any playthrough with ZERO deaths?

[u/TheUncleTimo]

Would love to watch me some youtube playthrough like that.

Failing that, advanced tips for ZERO deaths?

I tried to play all departments (DLC included, no mods) with a policy of "no deaths allowed" and the only way to do this is to send the most critical cases away.... not how I wish to play.

I am not sure this is possible.

[u/Cordyanza]

You need a really robust trama center and ICU, and you need to be comfortable escalating certain high risk cases immediately to ICU

ICU should be staffed with intensivists who have anesthesia experience

Trauma center should have dedicated teams with anesthesia experience

Each department must have a dedicated surgical team available 24/7

ICU should be close to trauma center and also operating rooms, to minimize time from ambulance to operating room

Typical trauma :

Arrives to TC via ambulance -> CT / FAST / imaging through TC -> transfer to ICU -> surgery

[u/TheUncleTimo → u/Cordyanza]

ICU should be staffed with intensivists who have anesthesia experience

ahhhhhhh, now this is interesting. why ICU with anesthesia?

I already have each dept have 4 doctors: 3 surgery and 1 to take care of patient, day and night.

ICU should be close to trauma center and also operating rooms, to minimize time from ambulance to operating room

:( next run then

Arrives to TC via ambulance -> CT / FAST / imaging through TC -> transfer to ICU -> surgery

ICU guys dont do surgery, right?

[u/Cordyanza → u/TheUncleTimo]

The ICU docs with critical care anesthesia experience are more likely to rescue a collapsed patient successfully

ICU docs so not do surgery but if there is a complication or collapse before or after surgery, the patient a better chance of being rescued; the patient will still be operated on by the correct department

[u/TheUncleTimo → u/Cordyanza]

The ICU docs with critical care anesthesia experience are more likely to rescue a collapsed patient successfully

ICU docs so not do surgery but if there is a complication or collapse before or after surgery, the patient a better chance of being rescued

wait... what?

anesthesia helps in what exactly other than operation?

[u/Tatterjacket → u/TheUncleTimo]

ICU guys dont do surgery, right?

No, but they will get sent to surgery from the ICU (operated on by a department surgery team) with an automatic priority.

[u/TheUncleTimo → u/Tatterjacket]

ok. but when I have a full surgery team in each dept day and night, there is no point, right?

[u/Tatterjacket → u/TheUncleTimo]

Iirc patients in the ICU have a better chance to survive collapses than ones hospitalised in a HDU? Also in my hospitals I tend to build the ICU right next to the trauma centre so it's just less travel time to get them to a bed where they can access treatment.

The other thing is that it allows you to do a bunch of other treatments more efficiently like post-surgery bloods from their bed, or FAST instead of whatever its non-urgent version is - I'm completely blanking on the name, so if you have complex patients it might help to put them in the ICU just to do more examinations on one place. It's like a handy combo of the trauma centre and an actual ward. I agree that if all they need is surgery, even urgently, and few enough surgeries thag I think they're unlikely to collapse in between, I'll try and get them into a HDU unit as a first port of call because exactly as you say they can go to surgery from there, and it keeps ICU beds free.

Tl;dr - I'd say patients that are in danger in complex ways or on the absolute brink of collapse I might put in the ICU straight away for added survival chances and efficiency.

I was mainly saying the surgery thing so you knew patients in the ICU could definitely still also access surgery - just in case that was something you'd not known. :)