is the largest threat!
Stay frosty! The minigames require fine control, and the body of your Expie will actively fight you every step of the way, so be ready to act when things don't go the way you expect!
Be careful! Spending 5 extra seconds to inject the right amount of morphine is much better than overdosing and instantly dying due to hypoxia.
Triage priority:
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Active threats.
Get to safety. Drug up if you cannot bear the pain.
Do not go into woundview if you cannot spare AT LEAST 10 seconds uninterrupted.
If going into agonizing shock is possible, USE OPIOIDS (sorted by potency, ascending).
You WILL go through withdrawal afterwards, but saving your life right now is the top priority.
Prioritize getting into safety ASAP!!- PAINKILLERS: 4 sips
- OPIUM: 50% of the syringe
- MORPHINE: 25% of the syringe
- COMBAT PEN
- HEROIN: 15% of the syringe (careful!)
- FENTANYL: 5-8% of the syringe (careful!)
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Low blood pressure (hypotension).
Increase blood pressure. Do not pass out due to hypotension before you can heal yourself.
Blood pressure lower than 90/60?
USE ANYTHING TO COMBAT HYPOTENSION (sorted by convenience+potency, descending)
If your pressure is CRITICALLY LOW (less than 70/50) and your blood volume is less than 3.5 liters quickly treat hypovolemia to avoid losing consciousness before wound control by injecting blood, ringer's or saline (point 5). Return to this step once complete.- Combat pen
- Vasopressin
- Hard stimulants
- Medical/off-brand stimulants
- Coffee
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Internal bleeding.
Do not bleed into your guts.
Hover over chest and abdomen. Is the bleedrate higher than 0.20l/m combined?
USE COAGULANTS IMMEDIATELY TO AVOID HEMOTHORAX. (sorted by potency, descending)
No coagulants? Fill up missing blood and pray.
NOTE! COAGULANTS INCREASE BLOOD VISCOSITY! BE CAREFUL WITH LOW BLOOD PRESSURE OR IF YOU'RE SHOWING SIGNS OF FIBRILLATION!- Procoagulant (DO NOT INJECT THE WHOLE SYRINGE!)
- Local Resuscitation Device on chest (DO NOT USE MORE THAN TWICE TO AVOID OPIUM OVERDOSE!)
- Clotting Mush
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Open bleeding.
Do not bleed onto the ground.
Go from HIGHEST TO LOWEST intensity, as specified by bleeding icons. Prioritize RED and DARK ORANGE blood icons.
Remember the viscosity warning from step 3!
Prioritize stabilizing multiple wounds instead of fully healing a single one! Bleeding intensity grows exponentially with the severity of the wound!
For extremely severe bleeding or traumatic amputation (>0.8l/m) use medical suture or wound glue immediately or apply a tourniquet!
If you do not have functional hands or jaw, use medical suture or wound glue as it does not require you to go through the bandage minigame.
Consider using adhesive bandages or wound glue even on severe wounds if you are not sure whether you will be able to bandage the bleeding quickly enough as they do not require you to go through the bandage minigame.
Be careful with wound glue, as it is a potent hypercoagulant (blood thickener)!
Otherwise, use dressings EVEN OVER SHRAPNEL. The game does not account for it. (sorted by potency, descending)- Plastic dressing
- Sterilized dressing
- Alginate dressing
- Dressing
- Medical gauze
- Oil rag
- Ripped dressing
- Mush arm
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Low blood volume (hypovolemia).
Refill liquids to avoid arrhythmia.
To avoid cardiovascular complications, if your blood volume is below 3.5l, infuse with blood/substitutes until you reach at least 3.5l (unsorted).
Ringer's and Saline also decrease thirst which may cause complications if you are already full on water!
Blood can be crafted from alien blood sacs and bio-chem which commonly drop from shade crawlers. Do not go looking for them at this step and avoid using alien blood unless absolutely desperate!
You can use any syringe to inject blood!- Blood bag
- Ringer's solution
- Saline bag
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Arrhythmia and fibrillation.
