|
|
| (10 intermediate revisions by 6 users not shown) |
| Line 1: |
Line 1: |
|
| |
| {{JobPageHeader | | {{JobPageHeader |
| |colour = 3F7597 | | |colour = 3F7597 |
| Line 6: |
Line 5: |
| |bhcolour = white | | |bhcolour = white |
| |ebcolour = 3F7597 | | |ebcolour = 3F7597 |
| |stafftype = MEDICAL
| |
| |stafftype = MEDICAL | | |stafftype = MEDICAL |
| |imagebgcolor = #ffeeee | | |imagebgcolor = #ffeeee |
| |img_generic = MedicalDoctor.png | | |img_generic = Generic_Medical_Doctor.png |
| |img = doctor.png | | |img = Generic_Medical_Doctor.png |
| |jobtitle = Medical Doctor | | |jobtitle = Medical Doctor |
| |access = [[Medbay]], [[Morgue]], [[Operating Theatre|Surgery]], Mineral Storage | | |access = Medbay, Morgue, Operating Theatre, Mineral Storage |
| |additional = [[Chemistry Lab]], [[Virology]] | | |additional = Chemistry Lab, Virology |
| |difficulty = Medium | | |difficulty = Medium |
| |superior = [[Chief Medical Officer]] | | |superior = [[Chief Medical Officer]] |
| |duties = Save lives, run around the station looking for victims, scan everyone in sight | | |duties = Save lives, run around the station looking for victims, scan everyone in sight |
| |guides = [[Guide to medicine]], [[Surgery|Guide to Surgery]], [[Guide to Traumas]], [[Guide to Wounds]] | | |guides = [[Guide to medicine]], [[Surgery|Guide to Surgery]], [[Guide to Traumas]], [[Guide to Wounds]] |
| |quote = Oh, are you hurt? Here, let me kiss it better... | | |requirements = If injured people will let you heal them instead of breaking into Medical Storage, do so.}} |
| }} | | {{Medical Dept header}} |
| {{Speech | |
| |name=Chief Medical Officer Kingston
| |
| |text=Doctor! I need you to tear out that man's appendix, throw that clown out of medical, and stitch up that curator's face!
| |
| |image=[[File:Generic_cmo.png|64px|right]]
| |
| }} | |
|
| |
|
| Medical care is serious business, and going halfway with your medical treatment can result in someone dying or worse. Make sure you know what you're doing before you try to fix someone up! | | You are the Medical Doctor. Your job is to ensure the crew stays healthy and alive, healing the wounded and reviving the dead. Needless to say, your work is cut out for you, but don't despair! You can still help people! Mostly. |
| | ==Doctor, Doctor!== |
| | When you are a Medical Doctor, your job is to heal people, save them from the brink of death, and [[Guide_to_medicine#Revival_methods|revive]] the dead. You can diagnose injuries and diseases with the help of a [[health analyzer]] or even your PDA. <br> |
|
| |
|
| If you're going to treat someone, you're going to have to know what tools you need, how to identify injuries, what machinery and facilities you must use, and how to keep people from dying while in treatment.
| | Much of the information on this page is dedicated to the basics of Medbay and the most prudent tips for beginning doctors. It's highly recommended that you read the [[Guide_to_medicine|Guide to medicine]] for full details on how health and bodies work in SS13, and the more advanced methods of restoring your patients. |
|
| |
|
| == Identification == | | ==Gearing Up== |
| | Unsurprisingly, the first thing you should do upon spawning in as a Medical Doctor is explore Medbay, collect the tools you'll need to do the job, and familiarize yourself with the layout of whatever station you're on. There's a lot of goodies to go through, but once you get the hang of things, it's not too hard to equip yourself. |
|
| |
|
| First of all, grab a [[File:MedGlasses.png]] [[Medical_items#Health_Scanner_HUD|Health Scanner HUD]] from the medical storage and wear it. It shows the patient's overall health condition and therefore shows you instantly whom you should treat first from a group of patients. Identification is the first and foremost step in administering treatment. Here are ways to identify the type of injuries a person may have:
| |
|
| |
|
| === Types of damage ===
| | [[File:Proto.png]] The first thing to note is the '''medical techfab''', usually located in the storage room. You can use it to produce various useful medical items, provided the miners are keeping the station's supplies up. If the Science department is doing their jobs, you'll also be able to print upgraded versions of many medical items once the appropriate research is done, so be sure to check back frequently. |
|
| |
|
| * There are four primary kinds of damage: '''Suffocation''', '''brute''', '''burn''', and '''toxin.''' These damage types have first aid kits associated with them and are therefore treatable without needing further medical equipment. The standard white first aid kit has materials to treat '''brute''', '''burn''', and '''bleeding'''
| | [[File:Health_analyzer.gif|link=Special:FilePath/Health_analyzer.gif]] The '''health analyzer''' allows you to diagnose your patients, and you'll find an analyzer in the white medkit you spawn with. Simply hit somebody with it, and you'll get a readout telling you what's wrong with them. Using it in-hand toggles reagent scan mode, which instead tells you what chemicals their bodies contain. You should always have one of these on hand; later on, you might be able to upgrade to an '''advanced health analyzer''', which gives even more information. |
| * There are additional kinds of damage that occur less often: '''cellular''', '''organ damage/brain damage''', '''wounds''' and '''bleeding'''
| |
| * You want the patient to be as healthy as possible, so you have to heal all of these, and they have to be '''treated individually''' (unless you use a chemical which heals multiple damage types at once).
| |
| * The overall health status (from 100% to -100%) is determined by adding these damages together, except brain damage. If there are 0 damages, the patient is '''perfectly healthy (100%)'''.
| |
| * If the patient has taken a total of about 100 damage (depending on mood), he will be in a '''critical condition (0%)'''; lying on the ground, unresponsive and ''gasping'' for air. When in this condition, the patient cannot breathe on their own and will gradually take suffocation damage until '''death (-100%)'''. This kills the patient.
| |
| * Bleeding is a bit different. See [[#Bleeding|below]] or the [[Guide_to_Wounds#Slash_Wounds|guide to wounds]] for a more extensive explanation.
| |
|
| |
|
| * You can identify these different damage types quickly by using your [[PDA]] with the Med-U Cartridge inside and Health Scanning enabled, or a [[Medical_items#Health_Analyzer|Health Analyzer]] on the patient. You can also '''examine''' the patient (shift-click), but it only shows basic information.
| | [[File:MedGlasses.png]][[File:Nitrile_gloves.png]][[File:Medicalbelt.png]] Three pieces of clothing to collect are the '''medical HUD glasses''', '''nitrile gloves''' and '''medical belt'''. The glasses allow you to see health bars above living creatures, instantly cluing you in on who's wounded; if the small icon next to them shows a face, they have a disease. The angrier the face looks, the worse the illness. The gloves drastically speed up the time needed to use patches, syringes and pills, and the belt can hold up to seven medical items for convenience. You can find all of these in a '''medical doctor's locker''', usually in the storage room. |
| * If a Health Analyzer or a PDA with a Med-U Cartridge is not available, '''observing''' the patient and their surroundings will help with diagnosis:
| | * On most stations, there is a pile of spare belts and Medical HUD glasses in the storage room. |
| :* If there is a pile of '''vomit''' next to, or under the patient then they are most likely suffering from [[Guide_to_medicine#Toxins|toxin damage]].
| |
| :* If there is blood everywhere, blood on the person dying, or the patient has '''severe bruises''', they are suffering from [[Guide_to_medicine#Brute_Damage|brute damage]].
| |
| :* If the patient has black scars across their body and no blood, or the patient has '''severe burns''', they have been [[Guide_to_medicine#Burns|severely burned]].
| |
| :* If the patient is gasping, they are most likely [[Guide_to_medicine#Suffocation|suffocating]].
| |
| :* If the patient keeps fainting, trails drips of blood as they walk or is unresponsive to other forms of "healing" they may be [[Guide_to_medicine#Bleeding|bleeding]] or be suffering from blood-loss
| |
| :* If the patient reports other symptoms such as headaches, coughing or vomiting blood, they most likely have a [[Infections|virus]].
| |
|
| |
|
| ===Your first patient===
| | [[File:SMed.png]][[File:Tmed.png]][[File:Bmed.png]][[File:Brutefak.png]][[File:O2med.png]] '''Health kits''' contain a variety of items and medicine. The '''white''' medkits contain general use items, whereas the colored ones correspond to damage types. '''Green''' is toxin damage, '''orange''' is burn damage, '''pink''' is brute damage and '''blue''' is suffocation damage. Even if you don't know which chemicals do what, you can rely on the contents of these kits to heal a specific damage type from your patients. As a rule of thumb, don't dump the whole kit into one person: at most, one syringe, patch or pill at a time is a good bet. |
|
| |
|
| Your patient can arrive in two ways:
| | [[File:Drapes.png]][[File:Hemostat.png]][[File:Cautery.png]][[File:Retractor.png]][[File:Scalpel.png]][[File:Saw.png]][[File:Drill.png]] '''Surgical tools''' are needed for, well, surgery. The basic tools are the '''drapes''', '''hemostat''', '''cautery''', '''retractor''', '''scalpel''', '''saw''' and '''drill'''. The white medkit you spawn with contains half of them, specifically the ones needed to perform the basic 'tend wounds' surgery. You can find the rest in the operating rooms, or print them from the lathe. With the right research, you can also print advanced tools that combine the functions of two tools into one. |
|
| |
|
| '''1. The patient walks in and needs treatment.''' | | [[File:MediPen.png]][[File:Suture.png]][[File:Regenerative_mesh.png]][[File:Gauze.png]] '''Medipens''' are single-use items that come preloaded with useful chemicals. In particular, the '''epinephrine medipen''' contains epinephrine, which stabilizes patients at critical health, and formaldehyde, which stops organs from rotting if injected into a corpse and generally makes revival a lot easier. '''Sutures''' and '''regenerative meshes''' can be used on people to quickly heal brute and burn damage, respectively, making them ideal for quickly patching up minor wounds. '''Medical gauze''' is used to stop bleeding in patients. |
| :''"PLS DOC HLEP!!"'' You can see the patient's overall health status with your Health Scanner HUD with just a glance. However, this will only tell you how serious the situation is and how quickly you need to act.
| |
|
| |
|
| :How to act: | | [[File:Sgun.png]] The '''syringe gun''' is a tool that can be loaded with a syringe, and used to instantly inject people from a distance with a chemical. In theory, they can be used for doctoring to quickly inject someone with a syringe full of medicine at a distance. In practice, people fill normal syringes with lethal doses of poisonous chemicals and use the syringe guns as self defense or murder weapons. The '''rapid syringe gun''' can be researched and printed from the lathe, and holds 6 syringes. |
|
| |
|
| :* Use your PDA or a [[Medical_items#Health_Analyzer|Health Analyzer]] on the patient to identify the damage type.
| | [[File:Defib.png]] '''Defibrillators''' are used to bring people back to life, provided their bodies are in good enough shape. In order to use one, you must equip it in your back slot, dual wield its paddles, and target the chest of the body you're trying to revive. With research, the lathe can print off '''wall mounts''' for defibs, and later even '''compact defibrillators''' that use your belt slot instead. |
| :* Proceed with the necessary [[#Treatment|treatment found in the next chapter]].
| |
|
| |
|
| '''2. The patient is dragged into Medbay and is in critical condition.''' | | [[File:Stasis_bed_off.png]] The '''stasis bed''' is an incredibly powerful piece of machinery. When someone is buckled into it, they enter stasis, which essentially freezes their vitals; they won't lose health or blood, but they also won't process any chemicals in their bodies. Buckling someone to a stasis bed while you work on them is highly recommended, but Medbay typically has a limited supply of them. |
| :The patient is unresponsive to the environment, on the floor, and gasping for air.
| |
|
| |
|
| :How to act:
| | '''Operating tables''' are the designated location for performing surgery, but it's the '''operating computer''' that makes the magic happen. As Science researches better operating procedures, you can synchronize the computer to download those procedures' data, and any operating table (or stasis bed!) adjacent to an operating computer is "upgraded" to unlock those procedures for patients buckled to them. Make sure to keep your computers updated, and you'll be able to perform much better surgical procedures. |
|
| |
|
| :* The first thing you should do is administer [[Guide_to_chemistry#Epinephrine|Epinephrine]]. [[Guide_to_chemistry#Epinephrine|Epinephrine]] stops the general decline of the critical patient's health and helps treat damage if the patient is in crit. Don't give them 30 or more units of it, as that will cause toxin damage.
