Guide to Medicine: Difference between revisions

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===Morgue===
===Morgue===
This is where cadavers are stored. There is an [[Guide_to_Cadavers#Autopsy_Procedures | autopsy table]] located here, as well as several morgue trays. See: [[Guide to Cadavers]] for details on dealing with dead bodies.
This is where cadavers are stored. There is an [[Guide_to_Cadavers#Autopsy_Procedures | autopsy table]] located here, as well as several morgue trays. See: [[Guide to Cadavers]] for details on dealing with dead bodies.
{{Gameplay guides}}

Revision as of 17:55, 6 August 2015

A friendly reminder from the admins

As tempting as it may be to help, remember that it is against the rules to do things like breaking into medbay to treat patients when there are active medical staff on duty. Bandaging up minor injuries with the publicly available first aid kits is usually fine, as is performing CPR or otherwise preventing someone from dying until the medics arrive, but don't go outright doing someone's job for them.

At the very least, give the medics a chance to respond - nobody wants to drop everything they're doing and haul ass across the station with a rollerbed only to find that cargo were already on the scene with a crate of medical supplies and healed the patient up to full in the time it took for them to run from medbay to the gateway.

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. 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.
  • 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 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



Toxin Damage



Brute Damage



Burn Damage



Unlisted Damage



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.




Internal Bleeding

Danger:
Shows up on Health Analyzer.




Heart Trauma

Danger: [Depending on severity]




Blood Rejection

Danger: [Depending on severity]

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



Collapsed Lung

Danger:

  • Patient's cough containing blood.
  • Patient gasping for air in breathable environment.




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.




Dismemberment

Danger:

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



Embedded Objects

Danger:
Shows up on Health Analyzer.

  • Visible embedded objects sticking out of patient.
  • Reports of pain when moving.
  • Embedded object shows up when scanning the patient.



Bacterial Infection

Danger: [Depending on severity]
Shows up on Health Analyzer.

  • Toxin damage without foreign chemicals in bloodstream.
  • Visible inflamed wounds.
  • Damage to internal organs without external wounds.
  • High body temperature.



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.




Appendicitis

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

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



Intoxication

Danger:

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



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.




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.



Brain Damage

Danger:
Shows up on Health Analyzer

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




Facial Deformation

Danger:

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




Deafness

Danger:

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




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.




Itch

Danger: negligible

  • Itching.
  • Shivers in more severe cases.




Bad Stomach

Danger: negligible

  • Discomfort in stomach area.
  • Vomiting.




Headache

Danger: negligible

  • Headache.




Decapitation

Danger: ✜

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



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.

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.
Advanced Burn Kit Speeds up the healing process of burns. Also treats infected wounds. It is more effective than Ointment. Target damaged body part and click on patient.
Gauze/bruise pack Speeding up healing of brute damage. Also stops wounds from bleeding. Target damaged body part and click on patient.
Advanced Trauma Kit Increases the speed of healing for brute damage and stops wounds from bleeding. It is more effective than a Bruise Pack 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.
AutoInjector A single-use 5 unit injector containing inaprovaline for use in emergencies. Click on patient while holding the Injector.

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.

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.

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.

Machinery

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



Using Cryo



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



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.

Procedures

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.



Blood Compatibility



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.



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



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.


Guide Table
Starter VORE-Specific Medical Engineering Science Security Other Development