Do not die from a heart attack.
Observe your ECG. It should follow the sinus rhythm: small bump (P), spike (Q, R, S), small bump (T), pause, repeat.
In case the patterns seem irregular even slightly, DEFIBRILLATE IMMEDIATELY TO AVOID CASCADE!
Inject EPINEPHRINE or COMBAT PEN if you're reaching stages 2-3 to avoid cardiac arrest!
Autodefibrillator: align pads, press button, wait, administer shock.
Manual defibrillator: align pads, observe rhythm, rotate the dial to choose voltage, press "CHARGE", wait for charge (2-3 seconds), administer shock.
If your heart rhythm is RAPIDLY COLLAPSING AND BECOMING MORE FLAT, equip an autopump. It will ensure that you will stay conscious even during asystole.
SIGNS OF FIBRILLATION, FROM LEAST TO MOST SEVERE, WITH ROUGH VOLTAGE FOR EACH STAGE:- Second small bump (T) disappears. 30-40v.
- The spike grows more uniform (Q, R, S all look to be about the same length). 50-70v.
- First bump disappears (P). 90-100v.
- Spike (Q, R, S) looks more like a large bump. >120-130v.
- Flatline! Inject EPINEPHRINE immediately if you haven't, wait for restart, then 150v!
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Sepsis.
Cut off your arm to avoid sepsis and total organ failure.
If your infection has spread to a healthy limb without skin damage, you are entering sepsis.
Sepsis can cause severe cardiovascular damage, fever, reduction of consciousness and severe pain.
Early stages of sepsis are recoverable without amputation, however, as long as you have antiseptics and antibiotics this situation should not arise in the first place!
If you do not want to lose the limb and think that amputation is not necessary, you can keep looking for antibiotics and antiseptics, such as antiserum and ceftriaxone.
IF YOUR SEPSIS IS REACHING MEDIUM-LATE STAGES (>3 infected limbs with PURPLE or DARK PURPLE icon, medium sepsis moodle) YOU WILL HAVE TO AMPUTATE THE INFECTED LIMB TO SAVE YOUR LIFE!
In order to amputate your limb, you need: a tool with any amount of cutting quality, even a flimsy knife; at least one full roll of decent quality dressing or wound glue; opiates for pain relief; any antiseptic, even a single glowfruit.
The surgery:- Use 50–75% of the recommended dose for your opioid from point 1. DO NOT USE TOO MUCH, BE MINDFUL AND OBSERVE YOUR STATE! BEING TOO HIGH IMPAIRS YOUR MOTOR SKILLS!
- Use the cutting tool on limb. You will have to play through the amputation minigame.
- Once the amputation is complete, the stump (remaining limb) might start bleeding. Stop the bleeding with the prepared roll of dressing or wound glue.
- Disinfect the wound.
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Depression and misery.
Avoid slitting your wrists.
Avoid opiates unless your mood drops below -70 AND you are in a health-threatening or self-harm situation. Even the worst stages are recoverable without drug use!
Use opiates only if you are in danger of self-harm (below -75 mood), suicide (below -90 mood) or in a threatening scenario.
Otherwise, use antidepressants.
Opiate dosage is about 4 times less than recommended dosages in point 1. Avoid using stimulants.
Avoid: unnecessary pain, looking at corpses, eating bad food or drinks, getting sick (by eating bad/sickening food or using certain drugs).
Seek out: contact with other survivors, high quality rest, fatty and/or tasty food, tinkering with things (successfully crafting an item for the first time gives a small mood boost).
YOU ARE NOW STABLE
Less critical injuries such as dislocations, fractures, shrapnel or infections are not covered here. It is wise to disinfect your wounds, pull out all the shrapnel, set up splints and plan out how you will have to act after an injury, but you should NEVER prioritize those actions over immediate medical aid.
Rare conditions such as stroke, heart failure due to excessive weight or toxins in bloodstream are not covered here.

~your local toaster anon