Guide to medicine: Difference between revisions

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{{Speech
{{Speech
|name=Chief Medical Officer Kingston
|name=Chief Medical Officer Patches-The-Wounds
|text=Doctor! I need you to tear out that man's appendix, throw that clown out of medical, and stitch up that librarian's face!
|text=Doctor! I need you to tear out that man's appendix, throw that clown out of medical, and stitch up that curator's face!
|image=[[File:Generic_cmo.png|64px|right]]
|image=[[File:Generic_cmo.png|64px|right]]
}}
}}
 
Medical care is serious business, and going halfway with your medical treatment can result in someone dying or worse. Make sure you know what you're doing before you try to fix someone up!
Medical care is serious business, and going halfway with your medical treatment can result in someone dying... or worse. Make sure you know what you're doing before you try to fix someone up!


If you're going to treat someone, you're going to have to know what tools you need, how to identify injuries, what machinery and facilities you must use, and how to keep people from dying while in treatment.
If you're going to treat someone, you're going to have to know what tools you need, how to identify injuries, what machinery and facilities you must use, and how to keep people from dying while in treatment.
=Diagnosing=
==Main Damage Types==
{|class="wikitable"
!Damage Type:!!Symptoms:!!Ways to get damaged:!!Treatment:
|-
|[[File:Brutefak.png|64px]]<br><font color=red><font size=3>'''Brute'''</font>||
* Bleeding.
* Bloodied clothing.
* Bloodied limbs.
|
* Being physically hit by almost anything deals brute damage.
* Some [[Guide_to_chemistry#Fluorosulfuric_Acid|chemicals]] can deal brute damage.
* [[Virus]] symptoms.
* Ballistic weaponry.
|
* [[Medical_items#Suture|Sutures]] when applied to the damaged limb.
* [[Guide_to_chemistry#Styptic_powder|Styptic powder]]
* [[Guide_to_chemistry#Synthflesh|Synthflesh]]
* [[Guide_to_chemistry#Libital|Libital]] (Deals damage to the liver)
* [[Cryoxadone]] in a [[Medical_items#Cryogenics Tube & Freezer|cryotube]] or a very cold environment.
|-
|[[File:Burnkit.png|64px]]<br><font color=orange><font size=3>'''Burn'''</font>||
* Beyond 200 burn damaged, the subject will be husked.
|
* High or low temperatures.
* Fire.
* Laser weaponry.
* Some [[Guide_to_chemistry#Phlogiston|chemicals]] deal burn damage.
* Electric shocks.
|
* [[Medical_items#Mesh|Mesh]] when applied to the damaged limb.
* [[Silver sulfadiazine]]
* [[Guide_to_chemistry#Synthflesh|Synthflesh]]
* [[Guide_to_chemistry#Oxandrolone|Oxandrolone]] pills. (25u [[Guide_to_chemistry#Superior_Healing_Medicines|overdose]] threshold.)
* [[Guide_to_chemistry#Aiuri|Aiuri]] (Deals damage to the eyes)
* [[Cryoxadone]] in a [[Medical_items#Cryogenics Tube & Freezer|cryotube]] or a very cold environment.
|-
|[[File:Oxykit.png|64px]]<br><font color=blue><font size=3>'''Suffocation'''</font>||
* Gasping.
* Passing out.
|
* Low oxygen atmosphere content.
* Blood loss.
* Critical condition.
* Some [[Guide_to_chemistry#Ephedrine|medicines]] and [[Guide_to_chemistry#Aranesp|drugs]] can deal suffocation damage.
* [[Virus]] symptoms.
* Missing a pair of lungs.
* Missing a heart, or having a heart that has stopped beating.
|
* CPR
* [[Epinephrine]]
* [[Salbutamol]]
* [[Perfluorodecalin]]
* [[Cryoxadone]] in a [[Medical_items#Cryogenics Tube & Freezer|cryotube]] or a very cold environment.
* If a person is missing a heart, replace their heart or give them [[Guide_to_chemistry#Corazone|Corazone]].
* If a person's heart has stopped beating, use a [[defibrillator]] and their heart should return to normal, or give them [[Guide_to_chemistry#Corazone|Corazone]].
|-
|-
|[[File:Toxkit.png|64px]]<br><font color=green><font size=3>'''Toxins'''</font>||
* Vomiting.
|
* Breathing toxic gases.
* Many [[Guide_to_chemistry#Toxins|chemicals]] deal toxic damage.
* Alcohol abuse.
* [[Radiation]]
* Incorrect blood types.
|
* [[Charcoal]]
* [[Guide_to_chemistry#Anti-Toxin|Anti-toxin]] (30u [[Guide_to_chemistry#Core_Healing_Medicines|overdose]] threshold.)
* [[Guide_to_chemistry#Pentetic_Acid|Pentetic acid]] 
* [[Guide_to_chemistry#Calomel|Calomel]]
* [[Cryoxadone]] in a [[Medical_items#Cryogenics Tube & Freezer|cryotube]] or a very cold environment.
|-
|}


== Identification ==
==Special Damage Types==
 
{|class="wikitable"
First of all, grab a [[File:MedGlasses.png]] [[Medical_items#Health_Scanner_HUD|Health Scanner HUD]] from the medical storage and wear it. It shows the patient's overall health condition and therefore shows you instantly who you should treat first from a group of patients. Identification is the first and foremost step in administering treatment. Here are ways to identify the type of injuries a person may have:
!Damage Type:!!Symptoms:!!Ways to get damaged:!!Treatment:
 
|-
=== Seven types of damage ===
|[[File:Clone.gif|64px]]<br><font color=purple><font size=3>'''Cellular'''</font>||
 
* Overall less health.
* Humans can be hurt in seven different ways: '''Suffocation''', '''brute''', '''burn''', '''toxin''', '''cellular''', '''brain damage''' and  '''bleeding'''.
|
* You want the patient to be as healthy as possible, so you have to heal all of these, and they have to be '''treated individually''' (unless you use a chemical which heals multiple damage types at once).
* Slimes.
* The overall health status (from 100% to -100%) is determined by adding these damages together, except brain damage. If there are 0 damages, the patient is '''perfectly healthy (100%)'''.
* Incomplete cloning.
* If the patient has taken summarily 100 damage (except for bleeding), he will be in a '''critical condition (0%)'''; lying on the ground, unresponsive and ''gasping'' for air. When in this condition, the patient cannot breathe on their own and will gradually take suffocation damage until '''death (-100%)'''. This kills the patient.
* Alien weaponry.
* Bleeding is different from the basic six types of damage. See below for a more extensive explanation.
|
 
* [[Cryoxadone]] in a [[#Cryogenics_Tube|cryotube]].  
* You can identify these different damage types easily by using your [[PDA]] with the Med-U Cartridge inside and Health Scanning enabled, or a [[Medical_items#Health_Analyzer|Health Analyzer]] on the patient. You can also '''examine''' the patient (shift-click), but it only shows basic information.
* [[Rezadone]]
* If a Health Analyzer or a PDA with a Med-U Cartridge is not available, '''observing''' the patient and their surroundings will help with diagnosis:
|-
:* If there is a pile of '''vomit''' next to, or under the patient then they are most likely suffering from [[Guide_to_medicine#Toxins|toxin damage]].
|[[File:Brain.png|64px]]<br><font color=pink><font size=3>'''Brain'''</font>||
:* If there is blood everywhere, blood on the person dying, or the patient has '''severe bruises''', they are suffering from [[Guide_to_medicine#Brute_Damage|brute damage]].
* [[Brain Traumas]]
:* If the patient has black scars across their body and no blood, or the patient has '''severe burns''', they have been [[Guide_to_medicine#Burns|severely burned]].
* Gibbering.
:* If the patient is gasping, they are most likely [[Guide_to_medicine#Suffocation|suffocating]].
* Lack of control.
:* If the patient keeps fainting, trails drips of blood as they walk or is unresponsive to other forms of "healing" they may be [[Guide_to_medicine#Bleeding|bleeding]] or be suffering from blood-loss
|
:* If the patient reports other symptoms such as headaches, coughing or vomiting blood, they most likely have a [[Infections|virus]].
* Imperfect cloning.
 
* Certain chemicals such as [[Guide_to_chemistry#Mercury|mercury]], [[Guide_to_chemistry#Impedrezene|impedrezene]], or [[Guide_to_chemistry#Fentanyl|fentanyl]]
===Your first patient===
* Abusing certain [[Guide_to_chemistry#Narcotics|narcotics]].
 
* [[Chaplain]]'s bible applied to the head.
Your patient can arrive in two ways:
* [[Infections#Infection_Listings|Brainrot]]
 
* Physical damage to the head.
'''1. The patient walks in and needs treatment.'''
|
:''"PLS DOC HLEP!!"'' You can see the patient's overall health status with your Health Scanner HUD with just a glance, however this will only tell you how serious the situation is and how quickly you need to act.
* [[Guide_to_chemistry#Mannitol|Mannitol]]  
 
* [[Surgery#Brain_Surgery|Brain Surgery]].
:How to act:
|-
 
|[[File:Brain.png|64px]]<br><font color=pink><font size=3>'''Trauma'''</font>||
:* Use your PDA or a Health Analyzer on the patient to identify the damage type.
* See [[Brain Traumas]] for the effect of brain traumas.
:* Proceed with the necessary treatment found in the next chapter.
|
 
* Brain damage.
'''2. The patient is dragged into Medbay and is in critical condition.'''
|
:The patient is unresponsive to the environment, on the floor, and gasping for air.
* [[Surgery#Brain_Surgery|Brain Surgery]], treats Severe traumas.
 
* [[Guide_to_chemistry#Neurine|Neurine]], treats Minor and Special traumas.
:How to act:
* [[Surgery#Lobotomy|Lobotomy]], treats 'deep-rooted' traumas.
 
* Some [[Guide_to_Nanites#Healing_Programs|Nanites]] and [[Virus#Symptoms_Table|viruses]] treat brain traumas.
:* The first thing you should do is administer [[Epinephrine]]. Epinephrine stops the general decline of the critical patient's health, and helps treat wounds if the patient is in low to severe critical (but not if they're almost dead).  Don't give them more than 30 units of it, as that will cause toxin damage. 
|-
:* If Epinephrine is not present, immediately perform CPR at least a few times to ensure the patient stays alive until you do the following step.  Make sure they're also not suffering from any other major problems, like being on fire, or in a low pressure environment.
|[[File:DoubleESword.png|64px]]<br><font color=crimson><font size=3>'''Dismemberment'''</font>||
::'''NOTE: CPR on it's own will not heal someone unless they are only suffering from suffocation damage. If they are in crit BECAUSE of burn/brute/toxins it will only keep them from dying. Remember to drag someone to the Medbay whilst administering CPR instead of sucking their face in the hallway for ten minutes like an idiot.'''
* Missing a limb or limbs.
:* Now you have two options:
* Inability to do functions that required said limb or limbs.
:# Strip the patient's space suit off if they have one and put the patient into a [[Medical_items#Cryogenics_Chamber_.26_Freezer|cryochamber]], wait for them to heal up and eject.
|
:# Or (if you are a robust enough doctor) quickly identify the damage type and apply the needed treatment (found in next chapter), this is a much faster method but has its risks.
* Strong physical forces, such as explosions.
 
