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.

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.

Critical Patients

Anytime a patient has either very quickly dropping vitals, or a Health Analyzer shows that they are below 0 health, they should be rushed and placed into cryosleep or treated immediately.

• Stabilize the patient to the best of your ability before transporting, because otherwise they'll keep taking suffocation damage. Epinephrine or CPR will help.
• Bandaging bleeding wounds before transport will help prevent blood loss and the damage that comes with it.
• Always use a roller bed to transport a critical patient. Dragging them can result in further injury. In case no roller beds are available, GRAB them and move.

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.

Color	Description	In-game definition	Real world treatment type	Suggested in-game treatment
Black	Patient is dead	Patient is dead	Remove to prevent infections	Ignore until all live patients dealt with, then take to morgue.
Red	Patient is seriously injured and in danger of dying	Critical condition (vitals below 0) Lethal disease in late stages	Immediate treatment	Treat their condition as soon as possible. If unable to treat immediately (OR busy, no vaccine), put them to cryosleep. For diseases, inject Spaceacillin to stop progress.
Yellow	Patient is severely injured, but not in life danger	Vitals between 0 and 30 Potentially lethal disease in it's early stages	Delayed treatment	Treat as soon as no one as all red triage patients are stabilized or put in cryo.
Green	Patient has light injuries	Vitals between 30 and 80	Minimal treatment	Ignore until the last of the yellow triage patients have been taken care of. You should remove people from the cryo cells before attending to these patients.
White	Patient is uninjured	Vitals between 80 and 100	There is no reason to treat them when you have a million more seriously wounded people	Ignore until all green triage patients have been taken care of.

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, or from the patient being in a critcal state.

• If damage comes from being in a low-oxygen environment, internals or being in an oxygen safe place will slowly heal the patient.
• Salbutamol or Perfluorodecalin will heal the damage. Perfluorodecalin is much more effective but will temporarily mute the patient.
• Epinephrine will slow progress of suffocation damage in critcal patients.
• 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).

Toxin Damage

This shows up as a GREEN number on the Health Analyzer and Crew Monitoring Console

Toxin damage sometimes causes vomiting. Getting a blood sample of the patient with a syringe and using a Mass Spectrometer will reveal what toxins are located in the patient's blood. Radiation will also cause Toxin damage.

• Administer Charcoal.
• Monitor the patient's vitals for any changes. Some poisons are tricky and stay in the system for a long period of time.
• In extreme cases, put patient into cryosleep. Less effective than charcoal, but only way to treat critical patients.

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.
  
• Apply Gauze.
  
• More extreme injuries, or brute damage located in multiple areas, will require the administration of Styptic Powder. Always bandage locations that show up as bleeding to prevent blood loss.
• 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.
  
• More extreme injuries, or burns to multiple places of the body will require either Silver Sulfadiazine or Synthflesh medication.
  
• Synthflesh is the stronger medication and will also heal Brute damage.
• 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 genetics 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 easily healed with time spent in a cryo chamber.
• Holo-damage is cured by having the patient sleep it off.
• For hallucination damage, treat cause of damage, (a clean SE shot from a geneticist, or charcoal if it's a chemical), and then let patient sleep it off as you would with holo-damage. Sedating the patient for their own safety is highly suggested.

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 does not go away when treated.

Cause

• Untreated external brute injuries, internal bleeding, and donating to much blood. Amount of blood left over in the body is visible on the Health analyzer.
  

Suffocation damage won't go away until blood levels are normal.
People who lose all blood will DIE.

Treatment

1. Locate bleeders, either by examining body or with Health Analyzer. If none are found it could be internal bleeding or damage to the heart.
2. Bandage all wounds you find with gauze.
3. Blood transfusion would be necessary for more severe cases.
4. Wait for blood level to normalize. In severe cases, Salbutamol or Perfluorodecalin should be administered.

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 put into cryosleep. Low temperatures will slow bleeding until proper treatment is set up.

1. Get patient in advanced medical scanner to find exact location of injury.
2. Blood transfusion would be necessary in most cases.
3. 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

• 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.

