Guide to medicine: Difference between revisions

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{{Speech
{{Speech
|name=Chief Medical Officer Kingston
|name=Chief Medical Officer Kingston
|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.
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== Identification ==
== 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 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:
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:


=== Seven types of damage ===
=== Types of damage ===


* Humans can be hurt in seven different ways: '''Suffocation''', '''brute''', '''burn''', '''toxin''', '''cellular''', '''brain damage''' and '''bleeding'''.
* There are four primary kinds of damage: '''Suffocation''', '''brute''', '''burn''', and '''toxin.''' These damage types have first aid kits associated with them and are therefore treatable without needing further medical equipment. The standard white first aid kit has materials to treat '''brute''', '''burn''', and '''bleeding'''
* There are additional kinds of damage that occur less often: '''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).
* 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%)'''.
* 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.
* 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 the basic six types of damage. See below for a more extensive explanation.
* Bleeding is different from other 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.
* You can identify these different damage types quickly 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.
* 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 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]].
:* 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]].
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'''1. The patient walks in and needs treatment.'''
'''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.
:''"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:
:How to act:
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:How to act:
: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 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.   
:* 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 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.
:* If the patient is bleeding, apply a medical gauze. Dragging a bleeding patient will quickly drain their blood, unless you use a roller bed.
::'''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.'''
:* 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.
:* Now you have two options:
::'''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.
:# 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.
:# Use bruise packs, ointments, [[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.


== Treatment ==
== Treatment ==


===[[File:O2med.png]] Suffocation===
===[[File:O2med.png]] <font color=blue>Suffocation</font>===
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.
This is the first and most important to look out for. It is not visible on the body, but people suffering from it will ''gasp for air''. On the Health Analyzer, it is the leftmost, <font color=blue>blue</font> damage type.


'''Ways of getting damaged:'''
'''Ways of getting damaged:'''


* Being in an area without enough oxygen present will slowly suffocate you.
* Being in an area without enough oxygen present will suffocate you.
* Missing a significant amount of blood will deal suffocation damage over time.
* Missing a significant amount of blood will deal suffocation damage over time.
* Once you are in critical condition, you can't breathe and will suffocate.
* Once you are in critical condition, you slowly take suffocation damage.
* An [[Ephedrine]] overdose deals suffocation damage at 45u.
* Some [[Guide_to_chemistry#Ephedrine|medicines]] and [[Guide_to_chemistry#Aranesp|drugs]] can deal suffocation damage.  
* A [[Histamine]] overdose deals suffocation damage at 30u.
* An [[Omnizine]] overdose deals suffocation damage at 30u.
* Some poisons, like [[Cyanide]], deal suffocation damage.
* Some poisons, like [[Cyanide]], deal suffocation damage.
* Some virus symptoms will cause suffocation.
* Some [[Virus|virus]] symptoms can cause suffocation.
* Missing a pair of lungs.
* Missing a pair of lungs.
* Missing a heart, or having a heart that stopped beating.
* Missing a heart, or having a heart that stopped beating.
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'''Treatment:'''
'''Treatment:'''


* 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 in crit, you can CPR{{anchor|CPR}} them. Remove your and patient's mask and helmet, 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.
* 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.
* [[Epinephrine]] prevents the person from taking more than 35 suffocation damage, but does not treat it.
* [[Epinephrine]] stops the suffocation damage that is dealt from being in a crit state.  
* [[Salbutamol]] slowly treats suffocation damage. It also binds lexorin very quickly.
* [[Salbutamol]] quickly treats suffocation damage.  
* [[Perfluorodecalin]] instantly heals ''all'' suffocation damage.
* [[Perfluorodecalin]] very quickly heals suffocation damage, but deals some toxin damage.
* [[Cryoxadone]] in a [[Medical_items#Cryogenics Tube & Freezer|cryotube]] or a very cold environment heal most types of damage, including suffocation.  
* [[Guide_to_chemistry#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
* [[Orange juice]] isn't the most effective cure, but it does help a bit when no other options are available
* If a person is missing a heart, replace their heart.
* 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.
* 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:SMed.png]] Brute Damage===
===[[File:Brutefak.png]] <font color=red>Brute</font>===
This is a straight-forward damage category. This is far right damage type on Health Analyzer. Brute wounds are visible, and limb specific.
This is a straight-forward damage category. This is the far right damage type on Health Analyzer. Brute wounds are visible, and limb-specific.


