Guide to Medicine

=General Diagnostics= Medical care is serious business. Going half way with your medical treatments can result into someone dying, or ending up worse than dead. So pay attention and follow these steps on how to fix people. This guide is long and wordy, but following its advice should help you keep the whole station from dying.

Diagnostic Tools

 * A must have tool is a [[file:Healthanalyzer.png‎]]health analyzer. It can show overall damages, with breakdown by organ, bleeding locations, fractures (not always with location), and some other conditions.
 * Most complete information can be gathered with an [[file:Bscanner.gif]][[file:Bscanner_console.gif]] Advanced Body Scanner. It shows pretty much all information one would need to perform a surgery. If there're several conditions to fix, remember to print out a report to take with you.
 * Stethoscope. Using it you can detect problems with lungs or  heart as well as suffocation damage. Tuck it on your scrubs for easy access and looking like you're a real doctor.
 * Penlight. By shining it in patient's eyes, you can tell a few things from pupils' reaction - brain damage (different response speed between eyes), sleepiness (slower response time), drugs in patient's system (pinpoint/dilated pupils) or eye damage.
 * When nothing is around, you can just use your hands. Grab patient, aim at the bodypart you want to inspect and click on patient with help intent. This will start inspection process that would tell you about wounds, fractures, and some other conditions like suffocation or high toxins levels.

Robotic Limb Malfunctions
Injuries located on robotic limbs cannot be treated by the standard equipment located in Medbay. Those patients should be sent to the Roboticist for repairs. It is still important for individuals to receive treatment for these wounds as soon as possible, as limbs may explode after receiving a certain amount of damage to them.

Robotic limbs are tougher than normal limbs, and do not count towards overall damage. However, they can only be repaired by welders (for brute damage) or wires (for burn damage), and malfunction if damaged. If one of the medical personnel has training in electronics, they may want to carry a welder and some cable to repair prosthetics; otherwise, keep the roboticist on call.

Artificial eyes and hearts can be repaired during surgery with nanopaste.

Robotic limbs are the best way to treat patients who have suffered a traumatic amputation. It is recommended to maintain good relations with robotics and perhaps, if they are not too busy, acquire a set of robotic limbs just in case you need to attach one.

Critical Patients
Anytime a patient has either very quickly dropping vitals, or a Health Analyzer shows that they are below 0 health, you should act quickly to prevent their death.
 * Remove yourself and the patient from the source of the injury, whether it be a space carp, phoron-saturated clothing, or a murderous traitor. Adding yourself to the list of casualties won't help anyone.
 * Stabilize the patient to the best of your ability before transporting, because otherwise they'll keep taking damage. Inaprovaline or CPR will help (unless the patient is a Vox, for whom inaprovaline is poisonous).
 * Bandaging bleeding wounds before transport will help prevent blood loss and the damage that comes with it.
 * Treat suffocation damage with dexalin or dexalin plus (unless the patient is a Vox - use nitrogen if they are) and, if necessary, make sure the patient's internals are functional and not out of air.
 * Always use a roller bed to transport a critical patient.  Dragging them can result in further injury . In case no roller beds are avaliable, GRAB them and move.
 * A cryo tube can slow or stop a patient from dying, as well as healing some kinds of damage. If the cryo tube is cold and loaded with medication, putting a critical patient in cryo can help stabilize them when immediate treatment is not possible. This is most useful when you have multiple critical patients or if your character does not have the skill set to treat a patient.

Triage
In situations where there are multiple critical patients being reported or flooding into medbay, use the Triage System. Wearing a Medical HUD will help you spot out which individuals are in the most desperate need of treatment first.

Damage Types and Basic Treatments
In the world of Baystation Medicine, most damage will fall under four major categories: Suffocation, Toxin, Brute, and Burn. These will show up on the Health Analyzer and in low amounts are very easily treated. There are also treatment kits for each of these categories located within medical storage.

 Suffocation Damage  This shows up as a  BLUE  number on the Health Analyzer and Crew Monitoring Console Suffocation results from being in areas with low oxygen, low blood count, internal damage to the lungs or heart, or from the patient being in a critical state. When a patient cannot breathe properly, suffocation damage will rapidly rise until they die. When a patient CAN breathe, suffocation damage will rapidly drop to zero. The only time that suffocation will ever stop and hold steady on a value, is in cases of blood loss.
 * First of all, if the patient is in an area which is depressurised or lacking oxygen, then you need to get them out of there.
 * If they're in a breathable area and still gasping, check if they have internals. Remove masks and helmets, so they're breathing from the atmosphere and not from an empty tank
 * Check their damage. If they're suffering a lot of damage from other sources, administer medicine to deal with those, or administer inaprovaline to negate the suffocation caused by being heavily wounded
 * Check their blood level, if it's lower than 90%, you have a problem. If it drops below 50% the patient is in danger of imminent death. Having a low blood level will cause un-healable suffocation damage that will stick at a constant value.
 * If all of the above are fine, then the problem is an internal organ, the lungs in most cases. Get them to a scanner bed to check it out. Damage to the heart, lungs and brain can all cause suffocation.
 * Dexalin or Dexalin Plus will heal the damage. Dexalin Plus immediately heals all suffocation; Dexalin gradually repairs suffocation damage. Note that both of these only treat the symptom, they don't fix the cause. If you HAVE fixed the cause, using these medicines is unnecessary. They should only be used to keep the patient alive while you get them back to medical, or while you perform surgery to fix the problem
 * CPR will also slow progress of suffocation in critical patients. (On help intent, click on the patient with nothing in your hands to administer CPR.) CPR is only useful in cases where you're desperate and don't have any Dexalin Plus. Shame on you for being unprepared.
 * IMPORTANT: If the patient is a Vox, suffocation damage comes from low nitrogen, not oxygen. Do not use Inaprovaline, Dexalin or Dexalin Plus to treat a Vox's suffocation damage; use nitrogen instead.