* Getting hit by strong, sharp objects such as swords.
== Treatment ==
** Patients who experience severe trauma to the chest may have their organs spill out, but the torso will remain intact, aka disembowlment.
 
* Amputation via [[surgery]].
===[[File:O2med.png]] Suffocation===
|
This is the first and most important to look out for. It is not visible on the body, but people suffering it will ''gasp for air''. On the Health Analyzer, it is the leftmost, blue damage type.
* [[Surgery#Prosthetic_Replacement|Prosthetic replacement]] via [[surgery]].
 
** Cyborg limbs may be used. Robotics can produce cyborg limbs, but there is also a crate of cheap prosthetic limbs in Medbay Storage.
'''Ways of getting damaged:'''
** Organic limbs may be used. In most cases a detached limb can be found and reattached. However, all the limb's damage will be transferred to the patient, so be ready to treat brute and bleeding. Any organic limb will also cause toxin damage when replaced.
 
** Synthetic limbs from a [[Guide_to_advanced_construction#Limb_Grower|limb grower]] may be used. The limb grower can only produce arms and legs, unless [[Emag|emagged]].
* Being in an area without enough oxygen present will slowly suffocate you.
|-
* Once you are in critical condition, you can't breathe and will suffocate.
|[[File:Blood Pack.png|64px]]<br><font color=red><font size=3>'''Bleeding'''</font>||
* An [[Ephedrine]] overdose deals suffocation damage at 45u.
* Suffocation damage.
* A [[Nicotine]] overdose deals suffocation damage at 35u.
* Bleeding, duh.
* A [[Histamine]] overdose deals suffocation damage at 30u.
|
* An [[Omnizine]] overdose deals suffocation damage at 30u.
* 30 brute damage to a limb will cause it to start bleeding.
* [[Cyanide]] deals very high amounts of suffocation damage.
* Certain chemicals such as [[Guide_to_chemistry#Heparin|heparin]].
* [[Zombie powder]] deals some suffocation damage.
* Certain virus [[Infections#Symptoms_Table|symptoms]].
 
|
'''Treatment:'''
* Gauze will temporarily stop bleeding.  
 
* IVs for blood transfusion. '''READ BELOW'''
* If a person is in crit, you can CPR them. Remove your and patient's masks and helmets, switch to help intent and click on them.
|}
* If a person is not in critical condition, and they have no bad chemicals in their bloodstream, placing them in an oxygen-filled area will suffice.
===Treating Bleeding===
* [[Epinephrine]] prevents the person from taking more than 35 suffocation damage, but does not treat it.
* [[Salbutamol]] slowly treats suffocation damage. It also binds lexorin very quickly.
* [[Perfluorodecalin]] instantly heals ''all'' suffocation damage.
* [[Cryoxadone]] in a [[Medical_items#Cryogenics Tube & Freezer|cryotube]] or a very cold environment heal most types of damage, including suffocation.
* [[Orange juice]] isn't the most effective cure, but it does help a bit when no other options are available
 
===[[File:SMed.png]] Brute Damage===
This is a straight-forward damage category. This is far right damage type on Health Analyzer. Brute wounds are visible, and limb specific.
 
'''Ways of getting damaged:'''
 
* Being physically hit by almost anything is brute damage.
* Some chemicals can deal brute damage.
 
'''Treatment:'''
 
* Bruise packs can be applied to the damaged limb. Use a medical scanner or ask the patient to examine themselves.
* [[Styptic powder]] and [[synthflesh]] heals brute damage instantly.
* [[Bicaridine]] from a sleeper or chemistry heals brute damage over time. Do not administer more than 30u, however.
* [[Saline-glucose solution]] heals brute slowly.
* [[Cryoxadone]] in a [[Medical_items#Cryogenics Tube & Freezer|cryotube]] or a very cold environment heal most types of damage, including brute.
* Food can heal brute damage slowly.
* Milk, bilk, soy milk, soy latte, cafe latte, and cream can heal it very slowly.
* There are some job-specific ways of healing it: donuts heal security, bananas and banana juice heal clowns and monkeys, "nothing" in mime's bottle of nothing heals mimes.
 
====[[File:Blood Pack.png]] Bleeding====
After a limb sustains 30 brute damage, it will start bleeding.
 
IVs and gauze will temporarily provide relief from bleeding. [[File:IV Drip.png]]
 
'''WARNING: Incorrect blood types are toxic to the patient, and will not replenish their blood!'''
'''WARNING: Incorrect blood types are toxic to the patient, and will not replenish their blood!'''
{| class="wikitable" style="text-align:center; font-size: 75%;"
{| class="wikitable" style="text-align:center; font-size: 75%;"
|+ Blood compatibility table
|+ Blood compatibility table
Line 221: Line 263:
| [[File:Yes.png]]
| [[File:Yes.png]]
|}
|}
 
'''Treating Bleeding'''
'''Treating bloodloss:'''
# Bandage wound with a medical gauze to stop bleeding.
# Bandage wound to stop bleeding.
# Locate brute damage.
# Locate brute damage.
# Treat brute damages above ~30 to halt bleeding.
# Treat brute damages above ~30 to halt bleeding.
# Assess blood levels, if low or critical, proceed with blood transfusion.
# Assess blood levels, if low or critical, proceed with blood transfusion.
# If blood transfusion is unavailable, blood will be naturally produced by the body, albeit slowly.
# If a blood transfusion is unavailable, blood will be naturally produced by the body, albeit slowly.
# Iron and most foods will improve blood regeneration.
# Iron and most foods will improve blood regeneration.
'''Blood transfusion:'''
'''Blood transfusion:'''
# Use medical scanner on patient to find blood type.
# Use medical scanner on patient to find blood type.
# Obtain blood pack from surgery, virology, or cargo.
# Obtain blood pack from [[surgery]], [[virology]], or [[cargo]].
# If no compatible blood packs are available, use a bottle of saline-glucose solution instead for the transfusion.
# Make sure IV drip is in the blue "inject" mode. You toggle this by clicking the IV drip when nothing is attached to it.  
# Attach blood pack to IV drip.
# Attach blood pack to IV drip.
# Ensure the drip is on 'give' blood and not 'take' blood by right-clicking it.
# Click-drag IV drip onto patient.  
# Click-drag IV drip onto patient.
# Check up on patient's blood levels regularly, this process moves quickly.  
# Check up on patient's blood levels regularly, this process moves quickly.  
# Detach patient from IV drip by click-dragging the IV drip onto the patient again or simply clicking the IV.
# Detach patient from IV drip by click-dragging the IV drip onto the patient again, or simply clicking the IV. If you forget this the patient will take some brute damage from the needle being ripped out.  
# Detach blood pack by clicking on the IV drip.
# Detach blood pack by clicking on the IV drip.
'''Blood donation:'''
'''Blood donation:'''
# Attach empty blood pack to IV drip.
# Make sure IV drip is in the red "take" mode. You toggle this by clicking the IV drip when nothing is attached to it.
# Ensure IV drip is on "take" mode by right clicking it.
# Attach a beaker or an empty blood pack to IV drip.
# Attach to a donor by click-dragging it onto the donor.
# Attach to a donor by click-dragging it onto the donor.
# Blood pack will automatically fill. The alarm will sound if patient's blood levels reach critical.
# Blood pack will automatically fill. The alarm will sound if patient's blood levels reach critical.
# Detach IV drip by click-dragging it onto the donor again or simply clicking the IV.
# Detach IV drip by click-dragging it onto the donor again or simply clicking the IV.
# Click on IV drip to eject blood pack, label appropriately.
# Click on IV drip to eject the beaker or blood pack. Label appropriately.
{{anchor|Organ_Damage}}
===Organ Damage===
{{Anchor|Organ Damage}}
Organ damage occurs regularly in decaying bodies, and irregularly in living ones under specific conditions. There are five main internal organs of note: the heart, the brain, the lungs, the liver, the stomach, and the appendix. Organs all have 100 health, which decays at a set amount in dead bodies per second, and regenerates a variable amount of health in living, well fed, bodies. A brief description of each organ, including their function, what damage does to them, and how to fix said damage, is as follows:
* '''Heart:'''[[File:Heart.png|50px]]This organ is responsible for pumping blood throughout the body, and it is the target of [[Medical_Doctor#The_Spark_of_Life|defibrillation]].
**'''Heart damage''' is accumulated by a heart being in a non-living host, reaching an inoperable state within 5 minutes in a corpse. After a particular threshold of heart damage is taken, the heart is considered ''damaged'' - this will cause shortness of breath, and if the organ is damaged to the point of ''failure'', it can cause heart attacks, which will rapidly result in death unless defibrillation is applied with haste.
**'''Heart attacks''' can be prevented with [[Guide_to_chemistry#Corazone|Corazone]]s, but it will not heal the underlying heart damage. In the case of a need for immediate emergency heart healing, a [[Surgery#Coronary_Bypass|coronary bypass]] can be done, but a heart can only have this done ''once'' to it, and it will bring it back from failing to functional.
**'''Replace the heart''' in an emergency with a fresh or cybernetic heart. Cybernetic hearts have different benefits to a normal heart. A cybernetic heart will reset itself after 5 seconds, should it stop, and an upgraded cybernetic heart grants [[epinephrine]] when a patient is in critical condition, and it reduces the reset timer to just 5 seconds. If there is no spare heart, perform a [[Coronary Bypass]] on the patient. Note that this can only be done once per heart.


===[[File:Bmed.png]] Burns===
* '''Lungs:'''[[File:Lungs.png|50px]]This pair of organs is responsible for oxygenating blood, and promoting typical respiration.
**'''Lung damage''' is currently only accumulated via them being inside a decaying corpse, and ''damaged'' lungs will create shortness of breath and heightened oxygen consumption, similar to a damaged heart.
**'''Failing lungs''' will be unable to respirate properly, causing suffocation. In the case of a need for immediate emergency lung healing, a [[Surgery#Lobectomy|Lobectomy]] can be done, but a pair of lungs can only have this done ''once'', and it will bring them back from failing to functional.
**'''Replace the lungs''' in an emergency with a fresh or cybernetic pair. Cybernetic lungs have different benefits to normal lungs and can be modified with a crowbar to improve breathing, but this takes more oxygen. Cybernetic lungs also allow you to survive in low pressure environments, and filter out low levels of bad gasses. A [[Surgery#Lobectomy|Lobectomy]] can be performed if you lack a spare pair of lungs. Note that this can be only done once per pair of lungs.


This is a straight-forward damage category. This is the damage type second to the right on Health Analyzer. Burns are visible, and limb specific.
* '''Brain:'''[[File:Brain.png|50px]]This organ is responsible for piloting the bundle of flesh and bone that is your corporeal body.
**'''Brain damage''' is accumulated through a number of means, from taking dangerous narcotics, to being beaten on the head with weapons.
**'''Mental Traumas''' can form due to too much brain damage, which can be identified and combated as detailed in this guide. Brains have 200 organ health and decay much slower than other organs for balance reasons.
**'''Performing [[Surgery#Brain Surgery|Brain Surgery]]''' will heal a portion of brain damage, and [[Mannitol]] will heal the brain slowly when in the body. If someone dies from brain death, they will require [[Surgery#Revival|Revival Surgery]] once the brain is fixed.