'''Ways of getting damaged:'''
'''Ways of getting damaged:'''


* Being physically hit by almost anything is brute damage.
* Being physically hit by almost anything does brute damage.
* Some chemicals can deal brute damage.
* Some [[Guide_to_chemistry#Fluorosulfuric_Acid|chemicals]] can deal brute damage.


'''Treatment:'''
'''Treatment:'''


* Bruise packs can be applied to the damaged limb. Use a medical scanner or ask the patient to examine themselves.
* 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.
* [[Guide_to_chemistry#Styptic_powder|Styptic powder]] patches (brute patches) heal burn damage instantly and over time.
* [[Bicaridine]] from a sleeper or chemistry heals brute damage over time. Do not administer more than 30u, however.
* [[Guide_to_chemistry#Synthflesh|Synthflesh]] patches heal brute damage instantly.
* [[Saline-glucose solution]] heals brute slowly.
* [[Guide_to_chemistry#Bicaridine|Bicaridine]] from a sleeper or [[Guide_to_chemistry|chemistry]] heals brute damage over time. 30u is [[Guide_to_chemistry#Core_Healing_Medicines|overdose]].  
* [[Saline-glucose solution]] heals brute slowly. Can be [[Guide_to_chemistry#Core_Healing_Medicines|overdosed]]
* [[Cryoxadone]] in a [[Medical_items#Cryogenics Tube & Freezer|cryotube]] or a very cold environment heal most types of damage, including brute.
* [[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.
* Food can heal brute damage slowly.
* Milk, bilk, soy milk, soy latte, cafe latte, and cream can heal it very slowly.
* Milk, bilk, soy milk, soy latte, [[Guide_to_food_and_drinks#Coffee_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.
* 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:Bmed.png]] <font color=orange>Burns</font>===
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.
'''Ways of getting damaged:'''
* Temperature too high or too low causes burn damage. That includes coldness of space and being set on fire.
* Lasers deal burn damage.
* Some [[Guide_to_chemistry#Phlogiston|chemicals]] deal burn damage.
* Electric shocks deal burn damage.
'''Treatment:'''
* Ointments can be applied to the damaged limb. Use a medical scanner or ask the patient to examine themselves.
* [[Silver sulfadiazine]] patches (burn patches) heal burn damage instantly and over time.
* [[Guide_to_chemistry#Synthflesh|Synthflesh]] patches heal burn damage instantly.
* [[Guide_to_chemistry#Oxandrolone|Oxandrolone]] pills heal burn damage over time, and are more effective on severe burns. Can be [[Guide_to_chemistry#Core_Healing_Medicines|overdosed]].
* [[Guide_to_chemistry#Kelotane|Kelotane]] from a sleeper or chemistry will heal burn damage over time. Do not administer more than 30u to prevent overdoses.
* [[Guide_to_chemistry#Saline-Glucose_Solution|Saline-glucose solution]] heals burn slowly. Can be [[Guide_to_chemistry#Core_Healing_Medicines|overdosed]].
* [[Cryoxadone]] in a [[Medical_items#Cryogenics Tube & Freezer|cryotube]] or a very cold environment heal most types of damage, including burn.
* [[Tomato juice]] 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:Tmed.png]] <font color=lightgreen>Toxins</font>===
This is the second from the left on the Health Analyzer. It is not visible on the person's health doll. Thankfully it is easy to treat.
'''Ways of getting damaged:'''
* Breathing plasma deals toxic damage.
* Many [[Guide_to_chemistry#Toxins|chemicals]] deal toxic damage.
* Drinking a lot of alcohol can hurt your liver and deal toxic damage.
* High doses of [[radiation]] deal toxic damage.
'''Treatment:'''
* Mind the difference between chemical named [[Guide_to_chemistry#Toxin|"toxin"]] and toxic damage. The [[Guide_to_chemistry#Toxins|chemical]] deals toxic damage as long as it is present in bloodstream. [[Guide_to_chemistry#Anti-Toxin|Anti-toxin]], [[Guide_to_chemistry#Charcoal|charcoal]] and [[Guide_to_chemistry#Pentetic_Acid|Ppentetic acid]] 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.
* [[Guide_to_chemistry#Anti-Toxin|Anti-toxin]] heals toxic damage and purges toxic chemicals. Can be [[Guide_to_chemistry#Core_Healing_Medicines|overdosed]].
* [[Guide_to_chemistry#Charcoal|Charcoal]] works the same as [[Guide_to_chemistry#Anti-Toxin|anti-toxin]], but can not be overdosed.
* [[Guide_to_chemistry#Pentetic_Acid|Pentetic acid]] heals toxic damage and purges toxins more quickly than charcoal. Also purges [[radiation]]. 
* [[Guide_to_chemistry#Calomel|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 usually can't control it, however.