| | [[File:Cryo.gif]] The '''cryo tubes''' can be used to heal various damage types with the power of coldness. Provided the cryo tubes are set up correctly, placing someone into a tube will cause them to gradually heal. This is the main method of healing cellular damage. To set up the tubes, simply insert the nearby beakers of cryoxodone (blue), use a wrench on the oxygen tanks, and make sure the freezer is turned on and set to its minimum temperature. You can put different chemicals in the tubes, but the default cryoxodone will suffice if nobody makes anything better. |
| :* If the patient is bleeding, apply a suture [[File:Suture.png]] and gauze [[File:Gauze.png]] to the bleeding bodypart. Dragging a bleeding patient will quickly drain their blood, unless you use a roller bed.
| |
| :* If [[Guide_to_chemistry#Epinephrine|Epinephrine]] is not available, immediately perform [[#CPR|CPR]] a few times to ensure the patient stays alive until you do the next step. Make sure they're also not suffering from any other significant problems, like being on fire, or in a low-pressure environment.
| |
| ::'''NOTE: CPR on its own will not heal someone unless they are only suffering from suffocation damage. If they are in crit because of brute/burn/toxins/cellular damage it will only keep them from dying.'''
| |
| :* Now you have several options to choose between:
| |
| :# Take the patient to a [[#Lifeform_Stasis_Units|stasis bed]]. Drag the patient until on top of it, then click-drag the patient to the bed to buckle. Give the patient [[Guide_to_chemistry|medicine]] and then click the stasis bed to unbuckle.
| |
| :# Strap the patient to a [[#Lifeform_Stasis_Units|stasis bed]] (like above). Bring or print the surgery tools needed to perform [[Surgery#Tend_Wounds|Tend Wounds]]. Take off the patient's jumpsuit by click dragging their sprite onto yours, and then clicking the jumpsuit. Perform the [[Surgery#Tend_Wounds|tend wounds surgery]] until the body is fully repaired, and then click the stasis bed to unbuckle. This can only be used to heal brute and burn damage. Hide the patient's stuff in a locker while doing surgery, to prevent theft.
| |
| :# Strip the patient's space suit off if they have one and put the patient into a [[Medical_items#Cryogenics_Chamber_.26_Freezer|cryochamber]], wait for them to heal up and eject.
| |
| :# Just use [[Medical_items#Suture|sutures]] [[File:Suture.png]], [[Medical_items#Regenerative_Mesh|regenerative mesh]] [[File:Regenerative_mesh.png]] or other appropriate medication. See [[#Treatment|next section]] for examples.
| |
|
| |
|
| == Treatment ==
| | [[File:IV_Drip.png]] '''IV drips''' are used to quickly inject blood or chemicals into a patient. To use them, fill a beaker or blood bag with the appropriate chemical, attach it to the drip, and then drag the drip onto a patient. If the drip is empty, you can also toggle it between injecting blood or draining blood. |
|
| |
|
| ===[[File:O2med.png]] <font color=blue>Suffocation</font>===
| | There are a number of other items and machines in Medbay, but this list encompasses many of the most crucial ones you'll need as a doctor. |
| This is the first and most important to look out for. It is not visible on the body, but people suffering from it will ''gasp for air''. If you take 50 or more suffocation damage, you faint. On the Health Analyzer, it is the leftmost, <font color=blue>blue</font> damage type.
| |
|
| |
|
| '''Ways of getting damaged:''' | | ==The First Patient== |
| | So you've gotten yourself geared up, and somebody comes running into Medbay, either wounded or carrying a dead body. What do? |
|
| |
|
| * Being in an area without enough oxygen present will suffocate you.
| | ===Tend Wounds=== |
| * Missing a significant amount of blood will deal suffocation damage over time.
| | If the patient is alive, things are definitely easier. If all they have is minor brute or burn damage, just hand them some sutures and regenerative meshes if you have any left, and slap some gauze on them if they're bleeding. If you run out, or they have toxin or suffocation damage, check Medbay storage for the appropriately colored medkits. |
| * Once you are in critical condition, you slowly take suffocation damage.
| |
| * Some [[Guide_to_chemistry##Medicines|medicines]] and [[Guide_to_chemistry#Aranesp|drugs]] can deal suffocation damage.
| |
| * Some poisons, like [[Cyanide]], deal suffocation damage.
| |
| * Some [[Virus|virus]] symptoms can cause suffocation.
| |
| * Missing a pair of lungs.
| |
| * Missing a heart, or suffering a heart attack.
| |
|
| |
|
| '''Treatment:''' | | For a more intensive method of curing brute and burn damage, you'll want to use the '''Tend Wounds''' surgery: |
|
| |
|
| * If a person is in crit, you can CPR{{anchor|CPR}} them. Remove your and patient's mask and helmet, turn off {{Combat_Mode}} and {{LeftclickCmodeoff}} click on them.
| | 1) Have your patient lie down, preferably buckled to a '''stasis bed''' or '''operating table''', and remove their exosuit and/or uniform to expose the chest. Drag their sprite onto yours to strip them if needed. This isn't always necessary, but speeds up the healing greatly. |
| * If a person is not in critical condition, and they have no bad chemicals in their bloodstream, placing them in an oxygen-filled area will suffice.
| |
| * [[Epinephrine]] stops the suffocation damage that is dealt from being in a crit state.
| |
| * [[Salbutamol]] quickly treats suffocation damage.
| |
| * [[Guide_to_chemistry#Convermol|Convermol]] very quickly heals suffocation damage, but deals a lot of toxin damage.
| |
| * [[Cryoxadone]] in a [[Medical_items#Cryogenics Tube & Freezer|cryotube]] or a very cold environment heal most types of damage, including suffocation.
| |
| * [[Orange juice]] isn't the most effective cure, but it does help a bit when no other options are available
| |
| * If a person is missing a heart, replace their heart or give them [[Guide_to_chemistry#Corazone|Corazone]].
| |
| * If a person's heart is unstable, use a [[defibrillator]] and their heart should return to normal, or give them [[Guide_to_chemistry#Corazone|Corazone]]. Other electric shocks might be able to restore their heartbeat.
| |
|
| |
|
| ===[[File:Brutefak.png]] <font color=red>Brute</font>===
| | 2) With {{Combat_Mode}} off, target the chest and use '''surgical drapes''' on the patient to bring up the surgery menu. Select the Tend Wounds for the damage type they have. |
| This is a straight-forward damage category. This is the far right damage type on Health Analyzer. Brute damage is visible, and limb-specific.
| |
|
| |
|
| '''Ways of getting damaged:''' | | 3) Use a '''scalpel''' on them to cut them open, then use your '''hemostat''' on them to begin fixing them. |
|
| |
|
| * Being physically hit by almost anything does brute damage.
| | 4) Once they're healthy (you'll automatically stop the procedure when they're done), use the '''cautery''' to close them up. |
| * Some [[Guide_to_chemistry#Fluorosulfuric_Acid|chemicals]] can deal brute damage.
| |
|
| |
|
| '''Treatment:''' | | Tend Wounds can heal an unlimited amount of burn or brute damage provided you have the time to spend on it, and if the bed you're using has an adjacent '''operating computer''', you might be able to use upgraded versions of Tend Wounds for faster healing. |
|
| |
|
| * [[Medical_items#Suture|Sutures]] [[File:Suture.png]] can be applied to the damaged limb. Use a medical scanner or ask the patient to examine themselves.
| | ===Critical Situation=== |
| * [[Surgery#Tend_Wounds|Tend Wounds]] surgery will heal brute and burn damage very efficiently (but will not treat special [[Guide_to_Wounds|wounds]]).
| | A patient with over 100 damage in any category will be in '''crit''', typically crawling around and likely unable to speak properly. If any stasis beds are available, immediately try to buckle them in to stop any further degradation; if not, inject them with epinephrine to stabilize them as you work. |
| * [[Guide_to_chemistry#Probital|Probital]] pills heal brute damage over time.
| |
| * [[Guide_to_chemistry#Salicylic_Acid|Salicylic Acid]] heals brute damage over time, and is more effective on severe injuries.
| |
| * [[Saline-glucose solution]] heals brute slowly.
| |
| * [[Cryoxadone]] in a [[Medical_items#Cryogenics Tube & Freezer|cryotube]] or a very cold environment heal most types of damage, including brute.
| |
| * Food can heal brute damage slowly.
| |
| * Milk, bilk, soy milk, soy latte, [[Guide_to_drinks#Coffee_Latte|cafe latte]], and cream can heal it very slowly.
| |
| * [[Guide_to_chemistry#Libital|Libital]] patches (brute patches) will heal brute pretty fast but don't use it too often on the same patient, due to long term side effects.
| |
| * [[Guide_to_chemistry#Helbital|Helbital]] should only be used in emergency situations on people with multiple damage types.
| |
| * There are some job-specific ways of healing it: Donuts heal security, bananas and banana juice heal clowns and monkeys, "nothing" in mime's bottle of nothing heals mimes.
| |
|
| |
|
| ===[[File:Bmed.png]] <font color=orange>Burns</font>===
| | Tend Wounds is again the best non-chemical way to heal brute or burn damage, and {{LeftclickCmodeoff}} clicking on them with {{Combat_Mode}} off and an empty hand allows you to perform CPR to alleviate suffocation damage over 100. A patient suffering from many types of damage but still alive is best suited for '''cryo tube''' healing. |
|
| |
|
| This is a straight-forward damage category. This is the damage type second to the right on Health Analyzer. Burns are visible, and limb-specific.
| | ===Limb and Organ Damage=== |
| | If an organ is listed as "severely damaged" or "nonfunctional" on your health analyzer, the patient will likely suffer from effects ranging to blindness (eyes) to constant toxin damage (liver) to dying (heart). You have two options here: one, if the patient is in a proper bed, you may be able to perform a surgical procedure to fix their organs, such as a Coronary Bypass for the heart. These surgeries can typically only be done once per organ. |
|
| |
|
| '''Ways of getting damaged:''' | | Alternatively, you can replace the organ with the Organ Manipulation surgery. The '''medical autolathe''' can print off cybernetic organs, with better cybernetics available as Science researches them. You can also take organs out of a healthy body and use those, but beware that organs decay when not in a living person. Note that organs will gradually heal over time, so it's usually safe to ignore "slightly damaged" ones. |
|
| |
|
| * Temperatures too high or too low cause burn damage. That includes coldness of space and being set on fire.
| | Limbs can be reattached in the same fashion, using the Prosthetic Reattachment surgery. You can use cyborg limbs from Robotics, or reattach the original limbs if you can find them. Not having limbs can be incredibly frustrating, but generally isn't life-threatening. |
| * Lasers deal burn damage.
| |
| * Some [[Guide_to_chemistry#Phlogiston|chemicals]] deal burn damage.
| |
| * Electric shocks deal burn damage.
| |
|
| |
|
| '''Treatment:''' | | ===Blood Loss=== |
| | Blood loss can be a deceptively dangerous ailment, characterized by fainting and taking damage, and is often caused by bleeding patients being dragged along the ground. If someone is leaving a trail of blood behind them, '''stop dragging them'''! Aggressively {{Grab}} them, then drag their sprite onto yours to carry them safely. |
|
| |
|
| * [[Medical_items#Regenerative_Mesh|Regenerative mesh]] can be applied to the damaged limb. Use a medical scanner or ask the patient to examine themselves.
| | Once they're in Medbay, you can either feed them iron, inject saline-glucose solution, or find a compatible blood type in a blood bag. You can also combine a sample of their blood with unstable mutagen to duplicate it. '''IV drips''' are the best way to quickly inject large amounts of blood into somebody, but don't overfill them! |
| * [[Surgery#Tend_Wounds|Tend Wounds]] surgery will heal brute and burn damage very efficiently.
