Guide to Medical

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 chemists. Give them a laundry list of drugs you'll need to treat your patients. Try to have a variety of meds on deck, and don't just keep a stockpile of Tricordrazine for everyone that comes your way.

It's optional but bringing a Body Scanner out to the front of medbay for patients to come and scan their DNA without pestering you can be beneficial.

If there is no Crew Monitor Computer out in medical's public area, ask the CMO to bring the crew monitor out from their office to leave in the medical bay for you to peruse. When you have the time, you can check the Crew Monitor for anyone dead. If they have their suit sensors set to display coordinates you may use those to potentially locate their body for cloning purposes or biomass. GPS and Handheld Crew Monitor devices can help you locate dead bodies.

Cloning and Morgue

If someone dies in your care or is brought to you as a corpse, before you decide to stuff them in the morgue, verify that the body has a soul. The best and simplest way to do this is ⇧ Shift + left click.

If you see text in red stating "His/her soul has departed.", this means that this person is still cloneable. Once they've been cloned, the old body will display the uncloneable text shown below, and can be disposed of, after the person has gathered all their things off of it.

If instead you see text in yellow stating "His/her soul has departed and moved on. Any recovery is unlikely.", then this person is gone. They've either left the server, or they've taken a ghost role, such as a drone or monkey, and thus forfeited the right to come back to their body. That or they've just been cloned. Toss this body in the morgue. Alternatively, if someone has disconnected from the round while still being alive, they will receive a variant of this text stating something along the lines of "being unresponsive with a distant stare."

There is a third possibility, of there being purple text, stating "He/She is totally catatonic. The stresses of life deep in space must have been too much for him/her. Any recovery is unlikely." This player ghosted while alive, meaning they forfeited the ability to go back into their body. They can be considered brain dead, and put in the morgue, donated to your local chef, or given cargo to be gibbed for an organ bounty (if they are running such a bounty.)

After cloning, it's best to put their body in a morgue (or at least a body bag) before it starts rotting and producing miasma. At low levels, miasma is harmless, but you do not want it to build up enough for its worse symptoms to start appearing.

Stabilizing and Administering Medication

Patients are often dragged in gasping for air in a critical state. The usual best response to this is to inject Epinephrine to stabilize them, which has the effect as well of stopping O2 loss. Everyone starts with an Epipen inside their survival box, which contains 15u of Epinephrine. Medical doctors also have one Epipen on their medical belt. If you run out there are also bottles inside the NanoMed of Epinephrine which you can use with a syringe, also inside the vendor. Chemists can make more if they have a tank of welding fuel but if they don't, Botanist can supply lingzhi which can be turned into epinephrine.

Putting critical patients on a stasis bed will make them die 10 times slower, giving you more time to do other things. A medical bed and roller bed can also help a little too. However, take note that the stasis bed slows metabolism dramatically, and as a result, the effects of chems will happen much, much slower unless taken off the stasis bed. Ointments, gauze, brute packs, blood bags, medicated sutures, and regenerative meshes still work just as well as they do not rely on metabolism to heal. Be careful of overdosing while on the stasis bed. While they may seem fine on the bed, you might administer too much and result in them overdosing the moment they get off of the bed.

If you don't have Epinephrine then Inaprovaline can also be useful, to a lesser degree.

When it comes to administering your medication, it doesn’t matter if it's in pill or injection. Pills contain higher volumes of medication, up to 50 20 units, but syringes kick in almost instantly, with the drawback of only being able to insert up to 15 units at a time, and the capacity being 15. You can change the amount injected by right-clicking the syringe.

A good idea is to keep a pill bottle or two of assorted medications once the chem lab has kicked into gear and started a decent production, so that you can be prepared for any situation. Note that moths cannot take pills, as they find any non-cloth item repulsive to eat, needing injections instead.

Common Chemicals

These are chemicals you should probably keep a jug or two of on hand.

Dexalin plus

Recipes

DexalinPlus

dexalin [1]

carbon [1]

iron [1]

Mix

dexalin plus [3]

Effects

Medicine (0.5u per second)

• Heals 3.5 Asphyxiation and 3 Bloodloss
• Removes 3u of heartbreaker toxin from the solution when there's at least 1u of heartbreaker toxin
• Deals 5 Asphyxiation and 3 Cold when there's at least 25u of dexalin plus

Used in treatment of extreme cases of oxygen deprivation and bloodloss. Flushes heartbreaker toxin out of the blood stream.
Seems to be cloudy.

Dermaline

Recipes

Dermaline

kelotane [1]

oxygen [1]

phosphorus [1]

Mix

dermaline [3]

Effects

Medicine (0.5u per second)

• Heals 1.5 Heat, 1.5 Shock, and 1.5 Cold
• Deals 0.5 Brute, 1 Asphyxiation, and 2 Cold when there's at least 10u of dermaline
• Causes jittering when there's at least 10u of dermaline

An advanced chemical that is more effective at treating burn damage than kelotane.
Seems to be translucent.

