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Medical doctors have a bad reputation for never being around and being useless. Can you do better?

The Health System

All crew members spawn with 100% health, and with 4 categories of damage: suffocation, toxin, burn, and brute. Any damage taken will add to its corresponding category and subtract from total health. There is also brain damage, which works differently from the others. As one's health declines, they will find it harder to move around. At 0% health, the patient enters critical health. They will fall in and out of consciousness, begin to slowly take suffocation as well as brain damage and have an ever-increasing chance to develop shock and cardiac arrest. If left untreated, they will eventually reach a certain amount of damage (overall, but brain in particular) and die. Generally, people are unlikely to survive 200 (-100% health) or more total damage.

Drugs

Medical doctors have access to some of these in medbay, and others can be created by botanists (though you'll really have to nag them for it). The quartermaster can also provide a medical resupply kit. Advanced drugs can be created by the scientists, assuming they haven't already burned themselves to death. Medbots synthesize a number of different medicines, which are indicated in the table below.

For a more complete list of medical chemicals, how to make them, and what they do, see Chemistry.

Basic

Drug	Use	Advanced version
Ephedrine	Stabilizes critical patients. Reduces the duration of stuns and increases movement speed slightly. Addictive.	Epinephrine
Epinephrine	Stops suffocation, stabilizes critical patients. Treats cardiac problems and allergic reactions. Reduces stun/knockdown effects. Causes sickness on overdose (20+ units).	Atropine
Salbutamol	Treats suffocation damage. Part of the standard medbot injection set.	Perfluorodecalin
Styptic Powder	Slows down the health loss from bleeding and heals brute damage. Only apply topically (patch, dropper etc)!	Synthflesh
Silver Sulfadiazine	Heals people with burn damage. Only apply topically (patch, dropper etc)!	Synthflesh
Saline-glucose Solution	Slowly heals brute and burn damage, handles circulatory shock. Part of the standard medbot injection set.
Activated Charcoal	Treats toxin damage, absorbs other reagents in the body. Part of the standard medbot injection set.	Pentetic Acid
Calomel	Flushes chemicals out of people's bloodstreams, but causes toxin damage in the process.	Pentetic Acid
Potassium Iodide	Basic anti-radiation medicine.	Pentetic Acid
Cryoxodone	All damage types; used in cryo chambers. Only works at low temperatures!	Omnizine
Salicylic Acid	Basic painkiller. Heals small amounts of brute damage. Decently reduces the speed penalty from injuries, and reduces overheating.	Morphine
Morphine	Sedation. Low doses significantly reduce the speed penalty from severe injuries and help with jitteriness.

Advanced

Drug	Use
Atropine	More powerful version of epinephrine, useful when patient is near death. Fixes cardiac problems and rapidly flushes sarin out of the body.
Perfluorodecalin	Treats suffocation very well, but leaves the patient unable to talk in the meantime. Slowly heals burn and brute damage. Synthesized by the Head Surgeon medbot instead of salbutamol.
Synthflesh	Heals brute and burn damage very effectively. Only apply topically (patch, dropper etc)!
Pentetic Acid	Reduces radiation, heals toxin damage, flushes all other chemicals. Causes brute damage.
Omnizine	Heals most types of damage. Addictive.
Haloperidol	Anti-psychotic/sedative. Rapidly removes psychoactive drugs and stimulants, can cure certain psychoses, causes brain damage. Regular darts fired by the tranquilizer rifle also contain it.
Spaceacillin	Treats viruses. Part of the standard medbot injection set.
Mannitol	Cures brain damage.
Mutadone	Cures genetic defects.
Oculine	Treats eye damage.
Antihol	Treats drunkenness.
Insulin	Handles hyperglycaemic coma if someone passed out from 200+ units of sugar in their bloodstream.
Teporone	Normalizes body temperature.
Diphenhydramine	Also known as antihistamine. This can help deal with histamine, itching powder, certain bug bites too. More planned!