 Toxin Damage  This shows up as a  GREEN  number on the Health Analyzer and Crew Monitoring Console Toxin damage is the most difficult damage type to diagnose, because it has so many different causes. Dylovene is a powerful, widely available go-to antitoxin medicine, but remember that it only cures the symptoms, not the cause of the poisoning. Toxins are the most common damage type which doesn't heal over time, a poisoned patient will stay poisoned until you do something to fix it.

If a badly poisoned patient is left alone, they will deteriorate. If they have toxins above 60, their liver will start to break down. And once it reaches 30 damage, it will start hurting other internal organs too. This will lead to death if not treated. Dylovene will prevent liver breakdown, and will actually repair it if it's under 10 damage, otherwise it will need peridaxon or surgery.

When a patient comes in with toxin damage, follow these steps to diagnose and treat them correctly


 * Are they critical? If so, why.
 * If they have a lot of brute damage and broken bones, in addition to toxins, or if the scanner shows an unknown substance in their blood, it's probable they were mauled by a spider. Administer dialysis to purge the toxins from the blood, until the toxin levels stop rising
 * If their damage is mostly toxins, it's probable they either have sepsis, or a late stage viral infection. Administer lots of spaceacillin and dylovene immediately, and put them in a full body scanner to find out which.
 * Talk to the patient, if possible. Ask them if they ate, drank, inhaled, or injected anything, this can help you act accordingly.
 * If they were injected with something unknown, then you should analyse their blood. Take a blood sample with a syringe and inject it into a Mass Spectrometer, this will usually tell you what poisoned them.
 * If they've inhaled phoron, that will poison their blood, and require dialysis before dylovene
 * If an analyser shows a non medical reagent in their stomach, then they probably ate or drank something poisonous. There's no easy solution to this, keep gradually administering dylovene, and keep them in medical until it passes through. Or give them dylovene pills to take themselves periodically
 * If they work in engineering or science, it's quite probable they have Radiation. The full body scanner will tell you this. Anti radiation medicines will treat it most effectively, but lots of dylovene will manage it too
 * Since radiation dissipates naturally over time, it's quite probable an irradiated patient will no longer be irradiated by the time you examine them, and will just have leftover toxins.
 * When possible, try not to administer dylovene until you've discovered and fixed the root cause. While the patient has dylovene in their system, you won't notice their toxins slowly rising

 Brute Damage  This shows up as a  RED  number on the Health Analyzer and Crew Monitoring Console Brute damage is caused by anything that can beat up a person, cut them, or fill them full of lead. It is often paired with broken bones and  internal bleeding.
 * Locate the injuries using a Health Analyzer.
 * If a location shows up as "Bleeding", prioritize it. Stop bleeding with Gauze or an Advanced Trauma Kit; then apply the same treatment to non-bleeding locations.
 * Bicaridine helps repair injuries, but doesn't prevent infection.
 * Tramadol or another painkiller helps a patient remain functional despite pain from injuries.
 * Robotic limbs damage cannot be treated by the standard equipment located in Medbay. Those patients should be sent to the Roboticist for repairs.

 Burn Damage  This shows up as a  ORANGE  number on the Health Analyzer and Crew Monitoring Console Burn damage can result from fire, electrocution, energy weapons, or exposure to extreme cold.
 * Locate the injuries using a Health Analyzer.
 * Apply Ointment or a Burn Kit.
 * Kelotane or Dermaline (Dermaline is stronger) will help heal burns.
 * Burns easily become infected. Watch for fever and toxin readings.
 * Robotic limbs damage cannot be treated by the standard equipment located in Medbay. Those patients should be sent to the Roboticist for repairs.

 Unlisted Damage  Some damage does not show up in any category, but will show that the person is injured Creatures in the Research and Development location can cause genetic damage when attacking people. Being a new clone can also come with genetics damage, or heavy experimentation with genetics can cause this as well. Fighting on the holodeck will result in holo-damage. Hallucinations brought on by drug use or genetic defects will cause unlisted damage as well.
 * Attempt to confirm how injury was received.
 * Genetics damage is healed with time spent in a cryo chamber. Clonexadone heals faster then Cryoxadone in this case.
 * Holo-damage is cured by having the patient sleep it off.
 * For hallucination damage, treat cause of damage, (repair any genetic damage for radiation or inject dylovene for poisoning), and then let patient sleep it off as you would with holo-damage. Sedating the patient for their own safety is highly suggested.

=Mechanics= This section covere important detailed information about deeper mechanics of the medical system

Infection
Infection is a condition whereby bacteria infest an open or untreated wound, and start eating the body from the inside. This results in a fever, then mild toxin damage, but it gets really serious in the late stages, quickly causing limb death, organ failure, and massive toxins. A stage three infection is almost unstoppable, and spells near-inevitable death for the patient.

Infections work by a Germ Level value. A series of them actually, there is a germ level for:
 * Each patient's body, as a whole
 * Each bodypart (arms, legs, head, etc)
 * Each wound (cut, burn, bruise) and
 * Each internal organ (heart, lungs, etc).

The patient's body will accumulate a general germ level up until a value of 200, as they move around and do things. This is not directly harmful, but it will affect wounds if the patient gets hurt. The patient's germ level can be easily reset to zero by either showering, or by washing their bare hands (gloves must be removed). So hygiene is important, stop being filthy.

