Difference between revisions of "Doctoring"

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==The Health System==
==The Health System==
All crew members spawn with 100% health, and with four 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 and bleeding damage, which work 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 stumble around, 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 failure. If left untreated, they will eventually reach a certain amount of damage (overall, around 600) and die. Generally speaking, people are unlikely to survive 200 (-100% health) or more total damage.
All crew members spawn with 100% health, and with four 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 and bleeding damage, which work 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 stumble around, 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 failure. If left untreated, they will eventually reach a certain amount of damage (overall, around 400) and die. Generally speaking, people are unlikely to survive 200 (-100% health) or more total damage.


==Drugs==
==Drugs==
{{main|Chemicals#Medical Chems}}
[[Medical Doctor|Medical doctors]] have access to some of these in [[Medbay|medbay]], and others can be created by [[Botanist|botanists]] (though you'll have to nag them for it). The [[Quartermaster|quartermaster]] can order a [[Quartermaster#Medical Department|number of medical resupply kits]]. Advanced drugs can be created by the [[Scientist|scientists]], assuming they haven't already burned themselves to death. [[Robots#Medbot|Medbots]] synthesize many different medicines, which are indicated in the table below.
[[Medical Doctor|Medical doctors]] have access to some of these in [[Medbay|medbay]], and others can be created by [[Botanist|botanists]] (though you'll have to nag them for it). The [[Quartermaster|quartermaster]] can order a [[Quartermaster#Medical Department|number of medical resupply kits]]. Advanced drugs can be created by the [[Scientist|scientists]], assuming they haven't already burned themselves to death. [[Robots#Medbot|Medbots]] synthesize many different medicines, which are indicated in the table below.
For a complete list of medical chemicals, how to make them, and what they do, see [[Chemistry#Medical Chems|Chemistry]].
===Basic===
===Basic===
{| class="wikitable"
{| class="wikitable sortable"
!scope = "col" style="width: 20%" | Drug
! Drug
!scope = "col" style="width: 60%" | Use
! class="unsortable" | Use
!scope = "col" style="width: 20%" | Advanced version
! Advanced version


|- id="Ephedrine"
|- id="Ephedrine"
! [[Chemistry#Ephedrine|Ephedrine]]
! [[Chemicals#Ephedrine|Ephedrine]]
| Stabilizes critical patients, but less effectively than epinephrine. Reduces stun/knockdown effects. Addictive.
| Stabilizes critical patients, but less effectively than epinephrine. Reduces stun/knockdown effects. Addictive.
| Epinephrine
| Epinephrine


|- id="Epinephrine"
|- id="Epinephrine"
! [[Chemistry#Epinephrine|Epinephrine]]
! [[Chemicals#Epinephrine|Epinephrine]]
| Stops suffocation, stabilizes critical patients. Treats cardiac problems and allergic reactions. Reduces stun/knockdown effects. Slows down effects of sarin. Causes sickness on overdose (20+ units).  
| Stops suffocation, stabilizes critical patients. Treats cardiac problems and allergic reactions. Reduces stun/knockdown effects. Slows down effects of sarin. Causes sickness on overdose (20+ units).  
| Atropine
| Atropine


|- id="Salbutamol"
|- id="Salbutamol"
! [[Chemistry#Salbutamol|Salbutamol]]
! [[Chemicals#Salbutamol|Salbutamol]]
| Treats suffocation damage and respiratory failure and repairs the lungs and spleen. Part of the standard [[Robots#Medbot|medbot]] injection set.
| Treats suffocation damage and respiratory failure and repairs the lungs and spleen. Part of the standard [[Robots#Medbot|medbot]] injection set.
| Perfluorodecalin
| Perfluorodecalin


|- id="Styptic Powder"
|- id="Styptic Powder"
! [[Chemistry#Styptic Powder|Styptic Powder]]
! [[Chemicals##Styptic Powder|Styptic Powder]]
| Slows down the health loss from bleeding and heals brute damage. Only apply topically (patch, dropper, etc.)!
| Slows down the health loss from bleeding and heals brute damage. Only apply topically (patch, dropper, etc.)!
| Synthflesh
| Synthflesh


|- id="Silver Sulfadiazine"
|- id="Silver Sulfadiazine"
! [[Chemistry#Silver Sulfadiazine|Silver Sulfadiazine]]
! [[Chemicals#Silver Sulfadiazine|Silver Sulfadiazine]]
| Heals burn damage. Only apply topically (patch, dropper, etc.)!
| Heals burn damage. Only apply topically (patch, dropper, etc.)!
| Synthflesh
| Synthflesh


|- id="Saline"
|- id="Saline"
! [[Chemistry#Saline-Glucose Solution|Saline-glucose Solution]]
! [[Chemicals#Saline-Glucose Solution|Saline-glucose Solution]]
| Slowly heals brute and burn damage, handles [[Doctoring#Shock|circulatory shock]], increases the body's natural regeneration rate of blood. Part of the standard medbot injection set. Having Saline in your bloodstream for too long will cause hypertension due to its blood regenerating effects.
| Slowly heals brute and burn damage, handles [[Doctoring#Shock|circulatory shock]], increases the body's natural regeneration rate of blood. Part of the standard medbot injection set. Having Saline in your bloodstream for too long will cause hypertension due to its blood regenerating effects.
|  
|  


|- id="Charcoal"
|- id="Charcoal"
! [[Chemistry#Charcoal|Charcoal]]
! [[Chemicals#Charcoal|Charcoal]]
| Treats toxin damage, absorbs other reagents in the body, heals damage to the liver, kidneys, stomach, and intestines, and can cure kidney and liver failure. Part of the standard medbot injection set.
| Treats toxin damage, absorbs other reagents in the body, heals damage to the liver, kidneys, stomach, and intestines, and can cure kidney and liver failure. Part of the standard medbot injection set.
| Pentetic Acid
| Pentetic Acid


|- id="Calomel"
|- id="Calomel"
! [[Chemistry#Calomel|Calomel]]
! [[Chemicals#Calomel|Calomel]]
| Rapidly flushes chemicals out of people's bloodstreams, but causes toxin damage in the process.
| Rapidly flushes chemicals out of people's bloodstreams, but causes toxin damage in the process.
| Pentetic Acid
| Pentetic Acid


|- id="Potassium Iodide"
|- id="Potassium Iodide"
! [[Chemistry#Potassium Iodide|Potassium Iodide]]
! [[Chemicals#Potassium Iodide|Potassium Iodide]]
| Basic anti-radiation medicine. Reduces radiation, heals a small sliver of tox damage, and can repair kidney, liver, intestines, and stomach damage a little bit.
| Basic anti-radiation medicine. Reduces radiation, heals a small sliver of tox damage, and can repair kidney, liver, intestines, and stomach damage a little bit.
| Pentetic Acid
| Pentetic Acid


|- id="Ammonium Bicarbonate"
|- id="Ammonium Bicarbonate"
! [[Chemistry#Ammonium Bicarbonate|Ammonium Bicarbonate]] <br> (Smelling salts)
! [[Chemicals#Ammonium Bicarbonate|Ammonium Bicarbonate]] <br> (Smelling salts)
| Basic anti-radiation medicine, weaker than potassium iodide. Stabilizes critical patients, slightly more effectively than ephedrine but not epinephrine.   
| Basic anti-radiation medicine, weaker than potassium iodide. Stabilizes critical patients, slightly more effectively than ephedrine but not epinephrine.   
| Pentetic Acid
| Pentetic Acid


|- id="Cryoxadone"
|- id="Cryoxadone"
! [[Chemistry#Cyroxadone|Cryoxadone]]
! [[Chemicals#Cyroxadone|Cryoxadone]]
| Heals all organs and most damage types; used in [[Medical Doctor#Using the Cryo Chambers|cryo chambers]]. Only works at low temperatures!
| Heals all organs and most damage types; used in [[Medical Doctor#Using the Cryo Chambers|cryo chambers]]. Only works at low temperatures!
| Omnizine
| Omnizine


|- id="Salicylic Acid"
|- id="Salicylic Acid"
! [[Chemistry#Salicylic Acid|Salicylic Acid]]
! [[Chemicals#Salicylic Acid|Salicylic Acid]]
| Basic painkiller. Heals small amounts of brute damage. Decently reduces the speed penalty from injuries, and reduces overheating.  
| Basic painkiller. Heals small amounts of brute damage. Decently reduces the speed penalty from injuries, and reduces overheating.  
| Morphine
| Morphine


|- id="Morphine"
|- id="Morphine"
! [[Chemistry#Morphine|Morphine]]
! [[Chemicals##Morphine|Morphine]]
| Sedation. Low doses significantly reduce the speed penalty from severe injuries and help with jitteriness. Addictive.
| Sedation. Low doses significantly reduce the speed penalty from severe injuries and help with jitteriness. Addictive.
|
|


|- id="Chicken Soup"
|- id="Chicken Soup"
! [[Chemistry#Chicken Soup|Chicken Soup]]
! [[Chemicals#Chicken Soup|Chicken Soup]]
| Basic anti-viral. Can cure minor diseases, such as food poisoning or the flu, but not as well as Robustissin can. Available from coffee machines.
| Basic anti-viral. Can cure minor diseases, such as food poisoning or the flu, but not as well as Robustissin can. Available from coffee machines.
| Robustissin
| Robustissin


|- id="Space Ipecac"
|- id="Space Ipecac"
! [[Chemistry#Space Ipecac|Space Ipecac]]
! [[Chemicals#Space Ipecac|Space Ipecac]]
| Emetic. May induce vomiting, causing the patient spew out their most recent meal (and whatever reagents/poisons were in it) as half-digested food chunks. May cause food poisoning.
| Emetic. May induce vomiting, causing the patient spew out their most recent meal (and whatever reagents/poisons were in it) as half-digested food chunks. May cause food poisoning.
|  
|  


|- id="Menthol"
|- id="Menthol"
! [[Chemistry#Menthol|Menthol]]
! [[Chemicals#Menthol|Menthol]]
| Burn and fever medication. Attempts to lower body temperature back to normal, sometimes heals a little burn damage.
| Burn and fever medication. Attempts to lower body temperature back to normal, sometimes heals a little burn damage.
|
|
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===Advanced===
===Advanced===
{| class="wikitable"
{| class="wikitable sortable"
!scope = "col" style="width: 20%" | Drug
! Drug
!scope = "col" style="width: 80%" | Use
! class="unsortable" | Use


|- id="Atropine"
|- id="Atropine"
! [[Chemistry#Atropine|Atropine]]
! [[Chemicals#Atropine|Atropine]]
| More powerful version of epinephrine, useful when a patient is near death. Fixes cardiac problems, heals a bit of brain, brute, and burn damage,  and rapidly flushes [[Chemistry#Sarin|sarin]] out of the body.
| More powerful version of epinephrine, useful when a patient is near death. Fixes cardiac problems, heals a bit of brain, brute, and burn damage,  and rapidly flushes [[Chemicals#Sarin|sarin]] out of the body.


|- id="Perfluorodecalin"
|- id="Perfluorodecalin"
! [[Chemistry#Perfluorodecalin|Perfluorodecalin]]
! [[Chemicals#Perfluorodecalin|Perfluorodecalin]]
| Treats suffocation very well, causes mildly annoying gasping in the meantime. Slowly heals burn and brute damage and heals lung and spleen damage slightly faster. Can cure respiratory failure. Synthesized by the [[Head Surgeon]] medbot instead of salbutamol. Addictive. You might see people walking out of the cloner with a Perfluorodecalin addiction once in a while.
| Treats suffocation very well, causes mildly annoying gasping in the meantime. Slowly heals burn and brute damage and heals lung and spleen damage slightly faster. Can cure respiratory failure. Synthesized by the [[Head Surgeon]] medbot instead of salbutamol. Addictive. You might see people walking out of the cloner with a Perfluorodecalin addiction once in a while.


|- id="Synthflesh"
|- id="Synthflesh"
! [[Chemistry#Synthflesh|Synthflesh]]
! [[Chemicals#Synthflesh|Synthflesh]]
| Heals brute and burn damage very effectively, and also stops bleeding instantly. Only apply topically (patch, dropper, etc.)!  
| Heals brute and burn damage very effectively, and also stops bleeding instantly. Only apply topically (patch, dropper, etc.)!  


|- id="Pentetic Acid"
|- id="Pentetic Acid"
! [[Chemistry#Pentetic Acid|Pentetic Acid]]
! [[Chemicals#Pentetic Acid|Pentetic Acid]]
| Reduces radiation, heals toxin damage, treats damage to the liver, kidneys, stomach, and intestines, can cure kidney and liver failure, flushes all other chemicals. Causes brute damage.
| Reduces radiation, heals toxin damage, treats damage to the liver, kidneys, stomach, and intestines, can cure kidney and liver failure, flushes all other chemicals. Causes brute damage.


|- id="Omnizine"
|- id="Omnizine"
! [[Chemistry#Omnizine|Omnizine]]
! [[Chemicals#Omnizine|Omnizine]]
| Reduces bleeding and heals all organs and most types of damage. Addictive.
| Reduces bleeding and heals all organs and most types of damage. Addictive.


|- id="Haloperidol"
|- id="Haloperidol"
! [[Chemistry#Haloperidol|Haloperidol]]
! [[Chemicals#Haloperidol|Haloperidol]]
| Anti-psychotic/sedative. Rapidly removes psychoactive drugs and stimulants, can cure certain psychoses, causes brain damage. Regular darts fired by the [[Security Objects#Tranquilizer Rifle|tranquilizer rifle]] also contain it.
| Anti-psychotic/sedative. Rapidly removes psychoactive drugs and stimulants, can cure certain psychoses, causes brain damage. Regular darts fired by the [[Security Objects#Tranquilizer Rifle|tranquilizer rifle]] also contain it.


|- id="Spaceacillin"
|- id="Spaceacillin"
! [[Chemistry#Spaceacillin|Spaceacillin]]
! [[Chemicals#Spaceacillin|Spaceacillin]]
| Treats certain [[Virus|diseases]]. Part of the standard [[Robots#Medbot|medbot]] injection set.
| Treats certain [[Virus|diseases]]. Part of the standard [[Robots#Medbot|medbot]] injection set.


|- id="Robustissin"
|- id="Robustissin"
! [[Chemistry#Robustissin|Robustissin]]
! [[Chemicals#Robustissin|Robustissin]]
| Can cure minor diseases, such as food poisoning or the flu.  
| Can cure minor diseases, such as food poisoning or the flu.  


|- id="Mannitol"
|- id="Mannitol"
! [[Chemistry#Mannitol|Mannitol]]
! [[Chemicals#Mannitol|Mannitol]]
| Cures brain damage.
| Cures brain damage.


|- id="Mutadone"
|- id="Mutadone"
! [[Chemistry#Mutadone|Mutadone]]
! [[Chemicals#Mutadone|Mutadone]]
| Removes [[Guide to Genetics#Possible Mutation|mutations]], harmful, beneficial, or harmless.
| Removes [[Guide to Genetics#Possible Mutation|mutations]], harmful, beneficial, or harmless.


|- id="Oculine"
|- id="Oculine"
! [[Chemistry#Oculine|Oculine]]
! [[Chemicals#Oculine|Oculine]]
| Treats eye and hearing damage.
| Treats eye and hearing damage.


|- id="Antihol"
|- id="Antihol"
! [[Chemistry#Antihol|Antihol]]
! [[Chemicals#Antihol|Antihol]]
| Treats drunkenness.
| Treats drunkenness.


|- id="Insulin"
|- id="Insulin"
! [[Chemistry#Insulin|Insulin]]
! [[Chemicals#Insulin|Insulin]]
| Handles [[Doctoring#Hyperglycaemic shock|hyperglycaemic shock]].
| Handles [[Doctoring#Hyperglycaemic shock|hyperglycaemic shock]].


|- id="Teporone"
|- id="Teporone"
! [[Chemistry#Teporone|Teporone]]
! [[Chemicals#Teporone|Teporone]]
| Normalizes body temperature. Addictive.
| Normalizes body temperature. Addictive.


|- id="Diphenhydramine"
|- id="Diphenhydramine"
! [[Chemistry#Diphenhydramine|Diphenhydramine]]
! [[Chemicals#Diphenhydramine|Diphenhydramine]]
| Also known as antihistamine. This can help deal with histamine, itching powder, bee venom and certain bug bites.
| Also known as antihistamine. This can help deal with histamine, itching powder, bee venom and certain bug bites.


|- id="Filgrastim"
|- id="Filgrastim"
! [[Chemistry#Filgrastim|Filgrastim]]
! [[Chemicals#Filgrastim|Filgrastim]]
| Stimulates blood production; usually used after moderate blood loss.
| Stimulates blood production; usually used after moderate blood loss.


|- id="Heparin"
|- id="Heparin"
! [[Chemistry#Heparin|Heparin]]
! [[Chemicals#Heparin|Heparin]]
| An anticoagulant, which will worsen bleeding but will also lessen the symptoms of hypertension, lower blood clots, and help with heart disease.
| An anticoagulant, which will worsen bleeding but will also lessen the symptoms of hypertension, lower blood clots, and help with heart disease.


|- id="Proconvertin"
|- id="Proconvertin"
! [[Chemistry#Proconvertin|Proconvertin]]
! [[Chemicals#Proconvertin|Proconvertin]]
| A coagulant, which will help lessen blood loss, worsen or sometimes cause clots, and increase blood pressure.
| A coagulant, which will help lessen blood loss, worsen or sometimes cause clots, and increase blood pressure.
|}
|}
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* [[Cyborg#Patching up|Cyborgs]] don't have to worry about toxins, radiation or suffocation, but they can still be dented or burned.
* [[Cyborg#Patching up|Cyborgs]] don't have to worry about toxins, radiation or suffocation, but they can still be dented or burned.


In technical terms, the damage types are often referred to as OXY, TOX, BURN, BRUTE, BRAIN, BLEEDING, EYE, and EAR.
In technical terms, the damage types are often referred to as {{OXY}}, {{TOX}}, {{BURN}}, {{BRUTE}}, BRAIN, BLEEDING, EYE, and EAR.