| |
| * [[Guide_to_chemistry#Hercuri|Hercuri]] heals burn damage over time.
| |
| * [[Guide_to_chemistry#Oxandrolone|Oxandrolone]] heals burn damage over time, and is more effective on severe burns.
| |
| * [[Guide_to_chemistry#Saline-Glucose_Solution|Saline-glucose solution]] heals burn slowly.
| |
| * [[Cryoxadone]] in a [[Medical_items#Cryogenics Tube & Freezer|cryotube]] or a very cold environment heal most types of damage, including burn.
| |
| * [[Tomato juice]] can heal it very slowly.
| |
| * [[Guide_to_chemistry#Aiuri|Aiuri]] patches (burn patches) will heal burn pretty well but don't use it too often on the same patient, due to long term side effects.
| |
| * There are some job-specific ways of healing it: Donuts heal security, bananas and banana juice heal clowns and monkeys, "nothing" in mime's bottle of nothing heals mimes.
| |
|
| |
|
| ===[[File:Tmed.png]] <font color=green>Toxins</font>=== | | ===Diseases=== |
| This is the second from the left on the Health Analyzer. It is not visible on the person's health doll. Thankfully it is easy to treat.
| | If you're wearing a medical HUD, people with diseases will have a small smiley face next to their health meters. Blue faces are good diseases, green and yellow are negative, and red or flashing red are extremely bad. Keep in mind however that not every virus is visible, and some stealthy viruses will not show up on the hud. |
|
| |
|
| '''Ways of getting damaged:''' | | Your '''health analyzer''' will tell you the name and cure of any disease infecting a patient. The cures are almost always chemicals you can obtain from Chemistry, and once somebody is cured, the Virologist can make a vaccine from their blood. |
|
| |
|
| * Breathing plasma deals toxic damage.
| | ===Other Problems=== |
| * Many [[Guide_to_chemistry#Toxins|chemicals]] deal toxic damage.
| | In addition to the above, there are other semi-common issues people may have. This isn't a comprehensive list of solutions, but the most immediate way to help. |
| * Drinking a lot of alcohol can hurt your liver and deal toxic damage.
| |
| * A severely damaged or missing liver will deal toxic damage. Liver failure will also prevent the patient from processing any reagents.
| |
| * High doses of [[#Radiation|radiation]] deal toxic damage.
| |
| * Mind the difference between chemical named [[Guide_to_chemistry#Toxin|"toxin"]] and toxic damage.
| |
|
| |
|
| '''Treatment:''' | | '''Radiation:''' Caused by being near the supermatter crystal or singularity, or genetic problems. Feed them '''pentetic acid''' or '''multiver''' to get rid of their toxin damage, and ask your fellow doctors for help if you don't know how to make '''pentetic acid''' ([[Guide_to_chemistry|or just look it up on this wiki]]). '''Showers''' pause the harmful effects of radiation, making it easier to heal. |
|
| |
|
| * [[Guide_to_chemistry#Syriniver|Syriniver]] heals toxic damage and weakly purges toxic chemicals. Use in an IV drip or across multiple small (5u) injections. Causes liver damage, and is very easy to accidentally overdose someone with (especially if you attempt to inject someone in stasis).
| | '''Cellular damage:''' A rare damage type mostly caused by slimes. Put them in the '''cryo tubes'''. |
| * [[Guide_to_chemistry#Multiver|Multiver]] heals toxins damage and purges other chemicals. If used in combination with other medicine reagents, it'll work faster, and it won't purge medicines! Causes lung damage.
| |
| * [[Guide_to_chemistry#Calomel|Calomel]] purges toxic chemicals more quickly than pentetic acid but doesn't heal toxic damage, and will '''deal''' toxic damage if the patient has 20 health or more.
| |
| * [[Guide_to_chemistry#Pentetic_Acid|Pentetic acid]] heals toxic damage and purges all other chemicals quickly. Also purges [[#Radiation|radiation]].
| |
| * [[Cryoxadone]] in a [[Medical_items#Cryogenics Tube & Freezer|cryotube]] or a very cold environment heal most types of damage, including toxic.
| |
| * Lime juice, tea, iced tea can slowly heal it.
| |
| * Vomiting heals some toxic damage. You usually can't control it, however you can induce vomiting with a stomach pump.
| |
| * If patient has a failing liver, a liver transplant will stop the toxin damage caused by that liver, and will allow chemicals to work in the body.
| |
|
| |
|
| ===[[File:Blood Pack.png]] Bleeding===
| | '''Brain damage:''' Can randomly happen to anybody, and comes in many forms. Target the head and use the Brain Surgery procedure to try and fix them. Not all forms of brain damage can be fixed by surgery, however. |
| Bleeding is commonly caused by [[Guide_to_Wounds#Slash_Wounds|slash or pierce wounds]].
| |
|
| |
|
| Some items that may help stop or alleviate bleeding are:
| | '''Augmentation:''' Not a problem per se, but people might ask you to surgically replace their body parts with cool cybernetics, or stick implants into them. All of this and more is a simple matter of performing the appropriate [[Surgery#Procedures_requiring_no_research_or_computer|surgery]]. |
| * Suture [[File:Suture.png]]
| |
| * Gauze [[File:Gauze.png]]
| |
| * Cautery [[File:Cautery.png]]
| |
| * [[Guide_to_chemistry#Sanguirite|Sanguirite]]
| |
|
| |
|
| Read the [[Guide_to_Wounds|guide to wounds]] for full details about how to stop bleeding.
| | ===Raising The Dead=== |
| | If a patient has died, they can still be revived using a defibrillator, but only if they meet the proper requirements. |
|
| |
|
| Replace lost blood with an IV drip [[File:IV Drip.png]] and/or iron pills.
| | 0) Examine your patient. If their description mentions that "their soul is departed", that they're "catatonic", or they "committed suicide", that character's player has deliberately chosen to leave the round. Throw them in the morgue or harvest their body parts. |
|
| |
|
| '''WARNING: Incorrect blood types are toxic to the patient, and will not replenish their blood!'''
| | 1) Buckle them to a stasis bed, or inject formaldehyde (your epinephrine medipen has some). This stops their organs from decaying further. |
|
| |
|
| {| class="wikitable" style="text-align:center; font-size: 75%;"
| | 2) Check their heart with your health analyzer. If it's "non functional", you can't defib them. Fix it with a Coronary Bypass surgery, or replace it altogether. |
| |+ Blood compatibility table
| |
| |-
| |
| ! rowspan="2" | Recipient
| |
| ! colspan="9" | Donor
| |
| |-
| |
| ! O−
| |
| ! O+
| |
| ! A−
| |
| ! A+
| |
| ! B−
| |
| ! B+
| |
| ! AB−
| |
| ! AB+
| |
| ! L
| |
| |-
| |
| ! O−
| |
| | style="width:3em" | [[File:Yes.png]]
| |
| | style="width:3em" | [[File:No.png]]
| |
| | style="width:3em" | [[File:No.png]]
| |
| | style="width:3em" | [[File:No.png]]
| |
| | style="width:3em" | [[File:No.png]]
| |
| | style="width:3em" | [[File:No.png]]
| |
| | style="width:3em" | [[File:No.png]]
| |
| | style="width:3em" | [[File:No.png]]
| |
| | style="width:3em" | [[File:No.png]]
| |
| |-
| |
| ! O+
| |
| | [[File:Yes.png]]
| |
| | [[File:Yes.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| |-
| |
| ! A−
| |
| | [[File:Yes.png]]
| |
| | [[File:No.png]]
| |
| | [[File:Yes.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| |-
| |
| ! A+
| |
| | [[File:Yes.png]]
| |
| | [[File:Yes.png]]
| |
| | [[File:Yes.png]]
| |
| | [[File:Yes.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| |-
| |
| ! B−
| |
| | [[File:Yes.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| | [[File:Yes.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| |-
| |
| ! B+
| |
| | [[File:Yes.png]]
| |
| | [[File:Yes.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| | [[File:Yes.png]]
| |
| | [[File:Yes.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| |-
| |
| ! AB−
| |
| | [[File:Yes.png]]
| |
| | [[File:No.png]]
| |
| | [[File:Yes.png]]
| |
| | [[File:No.png]]
| |
| | [[File:Yes.png]]
| |
| | [[File:No.png]]
| |
| | [[File:Yes.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| |-
| |
| ! AB+
| |
| | [[File:Yes.png]]
| |
| | [[File:Yes.png]]
| |
| | [[File:Yes.png]]
| |
| | [[File:Yes.png]]
| |
| | [[File:Yes.png]]
| |
| | [[File:Yes.png]]
| |
| | [[File:Yes.png]]
| |
| | [[File:Yes.png]]
| |
| | [[File:No.png]]
| |
| |-
| |
| ! L
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| | [[File:No.png]]
| |
| | [[File:Yes.png]]
| |
| |}
| |
|
| |
|
| '''Treating bloodloss:''' | | 3) While you're at it, fix or replace any other "severely damaged" or "non functional" organs. If the brain is "non functional" due to heavy drug abuse, you'll have to do [[Surgery#Brain_Surgery|brain surgery]]. Only the brain and heart are truly necessary, but nobody likes being deaf, blind and liver-poisoned. |
| # Bandage wound with a medical gauze to stop bleeding.
| |
| # Locate brute damage.
| |
| # Treat brute damages above ~30 to halt bleeding.
| |
| # Assess blood levels, if low or critical, proceed with blood transfusion.
| |
| # If a blood transfusion is unavailable, blood will be naturally produced by the body, albeit slowly.
| |
| # Iron and most foods will improve blood regeneration.
| |
| #[[Guide_to_drinks#Bloody_Mary|Bloody Mary]] will also replenish lost blood.
| |
|
| |
|
| '''Blood transfusion:''' | | 4) Fix their bodies using Tend Wounds; too much brute and burn damage will prevent the defib from working. Remember that corpses don't process chemicals, so you'll need to manually repair them. Make sure to remove your patient's exosuit and uniform to speed things up. If there's any negative chemicals in them (use your analyzer's reagent scan mode), use the Stomach Pump surgery to flush their systems. |
| # Use medical scanner on patient to find blood type.
| |
| # Obtain blood pack from [[surgery]], [[virology]], or [[cargo]].
| |
| # Make sure IV drip is in the blue "inject" mode. You toggle this by clicking the IV drip when nothing is attached to it.
| |
| # Attach blood pack to IV drip.
| |
| # Click-drag IV drip onto patient.
| |
| # Check up on patient's blood levels regularly, this process moves quickly.
| |
| # Detach patient from IV drip by click-dragging the IV drip onto the patient again, or simply clicking the IV. If you forget this the patient will take some brute damage and possibly end up with a small puncture bleed wound from the needle being ripped out.
| |
| # Detach blood pack by clicking on the IV drip.
| |
|
| |
|
| '''Blood donation:'''
| | At this point, you're ready to try defibrillation. |
| # Make sure IV drip is in the red "take" mode. You toggle this by clicking the IV drip when nothing is attached to it.
| |
| # Attach a beaker or an empty blood pack to IV drip.
| |
| # Attach to a donor by click-dragging it onto the donor.
| |
| # Blood pack will automatically fill. The alarm will sound if patient's blood levels reach critical.
| |
| # Detach IV drip by click-dragging it onto the donor again or simply clicking the IV.
| |
| # Click on IV drip to eject the beaker or blood pack. Label appropriately.
| |
|
| |
|
| === [[File:Clone.gif]] Cellular damage ===
| | 5) Remove your backpack and place the defibrillator on your back. If it's wall mounted, simply click it; if it's a compact defibrillator, put it on your belt instead. |
|
| |
|
| Rare kind of damage. It shows up on scanners and is visible on examination, but exact numbers aren't shown.
| | 6) With both paddles in one hand and the other empty, use them in-hand to dual-wield the paddles. |
|
| |
|
| '''Ways of getting damaged:''' | | 7) Target the chest and apply defibrillation to the patient. Make sure they're not wearing anything protective over their chest, and make sure you're not dragging them, or you'll electrocute yourself as well! |
|
| |
|
| * Slimes. They deal cellular damage when they feed on someone.