'''Ways of getting damaged:'''
* '''Stomach:'''[[File:Stomach.png|50px]]This organ is responsible for processing any orally ingested substances.
**'''Stomach damage''' is currently only accumulated via it being inside a decaying corpse, and a damaged stomach will cause vomiting and paint, while a failing one will prevent digestion altogether. It is only repairable through a nutritious diet, so be sure to keep it healthy so you can continue eating and digesting!
**'''Replace the stomach''' in an emergency with a fresh or cybernetic stomach. Upgraded cybernetic stomachs can store up to 8 nutriment when well fed, this is returned if you get hungry.


* Temperature too high or too low causes burn damage. That includes coldness of space and being set on fire.
* '''Appendix:'''[[File:Appendix.png|50px]]This organ is all but entirely vestigial, and served no real purpose. The appendix is prone to suddenly becoming inflamed, which will cause large amounts of discomfort and vomiting, and if left untreated, will cause severe damage to the appendix, which will flood your system with toxins when failing. This organ be removed preemptively with no ill effects!
* Lazers deal burn damage.
* [[Thermite]] deals burn damage if taken internally, but it is a '''very''' rare case.
* Electric shocks deal burn damage.


'''Treatment:'''
* '''Liver:'''[[File:Liver.png|50px]]This organ is responsible for preventing toxin buildup and can purge toxins quickly under 3u. Too many toxins will prevent the liver from working correctly.
**'''Liver damage''' can be fixed by replacing the liver with a fresh or cybernetic pair. Cybernetic liver has different benefits to normal liver. It is resistant to alcohol poisoning and is very robust at filtering toxins. If there is no spare liver, you can perform a [[Surgery#Hepatectomy|Hepatectomy]]. Note that this can only be done once per liver.
= Identification =
First of all, grab a [[File:MedGlasses.png]] [[Medical_items#Health_Scanner_HUD|Health Scanner HUD]] from the medical storage and wear it. It shows the patient's overall health condition and therefore shows you instantly whom you should treat first from a group of patients. Identification is the first and foremost step in administering treatment. Here are ways to identify the type of injuries a person may have:
===Things to note===
* You want the patient to be as healthy as possible, so you have to heal all of these, and they have to be '''treated individually''' (unless you use a chemical which heals multiple damage types at once).
* The overall health status (from 100% to -100%) is determined by adding these damages together, except brain damage. If there are 0 damages, the patient is '''perfectly healthy (100%)'''.
* If the patient has taken summarily 100 damage (except for bleeding), he will be in a '''critical condition (0%)'''; lying on the ground, unresponsive and ''gasping'' for air. When in this condition, the patient cannot breathe on their own and will gradually take suffocation damage until '''death (-100%)'''. This kills the patient.
* Bleeding is different from other types of damage. See below for a more extensive explanation.


* Ointments can be applied to the damaged limb. Use a medical scanner or ask the patient to examine themselves.
* You can identify these different damage types quickly by using your health analyzer. You can also '''examine''' the patient (shift-click), but it only shows basic information.
* [[Silver sulfadiazine]] and [[synthflesh]] heal burn damage instantly.
* If a Health Analyzer is not available, '''observing''' the patient and their surroundings will help with diagnosis:
* [[Oxandrolone]] pills heal burn damage over time, and are more effective on severe burns.
:* If there is a pile of '''vomit''' next to, or under the patient then they are most likely suffering from [[Guide_to_medicine#Toxins|toxin damage]].
* [[Kelotane]] from a sleeper or chemistry will heal burn damage over time. Do not administer more than 30u to prevent overdoses.
:* If there is blood everywhere, blood on the person dying, or the patient has '''severe bruises''', they are suffering from [[Guide_to_medicine#Brute_Damage|brute damage]].
* [[Saline-glucose solution]] heals burn slowly.
:* If the patient has black scars across their body and no blood, or the patient has '''severe burns''', they are suffering from [[Guide_to_medicine#Burns|burn damage]].
* [[Cryoxadone]] in a [[Medical_items#Cryogenics Tube & Freezer|cryotube]] or a very cold environment heal most types of damage, including burn.  
:* If the patient is gasping, they are most likely [[Guide_to_medicine#Suffocation|suffocating]].
* [[Tomato juice]] can heal it very slowly.
:* If the patient keeps fainting, trails drips of blood as they walk or is unresponsive to other forms of "healing" they may be [[Guide_to_medicine#Bleeding|bleeding]] or be suffering from blood-loss
* There are some job-specific ways of healing it: donuts heal security, bananas and banana juice heal clowns and monkeys, "nothing" in mime's bottle of nothing heals mimes.
:* If the patient reports other symptoms such as headaches, coughing or vomiting blood, they most likely have a [[Infections|virus]].
===Races and You===
The setting of Space Station 13 is the future, and so you may encounter differing strange [[Guide_to_races|alien races]] about the station. Some of these particular xenos will require special treatment and attention.
* [[Preternis]] are a robotic-augmented species, and as such, most healing chemicals will have no effect on their robotic physiology. For proper healing, sent these victims to [[Robotics]]. Much like fixing the damage to prosthetic limbs, Preternis must be repaired with wires and welding. They must also recharge their internal batteries and will die if they run out of power. If one dies via lack of power their battery will need to be recharged before being revived, otherwise they'll die immediately after being brought back to life. This can be done by using an inducer on their chest but be wary that this will cause burn damage to the preternis. Once treated, have Robotics take them to an APC and let them feed on the power within.
* [[Plasmamen]] are sentient skeletons made of solidified plasma, which require specialized enviro-suits and plasma to breathe, and will ignite violently in reaction to a standard atmosphere. The main problem with them is that once they lose their environmental suits and plasma air tanks, you'll be left to treat a constantly igniting, suffocating skeleton. These are the same issues you'll encounter if you should happen to need to clone a plasmaman, as clones emerge from the cloner naked, which in this case means on fire and suffocating. Treatment of environmentally-compromised plasmamen should always begin with placing them under a shower and turning on the water. This will stop them from combusting infinitely, and allow you to address the issue of them needing to breathe. The Cargo department can order a Plasmaman Internals kit from Central Command, which includes a new environmental suit and plasma tank, which should be done urgently to prevent your patient from expiring (again). These can be applied by clicking and dragging the sprite of the other player to your own, and then clicking on the suitable equipment slots withe enviro-suit and plasma air tank in hand.
* [[Guide_to_races#Phytosian|Phytosians]] are sentient plants. Much like normal plants, they like being exposed to light, so being near a light source will slowly heal them - placing them next to a bright spotlight is an effective hands-off treatment method.
* Jelly and Slimepeople are sentient, humanoid slimes. Do not feed charcoal to them as it is toxic to them, and they can heal from chemicals normally toxic to other species. You can grind plasma at chemistry and have them drink it to heal and restore blood. Much like plasmamen they lack a heart, so if you wish to revive them you'll either have to implant a heart, or perform Brain Revival Surgery. Do not ever put them in cryogenics as the cold will kill them, if one happens to have cellular damage ask your chemist for [[Clonexadone]] to heal them with.
===Your first patient===
Your patient can arrive in two ways:


===[[File:Tmed.png]] Toxins===
'''1. The patient walks in and needs treatment.'''
This is the second from the left on the Health Analyzer. It is not visible, and usually people will have no clue they are poisoned (unless they're vomiting profusely). Thankfully it is easy to treat.
:''"PLS DOC HLEP!!"'' You can see the patient's overall health status with your Health Scanner HUD with just a glance. However, this will only tell you how serious the situation is and how quickly you need to act.


'''Ways of getting damaged:'''
:How to act:


* Breathing plasma deals toxic damage.
:* Use your Health Analyzer on the patient to identify the damage type.
* Many chemicals deal toxic damage.
:* Proceed with the necessary treatment found in the next chapter.
* Drinking a lot of alcohol deals toxic damage.
'''2. The patient is dragged into Medbay and is in critical condition.'''
* [[Synaptizine]] deals light toxic damage.
:The patient is unresponsive to the environment, on the floor, and gasping for air.
* High doses of [[radiation]] deal toxic damage.


'''Treatment:'''
:How to act:
 
* Mind the difference between chemical named "toxin" and toxic damage: the chemical deals toxic damage as long as it is present in bloodstream. Anti-toxins purge toxins and heal the damage. In extreme cases the person might be taking toxic damage faster than the anti-toxin can heal it! In these cases, you need to prioritise purging the toxic chemicals.
* Anti-toxin ([[Charcoal]]) heals toxic damage and slowly purges toxic chemicals.
* Pentetic acid heals toxic damage and purges toxins more quickly than charcoal, but deals some brute damage.
* Calomel purges toxic chemicals more quickly than pentetic acid but doesn't heal toxic damage, and will '''deal''' toxic damage if the patient has 20 health or more.
* [[Cryoxadone]] in a [[Medical_items#Cryogenics Tube & Freezer|cryotube]] or a very cold environment heal most types of damage, including toxic.
* Lime juice, tea, iced tea can slowly heal it.
* Vomiting heals some toxic damage. You can't control it, though.
 
=== [[File:Clone.gif]] Cellular damage ===
 
Rare kind of damage. It shows up on scanners and is visible on examination but exact numbers aren't shown.
 
'''Ways of getting damaged:'''
 
* Slimes. They deal cellular damage when they feed on someone.
* Cloned people will have cellular damage, unless the cloner is fully upgraded and the cloning was 100% complete.
* Decloners from [[Abductor]]s or [[Guide_to_research_and_development|R&D]].
 
'''Treatment:'''
 
* [[Cryoxadone]] in a [[#Cryogenics_Tube|cryotube]] or a very cold environment heal most types of damage, including cellular.
* [[Rezadone]] also heals cellular damage, and does not require a cryotube, but is hard to get.
 
Keep in mind that cellular damage is not related to genetic disabilities! They are different things, and must be treated separately!
 
=== [[File:Brain.png]] Brain damage ===
 
Nasty, makes people say stupid things and clunk their heads into airlocks along with blacking out.
 
'''Ways of getting damaged:'''
 
* Imperfect cloning.
* [[Mercury]], [[impedrezene]], and [[Guide_to_chemistry#Neurotoxin|neurotoxin]]
* Abusing [[Guide_to_chemistry#Narcotics|narcotics]].
* [[Chaplain]]'s bible applied to the head.
* [[Blood Cult|Unholy Water]]
* [[Infections#Infection_Listings|Brainrot]]
* Earthsblood from [[Guide_to_hydroponics#Plants|Ambrosia Gaia]].
 
'''Treatment:'''
 
* [[Mannitol]] pills or injections.
 
