Guide to Medicine

Triage

Triage is medical's word for "priority" regarding patients. The goal of triage is to stabilize patients, not cure to 100%. Generally this comes into play when there is more than one patient. Wearing a medical HUD will allow you to assess a patient's overall health from a glance via a health bar floating above their character.

• No Healthbar: 100% Health
• Green: 70-99% Health
• Yellow: 40-69% Health
• Red: 1-39% Health
• Critical!: -99-0% Health
• Dead: -100% Health

Patients between Critical and Yellow deserve treatment first with priority starting at Critical and going up. The main exception to this is if any patient that isn't dead is bleeding (including internal bleeding) and/or has severe internal organ damage, as leaving a patient with these conditions may worsen their overall health rather quickly. From there, get all patients to at least Yellow before resolving the rest of their issues. If the patient is dead, move them out of the way and put them in a body bag when you have time. Don't waste more time than you need to on them when there are other patients that can be saved.

Cryogenics

Cryo is all about suspending someone in animation and healing them to boot! If someone is in a pretty bad way, tossing them into a (correctly setup) cryo tube will help with most problems on the surface. Even if the damage isn't healed, the cryo tube is basically one gigantic stasis bag minus the genetic damage.

Viral Triage

Though rare, a crew member that has been infected with a pathogen signifies the need to act quickly. This list of tasks should be accomplished:

1. Clean up all biohazards (blood, mucus, etc) within medical, instruct sanitation staff to put heightened effort into carrying this out.
2. Retrieve a blood sample from an infected crew member and announce the presence of a pathogen, and for all crew feeling ill to report to medical.
3. Assign tasks to doctors:
   • One doctor to administer Antivirals (Deltamavir, Diphenhydramine, etc) to arriving crew members and escort them to the quarantine area of Virology.
   • One doctor to develop antibodies in test subjects to harvest and dilute to distribute to crew.
   • One doctor to incubate and grow a sample of the virus for detailed analysis. This will allow HUDs to identify crew that are infected.
4. Distribute doses of the antibodies to crew (diluting the antibodies in water will work).

Triage and You: The Handbook

A large, comprehensive guide on how triage works with our current medical facility. Authored by Juani#1784 and Synnono#2558.

In compliance with NanoTrasen employee healthcare provisions, and due to the increasing stress on the Medical Department's facilities, a renovation of the Medical Bay was approved last year. The objective of this renovation is to improve the Medical Bay's capacity to treat patients, as well as to make that treatment more efficient. New policy has been implemented with the new design, and medical staff are expected to work according to the guidelines outlined in this document. In addition to the renovations, the medbay is introducing a triage system to quickly identify patients with urgent medical needs. New patients will be classified as having a GREEN, YELLOW, ORANGE or RED triage level, depending on their condition when processed. The major changes to the department are as follows:

• Centralized Triage Area (CTA): This room, equipped with two cutting-edge body scanners, will become the pillar of the Medical Bay. Located right next to the entrance, patients will be diagnosed here and assigned a color-coded triage level. Beds are available for patients awaiting treatment, organized by this triage level. Once assigned, patients will be redirected to one of the following areas:
• Intensive Care Unit (ICU): This room, intended for patients of triage level RED or ORANGE, is equipped with all basic life support measures currently available. All supplies in this area must always be kept fully stocked. This room has one fixed and two mobile treatment beds, three refrigerated closets for stabilization equipment, a supply of blood packs and medication, one cryo-treatment tube and three IV drips. The area is signified by the color red and the ICU signs.
• Emergency Surgery Pre-Operatory Room: Intented for patients of triage level ORANGE or higher. Located in a straight line from the ICU, this area is designed to stabilize critical patients, and is equipped with the equipment necessary to do so. The area has two mobile treatment beds, two IV drips and one cold storage container for blood packs. The area is signified by the color red.
• Regular Surgery Pre-Operatory Room: Intended for patients of level YELLOW or lower. Its entrance is located at the west end of the CTA, and connected through a hallway to a waiting room. Patients will be instructed to wait for an assigned surgeon to call them into the Operating Theatre here. The area is equipped with personal storage lockers and a changing room for the safekeeping of patient belongings. The area is signified by the color blue.
• General Treatment Room (GTR): Intended for patients of triage level YELLOW or lower. The purpose of this room is for the general treatment of diseases or injuries that are not urgent or do not require of life-stabilization measures. The area is equipped with two fixed treatment beds, two cryo-treatment tubes, one sleeper unit with dialysis capability, and one IV drip. The area is signified by the color yellow and the GTR signs.

Other sections of the Medical Bay have not changed, or do not follow a strict procedure for triage. Please be aware of the following information, as it pertains to the new medical layout:

• The Chemistry laboratory no longer connects directly to a publicly accessible area. For the purpose of easy access by the staff of the station, remote-control buttons have been installed at the reception desk and at the Chemistry desk. To access the desk, crew requiring access will need to get permission from the reception staff to access the consultation wing hallway.
• The temporary morgue no longer uses morgue trays. Medical staff are asked to keep the temporary morgue as clear as possible, and store cadavers in the permanent morgue on the medical sub-level as soon as possible.
• A pneumatic Medi-Express system has been installed, to allow for quick delivery of medicine to various areas of the medbay. The hub for this system is located east of the Chemistry Laboratory. To use the system, simply place the items to be delivered inside the bin labeled with the desired destination, and engage the pump. It will be delivered shortly, if the pneumatic tank is full. The Medi-Express system can deliver items to the Lobby, Main Storage and Surgery Wing.
• Windows have been installed in the Operating Theatres. These windows are equipped with an electrically-activated opacity system, toggled by a switch in each Operating Theatre. Usage of this system is mandatory during all surgical prcedures to preserve patient privacy.
• Noticeboards have been installed in the Surgery Wing for each Operating Theatre, for posting scans of any patients about to enter treatment.
• Access to the medical bay will generally be restricted to medical staff and patients awaiting or receiving treatment. Patients in long-term recovery are allowed to receive no more than one visitor at a time. This restriction does not apply to security detainees, who may be accompanied at all times by up to three security officers. Visitors may be instructed to wait at the waiting room located at the entrance of the Medical Bay. The ultimate authority in regards to these restrictions will be the Chief Medical Officer (and their superiors), who may modify them as they see fit. Charges of trespassing may be applied to visitors who violate this policy. Visitors who obstruct care to patients in violation of this policy may be held liable for resulting harm or loss of life. Please clarify any concerns with your facility's Head of Security.