If a patient has open or untreated wounds, those wounds will gradually accumulate germs at a rate of about 1 point per second, up to the germ level of the patient's body, and will become infected if their germ level rises too high. A wound can be treated physically, with ointment, bandages, or an advanced trauma/burn kit. Once treated the germ level of a wound will stop rising, and it will become Sterilized after a short amount of time (averaging a minute) which completely resets the wound's germ value to zero. Even if wounds aren't properly treated, healing medicines, or natural regeneration may close them, and that will prevent their germ level from rising farther. but treating them physically is the safest option.

When a patient has infected wounds, they will spread their germ level to the muscles of the bodypart that wound is on, and this is where things get bad. Muscular infections can't usually be treated instantly, and will get worse over time naturally, in addition to recieving more germ level from infected wounds. Hence they will continue to worsen even after the wounds are treated. While the patient has >5u of spaceacillin in their system, the natural worsening of muscular infections is halted, and their germ level will gradually drop back to normal. If not addressed in time, muscular infections will spread to other nearby bodyparts, and eventually to internal organs too.

There are several stages to the severity of a muscular or organ infection. The effects of these stages stack on top of each other, and they also stack for each seperate bodypart.


 * Stage 0: from any germ level between 0-100, the bodypart is not considered 'infected', there are no ill effects, and injecting 5u of spaceacillin will clear the germ level from that bodypart instantly. At this stage the germ level will not rise naturally, and treating infected wounds in the area will halt it.


 * Stage 1: Ocurring at germ level 100, the part in question is considered lightly infected. The patient will suffer a fever, which will show an increased body temperature on Health Analysers. At this stage the germ level will start to naturally rise over time, at an accelerating rate as it rises higher. A greater than 5u dose of spaceacillin will stop the natural worsening, and will cause the infection level to drop by 6 points per second, so this is easy to treat if caught in time.


 * Stage 2: Ocurring at germ level 500, this is where things get bad. At stage 2, the infection will start to spread to other bodyparts and internal organs. Nothing can prevent this spreading except simply bringing the infection level down. Spaceacillin will now only cause the germ level to drop by 2 points per second, making it far slower to treat, and the patient will start to suffer a point of toxin damage, roughly every 30 seconds.

If there is a high dose (>30u) in the patient's system, the organ or bodypart death will be prevented, and they will not suffer this additional toxin damage. But if the drugs aren't there before this stage, spaceacillin will not revive dead organs.
 * Stage 3: Ocurring at germ level 1000, This is where people die. When a bodypart or internal organ reaches stage 3, it immediately suffers death, and becomes nonfunctional. For muscles, this is crippling, but for most internal organs it's lethal. A patient without lungs or a heart cannot breathe, and a patient without a liver will suffer massive ongoing toxin damage. In addition, the patient starts to suffer an additional point of toxin damage every second.

Preventing Infections
Prevention is better than a cure, there are a few simple ways that a patient, or the doctor treating them, can help to prevent infections ocurring.

Of these three, burns are the most likely to become infected. Cuts and bleeds will close up and heal into uninfectable bruises, but burns will only heal into lesser burns which are still infectable.
 * Hygiene! Washing your ungloved hands, or showering, will reset your body's germ level, and prevent any wounds from becoming too infected. Note that washing your hands with gloves on, will not do this. The simplest approach is to shower after getting injured. If you've been in a fight, you're probably covered in blood anyway.
 * Treat the wounds. There are three different types of wounds that can become infected
 * Cuts
 * Bleeding Bruises
 * Burns

Treating Infection
So an infected patient has just walked in. Chances are they don't know they have infections, many security personnel tend to build up infection over time, unnoticed. Sometimes until it's too late to save them. Infections will show up on the full body scanner, and you've probably found an infection while treating them for other wounds.

The prevention steps still apply. Make the patient wash, and treat their wounds Your next action will depend on the severity of the infection. The scanner will tell you in words how much germ level the part has accumulated, use this handy list to translate the words into a germ level:


 * Mild Infection: 100-300
 * Mild Infection+: 300-400
 * Mild Infection++: 400-500
 * Acute Infection: 500-700
 * Acute Infection+: 700-800
 * Acute Infection++: 800-999
 * Septic: 1000+

In any case, you want to inject them with spaceacillin. It metabolises slowly so not a lot is needed, 10u will handle most mild infections, 15u for acute infections up to 700 germ level.

IF the patient is suffering from Acute Infection++, then they're very close to sepsis. You want to get a MUCH larger dose of spaceacillin into them, 45u should be good. And then monitor them closely for signs of worsening.

If the patient is in sepsis, then things are bad. Print out their scan, Steel yourself for the high likelihood of their death, and hope that your chemist put clonexadone in the cryotanks. Inject them with 45u spaceacillin, and a fair bit of dylovene. Some tricordrazine and arithrazine will help if you have any. Then throw them into the cryotubes and pray that they cool down enough before they die. Cryotubes will stop a lot of infection activity, but will also stop spaceacillin from working.

If you can manage to get them stable in the cryotubes, and bring their damage values down to zero, then they might survive. Bring them out of the cryotubes so that the spaceacillin can work, and gradually bring down the infection. While they're out of the tubes they're going to start accumulating damage again quickly, so dose them up with whatever you need to, to keep them alive, and don't be afraid to put them back in the tank if you can't control it.

Now is the time to look more closely at their scan and assess the damage. If it's only an arm or leg that's in sepsis, then it's dead and gone. Amputate it, and give them a prosthetic. If it's an internal organ that's dead, their odds of survival are grim. Your only option is to cut the organ out and transplant in a replacement, if you have one. The odds of that are low unless you've been harvesting organs from corpses, or you have a suitable donor in the morgue.

=Diagnosing Other Conditions= Even after treating the common injuries listed Basic Treatments, the patient could still have other underlining conditions you should keep an eye out for.