=== [[File:DoubleESword.png]] Dismemberment ===
 
Terrible yet common, dismemberment severely limits people: missing arms prevents one from holding items and missing legs slows down AND prevents holding items. Examination describes any missing limbs, but the missing limbs are usually visible on the patient.
 
'''Ways of getting damaged:'''
* Strong physical forces, such as explosions.
* Getting hit by strong sharp objects such as swords.
* Amputation via [[surgery]].
 
'''Treatment:'''
* Prosthetic replacement via [[surgery]].
** Cyborg limbs can be used. Robotics can produce cyborg limbs.
** Organic limbs can be used. In most cases a detached limb can be found and reattached. However, all the limb's damage will be transferred to the patient, so be ready to treat brute and bleeding; any organic limb will also cause toxin damage when replaced.
 
== Using Sleepers and Cryogenics ==


:* The first thing you should do is administer [[Guide_to_chemistry#Epinephrine|Epinephrine]]. [[Guide_to_chemistry#Epinephrine|Epinephrine]] stops the general decline of the critical patient's health and helps treat wounds if the patient is in crit. Don't give them 30 or more unit of it, as that will cause toxin damage.
:* If the patient is bleeding, apply a medical gauze. Dragging a bleeding patient will quickly drain their blood, unless you use a roller bed.
:* If [[Guide_to_chemistry#Epinephrine|Epinephrine]] is not available, immediately perform [[#CPR|CPR]] a few times to ensure the patient stays alive until you do the next step. Make sure they're also not suffering from any other significant problems, like being on fire, or in a low-pressure environment.
::'''NOTE: CPR on its own will not heal someone unless they are only suffering from suffocation damage. If they are in crit because of brute/burn/toxins/cellular damage it will only keep them from dying.'''
:* Now you have many options:
:# Take the patient to a [[sleeper]]. Drag the patient's sprite onto it to close it. Inject appropriate [[Guide_to_chemistry|chemicals]].
:# Strip the patient's space suit off if they have one and put the patient into a [[Medical_items#Cryogenics_Chamber_.26_Freezer|cryochamber]], wait for them to heal up and eject.
:# Use sutures, mesh, [[Guide_to_chemistry#Styptic_Powder|brute patches]], [[Guide_to_chemistry#Silver_Sulfadiazine|burn patches]], [[Guide_to_chemistry#Salbutamol|salbutamol]] or other appropriate medication. See next section for examples.
= Using Sleepers and Cryogenics =
=== [[File:Sleeper.gif]] [[Medical_items#Sleeper|Sleeper]] ===
=== [[File:Sleeper.gif]] [[Medical_items#Sleeper|Sleeper]] ===
Sleepers are useful for freeing up your hands when dealing with multiple patients. They allow you to treat individuals (even if they're dead!) without using resources such as sutures or chemicals, as well as sedate any unruly patients. They are typically best used when other, more critical patients demand your attention or when time isn't a concern.


Sleepers are a very important part of the medbay. They allow you to inject various chemicals, and have unlimited stocks of them. '''Always use sleepers over pills, patches and especially bruise packs and ointments!''' The latter are used by field medics, or when cryogenics treatment is not available. Keep in mind that when the patient's health is very low, sleepers become unusable, with the exception of [[epinephrine]].
When their matter bins are upgraded, their healing effectiveness on corpses is increased, which makes them perfect for healing multiple bodies at once if you have several carcasses come in at once. For more information on how scientists can upgrade sleepers, check [[Guide to advanced construction#Sleeper|here]].
 
Sleepers also show you chemicals present in person's bloodstream.


Scientists can produce upgraded parts for sleepers. [[Guide_to_advanced_construction#Sleeper|See here how upgrading will make your life much easier.]]
Sleepers also show you chemicals present in the patient's bloodstream, though their reagent processing may be frozen if the sleeper has been fully upgraded.


How to use:
How to use:
# Ensure the sleeper is open. If it's not, open it.
# Ensure the sleeper is open. If it's not, open it.
# Pull the patient near the sleeper.
# Pull the patient near the sleeper.
# Click and hold on the patient, move the cursor to the sleeper, then release. This puts the patient inside.
# Click and hold on the patient, move the cursor to the sleeper, then release. This puts the patient inside. You can also ALT+CLICK the sleeper when they're on the same space as it.
# Click on the sleeper to open the menu.
# Click on the sleeper to open the menu.
# Inject chemicals they need (note: these are the non-upgraded chemicals):
# Select the option they need:
#* '''[[Epinephrine]]:''' Brings down and limits high suffocation damage. Heals brute, burn and toxin damage very slowly if patient is in critical condition.
#*'''Sedate:''' Injects 10u of morphine (to a maximum of 10 units) into the patient, putting them to sleep after some time.
#* '''[[Morphine]]:''' Puts person to sleep after some time.
#*'''Treat Injuries:''' Heals brute and burn damage.
#* '''[[Bicaridine]]:''' Heals brute damage slowly over time.
#*'''Repair Organs:''' Heals a random damaged organ, with dead patients healing much slower. Requires a Nano Manipulator installed.
#* '''[[Kelotane]]:''' Heals burn damage slowly over time.
#*'''Purge Toxins:''' Heals toxin damage and purges chemicals. Requires a Pico Manipulator installed.
#* '''[[Salbutamol]]:''' Heals suffocation damage.
# Wait until they are healed, then open the sleeper and kick them out.
# It's not necessary to wait now, open the sleeper and kick them out.
 
A quick guide to the upgraded chemicals:
#* '''[[Oculine]]:''' Heals eye damage and cures nearsightedness. Has a chance of curing blindness.
#* '''[[Inacusiate]]:''' Heals ear damage instantly, but cannot cure genetic deafness.
#* '''[[Anti-toxin]]:''' Heals toxin damage slowly over time.
#* '''[[Mutadone]]:''' Cures all genetic mutations, both good and bad.
#* '''[[Mannitol]]:''' Heals brain damage.
#* '''[[Pentetic Acid]]:''' Heals toxin damage slowly over time. Reduces radiation and removes any other chemical from the bloodstream.
#* '''[[Omnizine]]:''' Heals brute, burn, toxin and suffocation damage very slowly over time.
 
If you inject bicaridine, kelotane and anti-toxin all in one patient then the three chemicals will form tricordrazine. This may result in an overdose as the combined chems may go over the 30 unit threshold.


=== [[File:Cryo.gif]] [[Medical_items#Cryogenics Tube & Freezer|Cryogenics Tube]] ===
=== [[File:Cryo.gif]] [[Medical_items#Cryogenics Tube & Freezer|Cryogenics Tube]] ===
{{anchor|Cryo Tube}}
{{anchor|Cryo Tube}}
Cryotube uses the fact that [[cryoxadone]] are extremely effective at healing all types of damage, but only work in cold environments. Use it when patient is in crit, and sleeper is not helping, when they have toxic damage and you're too lazy to get [[charcoal]], or when they suffer from cellular damage.
Cryotube uses the fact that [[cryoxadone]] is effective at healing all types of damage, but only works in cold environments. '''Use it mainly to heal cellular damage''', or if you're out of other options/unsure what to do. This is slow and forces the patient to sleep, so prefer using a [[sleeper]] or brute/fire patches for common damage types.  


[[Guide_to_advanced_construction#Cryogenics_Tube|Cryotubes can also be upgraded by science parts.]] Better matter bins allow them to work slightly faster and more efficiently.
[[Guide_to_advanced_construction#Cryogenics_Tube|Cryotubes can also be upgraded by science parts.]] Better matter bins allow them to work slightly faster and more efficiently.
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# Wrench the oxygen canisters to connect them to the tubes and the freezer.
# Wrench the oxygen canisters to connect them to the tubes and the freezer.
# Turn on the [[Atmospherics_items#Freezer|freezer]]. Set it to lowest temperature available.
# Turn on the [[Atmospherics_items#Freezer|freezer]]. Set it to lowest temperature available.
# Load beakers with chemicals. A common and highly effective mix for general use is [[cryoxadone]] and [[mannitol]].
# Load beakers with [[Guide_to_chemistry|chemicals]]. A common and highly effective mix for general use is [[cryoxadone]], [[Guide_to_chemistry#Clonexadone|clonexadone]] and [[mannitol]].
#* All chemicals will work, you can add anything. For example, adding [[Guide to chemistry#Saline-Glucose Solution|saline-glucose solution]] will speed up healing of non-cellular damage, [[fluorosulfuric acid]] is a cruel and hilarious way to kill people. This is the job of [[chemist]]s.
#* All [[Guide_to_chemistry|chemicals]] will work, so you can add anything. This is the job of [[chemist]]s.
#* Be sure to chemicals that you can't overdose on, as patients in cryo will receive large doses of all chemicals in the beaker.
#* Be sure to only add chemicals that you can't overdose on, as patients in cryo will receive large doses of all chemicals in the beaker.
# Set the tubes to Auto instead of Manual, so they'll open after the patient is healed, otherwise they'll be trapped in until someone opens the tube from outside.
# Set the tubes to Auto instead of Manual, so they'll open after the patient is healed. Otherwise, they'll be trapped in until someone opens the tube from outside.
 
How to use:
How to use:
 
# Ensure the cryo tube is open first. If not, open it.
# Ensure the tube is open first. If not, open it.
# Pull the person on top of the tube.  
# Pull the person next to the tube.
# Remove all clothes that prevent freezing, such as hardsuits. Else it won't work.  
# Remove all clothes that prevent freezing, such as hardsuits.
# Close the cryo tube with its menu, or click on them with your mouse and drag their sprite to the tube.
# Click on them with your mouse and drag their sprite to the tube.
# Open the tube menu and turn it on. If their health starts to improve (sometimes it takes a moment to start), they're all set. If not, make sure everything is set up properly (cryoxadone in the tubes? pressure in the canisters?).
# Open the tube menu and turn it on. If their health starts to improve (sometimes it takes a moment to start), they're all set. If not, make sure everything is set up properly (cryoxadone in the tubes? pressure in the canisters?).
# When healing is complete, the tube will turn off and pop open automatically.
# Turning it on will put the patient to sleep.
# Shake the person to get them up (switch to help intent and click on them)
# If set to auto, the tube will turn off and pop open automatically.  
# Let them redress (Or do it for them) then kick them out.
# Shake the person to get them up (switch to help intent and click on them multiple times).
# Let them redress (or do it for them) then kick them out.
= Rarer Cases =
These situations are not as common as normal damages, but they are still VERY LIKELY to happen. AND most of these cases are also more severe, and it is essential to be fucking fast and know this stuff! <br>'''So read up, these are the things that will separate quacks from real doctors!'''
=== Husk ===
Sometimes, people are dropped off in Medbay with charred, grey skin and a lack of definable features. This means that they are a husk. They either died through extreme temperature, or through a changeling sucking out all their valuable DNA: evidenced by being both a husk and also resembling a "crushed, empty juice pouch" on examine.


== Rarer Cases ==
Luckily, with modern medicine: We can rebuild them. For victims of extreme temperature (hot or cold) they can be unhusked and either cloned or defibbed with the use of [[Guide to Chemistry#Synthflesh|Synthflesh]]. Heal their burn damage to under 50, spray them with Synthflesh (from chemistry or medbay storage) and if they have 100u of Synthflesh in them, they will simply stop being a husk, and you can continue on normally with revival.