Damage

Not all mobs are susceptible to all damage types, but humans and monkeys are generally the most vulnerable. A couple of mutations, for example thermal resistance, offer some immunity. Changelings don't have to breathe and are thus not affected by suffocation and gas leaks. This also applies to cyborgs, but they can still be dented or burned. On the other hand, they don't have to worry about toxins, brain damage or radiation.

Note: Don't forget that every medical PDA (cyborgs included) is equipped with a reagent scanner! Its usefulness to quickly identify poisons cannot be overstated.

Suffocation

The patient has been exposed to an area without proper atmosphere, or strangled. Other possible causes include:

• Presence of CO2.
• Certain chemicals and chemical fumes, for example pancuronium.

Salbutamol will speed up recovery, but suffocation damage will heal naturally if there is enough air to breathe, provided the patient has not gone into critical health. If they are wearing an air tank and mask, make sure the valve isn't closed. If it isn't and they are still gasping, the tank is probably empty or not configured properly, so take it off.

A patient in critical health can't breathe unassisted. Inject saline and/or epinephrine to stabilize them, or give CPR by using an empty hand on them with the help intent. Make sure neither of you are wearing masks or hats.

Toxin

Toxin damage can come from a few sources:

• Breathing plasma causes toxic damage. Move the patient to a safe area if there is a gas leak.
• Certain viruses can cause toxic damage. Treat the virus first, then deal with the toxin damage.
• Ingesting harmful chemicals can cause toxin damage. Treat the poisoning first, then administer anti-toxins.
• Toxin damage is a byproduct of radiation poisoning. Deal with the poisoning first if anti-rad medicine is available.

The primary remedy is activated charcoal (anti-toxin pills). In severe cases, calomel will rapidly flush the patient at the cost of causing toxic damage itself. Pentetic acid is a superior alternative.

Certain toxins warrant special considerations:

• Embalming fluid: Will decay into histamine, which can cause anaphylaxis.
• Amanitin: This poison will cause toxic damage when the last unit decays. The amount of damage is based on how long it was in the patient's bloodstream.
• Coniine: Causes rapid asphyxiation and renders the victim incapable of speech.
• Sarin: Causes paralysis, shaking, vomiting, suffocation, toxin damage, and some burn damage. Neutralize with atropine.
• Venom: Causes toxic and brute damage. Decays into histamine, and can gib in large doses.

Burn

Burn damage can come many sources, such as:

• Fire, acid and electrical shocks are the most common.
• Exposure to space tiles without protective gear.
• Exposure to extremely high or low temperatures.
• Explosions.
• Inhaling superheated gas will fry someone's lungs from within, causing massive burn damage. Make sure you have internals on before rushing to help these patients.
• Certain weapons (such as a welder or laser guns) will also cause burn damage.
• Eating spicy food or food injected with certain hot chemicals.

If the patient is on fire, put the fire out before anything else. The burning sprite can be slow to update sometimes, so it can be hard to tell if you have extinguished the fire. Don't stuff a burning patient into cryo, they will take burn damage faster than the apparatus can heal them! Once the source of the burn damage is removed, treat with burn medication (e.g. silver sulfadiazine, burn patches) or cryo.

Brute

Brute damage is probably the most common form you will see. It comes in many forms:

• Bruises from physical combat, melee weapons etc.
• Being struck by a thrown object.
• Being shot by a revolver or other kinetic weapon.
• Explosions.
• Certain viruses and chemicals, for instance itching powder.
• Slipping on space lube.
• Taking a trip through a waste disposal chute.

Brute damage can be treated with styptic powder, synthflesh, healing patches or cryo. If the patient has been shot, they will continue to bleed until the bullet is removed. This requires surgery and a scalpel. If you cannot get the bullet out immediately, administer a pill of salicylic acid, which will boost their movement speed to normal, and send them to medbay for further treatment.

Brain

Brain damage is typically caused when other types of damage force a person into critical condition. It is the only type of damage that will directly kill a human or monkey. Other possible factors include:

• Severe head injuries.
• Certain viruses.
• Exposure to a number of chemicals, such as neurotoxin, haloperidol, sarin or mercury.