Low Blood Count
Danger: ✜ ✜ [Depending on severity] Shows up on Health Analyzer


 * Patient feeling woozy, paleness of skin.
 * Drops of blood, or blood puddles near patients.
 * Suffocation damage that returns repeatedly when treated.

 Cause  Suffocation damage won't go away until blood levels are normal. '''People who lose too much blood will die at around 60% blood volume. This cannot be prevented except by replacing the lost blood.'''  Treatment 
 * Untreated external brute injuries, internal bleeding, and donating too much blood. Amount of blood left over in the body is visible on the Health analyzer.
 * 1) Locate bleeding injuries, either by examining the person or with a Health Analyzer. If none are found it could be  internal bleeding or  damage to the heart.
 * 2) To stop bleeding, bandage all wounds you find with gauze or an advanced trauma kit.
 * 3) Internal bleeding and heart damage need to be treated surgically.
 * 4) Bicaridine (from the chemist) will help heal brute trauma.
 * 5) Give a  Blood transfusion to severe cases.
 * 6) Wait for blood level to normalize. In severe cases, Dexalin or Dexalin+ should be administered to keep a patient from suffocating because they don't have enough blood to keep their bodies oxygenated.
 * 7) Recovery from blood loss goes faster if a patient is given iron (less than thirty units to avoid overdose). They will also become hungry very quickly; eating will help speed recovery. Sugar in pill or IV form improves nutrient levels in patients too sick to eat.

Internal Bleeding
Danger: ✜ Shows up on Health Analyzer.


 * Symptoms of low blood count without visible wounds.

 Cause  Caused by massive brute damage rupturing a vein or artery within the body.  Treatment  THIS IS HIGHLY DANGEROUS CONDITION, AND SHOULD BE TREATED IMMEDIATELY! If immediate care is not possible, patient should be frozen into cryosleep or put into a stasis bag. Low temperatures will slow bleeding until proper treatment is set up. It's the patient's body temperature--not the temperature of the tube itself--that's the critical factor, so if your cryo tube is not very cold already, it will probably be too slow to be useful.
 * 1) Inject patient with any dose of bicaridine to stop internal wounds from growing larger.
 * 2) * Dangerous doses of bicaridine (30 units or more) will begin to heal internal bleeding. This is slow but better than nothing if no surgeon is available.
 * 3) * If you are mending internal bleeding with bicaridine only, ensure the patient receives sufficient Dylovene to combat overdose risks.
 * 4) Move patient to an advanced medical scanner to find the exact location of injury.
 * 5) A  blood transfusion will be necessary in most cases. Miniature blood transfusions can be given in pill form or via syringe (pills are better; higher dosage), which can be helpful for EMTs stabilizing IB patients in the field.
 * 6) Move patient and IV to OR and  mend the rupture.

Heart Trauma
Danger: ✜ ✜ [Depending on severity]


 * Symptoms of low blood count with actual blood levels being normal.

 Cause   Treatment 
 * Lower blood oxygen levels due to blood not being pumped properly by damaged heart. Damage can be caused by severe blunt trauma, stab wounds or fractured ribs.
 * 1)  Blood transfusion if patient has low blood levels too.
 * 2) Move patient and IV to OR and  mend the damage.

Blood Rejection
Danger: ✜ ✜ [Depending on severity]

 Cause  Transfusion of incompatible blood type to the patient.  Treatment 
 * Toxin damage without foreign chemicals in bloodstream.
 * Unexplained suffocation damage.
 * Patient recently recieved blood transfusion.
 * In case it's not obvious, STOP PUMPING THAT BLOOD IN THEM.
 * Administer Dylovene until symptoms stop manifesting.

Collapsed Lung
Danger: ✜
 * Patient's cough containing blood.
 * Patient gasping for air in breathable environment.

 Cause  Exposure to low pressure environments without proper internals set.  Treatment 
 * Mend lung rupture surgically.
 * If no surgeon is available or you have a simple ruptured lung with no bone fractures, administer Peridaxon, keep Dexalin Plus in the patient's system, and wait for the lung to heal. If your patient still has broken bones, the lung can rupture again, and the patient must be kept still to prevent this while you wait for a surgeon.

Bone Fractures
Danger: ✜ Shows up on Health Analyzer


 * Patient screaming in pain, dropping held items, and falling over.
 * Facial Deformities (showing up as Unknown) are often coupled with skull fractures.

 Cause  Severe brute damage to a specific body part.  Treatment 
 * If the damage to the area is above certain threshold, the bone will re-break immediately after being glued together. Treat the area with a trauma kit, administer bicaridine, or both.
 * 1) Painkillers will numb the pain while patient is waiting for surgery.
 * 2) In case of skull or rib factures, do not let patient move around, since bone shards can damage internal organs.
 * 3) Use advanced body scanner to locate fracture locations.
 * 4) Treat brute damage on broken body part with either gauze or Bicaridine.
 * 5)  Operate on the fracture.
 * 6) Splints can be used to return some function to the damaged limbs, if treatment is unavailable. Patients with leg and foot fractures can be issued a wheelchair and painkillers. Patients with skull, rib, and pelvic fractures must stay on bed rest, as walking has risk of internal organ injury.

Dismemberment
Danger: ✜  Cause  Common causes are explosions, high-power projectiles, rogue surgeons, sword fights.  Treatment 
 * MISSING. LIMBS.
 * No, seriously, the limb is missing upon visual examination.
 * 1) Stop bleeding by applying trauma kits. Locations with bleeding will show up on the Health Analyzer.
 * 2) Administer painkillers; patient is in a world of pain.
 * 3) Order prosthesis, (cyborg limb), from Robotics lab.
 * 4)  Graft it to the stump.