Yours,
Yehtlas Mualt-Quaat, Chief Medical Director.
NanoTrasen Corporation.

Diagnostics

Damage Types

Brute

Cuts, lacerations, and bruising all make up the red descriptions on the health analyzer, normally caused by physical trauma such as punching, getting hit with something, being dragged with open wounds, slamming into walls, depressurization, etc. Sometimes high brute values may break bones, which will require Surgery, or the limb may even become dismembered! Treatment for brute damage on its own is listed below:

• Gauze: Heals 4 brute per wound. Stops bleeding.
• Advanced Trauma Kits: Heals 8 brute per wound. Stops bleeding and also disinfect wounds if applied early.
• Bicaridine: A red colored medicine which heals 6 brute per unit, meaning a full syringe will heal 90 brute damage. Overdoses at 30u.
• Tricordrazine: A purple medicine that heals all underlined damage, healing 3 damage per unit. No overdose.

Burn

Skins, burns, and scars make up the yellow descriptions on the health analyzer, normally caused by intense temperatures such as fire, extremely cold temperatures, lasers, and electrocution. Exceptionally high burn values may vaporize a limb, and can cause bloodloss on top of easily becoming infected. Massive amounts of burn damage may cause your character to be 'husked'. Treatment for burn damage on its own is listed below:

• Ointment: Heals 4 burn per wound. Disinfects wounds.
• Advanced Burn Kits: Essentially the burn variant of ATKs. Primarily used to disinfect burn wounds.
• Kelotane: A yellow colored medicine which heals 6 burn per unit, meaning a full syringe will heal 90 burn damage. Overdoses at 30u.
• Dermaline: An orange-yellow colored medicine which heals 12 burn per unit. Overdoses at 15u.
• KeloDerm: A yellow colored medicine with Kelotane and Dermaline mixed in 1:1. Since the medicines are separate, they work quicker, though KeloDerm doesn't heal as much as Dermaline alone. Overdoses at 30u.
• Tricordrazine: A purple medicine that heals all underlined damage, healing 3 damage per unit. No overdose.

Toxin

Damage dealt by toxins make up the green descriptions on the health analyzer, normally caused by poisons, overdosing, phoron exposure/phoron-infected clothes, radiation, infections/necrosis, damaged liver, and critical blood levels. Treatment for toxin damage on its own is listed below:

• Dylovene: A green colored medicine which heals 4 toxin per unit. No overdose.
• Arithrazine: A green colored medicine which heals 10 toxin per unit, but has the side effect of causing minor brute damage. It also metabolizes very slowly. Overdoses at 30u.
• Tricordrazine: A purple medicine that heals all underlined damage, healing 3 damage per unit. No overdose.

Suffocation (Hypoxia)

Damage dealt by lack of oxygenated blood being pumped through the body makes up the blue descriptions on the health analyzer, normally caused by suffocation, low blood levels, heart damage, lung damage, and - more commonly - sprinting around with asthma. Treatment for hypoxia on its own is listed below:

• CPR: Time to put those first aid courses to use! As long as you and your patient aren't wearing anything that covers the face you'll be able to perform CPR to keep the patient alive for a bit longer by clicking them on help intent. This procedure must be repeated consistently in order to be effective.
• Inaprovaline: A cyan colored medicine which doesn't actually heal hypoxia, but instead halts any further damage. Overdoses at 60u.
• Dexalin: A blue colored medicine which heals 15 oxy per unit. Effect doubled when inhaled. Overdoses at 30u.
• Dexalin Plus: A blue colored medicine which heals 300 oxy per unit. Effect doubled when inhaled. Overdoses at 15u.
• Tricordrazine: A purple medicine that heals all underlined damage, healing 6 oxy damage per unit. No overdose.

Genetic

Damage dealt by radiation, slime digestion, coming out of a stasis bag, or from popping out of the cloning pod, which the health analyzer can only determine by means of a red prompt, requiring a body scanner for a precise measurement of genetic damage. Treatment for clone damage is listed below:

• Cryoxadone: A pale blue medicine which heals the above damage including genetic damage, but requires that the body be cooled to 170 Kelvin or lower, usually by means of cryo cells.
• Clonexadone: A pale blue medicine which works exactly the same as Cryoxadone, but does everything faster.
• Cryo-Mix: A 1:1 mix of Cryoxadone and Clonexadone, works much like KeloDerm in that the two medicines work separately, therefore faster.
• Rezadone: A grey medicine which heals genetic damage without the need for cold temperatures. Overdoses at 30u, though 10u may induce dizziness.

Radiation

Damage dealt by exposure to the Supermatter, being injected with radioactive reagents, or destroying/activating particular artifacts make up radiation damage, which the health analyzer can only determine by means of a red prompt, requiring a body scanner for a precise measurement of radiation damage. Treatment for radiation damage is listed below:

• Hyronalin: A green medicine which heals 30 radiation per unit, albeit slowly, but does not heal the resulting damage of radiation. Overdoses at 30.
• Arithrazine: A green medicine which heals 70 radiation and 10 toxin per unit, albeit slowly, but has the side effect of dealing some brute damage. Overdoses at 30u.

Organ

Damage represented on the body scanner that corresponds with the trauma inflicted on organs, either by certain poisons, severe physical trauma, bones moving in the area organs are present (lower body, chest, head), or certain items necessary for function being absent. An organ is considered dead at 30 damage. Treatment for organ damage is listed below:

• Peridaxon: A purple medicine which heals 1 organ damage per unit, and heals all internal organs. Overdoses at 10u.
• Alkysine: A yellow medicine which heals 30 organ damage per unit, but only heals the brain. Overdoses at 30u.
• Imidazoline: A pale lavender medicine which heals 5 organ damage per unit, but only heals the eyes. Overdoses at 30u.
• Apidemcina: A green medicine which heals heart damage based on the user's nutrient level. Overdoses at 30u.
• Dylovene: A green medicine which heals 2 organ damage per unit, but only heals the liver if it's below 10 organ damage. No overdose.