'''Note:''' Don't forget that every [[Medical Objects#Health Analyzer|medical PDA]] (cyborgs included) is equipped with a [[reagent scanner]]! Separate hand-held devices and upgrades for regular health analyzers are also available. Its usefulness to quickly identify poisons cannot be overstated.
'''Note:''' Don't forget that every [[Medical Objects#Health Analyzer|medical PDA]] (cyborgs included) is equipped with a [[reagent scanner]]! Separate hand-held devices and upgrades for regular health analyzers are also available. Its usefulness to quickly identify poisons cannot be overstated.
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* Presence of [[Gas#Carbon Dioxide|CO2]].
* Presence of [[Gas#Carbon Dioxide|CO2]].
* Certain chemicals and chemical fumes, for example [[Chemistry#Pancuronium|pancuronium]].
* Certain chemicals and chemical fumes, for example [[Chemicals#Pancuronium|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 [[General Objects#Gas Tank|air tank]] and mask, make sure the valve isn't closed. If it isn't, the tank is probably empty or [[Health Indicators|not configured properly]], so take it off.
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 [[General Objects#Gas Tank|air tank]] and mask, make sure the valve isn't closed. If it isn't, the tank is probably empty or [[Health Indicators|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 [[Clothing#Masks|masks]] or [[Clothing#Head|hats]].
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 {{Help}} intent. Make sure neither of you are wearing [[Clothing#Masks|masks]] or [[Clothing#Head|hats]].


====LOSEBREATH====
====LOSEBREATH====
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You won't find it on a scanner reading, but if you ever see an [[Health Indicators#Atmosphere|O2 Warning icon]] pop up on your screen, that's LOSEBREATH at work.
You won't find it on a scanner reading, but if you ever see an [[Health Indicators#Atmosphere|O2 Warning icon]] pop up on your screen, that's LOSEBREATH at work.


Salbutamol will help the patient breath again, as will cardiac stimulants like epinephrine, but LOSEBREATH will reverse itself naturally, proved there is enough air to breathe, and the patient is not in critical condition or worst. Giving CPR by clicking on a patient with an empty hand while on ''help'' intent will also reduce LOSEBREATH.
Salbutamol will help the patient breath again, as will cardiac stimulants like epinephrine, but LOSEBREATH will reverse itself naturally, proved there is enough air to breathe, and the patient is not in critical condition or worst. Giving CPR by clicking on a patient with an empty hand with {{Help}} intent will also reduce LOSEBREATH.


===Toxin===
===Toxin===
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* Bruises from physical combat, melee weapons, etc.
* Bruises from physical combat, melee weapons, etc.
* Being struck by a thrown object.
* Being struck by a thrown object.
* Being shot by a [[Murder#357Revolver|revolver]] or other kinetic weapons.
* Being shot by a [[Murder#CPA Predator MKII|revolver]] or other kinetic weapons.
* Explosions.
* Explosions.
* Certain [[Virus|viruses]] and chemicals, for instance [[Chemistry#Itching Powder|itching powder]].
* Certain [[Virus|viruses]] and chemicals, for instance [[Chemicals#Itching Powder|itching powder]].
* Slipping on space lube.
* Slipping on space lube.
* Taking a trip through a waste [[General Objects#Disposal Unit|disposal chute]].
* Taking a trip through a waste [[General Objects#Disposal Unit|disposal chute]].
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* Severe head injuries.
* Severe head injuries.
* Certain viruses.
* Certain viruses.
* Exposure to a number of chemicals, such as [[Chemistry#Neurotoxin|neurotoxin]], haloperidol, sarin or mercury.
* Exposure to a number of chemicals, such as [[Chemicals#Neurotoxin|neurotoxin]], haloperidol, sarin or mercury.


Health analyzers don't provide an exact value for brain damage. If somebody has suffered brain damage, the readout will indicate the fact:  
Health analyzers don't provide an exact value for brain damage. If somebody has suffered brain damage, the readout will indicate the fact:  
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*'''300:''' Medium chance for shock, the patient will be slowed down to walking speed, experience random stuns or pass out.
*'''300:''' Medium chance for shock, the patient will be slowed down to walking speed, experience random stuns or pass out.
*'''200:''' High chance for shock, walking speed, random stuns and KOs.
*'''200:''' High chance for shock, walking speed, random stuns and KOs.
*'''100:''' High chance for shock, walking speed, lots of random stuns and KOs. The patient will steadily rack up OXY and BRAIN damage, enter critical condition and pass away in short order.
*'''100:''' High chance for shock, walking speed, lots of random stuns and KOs. The patient will steadily rack up {{OXY}} and BRAIN damage, enter critical condition and pass away in short order.


You can assess the patient's condition with a health analyzer or by examining them. Somebody with a low blood level will appear "pale", for instance. More accurate readings can be obtained by upgrading the analyzer, which will tell you the exact amount of blood and blood loss per life cycle.
You can assess the patient's condition with a health analyzer or by examining them. Somebody with a low blood level will appear "pale", for instance. More accurate readings can be obtained by upgrading the analyzer, which will tell you the exact amount of blood and blood loss per life cycle.
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* Wait it out. The body can occasionally heal 1 BLEEDING over time, so minor wounds can be ignored under certain circumstances. Don't make the mistake to depend on it to save somebody's life, however!
* Wait it out. The body can occasionally heal 1 BLEEDING over time, so minor wounds can be ignored under certain circumstances. Don't make the mistake to depend on it to save somebody's life, however!
* Using the ''help'' intent on somebody may slow the rate of bleeding, but it's not very reliable. Both parties have to stand still.
* Using the {{Help}} intent on somebody may slow the rate of bleeding, but it's not very reliable. Both parties have to stand still.
* Cauterize the wound with a [[Engineering Objects#Welder|welding tool]], [[General Objects#Lighter|zippo lighter]], [[Science Objects#Igniter|igniter]] or lit cigarette. Beware, this will burn the patient as well.
* Cauterize the wound with a [[Engineering Objects#Welder|welding tool]], [[General Objects#Lighter|zippo lighter]], [[Science Objects#Igniter|igniter]] or lit cigarette. Beware, this will burn the patient as well.
* [[Medical Objects#Medical Patch|Medical patches]] can reduce bleeding.
* [[Medical Objects#Medical Patch|Medical patches]] can reduce bleeding.
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*[[Engineering#Welder|Welding]] without protection.
*[[Engineering#Welder|Welding]] without protection.
*Improper use of [[Chemistry#Flash Powder|flash powder]].
*Improper use of [[Chemicals#Flash Powder|flash powder]].
*[[Security Objects#Flashbang|Flashbangs]].
*[[Security Objects#Flashbang|Flashbangs]].
*Getting [[Chemistry#Capsaicin|capsaicin]] on the skin/face.
*Getting [[Chemicals#Capsaicin|capsaicin]] on the skin/face.
*Exposure to flashes and other bright lights while wearing [[Security Objects#Optical Thermal Scanner|optical thermal scanners]].
*Exposure to flashes and other bright lights while wearing [[Security Objects#Optical Thermal Scanner|optical thermal scanners]].
*[[Wizard#Offensive|Blinding spells]].
*[[Wizard#Offensive|Blinding spells]].
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Eye damage worsens the effects of sources of eye damage. If eye damage is allowed to accumulate, later eye injuries can result in blurriness, temporary [[Guide to Genetics#Diminished Optic Nerves|short-sightedness]], and eventually permanent [[Guide to Genetics#Blindness|blindness]].
Eye damage worsens the effects of sources of eye damage. If eye damage is allowed to accumulate, later eye injuries can result in blurriness, temporary [[Guide to Genetics#Diminished Optic Nerves|short-sightedness]], and eventually permanent [[Guide to Genetics#Blindness|blindness]].


Health analyzers do not detect eye damage. Instead, you must wave a [[Medical Objects#Penlight|penlight]] over a patient's eyes/face/head to diagnose any eye problems. If you get a message about their pupils constricting normally and their eyes easily following the light, they're fine. If not, administer oculine in any form, e.g. [[Medical Objects#Dropper|drops]], patch, pill.
Health analyzers do not detect eye damage. Instead, you must ask the patient if their sight is good. If not, administer oculine in any form, e.g. [[Medical Objects#Dropper|drops]], patch, pill.


[[Engineering Objects#Welding Mask|Welding masks]] and [[Guide to Mining#Industrial Space Armor Set |most]] [[Engineering Objects#Engineering Space Suit|varieties]] of [[Clothing#Space Helmet|space helmets]] outright block most sources of eye damage. [[Security Objects#Sunglasses|Sunglasses]], [[Security Objects#Security Huds|SecHUDs]], and [[Roboticist#EyeSunglasses|polarized eyes]] offer similar protection, though they only reduce damage from welding. Meanwhile, [[Security Objects#Optical Thermal Scanner|optical thermal scanners]] and [[Syndicate Items#Night Vision Goggles|NVG goggles]] intensify eye damage, often significantly.
[[Engineering Objects#Welding Mask|Welding masks]] and [[Guide to Mining#Industrial Space Armor Set |most]] [[Engineering Objects#Engineering Space Suit|varieties]] of [[Clothing#Space Helmet|space helmets]] outright block most sources of eye damage. [[Security Objects#Sunglasses|Sunglasses]], [[Security Objects#Security Huds|SecHUDs]], and [[Roboticist#EyeSunglasses|polarized eyes]] offer similar protection, though they only reduce damage from welding. Meanwhile, [[Security Objects#Optical Thermal Scanner|optical thermal scanners]] and [[Syndicate Items#Night Vision Goggles|NVG goggles]] intensify eye damage, often significantly.
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The patient's eardrums are damaged, and they are having trouble hearing, often experiencing temporary deafness and tinnitus, "ringing" in the ears. Probably the rarest damage type, though easily the least lethal and debilitating. Potential sources include:
The patient's eardrums are damaged, and they are having trouble hearing, often experiencing temporary deafness and tinnitus, "ringing" in the ears. Probably the rarest damage type, though easily the least lethal and debilitating. Potential sources include:


*Improper use of [[Chemistry#Hootingium|sonic powder/hootingium]].
*Improper use of [[Chemicals#Hootingium|sonic powder/hootingium]].
*[[Security Objects#Flashbang|Flashbangs]] and [[Syndicate Items#Sonic Grenades|sonic grenades]].
*[[Security Objects#Flashbang|Flashbangs]] and [[Syndicate Items#Sonic Grenades|sonic grenades]].
*Vuvuzelas, [[Syndicate Items#Amplified Vuvuzela|amplified]] and unamplified.
*Vuvuzelas, [[Syndicate Items#Amplified Vuvuzela|amplified]] and unamplified.
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Any ranged or melee attacks that inflict [[#Brute|brute damage]] specifically to the chest have a chance to also damage two random organs listed in this section. The attack has to cause more than 5 damage, and higher damage means more damage to the organs, though only 5-10% of it becomes organ damage. This is low enough that anything that causes significant damage to organs is usually enough to easily put the victim into critical condition, often a greater issue. The spleen and lungs are more resilient to attacks than the other organs in the chest.
Any ranged or melee attacks that inflict [[#Brute|brute damage]] specifically to the chest have a chance to also damage two random organs listed in this section. The attack has to cause more than 5 damage, and higher damage means more damage to the organs, though only 5-10% of it becomes organ damage. This is low enough that anything that causes significant damage to organs is usually enough to easily put the victim into critical condition, often a greater issue. The spleen and lungs are more resilient to attacks than the other organs in the chest.


Generally, if an organ hasn't died, to treat its particular ailments and damage, you administer whatever drugs heal the damage the ailment causes, e.g. liver failure causes TOX, so you can cure it and heal liver damage by administering [[#Toxin|TOX-healing]] drugs. When in doubt, try [[Chemistry#Omnizine|omnizine]] and [[Chemistry#Cryoxadone|cryoxadone]], which heal all organs. All organ-related issues, including organ death, can also be treated simply by replacing the organ.
Generally, if an organ hasn't died, to treat its particular ailments and damage, you administer whatever drugs heal the damage the ailment causes, e.g. liver failure causes {{TOX}}, so you can cure it and heal liver damage by administering [[#Toxin|{{TOX}}-healing]] drugs. When in doubt, try [[Chemicals#Omnizine|omnizine]] and [[Chemicals#Cryoxadone|cryoxadone]], which heal all organs. All organ-related issues, including organ death, can also be treated simply by replacing the organ.


===Lung Damage===
===Lung Damage===
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*Smoking [[General Objects#Cigarette|cigarettes]] and similar tobacco products. Nicotine content does not matter, only length of smoking sessions.
*Smoking [[General Objects#Cigarette|cigarettes]] and similar tobacco products. Nicotine content does not matter, only length of smoking sessions.


If a single lung reaches "Critical" damage levels, that lung will eventually cause [[#Respiratory Failure|respiratory failure]]. If one lung goes missing or dies (i.e. has 100 damage or more), the patient will sometimes [[#Suffocation|suffocate]], and their max stamina is decreased by 75 and stamina regeneration by 3. If both lungs are gone or dead, the patient will rapidly accumulate [[#Suffocation|OXY damage]] and [[#LOSEBREATH|LOSEBREATH]] with every second, with max stamina plummeting by 150 and stamina regen by 6.  
If a single lung reaches "Critical" damage levels, that lung will eventually cause [[#Respiratory Failure|respiratory failure]]. If one lung goes missing or dies (i.e. has 100 damage or more), the patient will sometimes [[#Suffocation|suffocate]], and their max stamina is decreased by 75 and stamina regeneration by 3. If both lungs are gone or dead, the patient will rapidly accumulate [[#Suffocation|{{OXY}} damage]] and [[#LOSEBREATH|LOSEBREATH]] with every second, with max stamina plummeting by 150 and stamina regen by 6.  


Medications designed to treat [[#Suffocation|OXY damage]], such as [[#Salbutamol|salbutamol]] and [[#Perfluorodecalin|perfluorodecalin]] will also heal lung damage. [[Chemistry#Omnizine|Omnizine]] and [[Chemistry#Cryoxadone|cryoxadone]] are both effective at treating lung damage.
Medications designed to treat [[#Suffocation|{{OXY}} damage]], such as [[#Salbutamol|salbutamol]] and [[#Perfluorodecalin|perfluorodecalin]] will also heal lung damage. [[Chemicals#Omnizine|Omnizine]] and [[#Cryoxadone|cryoxadone]] are both effective at treating lung damage.


====Respiratory Failure====
====Respiratory Failure====
Should a lung accumulate too much damage, it will start to fail. Symptoms include gasping, twitching, pains in the ribs, sensations of trouble breathing, and, most importantly, occasional [[#LOSEBREATH|LOSEBREATH]]. In last stage of failure, the patient suffers frequent [[#Suffocation|OXY damage]] and [[#LOSEBREATH|LOSEBREATH]], and the lung starts actively deteriorating. If left unchecked, the lung will eventually die, causing the same effects as not having the lung at all.  
Should a lung accumulate too much damage, it will start to fail. Symptoms include gasping, twitching, pains in the ribs, sensations of trouble breathing, and, most importantly, occasional [[#LOSEBREATH|LOSEBREATH]]. In last stage of failure, the patient suffers frequent [[#Suffocation|{{OXY}} damage]] and [[#LOSEBREATH|LOSEBREATH]], and the lung starts actively deteriorating. If left unchecked, the lung will eventually die, causing the same effects as not having the lung at all.  


[[#Salbutamol|Salbutamol]], [[#Perfluorodecalin|perfluorodecalin]], and similar [[#Suffocation|anti-suffocation medication]] can both cure respiratory failure and reverse the lung damage. [[Chemistry#Omnizine|Omnizine]] and [[Chemistry#Cryoxadone|cryoxadone]] exclusively do the latter. [[#Lung replacement|Getting a new lung]] solves respiratory failure entirely, naturally. Very rarely, respiratory failure may miraculously clear up on its own in the initial stage.
[[#Salbutamol|Salbutamol]], [[#Perfluorodecalin|perfluorodecalin]], and similar [[#Suffocation|anti-suffocation medication]] can both cure respiratory failure and reverse the lung damage. [[Chemicals#Omnizine|Omnizine]] and [[Chemicals#Cryoxadone|cryoxadone]] exclusively do the latter. [[#Lung replacement|Getting a new lung]] solves respiratory failure entirely, naturally. Very rarely, respiratory failure may miraculously clear up on its own in the initial stage.


===Liver Damage===
===Liver Damage===
Whenever the patient takes [[#Toxin|TOX]] damage, their liver may take damage too, though only about 3% of the amount of TOX damage becomes liver damage. The patient also suffers liver damage whenever they drink [[Chemistry#Ethanol|ethanol]]. If liver damage reaches 65, the "Critical" damage level, the body has a chance to develop [[#Liver Failutre|liver failure]], and is all but guaranteed to if it reaches 100. Speaking of which, if the liver is missing or dies, all chems deplete twice as slowly in the patient, and they suffer fairly quick, continuous [[#Toxin|TOX]] damage.
Whenever the patient takes [[#Toxin|{{TOX}}]] damage, there's a 30% chance their liver may take damage too, though only about 1/12 of the amount of {{TOX}} damage becomes liver damage. The patient also suffers liver damage whenever they drink [[Chemicals#Ethanol|ethanol]]. If liver damage reaches 65, the "Critical" damage level, the body has a chance to develop [[#Liver Failutre|liver failure]], and is all but guaranteed to if it reaches 100. Speaking of which, if the liver is missing or dies, all chems deplete twice as slowly in the patient, and they suffer fairly quick, continuous [[#Toxin|{{TOX}}]] damage.


Drugs that treat [[#Toxin|TOX]] damage, such as [[Doctoring#Charcoal|charcoal]], also treat liver damage, as do the usual suspects [[Chemistry#Omnizine|omnizine]] and [[Chemistry#Cryoxadone|cryoxadone]]. If [[Roboticist#Cyberliver|the patient's liver is augmented]], they can heal liver damage just by ingesting a lot of ethanol--alcohol really is a solution sometimes!
Drugs that treat [[#Toxin|{{TOX}}]] damage, such as [[Doctoring#Charcoal|charcoal]], also treat liver damage, as do the usual suspects [[Chemicals#Omnizine|omnizine]] and [[Chemicals#Cryoxadone|cryoxadone]]. If [[Roboticist#Cyberliver|the patient's liver is augmented]], they can heal liver damage just by ingesting a lot of ethanol--alcohol really is a solution sometimes!


====Liver Failure====
====Liver Failure====
The patient's liver is failing, signified by pains in the upper chest/abdomen. In later stages, the patient may start fainting, collapsing, and/or experiencing [[#Toxin|TOX]] damage, and the liver starts to deteriorate and will eventually die, resulting in [[#Toxin|TOX]] damage over time and halved chem depletion.
The patient's liver is failing, signified by pains in the upper chest/abdomen. In later stages, the patient may start fainting, collapsing, and/or experiencing [[#Toxin|{{TOX}}]] damage, and the liver starts to deteriorate and will eventually die, resulting in [[#Toxin|{{TOX}}]] damage over time and halved chem depletion.