Embedded Objects
Danger: ✜ Shows up on Health Analyzer.

 Causes   Treatment 
 * Visible embedded objects sticking out of patient.
 * Reports of pain when moving.
 * Embedded object shows up when scanning the patient.
 * High-velocity collisions with shrapnel, ballistic munitions and sharp implements.
 * Implants. These may or may not be dangerous, depending on their nature.
 * Parasitic infestation (alien or cortical borer). Your doctor may or may not know of the existence of these creatures, but they can probably guess they are not supposed to be inside the patient.
 * Patient ate or was fed a monkey cube.
 * 1) Immobilize patient. User a roller bed or grab and carry the patient for transportation.
 * 2) * Do not attempt to remove embedded objects by hand as it may cause internal bleeding.
 * 3) Move patient to an advanced body scanner and locate the embedded object.
 * 4) Surgically remove the embedded object.

Bacterial Infection
Danger: ✜ ✜ [Progresses if left untreated] Shows up on Health Analyzer.

 Cause   Treatment 
 * Toxin damage without foreign chemicals in bloodstream.
 * Visible inflamed wounds.
 * Damage to internal organs without external wounds.
 * High body temperature.
 * Untreated severe open wounds and burns.
 * Surgery performed without proper sterile technique.
 * 1) Locate infected wound by examining patient.
 * 2) Treat infected area with ointment.
 * 3) Administer 5 units of spaceacillin to stop the infection from worsening.
 * 4) * If left untreated, the infection will worsen.
 * 5) * Moving the patient to cryogenics will also stop progression of the infection.
 * 6) Administer Dylovene until symptoms stop manifesting.
 * 7) Keep spaceacillin in the patient's system and monitor their body temperature until it normalizes.
 * 8) Check for organ damage once the patient has recovered.

Viral Infection
Danger: ✜ ✜  ✜ [Depending on severity] Shows up on Health Analyzer (Only if virus has been analysed)


 * Coughing, sneezing, vomiting, hallucinations, twitching, urges to eat, feeling pale, are all symptoms of various diseases.
 * High and/or rising body temperature.

 Cause  Viral infection, which can spread quickly from crew member to crew member.  Treatment 
 * Quarantine all infected crew members.
 * Administer spaceacillin to slow disease progress. Can cure disease at early stages, but does not give immunity to relapse. Spaceacillin also works as a prophylactic.
 * Cure the disease in virology.

Appendicitis
Danger: ✜ ✜ [Depending on stage] Shows up on Health Analyzer.

 Cause  Sepsis caused by inflamed appendix.  Treatment  LETHAL IF LEFT UNTREATED.
 * Toxin damage without foreign chemicals in bloodstream.
 * Patient experiences abdominal pains.
 * Uncontrollable vomiting.
 * Coughing.
 * 1) Confirm that it is indeed appendicitis with health analyzer.
 * 2)  Remove inflamed appendix in surgery.
 * 3) Treat toxin damage.

Intoxication
Danger: ✜

 Cause  Variety of substances, ranging from alcohol to illicit drugs.  Treatment  Treatment depends on substance. Alcohol: Hallucinogens:
 * Slurring, confused movement.
 * Hallucinations. Hallucination damage.
 * Uncontrollable drooling, twitching.
 * Possible toxin damage.
 * Let them sleep it off.
 * In case of emergency administer Ethylredoxrazine or dialysis in a sleeper.
 * Treat toxin damage.
 * Check for liver damage.
 * Sedate patient to prevent him from hurting himself and healing hallucinatory damage.
 * Administer 30 units of Dylovene and 1 unit of Synaptizine. Synaptizine is poisonous and must always be combined with Dylovene.

Radiation Sickness
Danger: ✜ ✜ [Depending on severity]


 * Patient is feeling weak, passes out.
 * Steady increasing toxic damage that returns when treated.
 * Possible DNA mutation (shows up as "incomplete cloning").
 * Hair loss.
 * Radiation level is visible on the full-body scanner.

 Cause 
 * Patient has been exposed to experimental equipment, radioactive substances or objects, or the engine.
 * The supermatter has gone critical. In this case, patients will also have hallucinations.

 Treatment 
 * Administer Hyronalin or Arithrazine if possible. Arithrazine causes mild brute damage, which will heal on its own unless your patient has a cybernetic limb.
 * In case they are unavailable, administer Dylovene in repeated doses until the radiation wears off.
 * Patients with genetic damage should be treated in cryo tubes.

Genetic Defects
Danger: ✜

 Cause  DNA defects acquired either from radiation exposure, cloning errors, or geneticists preforming experimentation.  Treatment 
 * Highly varied, and differ depending on defect. With often only one or two of the following appearing:
 * Seizures, random swearing, non-drug-induced hallucinations.
 * Ask a Chemist for Ryetalyn. One unit is enough.
 * Treat other symptoms, (broken bones, toxin damage), as you would normally.

Brain Damage
Danger: ✜ Shows up on Health Analyzer


 * Concussion, in minor cases.
 * Headaches, impaired vision.
 * Impaired motor ability, with both arms and legs.

 Cause  Head trauma, some chemicals, diseases.  Treatment 
 * 1) Administer Alkysine.
 * 2) If that does not help, could be a brain hematoma, and  operation is needed.

Facial Deformation
Danger: ✜


 * Patient's face damaged beyond recognition.
 * Patient's vocal cords distorted.
 * Patient shows up as "Unknown" despite having an ID.

 Cause  Blunt head trauma, acid exposure, high temperatures exposure.  Treatment 
 * 1)  Reconstruct face and vocal cords surgically.

Joint Dislocation
Danger: ✜


 * Patient can't use a limb, but it's not necrotic.
 * Patient's limb is bulging/crooked oddly.