Bicaridine

Recipes

Bicaridine

inaprovaline [1]

carbon [1]

Mix

bicaridine [2]

Effects

Medicine (0.5u per second)

• Heals 2 Brute
• Deals 0.5 Asphyxiation and 1.5 Poison when there's at least 15u of bicaridine
• Has a 2% chance to cause vomiting when there's at least 30u of bicaridine
• Causes jittering when there's at least 15u of bicaridine
• Causes drunkness

An analgesic which is highly effective at treating brute damage. It's useful for stabilizing people who have been severely beaten, as well as treating less life-threatening injuries.
Seems to be opaque.

Tricordrazine

Recipes

Tricordrazine

inaprovaline [1]

dylovene [1]

Mix

tricordrazine [2]

Effects

Medicine (0.5u per second)

• Heals 1 Brute, 0.5 Poison, 0.33 Heat, 0.33 Shock, and 0.33 Cold when it has at most 50 total damage

A wide-spectrum stimulant, originally derived from cordrazine. Treats minor damage of all basic health types as long as the user is not heavily wounded. Best used as an additive to other chemicals.
Seems to be opaque.

Arithrazine

Recipes

Arithrazine

hyronalin [1]

hydrogen [1]

Mix

arithrazine [2]

Effects

Medicine (0.5u per second)

• Modifies health by 0.5 Brute and 3 Radiation

A mildly unstable medication used for the most extreme case of radiation poisoning. Exerts minor stress on the body.
Seems to be cloudy.

Tranexamic acid

Recipes

TranexamicAcid

inaprovaline [1]

sulfuric acid [1]

sugar [1]

Mix

tranexamic acid [3]

Effects

Medicine (0.5u per second)

• Reduces bleeding
• Deals 3 Bloodloss when there's at least 15u of tranexamic acid

A blood-clotting medicine used to prevent profuse bleeding. Causes heavier bleeding on overdose. Commonly found in small doses within emergency medipens.
Seems to be viscous.

Epinephrine

Recipes

Epinephrine

phenol [1]

acetone [1]

chlorine [1]

hydroxide [1]

Mix

epinephrine [4]

Effects

Medicine (0.5u per second)

• Heals 0.5 Brute, 0.5 Burn, 3 Asphyxiation, and 0.5 Poison when the mob is critical and there's at most 20u of epinephrine
• Deals 1 Asphyxiation and 1 Poison when there's at least 20u of epinephrine
• Removes 2u of heartbreaker toxin from the solution
• Removes 1u of epinephrine from the solution when there's at least 1u of heartbreaker toxin
• Has a 10% chance to add 4u of histamine to the solution when there's at least 1u of heartbreaker toxin
• Removes 0.75s of stunning
• Removes 0.75s of knockdown
• Causes adrenaline for at least 0.5s without accumulation

An effective stabilizing chemical used to keep a critical person from dying to asphyxiation while patching up minor damage during crit. Flushes heartbreaker toxin out the blood stream at the cost of more epinephrine, but may add histamine. Helps reduce stun time. Commonly found in the form of emergency medipens.
Seems to be odorless.

Dylovene

Recipes

Dylovene

silicon [1]

nitrogen [1]

potassium [1]

Mix

dylovene [3]

Effects

Medicine (0.5u per second)

• Heals 1 Poison
• Deals 2 Brute when there's at least 20u of dylovene
• Causes jittering when there's at least 20u of dylovene
• Has a 2% chance to cause vomiting when there's at least 20u of dylovene
• Causes drunkness when there's at least 15u of dylovene

Plants (0.5u per second)

• Adjusts toxins level by -10
• Adjusts health by 1

A broad-spectrum anti-toxin, which treats toxin damage in organisms. Overdosing will cause vomiting, dizzyness and pain.
Seems to be translucent.

Saline

Recipes

Saline

water [4]

table salt [1]

Mix

saline [5]

Effects

Drink (0.5u per second)

• Satiates thirst at 2x the average rate
• Increases blood level

A mixture of salt and water. Commonly used to treat dehydration or low fluid presence in blood.
Seems to be salty.

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.

Damage	Treatment
Brute	Bruise pack, Bicaridine, Tricordrazine, Poppy
Caustic	Siderlac, Sigynate
Burn	Ointment, Dermaline, Kelotane, Tricordrazine, Aloe cream
Airloss	Defibrillator, Dexalin, Dexalin Plus, Epinephrine, Inaprovaline
Toxin	Dylovene, Ultravasculine, Arithrazine, Hyronalin, Stellibinin, Diphenhydramine
Genetic	Phalanximine
Bleeding	Bandages, Blood pack, Pulped banana peel, Inaprovaline, Tranexamic acid, Iron

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 that, and you're better off using proper medication.

Bicaridine is the best option for healing straight brute damage, healing 2 brute damage per unit. If you do not have Bicaridine on hand, the next best thing to look for is 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, use brute packs.

