View source for Medical

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<b>{{{Medical|Medical}}}</b>
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==What is Medical?==
Medical is a department on each station, geared to treat, rescue, and help injured crew members. Chemist are also part of medical, and focus on making chemicals for the doctors and other crew members.

== Medical Jobs ==

{| class="wikitable sortable"
|-
! Job Name !! Job Description !! Difficulty
!Requirements
|-
| <span class="nowrap">[[File:JobIconChiefMedicalOfficer.png|24px]] [[Chief Medical Officer]]</span> || Manage the resources and personnel of the medical department to keep the crew in top shape. Do be warned the CMO holds quite a few items that are targeted by the syndicate. || Medium to Hard
|3 hours as a Chemist.<br>
6 hours as a Medical Doctor.<br>
10 hours as Medical (Any).<br>
40 hours of playtime.<br>
Character over 21 years old.
|-
| <span class="nowrap">[[File:JobIconParamedic.png|24px]] [[Paramedic]]</span>|| Rescue injured crew and bring them to medical for doctors to patch them up. || Medium
|4 hours as a Medical Doctor.<br>
15 hours of playtime.
|-
| <span class="nowrap">[[File:JobIconChemist.png|24px]] [[Chemist]]</span>|| Use the chemistry machines to make medical chemicals for the doctors. Supply botany with plant chemicals at their request. Once you complete those, there are quite a few side projects that can be done and figured out through exploration. || Medium
|4 hours as Medical (Any).
|-
| <span class="nowrap">[[File:JobIconMedicalDoctor.png|24px]] [[Medical Doctor]]</span>|| Work in conjunction with [[Chemist|Chemistry]] to keep the station alive. Put away the ever stacking bodies back into the morgue. Get swarmed by a tide of people all needing band-aids and ointment. || Medium
|4 hours of Medical (Any).
|-
| <span class="nowrap">[[File:JobIconMedicalIntern.png|24px]] [[Medical Intern]]</span>|| Assist the [[Medical Doctor|doctors]] while they heal patients. Bother the [[Chemist|chemists]] to teach you how to make meth and maybe medicine. Gather dead bodies from around the station and bring them to medbay so they can be revived. Discover why the [[chef]]'s food tastes so good. Earn your [[Chief Medical Officer|CMO]]'s approval. || Easy
|'''No more than''' 15 hours as Medical (Any).
|}

== Starting your Shift ==
Medbay often starts out calm, but you'd best prepare for the storm that's about to come. You'll either get blown up by some syndicate agent wanting the hypospray or something similar, or you'll get so inundated with bodies and people screaming in your ear for you to treat them faster that you'll blow medbay up yourself.

Coordinate with the [[Chemist|chemists]] to obtain medical chemicals to be used on living patients, and treat what you can. 

On station, there will frequently be a front desk where a Crew Monitoring console is placed. You can also find one at the Paramedic's office. When you have the time, you can check the Crew Monitor for anyone dead, critical, or otherwise in bad condition.

If you have any questions about how or what to do, you can either ask in game, or look at other guides such as [[Medical_Intern]].

== Types of damage ==
Crewmates will experience different physical damages during their time in space. Depending on the source, the damage type can vary significantly. A health analyzer can be used to determine the damage inflicted on a patient. Multiple types of damage may be present, and the patient will need multiple treatments or medications.


Here is a summary of all the damage types and their fixes:

{| class="wikitable"
|-
! Category 
!Damage!! Topical Treatment
!General Treatment
!Cryogenic Treatment
|-
! rowspan="3" | Brute 
|Blunt|| rowspan="3" | Bruise pack
| rowspan="3" |[[#chem_Bicaridine|Bicaridine]], [[#chem_Tricordrazine|Tricordrazine]], [[Hydroponics#Chemicals|Poppy]]
| rowspan="11" |[[Guide to Medical#chem Cryoxadone|Cryoxadone]]
|-
|Slash
|-
|Piercing
|-
! rowspan="4" | Burn 
|Heat|| rowspan="3" | Ointment, [[Hydroponics#Chemicals|Aloe cream]]
| rowspan="3" |[[#chem_Dermaline|Dermaline]], [[#chem_Kelotane|Kelotane]], [[#chem_Tricordrazine|Tricordrazine]]
|-
|Cold
|-
|Shock
|-
|Caustic
|None
|[[#chem_Siderlac|Siderlac]], [[Sigynate]]
|-
! rowspan="2" | Airloss 
|Asphyxiation|| Defibrillator
|[[#chem_Dexalin|Dexalin]], [[#chem_DexalinPlus|Dexalin Plus]], [[#chem_Epinephrine|Epinephrine]], [[#chem_Inaprovaline|Inaprovaline]]
|-
|Bloodloss
|Gauze, Blood pack
|[[#chem_Pulped Banana Peel|Pulped banana peel]], [[#chem_Inaprovaline|Inaprovaline]], [[#chem_Tranexamic acid|Tranexamic acid]], [[#chem_Iron|Iron]]
|-
! rowspan="2" | Toxin 
|Poison|| None
|[[#chem_Diphenhydramine|Diphenhydramine]], [[#chem_Dylovene|Dylovene]], [[Guide to Medical#chem Ethylredoxrazine|Ethylredoxrazine]], [[#chem_Stellibinin|Stellibinin]], [[#chem_Ultravasculine|Ultravasculine]]
|-
|Radiation
|None
|[[#chem_Arithrazine|Arithrazine]], [[#chem_Hyronalin|Hyronalin]]
|-
! Genetic 
|Genetic
|None
|[[#chem_Phalanximine|Phalanximine]]
|[[Guide to Medical#chem Doxarubixadone|Doxarubixadone]]
|}
''Note : Epinephrine does technically heal Brute, Burn, and Poison damage categories, but only when in a critical state.''

=== Brute damage ===
There are three types of brute damage: blunt, slash, and piercing. At present all instances of brute damage can be treated the same. 

If the damage isn't severe, a Bruise pack can be applied. Bruise packs heal 5 points of brute damage per use in each category, meaning one use of the pack (which has 5 uses in total) will heal 5 blunt, 5 slash, and 5 piercing. Anything more than ~15, brute damage, you're better off using proper medication. 

[[#chem_Bicaridine|Bicaridine]] is the best basic option for healing straight brute damage, healing 2 brute damage per unit. If you do not have [[#chem_Bicaridine|Bicaridine]] on hand, the next best thing to look for is [[#chem_Tricordrazine|Tricordrazine]]. Tricordrazine will cure 1 brute damage, on top of 0.5 poison, and 1 burn. It's not as potent, will require a higher dosage on some patients to see them through their ailment, and only works if the total damage is less than 50. If all else is unavailable, or the patient is dead, use brute packs.

There are also three advanced brute chemicals, Bruizine, Puncturase, and Lacinerol, used to treat blunt, piercing, and slash damage respectively. While these chemicals do a much better job at treating a specific kind of brute damage, you have to exercise caution to not accidentally mix them, either in a jug or in the patient's bloodstream. Mixing any brute chemicals, including Bicardine, will create Razorium, a chemical that can cause even more brute damage than what you're trying to treat. 

Gauze can swiftly heal slash and piercing brute damage to an extent as well as stop bleeding completely, which makes it invaluable for treating wounds. Cloth can be used the same way, and 2 is needed to craft gauze by hand, but does not work as well as gauze by itself.

=== Burn damage ===
There are four types of burn damage: heat, shock, cold, and caustic. As with brute, minor instances of burn damage can be treated by simply applying Ointment instead. However, while Bruise packs heal three categories of damage in brute, Ointment onals heat and shock. It will heal 10 points of damage, 5 in each category, per use. Ointment will also heal caustic damage, albeit less effectively(2.5 points).  

Aloe Cream and Regenerative Mesh are also good options for burn topicals, and both will heal more efficiently than Ointment.

The best option for healing burn damage of any kind is [[#chem_Dermaline|Dermaline]]. This will heal 4.5 (1.5 cold, shock, and heat respectively) damage per unit of the medication applied. Take extra care to not overdose too much, as it's maximum safe dose is 10u, and the syringe's maximum amount is 15u. You may simply inject the 10u, or fill the 5u with another drug, such as [[#chem_Tricordrazine|Tricordrazine]]. 

However, Dermaline will not treat caustic damage. For this, you must use Sigynate, or Siderlac.  