 Cause  Blunt trauma, certain high-level kung fu techniques.  Treatment 
 * 1) Set the dislocated joint. Some painkillers would be nice, as it is /quite/ painful procedure. It can be done with Undislocate Joint verb when standing next to the patient.

Deafness
Danger: ✜


 * Patient is unable to hear speech.
 * Patient was recently near sites of explosions.

 Cause  Concussion, DNA defects  Treatment 
 * 1) In case it was caused by concussion, it will pass with time.
 * 2) If it was caused by DNA defect, treat with Ryetalyn.

Impaired Vision
Danger: ✜


 * Patient is unable to see far away objects, objects appear blurred.
 * In severe cases, patient's pupils do not react to penlight.

 Cause  Eye trauma, bright light, DNA defects  Treatment 
 * Treat genetic defects with Ryetalyn.
 * In case of impaired vision, administer Imidazoline.
 * In case of complete blindness, repairing the retinas of the eye will help.

Itch
Danger: negligible


 * Itching.
 * Shivers in more severe cases.

 Cause  Certain chemicals' side effects. No medicines used commonly have such side effect.  Treatment 
 * Administer Inaprovaline if feeling charitable. Lecture patient re. drug abuse if not.

Bad Stomach
Danger: negligible


 * Discomfort in stomach area.
 * Vomiting.

 Cause  Skin regenerating chemicals - Dermaline and Kelotane. Cloning acceleration can also cause this.  Treatment 
 * Administer Dylovene.

Headache
Danger: negligible


 * Headache.

 Cause   Treatment 
 * Tissue-regenerating chemicals - Bicaridine (over 15 units), Tricordazine (over 15 units), Cryoxadone (any dosage).
 * Minor brain damage.
 * Eye damage.
 * Blurry vision.
 * Administer Alkysine or Tramadol.
 * Treat the underlying brain damage or eye damage.

Decapitation
Danger: ✜  Cause  Same as with missing limbs, with maybe more explosions.  Treatment 
 * Patient's head is detached from the body.
 * There is no head attached to the patient's body.
 * 1) Acquire head.
 * 2)  Reattach head
 * 3) Clone the cadaver.

If there is no torso:
 * 1) Acquire head.
 * 2) Extract brain.

Now you have two choices. or
 * Pass brain to Robotics for cyborgification.
 * Perform a brain transplantation.

=Tools, Machinery, and Facilities of Medbay= Even knowing exactly what's wrong with patient and how to treat it won't do you much good if you have no equipment. Here is the list of basic medical tools and machinery.

[[file:Bottles.gif‎‎]] Chemicals
Using proper medicinces can be difference between life and death for patient. Some chemicals come pre-made in medikits or vendomats (i.e. inaprovaline and Dylovene), but most of them have to be made in Chemistry Lab.

[[file:IVdrip.png‎‎]] IV drip
Used to transfer chemicals (usually blood) from the vessel loaded in it to the patient in small dosages every second. Since some medicines are metabolized slower than new are injected (e.g. Tramadol will last in blood ~10 times longer than most meds), IV medication can still cause overdose with those chemicals, so mind dosage.
 * Hooking/unhooking patient: Click and drag IV sprite on patient.
 * Loading chemicals:Click on unloaded IV with vessel in hand.
 * Unloading chemicals:Click on loaded IV with empty hand.
 * Changing modes: To change modes between giving/taking, right click on IV and use Toggle Mode option.

[[file:Rollerbed.png]] Roller Bed
Used to transport patient fast and safe. Buckle/unbuckle patient as with chairs and usual beds. Can be folded into pickupable roller bed item.
 * Buckling Patient: Drag the patient on top of the unfolded bed, click and drag from patient to bed.
 * Unbuckling: Click on the bed.
 * Folding: Click and drag roller bed sprite to your character.
 * Unfolding: Click on folded item in hand.

Stasis Bag

 * Stops metabolism(breathing, bleeding, chemicals in blood, etc.)
 * One-use only(don't open that bag until you're ready to treat them)
 * No IC skills required(one of the few devices that are ICly as simple to use as OOCly)
 * Causes brain damage to the occupant so should only be used when the patient is in critical condition.

Other medical equipment

 * Medical Doctor Closet - Contains different uniforms for different sections of Medbay, as well as different colored surgical scrubs.
 * Medical HUDs - When placed on like glasses, allow you to see a patient's vitals from a distance. More can be acquired from Research and Development.
 * Medical Belts - Can be loaded with medications for easy access.
 * Medical Kits - There are four different kits: First Aid, Oxygen Kit, Burn Kit, and Toxin Kit. More can be ordered from cargo.
 * Nurse Outfits - Can be worn by female doctors. In emergency may be worn by male ones too.
 * Various Beakers - These have multiple uses depending on type, and can be replenished by the Chemist. Browsing over the Guide to Chemistry will let you know what chemicals do what.
 * Bio-Hazard Closet - Are filled with biosuits to be worn when there is a viral outbreak.
 * Straight Jacket and Muzzle - For restraining dangerous and possibly insane patients. Usually considered a last resort.
 * Syringe Gun - Can be loaded with a single syringe that can be shot at a person from a distance.
 * Prescription Glasses - For helping those who can't see good and wanna learn do other stuff good too. Also contains prescription meson glasses and sunglasses.
 * Space Cleaner - Can be fired ahead three tiles to help clean up the inevitable mess that Medbay becomes.
 * Syringes - For use in taking blood and injecting chemicals into patients.
 * Body Bags - Used for storing dead bodies in. Can be labeled with a pen.
 * Sink - Use this to wash your dirty, dirty germ covered hands.
 * Mass Spectrometer - Used for testing toxins in a patient's blood. One does not start off in Medbay and has to be ordered from Research and Development.