Gauze can swiftly heal some brute to an extent as well as stop bleeding, which makes it invaluable for treating brute caused by weapons such as guns. Cloth can be used the same away, 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 only heals 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.

Note that if you are starving, you may take cold damage overtime despite not being cold, unless you are diona, or slime.

The best option for healing burn damage of any kind is 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, 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 Tricordrazine.

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

Last but not least, 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 on them if no one else already has yet, and then move them to a stasis 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, 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 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, Dexalin and Dexalin Plus are your friends. Dexalin will treat 2 asphyxiation damage, and one 1 bloodloss. 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 all 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 best option to detox is Dylovene. Dylovene heals 2 poison damage per unit. Technically, Ultravasculine is far superior in terms of an antitoxin, however it is much more difficult to source, and comes with the side effect of dealing brute damage alongside the detox.

If you do not have dylovene, you can also use Tricordrazine to heal 1 poison damage per unit, along with 2 brute and 2 burn.

The next kind of toxin is radiation damage. Radiation can be treated with Hyronalin, but can be best treated with Arithrazine. Arithrazine heals 6 radiation per unit, however deals 1 brute damage per unit.

Bloodloss

To fully understand bloodloss you need to understand that everyone has a volume of blood inside them. When you take damage, slash and pierce most importantly, 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 bloodloss 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 bloodloss damage

To stop bleeding (to stop blood levels from dropping continuously), you should use gauze or Tranexamic acid. Inaprovaline and Pulped banana peel also reduce bleeding but 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 bloodloss damage), you need to administer Iron or Saline. When the bloodloss 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 arachnid, note that Iron is toxic to them. Use Copper instead, which will provide the same effect to them.

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

Do not simply treat the patient for their bloodloss 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, they will still suffer from bloodloss over time.

Medical Reference for Chemistry

also see the Medicine page for a more in-depth look at medical chems

Common Chemicals
Inaprovaline Oxygen Sugar Carbon
Dylovene Potassium Silicon Nitrogen
Kelotane Silicon Carbon
Dexalin Oxygen Plasma (must be ground in a reagent grinder))
Hyronalin Dylovene( Potassium Silicon Nitrogen) Radium
Phenol Water Oil Chlorine
Diethylamine Ethanol Ammonia
Unstable Mutagen Chlorine Phosphorus Radium
Sulfuric Acid Hydrogen Sulfur Oxygen
Cryoxadone Dexalin Water Oxygen
Ammonia 3 Hydrogen 1 Nitrogen

Damage	Treatment
Brute	Bruise pack Bicaridine Carbon Inaprovaline( Oxygen Sugar Carbon) Tricordrazine Dylovene( Potassium Silicon Nitrogen) Inaprovaline( Oxygen Sugar Carbon)
Caustic	Siderlac Stellibinin Aloe Sigynate
Burn	Ointment Kelotane Silicon Carbon Dermaline Kelotane( Silicon Carbon) Oxygen Phosphorus Tricordrazine Dylovene( Potassium Silicon Nitrogen) Inaprovaline( Oxygen Sugar Carbon)
Airloss	Dexalin Oxygen Plasma Dex+ Dexalin( Oxygen Plasma) Iron Carbon Epinephrine Oxygen Diethylamine( Ethanol Ammonia) Hydrogen Acetone Phenol( Water Oil Chlorine) Chlorine Inaprovaline Oxygen Sugar Carbon
Toxin	Dylovene Potassium Silicon Nitrogen Ultravasculine Plasma Histamine Arithrazine Hyronalin( Dylovene( Potassium Silicon Nitrogen) Radium) Hydrogen Hyronalin Dylovene( Potassium Silicon Nitrogen) Radium Stellibinin Sourced from Galaxythistle Diphenhydramine Carbon Ethanol Oil ( Welding Fuel Hydrogen Carbon)Table Salt(Sodium Chloride)Diethylamine( Ethanol Ammonia)
Genetic	Phalanximine Unstable Mutagen( Chlorine Phosphorus Radium) Hyronalin( Dylovene( Potassium Silicon Nitrogen) Radium) Ethanol
Bleeding	Blood pack Pulped Banana Peel Inaprovaline Oxygen Sugar Carbon Tranexamic acid Sulfuric Acid( Hydrogen Sulfur Oxygen) Sugar Inaprovaline( Oxygen Sugar Carbon)
Disease	Spaceacillin Cryptobiolin( Oxygen Sugar Potassium) Inaprovaline( Oxygen Sugar Carbon)
Zombification	Romerol (romerol was changed and causes zombification now. It can be treated with ambuzol and ambuzol +) Tricordrazine( Dylovene( Potassium Silicon Nitrogen) Inaprovaline( Oxygen Sugar Carbon) ) Phalanximine( Unstable Mutagen( Chlorine Phosphorus Radium) Hyronalin( Dylovene( Potassium Silicon Nitrogen) Radium) Ethanol)

How to Deal with a Pandemic

Virology is currently removed from the game. The only disease to remain, is zombification, contracted through romerol.