Health analyzers don't provide an exact value for brain damage. If the patient has suffered brain damage, the readout will indicate the fact: Concussion (slight), Retardation (heavy), Braindead (unable to breathe). Having brain damage also makes it difficult to do certain tasks, for example using computers or operating doors.

Mannitol is the primary counter to brain damage. If the patient is in critical condition, stabilize them with epinephrine or other means first, preventing further accumulation of brain damage. To deal with any poisons, follow the standard detox procedures and then follow up with a pill of mannitol.

Surgery

There are several problems that require immediate surgery in order to save the patient. People coming into medbay will expect you to be able to help, so you should familiarize yourself with this guide. There are multiple operating tables in the MedSci department. Medical cyborgs can utilize them as well by using drag & drop, but not actually assist with limb reattachment. Alternatively, it is possible to operate on somebody by using a regular table if the patient has been rendered unconscious, for example by breathing N2O.

Bullets and foreign objects

Scenario: The patient has all his limbs, but is bleeding profusely.
Diagnosis: Your patient has likely been shot or within the blast radius of a pipe bomb. Ask a few questions to confirm your suspicion.
Required tools: Scalpel
Remedy: Place the patient on an operating table and aim for their chest with the scalpel. Any implants will be removed first, so you may have to repeat the procedure twice.

Scenario: The patient was fighting a changeling and ended up being infected by its headspider.
Diagnosis: Time is of an essence. Unless removed quickly, the parasite will take over its new host.
Required tools: Scalpel
Remedy: Place the patient on an operating table and aim for their chest with the scalpel. This should cut a "strange tumor" out - if it doesn't after repeated attempts, it means the transformation has already been completed.

Limb removal and cauterization

Scenario: The patient is a healthy human with four limbs. For augmentation or other reasons, some of the limbs have to go.
Diagnosis: Surgery is the only safe option.
Required tools: Scalpel, circular saw
Remedy: Place the patient on an operating table and aim for the limb in question, then use the tools in the order scalpel-saw-scalpel. Note that even if you neglect to do the final step, the half-cut limb will still fall off after some time. This procedure will inflict a lot of tissue damage and could potentially put the patient in critical condition, so you need to have medical drugs at the ready.

Scenario: The patient is missing at least one limb and bleeding profusely.
Diagnosis: Rule out the possibility that the bleeding is caused by bullets or shrapnel. If limb loss is the source, the wound(s) will have to be cauterized.
Required tools: Welding tool
Remedy: Aim for the stump in question and cauterize the wound with the welder. Setting the patient on fire will achieve the same result, but is generally a very bad idea.

Author's note: The cauterization aspect appears to be broken. At the the moment, limb loss will never cause permanent bleeding.

Limb replacement

Scenario: The patient is either an amputee or already underwent limb removal, and wishes to have all of them restored.
Diagnosis: Surgery is the only option.
Required tools: Staple gun
Remedy: There are three options for replacement limbs, but the surgery procedure is the same regardless. Place the patient on an operating table and aim for the stump. Attach the corresponding limb and swiftly secure it with the medical stapler. Said limb may be:

• From the patient him-/herself.
• A robotic limb.
• From a donor. Note that these tend to reject their new owners and may cause more trouble than they're worth, thus using such limbs should only be the last resort.

Author's note: Donor limbs behaving oddly is another broken feature. There are currently no drawbacks if you chose this option.

Brain surgery

Scenario: Your patient is quite dead, or wishes to be a cyborg, and you need his brain for whatever reason.
Diagnosis: Surgery is the only way.
Required tools: Scalpel, circular saw
Remedy: Place the patient on an operating table and aim for the head. If they are wearing any kind of headgear (hats, masks, glasses), you have to get them off before proceeding. To remove the brain, use the tools in the order scalpel-saw-scalpel-saw.

Scenario: You are in possession of a detached brain (e.g. from a husk) and want to clone it in a new body.
Diagnosis: The brain needs a new host, and surgery is the only way.
Required tools: Scalpel, circular saw
Remedy: Acquire a body (human or monkey), which should not be rotten or a husk. Place it on an operating table and prepare it by removing its brain. After you've done that, insert the new one and clone the whole abomination in genetics.