As usual, [[Chemistry#Omnizine|omnizine]] and [[Chemistry#Cryoxadone|cryoxadone]] can slow down liver failure by reversing the damage, and so can anti-[[#Toxin|tox]] drugs like [[Doctoring#Charcoal|charcoal]], with the added bonus of also being able to cure the disease. Getting  [[Roboticist#Livers|a new liver]] also cures the disease. Finally, liver failure may very rarely magically clear up in the early stages.
As usual, [[Chemicals#Omnizine|omnizine]] and [[Chemicals#Cryoxadone|cryoxadone]] can slow down liver failure by reversing the damage, and so can anti-[[#Toxin|tox]] drugs like [[Doctoring#Charcoal|charcoal]], with the added bonus of also being able to cure the disease. Getting  [[Roboticist#Livers|a new liver]] also cures the disease. Finally, liver failure may very rarely magically clear up in the early stages.


===Kidney Damage===
===Kidney Damage===
Similar to the liver, whenever the patient takes [[#Toxin|TOX]] damage, there's a chance one or both of the kidneys to also receive 5% of that TOX damage as kidney damage; this does not reduce the TOX damage in any way. In fact, they do very little until they become too deteriorated.  
Similar to the liver, whenever the patient takes [[#Toxin|{{TOX}}]] damage, there's a 30% chance, separate for each one, for a kidney to also receive 20% of the damage; this does not reduce the {{TOX}} damage in any way. In fact, they do very little until they become too deteriorated.  


Speaking of which, the patient will be fine if just one of their kidneys is missing or is dead due to excessive damage, but if both of them are, all chems deplete twice as slowly, and they take [[#Toxin|TOX]] damage every second. While it's not much, it adds up over time. Moreover, once a kidney reaches the "Critical" damage threshold, [[#Kidney Failure|kidney failure]] occurs.
Speaking of which, the patient will be fine if just one of their kidneys is missing or is dead due to excessive damage, but if both of them are, all chems deplete twice as slowly, and they take [[#Toxin|{{TOX}}]] damage every second. While it's not much, it adds up over time. Moreover, once a kidney reaches the "Critical" damage threshold, [[#Kidney Failure|kidney failure]] occurs.


You can fix kidney damage by, fittingly, administering  anti-[[#Toxin|TOX]] chems, such as [[#Charcoal|charcoal]] and [[#Pentetic Acid|pentetic acid]]. As usual, [[Chemistry#Omnizine|omnizine]] and [[Chemistry#Cryoxadone|cryoxadone]] do a fair job of healing the kidneys.
You can fix kidney damage by, fittingly, administering  anti-[[#Toxin|{{TOX}}]] chems, such as [[#Charcoal|charcoal]] and [[#Pentetic Acid|pentetic acid]]. As usual, [[Chemicals#Omnizine|omnizine]] and [[Chemicals#Cryoxadone|cryoxadone]] do a fair job of healing the kidneys.


====Kidney Failure====
====Kidney Failure====
Kidney failure occurs when a patient's kidney passes 65 kidney damage, the "Critical" organ damage threshold. In the first two stages of failure, the afflicted feels pains and aches in the upper-right abdomen. Once the ailment reaches its final stage, the patient starts suffering [[#Toxin|TOX]] and kidney damage, eventually rendering the organ nonfunctional. While a patient could theoretically survive one kidney completely failing if continually given enough medicine, if both kidneys are put out of commission by kidney failure, they will suffer the same effects as missing both kidneys, as described [[#Kidney Damage|above]].  
Kidney failure occurs when a patient's kidney passes 65 kidney damage, the "Critical" organ damage threshold. In the first two stages of failure, the afflicted feels pains and aches in the upper-right abdomen. Once the ailment reaches its final stage, the patient starts suffering [[#Toxin|{{TOX}}]] and kidney damage, eventually rendering the organ nonfunctional. While a patient could theoretically survive one kidney completely failing if continually given enough medicine, if both kidneys are put out of commission by kidney failure, they will suffer the same effects as missing both kidneys, as described [[#Kidney Damage|above]].  


You treat kidney failure with medicines that treat [[#Toxin|TOX]] damage, such as [[#Charcoal|charcoal]]. These drugs reverse the kidney damage and may cure it altogether. While [[Chemistry#Omnizine|omnizine]] and [[Chemistry#Cryoxadone|cryoxadone]] can't cure the disease, they can still fix the kidney damage and thus slow down its effects. Kidney failure may also, very rarely, magically disappear in the first two stages.
You treat kidney failure with medicines that treat [[#Toxin|{{TOX}}]] damage, such as [[#Charcoal|charcoal]]. These drugs reverse the kidney damage and may cure it altogether. While [[Chemicals#Omnizine|omnizine]] and [[Chemicals#Cryoxadone|cryoxadone]] can't cure the disease, they can still fix the kidney damage and thus slow down its effects. Kidney failure may also, very rarely, magically disappear in the first two stages.


===Pancreas Damage===
===Pancreas Damage===
When the amount of [[Chemistry#Sugar|sugar]] in the blood exceeds 80 units, there is a chance for the pancreas to secrete [[#Insulin|insulin]] to deplete it. However, there is also a separate chance for the sugar to damage the pancreas. While a patient can survive without a pancreas or one that is dead, they will be unable to secrete [[#Insulin|insulin]] in the meantime. Furthermore, if the pancreas incurs 65 or more damage, the patient may contract [[#Pancreatitis|pancreatitis]].
When the amount of [[Chemicals#Sugar|sugar]] in the blood exceeds 80 units, there is a chance for the pancreas to secrete [[#Insulin|insulin]] to deplete it. However, there is also a separate chance for the sugar to damage the pancreas. While a patient can survive without a pancreas or one that is dead, they will be unable to secrete [[#Insulin|insulin]] in the meantime. Furthermore, if the pancreas incurs 65 or more damage, the patient may contract [[#Pancreatitis|pancreatitis]].


There are no medications that specifically treat damage to the pancreas, though [[Chemistry#Omnizine|omnizine]] and [[Chemistry#Cryoxadone|cryoxadone]] can still heal it.
There are no medications that specifically treat damage to the pancreas, though [[Chemicals#Omnizine|omnizine]] and [[Chemicals#Cryoxadone|cryoxadone]] can still heal it.
   
   
====Pancreatitis====  
====Pancreatitis====  
The patient's pancreas is inflamed due to excessive damage, characterized by fainting, groaning, and aches and pains in the upper right abdomen and back in the early stages. In last stage of pancreatitis, the patient sometimes suffers [[#Toxin|TOX damage]], and the pancreas may sometimes lose health, eventually causing the same effects as not having a pancreas at all.
The patient's pancreas is inflamed due to excessive damage, characterized by fainting, groaning, and aches and pains in the upper right abdomen and back in the early stages. In last stage of pancreatitis, the patient sometimes suffers [[#Toxin|{{TOX}} damage]], and the pancreas may sometimes lose health, eventually causing the same effects as not having a pancreas at all.


There is no cure for pancreatitis, barring a [[Doctoring#Pancreas replacement|pancreas transplant]], but [[Chemistry#Omnizine|omnizine]] and [[Chemistry#Cryoxadone|cryoxadone]] can and potentially prevent the pancreas from totally failing. Very rarely, pancreatitis may clear up on its own its the first stage.
There is no cure for pancreatitis, barring a [[Doctoring#Pancreas replacement|pancreas transplant]], but [[Chemicals#Omnizine|omnizine]] and [[Chemicals#Cryoxadone|cryoxadone]] can and potentially prevent the pancreas from totally failing. Very rarely, pancreatitis may clear up on its own its the first stage.


===Appendix Damage===
===Appendix Damage===
Currently, the only source of appendix damage is from attacks to the chest, detailed above in [[Doctoring#Organ Damage & Ailments|the introduction of this section]]. Spacepeople can live without an appendix, and it's probably for the better, because once it reaches the "Critical" level (i.e. 65 organ damage and above, as previously stated), there's a risk of contracting [[#Appendicitis|appendicitis]]. Fortunately, [[Chemistry#Omnizine|omnizine]] and [[Chemistry#Cryoxadone|cryoxadone]] counteract appendix damage, the former better than the latter.
Currently, the only source of appendix damage is from attacks to the chest, detailed above in [[Doctoring#Organ Damage & Ailments|the introduction of this section]]. Spacepeople can live without an appendix, and it's probably for the better, because once it reaches the "Critical" level (i.e. 65 organ damage and above, as previously stated), there's a risk of contracting [[#Appendicitis|appendicitis]]. Fortunately, [[Chemicals#Omnizine|omnizine]] and [[Chemicals#Cryoxadone|cryoxadone]] counteract appendix damage, the former better than the latter.


====Appendicitis====
====Appendicitis====
Because of excessive damage or [[Random Events#Appendicitis Contraction|random chance]], the patient's appendix is dangerously enlarged, causing abdominal pains and shudders that progressively worsen. In the last stages, the appendix may become so inflamed that it begins to tear apart and damage itself. If left unchecked, the appendix will eventually burst, dumping several [[Pathogen Research|pathogens]] and sometimes lots of [[Chemistry#Toxin|toxin]] into the afflicted.
Because of excessive damage or [[Random Events#Appendicitis Contraction|random chance]], the patient's appendix is dangerously enlarged, causing abdominal pains and shudders that progressively worsen. In the last stages, the appendix may become so inflamed that it begins to tear apart and damage itself. If left unchecked, the appendix will eventually burst, dumping several [[Pathogen Research|pathogens]] and sometimes lots of [[Chemicals#Toxin|toxin]] into the afflicted.


While there is no specific medicine for the disease, [[Chemistry#Omnizine|omnizine]] and [[Chemistry#Cryoxadone|cryoxadone]] can slow the disease down, as the appendix does not have chance to explode until it's reached 90 damage, well beyond the "Critical" organ damage level. [[#Appendix|Removing]] or [[#Appendix replacement|replacing]] the appendix will cure the disease. Very rarely, the disease may go away on its own. Having a [[Roboticist#Cyberappendix|cyberappendix]] or no appendix at all will prevent appendicitis entirely.
While there is no specific medicine for the disease, [[Chemicals#Omnizine|omnizine]] and [[Chemicals#Cryoxadone|cryoxadone]] can slow the disease down, as the appendix does not have chance to explode until it's reached 90 damage, well beyond the "Critical" organ damage level. [[#Appendix|Removing]] or [[#Appendix replacement|replacing]] the appendix will cure the disease. Very rarely, the disease may go away on its own. Having a [[Roboticist#Cyberappendix|cyberappendix]] or no appendix at all will prevent appendicitis entirely.


===Spleen Damage===
===Spleen Damage===
Just like in the movies, kinetic bullets and melee attacks to the chest have a chance to hurt the spleen, so when patients scream that about their spleen hurting after getting shot, sometimes it really is hurt. Unfortunately, it's the only way to receive spleen damage, so this doesn't happen with, for example, being set on fire (or something that clearly doesn't hurt the spleen), reducing potential comedy value. Less comedically, if the spleen dies (i.e. more than 100 damage), the body can't regenerate blood naturally.
Just like in the movies, kinetic bullets and melee attacks to the chest have a chance to hurt the spleen, so when patients scream that about their spleen hurting after getting shot, sometimes it really is hurt. Unfortunately, it's the only way to receive spleen damage, so this doesn't happen with, for example, being set on fire (or something that clearly doesn't hurt the spleen), reducing potential comedy value. Less comedically, if the spleen dies (i.e. more than 100 damage), the body can't regenerate blood naturally.


Fortunately, [[Chemistry#Omnizine|omnizine]] and [[Chemistry#Cryoxadone|cryoxadone]] can heal this butt monkey of an organ, and any meds that heal [[#Lung Damage|lung damage]], such as [[Chemistry#Salbutamol|salbutamol]], also heal spleen damage, because that's just how spacepeople work.
Fortunately, [[Chemicals#Omnizine|omnizine]] and [[Chemicals#Cryoxadone|cryoxadone]] can heal this butt monkey of an organ, and any meds that heal [[#Lung Damage|lung damage]], such as [[Chemicals#Salbutamol|salbutamol]], also heal spleen damage, because that's just how spacepeople work.


===Stomach Damage===
===Stomach Damage===
Blows to the chest can sometimes translate into blows to the stomach, as [[#Organ Damage & Ailments|described above]]. If the patient has no stomach or one that's too damaged, they cannot can't eat food, though they can still swallow pills, sip drinks, things like that.
Blows to the chest can sometimes translate into blows to the stomach, as [[#Organ Damage & Ailments|described above]]. If the patient has no stomach or one that's too damaged, they cannot can't eat food, though they can still swallow pills, sip drinks, things like that.


Anything that's good for the liver is good for the stomach. That is, if it heals [[#Toxin|toxin damage]], not only does it repair the liver, but it should fix up your stomach too. That means drugs such as [[Chemistry#Omnizine|omnizine]], [[Chemistry#Cryoxadone|cryoxadone]], and [[Doctoring#Charcoal|charcoal]].
Anything that's good for the liver is good for the stomach. That is, if it heals [[#Toxin|toxin damage]], not only does it repair the liver, but it should fix up your stomach too. That means drugs such as [[Chemicals#Omnizine|omnizine]], [[Chemicals#Cryoxadone|cryoxadone]], and [[Doctoring#Charcoal|charcoal]].


===Intestines Damage===
===Intestines Damage===
Currently, intestines only take damage from certain melee attacks to the chest, as [[#Organ Damage & Ailments|stated above]]. While [[Trent's Anatomy|Trent's Anatomy/Surgical Textbook]] might imply the intestines allow people to absorb reagents and gain buffs from food, they can do both without intestines, with no ill effect.
Currently, intestines only take damage from certain melee attacks to the chest, as [[#Organ Damage & Ailments|stated above]]. While [[Trent's Anatomy|Trent's Anatomy/Surgical Textbook]] might imply the intestines allow people to absorb reagents and gain buffs from food, they can do both without intestines, with no ill effect.


Just like with the liver, stomach, and kidneys, [[Chemistry#Omnizine|omnizine]], [[Chemistry#Cryoxadone|cryoxadone]], and [[#Toxin|anti-TOX]] drugs, such as [[Doctoring#Charcoal|charcoal]], all heal the intestines.
Just like with the liver, stomach, and kidneys, [[Chemicals#Omnizine|omnizine]], [[Chemicals#Cryoxadone|cryoxadone]], and [[#Toxin|anti-{{TOX}}]] drugs, such as [[Doctoring#Charcoal|charcoal]], all heal the intestines.


==Surgery==
==Surgery==
Several problems require immediate surgery to save the patient, some of which concern their [[Roboticist#Augmentation|extremities or internal organs]]. People coming into medbay will expect you to be able to help, so you should familiarize yourself with this guide. There are multiple [[Medical Objects#Operating Table|operating tables]] in the MedSci department. [[Cyborg#Medical|Medical cyborgs]] can utilize them as well by using drag & drop, but not actually assist with limb reattachment.
Several problems require immediate surgery to save the patient, some of which concern their [[Roboticist#Augmentation|extremities or internal organs]]. People coming into medbay will expect you to be able to help, so you should familiarize yourself with this guide.  
 
===Basics & Controls===
Surgery starts by placing someone on an [[Medical Objects#Operating Table|operating table]] [[File:OperatingTable.png]], found in the [[Operating Theatre]] in [[Medbay]] and sometimes other places. To do this, stand near the table your patient and drag & drop them onto the table. Putting people on an operating table has a small delay that's interrupted if either of you move; putting yourself on the table, again through drag & drop, has no such delay.  


Once the patient is on the table, you need to use certain tools and objects on them in a specific order, particular to each procedure; often different things also happen depending on what body part you're aiming for and what intent you're on. To use a tool on someone as a human, you simply need to click on the person with the required tool in your active hand. As a [[Cyborg#Medical|medical cyborgs]], you need to have the necessary tool in your active slot. Human and robotic surgeons can drag & drop organs onto someone to try to attach them to/insert them into the patient. It's very handy for the latter, since robots don't actually have hands, though they are restricted to organs.
Surgical tools are often found near the operating tables, often on surgical trays. [[Medical Objects#Scalpel|Scalpels]] [[File:Scalpel.png]] and [[Medical Objects#Circular Saw|saws]] [[File:CircSaw.png]] [[File:CircularSaw2.png]] see a lot of use; [[Medical Objects#Surgical Scissors|scissors]] [[File:Surgical Scissors.png]] and [[Medical Objects#Staple Gun|staple guns]] [[File:StapleGun.png]] also see a fair bit of use. More of these can be printed at a [[Making and Breaking#Medical Fabricator|medical fabricator]].
Once the procedure is done, remember to heal them up. Surgery often causes [[#Brute|{{BRUTE}}]], which you can treat by adminstering [[#Styptic Powder|styptic powder]] or similar, and [[#Bleeding|bleeding]], which you can alleviate by clicking on them with a [[Medical Objects#Suture|suture]] [[File:Suture.png]].
At no point does the patient ''need'' to be under anesthetic, though it does help. Surgeries can also be done on the dead. Just as in real life, working on cadavers can be great for learning surgery and anatomy!
===Success & Safety===
===Success & Safety===


Several factors influence the probability of complications. Injecting the patient with sedatives (morphine, haloperidol) or painkillers (salicylic acid, alcohol) has a positive effect, as does using N2O (anesthetic) tank. Jitteriness should be [[Doctoring#Addictions|addressed]] beforehand. [[Clown|Clumsy people]] have no place in the operating room and surgeons may also wish to avoid excessive consumption of alcohol. Last but not least, trained professionals (the medical staff) are less likely to screw up in general.
During each step of every surgery, there is a chance to you to make a mistake and cause damage instead of progressing. Several factors influence the probability of complications. Injecting the patient with sedatives (morphine, haloperidol) or painkillers (salicylic acid, alcohol) has a positive effect, as does using N2O (anesthetic) tank. Jitteriness should be [[Doctoring#Addictions|addressed]] beforehand. [[Clown|Clumsy people]] have no place in the operating room and surgeons may also wish to avoid excessive consumption of alcohol. Last but not least, trained professionals (the medical staff) are less likely to screw up in general.