====[[File:Blood Pack.png]] Bleeding====
====[[File:Blood Pack.png]] Bleeding====
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'''Treating bloodloss:'''
'''Treating bloodloss:'''
# Bandage wound to stop bleeding.
# Bandage wound with a medical gauze 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.
 
===[[File:Bmed.png]] Burns===
 
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.
 
'''Ways of getting damaged:'''
 
* Temperature too high or too low causes burn damage. That includes coldness of space and being set on fire.
* Lazers deal burn damage.
* [[Thermite]] deals burn damage if taken internally, but it is a '''very''' rare case.
* Electric shocks deal burn damage.
 
'''Treatment:'''
 
* Ointments can be applied to the damaged limb. Use a medical scanner or ask the patient to examine themselves.
* [[Silver sulfadiazine]] and [[synthflesh]] heal burn damage instantly.
* [[Oxandrolone]] pills heal burn damage over time, and are more effective on severe burns.
* [[Kelotane]] from a sleeper or chemistry will heal burn damage over time. Do not administer more than 30u to prevent overdoses.
* [[Saline-glucose solution]] heals burn slowly.
* [[Cryoxadone]] in a [[Medical_items#Cryogenics Tube & Freezer|cryotube]] or a very cold environment heal most types of damage, including burn.
* [[Tomato juice]] 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:Tmed.png]] Toxins===
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.
 
'''Ways of getting damaged:'''
 
* Breathing plasma deals toxic damage.
* Many chemicals deal toxic damage.
* Drinking a lot of alcohol deals toxic damage.
* [[Synaptizine]] deals light toxic damage.
* High doses of [[radiation]] deal toxic damage.
 
'''Treatment:'''
 
* 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 ===
=== [[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.
Rare kind of damage. It shows up on scanners and is visible on examination, but exact numbers aren't shown.


'''Ways of getting damaged:'''
'''Ways of getting damaged:'''
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'''Treatment:'''
'''Treatment:'''


* [[Cryoxadone]] in a [[#Cryogenics_Tube|cryotube]] or a very cold environment heal most types of damage, including cellular.  
* [[Cryoxadone]] in a [[#Cryogenics_Tube|cryotube]] is the most common way to heal cellular damage.  
* [[Rezadone]] also heals cellular damage, and does not require a cryotube, but is hard to get.
* [[Rezadone]] instantly heals all cellular damage, even with only a 1 unit pill, and does not require a cryotube. But it's hard to get.


Keep in mind that cellular damage is not related to genetic disabilities! They are different things, and must be treated separately!
Keep in mind that cellular damage is not related to [[Guide_to_genetics#Mutations_and_Their_Consequences|genetic disabilities]] (which must be treated with [[Guide_to_chemistry#Mutadone|mutadone]])! They are different things.


=== [[File:Brain.png]] Brain damage ===
=== [[File:Brain.png]] Brain damage ===


Nasty, makes people say stupid things and clunk their heads into airlocks along with blacking out.
Nasty. Randomly causes [[Brain Traumas|brain traumas]] and other problems. If a brain reaches 0% health, the person dies. To be able to see exact brain health, you need an advanced health analyzer, which [[CMO]] gets one of by default. Getting killed and cloned does not cure brain traumas.  