These situations are not as common as normal damages, but they are still VERY LIKELY to happen. AND most of these cases are also more severe, and it is essential to be fucking fast and know this stuff! <br>'''So read up, these are the things that will separate quacks from real doctors!'''
A harder (and only option for victims of changeling husks) is the researched surgery [[Surgery#DNA%20recovery|DNA recovery]]. Careful, as this requires [[Guide to Chemistry#Rezadone|Rezadone]], which might be hard to come by. [[Cyborg#Medical|Upgraded Medical Cyborgs]] have Hyposprays with Rezadone in them. Once this surgery is completed, they can then be cloned normally.


If you try to de-brain a changeling victim husk corpse and put their brain into an [[Research items#Man-Machine%20Interface|MMI]], it '''WILL''' fail and be unresponsive! Do not do this! You are not being clever nor helpful, it will never work, and that's the point! Do it the right way!
===Overdose===
===Overdose===
Giving too much of some chemicals or drugs can cause an overdose. This mean that you aren't doing your job correctly and you may even kill the patient if you don't stop doing it!
Giving too much of some chemicals or drugs can cause an overdose. This means that you aren't doing your job correctly and you may even kill the patient if you don't stop doing it!


'''Chemicals that can overdose:'''
'''Chemicals that can overdose:'''
* Bicaridine 30u
* [[Guide_to_Chemistry#Bicaridine|Bicaridine]] 30u
* Kelotane 30u
* [[Guide_to_Chemistry#Kelotane|Kelotane]] 30u
* Anti-toxin 30u
* [[Guide_to_Chemistry#Anti-Toxin|Anti-toxin]] 30u
* Tricordrazine 30u
* [[Omnizine]] 30u (Really deadly)
* Omnizine: 30u (Really deadly)
* [[Guide_to_Chemistry#Salicylic_Acid|Salicylic Acid]] 25u
* Salicyclic Acid 25u
* [[Guide_to_Chemistry#Ephedrine|Ephedrine]] 30u (Addiction at 30u)
* Ephedrine 45u (Addiction at 30u)
* [[Guide_to_Chemistry#Morphine|Morphine]] 30u (Addiction at 25u)
* Morphine 30u (Addiction at 25u)
* [[Guide_to_Chemistry#Atropine|Atropine]] 35u
* Atropine 35u
* [[Guide_to_Chemistry#Epinephrine|Epinephrine]] 30u
* Epinephrine 30u
For a full list see [[Guide to Chemistry]].
* Nicotine 35u (Addiction at 30u, not sure its achievable with normal cig use)
* Crank 20u (Addiction at 10u, also really deadly)
* Krokodil 20u (Addicted at 15u, addiction is what causes skin and bones minus skin)
* Histamine 30u (This is what makes Histamines dangerous)


How to treat:
How to treat:
* [[Charcoal]] purges chemicals slowly and can help with toxin damage.
* [[Charcoal]] purges chemicals slowly and can help with toxin damage.
* [[Calomel]] purges chemicals quickly and is relatively easy to make in chemistry.
* [[Calomel]] purges chemicals quickly and is relatively easy to make in chemistry.
* [[Pentetic acid]] clears all chemicals from the body very quickly, and can also be found in upgraded sleepers.
* [[Pentetic acid]] clears all chemicals from the body very quickly.
 
* You can do the Stomach Pump surgery to quickly purge massive amounts of reagents.
===[[File:Hudill.png]] Disease===
===[[File:Hudill.png]] Disease===
 
Diseases are the most frustrating thing you will deal with, as it spreads, and can infect you as well. A disease can be identified easily with the Health Scanner HUD, it giving a green-unhappy-face-icon next to the patient. A Health Analyzer will give more detailed information about the disease and its cure.
Diseases are the most frustrating thing you will deal with, as it spreads, and can infect you as well. A disease can be identified easily with the Health Scanner HUD, it giving a green-unhappy-face-icon next to the patient. PDA or a Health Analyzer will give more detailed information about the disease and its cure.


How to Treat:
How to Treat:
# Suit up in [[Clothes_and_internals#bodywear|anti-viral equipment]].
# Suit up in [[Clothes_and_internals#bodywear|anti-viral equipment]].
# Isolate the patient from public areas (if they have an infectious disease).
# Isolate the patient from public areas (if they have an infectious disease).
# Use your Health Analyzer or PDA to see the cure to the disease (usually some basic chemical element).
# Use your Health Analyze to see the cure for the disease (usually some basic chemical element).
# Administer the chemical element needed. OR if the virologist has made a vaccine, administering one unit of it will instantly cure and immunize.
# Administer the chemical element needed. OR if the virologist has made a vaccine, administering five units of it (or less if applied via injection) will instantly cure and immunize.
# Monitor the patient's condition, do not leave them until they are clear and have become resistant to the disease.
# Monitor the patient's condition, do not leave them until they are clear and have become resistant to the disease.
# Check if you are infected after dealing with the patient.
# Check if you are infected after dealing with the patient.
After:
After:
* If you did not have the vaccine for the disease, take a blood sample from the cured patient and hand it to the [[virologist]] to help him/her make a vaccine.
* If you did not have the vaccine for the disease, take a blood sample from the cured patient and hand it to the [[virologist]] to help them make a vaccine.
 
If you half-ass curing people, the disease may return and kill the person. And they can get infected if they are cloned as well!
If you half ass curing people, the disease may return and kill the person. And they can get infected if they are cloned as well!
 
===Blindness===
===Blindness===
The person cannot see, they usually will scream about this endlessly.
The person cannot see, they usually will scream about this endlessly.
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* [[Omnizine]] has a chance of curing blindness while slowly healing eye damage.
* [[Omnizine]] has a chance of curing blindness while slowly healing eye damage.
* [[Oculine]] can be made by chemistry, and will heal all eye damage.
* [[Oculine]] can be made by chemistry, and will heal all eye damage.
===Deafness===
===Deafness===
The person cannot hear, they are usually unresponsive to verbal communication and can't even hear themselves talking.
The person cannot hear, they are usually unresponsive to verbal communication and can't even hear themselves talking.
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* Explosions cause ear damage.
* Explosions cause ear damage.
* Flashbangs cause ear damage.
* Flashbangs cause ear damage.
How to treat:
How to treat:
* Most ear damage will heal on its own.
* Most ear damage will heal on its own.
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* Put earmuffs on the patient and minor ear damage will quickly heal.
* Put earmuffs on the patient and minor ear damage will quickly heal.
* Mutadone can reset genetic mutations including deafness.
* Mutadone can reset genetic mutations including deafness.
===Genetic Disabilities===
===Genetic Disabilities===
Disabilities cannot be cured by normal medical tools. If a patient appears to be unable to move and/or they speak in very short sentences, they most likely have a genetic disability.
Disabilities cannot be cured by normal medical tools. If a patient appears to be unable to move and/or they speak in very short sentences, they most likely have a genetic disability.


How to treat:
How to treat:
* Ask a competent [[geneticist]] for a clean SE injector.
* Ask a competent [[geneticist]] to remove the bad mutation.  
* A one unit [[mutadone]] pill or injection will also instantly cure all genetic abnormalities. This includes beneficial ones.
* A one unit [[mutadone]] pill or injection will instantly cure all genetic abnormalities. This includes beneficial ones.
 
===Radiation===
===Radiation===
Rarely you will treat this, it causes people to black out all the time and take steady toxin damage. It either comes from space radiation surges, after which crew members will "feel strange" and begin to vomit, but more likely you'll be treating engineers who got too close to the singularity or geneticists and people undergoing genetics testing who've stuck themselves with too many SE injectors.
You will rarely treat this, it causes people to black out all the time and take steady toxin damage. It either comes from space radiation surges, after which crew members will "feel strange" and begin to vomit, but more likely you'll be treating engineers who got too close to the supermatter or geneticists and people undergoing genetic testing who've stuck themselves with too many SE injectors.


How to treat:
How to treat:
* If you have [[potassium iodide]] or [[pentetic acid]], use them. These will remove the radiation before it poisons the patient further.
* If you have [[potassium iodide]] or [[pentetic acid]], use them. These will remove the radiation before it poisons the patient further.
* Else, treat with [[charcoal]] (Anti-toxin) until the radiation levels have subsided.
* Else, treat with [[charcoal]] (Anti-toxin) until the radiation levels have subsided.
===Hallucinations===
===Hallucinations===
This nasty effect causes the victim to see (usually deadly) objects in his and others' hands, along with random visions of people and creatures attacking him, causing stamina damage. Extremely unpleasant. Caused by changelings, mindbreaker toxin, and some bad 'shrooms.
This nasty effect causes the victim to see (usually deadly) objects in his and others' hands, along with random visions of people and creatures attacking him, causing stamina damage. Extremely unpleasant. Caused by [[Changeling|changelings]], [[Guide_to_chemistry#Mindbreaker_Toxin|mindbreaker toxin]],[[supermatter]], and some bad 'shrooms.


How to treat:
How to treat:
* [[Charcoal]] (Anti-toxin) helps hallucinations wear off faster.
* [[Synaptizine]] is good for removing hallucinations. But can cause light toxin damage.  
* [[Synaptizine]] Is twice as good for removing hallucinations. But can cause light toxin damage. Administering alongside anti-toxin will treat the patient faster and counteract the negative side effect of Synaptizine.
* [[Guide to chemistry#Haloperidol|Haloperidol]] is not as good as synaptizine at removing hallucinations, but it will also quickly purge drugs that are likely causing them.
 
===[[File:Huddead.png]] Death===
===[[File:Huddead.png]] Death===
Whether the patient was already dead when they were dragged into medbay or they died under your care, the basic procedure for handling stiffs is the same. Your first plan of action should be trying to defibrillate the body and bring them back to life without making them wait for the cloning process. This may look long and complicated, but it's actually pretty simple and most of the time you can just defib a dead person right away without any prior preparation.
If the patient is dead, the basic procedure for handling stiffs is the same. Your first plan of action should be trying to [[Medical_items#Defibrillator|defibrillate]] the body and bring them back to life quickly. If they have this icon on your [[Medical_items#Health_Scanner_HUD|health scanner hud]]: [[File:Huddefib.gif|64px]] it means the body is fresh enough for [[Medical_items#Defibrillator|defibrillation]].  
 