Since surgery can be a very bloody affair, you may want to make use of a [[Medical Objects#Hemostat|hemostat]] where available to reduce the amount of bleeding damage taken. Either way, it is never a bad idea to have [[Medical Objects#Suture|sutures]] (see the previous section on "Bleeding") on hand for dressing the patient's wounds immediately. A full [[Medical Objects#Blood Bag|blood bag]] can also be required for complicated and lengthy surgery (such as heart replacement).  
Since surgery can be a very bloody affair, you may want to make use of a [[Medical Objects#Hemostat|hemostat]] where available to reduce the amount of bleeding damage taken. Either way, it is never a bad idea to have [[Medical Objects#Suture|sutures]] (see the previous section on "Bleeding") on hand for dressing the patient's wounds immediately. A full [[Medical Objects#Blood Bag|blood bag]] can also be required for complicated and lengthy surgery (such as heart replacement).


===Improvised Surgery===
===Improvised Surgery===


Should proper tools be unavailable and/or a trip to the [[Operating Theater]] undesirable/inconvenient, you may need to perform some procedures with nonstandard tools. Certain surgical tools can by substituted by the following items:
Should proper tools be unavailable and/or a trip to the [[Operating Theater]] undesirable/inconvenient, you may need to perform some procedures with nonstandard tools. Certain surgical tools can by substituted by the following items:
*Scalpels: Glass shards (material type doesn't matter), [[Foods and Drinks#Knife|knives]] (metal and plastic both work), [[General Objects#Razor Blade|razor blades]].
*Scalpels: Glass shards (material type doesn't matter), [[Foods and Drinks#Knife|knives]], [[Foods and Drinks#Plastic Knife|plastic knives]], [[Foods and Drinks#Bread Knife|bread knives]], [[Foods and Drinks#Meatcleaver|meatcleavers]], [[General Objects#Razor Blade|razor blades]], [[Syndicate Items#Butcher's Knife|butcher's knives]].
*Circular saws: [[Guide to Botany#Chainsaw|chainsaws]], [[Foods and Drinks#Pizza Cutter|pizza cutters]], [[Foods and Drinks#Fork|forks]] (whether metal or plastic)
*Circular saws: [[Guide to Botany#Chainsaw|chainsaws]], [[Foods and Drinks#Pizza Cutter|pizza cutters]], [[Foods and Drinks#Fork|forks]], [[Foods and Drinks#Plastic Fork|plastic forks]].
*Enucleation spoons: [[Foods and Drinks#Spoon|spoons]] (again, metal and plastic both work)
*Enucleation spoons: [[Foods and Drinks#Spoon|spoons]], [[Foods and Drinks#Plastic Spoon|plastic spoons]].
*Surgical scissors: [[wirecutters]], [[General Objects#Scissors|scissors]].
*Surgical scissors: [[wirecutters]], [[General Objects#Scissors|scissors]].
*Staple guns: [[General Objects#Stapler|staplers]].
*Staple guns: [[General Objects#Stapler|staplers]].
Line 433: Line 442:
The usual way of performing surgery on yourself is to lie down on the operating table, stand up, and have at it as if you were lying down.
The usual way of performing surgery on yourself is to lie down on the operating table, stand up, and have at it as if you were lying down.


There's one technique that doesn't require an [[Medical Objects#Operating Table|operating table]], or really any table at all. Instead, it simply involves the [[Captain]]'s favorite past-time: drinking lots of [[Chemistry#Ethnaol|booze]]. If you ingest enough [[Chemistry#Ethanol|ethanol]], you can actually conduct surgery on yourself while standing up, but you need a fair bit of it in your system: about 45 units or more. Generally, if you're so drunk that your vision's blurry and you can just barely make out your surgery tools, self-surgery is possible.
There's one technique that doesn't require an [[Medical Objects#Operating Table|operating table]], or really any table at all. Instead, it simply involves the [[Captain]]'s favorite past-time: drinking lots of [[Chemicals#Ethanol|booze]]. If you ingest enough [[Chemicals#Ethanol|ethanol]], you can actually conduct surgery on yourself while standing up, but you need a fair bit of it in your system: about 45 units or more. Generally, if you're so drunk that your vision's blurry and you can just barely make out your surgery tools, self-surgery is possible.


Finally, you can do a similar thing with [[Doctoring#Morphine|morphine]], and it works quite well. Unlike ethanol, you only need at least 5 units in you to operate on yourself, which is low enough that you don't have to worry about accidentally knocking yourself out or blurring your vision. Not to mention, as previously discussed, having morphine in the patient (in this case, you) reduces the chance of the surgery going awry, and unlike alcohol, it doesn't inherently inhibit the surgeon. It's not as abundant as ethanol, but it's not exactly scarce either. Overall, it's a viable alternative to ethanol.
Finally, you can do a similar thing with [[Doctoring#Morphine|morphine]], and it works quite well. Unlike ethanol, you only need at least 5 units in you to operate on yourself, which is low enough that you don't have to worry about accidentally knocking yourself out or blurring your vision. Not to mention, as previously discussed, having morphine in the patient (in this case, you) reduces the chance of the surgery going awry, and unlike alcohol, it doesn't inherently inhibit the surgeon. It's not as abundant as ethanol, but it's not exactly scarce either. Overall, it's a viable alternative to ethanol.
Line 439: Line 448:
===Surgical removal===
===Surgical removal===


{| style="font-size: 85%; text-align: center;" class="wikitable sortable"
{| style="font-size: 85%;" class="wikitable sortable"
|-
|-
! style="width: 5%" | -ectomy
! -ectomy
! style="width: 25%" class="unsortable" | Scenario
! class="unsortable" | Scenario
! style="width: 15%" class="unsortable" | Prognosis
! class="unsortable" | Tools
! style="width: 5%" class="unsortable" | Tools
! class="unsortable" | Procedure
! style="width: 50%" class="unsortable" | Procedure and considerations
! class="unsortable" | Considerations


|- id="Headspider"
|- id="Headspider"
! Headspider
! Headspider
| The patient fought a [[Changeling|changeling]] and ended up being infected by its headspider.
| The patient fought a [[Changeling|changeling]] and ended up being infected by its headspider.
| Time is of an essence and surgery is the only way! Unless removed quickly, the parasite will take over its new host.
| <center>[[File:Scalpel.png]]</center>
| [[File:Scalpel.png]]
| Target the chest with {{Help}} intent. Use the '''scalpel'''.
| Place the patient on an operating table and aim for their chest with the scalpel on ''help'' intent. This should cut a "strange tumor" out - if it doesn't after repeated attempts, the transformation has already been completed.
| Time is of the essence! This should cut a "strange tumor" out if it doesn't after repeated attempts, the transformation has already been completed.


|- id="Implant"
|- id="Implant"
! Implant
! Implant
| The patient has an [[Implants|implant]] that requires removal.
| The patient has an [[Implants|implant]] that requires removal.
| Surgery is the only way.
| <center>[[File:Scalpel.png]]</center>
| [[File:Scalpel.png]]
| Target the chest with {{Help}} intent. Use the '''scalpel'''.
| Place the patient on an operating table and aim for their chest with the scalpel on ''help'' intent. Most of the time, the implant can be recycled by loading it into an empty implanter. However, some implants cannot be recovered by surgery, such as [[Syndicate Items#Mindslave Implant|mindslave implants]].  
| Most of the time, the implant can be recycled by loading it into an empty implanter. However, some implants cannot be recovered by surgery, such as [[Syndicate Items#Mindslave Implant|mindslave implants]].  


|- id="Bullets, shrapnel"
|- id="Bullets, shrapnel"
! Bullets, shrapnel
! Bullets, shrapnel
| The patient has bullets and/or [[Murder#Pipe bomb|shrapnel]] in their chest and cannot bear the random stuns and brute damage. Scan them with a health analyzer ("Foreign objects detected") to confirm your suspicion.
| The patient has bullets and/or [[Murder#Pipe bomb|shrapnel]] in their chest and cannot bear the random stuns and brute damage. Scan them with a health analyzer ("Foreign objects detected") to confirm your suspicion.
| Surgery is the only way.
| <center>[[File:Scalpel.png]]</center>
| [[File:Scalpel.png]]
| Target the chest with {{Help}} intent. Use the '''scalpel'''.
| Place the patient on an operating table and aim for their chest with the scalpel on ''help'' intent to remove one foreign object at a time.
| One foreign object is removed at a time, so you may need to repeat.


|- id="Limb"
|- id="Limb"
! Limb
! Limb
| The patient is a healthy human with four limbs. For augmentation or other reasons, some of the limbs have to go.
| The patient is a healthy human with four limbs. For augmentation or other reasons, some of the limbs have to go.
| Surgery is the only ethical way.
| <center>[[File:Scalpel.png]] [[File:CircSaw.png]]</center>
| [[File:Scalpel.png]] [[File:CircSaw.png]]
| Target the limb in question. Use the '''scalpel,''' then '''saw''', then '''scalpel'''.
| 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 will put the patient in critical condition very quickly. You ''need'' to have bandages and medical drugs at the ready.
| 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 will put the patient in critical condition very quickly, so you ''need'' to have bandages and medical drugs at the ready.


|- id="Butt"
|- id="Butt"
! Butt
! Butt
| The patient is alive or dead, and you need their behind for a [[Robots#Buttbot|buttbot]] or the [[Foods and Drinks#Main course|kitchen]].
| The patient is alive or dead, and you need their behind for a [[Robots#Buttbot|buttbot]] or the [[Foods and Drinks#Main course|kitchen]].
| Surgery [[Wizard#Offensive|generally]] is the only way.
| <center>[[File:Scalpel.png]] [[File:CircSaw.png]]</center>
| [[File:Scalpel.png]] [[File:CircSaw.png]]
| Target the chest with {{Harm}} intent. Use the '''scalpel,''' then '''saw''', then '''scalpel''',  then '''saw'''.
| Place the patient on an operating table and aim for the chest with ''harm'' intent. Follow the sequence '''scalpel-saw-scalpel-saw''' to detach the butt.
|


|- id="Eyeball"
|- id="Eyeball"
! Eyeball
! Eyeball
| You need to remove somebody's eyes, presumably for augmentation.
| You need to remove somebody's eyes, presumably for augmentation.
| Surgery is the only way.
| <center>[[File:SurgicalSpoon.png]] [[File:Scalpel.png]]</center>
| [[File:SurgicalSpoon.png]] [[File:Scalpel.png]]
| Target the head. Use the '''spoon''', then '''scalpel''', then '''spoon''' using the hand of the side in question.
| Place the patient on an operating table and aim for the head. Follow the sequence '''spoon-scalpel-spoon''' to remove the eye, while also paying special attention to which hand you're using. Hold the surgery tools in your left hand to target the left eye, and vice versa.
| Hold the surgery tools in your left hand to target the left eye, and vice versa.


|- id="Brain Humanoid Corpse"
|- id="Brain Humanoid Corpse"
! Brain (Humanoid Corpse)
! Brain (Humanoid Corpse)
| Your patient is quite dead, or wishes to be a [[Cyborg|cyborg]], and you need their brain.
| Your patient is quite dead, or wishes to be a [[Cyborg|cyborg]], and you need their brain.
| Surgery is the only way.
| <center>[[File:Scalpel.png]] [[File:CircSaw.png]]</center>
| [[File:Scalpel.png]] [[File:CircSaw.png]]
| Remove the patient's headgear (hat, mask). Target the head with {{Help}} intent. Use the '''scalpel,''' then '''saw''', then '''scalpel''',  then '''saw'''.
| Place the patient on an operating table and aim for the head. If they are wearing any headgear (hats, masks), you have to get them off before proceeding. To remove the brain, use the tools in the order '''scalpel-saw-scalpel-saw'''. You can use the same procedure (headgear removal not necessary) on severed heads.
| You can use the same procedure (headgear removal not necessary) on severed heads.


|- id="Brain Critter Corpse"
|- id="Brain Critter Corpse"
! Brain ([[Critter]] Corpse)
! Brain ([[Critter]] Corpse)
| Your patient has, through [[Admin|special]] [[Wizard|wizardry]], been turned into an animal, and now is quite dead, or wishes to be a [[Cyborg|cyborg]], and you need their brain.
| Your patient has, through [[Admin|special]] [[Wizard|wizardry]], been turned into an animal, and now is quite dead, or wishes to be a [[Cyborg|cyborg]], and you need their brain.
| Surgery is the only way.
| <center>[[File:Scalpel.png]]</center>
| [[File:Scalpel.png]]
| Use the '''scalpel''' twice.
| Simply use the scalpel on the [[Critter#Playable Critters|player-controlled critter]] to skin it (doing it with NPC ones does nothing), then use it gain butcher it and get a usable human brain.Somehow.
| No operating table necessary.


|- id="Head"
|- id="Head"
! Head
! Head
| Your wish to sever your patient's head for...science?
| Your wish to sever your patient's head for...science?
| Surgery is the only way.
| <center>[[File:Scalpel.png]] [[File:CircSaw.png]]</center>
| [[File:Scalpel.png]] [[File:CircSaw.png]]
| Remove the patient's headgear (hat, mask). Target the head with {{Harm}} intent. Use the '''scalpel,''' then '''saw''', then '''scalpel''',  then '''saw'''.
| Place the patient on an operating table and aim for the head with ''harm'' intent. If they are wearing any headgear (hats, masks), you have to get them off before proceeding. To sever the head, use the tools in the order '''scalpel-saw-scalpel-saw'''.
|


|- id="Skull"
|- id="Skull"
! Skull
! Skull
| The patient is dead and you [[Robots#Skullbot|for]] [[Construction#Skull mask|some reason]] require their skull.
| The patient is dead and you [[Robots#Skullbot|for]] [[Construction#Skull mask|some reason]] require their skull.
| Surgery [[Predator|generally]] is the only way.
| <center>[[File:Scalpel.png]] [[File:CircSaw.png]]</center>
| [[File:Scalpel.png]] [[File:CircSaw.png]]
| After removing their brain (see above), target the head. Use the '''scalpel,''' then '''saw'''.
| Place the patient on an operating table and aim for the head. Remove their brain first (see above), then use the scalpel and finally the saw to cut out the skull. You can use the same procedure on severed heads.
| You can use the same procedure on severed heads.


|- id="Heart"
|- id="Heart"
! Heart
! Heart
| Your patient has a heart and needs it removed or replaced.
| Your patient has a heart and needs it removed or replaced (See possible [[Roboticist#Heart|replacement hearts]]).
| Surgery is the only way.
| <center>[[File:Scalpel.png]] [[File:CircSaw.png]]</center>
| [[File:Scalpel.png]] [[File:CircSaw.png]]
| Target the chest with {{Help}} intent. Use the '''scalpel,''' then '''saw''', then '''scalpel''',  then '''saw'''.
| Place the patient on an operating table and aim for the chest with ''help'' intent. To remove the heart, use the tools in the order '''scalpel-saw-scalpel-saw'''. Any implants and then bullets will be removed first, so you may have to cut into the chest several times. Needless to say, the patient [[Doctoring#Cardiac abscondment|won't survive for long]] without a functioning heart. Several types of replacement hearts exist (see [[Roboticist#Heart|Roboticist]] for a comprehensive list). Cardiac stimulants are also essential for any successful transplant. However, it's worth noting that removing a heart will also transfer all the chemical reagents currently in the patient's system into the heart, so you'll need to top off on those stimulants after removal. You don't even have to wait to insert a new heart since the reagent holder is tied to the patient's body rather than to their heart.
| Foreign objects will be removed first, so you may have to cut several times. The patient [[Doctoring#Cardiac abscondment|won't survive long]] without a heart. Cardiac stimulants are essential for any successful transplant, but removing a heart will also transfer all the reagents from the patient's system into the heart, so you'll need to top off on those stimulants after removal.


|- id="Lung"
|- id="Lung"
! Lung
! Lung
| Your patient has a lung and needs it removed or replaced.
| Your patient has a lung and needs it removed or replaced.
| Surgery is the only way.
| <center>[[File:Surgical_Scissors.png]] [[File:CircSaw.png]]</center>
| [[File:Surgical_Scissors.png]] [[File:CircSaw.png]]
| Target the chest with {{Help}} intent. Use the '''scissors,''' then '''saw''', then '''scissors''' using the hand of the side in question.
| Place the patient on an operating table and aim for the chest with ''help'' intent. To remove a lung, use the tools in the order '''scissors-saw-scissors'''. Whether you remove the right or left lung depends on the hand in which you do the final cut with the scissors. Naturally, the patient is less able to breathe if a lung is missing, moreso if both are, so [[#Salbutamol|salbutamol]] and the like are useful for counteracting the suffocation.
| Whether you remove the right or left lung depends on the hand in which you do the final cut with the scissors. Naturally, the patient is less able to breathe if a lung is missing, moreso if both are, so [[#Salbutamol|salbutamol]] and the like are useful for counteracting the suffocation.


|- id="Kidney"
|- id="Kidney"
! Kidney
! Kidney
| Your patient has a kidney and needs it removed or replaced.
| Your patient has a kidney and needs it removed or replaced.
| Surgery is the only way.
| <center>[[File:Scalpel.png]] [[File:Surgical_Scissors.png]]</center>
| [[File:Scalpel.png]] [[File:Surgical_Scissors.png]]
| Target the chest with {{Help}} intent. Use the '''scalpel,''' then '''scalpel''', then '''scissors''' using the hand of the side in question.
| Place the patient on an operating table and aim for the chest with ''help'' intent. To remove a kidney, use the tools in the order '''scalpel-scalpel-scissors'''. Whether you remove the right or left kidney depends on the hand in which you do the final cut with the scissors.
| Whether you remove the right or left kidney depends on the hand in which you do the final cut with the scissors.