| | If everything went well, the patient will return to life! Immediately drop your paddles and click them with a free hand to apply CPR; freshly defibbed patients typically have large amounts of suffocation damage, and CPR will bring them out of crit (below 100 damage). With any luck, you can then proceed to treat them as you would anybody else: check their blood level, give them appropriate healing chemicals for whatever damage they have, and generally patch them up. |
| * Decloners from [[Abductor]]s or [[Guide_to_research_and_development|R&D]].
| |
|
| |
|
| '''Treatment:'''
| | If you successfully revive someone only for them to immediately die again, try to buckle them to a stasis bed and look for what could be causing it. Check their organs, any chemicals in their body, their blood levels, radiation, and if all else fails ask other doctors for help. |
|
| |
|
| * [[Cryoxadone]] in a [[#Cryogenics_Tube|cryotube]] is the most common way to heal cellular damage.
| | In a worst case scenario, there are other means to bring players back into a round. Roboticists can turn brains into cyborgs, and Botanists can turn them into podpeople. |
| * [[Rezadone]] instantly heals all cellular damage, even with only a 1 unit pill, and does not require a cryotube. But it's hard to get.
| |
|
| |
|
| Keep in mind that cellular damage is not related to [[Guide_to_genetics#Mutations_and_Their_Consequences|genetic disabilities]] (which must be treated with [[Guide_to_chemistry#Mutadone|mutadone]])! They are different things.
| | ===Alas Poor Yorick=== |
| | If a "patient" is reduced to merely a head, you'll have to get creative. The best way to handle this is to simply put the head or brain on a new, healthy body. |
|
| |
|
| === [[File:Liver_organ.png]] Organ damage ===
| | To get said bodies, you can bother Genetics, Botany or Xenobiology for a monkey, inject it with mutadone to turn it into a human, and then begin operating. If you're using the brain, cut it out of the dead guy's head, pour a beaker of mannitol on it to heal it, cut out your healthy body's brain, jam the old brain in, and start working to defibrillate. You can also amputate the new body's head and attach the old one through surgery, but make sure the brain is still good! |
|
| |
|
| Organ damage will cause side-effects as they reach thresholds, which will alert the owner when passed. If an organ shows up as "non-functional", that means its failing, and will not work, and will cause some life-threatening ailments depending on which organ it is. There is currently no way to see the exact damage of each organ, but for the most part they function on low-threshold, high-threshold, and failing, which will show up as "mildly damaged", "severely damaged", and "non-functional" lists when you scan someone with a medical scanner. Note that all the listed organs decay over time, which is the most common way they'll get damaged- but [[Surgery#Cybernetic_Organs|synthetic organs]] do not! The best way to avoid any of these side-effects is to replace your fleshy organs for [[Surgery#Cybernetic_Organs|metallic ones]], though these too come with downsides in the form of EMP vulnerability.
| | ==Medibots== |
| | [[File:Medibot.gif]] [[Guide_to_robotics#Medibot|Medibots]] can be invaluable helpers for a medical staff. These helpful little bots can be built by Robotics, and automatically perform the Tend Wounds surgery on wounded people who come across them. By opening them up with a free hand, you can set them to patrol the station, remain in one place, and even synchronize them to the research department to upgrade their healing abilities. |
|
| |
|
| '''Ways of getting damaged:'''
| | Just one medibot can be a massive help for any Medbay staff, and they can even be given <s>funny</s> interesting names. Be wary of emagged medibots, however, as they'll instead pump their "patients" with deadly toxins! |
|
| |
|
| * Flashes and sharp objects in the eyes (eyes)
| | ==No Respect== |
| * Loud noises (ears)
| | You will, inevitably, have invaders. It's not your job to fight people but it's up to you if you want to try to [[Guide_to_Combat#Unarmed_Combat|defend]] your department from random people breaking in to steal things. If you're stressed it may be better to just look the other way and let someone else handle it, or call security. Your best defense is your coworkers - with up to 5 Medical Doctors, the CMO, Virologist, two Chemists and countless patients, Medbay is ''packed'', and all of them feel the same sting of disregard cast at them by fellow crewmates. If you band together, you will usually far outnumber any lone threat that wants to break down every window and grille in your workplace. |
| * Appendicitis (appendix)
| |
| * Otherwise, an organ that's not in a living body (thus is on the ground or in a dead body) will decay if not held in a freezer, fridge, morgue unit, or [[Machines#Smartfridge|organ smartfridge]]. Organs will go from perfectly healthy to broken in about 13-17 minutes, except for hearts, which will decay completely in about 6 minutes, and brains, which will decay completely in 30 minutes.
| |
|
| |
|
| '''Treatment:''' | | Sometimes it may be necessary to shoot someone with some morphine (don't overdose!). |
|
| |
|
| * [[Surgery#Coronary_Bypass|A coronary bypass]] can be performed on a heart that's decayed past 60 damage, and restores functionality. Good for getting a heart that's too damaged to defib to work again. | | ==Tips== |
| * [[Surgery#Lobectomy|A lobectomy]] will do the same as above but for the lungs, which will scarce occur due to their decay timer, but it's still an option. | | * The medical belt can store all [[Surgery#Surgical_Tools|surgery tools]]. |
| * [[Guide_to_chemistry#Oculine|Oculine]] will rapidly fix damaged eyes, clearing any shortsightedness/blindness caused by damage. | | * You can cut bedsheets with a scalpel or wirecutter and use the resulting cloth to craft a chemistry bag [[File:Chemistry_bag.png]]. |
| * [[Guide_to_chemistry#Inacusiate|Inacusiate]] will immediately fix damaged ears to a perfect state. | | * Bedsheets work as drapes for [[Surgery|surgery]]. |
| * Otherwise, time and health will fix most organs (not the brain!). The healthier you are, the faster this rate goes, with a base rate of around half an hour for an organ to go from max damage to perfectly healthy. Taking vitamins increases your health, and thus increases this rate, so eat smart! | | * If you implant a guy with a flashlight, he can still use it as a flashlight. |
| | * Raw carrots heal eye damage. |
| | * You can use a health analyzer on a body to see the time of death. |
| | * Star-Kist is just cola with orange juice. Thus will metabolize a bit faster and can be used as a very poor man's medicine to speed up CPR. |
| | * Cryo won't work on you if you have cold resistance: |
| | ** Insulating items like hardsuits, ins. gloves, gasmask, firesuits - they all slow down cryo or even stop it from working entirely. |
| | ** If the patient in question has cold resistance, you may want to try go old-school and actually apply some medicine yourself, lazy bum. |
| | ** That is, of course, if there's only cryoxadone in the tubes, since those need cold body temperatures to work. |
| | * Wearing earmuffs will heal ear damage. |
| | * Wearing a blindfold will heal eye damage. |
| | * Attach a stethoscope on your neck slot and it'll make you look like you know what you're doing. |
| | * Showers (wrenched to be cold) work just as well as cryo, as long as you have the drugs in your system. |
| | * People with hardsuits/MODsuits on cannot be defibbed. |
|
| |
|
| '''Side-Effects:'''
| | ==To Conclude== |
| | You are a Doctor. Your job is to help people - sometimes forcibly - and dealing with the fallout from the numerous violent calamities that inevitably descend on the station. You serve both as go-between for the station and large and the more specialized medical departments. |
|
| |
|
| * Damaged ears will occasionally flare up with tinnitus, causing very brief deafness, with increasingly frequent bouts until the ears are non-functional, at which point you become deaf.
| | If you seek respect in this job, you have to go out of your way to earn it. But never forget the damage you can inflict on the unwary. |
| * Damaged eyes will grow increasingly short-sighted, until finally becoming blind when non-functional.
| |
| * Damaged lungs will make you cough, increase the rate at which you breath by 25% and will collapse if non-functional, causing rapid suffocation. Life-threatening!
| |
| * A non-functional appendix will burst, causing toxin damage until the organ is removed. Life-threatening!
| |
| * A damaged heart will increase the rate at which you breath by 25%, and will cease when non-functional, causing immediate heart attack. Life-threatening!
| |
| * A damaged stomach will be unable to hold nutriment and food down as easily, causing vomiting depending on the amount of food consumed and the damage of the stomach. A non-functional stomach makes you unable to eat or drink.
| |
|
| |
|
| ====Organ table====
| | {{Jobs |
| Each organ has 100 max hp except the eyes which have 50, and the brain which has 200.
| | | color = 3F7597 |
| {|class="wikitable"
| | }} |
| !scope="col" style="font-weight: bold;" style='background-color:#C4DAF4;'|
| | [[Category: Jobs]] |
| !scope="col" style="font-weight: bold;" style='background-color:#C4DAF4;'| Organ
| |
| !scope="col" style="font-weight: bold;" style='background-color:#C4DAF4;'| Decay time
| |
| !scope="col" style="font-weight: bold;" style='background-color:#C4DAF4;'| Damage effects
| |
| !scope="col" style="font-weight: bold;" style='background-color:#C4DAF4;'| Non-functional/broken effects
| |
| !scope="col" style="font-weight: bold;" style='background-color:#C4DAF4;'| Treatment
| |
| |-
| |
| |[[File:Heart.png]]
| |
| |Heart
| |
| |6 minutes
| |
| |Expends oxygen faster by increasing breathing rate.
| |
| |Heart attack. The patient will fall [[Status_Effects#Unconscious|unconscious]] and rapidly take suffocation and brute damage until death. A broken heart stops [[#Defibrillation|defibrillation]] from working when dead.
| |
| |[[Surgery#Coronary_Bypass|Coronary bypass]] or replacing the heart with [[Surgery#Organ_Manipulation|surgery]]. Heart attack is treatable with [[#Defibrillation|defibrillation]] unless the heart is broken.
| |
| |-
| |
| |[[File:Liver_organ.png]]
| |
| |Liver
| |
| |15 minutes
| |
| |Toxin damage and lower [[Guide_to_chemistry#Toxins|toxin]] purge threshold.
| |
| |Rapid toxin damage and chemicals are no longer processed.
| |
| |[[Guide_to_chemistry#Higadrite|Higadrite]] and/or replacing the liver with [[Surgery#Organ_Manipulation|surgery]].
| |
| |-
| |
| |[[File:Lungs.png]]
| |
| |Lungs
| |
| |16.5 minutes
| |
| |Coughing and expends oxygen faster by increasing breathing rate.
| |
| |Prevents breathing, leading to rapid death from suffocation.
| |
| |[[Surgery#Lobectomy|Lobectomy]] or replacing the lungs with [[Surgery#Organ_Manipulation|surgery]].
| |
| |-
| |
| |[[File:Appendix.png|Appendix]]
| |
| |Appendix
| |
| |15 minutes
| |
| |Nothing.
| |
| |It bursts, causing toxin damage until the organ is removed.
| |
| |Removing the appendix with [[Surgery#Organ_Manipulation|surgery]].
| |
| |-
| |
| |[[File:Stomach_organ.png]]
| |
| |Stomach
| |
| |13 minutes
| |
| |Causing vomiting depending on the amount of food consumed and the damage of the stomach.
| |
| |Can't eat or drink.
| |
| |Replacing the stomach with [[Surgery#Organ_Manipulation|surgery]].
| |
| |-
| |
| |[[File:Eyes.png]]
| |
| |Eyes
| |
| |15 minutes
| |
| |Worsening eyesight until fully blind.
| |
| |Blindness.
| |
| |[[Guide_to_chemistry#Oculine|Oculine]] or [[Surgery#Eye_Surgery|eye surgery]].
| |
| |-
| |
| |[[File:Ears.png]]
| |
| |Ears
| |
| |15 minutes
| |
| |Worsening occasional tinnitus, causing very brief deafness.
| |
| |Deafness.
| |
| |[[Guide_to_chemistry#Inacusiate|Inacusiate]].
| |
| |-
| |
| |[[File:Brain.png]]
| |
| |Brain
| |
| |30 minutes
| |
| |See [[#Brain_damage|Brain damage]].
| |
| |Death.
| |
| |See [[#Brain_damage|Brain damage]].
| |
| |}
| |
| | |
| === [[File:Brain.png]] Brain damage ===
| |
| | |
| Nasty. Randomly causes [[Guide_to_Traumas|brain traumas]] and other problems. If a brain reaches 0% health, the person dies. To be able to see exact brain health you can use an advanced health analyzer; the [[CMO]] gets one of by default.