Other

Blood Loss

File:Bloodchart.jpg

Blood carries oxygen to various areas in the body of a patient, and without oxygenation (whether by lack of air or lack of blood, in this case) the patient will slowly decline in health until they die, therefore stopping bleeding is your top priority, and should be treated as a critical injury. For low blood levels, administering Dexalin will help with the oxy damage resulting from blood loss, and will help alleviate the risk of brain damage as a result. Critical blood levels, however, will result in massive spikes of hypoxia and annoying toxins. Blood loss also results in losing lots of nutrition. Symptoms of blood loss can be found below:

• 89% of original blood volume/501u and lower:
  • Analyzer says LOW BLOOD - This is probably the first thing you'll see if you analyze someone.
  • Patient feels dizzy - They will state vocally that they feel dizzy/faint.
  • Patient rapidly becomes hungry - Low blood generates hunger. Oddly enough, the nutrition used doesn't correlate to the amount of blood regenerated.
• 60% of original blood volume/336u and lower:
  • Analyzer says CRITICAL BLOOD LEVELS - Hard to miss text telling you to get going or the patient will soon meet their demise.
  • Patient feels extremely dizzy - Emphasis on extremely.
  • Patient has trouble seeing - Cloudy vision and having a hard time keeping their eyes open.
  • Patient is unconscious - Not enough blood to keep them conscious, which means they can't tell you about their peril.
  • Increasing oxygen damage - Determined with the analyzer, but the prompt above will probably tell you that before you read their damage.
  • Pale skin - As a result of high oxygen damage, determined by examining with a grab.
• 40% of original blood volume/224u and lower:
  • Aggressive oxygen damage - At this point, the oxyloss will start escalating quickly.
  • Increasing toxin damage - Assuming the patient survives to this point without dying, toxins will begin to manifest.
• 21% of original blood volume/122u and lower:
  • Huge spike in toxins - Like, 300 damage or so.
  • Death.

Treatment to stop bleeding is listed below:

• For external bleeding cases:
  • Gauze: This is the most basic item in medical to treat cuts and lacerations provided you have enough of it.
  • Advanced Trauma Kit: ATKs are better than gauze as they can disinfect the wound when it's used, and instantly heals 8 brute damage per wound.
• For internal bleeding (IB) cases:
  • Cryogenics: Placing a patient with internal bleeding into a (correctly setup) cryo tube will both halt (not fix) the bleeding and stop it from getting worse. This is a temporary solution.
  • Bicaridine and Inaprovaline: These two medicines together (they have to be together, not separate) will prevent the internal bleeding from worsening, but will not halt the bleeding.
  • Surgery: The main method of treating internal bleeding is through surgery by means of the Fix'O'Vein.
  • Bicaridine: Overdosing Bicaridine (30u) will, of course, deal toxins to the patient, but it may clot internal bleeding. Generally a last resort if none of the other methods are available.

Once the bleeding has ceased, you will have to help the patient raise their blood count. The following are some methods to assist with that:

• Dexalin/Dexalin Plus: Will assist in oxygenating the blood, helping to prevent potential brain damage.
• Iron: A simple reagent that must be ingested in order to work. Replenishes 8u of blood per unit.
• Nutriment: Basic nutrients. Must be ingested. Replenishes 4u of blood per unit.
• Protein: Animal proteins found in meat. Must be ingested. Replenishes 4u of blood per unit.
• 20 Iron, 20 Nutriment, 20 Protein: The three reagents mentioned above in one 60u pill, which can replenish blood rather quickly as there are three separate reagents.
• IV Drip with compatible blood: Bloodbags can hold 200u of blood (a little less than half a patient's total blood volume) and is generally the best method of replacing blood.

IV Drips

Speaking of IVs and blood bags, you should probably know how to use them, since blood loss sucks so bad, it's also bad by extension to not know the primary method of treating it. IVs are just objects you can pull around that transfer reagents from a container - preferably blood bags - into a patient's bloodstream via needle. This can be accomplished by clickdragging the IV onto the patient to hook them up. Here are a few features of the IV, most accessed via right-click context menu:

• Injects and draws blood. The drawing mode will ping once the patient reaches 90% blood volume.
• Transfer rate can be adjusted between 0.001 and 4 units per second, important for IB cases.
• Fits reagent containers, and is not actually limited to blood bags, good for keeping someone sustained on a medicine.

Additionally, blood bags can have their displayed type determined by using a pen on the bag.

Infection

Infections sprout when a wound isn't treated and disinfected in time, and is accompanied by a fever (check temperature). If left alone, infections can rapidly kill a patient, even exponentially if it's bad enough. Infections are commonly identified by means of the body scanner. The following are the levels of infection:

• L1 (Mild): Pain messages and the start of fever.
• L2 (Acute): More pain messages, infection becomes more prevalent and visible.
• L3 (GANGRENE): Beginning of lethal toxins, organ death, and necrosis.

The following are some symptoms of infection based on where it's located:

• Meningitis (Brain)
  • L1: Stiff neck
  • L2: Severe headache (+1 confusion at random intervals)
• Conjunctivitis (Eyes)
  • L1: Itchy eyes
  • L2: Blurred vision (+10 eye_blurry at random intervals)
• Endocarditis (Heart)
  • L1: Chest tightness
  • L2: Chest pain (+25 halloss)
• Pyelonephritis (Kidneys)
  • L1: Lower back pain
  • L2: Malaise
• Pyogenic Abscess (Liver)
  • L1: Right side abdomen pain
  • L2: Poor blood filtration (toxins buildup)
• Pneumonia (Lungs)
  • L1: Coughing
  • L2: Shortness of breath (+30 oxyloss)
• Staph Infection (All external limbs)
  • L1: Pain notificiation
  • L2: Sharp pain temporarily disables limb

L2 infections and lower require only 15u of Thetamycin and monitoring. L3 infections require far more. Regardless, immediately pairing with Dylovene and Tricordrazine to accompany the high toxins is a good idea. The following will go over further necessary treatments:

• Limb gangrene:
  • Conduct necrotic limb repair.
• Organ necrosis:
  1. Request a replacement synthetic organ from Research immediately.
  2. Remove the organ via surgery and replace it with the synthetic counterpart.
  • If the brain or heart is necrotic, the patient will need to be cloned.

Fractures

Bones fractures can be separated by three identifications: hairline, fracture, and broken. These three different types of fractures no longer play any part mechanically, though from an RP standpoint, hairline is the least severe while broken is the most severe (and therefore painful). Fractures can, however, deal damage to organs if they move around. Treatment for fractures is listed below:

• Splints: A half-cast that keeps the fractured bone in place and prevents it from moving. This is a temporary remedy, and requires the following to actually treat...
• Surgery: By means of bone gel and bone setter, a fracture can be mended rather quickly.