|- id="Appendix"
|- id="Appendix"
! Appendix
! Appendix
| Your patient has an appendix and needs it removed or replaced.
| Your patient has an appendix and needs it removed or replaced.
| Surgery is the only way.
| <center>[[File:Surgical_Scissors.png]]</center>
| [[File:Surgical_Scissors.png]]
| Target the chest with {{Help}} intent. Use the '''scissors''' three times.
| Place the patient on an operating table and aim for the chest with ''help'' intent. To remove the appendix, use the tools in the order '''scissors-scissors-scissors'''.
|


|- id="Liver"
|- id="Liver"
! Liver
! Liver
| Your patient has a liver and needs it removed or replaced.
| Your patient has a liver and needs it removed or replaced.
| Surgery is the only way.
| <center>[[File:Surgical_Scissors.png]] [[File:Scalpel.png]]</center>
| [[File:Surgical_Scissors.png]] [[File:Scalpel.png]]
| Target the chest with {{Help}} intent. Use the '''scissors,''' then '''scissors''', then '''scalpel'''.
| Place the patient on an operating table and aim for the chest with ''help'' intent. To remove the liver, use the tools in the order '''scissors-scissors-scalpel'''.
|


|- id="Stomach"
|- id="Stomach"
! Stomach
! Stomach
| Your patient has a stomach and needs it removed or replaced.
| Your patient has a stomach and needs it removed or replaced.
| Surgery is the only way.
| <center>[[File:Surgical_Scissors.png]] [[File:Scalpel.png]]</center>
| [[File:Surgical_Scissors.png]] [[File:Scalpel.png]]
| Target the chest with {{Help}} intent. Use the '''scissors,''' then '''scalpel''', then '''scissors'''.
| Place the patient on an operating table and aim for the chest with ''help'' intent. To remove the stomach, use the tools in the order '''scissors-scalpel-scissors'''.
|


|- id="Intestines"
|- id="Intestines"
! Intestines
! Intestines
| Your patient has intestines and needs them removed or replaced.
| Your patient has intestines and needs them removed or replaced.
| Surgery is the only way.
| <center>[[File:Surgical_Scissors.png]] [[File:Scalpel.png]]</center>
| [[File:Surgical_Scissors.png]] [[File:Scalpel.png]]
| Target the chest with {{Help}} intent. Use the '''scissors,''' then '''scalpel''', then '''scalpel'''.
| Place the patient on an operating table and aim for the chest with ''help'' intent. To remove the intestines, use the tools in the order '''scissors-scalpel-scalpel'''.
|


|- id="Pancreas"
|- id="Pancreas"
! Pancreas
! Pancreas
| Your patient has a pancreas and needs it removed or replaced.
| Your patient has a pancreas and needs it removed or replaced.
| Surgery is the only way.
| <center>[[File:Scalpel.png]] [[File:Surgical_Scissors.png]]</center>
| [[File:Scalpel.png]] [[File:Surgical_Scissors.png]]
| Target the chest with {{Help}} intent. Use the '''scalpel,''' then '''scissors''', then '''scissors'''.
| Place the patient on an operating table and aim for the chest with ''help'' intent. To remove the pancreas, use the tools in the order '''scalpel-scissors-scissors'''.
|


|- id="Spleen"
|- id="Spleen"
! Spleen
! Spleen
| Your patient has a spleen and needs it removed or replaced.
| Your patient has a spleen and needs it removed or replaced.
| Surgery is the only way.
| <center>[[File:Scalpel.png]] [[File:Surgical_Scissors.png]]</center>
| [[File:Scalpel.png]] [[File:Surgical_Scissors.png]]
| Target the chest with {{Help}} intent. Use the '''scalpel,''' then '''scissors''', then '''scalpel'''.
| Place the patient on an operating table and aim for the chest with ''help'' intent. To remove the spleen, use the tools in the order '''scalpel-scissors-scalpel'''.
|


|- id="Chest Item Removal"
|- id="Chest Item Removal"
! Chest Item
! Chest Item
| Your patient is tired of keeping a [[Template:Objects|terrible secret]] inside them and wants it removed/replaced.
| Your patient is tired of keeping a [[Template:Objects|terrible secret]] inside them and wants it removed/replaced.
| Surgery is the only (safe) way.
| <center>[[File:Scalpel.png]]</center>
| [[File:Scalpel.png]]  
| Target the chest with {{Grab}} intent. Use the '''scalpel,''' then use an empty hand with {{Help}} intent to yank the item out.
| Place the patient on an operating table and aim for the chest with ''grab'' intent. Then, use an empty hand with ''help'' intent on the patient to yank the item out.
|
|}
|}


===Other surgery===
===Other surgery===


{| style="font-size: 85%; text-align: center;" class="wikitable sortable"
{| style="font-size: 85%;" class="wikitable sortable"
|-
|-
! style="width: 10%" | Surgery
! Surgery
! style="width: 25%" class="unsortable" | Scenario
! class="unsortable" | Scenario
! style="width: 15%" class="unsortable" | Prognosis
! class="unsortable" | Tools
! style="width: 5%" class="unsortable" | Tools
! class="unsortable" | Procedure
! style="width: 45%" class="unsortable" | Procedure and considerations
! class="unsortable" | Considerations


|- id="Limb replacement"
|- id="Limb replacement"
! Limb replacement
! Limb replacement
| The patient is either an amputee or already underwent limb removal, and wishes to have all of them restored.
| The patient is either an amputee or already underwent limb removal, and wishes to have all of them restored.
| Surgery is the only way.
| <center>[[File:StapleGun.png]]{{OR}}[[File:Suture.png]]</center>
| [[File:StapleGun.png]]
| Target the missing limb. Attach the corresponding limb and swiftly secure it with either a medical stapler or suture.
| There are several options for replacement limbs (see [[Roboticist#Arms|Roboticist]] for a comprehensive list), but the surgery is the same. Place the patient on an operating table and aim for the stump. Attach the corresponding limb and swiftly secure it with the medical stapler.
| There are several options for [[Roboticist#Arms|replacement limbs]], but the surgery is the same.


|- id="Butt replacement"
|- id="Butt replacement"
! Butt replacement
! Butt replacement
| The patient has no bum and requests a new pair of buttocks.
| The patient has no bum and requests a new pair of buttocks.
| Surgery is the only way.
| <center>None</center>
| None
| Target the chest. Attach a [[Roboticist#Butt|spare butt]] (any type).
| Place the patient on an operating table and aim for the chest, then attach a [[Roboticist#Butt|spare butt]] (any type).
|


|- id="Butt attachment"
|- id="Butt attachment"
! Butt attachment
! Butt attachment
| The patient wishes to wear somebody's butt as a [[Clothing#Head|hat]], permanently.
| The patient wishes to wear somebody's butt as a [[Clothing#Head|hat]], permanently.
| Surgery is the only way.
| <center>[[File:StapleGun.png]]</center>
| [[File:StapleGun.png]]
| Target the head with {{Help}} intent. Ask the patient to put the butt on their head, then use the staple gun.
| Ask the patient to put the butt on their head, then aim for the head with the staple gun on ''help'' intent. Once affixed, the butt cannot be removed by the wearer, but it may still be ripped off by external forces.
| Once affixed, the butt cannot be removed by the wearer, but it may still be ripped off by external forces.
 
|- id="Mask attachment"
! Mask attachment
| The patient wishes to wear a mask on their face, permanently.
| <center>[[File:StapleGun.png]]</center>
| Target the head with {{Help}} intent. Ask the patient to put the mask on, then use the staple gun.
| Once affixed, the mask cannot be removed by the wearer.


|- id="Eye replacement"
|- id="Eye replacement"
! Eye replacement
! Eye replacement
| The patient is missing at least one eyeball and wishes to have all of them restored.
| The patient is missing at least one eyeball and wishes to have all of them restored.
| Surgery is the only way.
| <center>None</center>
| None
| Target the head. Insert the [[Roboticist#Eyes|spare eye]] (any type).
| Place the patient on an operating table and aim for the head, then insert a [[Roboticist#Eyes|spare eye]] (any type). You have to hold the replacement organ in your left hand to target the left eye socket and vice versa.
| You have to hold the replacement organ in your left hand to target the left eye socket and vice versa.


|- id="Lung replacement"
|- id="Lung replacement"
! Lung replacement
! Lung replacement
| Patient lacks one of both of their lungs and needs it/them restored.
| Patient lacks one of both of their lungs and needs it/them restored.
| Surgery is the only way.
| <center>[[File:Surgical_Scissors.png]] [[File:CircSaw.png]]</center>
| [[File:Surgical_Scissors.png]] [[File:CircSaw.png]]
|Target the chest with {{Help}} intent. Use the '''scissors''', then '''saw''', then insert the new [[Roboticist#Lungs|lung(s)]].
| Click-drag the patient onto an operating table or similar, and make sure you're targeting the chest area and are on ''help'' intent. Click on them with '''scissors''', then the '''saw''', and, finally, the replacement [[Roboticist#Lungs|lung(s)]]. To insert a lung into the left socket, you have to be holding the lung in your left hand; same thing for right lungs.
| You have to hold the replacement organ in your left hand to target the left lung socket and vice versa.


|- id="Kidney replacement"
|- id="Kidney replacement"
! Kidney replacement
! Kidney replacement
| Patient needs a kidney or two restored.
| Patient needs a kidney or two restored.
| Surgery is the only way.
| <center>[[File:Scalpel.png]]</center>
| [[File:Scalpel.png]]
| Target the chest with {{Help}} intent. Use the '''scalpel''' twice, then insert the the new [[Roboticist#Kidneys|kidney(s)]].
| Click-drag the patient onto an operating table or similar, and make sure you're targeting the chest area and are on ''help'' intent. Click on them with '''scalpel''' twice and then the new [[Roboticist#Kidneys|kidney(s)]]. Whether you'll insert the kidney the right or left kidney depends on the hand you use to shove it in, i.e. shoving it in with your left hand puts it in the left kidney slot and vice versa.
| You have to hold the replacement organ in your left hand to target the left kidney socket and vice versa.


|- id="Appendix replacement"
|- id="Appendix replacement"
! Appendix replacement
! Appendix replacement
| Your patient has no appendix and wants a new one.
| Your patient has no appendix and wants a new one.
| Surgery is the only way.
| <center>[[File:Surgical_Scissors.png]]</center>
| [[File:Surgical_Scissors.png]]
| Target the chest with {{Help}} intent. Use the '''scissors''' twice, then insert the new [[Roboticist#Appendices|appendix]].
| Place the patient on an operating table and aim for the chest with ''help'' intent. Cut them open with '''scissors''', then enter the right abdomen with the '''scissors''', and insert the [[Roboticist#Appendices|appendix]] of choice.
|


|- id="Liver replacement"
|- id="Liver replacement"
! Liver replacement
! Liver replacement
| Your patient has no liver and requests a better one.
| Your patient has no liver and requests a better one.
| Surgery is the only way.
| <center>[[File:Surgical_Scissors.png]]</center>
| [[File:Surgical_Scissors.png]]
| Target the chest with {{Help}} intent. Use the '''scissors''' twice, then insert the new [[Roboticist#Livers|liver]].
| Click-drag the patient onto an operating table or similar, and make sure you're targeting the chest area and are on ''help'' intent. Click on them with '''scissors''' to cut open the chest, then click on them with the '''scissors''' again to open up the lower abdomen, and click on them with the new [[Roboticist#Livers|liver]] to insert it.  
|


|- id="Stomach replacement"
|- id="Stomach replacement"
! Stomach replacement
! Stomach replacement
| Your patient lacks a stomach and needs it replaced.
| Your patient lacks a stomach and needs it replaced.
| Surgery is the only way.
| <center>[[File:Surgical_Scissors.png]] [[File:Scalpel.png]]</center>
| [[File:Surgical_Scissors.png]] [[File:Scalpel.png]]
| Target the chest with {{Help}} intent. Use the '''scissors''', then '''scalpel''', then insert the new [[Roboticist#Stomach|stomach]].
| Click-drag the patient onto an operating table or similar, and make sure you're targeting the chest area and are on ''help'' intent. Click on them with the '''scissors''' to make a cut on their chest, then the '''scalpel''' to access the lower abdomen, and finally the [[Roboticist#Stomach|stomach]] to insert it.
|


|- id="Intestines replacement"
|- id="Intestines replacement"
! Intestines replacement
! Intestines replacement
| Your patient's intestines are gone and need to be restored.
| Your patient's intestines are gone and need to be restored.
| Surgery is the only way.
| <center>[[File:Surgical_Scissors.png]] [[File:Scalpel.png]]</center>
| [[File:Surgical_Scissors.png]] [[File:Scalpel.png]]
| Target the chest with {{Help}} intent. Use the '''scissors''', then '''scalpel''', then insert the new [[Roboticist#Intestines|intestines]].
| Click-drag the patient onto an operating table or similar, and make sure you're targeting the chest area and are on ''help'' intent. Click on them with the '''scissors''' to make a cut on their chest, then the '''scalpel''' to access the lower abdomen, and finally the [[Roboticist#Intestines|intestines]] to insert them.
|


|- id="Pancreas replacement"
|- id="Pancreas replacement"
! Pancreas replacement
! Pancreas replacement
| Your patient has no pancreas and needs a new one.
| Your patient has no pancreas and needs a new one.
| Surgery is the only way.
| <center>[[File:Scalpel.png]] [[File:Surgical_Scissors.png]]</center>
| [[File:Scalpel.png]] [[File:Surgical_Scissors.png]]
| Target the chest with {{Help}} intent. Use the '''scalpel''', then '''scissors''', then insert the new [[Roboticist#Pancreases|pancreas]].
| Click-drag the patient onto an operating table or similar, and make sure you're targeting the chest area and are on ''help'' intent. Click on them with the '''scalpel''' to cut into the chest, the '''scissors''' afterwards to go below the ribcage, and then the new [[Roboticist#Pancreases|pancreas]] to insert it.
|


|- id="Spleen replacement"
|- id="Spleen replacement"
! Spleen replacement
! Spleen replacement
| Your patient's spleen is missing, and the patient wants a new one.
| Your patient's spleen is missing, and the patient wants a new one.
| Surgery is the only way.
| <center>[[File:Scalpel.png]] [[File:Surgical_Scissors.png]]</center>
| [[File:Scalpel.png]] [[File:Surgical_Scissors.png]]
| Target the chest with {{Help}} intent. Use the '''scalpel''', then '''scissors''', then insert the new [[Roboticist#Spleens|spleen]].
| Click-drag the patient onto an operating table or similar, and make sure you're targeting the chest area and are on ''help'' intent. Click on them with the '''scalpel''' to cut into their chest, then with the '''scissors''' to enter below the ribcage, and finally with a [[Roboticist#Spleens|spleen]] to insert it.
|


|- id="Head reattachment"
|- id="Head reattachment"
! Head reattachment
! Head reattachment
| You are in possession of a detached head in need of a new body.
| You are in possession of a detached head in need of a new body.
| The head needs a new host, and surgery is the only way.
| <center>[[File:Scalpel.png]] [[File:CircSaw.png]] [[File:Suture.png]]</center>
| [[File:Scalpel.png]] [[File:CircSaw.png]] [[File:Suture.png]]
| Prepare a suitable body (human or monkey, not rotten or a husk) on the operating table and behead it. Target the head with {{Help}} intent. Attach the severed head, then sew it on with the suture.  
| Find a suitable body (human or monkey), which should not be rotten or a husk. If necessary, prepare the body by placing it on an operating table and beheading it. While aiming for the head, proceed by attaching the severed head, then sew it on with the suture. The new host can now be cloned.
| The new host can now be cloned.
 
|- id="Skull reattachment'
! Skull reattachment
| Your patient is missing a skull and likely needs it to [[#Brain reinsertion|get their brain back.]]
| <center>None</center>
| Target the head. Attach the skull.
|
 
|- id="Brain reinsertion"
! Brain reinsertion
| You are in possession of a detached brain and have the body it was removed from.
| <center>None</center>
| Target the head. Insert the brain.
| Requires the body to still have a skull. Requires the body's head to still be cut open. [[Doctoring#Brain Humanoid Corpse|Cut it open]] if not.


|- id="Brain transplant"
|- id="Brain transplant"
! Brain transplant
! Brain transplant
| You are in possession of a detached brain (e.g. from a [[Terminology#Husk|husk]]) and want to clone it into a new body.
| You are in possession of a detached brain (e.g. from a [[Terminology#Husk|husk]]) and want to clone it into a new body.
| The brain needs a new host, and surgery is the only way.
| <center>[[File:Scalpel.png]] [[File:CircSaw.png]]</center>
| [[File:Scalpel.png]] [[File:CircSaw.png]]
| Prepare a suitable body (human or monkey, not rotten or a husk) on the operating table and de-brain it. After you've done that, insert the new one and [[Medical Objects#Cloning Scanner|clone]] the whole abomination.
| 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 [[Medical Objects#Cloning Scanner|clone]] the whole abomination.
|


|- id="Chest Item Implant"
|- id="Chest Item Implant"
! [[Implants#Chest Item Implant|Chest Item Implant]]
! [[Implants#Chest Item Implant|Chest Item Implant]]
| The patient wishes to become a living [[Template:Objects|[noun]]].
| The patient wishes to become a living [[Template:Objects|[noun]]].
| Surgery is the only way, as there is no suitable [[Implants|implant]] available and/or easily obtainable.
| <center>[[File:Scalpel.png]] [[File:Suture.png]]</center>
| [[File:Scalpel.png]] [[File:Suture.png]]
| Target the chest with {{Grab}} intent. Use the '''scalpel''', then place the item inside the chest, then sew the chest area back together with the suture.
| Place the patient on an operating table and aim for the chest with the scalpel on '''grab''' intent to make a large incision. Place the item inside the chest, again on '''grab''' intent. Then, sew the chest area back together with the suture, still on grab intent. <br><br>Optionally, you can secure the item before sewing the patient back up by sewing it into the chest cavity on '''help''' intent.
| Optionally, you can secure the item before sewing the patient back up by sewing it into the chest cavity with {{Help}} intent. Remember to switch back to {{Grab}} intent to sew back up.


|- id="Item Arm"
|- id="Item Arm"
! Item Arm
! Item Arm
| The patient has an item, wants to replace a hand with it, and is willing to accept the loss of an hand.
| The patient has an item, wants to replace a hand with it, and is willing to accept the loss of an hand.
| Surgery is the only way.
| <center>[[File:StapleGun.png]]</center>
| [[File:StapleGun.png]]
| [[#Limb|Remove the arm]] in question. Target the limb with {{Help}} intent. Attach the item and swiftly secure it with the medical stapler.
| Place the patient on an operating table. If it isn't already gone, [[#Limb|remove the arm]] they want replaced. Make sure you're on '''Help''' intent and aiming for the appropriate area (e.g. if the patient needs the left arm replaced, make sure you're targeting that.) Attach the item and swiftly secure it with the medical stapler. <br><br> The patient can click on the hand slot the item's replacing to do whatever the item does when clicked in-hand (e.g. changing a setting, turning something on/off). Disarms towards the item arm owner may cause said arm to hit the owner, causing whatever effect they usually do when used on someone. Most items can be made into item arms, save a few such as wizard staves. Experiment.
| The patient can click on the hand slot the item's replacing to do whatever the item does when clicked in-hand (e.g. changing a setting, turning something on/off). Disarming the item arm owner, including shoving them to the floor and shoving them while they're on the ground, may cause said arm to hit the owner, causing whatever effect they usually do on someone. Most items can be made into item arms, save a few such as [[Wizard#Staff|wizard staves]] and the [[Syndicate Items#Class Crates|nuke operative guns]]. Experiment!
|}
|}


==Other Ailments==
==Other Ailments==
As an MD, you will likely encounter a wide variety of oddities which require special attention. Don't make the mistake to view them as an isolated condition. The treatment should always be flexible enough to handle any ailments and other underlying conditions at the same time. If these go unchecked, chances are the patient will simply relapse.
As an MD, you will likely encounter a wide variety of oddities which require special attention. Don't make the mistake of viewing them as an isolated condition. The treatment should always be flexible enough to handle any ailments and other underlying conditions at the same time. If these go unchecked, chances are the patient will simply relapse.
 