# Inspect the body. Does it say they '''committed suicide''' or that their soul has departed? Nothing you can do for them, fast track them to the [[morgue]].
# Inspect the body. Does it say they committed suicide or that their soul has departed? Nothing you can do for them, fast track them to the [[morgue]].
# If they're just normal dead, scan them with a [[Medical_items#Health_Analyzer|health analyzer]]. Do they have more than 180 brute or burn damage (tracked separately, having 179 of each is fine)? If so, you must heal the corpse with [[Guide_to_chemistry#Synthflesh|synthflesh]] until it has under 180 brute and burn. You can buy [[Guide_to_chemistry#Synthflesh|synthflesh]] sprays from the [[Vending_machines#NanoMed_Plus|NanoMed Plus]] or have it made in [[Guide_to_chemistry|chemistry]].
# If they're just normal dead, scan them with a health analyzer. Do they have more than 180 brute or burn damage (tracked separately, having 179 of each is fine)? If so, you can't defib them. Corpses do not react with reagents, and thus cannot be healed. Bring them to cloning.
# If the patient is wearing a space suit or [[Clothing_and_Accessories#Hardsuits|hardsuit]], take it off. To take it off, drag the sprite of the patient onto yours, and click the hardsuit in the menu that pops up.  
# If they're defibbable, check their toxins damage. If they have a significant amount of damage and tons of poisons in them, either hit them with a shot of your preferred antitoxin (most likely Charcoal) before defibbing them so that it takes effect as soon as you revive them, or if it's too serious, consider just having them clone.  
# Once the patient is prepared, equip your [[Medical_items#Defibrillator|defib]]. The [[Medical_items#Defibrillator|large one]] goes on your backpack slot, and the [[Medical_items#Compact_Defibrillator|compact defib]] that the [[CMO]] gets goes on your belt slot. Then empty both of your hands, and click the new defib hud icon on your top left to take out the paddles. Activate/click the paddles with the hand you're holding them in to wield them in both hands. Stop dragging the patient (with '''H''' or '''delete''') or you will be shocked. Switch to '''help''' [[File:Intent_Help.png]] intent, target the chest, and then click on the patient. After a few seconds, you'll deliver an electric shock.
# Once the patient is fully prepared, equip your defib (the large, bulky ones go on your back slot where your backpack usually goes, and the compact defib that the CMO gets goes on your belt), empty both of your hands, and click on the defib in your equipment slot to take out the paddles. Click on the paddles with the hand you're holding them in to wield them in both hands, switch to help intent, target the chest, and then use them on the patient. In a few seconds, you'll deliver an electric shock (unless they're wearing a space suit or something like that, in which case, strip it off) and the defib will tell you one of a few things
# If the defib pings and says the resuscitation was successful, drag the patient to a [[Medical_items#Sleeper|sleeper]] or use other [[#Treatment|medicine]] to get them healed up. If it instead says they have severe tissue damage, they have more than 180 brute or burn damage, and needs more [[Guide_to_chemistry#Synthflesh|synthflesh]]. If it says the heart tissue has decayed beyond saving, you are too late. If the body is a [[Terminology#Husk|husk]] then defib will never work.  
# If the defib pings and says the resuscitation was successful, pat yourself on the back and get them all patched up. If it says they have severe tissue damage, they have more than 180 brute or burn damage, and are not eligible for defibbing. If it says the heart tissue has decayed beyond saving, sigh and shake your head sadly, and drag them off to cloning. If it says there's no soul in the body, wait a few seconds for the ghost of the player come back to their body, and shock them again. If you still don't get a response, try it one more time. Usually three shocks is enough of a window for anyone who wants to get defibbed to get back in their body, but if you have the time, shock them a fourth or even a fifth time. If you still get no love, take them to genetics, and give them one last shot, sometimes people will respond to the cloning. Otherwise if they're still getting a mental interface error, dump them in the morgue.
 
If the cloner was blown up or [[Genetics]] is for some other reason inaccessible, you can also clone people in [[Hydroponics]]:
# You must take a blood sample of the corpse to be injected into a pack of Replica Pod seeds, and then plant them.
# This option creates perfect (though sometimes plant-like) human clones.


If the patient is a [[plasmaman]], try defibrillating them before following these steps:
* Do not attempt to clone the plasmaman, unless you are using a cloner in a room full of plasma with no oxygen.
** If you happen to have such a cloner, clone the plasmaman and forget the rest of this guide!


You can't clone a plasmaman, but you can take out its brain and put it into something that can be cloned.
If defibrillation can't be done, you have a few choices:
# Put the plasmaman's in a bodybag and move it to a low-traffic part of the medbay.
# The easiest solution is usually to drag the corpse to [[Guide_to_genetics#Cloning|cloning]]. If cloning is upgraded enough, you will be able to clone even [[Terminology#Husk|husks]] and [[Surgery#Brain|brains]].  
# Remove the plasmaman's items except the jumpsuit and helmet.
# If you have many corpses then cloning can be a slow process. Sometimes [[Guide_to_genetics#Cloning|cloning]] might even be sabotaged. Consider doing [[Surgery#Revival|revival surgery]] instead, if available.  
# Perform brain removal surgery on the plasmaman.
# Another option for revival is the [[Guide_to_chemistry|chemical]] [[Guide_to_chemistry#Strange_Reagent|strange reagent]], which works similarly to [[Medical_items#Defibrillator|defibrillation]], except the patient needs to be below 100 brute and burn damage (instead of 180), and it works on corpses of any age.  
# Get a monkey and turn it into a human.
# You can also clone people in [[Hydroponics]], which works even if the patient is missing a head. See [[Guide_to_hydroponics#Replica_Pod_Cloning|Replica Pod Cloning]]. This option creates [[Podman|podperson]] clones.
# Perform brain removal surgery on the monkeyman.
# Insert the plasmaman's brain in the monkeyman.
# Clone or defib the monkeyman.


'''PLEASE NOTE''' In the morgue there are lights on the side of the trays. the red light means there is a dead body with no ghost occupying it. Green light means there is a body with a ghost in it, which means you should clone it, or risk being bitched at in dead chat, or maybe MAYBE a jobban. Do us all a favor and READ THE LIGHTS ON THE MORGUE TRAYS


== Cheat Sheet for the <s>Lazy</s> Efficient Doctor ==
'''PLEASE NOTE''' In the morgue there are lights on the side of the trays. The red light means there is a dead body with no ghost occupying it. Green light means there is a body with a ghost in it, which means you should [[Guide_to_genetics#Cloning|clone]] it. The green light is normally accompanied by a beeping sound as well, which can be turned off by alt-clicking the tray.
= Cheat Sheet for the <s>Lazy</s> Efficient Doctor =
[[File:MedicalCheatSheet.png|647px|thumb|left|If you don't want to remember all of those things above, just look at this cheat sheet whenever a patient comes in and you'll be an excellent doctor in most (>90%) cases.]]
[[File:MedicalCheatSheet.png|647px|thumb|left|If you don't want to remember all of those things above, just look at this cheat sheet whenever a patient comes in and you'll be an excellent doctor in most (>90%) cases.]]
<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
<br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br>
 
= Afternote =
== Afternote ==
If you aren't serious about healing someone, don't give up halfway, get proper medical staff to help them. Don't leave them outside Genetics to just die either (this wastes everyone else's time, except yours, you selfish fuck), at least try to have a doctor save them.
If you aren't serious about healing someone, don't give up halfway, get proper medical staff to help them. Don't leave them in Genetics to just die either (this wastes everyone else's time, except yours, you selfish fuck), at least try to have a doctor save them.
 
[[Category:Guides]]
[[Category:Guides]]

Latest revision as of 03:12, 25 March 2024

Generic cmo.png
 
Chief Medical Officer Patches-The-Wounds says:
"Doctor! I need you to tear out that man's appendix, throw that clown out of medical, and stitch up that curator's face!"

Medical care is serious business, and going halfway with your medical treatment can result in someone dying or worse. Make sure you know what you're doing before you try to fix someone up!

If you're going to treat someone, you're going to have to know what tools you need, how to identify injuries, what machinery and facilities you must use, and how to keep people from dying while in treatment.

Diagnosing

Main Damage Types

Damage Type: Symptoms: Ways to get damaged: Treatment:
Brutefak.png
Brute
  • Bleeding.
  • Bloodied clothing.
  • Bloodied limbs.
  • Being physically hit by almost anything deals brute damage.
  • Some chemicals can deal brute damage.
  • Virus symptoms.
  • Ballistic weaponry.
Burnkit.png
Burn
  • Beyond 200 burn damaged, the subject will be husked.
  • High or low temperatures.
  • Fire.
  • Laser weaponry.
  • Some chemicals deal burn damage.
  • Electric shocks.
Oxykit.png
Suffocation
  • Gasping.
  • Passing out.
  • Low oxygen atmosphere content.
  • Blood loss.
  • Critical condition.
  • Some medicines and drugs can deal suffocation damage.
  • Virus symptoms.
  • Missing a pair of lungs.
  • Missing a heart, or having a heart that has stopped beating.
Toxkit.png
Toxins
  • Vomiting.
  • Breathing toxic gases.
  • Many chemicals deal toxic damage.
  • Alcohol abuse.
  • Radiation
  • Incorrect blood types.

Special Damage Types

Damage Type: Symptoms: Ways to get damaged: Treatment:
Clone.gif
Cellular
  • Overall less health.
  • Slimes.
  • Incomplete cloning.
  • Alien weaponry.
Brain.png
Brain
Brain.png
Trauma
  • Brain damage.
DoubleESword.png
Dismemberment
  • Missing a limb or limbs.
  • Inability to do functions that required said limb or limbs.
  • Strong physical forces, such as explosions.
  • Getting hit by strong, sharp objects such as swords.
    • Patients who experience severe trauma to the chest may have their organs spill out, but the torso will remain intact, aka disembowlment.
  • Amputation via surgery.
  • Prosthetic replacement via surgery.
    • Cyborg limbs may be used. Robotics can produce cyborg limbs, but there is also a crate of cheap prosthetic limbs in Medbay Storage.
    • Organic limbs may be used. In most cases a detached limb can be found and reattached. However, all the limb's damage will be transferred to the patient, so be ready to treat brute and bleeding. Any organic limb will also cause toxin damage when replaced.
    • Synthetic limbs from a limb grower may be used. The limb grower can only produce arms and legs, unless emagged.
Blood Pack.png
Bleeding
  • Suffocation damage.
  • Bleeding, duh.
  • 30 brute damage to a limb will cause it to start bleeding.
  • Certain chemicals such as heparin.
  • Certain virus symptoms.
  • Gauze will temporarily stop bleeding.
  • IVs for blood transfusion. READ BELOW

Treating Bleeding

WARNING: Incorrect blood types are toxic to the patient, and will not replenish their blood!

Blood compatibility table
Recipient Donor
O− O+ A− A+ B− B+ AB− AB+ L
O− Yes.png No.png No.png No.png No.png No.png No.png No.png No.png
O+ Yes.png Yes.png No.png No.png No.png No.png No.png No.png No.png
A− Yes.png No.png Yes.png No.png No.png No.png No.png No.png No.png
A+ Yes.png Yes.png Yes.png Yes.png No.png No.png No.png No.png No.png
B− Yes.png No.png No.png No.png Yes.png No.png No.png No.png No.png
B+ Yes.png Yes.png No.png No.png Yes.png Yes.png No.png No.png No.png
AB− Yes.png No.png Yes.png No.png Yes.png No.png Yes.png No.png No.png
AB+ Yes.png Yes.png Yes.png Yes.png Yes.png Yes.png Yes.png Yes.png No.png
L No.png No.png No.png No.png No.png No.png No.png No.png Yes.png

Treating Bleeding

  1. Bandage wound with a medical gauze to stop bleeding.
  2. Locate brute damage.
  3. Treat brute damages above ~30 to halt bleeding.
  4. Assess blood levels, if low or critical, proceed with blood transfusion.
  5. If a blood transfusion is unavailable, blood will be naturally produced by the body, albeit slowly.
  6. Iron and most foods will improve blood regeneration.