Dislocations

Not actually a fracture or even a problem related to surgery, but it will function as a fracture in that the limb will become incapacitated. Fixing it simply requires that you stand next to the patient and use the 'Undislocate-Joint' verb. If there are multiple dislocations, a prompt will appear asking which limb you would like to relocate.

Mycosis

Unsterilized K'ois happens to be a rather tasty snack... if you're a Vaurca, anyway. If you're any other race, you're going to have a really bad time. Aside from containing phoron, K'ois (excluding K'ois bars found in unhacked vendors) can cause a myriad of problems which can all be summed up as Mycosis, a term used to describe fungal infection. Early stages of K'ois infection involve pain and coughing blood. Stage 2 brings about respiratory issues. Stage 3 involves feelings of something squirming inside, as well as phoron and K'ois paste beginning to fill the patient's lungs, dealing large toxins. Fungal spore emission begins at Stage 4 which will embed and grow more K'ois, spreading to anyone who doesn't have their own internal atmosphere setup.

Treatment for K'ois infection is dangerous for both you and the patient. You must wear internals - a sterile mask or gas mask on its own will not work - in order to avoid breathing in spores and infecting yourself. Once you've ensured your internals are running, begin the K'ois removal procedure and treat the remaining toxins and blood loss. If the patient is already at Stage 4, it is top priority that they be kept isolated from everyone else, otherwise the fungus will spread to others and make everything worse.

Brain Trauma

Not to be confused with brain damage which involves gibbering and running into airlocks, trauma is persistent with the patient regardless of the organ health of the brain, and must be corrected by certain means. Some therapies, including the traumas they treat, are:

• Hypnosis - Directional disorientation, phobias, traumatic narcolepsy, monophobia, and inordinate pacifism.
• Crystal Therapy - Reduced mouth coordination, reduced brain activity, communication disorder, tourettes, weak motor signals, fits/muscle spasms/extreme discoordination, and language center trauma.
• Isolation - Imaginary friend(s), schizophrenia, and conflicting neuroimaging reports.
• Drug Therapy - This section will go over which drugs treat certain traumas.
  • Nicotine - Phobias and weak motor signals.
  • Methylphenidate - Phobias, imaginary friend, and schizophrenia.
  • Sertraline - Phobias.
  • Escitalopram - Phobias and monophobia.
  • Paroxetine - Phobias.
  • Duloxetine - Phobias and concussion.
  • Venlafaxine - Phobias, monophobia, and reduced mouth coordination.
  • Fluvoxamine - Weak motor signals, imaginary friend, and conflicting neuroimaging reports.
  • Risperidone - Monophobia, weak motor signals, imaginary friend, schizophrenia, conflicting neuroimaging reports, reduced mouth coordination, communication disorder, muscle spasms, and tourettes.
  • Olanzapine - Monophobia, imaginary friend, reduced mouth coordination, communication disorder, muscle spasms, and tourettes.
  • Mannitol - Reduced brain activity, occipital lobe trauma, cerebral paralysis, aphasia, and colorblindness.
• Surgical Therapy - Concussion, occipital lobe trauma, cerebral paralysis, aphasia, and bluespace attunement.

Mental Trauma and Policy

• All characters with a Medical Doctorate degree are capable of diagnosing mental trauma, as well as prescribing medication for their diagnosis.
• Surgery trained Medical personnel are fully capable of Neuro-surgery where necessary to treat mental trauma.
• Chemists/Pharmacists are fully capable of synthesizing mental medication, but they cannot diagnose mental trauma, or prescribe medicine.
• Psychiatrists/Psychologists are the foremost experts on this type of illness, they are the only capable of advanced treatment (Hypnosis, Crystal Therapy, and Isolation) and they should be the first to treat mental trauma when available.

Health Analyzer

Probably the number one go-to tool in diagnostics (up there with the HUD and body scanner) is the health analyzer, a pocket-sized device that you can use on a patient to assess their health. Health bar showed up? Analyzer. Someone says they don't feel well? Analyzer. Below is an example of what you would see on a perfectly healthy patient. Keep in mind, the basic analyzer won't show you the numbers, but only a description of their current state. Science can make an advanced analyzer, which will show precise readings.

Analyzing Results for John Doe: Overall Status: 100% healthy Key: Suffocation/Toxin/Burns/Brute Damage Specifics: Healthy - Healthy - Healthy - Healthy Body Temperature: 36.905°C (98.429°F) Localized Damage, Brute/Burn: Limbs are OK. Subject bloodstream oxygen level normal | Subject bloodstream toxin level minimal | Subject burn injury status O.K | Subject brute-force injury status O.K Blood Level Normal: 100% 560cl. Type: A+ Subject's pulse: 84 bpm.

A lot of information can be picked through with just this readout alone, so we'll be breaking it down:

• Patient Name: At the top will be the name of the patient. If they don't have their ID on and their face is messed up, they'll appear as Unknown.
• Overall Status: This is how the patient is doing overall. The lower the number, the more you should probably feel compelled to treat them... or administer painkillers. For whatever reason, this takes the patients level of pain into account. The lower the percentage, the more they're suffering.
• Key/Damage Specifics: This is the area you'll probably look to first, and it's color coded, too (unless you're using the PDA analyzer)!
• Body Temperature: How warm the body is. 36°C (98°F) is the normal body temperature. If the temperature is much higher than this, then the patient likely has a fever caused by either a pathogen or infection. Or they're on fire. You should probably put them out.
• Localized Damage, Brute/Burn: This is another important section. This will detail which body parts have brute or burn damage, allowing you to apply ATKs or ABKs accordingly. At times you may see [Bleeding] on a limb, therefore you should apply an ATK to that limb immediately.
• Subject Status: Kinda redundant. Will tell you what you already know from the numbers above, but they do change color if the damage is high enough.
• Important Information: This will appear in red text and is generally pretty straight forward. Will inform the user if the patient has radiation, genetic damage, internal bleeding, an infection, a pathogen (if it's in the database), or bone fractures.
• Blood Level: This will inform you how much blood the patient has. Small blue text means the patient is fine. Large, bold, red text means that the patient has low blood and is not circulating sufficiently oxygenated blood. It also tells you the patient's blood type if O- runs out of stock.
• Subject's pulse: Pretty much used to tell if a patient is dead or not, though this can also tell you if a patient is under the influence of certain medications. Inaprovaline and Hyperzine, for example, will increase heart rate while sedatives like Soporific will slow heart rate.

