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, or donated to your local chef.

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 an EMAG 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.

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.

Common Chemicals

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

Dexalin plus

Recipes

iron [1]

dexalin [1]

carbon [1]

Mix

dexalin plus [3]

Effects

Medicine (0.5 units per second)

Heals 7 Asphyxiation, and 6 Bloodloss per unit.

Removes 3 lexorin when more than 1u lexorin present.

Deals 10 Asphyxiation, and 6 Cold per unit when more than 25u.

Used in treatment of extreme cases of oxygen deprivation. Effective at healing blood loss damage.
Seems to be cloudy.

Dermaline

Recipes

kelotane [1]

oxygen [1]

phosphorus [1]

Mix

dermaline [3]

Effects

Medicine (0.5 units per second)

Heals 3 Heat, 3 Shock, and 3 Cold per unit.

Deals 2 Asphyxiation, and 4 Cold per unit when more than 10u.

cause jittering when more than 10u.

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

Bicaridine

Recipes

carbon [1]

inaprovaline [1]

Mix

bicaridine [2]

Effects

Medicine (0.5 units per second)

Heals 4 Brute per unit.

Deals 1 Asphyxiation, and 3 Poison per unit when more than 15u.

cause jittering when more than 15u.

Causes vomitting.

Alcohol (0.5 units per second)

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. In the case of bleeding (internal or external), bicaridine will slow down the bleeding heavily. If the dosage exceeds the overdose limit, it'll stop it outright.
Seems to be opaque.

Tricordrazine

Recipes

dylovene [1]

inaprovaline [1]

Mix

tricordrazine [2]

Effects

Medicine (0.5 units per second)

Heals 0.66 Heat, 0.66 Shock, 2 Brute, 1 Poison, and 0.66 Cold per unit when below 50 damage.

A wide-spectrum stimulant, originally derived from Cordrazine. It's capable of healing most common damage types simultaneously, however only at about half the rate of other medications. Because of its low potency, it's best used as a supplement to other medicines.
Seems to be opaque.

Hyronalin

Recipes

dylovene [1]

radium [1]

Mix

hyronalin [2]

Effects

Medicine (0.5 units per second)

Heals 2 Radiation per unit.

Causes vomitting.

cause jittering when more than 30u.

Deals 4 Heat per unit when more than 30u.

A weak treatment for radiation damage. Considered to be useful mainly for genetic modification, where it reduces radiation levels, and thus the chance of genetic mutations. Largely outclassed by Arithrazine.
Seems to be cloudy.

Tranexamic acid

Recipes

sulfuric acid [1]

sugar [1]

inaprovaline [1]

Mix

tranexamic acid [3]

Effects

Medicine (0.5 units per second)

Reduces bleeding.

Deals 6 Bloodloss per unit when more than 15u.

A blood clotting medicine for preventing heavy bleeding. Very dangerous in large quantities.
Seems to be viscous.

Epinephrine

Recipes

oxygen [1]

diethylamine [1]

hydrogen [1]

acetone [1]

phenol [1]

chlorine [1]

Mix

epinephrine [6]

Effects

Medicine (0.5 units per second)

Reduces stun time by 0.75 seconds per unit.

Deals 2 Asphyxiation, and 2 Poison per unit when more than 20u.

Removes 2 lexorin.

Heals 1 Brute, 1 Poison, 1 Burn, and 6 Asphyxiation per unit when , and less than 20u.

Removes 1 epinephrine when more than 1u lexorin present.

10% chance to add 4 histamine when more than 1u lexorin present.

Reduces knockdown time by 0.75 seconds per unit when more than 1u lexorin present.

Effective at bringing people back from a critical state. Reduces some stun times. Easy to overdose on.
Seems to be odorless.

Dylovene

Recipes

potassium [1]

silicon [1]

nitrogen [1]

Mix

dylovene [3]

Effects

Medicine (0.5 units per second)

Deals 4 Brute per unit when more than 20u.

cause jittering when more than 20u.

Heals 2 Poison per unit.

Causes vomitting.

Alcohol (0.5 units per second)

Causes drunkness.

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

Spaceacillin

Recipes

cryptobiolin [1]

inaprovaline [1]

Mix

spaceacillin [2]

Effects

Medicine (0.5 units per second)

Deals 1 Cellular per unit.

A theta-lactam antibiotic. A common and very useful medicine, effective against many diseases likely to be encountered in space. Slows progression of diseases.
Seems to be opaque.

Further useful chems can be found in the Medicine section of the chemistry page.

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
Burn	Ointment, Dermaline, Kelotane, Tricordrazine, Aloe cream
Airloss	Defibrillator, Dexalin, Dexalin Plus, Epinephrine, Inaprovaline
Toxin	Dylovene, Ultravasculine, Arithrazine, Hyronalin, Stellibinin, Diphenhydramine, Galaxy thistle
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 4 brute damage per unit. If you do not have Bicaridine on hand, the next best thing to look for is Tricordrazine. Tricordrazine will cure 2 brute damage, on top of 1 poison, and 2 burn. It's not as potent, and will require a higher dosage on some patients to see them through their ailment.

Burn damage

There are three types of burn damage: heat, shock, and cold. 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.

The best option for healing burn damage of any kind is Dermaline. This will heal 6 damage per unit of the medication applied.

Failing that, if there is Kelotane, but this will only heal 2 damage per unit.

Last but not least, Tricordrazine will also heal 2 burn 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.

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. Radition 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.

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. Patients will recover blood levels on their own once their bleeding has stopped, however the rate at which they do so is abysmally low. 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).

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 or 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 cure the patient of 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 be back in med bay to be treated again soon.

Medical Reference for Chemistry

Common chemicals
Inaprovaline Oxygen Sugar Carbon
Dylovene Potassium Silicon Nitrogen
Kelotane Silicon Carbon
Dexalin Oxygen Plasma (It needs to be grinded))
Hyronalin Dylovene(Potassium Silicon Nitrogen) Radium
Phenol Water Oil Chlorine
Diethylamine Ethanol Ammonia
Unstable Mutagen Chlorine Phosphorus Radium
Sulfuric Acid Hydrogen Sulfur Oxygen

Damage	Treatment
Brute	Bruise pack Bicaridine Carbon Inaprovaline(Oxygen Sugar Carbon) Tricordrazine Dylovene(Potassium Silicon Nitrogen) Inaprovaline(Oxygen Sugar Carbon)
Caustic	Siderlac Stellibinin Aloe
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 Diphenhydramine
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 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

Refer to Virology