Blood transfusion:

  1. Use medical scanner on patient to find blood type.
  2. Obtain blood pack from surgery, virology, or cargo.
  3. Make sure IV drip is in the blue "inject" mode. You toggle this by clicking the IV drip when nothing is attached to it.
  4. Attach blood pack to IV drip.
  5. Click-drag IV drip onto patient.
  6. Check up on patient's blood levels regularly, this process moves quickly.
  7. Detach patient from IV drip by click-dragging the IV drip onto the patient again, or simply clicking the IV. If you forget this the patient will take some brute damage from the needle being ripped out.
  8. Detach blood pack by clicking on the IV drip.

Blood donation:

  1. Make sure IV drip is in the red "take" mode. You toggle this by clicking the IV drip when nothing is attached to it.
  2. Attach a beaker or an empty blood pack to IV drip.
  3. Attach to a donor by click-dragging it onto the donor.
  4. Blood pack will automatically fill. The alarm will sound if patient's blood levels reach critical.
  5. Detach IV drip by click-dragging it onto the donor again or simply clicking the IV.
  6. Click on IV drip to eject the beaker or blood pack. Label appropriately.

Organ Damage

Organ damage occurs regularly in decaying bodies, and irregularly in living ones under specific conditions. There are five main internal organs of note: the heart, the brain, the lungs, the liver, the stomach, and the appendix. Organs all have 100 health, which decays at a set amount in dead bodies per second, and regenerates a variable amount of health in living, well fed, bodies. A brief description of each organ, including their function, what damage does to them, and how to fix said damage, is as follows:

  • Heart:Heart.pngThis organ is responsible for pumping blood throughout the body, and it is the target of defibrillation.
    • Heart damage is accumulated by a heart being in a non-living host, reaching an inoperable state within 5 minutes in a corpse. After a particular threshold of heart damage is taken, the heart is considered damaged - this will cause shortness of breath, and if the organ is damaged to the point of failure, it can cause heart attacks, which will rapidly result in death unless defibrillation is applied with haste.
    • Heart attacks can be prevented with Corazones, but it will not heal the underlying heart damage. In the case of a need for immediate emergency heart healing, a coronary bypass can be done, but a heart can only have this done once to it, and it will bring it back from failing to functional.
    • Replace the heart in an emergency with a fresh or cybernetic heart. Cybernetic hearts have different benefits to a normal heart. A cybernetic heart will reset itself after 5 seconds, should it stop, and an upgraded cybernetic heart grants epinephrine when a patient is in critical condition, and it reduces the reset timer to just 5 seconds. If there is no spare heart, perform a Coronary Bypass on the patient. Note that this can only be done once per heart.
  • Lungs:Lungs.pngThis pair of organs is responsible for oxygenating blood, and promoting typical respiration.
    • Lung damage is currently only accumulated via them being inside a decaying corpse, and damaged lungs will create shortness of breath and heightened oxygen consumption, similar to a damaged heart.
    • Failing lungs will be unable to respirate properly, causing suffocation. In the case of a need for immediate emergency lung healing, a Lobectomy can be done, but a pair of lungs can only have this done once, and it will bring them back from failing to functional.
    • Replace the lungs in an emergency with a fresh or cybernetic pair. Cybernetic lungs have different benefits to normal lungs and can be modified with a crowbar to improve breathing, but this takes more oxygen. Cybernetic lungs also allow you to survive in low pressure environments, and filter out low levels of bad gasses. A Lobectomy can be performed if you lack a spare pair of lungs. Note that this can be only done once per pair of lungs.
  • Brain:Brain.pngThis organ is responsible for piloting the bundle of flesh and bone that is your corporeal body.
    • Brain damage is accumulated through a number of means, from taking dangerous narcotics, to being beaten on the head with weapons.
    • Mental Traumas can form due to too much brain damage, which can be identified and combated as detailed in this guide. Brains have 200 organ health and decay much slower than other organs for balance reasons.
    • Performing Brain Surgery will heal a portion of brain damage, and Mannitol will heal the brain slowly when in the body. If someone dies from brain death, they will require Revival Surgery once the brain is fixed.
  • Stomach:Stomach.pngThis organ is responsible for processing any orally ingested substances.
    • Stomach damage is currently only accumulated via it being inside a decaying corpse, and a damaged stomach will cause vomiting and paint, while a failing one will prevent digestion altogether. It is only repairable through a nutritious diet, so be sure to keep it healthy so you can continue eating and digesting!
    • Replace the stomach in an emergency with a fresh or cybernetic stomach. Upgraded cybernetic stomachs can store up to 8 nutriment when well fed, this is returned if you get hungry.
  • Appendix:Appendix.pngThis organ is all but entirely vestigial, and served no real purpose. The appendix is prone to suddenly becoming inflamed, which will cause large amounts of discomfort and vomiting, and if left untreated, will cause severe damage to the appendix, which will flood your system with toxins when failing. This organ be removed preemptively with no ill effects!
  • Liver:Liver.pngThis organ is responsible for preventing toxin buildup and can purge toxins quickly under 3u. Too many toxins will prevent the liver from working correctly.
    • Liver damage can be fixed by replacing the liver with a fresh or cybernetic pair. Cybernetic liver has different benefits to normal liver. It is resistant to alcohol poisoning and is very robust at filtering toxins. If there is no spare liver, you can perform a Hepatectomy. Note that this can only be done once per liver.

Identification

First of all, grab a MedGlasses.png Health Scanner HUD from the medical storage and wear it. It shows the patient's overall health condition and therefore shows you instantly whom you should treat first from a group of patients. Identification is the first and foremost step in administering treatment. Here are ways to identify the type of injuries a person may have:

Things to note

  • You want the patient to be as healthy as possible, so you have to heal all of these, and they have to be treated individually (unless you use a chemical which heals multiple damage types at once).
  • The overall health status (from 100% to -100%) is determined by adding these damages together, except brain damage. If there are 0 damages, the patient is perfectly healthy (100%).
  • If the patient has taken summarily 100 damage (except for bleeding), he will be in a critical condition (0%); lying on the ground, unresponsive and gasping for air. When in this condition, the patient cannot breathe on their own and will gradually take suffocation damage until death (-100%). This kills the patient.
  • Bleeding is different from other types of damage. See below for a more extensive explanation.
  • You can identify these different damage types quickly by using your health analyzer. You can also examine the patient (shift-click), but it only shows basic information.
  • If a Health Analyzer is not available, observing the patient and their surroundings will help with diagnosis:
  • If there is a pile of vomit next to, or under the patient then they are most likely suffering from toxin damage.
  • If there is blood everywhere, blood on the person dying, or the patient has severe bruises, they are suffering from brute damage.
  • If the patient has black scars across their body and no blood, or the patient has severe burns, they are suffering from burn damage.
  • If the patient is gasping, they are most likely suffocating.
  • If the patient keeps fainting, trails drips of blood as they walk or is unresponsive to other forms of "healing" they may be bleeding or be suffering from blood-loss
  • If the patient reports other symptoms such as headaches, coughing or vomiting blood, they most likely have a virus.

Races and You

The setting of Space Station 13 is the future, and so you may encounter differing strange alien races about the station. Some of these particular xenos will require special treatment and attention.

  • Preternis are a robotic-augmented species, and as such, most healing chemicals will have no effect on their robotic physiology. For proper healing, sent these victims to Robotics. Much like fixing the damage to prosthetic limbs, Preternis must be repaired with wires and welding. They must also recharge their internal batteries and will die if they run out of power. If one dies via lack of power their battery will need to be recharged before being revived, otherwise they'll die immediately after being brought back to life. This can be done by using an inducer on their chest but be wary that this will cause burn damage to the preternis. Once treated, have Robotics take them to an APC and let them feed on the power within.
  • Plasmamen are sentient skeletons made of solidified plasma, which require specialized enviro-suits and plasma to breathe, and will ignite violently in reaction to a standard atmosphere. The main problem with them is that once they lose their environmental suits and plasma air tanks, you'll be left to treat a constantly igniting, suffocating skeleton. These are the same issues you'll encounter if you should happen to need to clone a plasmaman, as clones emerge from the cloner naked, which in this case means on fire and suffocating. Treatment of environmentally-compromised plasmamen should always begin with placing them under a shower and turning on the water. This will stop them from combusting infinitely, and allow you to address the issue of them needing to breathe. The Cargo department can order a Plasmaman Internals kit from Central Command, which includes a new environmental suit and plasma tank, which should be done urgently to prevent your patient from expiring (again). These can be applied by clicking and dragging the sprite of the other player to your own, and then clicking on the suitable equipment slots withe enviro-suit and plasma air tank in hand.
  • Phytosians are sentient plants. Much like normal plants, they like being exposed to light, so being near a light source will slowly heal them - placing them next to a bright spotlight is an effective hands-off treatment method.
  • Jelly and Slimepeople are sentient, humanoid slimes. Do not feed charcoal to them as it is toxic to them, and they can heal from chemicals normally toxic to other species. You can grind plasma at chemistry and have them drink it to heal and restore blood. Much like plasmamen they lack a heart, so if you wish to revive them you'll either have to implant a heart, or perform Brain Revival Surgery. Do not ever put them in cryogenics as the cold will kill them, if one happens to have cellular damage ask your chemist for Clonexadone to heal them with.

Your first patient

Your patient can arrive in two ways:

1. The patient walks in and needs treatment.

"PLS DOC HLEP!!" You can see the patient's overall health status with your Health Scanner HUD with just a glance. However, this will only tell you how serious the situation is and how quickly you need to act.
How to act:
  • Use your Health Analyzer on the patient to identify the damage type.
  • Proceed with the necessary treatment found in the next chapter.

2. The patient is dragged into Medbay and is in critical condition.

The patient is unresponsive to the environment, on the floor, and gasping for air.
How to act:
  • The first thing you should do is administer Epinephrine. Epinephrine stops the general decline of the critical patient's health and helps treat wounds if the patient is in crit. Don't give them 30 or more unit of it, as that will cause toxin damage.
  • If the patient is bleeding, apply a medical gauze. Dragging a bleeding patient will quickly drain their blood, unless you use a roller bed.
  • If Epinephrine is not available, immediately perform CPR a few times to ensure the patient stays alive until you do the next step. Make sure they're also not suffering from any other significant problems, like being on fire, or in a low-pressure environment.
NOTE: CPR on its own will not heal someone unless they are only suffering from suffocation damage. If they are in crit because of brute/burn/toxins/cellular damage it will only keep them from dying.
  • Now you have many options:
  1. Take the patient to a sleeper. Drag the patient's sprite onto it to close it. Inject appropriate chemicals.
  2. Strip the patient's space suit off if they have one and put the patient into a cryochamber, wait for them to heal up and eject.
  3. Use sutures, mesh, brute patches, burn patches, salbutamol or other appropriate medication. See next section for examples.