The Body Scanner

Essentially a stationary and much bigger health analyzer. This section will cover what the screen will look like and what you can derive from it.

Overall Health John Doe => Conscious Species: Human Health: 100 => Brute Damage: 0 => Resp. Damage: 0 => Toxin Damage: 0 => Burn Severity: 0 Radiation Lvl: 0 Rads Genetic Dmg: 0% Est. Brain Dmg: 0% Est. Paralysis Lvl: 0% Body Temperature: 310.005 K (~35 C) Viral Status: Not Detected Blood Status Blood Level: 100% (560u) => Inaprovaline: 0 unit(s) => Soporific: 0 units(s) => Bicaridine: 0 unit(s) => Dermaline: 0 unit(s) => Dexalin: 0 unit(s) => Other: 0 unit(s) Body Status lungs => Burn Dmg: 0 => Brute Dmg: 20 => Information: Is ruptured. Actions [Print Report]

As you can see, this provides much more information, probably the most sought after info being anything below the Body Status heading.

• Overall Health
  • Name: Just the name of the patient and their current state. Conscious, unconscious, dead.
  • Species: The species of the patient. See below for how each race reacts differently to treatments.
  • Health: The real overall health of the patient. 100 is perfect health, -100 is dead.
  • => Damage: The four main types of damage that can be pulled from a health analyzer.
  • Radiation Level: How many rads the patient has soaked. See Radiation Damage above.
  • Genetic Damage: How much the patient's skin is falling off. This number will probably be pretty high if the patient was just cloned.
  • Estimated Brain Damage: How much organ damage has been dealt to the brain. This number will probably be pretty high if the patient was just cloned.
  • Estimated Paralysis Level: How much time is left until the patient wakes up/can move.
  • Body Temperature: Temperature measured in Kelvin and estimated in Celsius.
  • Viral Status: Tells whether or not a pathogen has been detected.
• Blood Status
  • Blood Level: How much blood the patient has.
  • => Reagent: How much of a certain reagent there is in the blood stream. Other is pretty much anything that isn't already on the list, which can represent either good or bad reagents.
• Body Status
  • Organ: Tells how much burn and brute damage an organ/limb has, as well as information about it if applicable.
• Actions
  • Print Report: Will print out a page of what you already saw on screen. Best done when the patient has fractures or organ damage. Printed reports that are no longer being used should be placed in the filing cabinet behind the reception desk.

Other Tools

Some other fancy but somewhat niche tools to diagnose issues within a patient are as follows.

Breath Analyzer

The breath analyzer is capable of ascertaining the status of a patient's lungs, and whether or not they have alcohol in their blood.

Breath Sample Results: Subject oxygen levels nominal. Subject lung health nominal. Blood Alcohol Content: 0 [NORMAL]

Not much info, but it'll do:

• Oxygen Levels: This will quickly inform you if someone's oxygenation is pretty bad. Values above 25 oxy damage will be marked as abnormal.
• Lung Health: Quick way to determine lung damage. Even one damage is enough to tell you that there's a problem. 10 damage and up indicates a rupture.
• BAC: How much alcohol has made its way into the blood, usually from drinking alcoholic drinks. Unless there's heavy intoxication (0.12 and higher) or something more severe, it's probably fine to ignore this.

Stethoscope

The stethoscope is rather ancient but it is still a valuable tool to have, as it's capable of diagnosing problems with hearts and lungs. Aiming at the chest and clicking the patient with a stethoscope in hand will tell you about their heart and lungs. The stethoscope can also be attached to your jumpsuit.

• Heart
  • Weak/odd heartbeat - Heart damage or high hypoxia.
  • No heartbeat - The patient is dead, or they have a synthetic heart. Or they're just joking around.
• Lungs
  • Wheezing/gurgling - Lung damage or high hypoxia.
  • No breathing - They are dead.

Penlight

The penlight is yet another tool capable of diagnosing organs, this time the eyes. Aiming at the eyes and clicking the patient with a penlight in hand will tell you about their eyes.

• Their eyes narrow - Patient's eyes are fine and functioning normally.
• Visible damage - Self explanatory.
• Slow reaction - Blurry vision.
• Delay between both eyes - Brain damage.
• Pinpointed pupils - Opiates.
• Dilated pupils - Other non-beneficial drugs.
• Glowing - Patient has a mutation.
• No reaction - The patient is dead or their eyes are damaged beyond function.

Grabbing and Examining

If you have nothing else, then your eyes can give you a rough idea of how a patient is doing. If not your eyes, then your hands when you grab a patient.

• Examining - Examining is simply done by shift clicking the patient, or using the right-click context menu and clicking Examine.
  • Bleeding
    • Bleeding cut on limb - They're obviously bleeding from the limb in question.
    • Blood soaking under clothing - They are bleeding under the clothing in question. For uniforms this can mean their upper or lower body.
  • Brute Damage
    • Bruise - Patient was attacked with a blunt object. Ranges from tiny to monumental.
    • Cut - Patient was attacked with a sharp object. Ranges from scabs to massive flesh wounds. High chance of bleeding.
    • Puncture - Patient was likely shot. Ranges from punctures to gaping holes. High chance of bleeding.
  • Burn Damage - Patient was burned, either from fire/freezing temperatures or electrocution. Ranges from skins to carbonized limbs.
• Grabbing - Grab examines are done by grabbing someone and clicking on them with the grab in hand on help intent. You do not need to let go and grab again when switching which limb to examine.
  • Wounds - Will inform you of any burns and bruises on the target limb. See above.
  • Bones - Will inform you if the patient's limb is broken or not.
  • Skin
    • Unhealthy Discoloration - Patient has high toxins.
    • Unusually Pale - Patient has moderate hypoxia.
    • Decaying Limb - Patient's limb is necrotic.

Common Treatments

So we're past the quick guides and diagnostics, now it's time to elaborate on how medicine works inside the patient. The Guide to Chemistry may be a good page to visit to get a good idea of what each particular medicine can do.