A [[Medical Objects#Penlight|penlight]] can be helpful for diagnosing some ailments. Shine one in a patient's unobstructed eyes to observe.
*Pupils (very) constricted: Patient is (overdosing) on morphine or space drugs.
*Pupils (very) dilated: Patient is (overdosing) on atropine, antihistamine, methamphatamine, crank, bath salts, or cat drugs.
*Right pupil doesn't follow light and/or dilated: Patient has brain damage.
*Left pupil doesn't follow light: Patient is having a stroke.


===Shock===
Conditions you may come across:
Shock is usually the first medical emergency that occurs when a patient enters critical health, and can also be caused by severe [[Doctoring#Bleeding|blood loss]]. If not addressed promptly, the patient's condition can continue to deteriorate with an increasing chance of developing cardiac failure. What you should do:


{| class="wikitable sortable"
|-
! Condition
! class="unsortable" | Common causes
! class="unsortable" | Notes
! class="unsortable" | Treatment
|- id="Shock"
! Shock
| Critical health, severe [[Doctoring#Bleeding|blood loss]].
| If not addressed promptly, the patient's condition can continue to deteriorate with an increasing chance of developing cardiac failure.
|
* Inject saline either manually or with the [[Medical Objects#Sleeper|sleeper control panel]]. Medbots may also be of help.
* Inject saline either manually or with the [[Medical Objects#Sleeper|sleeper control panel]]. Medbots may also be of help.
* Stabilize the patient with CPR or epinephrine if required.
* Stabilize the patient with CPR or epinephrine if required.


===Cardiac failure===
|- id="Cardiac failure"
Cardiac failure is a major emergency that, if left untreated, will rapidly lead to the death of your patient by cardiac arrest. Suggested cures include:
! Cardiac failure
 
| Untreated shock, heart damage.
| A major emergency that, if left untreated, will rapidly lead to the death of your patient by cardiac arrest. Note that shock and cardiac failure are, to a degree, independent from the patient's overall health. Even somebody with full HP will eventually suffer from cardiac arrest without epinephrine, so you can't ignore these conditions.
|
* Epinephrine can be sufficient, provided the patient's health isn't worse than -60%.
* Epinephrine can be sufficient, provided the patient's health isn't worse than -60%.
* In acute cases, atropine should be administered instead.
* In acute cases, atropine should be administered instead.


Be aware that shock and cardiac failure are, to a degree, independent from the patient's overall health. Even somebody with full HP will eventually suffer a heart failure without epinephrine, so you have to take care of these conditions specifically.
|- id="Cardiac arrest"
 
! Cardiac arrest
===Cardiac arrest===
| Untreated cardiac failure, poisons such as [[Chemicals#Initropidril|initropidril]], defective cyberheart.
Also known as heart failure, The final stage of the struggle with death, so to speak. If they aren't already in medbay, it is rare for patients to survive this encounter. Aside from grave injuries, it can also be caused by certain poisons ([[Chemistry#Initropidril|initropidril]] being the primary candidate) or a defective cyberheart. Remedies include:
| Also known as heart failure, The final stage of the struggle with death, so to speak. If they aren't already in medbay, it is rare for patients to survive this encounter.
 
|
* Application of a [[Medical Objects#Defibrillator|defibrillator]].
* Application of a [[Medical Objects#Defibrillator|defibrillator]].
* Atropine may be effective as a substitute.
* Atropine may be effective as a substitute.
* If both are unavailable, one should find other sources of electric shock. Examples: [[Security Objects#Stun Baton|stun batons]], messing with powered wires, electrified grills or doors.
* If both are unavailable, one should find other sources of electric shock, such as [[Security Objects#Stun Baton|stun batons]], messing with powered wires, electrified grills, doors or even stun gloves.


===Cardiac abscondment===
|- id="Cardiac abscondment"
Indicated by "Subject has no heart" on the health analyzer's readout. The patient's heart is missing, plain and simple. While you can prolong their suffering with cardiac stimulants, this can only be a temporary measure at best. You may try:
! Cardiac abscondment
 
| Certain poisons, heart removal.
* Attempt to stabilize the patient with epinephrine or atropine.
| Indicated by "Subject has no heart" on the health analyzer's readout. The patient's heart is missing, plain and simple. While you can prolong their suffering with cardiac stimulants, this can only be a temporary measure at best.
|
* Stabilize the patient with epinephrine or atropine.
* Combine this with salbutamol and mannitol to address the escalating suffocation and brain damage.
* Combine this with salbutamol and mannitol to address the escalating suffocation and brain damage.
* Transplant a replacement heart as soon as possible.
* Transplant a replacement heart as soon as possible.


===Anaphylaxis===
|- id="Blood clot"
Is the patient full of [[Chemistry#Histamine|histamine]] and rapidly accumulating brute, toxic, and suffocation damage? You should try:
! Blood clot
| Coagulants such as [[Chemicals#Proconvertin|proconvertin]].
| {{Missing Value}}
|
*Inject [[Chemicals#Heparin|Heparin]], which will increase bleeding but dislodge blood clots.


* Epinephrine is plentiful and works reasonably well.
|- id="Stroke"
* Diphenhydramine/antihistamine is the superior alternative.
! Stroke
| Untreated blood clot.
| {{Missing Value}}
| {{Missing Value}}


===Hyperglycaemic shock===
|- id="Anaphylaxis"
If someone has a lot of sugar in their bloodstream (around 200+ units), they may fall into a diabetic coma. Scanning the patient with a standard health analyzer won't show anything, but you can deduce why they're collapsing and unconscious by using a [[reagent scanner]]. The treatment is:
! Anaphylaxis
| Wasp stings, allergic reactions, poisoning.
| The patient is full of [[Chemicals#Histamine|histamine]] and rapidly accumulating brute, toxic, and suffocation damage.
|
* Diphenhydramine/antihistamine.
* Epinephrine is an inferior alternative, but is plentiful and works reasonably well.


|- id="Hyperglycaemic shock"
! Hyperglycaemic shock
| Excess sugar (around 200+ units).
| A hyperglycaemic patient may fall into a diabetic coma. Scanning the patient with a standard health analyzer won't show anything, but you can deduce why they're collapsing and unconscious by using a [[reagent scanner]].
|
* Inject them with insulin, which will dramatically increase the depletion rate of sugar.
* Inject them with insulin, which will dramatically increase the depletion rate of sugar.


===Radiation===
|- id="Radiation sickness"
Radiation sickness usually isn't obvious at a glance, but a health analyzer will reveal the extend of the contamination. Exposure can come from multiple sources, such as [[Random Events#Radstorm|radstorms]], [[Guide to Mining#Ore|cerenkite ore]], being shot by a [[Syndicate Items#Miniature Crossbow|rad-bow]] or [[Chemistry#Base Elements|radium]]. As long as the patient is irradiated, he will accumulate toxin damage every second, with more damage per second at higher doses, occasionally suffer burns, and may even randomly [[Guide to Genetics#Possible Mutations|mutate]]. Worthwhile cures are:
! Radiation sickness
 
| Exposure to [[Random Events#Radstorm|radstorms]], [[Random_Events#Blowout|blowouts]], [[Guide to Mining#Ore|cerenkite ore]], [[Chemicals#Base Elements|radium]], being shot by a [[Murder#Mini Rad-Poison-Crossbow|rad-bow]].
| Radiation sickness usually isn't obvious at a glance, but a health analyzer will reveal the extent of the contamination. As long as the patient is irradiated, they will accumulate toxin damage every second, with more damage per second at higher doses, occasionally suffer burns, and may even randomly [[Guide to Genetics#Possible Mutations|mutate]].
|
* Potassium iodide, basic anti-rad medicine. Trivial to synthesize in chemistry, should you have to.
* Potassium iodide, basic anti-rad medicine. Trivial to synthesize in chemistry, should you have to.
* Pentetic acid is superior in every aspect, healing toxin damage too.
* Pentetic acid is superior in every aspect, healing toxin damage too.


If those are unavailable, the patient will have to wait for the radiation to subside on its own.
|- id="Genetic defect"
! Genetic defect
| Exposure to large doses of radiation, imperfect [[Medical Objects#Cloning Scanner|cloning cycles]], [[Chemicals#Unstable Mutagen|unstable mutagen]].
| Note that some jobs, such as the [[Chef#I hefe-a eccent huly sheet, Bork Bork Bork!|chef]], may spawn with a mostly harmless mutation.
|
* Administering mutadone will gradually remove one mutation (good or bad) per life cycle. (This may also come in handy to stop a cloaked, superfarting geneticist.)


===Genetic defects===
|- id="Addiction"
These are often a direct result of large doses of radiation. Other common factors are imperfect [[Medical Objects#Cloning Scanner|cloning cycles]] or [[Chemistry#Unstable Mutagen|unstable mutagen]]. Some jobs, for example, the [[Chef#I hefe-a eccent huly sheet, Bork Bork Bork!|chef]], may spawn with a mostly harmless mutation. The cure is simple:
! Addiction
 
| Taking addictive drugs.
* Administering mutadone will gradually remove one mutation (good or bad) per life cycle.
| Addiction functions similar to a non-contagious disease. When scanning the patient, the health analyzer will tell you to which substance (methamphetamine and nicotine are common) they are addicted to and the stage of withdrawal. With each progressive stage, the symptoms become worse: falling over, vomiting, shaking and so on.  
 
|
To elaborate, this may also come in handy to stop a cloaked, superfarting geneticist.
* If they still have the chemical in their veins, you can try flushing it out.
 
===Addictions===
Addiction functions similar to a non-contagious disease. When scanning the patient, the health analyzer will tell you to which substance (methamphetamine and nicotine are common) they are addicted to and the stage of withdrawal. With each progressive stage, the symptoms become worse: falling over, vomiting, shaking and so on.  
 
* If they still have the chemical in their veins, you can try flushing it out as if it were a poison.
* Ask the patient to hibernate a minute or two in a [[sleeper]], which should cure all addictions.   
* Ask the patient to hibernate a minute or two in a [[sleeper]], which should cure all addictions.   
* Should the patient refuse, they can either take a further dose of the drug for temporary relief, or they'll just have to tough it out and wait until they overcome the addiction. You can offer a bed in medbay until they no longer feel reliant, but this is more for their safety, as they are very weak and open to mugging/assault during withdrawal.
* Otherwise, they can either keep taking the drug for temporary relief, or they'll have to tough it out and wait until they overcome the addiction. You can offer a bed in medbay until they no longer feel reliant, but this is more for their safety, as withdrawal makes them very weak and open to mugging/assault.
* Chronic jitteriness can be fixed with five units of morphine or haloperidol.
* Chronic jitteriness can be fixed with 5 units of morphine or haloperidol.
|}


===Viruses===
===Viruses===
{{main|Virus}}
There are many different types of [[Virus|viruses]] on the station, each with its own effects and possible cures. Some of them will always follow the same pattern, whereas [[Pathology Research|pathology research]] may synthesize unique diseases every shift. Using a medical analyzer on someone who is infected will display specific information. For minor protection, wearing gloves and a [[Medical Objects#Biosuit|biosuit]] is recommended. It doesn't hurt to have a syringe of spaceacillin on hand either. You may come in contact with:
There are many different types of [[Virus|viruses]] on the station, each with its own effects and possible cures. Some of them will always follow the same pattern, whereas [[Pathology Research|pathology research]] may synthesize unique diseases every shift. Using a medical analyzer on someone who is infected will display specific information. For minor protection, wearing gloves and a [[Medical Objects#Biosuit|biosuit]] is recommended. It doesn't hurt to have a syringe of spaceacillin on hand either. You may come in contact with:


* '''Food poisoning'''
; Food poisoning
** The most common condition you will encounter, which is caused by eating bad food. The patient can drink [[Foods and Drinks#Chicken Soup|chicken soup]], take [[Chemistry#Robustissin|Robustissin]], and/or take a nap by falling asleep in medbay or any other [[General Objects#Bed|bed]].
: The most common condition you will encounter, which is caused by eating bad food. The patient can drink [[Foods and Drinks#Chicken Soup|chicken soup]], take [[Chemicals#Robustissin|Robustissin]], and/or take a nap by falling asleep in medbay or any other [[General Objects#Bed|bed]].
* '''Robotic transformation'''
; Robotic transformation  
** The patient has nanomachines in their bloodstream. If nothing is done, their flesh will eventually rip apart to reveal a [[Cyborg|cyborg]]. Treat with electric shocks (see [[Doctoring#Cardiac arrest|cardiac arrest]]).
: The patient has nanomachines in their bloodstream. If nothing is done, their flesh will eventually rip apart to reveal a [[Cyborg|cyborg]]. Treat with electric shocks (see [[Doctoring#Cardiac arrest|cardiac arrest]]).
* '''MRSA'''
; MRSA
** The patient is suffering from an aggressive bacterial infection. Fairly harmless in its early stages, but later on the accumulating toxin and burn damage can be lethal. As the bacteria are resistant to antibiotics, more than one syringe of spaceacillin may be required.
: The patient is suffering from an aggressive bacterial infection. Fairly harmless in its early stages, but later on the accumulating toxin and burn damage can be lethal. As the bacteria are resistant to antibiotics, more than one syringe of spaceacillin may be required.
* '''Kuru'''
; Kuru  
** This fatal condition can be caused by cannibalism, eating [[Food#Main course|brain burgers]] or exposure to prions. There is no known cure, so scan them with the [[Medical Objects#Cloning Scanner|cloner]] before they inevitably die.
: This fatal condition can be caused by cannibalism, eating [[Food#Main course|brain burgers]] or exposure to prions. There is no known cure, so scan them with the [[Medical Objects#Cloning Scanner|cloner]] before they inevitably die.
* '''Grave fever'''
; Grave fever  
** Transmitted by [[Vampire|vampires]]. It must be quickly counteracted with spaceacillin to prevent the patient from rotting away.
: Transmitted by [[Vampire|vampires]]. It must be quickly counteracted with spaceacillin to prevent the patient from rotting away.
* '''Clowning around'''
; Clowning around
** Usually the result of [[Admin]] screwery or [[Chemistry#Rainbow Fluid|rainbow fluid ingestion]]. Without some spaceacillin, this virus gradually turns the patient into a clumsy [[Clown|clown]].
: Usually the result of [[Admin]] screwery or [[Chemicals#Rainbow Fluid|rainbow fluid ingestion]]. Without some spaceacillin, this virus gradually turns the patient into a clumsy [[Clown|clown]].


==Supplementary Video==
==Supplementary Video==
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{{Department Guides}}
{{Department Guides}}
[[Category:Tutorial]]

Revision as of 22:01, 25 May 2020

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 four 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 and bleeding damage, which work 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 stumble around, 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 failure. If left untreated, they will eventually reach a certain amount of damage (overall, around 400) and die. Generally speaking, people are unlikely to survive 200 (-100% health) or more total damage.

Drugs

Main article: Chemicals#Medical Chems

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

Basic

Drug Use Advanced version
Ephedrine Stabilizes critical patients, but less effectively than epinephrine. Reduces stun/knockdown effects. Addictive. Epinephrine
Epinephrine Stops suffocation, stabilizes critical patients. Treats cardiac problems and allergic reactions. Reduces stun/knockdown effects. Slows down effects of sarin. Causes sickness on overdose (20+ units). Atropine
Salbutamol Treats suffocation damage and respiratory failure and repairs the lungs and spleen. 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 burn damage. Only apply topically (patch, dropper, etc.)! Synthflesh
Saline-glucose Solution Slowly heals brute and burn damage, handles circulatory shock, increases the body's natural regeneration rate of blood. Part of the standard medbot injection set. Having Saline in your bloodstream for too long will cause hypertension due to its blood regenerating effects.
Charcoal Treats toxin damage, absorbs other reagents in the body, heals damage to the liver, kidneys, stomach, and intestines, and can cure kidney and liver failure. Part of the standard medbot injection set. Pentetic Acid
Calomel Rapidly flushes chemicals out of people's bloodstreams, but causes toxin damage in the process. Pentetic Acid
Potassium Iodide Basic anti-radiation medicine. Reduces radiation, heals a small sliver of tox damage, and can repair kidney, liver, intestines, and stomach damage a little bit. Pentetic Acid
Ammonium Bicarbonate
(Smelling salts)
Basic anti-radiation medicine, weaker than potassium iodide. Stabilizes critical patients, slightly more effectively than ephedrine but not epinephrine. Pentetic Acid
Cryoxadone Heals all organs and most 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. Addictive.
Chicken Soup Basic anti-viral. Can cure minor diseases, such as food poisoning or the flu, but not as well as Robustissin can. Available from coffee machines. Robustissin
Space Ipecac Emetic. May induce vomiting, causing the patient spew out their most recent meal (and whatever reagents/poisons were in it) as half-digested food chunks. May cause food poisoning.
Menthol Burn and fever medication. Attempts to lower body temperature back to normal, sometimes heals a little burn damage.