Treatment

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]}

• Toxin damage without foreign chemicals in bloodstream.
• Unexplained suffocation damage.
• Patient recently received blood transfusion.

Cause
Transfusion of incompatible blood type to the patient.

Treatment

• In case it's not obvious, STOP PUMPING THAT BLOOD IN THEM.
• Administer charcoal 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.

Bone Fractures

Danger: ✜
Shows up on Health Analyzer

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

Cause
Severe brute damage to a specific body part.

• If the damage to the area is above certain threshold, the bone will re-break immediately after being glued together.
  

Treatment

1. Painkillers will numb the pain while patient is waiting for surgery.
2. In case of skull or rib fractures, do not let patient move around, since bone shards can damage internal organs.
3. Use advanced medical scanner to locate fracture locations.
4. Treat brute damage on broken body part with either gauze or Styptic Powder.
5. Operate on the fracture.

Dismemberment

Danger: ✜

• MISSING. LIMBS.
• No, seriously, the limb is missing upon visual examination.

Cause
Common causes are explosions, high-power projectiles, rogue surgeons, sword fights.

Treatment

1. Administer painkillers, patient is in world of pain.
2. Order prosthesis, (cyborg limb), from Robotics lab.
3. Graft it to the stump.

Foreign Body

Danger: ✜
Shows up on Health Analyzer.

• Sneezing, coughing, mucous, sore throat.
• Stomach pains, muscle aches.
• Something trying to claw its way out of patient's stomach

Cause
Xenomorph reproduction process.

Treatment
LETHAL AND DANGEROUS FOR CREW IF LEFT UNTREATED

1. Confirm that it is indeed foreign body with Health Analyzer.
2. Remove alien embryo in surgery.

Wound Infection

Danger: ✜
Shows up on Health Analyzer.

• Toxin damage without foreign chemicals in bloodstream.
• Patient recently undergone surgery.
• Visible inflamed wounds.

Cause
Sepsis caused by non-sterile conditions during surgery. Surgeon did not wash his hands.

Treatment

1. Locate infected wound by examining patient.
2. Cauterize the infection.
3. Treat the patient with spaceacillin.
4. Administer charcoal until symptoms stop manifesting.

Disease

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. Usually caused by a pathogen or virus. A rising body temperature can also indicate a viral infection.

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.
• Cure the disease in virology.

Appendicitis

Danger: ✜✜ ^{[Depending on stage]}
Shows up on Health Analyzer.

• Toxin damage without foreign chemicals in bloodstream.
• Patient experiences abdominal pains.
• Uncontrollable vomiting.
• Coughing.

Cause
Sepsis caused by inflamed appendix.

Treatment
LETHAL IF LEFT UNTREATED

1. Confirm that it is indeed appendicitis with health analyzer.
2. Remove inflamed appendix in surgery.

Intoxication

Danger: ✜

• Slurring, confused movement.
• Hallucinations. Hallucination damage.
• Uncontrollable drooling, twitching.

Cause
Variety of substances, ranging from alcohol to illicit drugs.

Treatment
Treatment depends on substance.
Alcohol:

• Let them sleep it off.
• In case of emergency administer Antihol.

Hallucinogens:

• Sedate patient to prevent him from hurting himself and healing hallucinatory damage.
• Administer charcoal or Haloperidol.

Radiation Sickness

Danger: ✜✜ ^{[Depending on severity]}

• Patient is feeling weak, passes out.
• Steady increasing toxic damage.
• Possibly DNA mutation.

Cause
Singularity, radioactive substances, radiation storms.

Treatment

• Administer Hyronalin or Arithrazine if possible.
• In case they are unavailable, administer Antitox until damage is healed.
• In case of DNA mutations, request clean SE from Genetics.

Genetic Defects

Danger: ✜

• Highly varied, and differ depending on defect. With often only one or two of the following appearing:
• Seizures, random swearing, non-drug-induced hallucinations.

Cause
DNA defects acquired either from radiation exposure, cloning errors, or geneticists preforming experimentation.

Treatment

• Ask a Geneticist for a clean SE syringe, administer shot.
• Alternatively, 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.
• Patient gibbering, screaming incoherent sentences, in extreme cases.
• Impaired ability to use complex machinery.