Injections

This is the most common, quickest, and effective way to administer treatments to patients, involving medicine being injected straight into the bloodstream to be metabolized immediately at full effect. Injecting the patient is usually left unhindered unless they are wearing armor devoid of an injection port, something that voidsuits and hardsuits possess. Generally when you read about the effects of medicine, it's implied that those are the results you will get if you inject it into the patient. Note: Syringes spawn with a cap which keeps them uninfected. Using the same syringe over and over will increase the risk of infection and will pass viruses from one patient to the other. Use new ones! Hyposprays can be found in the medical doctor lockers in the medical sub-level. They act like syringes without the risk of causing infection upon re-use.

Pills

Pills are the second most common way to administer medicines, which are taken orally and metabolize at half effect in comparison to injection. Pills are mostly used for low-priority treatments or prescriptions, and are best shoved down the victim's throat whether they like it or not given to the patient along with instruction to swallow it. A patient wearing anything that covers the mouth will obviously be unable to take pills, making them unideal for patients in EVA gear.

Inhalation

Inhalers are a recent addition to the medical side of Aurora, and medicines from inhalers are obviously inhaled into the lungs. All medicines - save for a few such as Dexalin - are 3/4 as effective as injecting when inhaled, which is a quarter above pills at least. Autoinhalers found in aid kits come with 5u of Dexalin, but the contents can be removed/replaced by using a syringe on the inhaler. Non-expendable variants can be found in the CMO's office and in chemistry equipment lockers, along with small 15u cartridges that can be filled with whatever.

Topical Applications

This mostly applies to bandages and ointment, kits and equipment that you can use on a patient from the get-go. While we do not have medicinal patches, we do have trauma and burn kits for basic wound treatment, as well as for sealing bleeding and disinfecting wounds.

Your Organs!

All organs (the ones that were coded in anyway) serve some purpose, but it all boils down to "keep the brain alive". This section will describe what everything does and what may manifest if the organ in question is damaged. It should be noted that organs may be damaged if their respective limb/body part has fractures. All organs can be repaired with Peridaxon and surgical organ repair (sans the appendix), though certain medicines target specific organs.

Brain

The most important organ of all, it's the one that keeps you conscious, let alone interact with anything at all!

• Function: Allows you to control your character.
• Symptoms of Damage: Running into airlocks, brain traumas, sharp head pain.
• Causes of Damage: Impedrezine, lack of oxygenation.
• Treatment: Alkysine

Eyes

Lets you see and examine stuff.

• Function: Provides sight to the user.
• Symptoms of Damage: Blurry vision, no vision, sharp head pain, damaged/unresponsive pupils upon examination with a pen light.
• Causes of Damage: Welding without protection, phoron exposure, getting your eyes screwdriver'd or squished.
• Treatment: Imidazoline

Heart

The organ that keeps your blood flowing steady, allowing oxygen to distribute effectively.

• Function: Keeps blood flowing and regenerates lost blood.
• Symptoms of Damage: Hypoxia, blood loss, sharp chest pain, weak heartbeat upon examination with a stethoscope.
• Causes of Damage: General organ attacks, certain brain traumas.
• Treatment: Adipemcina

Lungs

Lets you breathe! What do you breathe? That depends, but hopefully it's oxygen. Damage increases the amount of pressure of oxygen needed to sustain optimal oxygenation.

• Function: Provides oxygen to the blood stream.
• Symptoms of Damage: Hypoxia, gasping, sharp chest pain, weak respiration upon examination with a stethoscope.
• Causes of Damage: Lack of oxygen, over/under pressurized atmosphere, phoron exposure.
• Treatment: Peridaxon

Kidneys

Filters your blood! Actually it does nothing, it's incredibly niche.

• Function: See above.
• Symptoms of Damage: Toxin damage if you drink inject coffee into your bloodstream. That's it. That's how niche this is.
• Causes of Damage: General organ attacks.
• Treatment: Peridaxon

Liver

The biggest line of defense against poisons.

• Function: Reduces intoxication, prevents other organs from taking damage as long as it's still working.
• Symptoms of Damage: Vomiting, other organs taking damage from general toxins.
• Causes of Damage: High level of toxin damage, heavy alcoholic consumption.
• Treatment: Dylovene (at 10 liver damage and below)

Appendix

This serves no function other than to get sick and make you miserable.

• Function: See above.
• Symptoms of Damage: Pain, inflammation
• Causes of Damage: Appendicitis.
• Treatment: Surgical removal.

Cloning

Cloning is an interesting science in the medical department that allows for deceased crew members to escape death, to a degree. While the process isn't very smooth, it's better than the alternative. It is important to note that, if handled incorrectly, the entire process can be traumatizing to the patient, therefore only qualified personnel are to take care of this. The cloning pod uses biomass to synthesize new bodies, about 150 biomass per clone, and can be refilled with meat. Another thing to note is that cloning should not be seen as a simple Escape-Death-Free™ card. Cloning is financially damaging and traumatizing. No one shouldn't fear death.

Cloning Procedure

IT IS HIGHLY SUGGESTED YOU CHECK A CREWMEMBERS MEDICAL RECORD BEFORE YOU CLONE. CLONING A DNC (DO NOT CLONE) IS A BRIGGABLE OFFENSE Additionally, someone who doesn't already have a DNC, and the cause of death was not suicide, then a DNC can only be enacted on the patient by the CMO, Captain, or majority head of staff ruling if both the former are missing. IT IS HIGHLY SUGGESTED YOU CHECK A CREWMEMBERS MEDICAL RECORD BEFORE YOU CLONE. CLONING A DNC (DO NOT CLONE) IS A BRIGGABLE OFFENSE

