Basic Guide to Medicine

[mkenner]

 

Although there are people who know a lot more about medicine than I do, I can at least help cover the basics for a new doctor.

 

Before the first patient

 

So you've just started the round and there's no one needing treatment yet. Take advantage of this time, it's only going to be a few minutes before people come running in.

 

Cryogenics set up: On this server you don't need to connect the oxygen tanks to the cryotanks with a wrench, some other places you do. Make sure though that you set the freezers running, and drop the target temperature as low as it will go (usually this is around 70 degrees Kelvin, so really really cold). You should also add in the beaker of Cryoxadone because without the healing drugs it's just a very small cold prison cell. The chemist might make some more advanced mixes for you, but you can always take the beakers out later to top them up.

 

Surgery set up: The operating theatre is already set to go, but you might not be. If you're ever planning on performing surgery make sure that you have some sterile gloves and mask. Either wear them or carry them with you.

 

Equipping yourself: As mentioned above you'll want to have sterile gloves and mask if you're doing surgery. Wear a medical HUD, these glasses give you the ability to instantly triage patients which is essential to a speedy and effective medbay. It's also a good idea to carry some anti-toxin around with you, since it's the one drug the sleepers can't provide.You can get a bottle of anti-toxin and a syringe from the nanomed vendor.

 

Your patient comes into medbay.

 

Your HUD is going to give you a lot of information immediately. Use this to perform triage and judge which patients to help first. You want to treat patients in this order.

 

1) People who are critically injured and about to die.

2) People who are seriously injured and could get worse.

3) People who are already dead.

4) Whiners, complainers and hypocondriacs.

 

Once you've picked the patient to treat you can start the individual care. Scan them with your health analyzer and you'll get a lot more detailed information about their current condition. Go down the following list in order until the patient is cured.

 

He's dead Jim: If the patient is dead, get them to genetics so that the geneticist can groan with frustration, complain that they've almost discovered super-powers and ignore you completely. Hopefully they will eventually clone the patient, but that's out of your hands. In an emergency you can go the alternative treatment and regrow them in hydroponics with a replicator pod.

 

Meat Popsicles: If a patient has over 75 damage of any single type, then rush them to cryogenics. Make sure you remove any insulated gear like hardsuits. If it stops their body from cooling down then cryogenics won't work. Put them in one of the tanks and switch it on. The tank will start to glow green and you'll see them floating in the tank. By clicking on the tank you can see a display of their current condition, you should see their health begin to climb until it reaches 100. At that point you can take them out of the machine, don't forget them and leave them in there unless you want to listen to them whining indefinitely on out of character chat.

 

Sleepers and you: If a patient doesn't have enough damage to put them in cryo and it's not toxic damage then place them into the sleeper and inject the appropriate drug.

 

Brute Damage: Bicarridine.

Burn Damage: Dermaline.

Suffocation Damage: Dexalin.

 

You don't need to leave them sitting in the sleeper. Once you've injected the drugs, it'll start curing them over time. You can take them out of the sleeper and give the drugs time to work.

 

Antitoxin: If a patient only has toxic damage, don't worry about the sleepers since they can't help. Instead give them some anti-toxin manually either as a pill or an injection. With extremely large amounts of toxic damage, cryo can be a good option. A chemist or CMO can scan them with a reagent scanner to determine what they've been poisoned with.

 

Long-term problems: After stabilizing the patient with the above procedures, you'll need to check for anything that can cause long-term problems. Your health analyzer should show if they have any internal damage or viral pathogens. To determine the exact nature of the problem, put them in the body scanner. Look for damage to internal organs, genetic damage or viral pathogens.

 

Genetic Damage: Your chemist can brew up some Ryetalyn which will cure any genetic injuries, but if they're busy making grenades then you can just put them in the cryo-tank instead. You'll need to do this for patients who have been cloned or if they've been attacked by slimes.

 

Cut them up like a slice of monkey If the patient has brute damage to their internal organs, don't try to heal them with bicarridine, that only works on external injuries. Get them to surgery. This guide doesn't cover surgery, you'll have to check the wiki for instructions, but make sure that you wash your hands and aren't still dragging the patient. For broken bones make sure that any external brute damage is cured before you begin surgery otherwise the bone will not heal and it will just rebreak.

 

It's the plague: If they have a viral pathogen, consult your virologist.

 

They're cured: Once the patient has no damage, broken bones, bruised organs, viruses, genetic damage or other such problems they're cured. Let them get out of medbay and back to doing their job before the station blows up.

 

[mkenner]

Experienced doctors, feel free to add any feedback, corrections or tips and tricks that people will need to know.

[xxxxyobdab]

 

A helpful tip.

 

 

In this case you get a person in critical condition with broken bones and internal bleeding....oh no!

 

 

Internal bleeding usually kills people due to a doctor and even the cmo ignoring it for last.

 

DO NOT IGNORE INTERNAL BLEEDING

 

Once someone gets internal bleeding their blood level rapidly drops until it hit the 50% mark which is when a person dies no matter what kinda drugs are in them.

 

DO NOT CYRO THEM

 

Cyrocells do not stop,prevent, or heal internal bleeding. Once you take them out they die faster than the medical hud can appear.....

 

Your first step is to scan them and head into surgery.....NOW not later.

 

If they critical dope them up on inaprovaline. Dont be afraid to ask a second doctor to keep the supply of inaprovaline in them while you heal the bursted vain.

 

Using a blood pack and iv drip will help stem the decrease a little, as in slow it down just a smidge. Time is life in this case.

 

Once the vain is healed get as much blood as you/needed into them. 90% is fine.

 

Cyro them to full health then do the bone repair surgery.

 

 

 

As a well versed doctor i seem to run into a critical problem.

A stubborn surgeon.

Ethier he tells you to wait or wont stop his current surgery to save your poor dieing person's life.

 

Further more i get doctors that stick these ppl in cyro and forget about them.

 

Or the doctoring fight, when both doctors think they are right. The right answer is surgery....now. Keep the person alive using drugs, its what its meant to do.

 

Fun fact: Stick a beaker of inaprovaline into an iv dripper. A great way to prevent death and you can do it yourself!

 

 

 

While unorthodox, dont be afraid to kick the damned surgeon in the ass. Your patient needs more help than some ruptured lung or broken bone person.

 

[kodos_macarthur]

 

 

Long ass post that makes 1000% of sense.

 

 

 

 

 

This. So much this. This is why we need the old new map, for the updated medbay, 3 surgery tables, etc. It just plain needs to happen. I like the 'centralized medbay' but the old one just had more to offer. And if someone mentions it being OP, fuck off lol.

 

[Diabloshadow]

Second, Kodos

[Earthdivine]

in addition to Bicaridine, Dermaline and Dexalin, Tricordazine is a medicine that can heal all those wounds at once. I don't know if it's more potent the using one of the others or not, but for a cure-all Medicine, Tricordazine actually isn't that hard to make. Just bug the Chemists for some, most of the will be happy to oblige only because it's 6 easy button presses for them. Usually you want to have some on hand if your a First Responder for those people who probably wont make the trip back to Medbay.

[Diabloshadow]

The only problem with Tricor, is that it is slow acting. it will heal 10 toxin damage in about a minute. Not actual time mind you lol, but its slow. Lovely though.