Using Sleepers and Cryogenics

Sleeper.gif Sleeper

Sleepers are useful for freeing up your hands when dealing with multiple patients. They allow you to treat individuals (even if they're dead!) without using resources such as sutures or chemicals, as well as sedate any unruly patients. They are typically best used when other, more critical patients demand your attention or when time isn't a concern.

When their matter bins are upgraded, their healing effectiveness on corpses is increased, which makes them perfect for healing multiple bodies at once if you have several carcasses come in at once. For more information on how scientists can upgrade sleepers, check here.

Sleepers also show you chemicals present in the patient's bloodstream, though their reagent processing may be frozen if the sleeper has been fully upgraded.

How to use:

  1. Ensure the sleeper is open. If it's not, open it.
  2. Pull the patient near the sleeper.
  3. Click and hold on the patient, move the cursor to the sleeper, then release. This puts the patient inside. You can also ALT+CLICK the sleeper when they're on the same space as it.
  4. Click on the sleeper to open the menu.
  5. Select the option they need:
    • Sedate: Injects 10u of morphine (to a maximum of 10 units) into the patient, putting them to sleep after some time.
    • Treat Injuries: Heals brute and burn damage.
    • Repair Organs: Heals a random damaged organ, with dead patients healing much slower. Requires a Nano Manipulator installed.
    • Purge Toxins: Heals toxin damage and purges chemicals. Requires a Pico Manipulator installed.
  6. Wait until they are healed, then open the sleeper and kick them out.

Cryo.gif Cryogenics Tube

Cryotube uses the fact that cryoxadone is effective at healing all types of damage, but only works in cold environments. Use it mainly to heal cellular damage, or if you're out of other options/unsure what to do. This is slow and forces the patient to sleep, so prefer using a sleeper or brute/fire patches for common damage types.

Cryotubes can also be upgraded by science parts. Better matter bins allow them to work slightly faster and more efficiently.

How to prepare (This needs to be done at the start of every round!):

  1. Wrench the oxygen canisters to connect them to the tubes and the freezer.
  2. Turn on the freezer. Set it to lowest temperature available.
  3. Load beakers with chemicals. A common and highly effective mix for general use is cryoxadone, clonexadone and mannitol.
    • All chemicals will work, so you can add anything. This is the job of chemists.
    • Be sure to only add chemicals that you can't overdose on, as patients in cryo will receive large doses of all chemicals in the beaker.
  4. Set the tubes to Auto instead of Manual, so they'll open after the patient is healed. Otherwise, they'll be trapped in until someone opens the tube from outside.

How to use:

  1. Ensure the cryo tube is open first. If not, open it.
  2. Pull the person on top of the tube.
  3. Remove all clothes that prevent freezing, such as hardsuits. Else it won't work.
  4. Close the cryo tube with its menu, or click on them with your mouse and drag their sprite to the tube.
  5. Open the tube menu and turn it on. If their health starts to improve (sometimes it takes a moment to start), they're all set. If not, make sure everything is set up properly (cryoxadone in the tubes? pressure in the canisters?).
  6. Turning it on will put the patient to sleep.
  7. If set to auto, the tube will turn off and pop open automatically.
  8. Shake the person to get them up (switch to help intent and click on them multiple times).
  9. Let them redress (or do it for them) then kick them out.

Rarer Cases

These situations are not as common as normal damages, but they are still VERY LIKELY to happen. AND most of these cases are also more severe, and it is essential to be fucking fast and know this stuff!
So read up, these are the things that will separate quacks from real doctors!

Husk

Sometimes, people are dropped off in Medbay with charred, grey skin and a lack of definable features. This means that they are a husk. They either died through extreme temperature, or through a changeling sucking out all their valuable DNA: evidenced by being both a husk and also resembling a "crushed, empty juice pouch" on examine.

Luckily, with modern medicine: We can rebuild them. For victims of extreme temperature (hot or cold) they can be unhusked and either cloned or defibbed with the use of Synthflesh. Heal their burn damage to under 50, spray them with Synthflesh (from chemistry or medbay storage) and if they have 100u of Synthflesh in them, they will simply stop being a husk, and you can continue on normally with revival.

A harder (and only option for victims of changeling husks) is the researched surgery DNA recovery. Careful, as this requires Rezadone, which might be hard to come by. Upgraded Medical Cyborgs have Hyposprays with Rezadone in them. Once this surgery is completed, they can then be cloned normally.

If you try to de-brain a changeling victim husk corpse and put their brain into an MMI, it WILL fail and be unresponsive! Do not do this! You are not being clever nor helpful, it will never work, and that's the point! Do it the right way!

Overdose

Giving too much of some chemicals or drugs can cause an overdose. This means that you aren't doing your job correctly and you may even kill the patient if you don't stop doing it!

Chemicals that can overdose:

For a full list see Guide to Chemistry.

How to treat:

  • Charcoal purges chemicals slowly and can help with toxin damage.
  • Calomel purges chemicals quickly and is relatively easy to make in chemistry.
  • Pentetic acid clears all chemicals from the body very quickly.
  • You can do the Stomach Pump surgery to quickly purge massive amounts of reagents.

Hudill.png Disease

Diseases are the most frustrating thing you will deal with, as it spreads, and can infect you as well. A disease can be identified easily with the Health Scanner HUD, it giving a green-unhappy-face-icon next to the patient. A Health Analyzer will give more detailed information about the disease and its cure.

How to Treat:

  1. Suit up in anti-viral equipment.
  2. Isolate the patient from public areas (if they have an infectious disease).
  3. Use your Health Analyze to see the cure for the disease (usually some basic chemical element).
  4. Administer the chemical element needed. OR if the virologist has made a vaccine, administering five units of it (or less if applied via injection) will instantly cure and immunize.
  5. Monitor the patient's condition, do not leave them until they are clear and have become resistant to the disease.
  6. Check if you are infected after dealing with the patient.

After:

  • If you did not have the vaccine for the disease, take a blood sample from the cured patient and hand it to the virologist to help them make a vaccine.

If you half-ass curing people, the disease may return and kill the person. And they can get infected if they are cloned as well!

Blindness

The person cannot see, they usually will scream about this endlessly.

How to treat:

Deafness

The person cannot hear, they are usually unresponsive to verbal communication and can't even hear themselves talking.

What causes it:

  • Genetic mutations can cause genetic deafness.
  • Ear damage can render a person deaf temporarily, but extreme ear damage causes permanent deafness.
  • Explosions cause ear damage.
  • Flashbangs cause ear damage.

How to treat:

  • Most ear damage will heal on its own.
  • Inacusiate heals minor ear damage instantly.
  • Put earmuffs on the patient and minor ear damage will quickly heal.
  • Mutadone can reset genetic mutations including deafness.

Genetic Disabilities

Disabilities cannot be cured by normal medical tools. If a patient appears to be unable to move and/or they speak in very short sentences, they most likely have a genetic disability.

How to treat:

  • Ask a competent geneticist to remove the bad mutation.
  • A one unit mutadone pill or injection will instantly cure all genetic abnormalities. This includes beneficial ones.

Radiation

You will rarely treat this, it causes people to black out all the time and take steady toxin damage. It either comes from space radiation surges, after which crew members will "feel strange" and begin to vomit, but more likely you'll be treating engineers who got too close to the supermatter or geneticists and people undergoing genetic testing who've stuck themselves with too many SE injectors.

How to treat:

  • If you have potassium iodide or pentetic acid, use them. These will remove the radiation before it poisons the patient further.
  • Else, treat with charcoal (Anti-toxin) until the radiation levels have subsided.

Hallucinations

This nasty effect causes the victim to see (usually deadly) objects in his and others' hands, along with random visions of people and creatures attacking him, causing stamina damage. Extremely unpleasant. Caused by changelings, mindbreaker toxin,supermatter, and some bad 'shrooms.

How to treat:

  • Synaptizine is good for removing hallucinations. But can cause light toxin damage.
  • Haloperidol is not as good as synaptizine at removing hallucinations, but it will also quickly purge drugs that are likely causing them.

Huddead.png Death

If the patient is dead, the basic procedure for handling stiffs is the same. Your first plan of action should be trying to defibrillate the body and bring them back to life quickly. If they have this icon on your health scanner hud: Huddefib.gif it means the body is fresh enough for defibrillation.

  1. Inspect the body. Does it say they committed suicide or that their soul has departed? Nothing you can do for them, fast track them to the morgue.
  2. If they're just normal dead, scan them with a health analyzer. Do they have more than 180 brute or burn damage (tracked separately, having 179 of each is fine)? If so, you must heal the corpse with synthflesh until it has under 180 brute and burn. You can buy synthflesh sprays from the NanoMed Plus or have it made in chemistry.
  3. If the patient is wearing a space suit or hardsuit, take it off. To take it off, drag the sprite of the patient onto yours, and click the hardsuit in the menu that pops up.
  4. Once the patient is prepared, equip your defib. The large one goes on your backpack slot, and the compact defib that the CMO gets goes on your belt slot. Then empty both of your hands, and click the new defib hud icon on your top left to take out the paddles. Activate/click the paddles with the hand you're holding them in to wield them in both hands. Stop dragging the patient (with H or delete) or you will be shocked. Switch to help Intent Help.png intent, target the chest, and then click on the patient. After a few seconds, you'll deliver an electric shock.
  5. If the defib pings and says the resuscitation was successful, drag the patient to a sleeper or use other medicine to get them healed up. If it instead says they have severe tissue damage, they have more than 180 brute or burn damage, and needs more synthflesh. If it says the heart tissue has decayed beyond saving, you are too late. If the body is a husk then defib will never work.


If defibrillation can't be done, you have a few choices:

  1. The easiest solution is usually to drag the corpse to cloning. If cloning is upgraded enough, you will be able to clone even husks and brains.
  2. If you have many corpses then cloning can be a slow process. Sometimes cloning might even be sabotaged. Consider doing revival surgery instead, if available.
  3. Another option for revival is the chemical strange reagent, which works similarly to defibrillation, except the patient needs to be below 100 brute and burn damage (instead of 180), and it works on corpses of any age.
  4. You can also clone people in Hydroponics, which works even if the patient is missing a head. See Replica Pod Cloning. This option creates podperson clones.


PLEASE NOTE In the morgue there are lights on the side of the trays. The red light means there is a dead body with no ghost occupying it. Green light means there is a body with a ghost in it, which means you should clone it. The green light is normally accompanied by a beeping sound as well, which can be turned off by alt-clicking the tray.

Cheat Sheet for the Lazy Efficient Doctor

If you don't want to remember all of those things above, just look at this cheat sheet whenever a patient comes in and you'll be an excellent doctor in most (>90%) cases.





































Afternote

If you aren't serious about healing someone, don't give up halfway, get proper medical staff to help them. Don't leave them outside Genetics to just die either (this wastes everyone else's time, except yours, you selfish fuck), at least try to have a doctor save them.