If [[#chem_Dermaline|Dermaline]] is not available, there is [[#chem_Kelotane|Kelotane]], a precursor to [[#chem_Dermaline|Dermaline]], which will only heal 1 (0.33 cold, shock, and heat respectively) burn per unit of medication applied.

Last but not least, [[#chem_Tricordrazine|Tricordrazine]] will also heal 1 burn (0.33 cold, shock, and heat respectively) damage a unit, along with 1 poison and 2 brute. 

=== Airloss damage ===
Before reading anything else: if someone is on the ground gasping, you should first use an emergency medipen, or inject Epinephrine on them if no one else already has yet, and then move them to a medical bed if there are any available. This will give you time to prepare a more specific treatment. Next check that their internals are off (if theres air in medbay) or on (if theres no air in medbay). You do this by their right click menu. 

When it comes to asphyxiation, [[#chem_Epinephrine|Epinephrine]] is good for stabilizing patients losing air to give you time to work on them, but it will only temporarily divert the issue. Get them some proper medication. An easier to make alternative to stabilize patients is [[#chem_Inaprovaline|Inaprovaline]], which does the same thing but to a lesser extent, and also is far easier for the chemists to make. These medications do not lower asphyxiation below 100, they only prevent it from getting higher.

To actually treat asphyxiation, [[#chem_Dexalin|Dexalin]] and [[#chem_DexalinPlus|Dexalin Plus]] are your friends. [[#chem_Dexalin|Dexalin]] will treat 2 asphyxiation damage, and one 1 bloodloss. [[#chem_DexalinPlus|Dexalin Plus]] will treat 6 asphyxiation damage, and 4 bloodloss.

Alternatively, if someone is in critical condition or dead, a defibrillator can be used to heal up to 40 asphyxiation damage while applying 5 units of shock damage.

=== Toxin damage ===
There are two types of toxin damage, and both are treated with different medications.

The first kind is poison damage. For poison, your most widely available option to detox is [[#chem_Dylovene|Dylovene]]. [[#chem_Dylovene|Dylovene]] heals 2 poison damage per unit. Technically, Diphenhydramine or Stellibinin(sourced from Galaxythistle) are far superior in terms of healing poison damage, however both are more difficult to source. [[#chem_Ultravasculine|Ultravasculine]] is also an option, however it comes with the side effect of dealing brute damage alongside the detox.

If you do not have Dylovene, you can also use [[#chem_Tricordrazine|Tricordrazine]] to heal 1 poison damage per unit to heal any damage below 50. 

The next kind of toxin is Radiation damage. Radiation can be treated with [[#chem_Hyronalin|Hyronalin]], but can be best treated with [[#chem_Arithrazine|Arithrazine]]. Arithrazine heals 6 radiation per unit, however deals 1 brute damage per unit, so be sure to use some Bicardine or Bruise packs to heal the damage. 

===Blood loss===
To fully understand blood loss you need to understand that everyone has a volume of blood inside them.  When you take brute damage, in a gun fight for example, you will lose blood. You may also start noticeably bleeding, which continually drains your blood. If your blood level falls below a certain threshold, you will begin taking blood loss damage and you will continue to do so until your blood levels return to normal.  When you lose enough blood, you will start seeing double, as well as start to stutter heavily.

If someone is bleeding heavily there are 3 things to do;
* Stop the bleeding
* Restore blood levels
* Cure blood loss damage


To stop bleeding (to stop blood levels from dropping continuously), you should use gauze or [[#chem_Tranexamic_acid|Tranexamic acid]]. [[#chem_Inaprovaline|Inaprovaline]] and [[#Pulped_banana_peel|Pulped banana peel]] also reduce bleeding but [[#chem_Tranexamic_acid|Tranexamic acid]] is 3 times more powerful than pulped banana peel and 6 times more powerful than Inaprovaline.  It should be noted that emergency medipens contain a small amount of Tranexamic Acid (3u).

To restore blood level (stop double vision and stop continuous blood loss damage), you need to administer [[#chem_Iron|Iron]] or [[#chem_Saline|Saline]]. When the blood loss damage value has stopped going up, that means the blood level has returned to normal (not full, but not low enough to cause harm). If the patient is an [[Playable_Species#Arachnids|arachnid]], note that [[#chem_Iron|Iron]] is toxic to them. Use Copper instead, which will provide the same effect to them.