| |
| | |
| '''Ways of getting damaged:'''
| |
| | |
| * Certain chemicals such as [[Guide_to_chemistry#Mercury|mercury]], [[Guide_to_chemistry#Impedrezene|impedrezene]], or [[Guide_to_chemistry#Fentanyl|fentanyl]]
| |
| * Abusing certain [[Guide_to_chemistry#Narcotics|narcotics]].
| |
| * [[Chaplain]]'s bible applied to the head.
| |
| * [[Blood Cult|Unholy Water]]
| |
| * [[Infections#Infection_Listings|Brainrot]]
| |
| * Earthsblood from [[Guide_to_hydroponics#Plants|Ambrosia Gaia]].
| |
| | |
| '''Treatment:'''
| |
| | |
| * [[Guide_to_chemistry#Mannitol|Mannitol]] pills or injections slowly cure brain damage, but does not cure [[Guide_to_Traumas|brain traumas]]. Can be poured directly on a brain.
| |
| * [[Guide_to_chemistry#Neurine|Neurine]] will treat the most '''basic''' brain traumas. These traumas have no prefix on health analyzer. When used on the dead will heal a corpse's brain slowly.
| |
| * [[Surgery#Brain_Surgery|Brain Surgery]], will also cure '''severe''' traumas. You can identify severe brain traumas by the prefix "severe" on health analyzer. [[Nanites#Healing_Programs|Nanites]] can cure these and lower level traumas.
| |
| * [[Surgery#Lobotomy|Lobotomy]] will cure '''deep-rooted brain traumas''', but at the risk of causing a different '''permanent''' trauma. You can identify deep-rooted brain traumas by the prefix "deep-rooted" on health analyzer. Additionally [[Virus#Symptoms_Table|viruses]] and [[Nanites#Healing_Programs|nanites]] can cure these.
| |
| * '''Permanent''' brain traumas are either permanent or curable with magic, which is typically unavailable. A lobotomy can cause these traumas. You can identify permanent brain traumas by the prefix "permanent" on health analyzer. If you get one of these, then assume "this is my life now".
| |
| | |
| === [[File:DoubleESword.png]] Dismemberment ===
| |
| | |
| Patients may lose their head, legs or arms. A patient missing arms can't hold items or interact with objects. Missing legs will slow down a patient, but missing both legs also prevents them from holding any items unless they're buckled to a chair, and will force them to crawl around on the floor. Missing both arms and legs renders the patient a nugget with no ability to move or interact outside of talking. Patients missing a head will die in most cases as their body lacks its brain.
| |
| | |
| Examining a patient will describe any missing limbs.
| |
| | |
| | |
| '''Ways of getting damaged:'''
| |
| * Strong physical forces, such as explosions.
| |
| * Getting hit by strong, sharp objects such as swords.
| |
| * Patients who experience severe trauma to the chest may have their organs spill out, but the torso will remain intact.
| |
| * Amputation via [[surgery]].
| |
| | |
| '''Treatment:'''
| |
| * [[Surgery#Prosthetic_Replacement|Prosthetic replacement]] via [[surgery]].
| |
| ** Cyborg limbs may be used. Robotics can produce cyborg limbs, but there is also a crate of cheap prosthetic limbs in Medbay Storage.
| |
| ** Organic limbs may be used. In most cases a detached limb can be found and reattached. However, all the limb's damage will be transferred to the patient, so be ready to treat brute and bleeding. Any organic limb will also cause toxin damage when replaced.
| |
| ** Synthetic limbs from a [[Limb Grower|limb grower]] may be used. The limb grower can only produce arms and legs, unless [[Emag|emagged]].
| |
| | |
| === Wounds ===
| |
| A patient may suffer special [[Guide_to_Wounds|wounds]] to specific bodyparts. See the [[Guide_to_Wounds|guide to wounds]] to learn how to identify and treat them.
| |
| | |
| | |
| | |
| == Using Stasis Beds, Cryogenics and Sleepers ==
| |
| {{anchor|Using Sleepers and Cryogenics}}
| |
| | |
| === [[File:Stasis_bed_off.png]][[Medical_items#Lifeform_Stasis_Unit|Lifeform Stasis Units]]===
| |
| These "[[Medical_items#Lifeform_Stasis_Unit|Stasis Beds]]" can be found in [[Medbay|medbay]]. They are [[Machines#Lifeform_Stasis_Unit|constructable]] [[Guide_to_construction#Machines|machines]]. You can buckle patients to them to put them into '''stasis'''. While in stasis they no longer bleed, no longer process [[Guide_to_chemistry|reagents]] or [[Infections|diseases]] (good or bad), and their organs will no longer rot. Buckle [[Health#Critical_Status|badly hurt]] or [[#Death|dead]] patients on them to be able to safely treat them without them dying. Give them any [[Guide_to_chemistry#Core_Healing_Medicines|medicine]] they need and then remove the patients from the stasis bed so the medication starts healing them. The patient is awake and fully aware while in stasis. You can turn the beds off or on with alt-click.
| |
| | |
| Important to note: if the patient is unconscious and has a large amount of oxygen damage, they're be unable to wake up on their own if they're still on the activated stasis bed. Either remove them or turn off the bed to allow them to recover. Many a patient has been left unconscious on the stasis bed for as long as twenty minutes! Don't subject people to that, it's infuriating.
| |
| | |
| === [[File:Cryo.gif]] [[Medical_items#Cryogenics Tube & Freezer|Cryogenics Tube]] ===
| |
| {{anchor|Cryo Tube}}
| |
| Cryotube uses the fact that [[cryoxadone]] is effective at healing all types of damage, but only works in cold environments. '''Use it mainly to heal cellular damage''', or if you're out of other options/unsure what to do. This is slow and forces the patient to sleep, so prefer using brute/fire patches for common damage types.
| |
| | |
| Baseline cryo consumes 0.04u of beaker reagents per tick and transfers 1u to the patient in the tube. Cryogenics Tubes basically squeeze more use out of a small amount of chemicals.
| |
| | |
| [[Guide_to_advanced_construction#Cryogenics_Tube|Cryotubes can also be upgraded by science parts.]] Better matter bins allow them to work slightly faster and more efficiently; every matter bin level multiplies the transfer rate.
| |
| | |
| You can quickly operate the Cryogenics Tube without opening the menu with a few shortcuts. ALT + left click will toggle the doors, and CTRL + left click will toggle the power.
| |
| | |
| How to prepare '''(This needs to be done at the start of every round!)''':
| |
| # Wrench the oxygen canisters to connect them to the tubes and the freezer.
| |
| # Turn on the [[Atmospherics_items#Freezer|freezer]]. Set it to lowest temperature available.
| |
| # Load beakers with [[Guide_to_chemistry|chemicals]]. A common and highly effective mix for general use is [[cryoxadone]] and [[mannitol]].
| |
| #* All [[Guide_to_chemistry|chemicals]] will work, so you can add anything. This is the job of [[chemist]]s.
| |
| #* Be sure to only add chemicals that you can't overdose on, as patients in cryo will receive large doses of all chemicals in the beaker.
| |
| # Set the tubes to Auto instead of Manual, so they'll open after the patient is healed. Otherwise, they'll be trapped in until someone opens the tube from outside.
| |
| | |
| How to use:
| |
| | |
| # Ensure the cryo tube is open first. If not, open it.
| |
| # Pull the person on top of the tube.
| |
| # Remove all clothes that prevent freezing, such as hardsuits. Else it won't work.
| |
| # Close the cryo tube with its menu, or click on them with your mouse and drag their sprite to the tube.
| |
| # Open the tube menu and turn it on. If their health starts to improve (sometimes it takes a moment to start), they're all set. If not, make sure everything is set up properly (cryoxadone in the tubes? pressure in the canisters?).
| |
| # Turning it on will put the patient to sleep.
| |
| # If set to auto, the tube will turn off and pop open automatically.
| |
| # {{LeftclickCmodeoff}} Shake the person multiple times to get them up.
| |
| # Let them redress (or do it for them) then kick them out.
| |
| <br>
| |
| If you ever see this:<br>
| |
| [[File:Trapped_in_cryo.png]]
| |
| | |
| Then those people are trapped in powered off cryo tubes. Run to them immediately and either turn the tubes ON or let the patients out! Make sure cryo tube doors are also set to AUTO and not MANUAL. And make sure the patients are actually healing, or else you have to try other treatments instead.
| |
| | |
| === [[File:Sleeper.gif]] [[Medical_items#Sleeper|Sleeper]] ===
| |
| | |
| Sleepers were removed from most places May 2019 and replaced with [[#Lifeform_Stasis_Unit|Stasis Beds]], but may still exist in some locations. They allow you to inject various chemicals, and have unlimited stocks of them. Keep in mind that when the patient's health is very low, sleepers become unusable, with the exception of injecting [[epinephrine]].
| |
| | |
| Sleepers also show you chemicals present in person's bloodstream.
| |
| | |
| Scientists can produce upgraded parts for [[Guide_to_advanced_construction#Sleeper|sleepers]].
| |
| | |
| How to use:
| |
| # Ensure the sleeper is open. If it's not, open it.
| |
| # Pull the patient near the sleeper.
| |
| # Click and hold on the patient, move the cursor to the sleeper, then release. This puts the patient inside.
| |
| # Click on the sleeper to open the menu.
| |
| # Inject chemicals they need. (See the [[Machines#Sleeper|list of sleeper chemicals]] available).
| |
| # Open the sleeper and remove the patient.
| |
| | |
| | |
| == Rarer Cases ==
| |
| | |
| These situations are not as common as normal damages, but they are still VERY LIKELY to happen. AND most of these cases are also more severe, and it is essential to be fucking fast and know this stuff! <br>'''So read up, these are the things that will separate quacks from real doctors!'''
| |
| | |
| ===Overdose===
| |
| Giving too much of some chemicals or drugs can cause an overdose. This means that you aren't doing your job correctly and you may even kill the patient if you don't stop doing it! Check the ''overdose threshold'' column in the [[Guide_to_chemistry#Medicines|guide to chemistry]] before you use a medicine.
| |
| | |
| How to treat:
| |
| * [[Guide_to_chemistry#Multiver|Multiver]] purges chemicals slowly and can help with toxin damage. Only use small amounts and make sure there is at least one other medicine in the patient first.
| |
| * [[Calomel]] purges chemicals quickly and is relatively easy to make in chemistry.
| |
| * [[Pentetic acid]] clears all chemicals from the body very quickly.
| |
| * The [[Surgery#Filter_Blood|filter blood]] surgery also allows you to clear chemicals, though it has diminishing returns depending on the amount of chemicals left.
| |
| | |
| ===[[File:Hudill.png]] Disease===
| |
| | |
| Diseases are the most frustrating thing you will deal with, as it spreads, and can infect you as well. A disease can be identified easily with the Health Scanner HUD, it giving an unhappy-face-icon next to the patient. PDA or a Health Analyzer will give more detailed information about the disease and its cure.
| |
| | |
| How to Treat:
| |
| # Suit up in [[Clothes_and_internals#bodywear|anti-viral equipment]].
| |
| # Isolate the patient from public areas (if they have an infectious disease).
| |
| # Use your Health Analyzer or PDA to see the cure for the disease (see the [[Understanding stats|list of possible cures]]). This won't work if the disease is stealthy.
| |
| # If the virus is stealthy, you must take a blood sample to a PanD.E.M.I.C 2200 to see the cure.
| |
| # Administer the chemical element needed OR if the virologist has made a vaccine, administering one unit of it will instantly cure and immunize.
| |
| # Monitor the patient's condition and do not leave them until they are clear and have become resistant to the disease.
| |
| # Check if you are infected after dealing with the patient.
| |
| After:
| |
| * If you did not have the vaccine for the disease, see [[Infections#How_to_create_a_vaccine|How to create a vaccine]].
| |
| | |
| | |
| ===Blindness===
| |
| The person cannot see, they usually will scream about this endlessly.
| |
| | |
| How to treat:
| |
| * If vision is just blurry, give [[Guide_to_plants#Carrot|carrot]]s or a pair of [[prescription glasses]].