Other Ailments

Viruses

There are many different types of viruses on the station, each with its own effects and possible cures. Using a medical analyzer on someone who is infected will display a report in red text, containing the name of the virus, its stage, and possible cure. Wear gloves and a medical mask to offer some minor protection against disease and load up on spaceacillin.

• Food poisoning is the most common virus you will encounter, caused by eating bad food. The patient need only sleep it off. Stuff them in a sleeper or let them sleep in the recovery area.
• Robotic Transformation is caused by eating roburgers or exposure to nanites. If untreated, the patient will explode and become a cyborg. Treat with electric shocks.
• Kuru is caused by eating brain burgers or exposure to prions. There is no known cure, so scan them at Genetics before they die.
• Grave Fever is caused by a Vampire ability and must be quickly counteracted with spaceacillin to prevent the patient from rotting away.
• Necrotic Degeneration is similar to grave fever but extremely contagious. Don't approach someone who is infected unless you have protective gear and the ability to cure yourself. It is initially spread by NPC zombies, or board admins.
• Type D-Owns Syndrome occurs after eating a droopy cake. It will eventually kill the patient, so hassle Chemistry for curing drugs.

Other viruses do not appear outside of admin intervention or random event. For the "full" list (Read; Not at all a full list), check out the Virus page.

Addiction

Addiction functions similar to a non-contagious disease. You will receive an indication using a health scanner that also displays what stage it's in. The patient will know they are addicted because they are receiving constant messages to use whatever chem they are addicted to. Common addiction sources are methamphetamine and nicotine. With each progressive stage of withdrawal, the symptoms become worse-- stunning, vomiting, shaking, and so on. An addict can be treated either with hair of the dog for temporary relief, or they'll just have to tough it out. If they have the chemical in their system, try flushing it out as if it were a poison. If the patient consents, keep them in the secure area of Medbay with the beds until they overcome the addiction. This is more for their safety, as they are very weak and open to mugging/assault during withdrawal. If the addict is still shaking after they're no longer reliant, you can optionally inject them with 5 units of Haloperidol. It might cause some brain damage, but it will stop the shaking and addiction effects. If they do actually have brain damage because of it, a mannitol pill will probably fix that.

Radiation

Radiation will cause toxic damage as long as it's in someone's system. Radiation can come from certain poisons, a Blowout, Mining accidents, or being shot with a rad-bow. Potassium Iodide or Pentetic Acid will remove the radiation, but if those are unavailable, the patient will have to wait for the radiation to subside on its own. Radiation can be monitored using the Geneticist's GeneTek Console, or using a Health Analyzer by observing the point until toxin damage stops accumulating.

Genetic Defects

Quite often caused by large amounts of radiation that got in the victim's body for some reason, these defects can cause a great amount of damage to anyone being ailed by them. Common symptoms include: Speaking oddly, becoming very short, blindness, quickly gaining a surplus of excess fat, tourettes, and even permanent radiation sickness, which can cause even more defects to appear within the patent. Thankfully, these can all be cured by simply giving the patent a pill of Mutadone, which will quickly and safely eradicate any and all genetic mutations from them.

Anaphylaxis

The patient is full of histamine, causing brute, toxic, and suffocation damage. Epinephrine and especially Diphenhydramine will treat it.

Concussion

The analyzer will report that the subject has suffered minor/major brain damage, and looking at the patient may reveal they have a stupid expression on their face. A concussion can be treated with Mannitol, but if the brain damage is genetic in nature, some Mutadone will be required to fix it.

Cardiac arrest

Cardiac arrest is a major emergency that if left untreated will rapidly lead to the death of your patient. Causes include an untreated cardiac emergency and certain poisons. Treatment consists of defibrillation, coupled with treatment of other underlying conditions. If these go untreated, the patient will simply go into cardiac arrest again. If a defibrillator is unavailable, one should find other sources of electric shock. A Security Officer will be happy to assist in these cases. If electric shock is unavailable, atropine and CPR may be effective.