Your patient may have enough blood loss damage at any point in treatment to warrant curing the damage. To do so, you will want to apply [[#chem_Dexalin_plus|Dexalin Plus]], [[Iron]], or less effectively, [[#chem_Dexalin|Dexalin]] to cure the blood loss damage. Patients who are no longer low on blood will slowly recover from blood loss damage on their own without medication.

Do not simply treat the patient for their blood loss damage and send them on their way. They may appear to be cured on your health analyzer, but if their bleeding has not been stopped and their blood levels restored to normal(>90%), they will still suffer from blood loss over time.

== Chemicals ==

Chemicals are made by chemist for the medical doctors and anyone else working in the exam room to use. Chemicals do not work when someone is dead, unless you are using the cryopods. In that case, refer to [[Cryogenic Pods]].

If you are interested in doing chemistry as a chemist, refer to [[Chemist]]. This page will only go in depth with using chemicals in the standard way, and other warnings. 

===Chemical Delivery Methods===
All chemicals will require either being injected into the bloodstream, inhaled or ingested. Some non-chemical medicines like bruise packs and aloe cream can be applied to the body instead.

* Ingest - Crew can ingest pills for a large dose of chemical, drink a liquid from a container 5u at a time or eat medical plants. These all occur via the mouth.
* Inject - Crew can be injected into their bloodstream via a Syringe with small amounts of liquid chemical.
* Inhale - Crew can breathe in condensed amounts of gaseous chemical if their Internals are not off. A [[Modular Grenade]], bomb or Air Vent can cause chemicals to be inhaled. Chemicals with an overdose effect can have a negative rather than positive effect if inhaled this way
* Applied - Crew can apply a non-chemical solid medical topical  to anywhere on their body (including past their clothes / suit somehow).

Bear in mind that crew wearing suits ([[Salvage Specialist]], [[Engineer]]) may be wearing a helmet making the Inhale / Ingest delivery methods take a bit more time. This is because someone needs to remove the helmet and/or breath mask. In non-critical situations this will not be a problem. However, for critical situations where crew are gasping for air, every second may count.

=== Warnings ===
* Do not mix bruiz punc lace and bic, within a person or not. It will react with each other to make a poison. 
* Call out what you inject when you do, so as to prevent accidental overdosing of multiple doctors working on one patient
* Do not give out chemicals to people when you aren't completely sure they are going to use the chemicals for a crime, or for the purpose of depriving medical of chemicals.

== How to Deal with a Pandemic ==
Virology is currently removed from the game. The only disease to remain, is zombification, contracted through romerol.

Zombies are an [[Antagonist|Antagonist]] within the game which can be enabled as Initial Infected. More can be found in the [[Zombie|Zombies]] portion of the wiki. 

If someone is infected, through bite from a zombie, there are quite a few ways to deal with it. To start, zombie infections can be cured with Ambuzol, and a vaccination for them is Ambuzol+. Ambuzol needs zombie blood to be made, so bring dead zombies to your chemists! When treating an infection without ambuzol, or treating the side effects, you can track how bad the infection has gotten by tracking their poison damage! As they are infected, they will take poison damage over time, and patients take much more poison damage when they are in critical condition! It is however imperative to understand, if someone is bit while they are in critical condition, they will instantly turn into a zombie. This means  treating critical patients that have been infected is risky, as if they die they will turn, and if they are bit they will turn.

Now it is imperative in a crowded medbay of infected patients to keep patients from dying, or becoming crit. If a patient is about to die, do your best to seperate them from everyone else, as they will turn. Remember, do not be stingy with ambuzol! And focus on having a route to run away!

Another thing to take note of, you cannot revive a zombie, or turn them back into not being a zombie. The only way to bring them back into the game is by borging them! Take their brain or dead body to sci and they can take it from there.

==Final Comments==
This article could use more to it, if you see something you want changed, added, or removed, you can do it yourself or ask someone on the discord to help out.

===Extra Guides===
* [[Guide_to_Medical|Guide To Medical]]
* [[Chief_Medical_Officer|Chief Medical Officer]]
* [[Chemist]]
* [[Chemistry]]
* [[Medical_Doctor|Medical Doctor]]
* [[Medical_Intern|Medical Intern]]
* [[Paramedic]]
* [[Chemistry]]
* [[Zombie]]