[[file:Cryo.gif]]Cryogenic Chambers
Used for putting critical patients into stasis, finishing newly cloned patients, or treating patients with genetics damage. Be sure to check periodically to see if the chambers need to be restocked with chemicals.

Cryo starts out warm and has to be set up, and is useless until it's cold and loaded with medicine. Since it's the patient's body temperature that determines whether cryoxadone and clonexadone work, you won't get very fast results until the cryo tube is cold enough to quickly freeze the patient--around 50 Kelvin is good. Removing space suits speeds up the process as well.

Setting Up Cryo
 * 1) Make sure the engine is running--ask Engineering. Cryo tubes take a lot of energy, and if the engine's not up yet, there won't be enough energy to cool the tubes.
 * 2) Make sure the oxygen canisters are connected to the cryo tubes. If they aren't (they start out connected), use the nearby [[File:Wrench.png]] on both [[File:O2 canister.png]] O2 canisters to secure them.
 * 3) Take a nearby [[File:Beaker.png]] beaker filled with Cryoxadone and then click on the same cell you placed the clone in to load the beaker into the cell. Note that Clonexadone is exactly the same, but heals genetic damage faster and should be used when possible. Get some from the Chemist. Faster still is a combination of clonexadone and cryoxadone. Some chemists make their own custom mixes.
 * 4) Set the [[File:Freezer.gif]] freezer's Target gas temperature to its lowest amount by clicking on the far-left "-" until the number in the center no longer decreases.
 * 5) Set the freezer to On.

Using Cryo
 * 1) If patient is wearing any suit that protects from cold (i.e. space suit), remove it.
 * 2) Grab the patient.
 * 3) Click on one of the cells to place the patient inside and set the Cryo status to On.
 * 4) * ''Note: At this point, the clone will begin to heal slowly if cryo was set up correctly, shown by the increasing health indication in the cryo cell's menu. - If patient is not healing, either the patient is not cool enough inside the chamber or the beaker within the chamber has run out of chemicals.
 * 5) Click on the cyro cell to check on your patient. When their health reaches 100, they are healed and can then be ejected (right-click > Eject Occupant).
 * 6) Remember to turn Cryo status to Off to save oxygen and chemicals.

[[file:Sleeper.gif]][[file:Console.gif]] Sleeper
Sleepers are used to administer medication and perform dialysis. Placing patient in: Grab them and click on the unit. Getting patient out: Right-click on unit -> Eject Occupant. Dialysis: Once the patient is inside, click 'Start Dialysis'. Dialysis filters out blood, having the bonus of pulling out chemicals. This treatment should be used when you believe someone to be overdosing or to be poisoned. The beaker inside the sleeper will fill with the blood and eventually you will need to empty it. To retrieve the beaker, right-click on the sleeper and click 'eject beaker'. Dialysis can cause a patient to suffer from severe blood loss if the patient is left in too long. Use console to interact with unit. The machines will not stabilize critical patients, though they can be used to administer inaprovaline.

Sleeper Chemicals
 * Inaprovaline - Helps keep critical patients stay stable by preventing them from taking suffocation damage.
 * Soporific - Puts a patient to sleep.
 * Dermaline - Heals  burn  damage.
 * Bicaridine - Heals  brute  damage.
 * Dexaline - Heals  suffocation  damage.

[[file:Bscanner.gif]][[file:Bscanner_console.gif]] Advanced Body Scanner
Body scanner is used to locate broken bones, organ damage, and  internal bleeding. Also can be used to find implants and foreign objects inside people. Placing patient in: Grab them and click on the unit. Getting patient out: Right-click on unit -> Eject Occupant. Use console to interact with unit. Printing out a report and sending it along with the patient to surgery will help the surgeon.

CPR
Used to heal some suffocation damage caused by being in critical condition. Inaprovaline is usually better, but if you have a patient with severe poisoning and Dylovene in their system, Inaprovaline will just react to form Tricordrazine, which isn't particularly helpful. In this case, administer Dylovene and stabilize with CPR. Clicking someone with an empty hand and help intent will perform CPR on them. Shaking an individual means that they are not in critical. Will not work if either you not the patient is wearing a mask.

Blood Transfusion
When a patient is low on blood, they will need a blood transfusion. Just load bag in IV and hook the patient up to it.
 * Most efficient way to do this is [[file:IVdrip.png‎‎|20px]] IV drip and [[file:Bloodbag.png‎‎|20px]] blood bags.
 * If that's not available, injecting patient with blood (i.e. with syringe) would work too.
 * Blood can be put in a pill as well.
 * Iron and nutriment both speed up recovery of blood.

Blood Compatibility It's important to use right type, so bad things won't happen. If there is no exact same bloodtype available, look for replacement by these rules:
 * Negative can take only negative.
 * All types can take O.
 * A can take A.
 * B can take B.
 * AB can take all.
 * O can take only O.

Brain Transplant
If patient is diagnosed with lack of head and the patient's torso is destroyed or missing, this will be needed to clone them.
 * 1)  Extract brain from patient's body or severed head.
 * 2) Acquire new body (ask Genetics for humanified monkey).
 * 3) * The clone will look like the monkey. Ask genetics to try and alter the humanified monkey's UI to resemble the picture in the deceased's medical record.
 * 4) Cut out new body's brain.
 * 5) Insert patient's brain in new body.
 * 6) Give new body to Genetics for cloning.
 * 7) Put old body in morgue and dispose of extra brain.

Cloning
Cloning is one of the main aspects of your job. Bringing people back from the dead is a delicate science, so read on. This aspect of genetics is firmly in the Chief Medical Officer's jurisdiction, and he has the final say on what happens here, rather than the Research Director.