| |
| * If they are completely blind, [[Surgery#Eye surgery|eye surgery]].
| |
| * [[Omnizine]] has a chance of curing blindness while slowly healing eye damage.
| |
| * [[Guide_to_chemistry#Oculine|Oculine]] can be made by chemistry, and will heal all eye damage.
| |
| | |
| ===Deafness===
| |
| The person cannot hear, they are usually unresponsive to verbal communication and can't even hear themselves talking.
| |
| | |
| What causes it:
| |
| * Genetic mutations can cause genetic deafness.
| |
| * Ear damage can render a person deaf temporarily, but extreme ear damage causes permanent deafness.
| |
| * Explosions cause ear damage.
| |
| * Flashbangs cause ear damage.
| |
| | |
| How to treat:
| |
| * Most ear damage will heal on its own.
| |
| * [[Guide_to_chemistry#Inacusiate|Inacusiate]] heals minor ear damage instantly.
| |
| * Put earmuffs on the patient and minor ear damage will quickly heal.
| |
| * Mutadone can reset genetic mutations including deafness.
| |
| | |
| ===Genetic Disabilities===
| |
| Disabilities cannot be cured by normal medical tools. If a patient appears to be unable to move and/or they speak in very short sentences, they most likely have a genetic disability.
| |
| | |
| How to treat:
| |
| * Ask a competent [[geneticist]] to remove the bad mutation.
| |
| * A one unit [[Guide_to_chemistry#Mutadone|mutadone]] pill or injection will instantly cure all genetic abnormalities. This includes beneficial ones.
| |
| | |
| ===Radiation===
| |
| Radiation causes people to take steady toxin damage and periodically take burn damage to their chest. Radiation either comes from space radiation surges, after which crew members will "feel strange" and begin to vomit, but more likely you'll be treating engineers who got too close to the supermatter or people standing near badly contained fusion work.
| |
| | |
| An irradiated patient will:
| |
| | |
| * Have a green outline.
| |
| * Have a status effect on their screen telling them that they are irradiated.
| |
| | |
| How to treat:
| |
| * Give the patient a shower to stop them from taking more toxin and burn damage.
| |
| * Give the patient [[potassium iodide]], [[pentetic acid]], [[Guide to drinks#Vodka|vodka]], cold [[Guide to chemistry#Seiver|seiver]] or any other toxin/toxin-while-irradiated healing medicine. The irradiation will go away once all of the patient's toxin damage is healed.
| |
| * Treat the burn damage to the chest.
| |
| Note: since you will be treating mostly engineers, they might have infected burn wounds from being struck by emitters. This will cause toxin damage to never reach 0, so you'll want to deal with the infection first or ya know - just toss them in cryo.
| |
| | |
| ===Hallucinations===
| |
| This nasty effect causes the victim to see (usually deadly) objects in his and others' hands, along with random visions of people and creatures attacking him, causing stamina damage. Extremely unpleasant. Caused by [[Changeling|changelings]], [[Guide_to_chemistry#Mindbreaker_Toxin|mindbreaker toxin]],[[supermatter]], and some bad 'shrooms.
| |
| | |
| How to treat:
| |
| * [[Synaptizine]] is good for removing hallucinations. But can cause light toxin damage.
| |
| * [[Haloperidol]] is not as good as synaptizine at removing hallucinations, but it will also quickly purge drugs that are likely causing them.
| |
| | |
| ===Embedded Objects===
| |
| Remove embedded objects in a patient by using a [[File:Hemostat.png|Hemostat]] hemostat on the patient's affected limb.
| |
| | |
| ==[[File:Huddead.png|32px]] Death==
| |
| So your patient is dead. There are several [[#Typical_cases_of_death|typical cases of death]]. If your patient is a [[#Normal_dead_body|normal dead body]] though (with a head and brain), your first course of action is usually to prepare the body for [[#Defibrillation|defibrillation]]. Cloning no longer exists on /tg/station since Feb, 2020.
| |
| | |
| ===Revival methods===
| |
| ====[[File:Defib.png]]Defibrillation====
| |
| The [[Medical_items#Defibrillator|defibrillator]] can shock a body back to life. Defibrillation does not have a timed window (as of Jan 2020), but the heart will [[#Organ_damage|decay]] in only 4 minutes and must typically be [[Surgery#Coronary_Bypass|repaired]] for a late defibrillation to work. Other [[#Organ_table|organs]] may be damaged as well.
| |
| | |
| # Examine the body. Does it say they '''committed suicide''' or that their '''soul has departed'''? Nothing you can do for them, fast track them to the [[morgue]].
| |
| # If the body has this icon [[File:Huddefib.gif|32px]] on your [[Medical_items#Health_Scanner_HUD|health scanner hud]] it means its soul is still online and has not used the "Do Not Resuscitate" button. Inject the patient with some [[Guide_to_chemistry#Formaldehyde|formaldehyde]] ([[General_items#Epinephrine_MediPen|medipens]] have some) or buckle them to a [[#Lifeform_Stasis_Units|Stasis Bed]] to stop the organ decay, and scan them with a [[Medical_items#Health_Analyzer|health analyzer]]. Do they have more than 180 brute or burn damage (tracked separately, having 179 of each is fine)? If so, you must heal the corpse with [[Guide_to_chemistry#Synthflesh|synthflesh]] or [[Surgery#Tend_Wounds|surgery]] until it has under 180 brute and burn. You can buy [[Guide_to_chemistry#Synthflesh|synthflesh]] from the [[Vending_machines#NanoMed_Plus|NanoMed Plus]] or have it made in [[Guide_to_chemistry#Synthflesh|chemistry]].
| |
| # If the [[Medical_items#Health_Analyzer|health analyzer]] says the patient's heart is non-functional, the heart must be [[Surgery#Coronary_Bypass|repaired]] or [[Surgery#Organ_Manipulation|replaced]].
| |
| # If the patient is wearing a space suit or [[Clothing_and_Accessories#Hardsuits|hardsuit]], take it off. To take it off, drag the sprite of the patient onto yours, and click the hardsuit in the menu that pops up.
| |
| # [[File:Husk.png]] If the body is a grey husk see [[#Husk|husk]].
| |
| # If the patient is missing too much blood, do a [[#Bleeding|blood transfusion]].
| |
| # If the patient has large amounts of bad reagents, do a [[Surgery#Stomach_Pump|stomach pump]].
| |
| # If the patient has [[Guide_to_Wounds|wounds]] consider treating them (before or after the defib).
| |
| # Once the patient is prepared, equip your [[Medical_items#Defibrillator|defib]]. The [[Medical_items#Defibrillator|large one]] goes on your backpack slot, and the [[Medical_items#Compact_Defibrillator|compact defib]] that the [[CMO]] gets goes on your belt slot. Then empty both of your hands, and click the new defib hud icon on your top left to take out the paddles. Activate/click the paddles with the hand you're holding them in to wield them in both hands. Stop dragging the patient (with '''H''' or '''delete''') or you will be shocked. Turn off {{Combat_Mode}}, target the chest, and then click on the patient. After a few seconds, you'll deliver an electric shock.
| |
| # If the defib pings and says the resuscitation was successful, use [[#Treatment|medicine]] on them and unbuckle them from the [[#Lifeform_Stasis_Units|Stasis Bed]] to make them start healing up. If the defib instead says they have severe tissue damage, they are either a [[#Husk|husk]], have a non-functional crucial organ or have more than 180 brute or burn damage, and need to be repaired more.
| |
| | |
| A successful defibrillation will instantly heal some basic damage and put the patient in a hardcrit state. If the revived patient had less damage than that the defib will instead deal suffocation damage to put them in crit.
| |
| | |
| ====Strange Reagent====
| |
| Another option for revival is the [[Guide_to_chemistry|chemical]] [[Guide_to_chemistry#Strange_Reagent|strange reagent]], which works similarly to [[#Defibrillator|defibrillation]], except with slightly different requirements (read them [[Guide_to_chemistry#Strange_Reagent|here]]). Use the same steps to prepare the body as before [[#Defibrillator|defibrillation]], except this revival method also restores some blood levels and organ damage depending on how much of the reagent you use. Must be [[Guide_to_chemistry#Ingest|ingested]].
| |
| | |
| ====Replica Pod cloning====
| |
| If you can't find the patient's brain your only choice is try to turn them into a [[Podman|podperson]]. See [[Guide_to_hydroponics#Replica_Pod_Cloning|here]] how. Note there is no way for you to see if a brainless body has a soul or not, since the examine message won't tell you. If the patient has no blood, you can give blood to the corpse, then use that for podding.
| |
| | |
| ====Revival surgery====
| |
| [[Surgery#Revival|Revival surgery]] is an optional way to bring people back to life. See the [[Surgery#Revival|surgery]] page for details. This may be useful for races without hearts since it makes you defibrillate the head instead of the heart.
| |
| | |
| ===Typical cases of death===
| |
| The following tables contain suggested actions for when you encounter corpses, heads or brains.
| |
| | |
| ====Normal dead body====
| |
| Examine the body. <br>
| |
| {|class="wikitable" style="width:80%" border="1" cellspacing="0" cellpadding="2"
| |
| !scope="col" style="font-weight: bold;" style='background-color:#C4DAF4;'| Body examine message
| |
| !scope="col" style="font-weight: bold;" style='background-color:#C4DAF4;'| Means
| |
| !scope="col" style="font-weight: bold;" style='background-color:#C4DAF4;'| Treatment
| |
| |-
| |
| |They are limp and unresponsive; there are no signs of life...
| |
| |The patient has a connected soul/ghost online and is thus eligible for revival. '''Note:''' A corpse without brain/head shows this message even if there is no soul.
| |
| |See [[#Revival_methods|revival methods]].
| |
| |-
| |
| |They are limp and unresponsive; there are no signs of life and their soul has departed...
| |
| |No soul. Can not be revived. Caused by patient ghosting (leaving body when alive), logging off or using the Do-Not-Resuscitate action. Or there never was a soul in the first place.
| |
| |Bring to morgue.
| |
| |-
| |
| |Their soul seems to have been ripped out of their body. Revival is impossible.
| |
| |Patient [[Devil#Contracts|sold]] or lost their soul. Can not be revived.
| |
| |Bring to morgue.
| |
| |-
| |
| |They appear to have committed suicide... there is no hope of recovery.
| |
| |Patient committed suicide, which makes revival impossible.
| |
| |Bring to morgue.
| |
| |-
| |
| |It appears that their brain is missing...
| |
| |Brain is missing.
| |
| |See [[#Replica_Pod_cloning|Replica Pod cloning]].
| |
| |-
| |
| |Their head is missing!
| |
| |Head is missing.
| |
| |See [[#Replica_Pod_cloning|Replica Pod cloning]].
| |
| |}
| |
| | |
| ====Head without body====
| |
| Examine the head. <br>
| |
| | |
| {|class="wikitable" style="width:80%" border="1" cellspacing="0" cellpadding="2"
| |
| !scope="col" style="font-weight: bold;" style='background-color:#C4DAF4;'| Head examine message
| |
| !scope="col" style="font-weight: bold;" style='background-color:#C4DAF4;'| Means
| |
| !scope="col" style="font-weight: bold;" style='background-color:#C4DAF4;'| Treatment
| |
| |-
| |
| |The brain has been removed from ''name's'' head.
| |
| |No brain. Nothing you can do.
| |
| |Bring to morgue.
| |
| |-
| |
| |There's a miserable expression on ''name's'' face; they must have really hated life. There's no hope of recovery.
| |
| |Suicide. Nothing you can do.
| |
| |Bring to morgue.
| |
| |-
| |
| |It's leaking some kind of... clear fluid? The brain inside must be in pretty bad shape.
| |
| |The brain inside has 0 health.
| |
| |
| |
| *Option 1: Attach head to a body with [[Surgery#Prosthetic_Replacement|prosthetic replacement]], fix brain with [[Surgery#Brain_Surgery|brain surgery]]. Then see [[#Revival_methods|revival methods]]. This preserves identity.
| |
| *Option 2: Cut the brain out and repair it with [[Guide_to_chemistry#Mannitol|mannitol]]. Put it in a new body with [[Surgery#Organ_Manipulation|organ manipulation]]. Then see [[#Revival_methods|revival methods]].