'''Ways of getting damaged:'''
'''Ways of getting damaged:'''


* Imperfect cloning.
* Imperfect cloning.
* [[Mercury]], [[impedrezene]], and [[Guide_to_chemistry#Neurotoxin|neurotoxin]]
* Certain chemicals such as [[Guide_to_chemistry#Mercury|mercury]], [[Guide_to_chemistry#Impedrezene|impedrezene]], or [[Guide_to_chemistry#Fentanyl|fentanyl]]
* Abusing [[Guide_to_chemistry#Narcotics|narcotics]].
* Abusing certain [[Guide_to_chemistry#Narcotics|narcotics]].
* [[Chaplain]]'s bible applied to the head.
* [[Chaplain]]'s bible applied to the head.
* [[Blood Cult|Unholy Water]]
* [[Blood Cult|Unholy Water]]
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'''Treatment:'''
'''Treatment:'''


* [[Mannitol]] pills or injections.
* [[Guide_to_chemistry#Mannitol|Mannitol]] pills or injections slowly cure brain damage, but does not cure [[Brain Traumas|brain traumas]].
* [[Guide_to_chemistry#Neurine|Neurine]] will treat the most '''basic''' brain traumas. These traumas have no prefix on health analyzer.
* [[Surgery#Brain_Surgery|Brain Surgery]], will also cure '''severe''' traumas. You can identify severe brain traumas by the prefix "severe" on health analyzer. [[Nanites#Healing_Programs|Nanites]] can cure these and lower level traumas.
* [[Surgery#Lobotomy|Lobotomy]] will cure '''deep-rooted brain traumas'''. You can identify deep-rooted brain traumas by the prefix "deep-rooted" on health analyzer. Some [[Virus#Symptoms_Table|viruses]] can cure these and lower level traumas.
* '''Permanent''' brain traumas are either permanent or curable with magic, which is typically unavailable. Failing a lobotomy can cause these traumas. You can identify permanent brain traumas by the prefix "permanent" on health analyzer. If you get one of these, then assume "this is life now".


=== [[File:DoubleESword.png]] Dismemberment ===
=== [[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.
Patients may lose their head, legs or arms. A patient missing arms can't hold items or interact with objects. Missing legs will slow down a patient, but missing both legs also prevents them from holding any items unless they're buckled to a chair. Missing both arms and legs Patients missing a head will die in most cases as their body lacks its brain.
 
Examining a patient will describe any missing limbs.
 


'''Ways of getting damaged:'''
'''Ways of getting damaged:'''
* Strong physical forces, such as explosions.
* Strong physical forces, such as explosions.
* Getting hit by strong sharp objects such as swords.
* 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.
* Amputation via [[surgery]].
* Amputation via [[surgery]].


'''Treatment:'''
'''Treatment:'''
* Prosthetic replacement via [[surgery]].
* [[Surgery#Prosthetic_Replacement|Prosthetic replacement]] via [[surgery]].
** Cyborg limbs can be used. Robotics can produce cyborg limbs.
** 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 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.
** 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 the limb grower can be used.
** 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]].


== Using Sleepers and Cryogenics ==
== Using Sleepers and Cryogenics ==
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=== [[File:Sleeper.gif]] [[Medical_items#Sleeper|Sleeper]] ===
=== [[File:Sleeper.gif]] [[Medical_items#Sleeper|Sleeper]] ===


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]].
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 is 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 injecting [[epinephrine]].