1. Examine the cadaver and look up their medical records. If there is a Do Not Clone (commonly known as a DNC), then simply heed any postmortem instructions provided in the records.
   • If no postmortem instructions are provided, place the body in a body bag and write a toe tag with a pen, with the initial of their first name, full last name, and their status (J. DOE - DNC/MIF/CLONED). Note that suicides are deemed by default as a DNC, so be sure to review the cause of death.
   • Additionally, if someone doesn't already have a DNC, and the cause of death was not suicide, then a DNC can only be enacted on the patient by the CMO, Captain, or majority head of staff ruling if both the former are missing.
2. Clickdrag the body to yourself and strip all of their items. If their items are bloody, spray them with space cleaner. Move their items into a locker for later.
3. Place the body in the scanning pod and operate the console to scan the patient.
   • If the console reports Mental Interface Failure (MIF), try again at least three more times.
   • Seriously. It gives the patient's player very little time to re-enter their body. Doing this multiple times with brief pauses between scans may turn out well for them.
4. Navigate to the scan records and begin cloning the patient.
5. Eject the cadaver from the scanning pod, place it back in the body bag, and move it to the temporary morgue.
6. Move the locker full of the patient's items to the ICU.
7. Once the clone has been ejected from the growing tube, place them on a roller bed and move them to the ICU and into a cryo tube to repair their genetic damage. If a psychiatrist is on shift, inform them to prepare to take in a patient.
   • Assuming the growing tube hasn't been upgraded by research, the patient will be ejected with roughly 20% health due to genetic damage. There's a chance they may also have mutations, as well as brain damage and trauma.
   • It may be a good idea to give the patient a pill of 1u of Ryetalyn to immediately fix any mutations.
8. Eject the patient from the cryo tube and place all of their items on (unless you didn't clean them, in which case, place a spare white jumpsuit on).
9. Inject Alkysine to repair their brain damage.
10. Wheel them over to a quiet room.

Post-Cloning Procedure

The following steps entail how to handle the patient once they are conscious. This is to be handled by a psychiatrist or CMO if the former is unavailable. If neither are available, then a Medical Doctor should break the news to the clone. Failure to heed these instructions may jeopardize the patient's mental well-being and the credibility of your medical license.

1. Allow the patient to wake up.
2. Ask how the patient is feeling, where they are/why they are there, find out what they already know regarding their current situation.
3. Start with telling them that you have some bad news.
   • This is considered a 'warning shot' and will prepare the patient to take in negative information.
4. Follow with informing them sympathetically that they have been cloned.
   • Keeping this simple for the patient to understand is important. Misinformation may be detrimental to the patient.
5. Allow the patient to process this information. Some may understand and be fine, others may be furious or complain. It's your job to make sure they keep calm.
6. Offer the patient treatment options for their cerebral trauma.
   • If the patient refuses treatment, consult the CMO, or Captain if the former is unavailable.
7. Ask the patient if they have any questions or concerns. If they ask a question that you do not know the answer to, then inform them that you cannot answer it. Avoid speculation.
8. Advise the patient to pay a visit to the psychiatrist once they have been treated.

Races

Some races react a bit differently to medicine so it's important to become familiar with how some may fare. For the purpose of this section, Humans will be used as the base species for comparison. Subtypes will only mention differences in comparison to their parent species.

Human

• Brute Modifier: 1
• Burn Modifier: 1
• Blood Volume: 560
• Primitive Form: Monkey

Skrell

• Brute Modifier: 1
• Burn Modifier: 1
• Primitive Form: Neaera
• Less resistant to alcohol.
• Less stamina but faster running.
• Immune to slipping.
• Protein deals toxins.

Unathi

• Brute Modifier: 0.8
• Burn Modifier: 1
• Primitive Form: Stok
• Less resistant to alcohol.
• Less stamina but faster running.
• Slower walking speed.

Tajara

• Brute Modifier: 1.2
• Burn Modifier: 1
• Primitive Form: Farwa
• Less resistant to alcohol.
• Faster walking speed.
• Less stamina and running speed, but faster stamina recovery.
• Damage from falling is halved.

Zhan-Khazan

• Brute Modifier: 1.1
• Slower walking speed.
• Slower running speed, but more stamina.
• Resistant to cold.
• Tolerant to alcohol.

M'sai

• Brute Modifier: 1.3
• Faster walking speed.
• Faster running speed, but less stamina.

Dionaea

• Brute Modifier: 1
• Burn Modifier: 1
• Primitive Form: Diona Nymph
• Regenerates health and nutriment when in light or in radiation.
• Most reagents have little to no effect on a Diona.
  • Plant-B-Gone severely poisons a Diona.
  • Hyronalin deals toxins.
  • Arithrazine deals major toxins.
• Cannot feel pain.
• Does not bleed.
• Immune to slipping.
• Immune to infections.
• Immune to decompression.
• Resistant to electrocution.
• Resistant to high temperatures.
• Breaks into nymphs upon death.
• Very slow movement speed.
• Cannot be cloned.

Vaurca Worker

• Brute Modifier: 0.5
• Burn Modifier: 1.5
• Toxin Modifier: 2
• Oxy Modifier: 0.6
• Radiation Modifier: 0.2
• Primitive Form: V'krexi
• Breathes phoron.
• Possesses two hearts.
• Has an implant that stores phoron.
• Have other robotic implants.
• Has their own private Hivechat channel.
• Most surgeries require using the surgical drill instead of a scalpel.
• Can safely eat non-sterile K'ois.
• Normal food deals toxins.
• Immune to decompression.
• Immune to slipping.
• Resistant to alcohol.
• Slower walking speed.
• Slower running and less stamina recovery, but more stamina.
• Can be cloned, though it is troublesome.

Vaurca Warrior

• Brute Modifier: 0.7
• Burn Modifier: 1.2
• Oxy Modifier: 1
• Radiation Modifier: 0.5
• Normal walking speed.
• Faster running and more stamina.

Loadout

Improving the likelihood of a patient's survival depends not only on your medical knowledge but also on what's available to you, particularly medicines and equipment on your person. The following will go over an optimal loadout, though nothing is stopping you from experimenting; these are merely recommendations, and it may do well to inquire other experienced medical players as to what their loadout is.

Common Equipment

The equipment that most doctors have equipped:

• A medical HUD can evaluate someone's health from a glance, and even hide the health bar if their health is at 100%. Can also view patient records, allows you to set their physical status (useful for setting patients to SSD or deceased), and allows you to add comments to a patient's record.
• A medical belt to store your medicines. Has seven slots and is obviously worn around the belt slot.
• A bottle of Dylovene and Inaprovaline, as well as an empty bottle/beaker to mix the two into Tricordrazine in your belt. Additionally, if a Chemist is available, Bicaridine, KeloDerm/Dermaline, and Dexalin Plus are all important medicines to have.
• A syringe to extract said medicines. Holds 15u and draws/injects by 5u with each click. Can fit on your ear.
• Advanced trauma and burn kits to help with brute and burn wounds respectively, along with disinfecting them. Typically found in the advanced kit that you spawn with.
• A health analyzer for a more in-depth analysis of someone's health. Gives precise numbers as to someone's brute, burn, toxin, and oxy damage, and can even tell if someone has genetic, radiation, or brain damage, though not how much. Will also inform the user if the patient has fractures or internal bleeding, but not their location.
• A labcoat. Has storage space on the inside of the coat and allows you to use the suit storage slot.
• A pair of latex or nitrile gloves to prevent infection.
• A stasis bag to transport critical patients. These bags completely halt the progression of all damage, but they also deal genetic and oxy damage, meaning time is still of concern, and taking a patient out of the bag will crumple the bag up and make it useless.
• Webbing/drop pouches to store more items. Webbing and drop pouches are mechanically the same, the only difference being the name and sprite. Attaches to the uniform, found in the accessories section of the loadout tab in character setup.
• A stethoscope to diagnose heart and lung injuries. Attaches to the uniform.
• A roller bed to transport patients safely without dragging. Simply control click the bed, then clickdrag a patient onto the bed and you can start running without having to hunt for pixels to pull it. Can fit on the suit storage slot of the Rescue RIG.