| |
| |-
| |
| |Its muscles are twitching slightly... It seems to have some life still in it.
| |
| |Head has a soul.
| |
| |Move head or brain to a new body with surgery and use a [[#Revival_methods|revival method]].
| |
| |-
| |
| |It's completely lifeless. Perhaps there'll be a chance for them later.
| |
| |Head's soul isn't around anymore, but revival may be possible if it comes back (online).
| |
| |Leave it around or put the brain in a Man-Machine Interface [[File:MMI.png|MMI]] so it can talk if it comes back.
| |
| |-
| |
| |It's completely lifeless.
| |
| |No soul. Permanent.
| |
| |Bring to morgue.
| |
| |}
| |
| | |
| ====[[File:Brain.png]]Brain without body====
| |
| Examine the brain. <br>
| |
| {|class="wikitable" style="width:80%" border="1" cellspacing="0" cellpadding="2"
| |
| !scope="col" style="font-weight: bold;" style='background-color:#C4DAF4;'| Brain examine message
| |
| !scope="col" style="font-weight: bold;" style='background-color:#C4DAF4;'| Means
| |
| !scope="col" style="font-weight: bold;" style='background-color:#C4DAF4;'| Treatment
| |
| |-
| |
| |It's started turning slightly grey. They must not have been able to handle the stress of it all.
| |
| |Suicide. Nothing you can do.
| |
| |Bring to morgue.
| |
| |-
| |
| |It seems to still have a bit of energy within it, but it's rather damaged... You may be able to restore it with some mannitol.
| |
| |Brain has 0 health.
| |
| |Repair it with [[Guide_to_chemistry#Mannitol|mannitol]]. Put it in a new body with [[Surgery#Organ_Manipulation|organ manipulation]]. Then see [[#Revival_methods|revival methods]].
| |
| |-
| |
| |You can feel the small spark of life still left in this one, but it's got some bruises. You may be able to restore it with some mannitol.
| |
| |Brain is damaged but not broken.
| |
| |Same as above.
| |
| |-
| |
| |You can feel the small spark of life still left in this one.
| |
| |Brain is fine and has a soul.
| |
| |Put it in a new body with [[Surgery#Organ_Manipulation|organ manipulation]]. Then see [[#Revival_methods|revival methods]].
| |
| |-
| |
| |This one is completely devoid of life.
| |
| |No soul. Permanent.
| |
| |Bring to morgue.
| |
| |}
| |
| | |
| ====[[File:Husk.png|32px]]Husk====
| |
| Typically a victim of heavy [[#Burns|burn damage]]. It can be unhusked with 100u [[Guide_to_chemistry#Synthflesh|synthflesh]] or 5u [[Guide_to_chemistry#Rezadone|rezadone]]. The corpse must have under 50 burn damage for it to work. Proceed to [[#Revival_methods|revival methods]] afterwards. If unhusking doesn't work then the corpse may be a [[Changeling|changeling]] victim. A Changeling victim needs a brain transplant to be revivable (needs confirmation).
| |
| | |
| ====Completely messed up corpse====
| |
| A body could be missing all limbs except head, be husked, bloodless, contaminated with radiation and have 600 damage etc. In these cases the simple solution is to [[Surgery#Amputation|amputate]] the head and attach it to a fresh body with [[Surgery#Prosthetic_Replacement|prosthetic replacement]]. Then use your [[#Revival_methods|revival method]] of choice.
| |
| | |
| == Afternote ==
| |
| '''PLEASE NOTE''' In the morgue there are lights on the side of the trays. The red light means there is a dead body with no ghost occupying it. Green light means there is a body with a ghost in it, which means you should attempt to [[#Revival_methods|revive]] it. The green light is normally accompanied by a beeping sound as well, which can be turned off by alt-clicking the tray. If you aren't serious about healing someone, don't give up halfway. Get proper medical staff to help them. At least try to have a doctor save them.
| |
| | |
| [[Category:Guides]] | |
|
|
|
Medical Doctor
|
|
MEDICAL
Medical roles
Guides
You are the Medical Doctor. Your job is to ensure the crew stays healthy and alive, healing the wounded and reviving the dead. Needless to say, your work is cut out for you, but don't despair! You can still help people! Mostly.
Doctor, Doctor!
When you are a Medical Doctor, your job is to heal people, save them from the brink of death, and revive the dead. You can diagnose injuries and diseases with the help of a health analyzer or even your PDA.
Much of the information on this page is dedicated to the basics of Medbay and the most prudent tips for beginning doctors. It's highly recommended that you read the Guide to medicine for full details on how health and bodies work in SS13, and the more advanced methods of restoring your patients.
Gearing Up
Unsurprisingly, the first thing you should do upon spawning in as a Medical Doctor is explore Medbay, collect the tools you'll need to do the job, and familiarize yourself with the layout of whatever station you're on. There's a lot of goodies to go through, but once you get the hang of things, it's not too hard to equip yourself.
The first thing to note is the medical techfab, usually located in the storage room. You can use it to produce various useful medical items, provided the miners are keeping the station's supplies up. If the Science department is doing their jobs, you'll also be able to print upgraded versions of many medical items once the appropriate research is done, so be sure to check back frequently.
The health analyzer allows you to diagnose your patients, and you'll find an analyzer in the white medkit you spawn with. Simply hit somebody with it, and you'll get a readout telling you what's wrong with them. Using it in-hand toggles reagent scan mode, which instead tells you what chemicals their bodies contain. You should always have one of these on hand; later on, you might be able to upgrade to an advanced health analyzer, which gives even more information.
Three pieces of clothing to collect are the medical HUD glasses, nitrile gloves and medical belt. The glasses allow you to see health bars above living creatures, instantly cluing you in on who's wounded; if the small icon next to them shows a face, they have a disease. The angrier the face looks, the worse the illness. The gloves drastically speed up the time needed to use patches, syringes and pills, and the belt can hold up to seven medical items for convenience. You can find all of these in a medical doctor's locker, usually in the storage room.
- On most stations, there is a pile of spare belts and Medical HUD glasses in the storage room.
Health kits contain a variety of items and medicine. The white medkits contain general use items, whereas the colored ones correspond to damage types. Green is toxin damage, orange is burn damage, pink is brute damage and blue is suffocation damage. Even if you don't know which chemicals do what, you can rely on the contents of these kits to heal a specific damage type from your patients. As a rule of thumb, don't dump the whole kit into one person: at most, one syringe, patch or pill at a time is a good bet.
Surgical tools are needed for, well, surgery. The basic tools are the drapes, hemostat, cautery, retractor, scalpel, saw and drill. The white medkit you spawn with contains half of them, specifically the ones needed to perform the basic 'tend wounds' surgery. You can find the rest in the operating rooms, or print them from the lathe. With the right research, you can also print advanced tools that combine the functions of two tools into one.
Medipens are single-use items that come preloaded with useful chemicals. In particular, the epinephrine medipen contains epinephrine, which stabilizes patients at critical health, and formaldehyde, which stops organs from rotting if injected into a corpse and generally makes revival a lot easier. Sutures and regenerative meshes can be used on people to quickly heal brute and burn damage, respectively, making them ideal for quickly patching up minor wounds. Medical gauze is used to stop bleeding in patients.
The syringe gun is a tool that can be loaded with a syringe, and used to instantly inject people from a distance with a chemical. In theory, they can be used for doctoring to quickly inject someone with a syringe full of medicine at a distance. In practice, people fill normal syringes with lethal doses of poisonous chemicals and use the syringe guns as self defense or murder weapons. The rapid syringe gun can be researched and printed from the lathe, and holds 6 syringes.
Defibrillators are used to bring people back to life, provided their bodies are in good enough shape. In order to use one, you must equip it in your back slot, dual wield its paddles, and target the chest of the body you're trying to revive. With research, the lathe can print off wall mounts for defibs, and later even compact defibrillators that use your belt slot instead.
The stasis bed is an incredibly powerful piece of machinery. When someone is buckled into it, they enter stasis, which essentially freezes their vitals; they won't lose health or blood, but they also won't process any chemicals in their bodies. Buckling someone to a stasis bed while you work on them is highly recommended, but Medbay typically has a limited supply of them.
Operating tables are the designated location for performing surgery, but it's the operating computer that makes the magic happen. As Science researches better operating procedures, you can synchronize the computer to download those procedures' data, and any operating table (or stasis bed!) adjacent to an operating computer is "upgraded" to unlock those procedures for patients buckled to them. Make sure to keep your computers updated, and you'll be able to perform much better surgical procedures.
The cryo tubes can be used to heal various damage types with the power of coldness. Provided the cryo tubes are set up correctly, placing someone into a tube will cause them to gradually heal. This is the main method of healing cellular damage. To set up the tubes, simply insert the nearby beakers of cryoxodone (blue), use a wrench on the oxygen tanks, and make sure the freezer is turned on and set to its minimum temperature. You can put different chemicals in the tubes, but the default cryoxodone will suffice if nobody makes anything better.
IV drips are used to quickly inject blood or chemicals into a patient. To use them, fill a beaker or blood bag with the appropriate chemical, attach it to the drip, and then drag the drip onto a patient. If the drip is empty, you can also toggle it between injecting blood or draining blood.
There are a number of other items and machines in Medbay, but this list encompasses many of the most crucial ones you'll need as a doctor.
The First Patient
So you've gotten yourself geared up, and somebody comes running into Medbay, either wounded or carrying a dead body. What do?
Tend Wounds
If the patient is alive, things are definitely easier. If all they have is minor brute or burn damage, just hand them some sutures and regenerative meshes if you have any left, and slap some gauze on them if they're bleeding. If you run out, or they have toxin or suffocation damage, check Medbay storage for the appropriately colored medkits.
For a more intensive method of curing brute and burn damage, you'll want to use the Tend Wounds surgery:
1) Have your patient lie down, preferably buckled to a stasis bed or operating table, and remove their exosuit and/or uniform to expose the chest. Drag their sprite onto yours to strip them if needed. This isn't always necessary, but speeds up the healing greatly.
2) With
off, target the chest and use surgical drapes on the patient to bring up the surgery menu. Select the Tend Wounds for the damage type they have.
3) Use a scalpel on them to cut them open, then use your hemostat on them to begin fixing them.
4) Once they're healthy (you'll automatically stop the procedure when they're done), use the cautery to close them up.
Tend Wounds can heal an unlimited amount of burn or brute damage provided you have the time to spend on it, and if the bed you're using has an adjacent operating computer, you might be able to use upgraded versions of Tend Wounds for faster healing.
Critical Situation
A patient with over 100 damage in any category will be in crit, typically crawling around and likely unable to speak properly. If any stasis beds are available, immediately try to buckle them in to stop any further degradation; if not, inject them with epinephrine to stabilize them as you work.
Tend Wounds is again the best non-chemical way to heal brute or burn damage, and
clicking on them with
off and an empty hand allows you to perform CPR to alleviate suffocation damage over 100. A patient suffering from many types of damage but still alive is best suited for cryo tube healing.
Limb and Organ Damage
If an organ is listed as "severely damaged" or "nonfunctional" on your health analyzer, the patient will likely suffer from effects ranging to blindness (eyes) to constant toxin damage (liver) to dying (heart). You have two options here: one, if the patient is in a proper bed, you may be able to perform a surgical procedure to fix their organs, such as a Coronary Bypass for the heart. These surgeries can typically only be done once per organ.
Alternatively, you can replace the organ with the Organ Manipulation surgery. The medical autolathe can print off cybernetic organs, with better cybernetics available as Science researches them. You can also take organs out of a healthy body and use those, but beware that organs decay when not in a living person. Note that organs will gradually heal over time, so it's usually safe to ignore "slightly damaged" ones.
Limbs can be reattached in the same fashion, using the Prosthetic Reattachment surgery. You can use cyborg limbs from Robotics, or reattach the original limbs if you can find them. Not having limbs can be incredibly frustrating, but generally isn't life-threatening.
Blood Loss
Blood loss can be a deceptively dangerous ailment, characterized by fainting and taking damage, and is often caused by bleeding patients being dragged along the ground. If someone is leaving a trail of blood behind them, stop dragging them! Aggressively
them, then drag their sprite onto yours to carry them safely.