Sleepers also show you chemicals present in person's bloodstream.
Sleepers also show you chemicals present in person's bloodstream.
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# 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):
# Inject chemicals they need (note: these are the non-upgraded chemicals):
#* '''[[Epinephrine]]:''' Brings down and limits high suffocation damage. Heals brute, burn and toxin damage very slowly if patient is in critical condition.
#* '''[[Epinephrine]]:''' Brings down and limits high suffocation damage. Heals brute, burn and toxin damage very slowly if the patient is in critical condition.
#* '''[[Morphine]]:''' Puts person to sleep after some time.
#* '''[[Salbutamol]]:''' Heals suffocation damage.
#* '''[[Bicaridine]]:''' Heals brute damage slowly over time.
#* '''[[Bicaridine]]:''' Heals brute damage slowly over time.
#* '''[[Kelotane]]:''' Heals burn damage slowly over time.
#* '''[[Kelotane]]:''' Heals burn damage slowly over time.
#* '''[[Salbutamol]]:''' Heals suffocation damage.
#* '''[[Morphine]]:''' Puts person to sleep after some time.
# It's not necessary to wait now, 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:
A quick guide to the upgraded chemicals:
#* '''[[Anti-toxin]]:''' Heals toxin damage slowly over time.
#* '''[[Mannitol]]:''' Heals brain damage.
#* '''[[Oculine]]:''' Heals eye damage and cures nearsightedness. Has a chance of curing blindness.
#* '''[[Oculine]]:''' Heals eye damage and cures nearsightedness. Has a chance of curing blindness.
#* '''[[Inacusiate]]:''' Heals ear damage instantly, but cannot cure genetic deafness.
#* '''[[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.
#* '''[[Mutadone]]:''' Cures all genetic mutations, both good and bad.
#* '''[[Mannitol]]:''' Heals brain damage.
#* '''[[Guide_to_chemistry#Pentetic Acid|Pentetic Acid]]:''' Heals toxin damage slowly over time. Reduces radiation and removes any other chemical from the bloodstream, including other healing chems, so use it sparingly.
#* '''[[Guide_to_chemistry#Pentetic Acid|Pentetic Acid]]:''' Heals toxin damage slowly over time. Reduces radiation and removes any other chemical from the bloodstream, including other healing chems, so use it sparingly.
#* '''[[Omnizine]]:''' Heals brute, burn, toxin and suffocation damage very slowly over time.
#* '''[[Omnizine]]:''' Heals brute, burn, toxin and suffocation damage very slowly over time.
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=== [[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 tube is open first. If not, open it.
# Ensure the cryo tube is open first. If not, open it.
# Pull the person next to the tube.
# Pull the person on top of the tube.  
# Remove all clothes that prevent freezing, such as hardsuits.
# Remove all clothes that prevent freezing, such as hardsuits. Else it won't work.  
# Click on them with your mouse and drag their sprite to the tube.
# Close the cryo tube with its menu, or 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 ==
== Rarer Cases ==
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===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:'''
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* Tricordrazine 30u
* Tricordrazine 30u
* Omnizine: 30u (Really deadly)
* Omnizine: 30u (Really deadly)
* Salicyclic Acid 25u
* Salicylic Acid 25u
* Ephedrine 45u (Addiction at 30u)
* Ephedrine 45u (Addiction at 30u)
* Morphine 30u (Addiction at 25u)
* Morphine 30u (Addiction at 25u)
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* Nicotine 35u (Addiction at 30u, not sure its achievable with normal cig use)
* Nicotine 35u (Addiction at 30u, not sure its achievable with normal cig use)
* Crank 20u (Addiction at 10u, also really deadly)
* Crank 20u (Addiction at 10u, also really deadly)
* Krokodil 20u (Addicted at 15u, addiction is what causes skin and bones minus skin)
* Krokodil 20u (Addiction at 15u, addiction is what causes skin and bones minus skin)
* Histamine 30u (This is what makes Histamines dangerous)
* Histamine 30u (This is what makes Histamines dangerous)


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# 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 Analyzer or PDA 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 one unit of it 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.
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* 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 him/her 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===
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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:
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===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 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 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 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.  
# 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.  
# 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
# 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.
# 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 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 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:
If defibrillation can't be done, you have a few choices:
* Do not attempt to clone the plasmaman, unless you are using a cloner in a room full of plasma with no oxygen.
# 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]].  
** If you happen to have such a cloner, clone the plasmaman and forget the rest of this guide!
# 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.
# 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.
# 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.


You can't clone a plasmaman, but you can take out its brain and put it into something that can be cloned.
# Put the plasmaman's in a bodybag and move it to a low-traffic part of the medbay.
# Remove the plasmaman's items except the jumpsuit and helmet.
# Perform brain removal surgery on the plasmaman.
# Get a monkey and turn it into a human.
# 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
'''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 ==
== Cheat Sheet for the <s>Lazy</s> Efficient Doctor ==

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