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.

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 clean SE or Alkysine.

Impaired Vision

Danger: ✜

• Patient is unable to see far away objects, objects appear blurred.
• Patient's pupils do not react to penlight.

Cause
Eye trauma, bright light, DNA defects

Treatment

• Clean SE from Genetics will help in both cases
• 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.
May also be a symptom of a disease.

Treatment

• Administer Inaprovaline.
• Administer Spaceacillin and isolate in case of virus until a proper cure is prepared.

Bad Stomach

Danger: negligible

• Discomfort in stomach area.
• Vomiting.

Cause
Skin regenerating chemicals - Dermaline and Kelotane. Cloning acceleration can also cause this.

Treatment

• Administer Anti-toxin.

Headache

Danger: negligible

• Headache.
• Minor brain damage.

Cause
Tissue-regenerating chemicals - Bicaridine (over 15 units), Tricordazine (over 15 units), Cryoxadone (any dosage).

Treatment

• Administer Alkysine or Tramadol.

Decapitation

Danger: ✜

• Patient's head is detached from the body.
• There is no head attached to the patient's body.

Cause
Same as with missing limbs, with maybe more explosions.

Treatment

1. Acquire head.
2. Extract brain.

Now you have two choices.

• Pass brain to Robotics for cyborgification.

or

• 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 if you have no medical things. Here is the list of basic medical tools and machinery.

Tools

Basic tools

	Tool	Purpose	Usage
	Ointment	Speeding up healing of burns. Also can be used to treat infected wounds.	Target damaged body part and click on patient.
File:Bpack.png	Gauze/bruise pack	Speeding up healing of brute damage. Also stops wounds from bleeding.	Target damaged body part and click on patient.
	Health Analyzer	Must have tool for medical. Scan people to find out damage levels (and location for brute/burn), some conditions, blood levels and some other info like body temperature.	Click on patient.
	Syringe	Administering medicine to people (5 units per injection). Taking blood samples.	Click on things/people to inject or draw. If either of characters moves during it, injection fails. To switch between draw/inject modes, click on syringe in hand.

Chemicals

Using proper medicines can be difference between life and death for patient.
Some chemicals come pre-made in medikits or vendomats (i.e. inaprovaline and detox), 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.

• 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.

Roller Bed

Used to transport patient fast and safe.
Buckle/unbuckle patient as with chairs and usual beds.
Can be folded into pickup-able roller bed item.

• Folding: Click and drag roller bed sprite on 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)

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.
• 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.

Machinery

File:Cryo.gifCryogenic Chambers

Used for treating critical patients, newly cloned patients, or patients with genetics damage. Be sure to check periodically to see if the chemicals inside the chambers need to be restocked with chemicals.

Setting Up Cryo

1. Use the nearby on both O2 canisters to secure them.
2. Take a nearby 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.
3. Set the freezer's Target gas temperature to its lowest amount by clicking on the far-left "-" until the number in the center no longer decreases.
4. 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.
   • 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.
4. 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).
5. Remember to turn Cryo status to Off to save oxygen and chemicals.

File:Console.gif Sleeper

Sleepers are used to treat people who have severe damage, but not critical.
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.
The machines will not work with patients that are in a critical state, inaprovaline only.

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 console.gif Advanced Body Scanner

Body scanner is used to locate broken bones and internal bleeding. Also can be used to find implants 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.

Procedures

CPR

Used to heal some suffocation damage caused by being in critical condition. 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.

• Most efficient way to do this is File:IVdrip.png IV drip and blood bags.
  

Just load bag in IV and hook the patient up to it.

• If that's not available, injecting patient with blood (i.e. with syringe) would work too.

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, 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. Cut out new body's brain.
4. Insert patient's brain in new body.
5. Give new body to Genetics for cloning.
6. Put old body in morgue and dispose of extra brain.

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.
• Anesthetics Closet - Holds anesthetics 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 anesthetics closet.
• Sink - For washing your dirty hands before and after surgery.
• Surgery Cleaner - Sterilize 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.