Advanced

Drug Use
Atropine More powerful version of epinephrine, useful when a patient is near death. Fixes cardiac problems, heals a bit of brain, brute, and burn damage, and rapidly flushes sarin out of the body.
Perfluorodecalin Treats suffocation very well, causes mildly annoying gasping in the meantime. Slowly heals burn and brute damage and heals lung and spleen damage slightly faster. Can cure respiratory failure. Synthesized by the Head Surgeon medbot instead of salbutamol. Addictive. You might see people walking out of the cloner with a Perfluorodecalin addiction once in a while.
Synthflesh Heals brute and burn damage very effectively, and also stops bleeding instantly. Only apply topically (patch, dropper, etc.)!
Pentetic Acid Reduces radiation, heals toxin damage, treats damage to the liver, kidneys, stomach, and intestines, can cure kidney and liver failure, flushes all other chemicals. Causes brute damage.
Omnizine Reduces bleeding and heals all organs and 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 certain diseases. Part of the standard medbot injection set.
Robustissin Can cure minor diseases, such as food poisoning or the flu.
Mannitol Cures brain damage.
Mutadone Removes mutations, harmful, beneficial, or harmless.
Oculine Treats eye and hearing damage.
Antihol Treats drunkenness.
Insulin Handles hyperglycaemic shock.
Teporone Normalizes body temperature. Addictive.
Diphenhydramine Also known as antihistamine. This can help deal with histamine, itching powder, bee venom and certain bug bites.
Filgrastim Stimulates blood production; usually used after moderate blood loss.
Heparin An anticoagulant, which will worsen bleeding but will also lessen the symptoms of hypertension, lower blood clots, and help with heart disease.
Proconvertin A coagulant, which will help lessen blood loss, worsen or sometimes cause clots, and increase blood pressure.

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. Of note:

  • Changelings don't have to breathe and are thus not affected by suffocation and gas leaks, and they also can't contract diseases and pathogens, or develop heart conditions.
  • Vampires are immune to diseases and pathogens.
  • Cyborgs don't have to worry about toxins, radiation or suffocation, but they can still be dented or burned.

In technical terms, the damage types are often referred to as OXY, TOX, BURN, BRUTE, BRAIN, BLEEDING, EYE, and EAR.

Note: Don't forget that every medical PDA (cyborgs included) is equipped with a reagent scanner! Separate hand-held devices and upgrades for regular health analyzers are also available. Its usefulness to quickly identify poisons cannot be overstated.

Suffocation

The patient has been exposed to an area without a 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, 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 Help intent. Make sure neither of you are wearing masks or hats.

LOSEBREATH

The patient is having trouble breathing. Whenever they try to speak, it comes out as whispers. Not really a damage type, but nevertheless acts like one and is very closely associated with suffocation damage and the things that cause suffocation, though, technically speaking, it does not in of itself, cause it.

You won't find it on a scanner reading, but if you ever see an O2 Warning icon pop up on your screen, that's LOSEBREATH at work.

Salbutamol will help the patient breath again, as will cardiac stimulants like epinephrine, but LOSEBREATH will reverse itself naturally, proved there is enough air to breathe, and the patient is not in critical condition or worst. Giving CPR by clicking on a patient with an empty hand with Help intent will also reduce LOSEBREATH.

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.

Toxin damage may also affect the kidneys and/or liver. Their own particular considerations are detailed in their respective sections.

Burn

Burn damage can come many sources, such as:

  • Fire, acid and electrical shocks are the most common.
  • Exposure to space and Trench 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 phasers) 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. Stuffing the patient into cryo will rapidly put out the fire while also healing them - making it perfect for all those flaming assistants running around. 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 weapons.
  • 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. 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. 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 somebody has suffered brain damage, the readout will indicate the fact:

  • "Significant brain damage detected. Subject may have had a concussion." (More than 10 BRAIN),
  • "Severe brain damage detected. Subject likely unable to function well." (More than 60 BRAIN),
  • "Subject is braindead." (More than 100 BRAIN).

Examining a person with severe brain damage will also reveal that they appear to have a stupid expression on their face. Heavy brain damage causes the patient to gibber everything they say and involuntarily scream over the radio in all caps. It also makes it difficult for them to do certain tasks, such as using computers and operating doors. Extreme brain damage will make it difficult to even breathe. Too much brain damage (120 BRAIN) will outright kill them.

Mannitol is the primary counter to brain damage. Holy water is also excellent at healing brain damage, though only if topically (e.g. dropper, patch, beaker splash) applied. 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.

Bleeding

The cardiovascular system of human or monkey contains 500 units of blood. Any attack with a sharp object (e.g. broken bottle, scalpel or energy sword) or kinetic firearm is likely to open a wound, and the rate of the blood loss depends on the severity of the injury. Vampires are another major threat, as they tend to drain their victims dry when given the opportunity. While minor cases can be fairly harmless, blood pouring out at an alarming rate will have a life-threatening impact in a matter of minutes. If the blood level is lower than...

  • 400: Small chance to go into shock.
  • 300: Medium chance for shock, the patient will be slowed down to walking speed, experience random stuns or pass out.
  • 200: High chance for shock, walking speed, random stuns and KOs.
  • 100: High chance for shock, walking speed, lots of random stuns and KOs. The patient will steadily rack up OXY and BRAIN damage, enter critical condition and pass away in short order.

You can assess the patient's condition with a health analyzer or by examining them. Somebody with a low blood level will appear "pale", for instance. More accurate readings can be obtained by upgrading the analyzer, which will tell you the exact amount of blood and blood loss per life cycle.

Stopping the Bleeding

When dealing with a bleeding patient, the priority should be to mend the wound, as they'll just bleed out any medicine you put in their bloodstream. Topical drugs (such as styptic powder) can still be somewhat effective, though. You have a number of options:

  • Wait it out. The body can occasionally heal 1 BLEEDING over time, so minor wounds can be ignored under certain circumstances. Don't make the mistake to depend on it to save somebody's life, however!
  • Using the Help intent on somebody may slow the rate of bleeding, but it's not very reliable. Both parties have to stand still.
  • Cauterize the wound with a welding tool, zippo lighter, igniter or lit cigarette. Beware, this will burn the patient as well.
  • Medical patches can reduce bleeding.
  • Certain medical chemicals, for example, styptic powder, synthflesh, omnizine, and proconvertin. See Drugs for more info.
  • Bandages and sutures work reliably and don't have negative side-effects.

Note: Only sutures are capable of mending surgical incisions. Every other option can slow the rate of blood loss, but won't close the wound entirely no matter how hard you try. If examining the patient reveals one or multiple "open incision[s] on their [body parts]", target the correct one and use a suture as many times as necessary to mend all incisions.

Restoring Blood

All patched up? Great, but your job isn't done yet. While the patient's body will replenish blood at a slow-but-steady rate if they have a healthy spleen, chances are an infusion (via blood bags) will be required in case of considerable loss of overall blood volume or severely-damaged/absent spleen, which prevents the body's natural blood regeneration. Filgrastim also helps to replenish the blood supply.

Please note that, unlike real life, blood type does not matter. While a framework work for types exists, they currently do not come into play during blood transfusions. People with AB blood, for example, can donate to people with O blood, and vice versa. Besides, even if it did, the blood bags in Medbay's blood supply fridge and Blood Bank crates have synthetic blood that's coded to be accepted by all blood types (again, not that it means much).

Also of note: bullet and shrapnel wounds can be bandaged, but surgery is still necessary to get rid of the random stuns and accumulating brute damage.

Vampires can bleed as well, but only if they've already built up a reserve of blood. They bleed on a per-attack basis only (as opposed to a certain amount per tick), and are completely unaffected by the debilitating side-effects detailed in the paragraph above.

Eye

Patient's retinas are damaged, typically as a result of exposure to bright lights. One of the least common damage types, though probably one of the most annoying. Potential sources include:

Eye damage worsens the effects of sources of eye damage. If eye damage is allowed to accumulate, later eye injuries can result in blurriness, temporary short-sightedness, and eventually permanent blindness.

Health analyzers do not detect eye damage. Instead, you must ask the patient if their sight is good. If not, administer oculine in any form, e.g. drops, patch, pill.

Welding masks and most varieties of space helmets outright block most sources of eye damage. Sunglasses, SecHUDs, and polarized eyes offer similar protection, though they only reduce damage from welding. Meanwhile, optical thermal scanners and NVG goggles intensify eye damage, often significantly.

Blindness can be alleviated by wearing VISOR goggles and administering oculine or mutadone. (Pro-tip: if you yourself become blind, simply click a pill/patch/auto-injector while it's in your hand to use it on yourself.)

Ear

The patient's eardrums are damaged, and they are having trouble hearing, often experiencing temporary deafness and tinnitus, "ringing" in the ears. Probably the rarest damage type, though easily the least lethal and debilitating. Potential sources include:

Oculine quickly repairs ear damage, though ears heal naturally if the patient is not deaf. Heavy ear damage can result in permanent deafness, which can cured with mutadone and alleviated by wearing an Auditory Headset. Wearing earmuffs and being deaf in the first place prevents most ear damage entirely.

Organ Damage & Ailments

Humans, Monkeys, Vampires, Changelings, and most other humanoid mobs with organs can also suffer damage to specific organs, separate but still connected to the other damage types. To analyze organ damage, you need a health analyzer equipped with an organ scan upgrade, which will assess damage in these relative terms:

  • 1-9: "Minor"
  • 10-29: "Moderate"
  • 30-64: "Significant"
  • 65-99: "Critical"
  • 100 and above: "Dead"

Usually, "Significant" and "Critical" are the most important ratings, for some organs cause extra problems upon reaching the "Critical" damage threshold. If left untreated, these problems can cause the organ to completely fail and die, resulting in same effects as lacking one. Dead organs cannot be healed back to full health and thus require transplants.

Any ranged or melee attacks that inflict brute damage specifically to the chest have a chance to also damage two random organs listed in this section. The attack has to cause more than 5 damage, and higher damage means more damage to the organs, though only 5-10% of it becomes organ damage. This is low enough that anything that causes significant damage to organs is usually enough to easily put the victim into critical condition, often a greater issue. The spleen and lungs are more resilient to attacks than the other organs in the chest.

Generally, if an organ hasn't died, to treat its particular ailments and damage, you administer whatever drugs heal the damage the ailment causes, e.g. liver failure causes TOX, so you can cure it and heal liver damage by administering TOX-healing drugs. When in doubt, try omnizine and cryoxadone, which heal all organs. All organ-related issues, including organ death, can also be treated simply by replacing the organ.

Lung Damage

Each lung takes damage separately, independently of each other, though some sources damage both. In addition to certain melee and ranged attacks to the chest, a patient can also receive lung damage by:

  • Breathing in searing hot air. Higher temperatures cause more damage.
  • Smoking cigarettes and similar tobacco products. Nicotine content does not matter, only length of smoking sessions.

If a single lung reaches "Critical" damage levels, that lung will eventually cause respiratory failure. If one lung goes missing or dies (i.e. has 100 damage or more), the patient will sometimes suffocate, and their max stamina is decreased by 75 and stamina regeneration by 3. If both lungs are gone or dead, the patient will rapidly accumulate OXY damage and LOSEBREATH with every second, with max stamina plummeting by 150 and stamina regen by 6.

Medications designed to treat OXY damage, such as salbutamol and perfluorodecalin will also heal lung damage. Omnizine and cryoxadone are both effective at treating lung damage.

Respiratory Failure

Should a lung accumulate too much damage, it will start to fail. Symptoms include gasping, twitching, pains in the ribs, sensations of trouble breathing, and, most importantly, occasional LOSEBREATH. In last stage of failure, the patient suffers frequent OXY damage and LOSEBREATH, and the lung starts actively deteriorating. If left unchecked, the lung will eventually die, causing the same effects as not having the lung at all.

Salbutamol, perfluorodecalin, and similar anti-suffocation medication can both cure respiratory failure and reverse the lung damage. Omnizine and cryoxadone exclusively do the latter. Getting a new lung solves respiratory failure entirely, naturally. Very rarely, respiratory failure may miraculously clear up on its own in the initial stage.

Liver Damage

Whenever the patient takes TOX damage, there's a 30% chance their liver may take damage too, though only about 1/12 of the amount of TOX damage becomes liver damage. The patient also suffers liver damage whenever they drink ethanol. If liver damage reaches 65, the "Critical" damage level, the body has a chance to develop liver failure, and is all but guaranteed to if it reaches 100. Speaking of which, if the liver is missing or dies, all chems deplete twice as slowly in the patient, and they suffer fairly quick, continuous TOX damage.

Drugs that treat TOX damage, such as charcoal, also treat liver damage, as do the usual suspects omnizine and cryoxadone. If the patient's liver is augmented, they can heal liver damage just by ingesting a lot of ethanol--alcohol really is a solution sometimes!

Liver Failure

The patient's liver is failing, signified by pains in the upper chest/abdomen. In later stages, the patient may start fainting, collapsing, and/or experiencing TOX damage, and the liver starts to deteriorate and will eventually die, resulting in TOX damage over time and halved chem depletion.

As usual, omnizine and cryoxadone can slow down liver failure by reversing the damage, and so can anti-tox drugs like charcoal, with the added bonus of also being able to cure the disease. Getting a new liver also cures the disease. Finally, liver failure may very rarely magically clear up in the early stages.

Kidney Damage

Similar to the liver, whenever the patient takes TOX damage, there's a 30% chance, separate for each one, for a kidney to also receive 20% of the damage; this does not reduce the TOX damage in any way. In fact, they do very little until they become too deteriorated.

Speaking of which, the patient will be fine if just one of their kidneys is missing or is dead due to excessive damage, but if both of them are, all chems deplete twice as slowly, and they take TOX damage every second. While it's not much, it adds up over time. Moreover, once a kidney reaches the "Critical" damage threshold, kidney failure occurs.

You can fix kidney damage by, fittingly, administering anti-TOX chems, such as charcoal and pentetic acid. As usual, omnizine and cryoxadone do a fair job of healing the kidneys.

Kidney Failure

Kidney failure occurs when a patient's kidney passes 65 kidney damage, the "Critical" organ damage threshold. In the first two stages of failure, the afflicted feels pains and aches in the upper-right abdomen. Once the ailment reaches its final stage, the patient starts suffering TOX and kidney damage, eventually rendering the organ nonfunctional. While a patient could theoretically survive one kidney completely failing if continually given enough medicine, if both kidneys are put out of commission by kidney failure, they will suffer the same effects as missing both kidneys, as described above.

You treat kidney failure with medicines that treat TOX damage, such as charcoal. These drugs reverse the kidney damage and may cure it altogether. While omnizine and cryoxadone can't cure the disease, they can still fix the kidney damage and thus slow down its effects. Kidney failure may also, very rarely, magically disappear in the first two stages.

Pancreas Damage

When the amount of sugar in the blood exceeds 80 units, there is a chance for the pancreas to secrete insulin to deplete it. However, there is also a separate chance for the sugar to damage the pancreas. While a patient can survive without a pancreas or one that is dead, they will be unable to secrete insulin in the meantime. Furthermore, if the pancreas incurs 65 or more damage, the patient may contract pancreatitis.

There are no medications that specifically treat damage to the pancreas, though omnizine and cryoxadone can still heal it.

Pancreatitis

The patient's pancreas is inflamed due to excessive damage, characterized by fainting, groaning, and aches and pains in the upper right abdomen and back in the early stages. In last stage of pancreatitis, the patient sometimes suffers TOX damage, and the pancreas may sometimes lose health, eventually causing the same effects as not having a pancreas at all.

There is no cure for pancreatitis, barring a pancreas transplant, but omnizine and cryoxadone can and potentially prevent the pancreas from totally failing. Very rarely, pancreatitis may clear up on its own its the first stage.

Appendix Damage

Currently, the only source of appendix damage is from attacks to the chest, detailed above in the introduction of this section. Spacepeople can live without an appendix, and it's probably for the better, because once it reaches the "Critical" level (i.e. 65 organ damage and above, as previously stated), there's a risk of contracting appendicitis. Fortunately, omnizine and cryoxadone counteract appendix damage, the former better than the latter.

Appendicitis

Because of excessive damage or random chance, the patient's appendix is dangerously enlarged, causing abdominal pains and shudders that progressively worsen. In the last stages, the appendix may become so inflamed that it begins to tear apart and damage itself. If left unchecked, the appendix will eventually burst, dumping several pathogens and sometimes lots of toxin into the afflicted.

While there is no specific medicine for the disease, omnizine and cryoxadone can slow the disease down, as the appendix does not have chance to explode until it's reached 90 damage, well beyond the "Critical" organ damage level. Removing or replacing the appendix will cure the disease. Very rarely, the disease may go away on its own. Having a cyberappendix or no appendix at all will prevent appendicitis entirely.

Spleen Damage

Just like in the movies, kinetic bullets and melee attacks to the chest have a chance to hurt the spleen, so when patients scream that about their spleen hurting after getting shot, sometimes it really is hurt. Unfortunately, it's the only way to receive spleen damage, so this doesn't happen with, for example, being set on fire (or something that clearly doesn't hurt the spleen), reducing potential comedy value. Less comedically, if the spleen dies (i.e. more than 100 damage), the body can't regenerate blood naturally.

Fortunately, omnizine and cryoxadone can heal this butt monkey of an organ, and any meds that heal lung damage, such as salbutamol, also heal spleen damage, because that's just how spacepeople work.

Stomach Damage

Blows to the chest can sometimes translate into blows to the stomach, as described above. If the patient has no stomach or one that's too damaged, they cannot can't eat food, though they can still swallow pills, sip drinks, things like that.

Anything that's good for the liver is good for the stomach. That is, if it heals toxin damage, not only does it repair the liver, but it should fix up your stomach too. That means drugs such as omnizine, cryoxadone, and charcoal.

Intestines Damage

Currently, intestines only take damage from certain melee attacks to the chest, as stated above. While Trent's Anatomy/Surgical Textbook might imply the intestines allow people to absorb reagents and gain buffs from food, they can do both without intestines, with no ill effect.

Just like with the liver, stomach, and kidneys, omnizine, cryoxadone, and anti-TOX drugs, such as charcoal, all heal the intestines.

Surgery

Several problems require immediate surgery to save the patient, some of which concern their extremities or internal organs. People coming into medbay will expect you to be able to help, so you should familiarize yourself with this guide.

Basics & Controls

Surgery starts by placing someone on an operating table OperatingTable.png, found in the Operating Theatre in Medbay and sometimes other places. To do this, stand near the table your patient and drag & drop them onto the table. Putting people on an operating table has a small delay that's interrupted if either of you move; putting yourself on the table, again through drag & drop, has no such delay.

Once the patient is on the table, you need to use certain tools and objects on them in a specific order, particular to each procedure; often different things also happen depending on what body part you're aiming for and what intent you're on. To use a tool on someone as a human, you simply need to click on the person with the required tool in your active hand. As a medical cyborgs, you need to have the necessary tool in your active slot. Human and robotic surgeons can drag & drop organs onto someone to try to attach them to/insert them into the patient. It's very handy for the latter, since robots don't actually have hands, though they are restricted to organs.

Surgical tools are often found near the operating tables, often on surgical trays. Scalpels Scalpel.png and saws CircSaw.png CircularSaw2.png see a lot of use; scissors Surgical Scissors.png and staple guns StapleGun.png also see a fair bit of use. More of these can be printed at a medical fabricator.

