Guide to medicine: Difference between revisions

|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!

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!

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:

=== Seven types of damage ===

* Humans can be hurt in seven different ways: '''Suffocation''', '''brute''', '''burn''', '''toxin''', '''cellular''', '''brain damage''' and '''bleeding'''.

* Bleeding is different from the basic six types of damage. See below for a more extensive explanation.

* 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.

:''"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.

:* 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.

::'''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.'''

:* Now you have two options:

:# 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.

===[[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.

* 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.

* An [[Ephedrine]] overdose deals suffocation damage at 45u.

* A [[Histamine]] overdose deals suffocation damage at 30u.

* An [[Omnizine]] overdose deals suffocation damage at 30u.

* Some virus symptoms will cause suffocation.

* 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.

* [[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.  

* If a person is missing a heart, replace their heart.

* If a person's heart has stopped beating, use a [[defibrillator]] and their heart should return to normal.

===[[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.

* Being physically hit by almost anything is brute damage.

* Some chemicals can deal brute damage.

* [[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.

* Milk, bilk, soy milk, soy latte, cafe latte, and cream can heal it very slowly.

# Bandage wound to stop bleeding.

# If blood transfusion is unavailable, blood will be naturally produced by the body, albeit slowly.

# 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.

# Click-drag IV drip onto patient.

# Detach patient from IV drip by click-dragging the IV drip onto the patient again or simply clicking the IV.

# Attach empty blood pack to IV drip.

# Ensure IV drip is on "take" mode by right clicking it.

# Click on IV drip to eject blood pack, label appropriately.

 

 

 

 

 

 

 

 

 

 

 

* Vomiting heals some toxic damage. You can't control it, though.

Rare kind of damage. It shows up on scanners and is visible on examination but exact numbers aren't shown.

* [[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!

Nasty, makes people say stupid things and clunk their heads into airlocks along with blacking out.

* [[Mercury]], [[impedrezene]], and [[Guide_to_chemistry#Neurotoxin|neurotoxin]]

* Abusing [[Guide_to_chemistry#Narcotics|narcotics]].

* [[Mannitol]] pills or injections.

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.

* Getting hit by strong sharp objects such as swords.

* 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.

** Synthetic limbs from the limb grower can be used.

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]].

#* '''[[Epinephrine]]:''' Brings down and limits high suffocation damage. Heals brute, burn and toxin damage very slowly if patient is in critical condition.

#* '''[[Morphine]]:''' Puts person to sleep after some time.

#* '''[[Salbutamol]]:''' Heals suffocation damage.

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.

# Load beakers with chemicals. A common and highly effective mix for general use is [[cryoxadone]] 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.

#* Be sure to 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.

# Ensure the tube is open first. If not, open it.

# Pull the person next to the tube.

# Remove all clothes that prevent freezing, such as hardsuits.

# Click on them with your mouse and drag their sprite to the tube.

# When healing is complete, the tube will turn off and pop open automatically.

# Shake the person to get them up (switch to help intent and click on them)

# Let them redress (Or do it for them) then kick them out.

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!

* Salicyclic Acid 25u

* Krokodil 20u (Addicted at 15u, addiction is what causes skin and bones minus skin)

# Use your Health Analyzer or PDA to see the cure to the disease (usually some basic chemical element).

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!

* Ask a competent [[geneticist]] for a clean SE injector.

* A one unit [[mutadone]] pill or injection will also instantly cure all genetic abnormalities. This includes beneficial ones.

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.

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.

* [[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.

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.

# 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 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 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 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, 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 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!

'''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