You can clone people from scans made while they are alive and well (which is preferred), or from a corpse (which happens more often than not). Feel free to call people to get their backups made, especially for Heads of Staff.

Scan
The first thing that a clone needs is a record in the cloning console. Scanning requires a dead or live human body (monkeys won't work), whereas making the actual clone requires the person to be dead.


 * 1) Make sure the person is not wearing anything. (Optional)
 * 2) * If the person is alive, have them strip.
 * 3) * If the person is dead, click+drag their body onto yours to bring up their clothing window, then click on the links identifying each piece of clothing to remove it.
 * 4) [[File:Grab.png]] Grab the person.
 * 5) Click on the [[File:Scanner.gif]] DNA scanner to place them inside.
 * 6) Click on the [[File:Cloning_console.gif]] cloning console to bring up its menu.
 * 7) Click Scan.
 * 8) Click View Records to make sure their record is listed in the cloning database.

Making the Clone
Remember, a clone can only be made when the person you're making a clone for is dead and logged in. If they aren't dead or have logged out, you'll see an "Unable to initiate cloning cycle" error in the Cloning System Control. Also it is standard procedure to tell a clone that they are a clone and to meet the RP needs that can create.
 * 1) Head to the [[File:Cloning_console.gif]] cloning console beside the [[File:Clone.gif]] cloning pod, and click on it to open its menu.
 * 2) Click View Records, select the person you wish to clone, then click Clone.
 * 3) * Note: After clicking "Clone" the dead person will get a pop-up window asking if they want to come back to life. If they choose "No", the console will say "Unable to initiate cloning cycle". If they choose "Yes", the console will say "Cloning cycle activated", and their body will be remade in a few minutes. You do not need to ask in OOC. Doing this is now considered IC in OOC.
 * 4) * Note #2: When a new clone is made, that person's record is deleted from the database, so they must be scanned again if they are to be cloned a second time.

Finishing a New Clone

 * 1) Grab the new clone and take it to Cryo, the room with large [[File:Cryo.gif]] cryo cells.
 * 2) Click on one of the cells to place the clone inside and set the Cryo status to On.
 * 3) Take a nearby [[File:Beaker.png]] beaker filled with Cryoxadone and then click on the same cell you placed the clone in to load the beaker into the cell. Note that Clonexadone heals them faster and should be used when possible. Get some from the Chemist.
 * 4) Use the nearby [[File:Wrench.png]] on both [[File:O2 canister.png]] O2 canisters to secure them (if they aren't already).
 * 5) Set the [[File:Freezer.gif]] freezer's Target gas temperature to its lowest amount by clicking on the far-left "-" until the number in the center no longer decreases.
 * 6) Set the freezer to On.
 * 7) * ''Note: At this point, the clone will begin to heal slowly if cryo was set up correctly, shown by the increasing health indication in the cryo cell's menu.
 * 8) Click on the cyro cell to check on your clone. When its health reaches 100, it is considered finished and can then be ejected (right-click > Eject Occupant).
 * 9) Don't forget! when you're done with the cryo room, turn the cryo cells to Off so you don't waste Oxygen! Also, if you still have their old body, drag it to the morgue to prevent Clone Memory Disorder (which is purely for role-play purposes).

Hypercloning
A dangerous procedure, but might be useful if there is a large amount of people needing to be cloned.

If you click the cloning pod with an ID that has genetics access and use the "eject" verb (right click the pod and hit eject), you'll eject a 30-40% done clone. Finish them over in cryogenics if they have Clonexadone loaded into the machines.

As an aside, the cloning pod ejects its current unfinished clone if the room's equipment loses power. If you get a cooperative engineer to unlock the APC for you, you can switch the power off and on to eject a clone early failing the above method.

This can speed up the process of cloning significantly, freeing up the cloning machine for another patient. Patient well-being must be taken into account however.

Facilities
These are the vital machines and rooms you will need to treat your patients.

Surgery Room
The surgical area of Medbay is comprised of several smaller rooms. There's the main Operating Theatre for surgeries, an Observation room for people to observe, a rest area for patients, and a cold storage room. See: Surgery for more details on preforming surgeries.

Surgery Room Features
 * Operating Table - Where all your surgeries should take place.
 * Surgical Tools - Your primary tools needed for surgery.
 * Surgery Holo-Light - These lights let others on the outside know there surgery is being preformed. They should be on during every operation.
 * Observation Shutter Switch - Prevents people in the observation area from watching the surgery.
 * Anasthetics Closet - Holds anasthetics and medical masks for patient's use during surgery.
 * Patient Closet - Can be used to hold a patient's clothes, and also contains spare clothing for a patient.
 * Cold Storage - Contains freezers to hold spare organs, and a spare anasthetics closet.
 * Sink - For washing your dirty hands before and after surgery.
 * Surgery Cleaner - Sterlize the operating table after every surgery by clicking on it with the cleaner in hand.

Chemistry
The main housing station for the chemist. They are in charge of the making and passing out of chemicals to assist members of the station. See: Guide to Chemistry for more details.

Genetics
This is where the geneticist works on manipulating the human genome, torturing monkeys, and clone a dead body or two during a shift. See: Guide to Genetics for more details.

Virology
Hopefully, a virologist will spend more time in here curing diseases rather then releasing them. See: Guide to Virology for more details.

Medical Storage
This area contains the majority of the tools you will need for curing patients.

Patient Rooms
These are best used for non-critical patients awaiting treatment, patients needing to rest after treatment, or for holding mentally unstable patients waiting evaluation.

Morgue
This is where cadavers are stored. There is an autopsy table located here, as well as several morgue trays. See: Guide to Cadavers for details on dealing with dead bodies.