Once they're in Medbay, you can either feed them iron, inject saline-glucose solution, or find a compatible blood type in a blood bag. You can also combine a sample of their blood with unstable mutagen to duplicate it. IV drips are the best way to quickly inject large amounts of blood into somebody, but don't overfill them!
Diseases
If you're wearing a medical HUD, people with diseases will have a small smiley face next to their health meters. Blue faces are good diseases, green and yellow are negative, and red or flashing red are extremely bad. Keep in mind however that not every virus is visible, and some stealthy viruses will not show up on the hud.
Your health analyzer will tell you the name and cure of any disease infecting a patient. The cures are almost always chemicals you can obtain from Chemistry, and once somebody is cured, the Virologist can make a vaccine from their blood.
Other Problems
In addition to the above, there are other semi-common issues people may have. This isn't a comprehensive list of solutions, but the most immediate way to help.
Radiation: Caused by being near the supermatter crystal or singularity, or genetic problems. Feed them pentetic acid or multiver to get rid of their toxin damage, and ask your fellow doctors for help if you don't know how to make pentetic acid (or just look it up on this wiki). Showers pause the harmful effects of radiation, making it easier to heal.
Cellular damage: A rare damage type mostly caused by slimes. Put them in the cryo tubes.
Brain damage: Can randomly happen to anybody, and comes in many forms. Target the head and use the Brain Surgery procedure to try and fix them. Not all forms of brain damage can be fixed by surgery, however.
Augmentation: Not a problem per se, but people might ask you to surgically replace their body parts with cool cybernetics, or stick implants into them. All of this and more is a simple matter of performing the appropriate surgery.
Raising The Dead
If a patient has died, they can still be revived using a defibrillator, but only if they meet the proper requirements.
0) Examine your patient. If their description mentions that "their soul is departed", that they're "catatonic", or they "committed suicide", that character's player has deliberately chosen to leave the round. Throw them in the morgue or harvest their body parts.
1) Buckle them to a stasis bed, or inject formaldehyde (your epinephrine medipen has some). This stops their organs from decaying further.
2) Check their heart with your health analyzer. If it's "non functional", you can't defib them. Fix it with a Coronary Bypass surgery, or replace it altogether.
3) While you're at it, fix or replace any other "severely damaged" or "non functional" organs. If the brain is "non functional" due to heavy drug abuse, you'll have to do brain surgery. Only the brain and heart are truly necessary, but nobody likes being deaf, blind and liver-poisoned.
4) Fix their bodies using Tend Wounds; too much brute and burn damage will prevent the defib from working. Remember that corpses don't process chemicals, so you'll need to manually repair them. Make sure to remove your patient's exosuit and uniform to speed things up. If there's any negative chemicals in them (use your analyzer's reagent scan mode), use the Stomach Pump surgery to flush their systems.
At this point, you're ready to try defibrillation.
5) Remove your backpack and place the defibrillator on your back. If it's wall mounted, simply click it; if it's a compact defibrillator, put it on your belt instead.
6) With both paddles in one hand and the other empty, use them in-hand to dual-wield the paddles.
7) Target the chest and apply defibrillation to the patient. Make sure they're not wearing anything protective over their chest, and make sure you're not dragging them, or you'll electrocute yourself as well!
If everything went well, the patient will return to life! Immediately drop your paddles and click them with a free hand to apply CPR; freshly defibbed patients typically have large amounts of suffocation damage, and CPR will bring them out of crit (below 100 damage). With any luck, you can then proceed to treat them as you would anybody else: check their blood level, give them appropriate healing chemicals for whatever damage they have, and generally patch them up.
If you successfully revive someone only for them to immediately die again, try to buckle them to a stasis bed and look for what could be causing it. Check their organs, any chemicals in their body, their blood levels, radiation, and if all else fails ask other doctors for help.
In a worst case scenario, there are other means to bring players back into a round. Roboticists can turn brains into cyborgs, and Botanists can turn them into podpeople.
Alas Poor Yorick
If a "patient" is reduced to merely a head, you'll have to get creative. The best way to handle this is to simply put the head or brain on a new, healthy body.
To get said bodies, you can bother Genetics, Botany or Xenobiology for a monkey, inject it with mutadone to turn it into a human, and then begin operating. If you're using the brain, cut it out of the dead guy's head, pour a beaker of mannitol on it to heal it, cut out your healthy body's brain, jam the old brain in, and start working to defibrillate. You can also amputate the new body's head and attach the old one through surgery, but make sure the brain is still good!
Medibots
Medibots can be invaluable helpers for a medical staff. These helpful little bots can be built by Robotics, and automatically perform the Tend Wounds surgery on wounded people who come across them. By opening them up with a free hand, you can set them to patrol the station, remain in one place, and even synchronize them to the research department to upgrade their healing abilities.
Just one medibot can be a massive help for any Medbay staff, and they can even be given funny interesting names. Be wary of emagged medibots, however, as they'll instead pump their "patients" with deadly toxins!
No Respect
You will, inevitably, have invaders. It's not your job to fight people but it's up to you if you want to try to defend your department from random people breaking in to steal things. If you're stressed it may be better to just look the other way and let someone else handle it, or call security. Your best defense is your coworkers - with up to 5 Medical Doctors, the CMO, Virologist, two Chemists and countless patients, Medbay is packed, and all of them feel the same sting of disregard cast at them by fellow crewmates. If you band together, you will usually far outnumber any lone threat that wants to break down every window and grille in your workplace.
Sometimes it may be necessary to shoot someone with some morphine (don't overdose!).
Tips
- The medical belt can store all surgery tools.
- You can cut bedsheets with a scalpel or wirecutter and use the resulting cloth to craft a chemistry bag
.
- Bedsheets work as drapes for surgery.
- If you implant a guy with a flashlight, he can still use it as a flashlight.
- Raw carrots heal eye damage.
- You can use a health analyzer on a body to see the time of death.
- Star-Kist is just cola with orange juice. Thus will metabolize a bit faster and can be used as a very poor man's medicine to speed up CPR.
- Cryo won't work on you if you have cold resistance:
- Insulating items like hardsuits, ins. gloves, gasmask, firesuits - they all slow down cryo or even stop it from working entirely.
- If the patient in question has cold resistance, you may want to try go old-school and actually apply some medicine yourself, lazy bum.
- That is, of course, if there's only cryoxadone in the tubes, since those need cold body temperatures to work.
- Wearing earmuffs will heal ear damage.
- Wearing a blindfold will heal eye damage.
- Attach a stethoscope on your neck slot and it'll make you look like you know what you're doing.
- Showers (wrenched to be cold) work just as well as cryo, as long as you have the drugs in your system.
- People with hardsuits/MODsuits on cannot be defibbed.
To Conclude
You are a Doctor. Your job is to help people - sometimes forcibly - and dealing with the fallout from the numerous violent calamities that inevitably descend on the station. You serve both as go-between for the station and large and the more specialized medical departments.
If you seek respect in this job, you have to go out of your way to earn it. But never forget the damage you can inflict on the unwary.
Jobs on Skyrat Station
ServiceHead of Personnel,
Janitor,
Bartender,
Cook,
Botanist,
Lawyer,
Clown,
Mime,
Chaplain,
Curator,
Psychologist,
Barber,
Bouncer
Traitor,
Malfunctioning AI,
Changeling,
Nuclear Operative,
Blood Cultist,
Heretic,
Revolutionary,
Wizard,
Blob,
Abductor,
Holoparasite,
Xenomorph,
Spider,
Swarmers,
Revenant,
Morph,
Nightmare,
Space Ninja,
Slaughter Demon,
Sentient Disease,
Obsessed,
Space Dragon,
Elite Mobs,
Sentient Slime SpecialCentCom Official,
Death Squad Officer,
Emergency Response Officer,
Chrono Legionnaire,
Highlander,
Ian,
Lavaland Role,
Construct,
Imaginary Friend,
Split Personality,
Ghost,
Golem
The first thing to note is the medical techfab, usually located in the storage room. You can use it to produce various useful medical items, provided the miners are keeping the station's supplies up. If the Science department is doing their jobs, you'll also be able to print upgraded versions of many medical items once the appropriate research is done, so be sure to check back frequently.
The health analyzer allows you to diagnose your patients, and you'll find an analyzer in the white medkit you spawn with. Simply hit somebody with it, and you'll get a readout telling you what's wrong with them. Using it in-hand toggles reagent scan mode, which instead tells you what chemicals their bodies contain. You should always have one of these on hand; later on, you might be able to upgrade to an advanced health analyzer, which gives even more information.
Three pieces of clothing to collect are the medical HUD glasses, nitrile gloves and medical belt. The glasses allow you to see health bars above living creatures, instantly cluing you in on who's wounded; if the small icon next to them shows a face, they have a disease. The angrier the face looks, the worse the illness. The gloves drastically speed up the time needed to use patches, syringes and pills, and the belt can hold up to seven medical items for convenience. You can find all of these in a medical doctor's locker, usually in the storage room.
Health kits contain a variety of items and medicine. The white medkits contain general use items, whereas the colored ones correspond to damage types. Green is toxin damage, orange is burn damage, pink is brute damage and blue is suffocation damage. Even if you don't know which chemicals do what, you can rely on the contents of these kits to heal a specific damage type from your patients. As a rule of thumb, don't dump the whole kit into one person: at most, one syringe, patch or pill at a time is a good bet.
Surgical tools are needed for, well, surgery. The basic tools are the drapes, hemostat, cautery, retractor, scalpel, saw and drill. The white medkit you spawn with contains half of them, specifically the ones needed to perform the basic 'tend wounds' surgery. You can find the rest in the operating rooms, or print them from the lathe. With the right research, you can also print advanced tools that combine the functions of two tools into one.
Medipens are single-use items that come preloaded with useful chemicals. In particular, the epinephrine medipen contains epinephrine, which stabilizes patients at critical health, and formaldehyde, which stops organs from rotting if injected into a corpse and generally makes revival a lot easier. Sutures and regenerative meshes can be used on people to quickly heal brute and burn damage, respectively, making them ideal for quickly patching up minor wounds. Medical gauze is used to stop bleeding in patients.
The syringe gun is a tool that can be loaded with a syringe, and used to instantly inject people from a distance with a chemical. In theory, they can be used for doctoring to quickly inject someone with a syringe full of medicine at a distance. In practice, people fill normal syringes with lethal doses of poisonous chemicals and use the syringe guns as self defense or murder weapons. The rapid syringe gun can be researched and printed from the lathe, and holds 6 syringes.
Defibrillators are used to bring people back to life, provided their bodies are in good enough shape. In order to use one, you must equip it in your back slot, dual wield its paddles, and target the chest of the body you're trying to revive. With research, the lathe can print off wall mounts for defibs, and later even compact defibrillators that use your belt slot instead.
The stasis bed is an incredibly powerful piece of machinery. When someone is buckled into it, they enter stasis, which essentially freezes their vitals; they won't lose health or blood, but they also won't process any chemicals in their bodies. Buckling someone to a stasis bed while you work on them is highly recommended, but Medbay typically has a limited supply of them.
The cryo tubes can be used to heal various damage types with the power of coldness. Provided the cryo tubes are set up correctly, placing someone into a tube will cause them to gradually heal. This is the main method of healing cellular damage. To set up the tubes, simply insert the nearby beakers of cryoxodone (blue), use a wrench on the oxygen tanks, and make sure the freezer is turned on and set to its minimum temperature. You can put different chemicals in the tubes, but the default cryoxodone will suffice if nobody makes anything better.
IV drips are used to quickly inject blood or chemicals into a patient. To use them, fill a beaker or blood bag with the appropriate chemical, attach it to the drip, and then drag the drip onto a patient. If the drip is empty, you can also toggle it between injecting blood or draining blood.
Medibots can be invaluable helpers for a medical staff. These helpful little bots can be built by Robotics, and automatically perform the Tend Wounds surgery on wounded people who come across them. By opening them up with a free hand, you can set them to patrol the station, remain in one place, and even synchronize them to the research department to upgrade their healing abilities.