Once the procedure is done, remember to heal them up. Surgery often causes BRUTE, which you can treat by adminstering styptic powder or similar, and bleeding, which you can alleviate by clicking on them with a suture Suture.png.

At no point does the patient need to be under anesthetic, though it does help. Surgeries can also be done on the dead. Just as in real life, working on cadavers can be great for learning surgery and anatomy!

Success & Safety

During each step of every surgery, there is a chance to you to make a mistake and cause damage instead of progressing. Several factors influence the probability of complications. Injecting the patient with sedatives (morphine, haloperidol) or painkillers (salicylic acid, alcohol) has a positive effect, as does using N2O (anesthetic) tank. Jitteriness should be addressed beforehand. Clumsy people have no place in the operating room and surgeons may also wish to avoid excessive consumption of alcohol. Last but not least, trained professionals (the medical staff) are less likely to screw up in general.

Since surgery can be a very bloody affair, you may want to make use of a hemostat where available to reduce the amount of bleeding damage taken. Either way, it is never a bad idea to have sutures (see the previous section on "Bleeding") on hand for dressing the patient's wounds immediately. A full blood bag can also be required for complicated and lengthy surgery (such as heart replacement).

Improvised Surgery

Should proper tools be unavailable and/or a trip to the Operating Theater undesirable/inconvenient, you may need to perform some procedures with nonstandard tools. Certain surgical tools can by substituted by the following items:

Similarly, you may, for whatever reason, find yourself without an operating table. You can operate on certain surfaces in place of one, but there are some special considerations for each:

  • Beds: The patient must be buckled to the bed (procedure is same as buckling to chairs), but they can otherwise be alive or dead, conscious or unconscious.
  • Tables: The patient must be unconscious; simply lying prone on the table isn't enough. For willing patients, it is common practice for the one going under the knife to repeatedly *faint (entered like any other emote). For unwilling patients...some sort of stun weapon is necessary.

Self-Surgery

For whatever reason, in some situations, the one going under the knife is the also the one holding it. That is, you may sometimes have to conduct surgery on yourself. There are a few techniques for performing self-surgery, with varying levels of legitimacy.

The usual way of performing surgery on yourself is to lie down on the operating table, stand up, and have at it as if you were lying down.

There's one technique that doesn't require an operating table, or really any table at all. Instead, it simply involves the Captain's favorite past-time: drinking lots of booze. If you ingest enough ethanol, you can actually conduct surgery on yourself while standing up, but you need a fair bit of it in your system: about 45 units or more. Generally, if you're so drunk that your vision's blurry and you can just barely make out your surgery tools, self-surgery is possible.

Finally, you can do a similar thing with morphine, and it works quite well. Unlike ethanol, you only need at least 5 units in you to operate on yourself, which is low enough that you don't have to worry about accidentally knocking yourself out or blurring your vision. Not to mention, as previously discussed, having morphine in the patient (in this case, you) reduces the chance of the surgery going awry, and unlike alcohol, it doesn't inherently inhibit the surgeon. It's not as abundant as ethanol, but it's not exactly scarce either. Overall, it's a viable alternative to ethanol.

Surgical removal

-ectomy Scenario Tools Procedure Considerations
Headspider The patient fought a changeling and ended up being infected by its headspider.
Scalpel.png
Target the chest with Help intent. Use the scalpel. Time is of the essence! This should cut a "strange tumor" out – if it doesn't after repeated attempts, the transformation has already been completed.
Implant The patient has an implant that requires removal.
Scalpel.png
Target the chest with Help intent. Use the scalpel. Most of the time, the implant can be recycled by loading it into an empty implanter. However, some implants cannot be recovered by surgery, such as mindslave implants.
Bullets, shrapnel The patient has bullets and/or shrapnel in their chest and cannot bear the random stuns and brute damage. Scan them with a health analyzer ("Foreign objects detected") to confirm your suspicion.
Scalpel.png
Target the chest with Help intent. Use the scalpel. One foreign object is removed at a time, so you may need to repeat.
Limb The patient is a healthy human with four limbs. For augmentation or other reasons, some of the limbs have to go.
Scalpel.png CircSaw.png
Target the limb in question. Use the scalpel, then saw, then scalpel. 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 will put the patient in critical condition very quickly, so you need to have bandages and medical drugs at the ready.
Butt The patient is alive or dead, and you need their behind for a buttbot or the kitchen.
Scalpel.png CircSaw.png
Target the chest with Harm intent. Use the scalpel, then saw, then scalpel, then saw.
Eyeball You need to remove somebody's eyes, presumably for augmentation.
SurgicalSpoon.png Scalpel.png
Target the head. Use the spoon, then scalpel, then spoon using the hand of the side in question. Hold the surgery tools in your left hand to target the left eye, and vice versa.
Brain (Humanoid Corpse) Your patient is quite dead, or wishes to be a cyborg, and you need their brain.
Scalpel.png CircSaw.png
Remove the patient's headgear (hat, mask). Target the head with Help intent. Use the scalpel, then saw, then scalpel, then saw. You can use the same procedure (headgear removal not necessary) on severed heads.
Brain (Critter Corpse) Your patient has, through special wizardry, been turned into an animal, and now is quite dead, or wishes to be a cyborg, and you need their brain.
Scalpel.png
Use the scalpel twice. No operating table necessary.
Skull The patient is dead and you for some reason require their skull.
Scalpel.png CircSaw.png
After removing their brain (see above), target the head. Use the scalpel, then saw. You can use the same procedure on severed heads.
Heart Your patient has a heart and needs it removed or replaced (See possible replacement hearts).
Scalpel.png CircSaw.png
Target the chest with Help intent. Use the scalpel, then saw, then scalpel, then saw. Foreign objects will be removed first, so you may have to cut several times. The patient won't survive long without a heart. Cardiac stimulants are essential for any successful transplant, but removing a heart will also transfer all the reagents from the patient's system into the heart, so you'll need to top off on those stimulants after removal.
Lung Your patient has a lung and needs it removed or replaced.
Surgical Scissors.png CircSaw.png
Target the chest with Help intent. Use the scissors, then saw, then scissors using the hand of the side in question. Whether you remove the right or left lung depends on the hand in which you do the final cut with the scissors. Naturally, the patient is less able to breathe if a lung is missing, moreso if both are, so salbutamol and the like are useful for counteracting the suffocation.
Kidney Your patient has a kidney and needs it removed or replaced.
Scalpel.png Surgical Scissors.png
Target the chest with Help intent. Use the scalpel, then scalpel, then scissors using the hand of the side in question. Whether you remove the right or left kidney depends on the hand in which you do the final cut with the scissors.
Appendix Your patient has an appendix and needs it removed or replaced.
Surgical Scissors.png
Target the chest with Help intent. Use the scissors three times.
Liver Your patient has a liver and needs it removed or replaced.
Surgical Scissors.png Scalpel.png
Target the chest with Help intent. Use the scissors, then scissors, then scalpel.
Stomach Your patient has a stomach and needs it removed or replaced.
Surgical Scissors.png Scalpel.png
Target the chest with Help intent. Use the scissors, then scalpel, then scissors.
Intestines Your patient has intestines and needs them removed or replaced.
Surgical Scissors.png Scalpel.png
Target the chest with Help intent. Use the scissors, then scalpel, then scalpel.
Pancreas Your patient has a pancreas and needs it removed or replaced.
Scalpel.png Surgical Scissors.png
Target the chest with Help intent. Use the scalpel, then scissors, then scissors.
Spleen Your patient has a spleen and needs it removed or replaced.
Scalpel.png Surgical Scissors.png
Target the chest with Help intent. Use the scalpel, then scissors, then scalpel.
Chest Item Your patient is tired of keeping a terrible secret inside them and wants it removed/replaced.
Scalpel.png
Target the chest with Grab intent. Use the scalpel, then use an empty hand with Help intent to yank the item out.

Other surgery

Surgery Scenario Tools Procedure Considerations
Limb replacement The patient is either an amputee or already underwent limb removal, and wishes to have all of them restored.
StapleGun.png

OR

Suture.png
Target the missing limb. Attach the corresponding limb and swiftly secure it with either a medical stapler or suture. There are several options for replacement limbs, but the surgery is the same.
Butt replacement The patient has no bum and requests a new pair of buttocks.
None
Target the chest. Attach a spare butt (any type).
Butt attachment The patient wishes to wear somebody's butt as a hat, permanently.
StapleGun.png
Target the head with Help intent. Ask the patient to put the butt on their head, then use the staple gun. Once affixed, the butt cannot be removed by the wearer, but it may still be ripped off by external forces.
Mask attachment The patient wishes to wear a mask on their face, permanently.
StapleGun.png
Target the head with Help intent. Ask the patient to put the mask on, then use the staple gun. Once affixed, the mask cannot be removed by the wearer.
Eye replacement The patient is missing at least one eyeball and wishes to have all of them restored.
None
Target the head. Insert the spare eye (any type). You have to hold the replacement organ in your left hand to target the left eye socket and vice versa.
Lung replacement Patient lacks one of both of their lungs and needs it/them restored.
Surgical Scissors.png CircSaw.png
Target the chest with Help intent. Use the scissors, then saw, then insert the new lung(s). You have to hold the replacement organ in your left hand to target the left lung socket and vice versa.
Kidney replacement Patient needs a kidney or two restored.
Scalpel.png
Target the chest with Help intent. Use the scalpel twice, then insert the the new kidney(s). You have to hold the replacement organ in your left hand to target the left kidney socket and vice versa.
Appendix replacement Your patient has no appendix and wants a new one.
Surgical Scissors.png
Target the chest with Help intent. Use the scissors twice, then insert the new appendix.
Liver replacement Your patient has no liver and requests a better one.
Surgical Scissors.png
Target the chest with Help intent. Use the scissors twice, then insert the new liver.
Stomach replacement Your patient lacks a stomach and needs it replaced.
Surgical Scissors.png Scalpel.png
Target the chest with Help intent. Use the scissors, then scalpel, then insert the new stomach.
Intestines replacement Your patient's intestines are gone and need to be restored.
Surgical Scissors.png Scalpel.png
Target the chest with Help intent. Use the scissors, then scalpel, then insert the new intestines.
Pancreas replacement Your patient has no pancreas and needs a new one.
Scalpel.png Surgical Scissors.png
Target the chest with Help intent. Use the scalpel, then scissors, then insert the new pancreas.
Spleen replacement Your patient's spleen is missing, and the patient wants a new one.
Scalpel.png Surgical Scissors.png
Target the chest with Help intent. Use the scalpel, then scissors, then insert the new spleen.
Head reattachment You are in possession of a detached head in need of a new body.
Scalpel.png CircSaw.png Suture.png
Prepare a suitable body (human or monkey, not rotten or a husk) on the operating table and behead it. Target the head with Help intent. Attach the severed head, then sew it on with the suture. The new host can now be cloned.
Skull reattachment Your patient is missing a skull and likely needs it to get their brain back.
None
Target the head. Attach the skull.
Brain reinsertion You are in possession of a detached brain and have the body it was removed from.
None
Target the head. Insert the brain. Requires the body to still have a skull. Requires the body's head to still be cut open. Cut it open if not.
Brain transplant You are in possession of a detached brain (e.g. from a husk) and want to clone it into a new body.
Scalpel.png CircSaw.png
Prepare a suitable body (human or monkey, not rotten or a husk) on the operating table and de-brain it. After you've done that, insert the new one and clone the whole abomination.
Chest Item Implant The patient wishes to become a living [noun].
Scalpel.png Suture.png
Target the chest with Grab intent. Use the scalpel, then place the item inside the chest, then sew the chest area back together with the suture. Optionally, you can secure the item before sewing the patient back up by sewing it into the chest cavity with Help intent. Remember to switch back to Grab intent to sew back up.
Item Arm The patient has an item, wants to replace a hand with it, and is willing to accept the loss of an hand.
StapleGun.png
Remove the arm in question. Target the limb with Help intent. Attach the item and swiftly secure it with the medical stapler. The patient can click on the hand slot the item's replacing to do whatever the item does when clicked in-hand (e.g. changing a setting, turning something on/off). Disarming the item arm owner, including shoving them to the floor and shoving them while they're on the ground, may cause said arm to hit the owner, causing whatever effect they usually do on someone. Most items can be made into item arms, save a few such as wizard staves and the nuke operative guns. Experiment!

Other Ailments

As an MD, you will likely encounter a wide variety of oddities which require special attention. Don't make the mistake of viewing them as an isolated condition. The treatment should always be flexible enough to handle any ailments and other underlying conditions at the same time. If these go unchecked, chances are the patient will simply relapse.

A penlight can be helpful for diagnosing some ailments. Shine one in a patient's unobstructed eyes to observe.

  • Pupils (very) constricted: Patient is (overdosing) on morphine or space drugs.
  • Pupils (very) dilated: Patient is (overdosing) on atropine, antihistamine, methamphatamine, crank, bath salts, or cat drugs.
  • Right pupil doesn't follow light and/or dilated: Patient has brain damage.
  • Left pupil doesn't follow light: Patient is having a stroke.

Conditions you may come across:

Condition Common causes Notes Treatment
Shock Critical health, severe blood loss. If not addressed promptly, the patient's condition can continue to deteriorate with an increasing chance of developing cardiac failure.
  • Inject saline either manually or with the sleeper control panel. Medbots may also be of help.
  • Stabilize the patient with CPR or epinephrine if required.
Cardiac failure Untreated shock, heart damage. A major emergency that, if left untreated, will rapidly lead to the death of your patient by cardiac arrest. Note that shock and cardiac failure are, to a degree, independent from the patient's overall health. Even somebody with full HP will eventually suffer from cardiac arrest without epinephrine, so you can't ignore these conditions.
  • Epinephrine can be sufficient, provided the patient's health isn't worse than -60%.
  • In acute cases, atropine should be administered instead.
Cardiac arrest Untreated cardiac failure, poisons such as initropidril, defective cyberheart. Also known as heart failure, The final stage of the struggle with death, so to speak. If they aren't already in medbay, it is rare for patients to survive this encounter.
  • Application of a defibrillator.
  • Atropine may be effective as a substitute.
  • If both are unavailable, one should find other sources of electric shock, such as stun batons, messing with powered wires, electrified grills, doors or even stun gloves.
Cardiac abscondment Certain poisons, heart removal. Indicated by "Subject has no heart" on the health analyzer's readout. The patient's heart is missing, plain and simple. While you can prolong their suffering with cardiac stimulants, this can only be a temporary measure at best.
  • Stabilize the patient with epinephrine or atropine.
  • Combine this with salbutamol and mannitol to address the escalating suffocation and brain damage.
  • Transplant a replacement heart as soon as possible.
Blood clot Coagulants such as proconvertin. [data missing]
  • Inject Heparin, which will increase bleeding but dislodge blood clots.
Stroke Untreated blood clot. [data missing] [data missing]
Anaphylaxis Wasp stings, allergic reactions, poisoning. The patient is full of histamine and rapidly accumulating brute, toxic, and suffocation damage.
  • Diphenhydramine/antihistamine.
  • Epinephrine is an inferior alternative, but is plentiful and works reasonably well.
Hyperglycaemic shock Excess sugar (around 200+ units). A hyperglycaemic patient may fall into a diabetic coma. Scanning the patient with a standard health analyzer won't show anything, but you can deduce why they're collapsing and unconscious by using a reagent scanner.
  • Inject them with insulin, which will dramatically increase the depletion rate of sugar.
Radiation sickness Exposure to radstorms, blowouts, cerenkite ore, radium, being shot by a rad-bow. Radiation sickness usually isn't obvious at a glance, but a health analyzer will reveal the extent of the contamination. As long as the patient is irradiated, they will accumulate toxin damage every second, with more damage per second at higher doses, occasionally suffer burns, and may even randomly mutate.
  • Potassium iodide, basic anti-rad medicine. Trivial to synthesize in chemistry, should you have to.
  • Pentetic acid is superior in every aspect, healing toxin damage too.
Genetic defect Exposure to large doses of radiation, imperfect cloning cycles, unstable mutagen. Note that some jobs, such as the chef, may spawn with a mostly harmless mutation.
  • Administering mutadone will gradually remove one mutation (good or bad) per life cycle. (This may also come in handy to stop a cloaked, superfarting geneticist.)
Addiction Taking addictive drugs. Addiction functions similar to a non-contagious disease. When scanning the patient, the health analyzer will tell you to which substance (methamphetamine and nicotine are common) they are addicted to and the stage of withdrawal. With each progressive stage, the symptoms become worse: falling over, vomiting, shaking and so on.
  • If they still have the chemical in their veins, you can try flushing it out.
  • Ask the patient to hibernate a minute or two in a sleeper, which should cure all addictions.
  • Otherwise, they can either keep taking the drug for temporary relief, or they'll have to tough it out and wait until they overcome the addiction. You can offer a bed in medbay until they no longer feel reliant, but this is more for their safety, as withdrawal makes them very weak and open to mugging/assault.
  • Chronic jitteriness can be fixed with 5 units of morphine or haloperidol.

Viruses

Main article: Virus

There are many different types of viruses on the station, each with its own effects and possible cures. Some of them will always follow the same pattern, whereas pathology research may synthesize unique diseases every shift. Using a medical analyzer on someone who is infected will display specific information. For minor protection, wearing gloves and a biosuit is recommended. It doesn't hurt to have a syringe of spaceacillin on hand either. You may come in contact with:

Food poisoning
The most common condition you will encounter, which is caused by eating bad food. The patient can drink chicken soup, take Robustissin, and/or take a nap by falling asleep in medbay or any other bed.
Robotic transformation
The patient has nanomachines in their bloodstream. If nothing is done, their flesh will eventually rip apart to reveal a cyborg. Treat with electric shocks (see cardiac arrest).
MRSA
The patient is suffering from an aggressive bacterial infection. Fairly harmless in its early stages, but later on the accumulating toxin and burn damage can be lethal. As the bacteria are resistant to antibiotics, more than one syringe of spaceacillin may be required.
Kuru
This fatal condition can be caused by cannibalism, eating brain burgers or exposure to prions. There is no known cure, so scan them with the cloner before they inevitably die.
Grave fever
Transmitted by vampires. It must be quickly counteracted with spaceacillin to prevent the patient from rotting away.
Clowning around
Usually the result of Admin screwery or rainbow fluid ingestion. Without some spaceacillin, this virus gradually turns the patient into a clumsy clown.

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