Machinery

Medical has quite a few bits and pieces of stationary equipment to help with the workflow, most of which are elaborated on here:

Body Scanner

Pretty much a CT and MRI scanner shoved into one futuristic bed and console, and so much more! This is probably one of the most vital pieces of equipment for Medical as it can diagnose pretty much anything wrong with a patient. Some things it can do are, but not limited to:

• Provide information on all of the damage types.
• How much blood the patient has.
• Show what reagents are in the stomach/blood stream, and how much there is.
• Give a detailed analysis of each limb, including fractures, internal bleeding, the presence of implants, and if there are foreign bodies in the limb.
• Print condensed information to hand to a physician in the event the patient requires surgery. These should probably go into the filing cabinet behind reception.

Sleeper

Next are sleepers, beds that specialize in treating most side effects of trauma, but are otherwise an endless reservoir of some basic medicines. Some features of the sleeper are:

• Gives estimated readout of patient's health by means of number values and colored bar graphs.
• Allows the injection of:
  • Dylovene
  • Inaprovaline
  • Soporific
  • Paracetamol
  • Dexalin
• Can conduct dialysis on a patient to remove anything that isn't blood (such as toxins, but medicines are included in this) from their blood stream.

Cryogenics

A true marvel of Medical are its cryogenic tubes, allowing the use of certain medicines that can only be used at sub-zero temperatures, namely Cryoxadone and Clonexadone, which are both capable of healing lots of damage over time. If not for healing genetic damage, it should be noted that one unit of medicine taken from the tube's beaker is multiplied into ten units inside the patient! It can also halt bleeding (including internal) and halt the symptoms/damage of infection.

How to Set Up

While a nice piece of equipment indeed, it requires some prep in order to use it to its full capacity, namely putting the beakers in and setting the gas cooler. Placing the beakers inside the cryo tube is as simple as taking the beakers on the table in hand and clicking on the tubes with them. As for the gas coolers, head to the freezer room, which is the room past the south-most door in the GTR. The coolers are on the north end of the room, just click on them and set the temperature between 10 and 80 Kelvin, though no lower or higher. Too low could draw a lot of unnecessary power, while setting it too high may slow down how fast the medicine inside the patient can work. Generally 63 Kelvin is the desired temperature.

File:Clone.gifFile:Scanner.gifCloning Equipment

Interesting equipment capable of bringing crew back to life... sorta. See the Cloning Procedure heading above for instructions on how to operate.

Goodies From Departments

Medical has interactions with other departments besides just treating their injuries, surprisingly enough. Research can fabricate new tools and equipment, Cargo can order important medical stuff, and Security can hopefully restrain lunatics.

Research

Research can fabricate a number of nice tools for Medical, most of which will be described here:

Surgical

• Incision Management System (IMS): Requires high tier research and diamonds, but this tool is invaluable to have. One click can create an incision, clamp bleeders, and retract the skin at the same time!
• Laser Scalpel: Different versions depending on what's available to Research, but this basically works as a scalpel and hemostat combined when opening an incision.

Chemistry

• Bluespace Beaker: Requires diamonds but is immensely useful for chemistry, holding 300u as opposed to its non-bluespace counterpart which can only hold 120u.
• Cryostasis Beaker: Reagents won't mix or react inside this beaker, but it can only hold 60u. Not very useful outside of easier grenade production.
• Combat Inhaler: An inhaler capable of dumping all of the contents of a cartridge into the patient's lungs. Use with care!
• Large Inhaler Cartridge: 30u cartridge for inhalers. Double the capacity of the small cartridges that show up in chemistry.
• Bluespace Inhaler Cartridge: 60u cartridge, bigger is better obviously.

Quality of Life

• Odysseus: A medical mech with three attachments available, usually a syringe gun with two sleepers. Probably the most important feature is the mech's ability to scan reagents and synthesize them, allowing you to replicate rare medicines.
• Super Capacity/Hyper Capacity Power Cells: Pretty much just the RIG benefits from a bigger cell, but hey, leg actuators are fun to use!
• Medibots: Either helpful, annoying, or totally useless. Swiping your ID over it will unlock its maintenance panel, allowing you to alter a few options. One option that should be turned on is to report treatments over HUD, while one option that should be turned off is the medibot's speaker as leaving it on will just let it fill up your chat log with nonsense. Probably the most important feature is allowing it to draw from a beaker that you can insert, allowing you to make custom mixes. Unfortunately the bot cannot tell the difference between any of the damage types, only treating a patient once their overall health reaches a certain threshold, therefore take care to not load in medicines that the patient can easily overdose on.

Upgrades

• File:Clone.gifGrowing Pod: Upgrading the growing pod will result in patients that have less clone damage and less chance for mutations, even to the point that all defects are gone entirely. Basically saves a few seconds during the procedure, or allows you to skip the cryogenics tube entirely.
• Gas Cooler: Upgrading the gas cooler will allow it to cool the gasses for cryo quicker.

Cargo

Cargo's a bit down the hall but here's some medical stuff:

• Stasis Bags: Stasis bags are nice to have but there aren't many. In the event Medical is running low, it's always a good idea to order more.
• Surgical Tools: If you have to order this crate then something terrible has probably happened to the other tools.

Medical Department
Head of Department	Chief Medical Officer
Personnel	Physician - Surgeon - Psychologist - Pharmacist - Emergency Medical Technician - Medical Intern
Useful Guides	Guide to Medicine - Guide to Surgery - Guide to Chemistry - Guide to Cadavers