OD and YOU. (A Dumbshit's Guide)

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Stripetail
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OD and YOU. (A Dumbshit's Guide)

Post by Stripetail » 25 Jun 2017, 23:07

Hello everyone! Kincaid here to bring my first little guide to help players deal with something that I see every now and then, and seems to be misunderstood by a lot of doctors and medics.

This is Overdose. I see it uncommonly, but when I do see it generally I find two or even three doctors and medics surrounding a patient, pumping them full of who knows what or trying to treat the symptoms of the illness rather than the cause. So instead of shouting at every doctor who panics when a patient has OD'd and begins throwing every other drug we have into their body in the hopes that they'll keep them alive long enough for the poison to leave their system, I'm creating a sort of 'Dumb Shit's' Guide to the identification and treatment of OD.

First thing is first, what is Overdose? (OD)
Overdose is when a patient has been given too much of a certain drug than their body can handle.

What does OD do, and are there different kinds of Overdose?
Overdose can lead to many things, the most common of them being: Toxin build up, Blindness, Organ Failure, and Death.

I classify Overdoses under a three tier scale: Mild, Severe, and Critical (You done fucked up good!)

An example of each would be:

Mild -Oxycodone, Peridaxon. These drugs metabolize quickly and cause little negative affect aside from toxin build up and in the case of Oxy, a little liver damage. (Though frequent use of Oxy can be addictive and should only be used in emergency surgery by a trained doctor.)
(Note that if a patient is barely overdosed you can administer antitoxin drugs and send them on their way. Example of this is if a patient has 34U of Kelotane in their system. It will be out of their system before it causes major damage.)


Severe - Bicardine, Kelotane, Tramadol, Tricordrazine. The most common overdoses, these drugs are often seen in large quantities on the battlefield, and as such often come in massive overdoses. These drugs always lead to toxin buildup, and in the case of Tramadol blindness as well.

Critical - Quick Clot, Dylovene. (Without proper treatment, these patients will die. Always prioritize these over any other patient.)
(If you are on the planet and have a patient who has been given too much QC or Dylovene, drag them onto the Alamayer for treatment. You cannot in most cases save their lives on the ground. In the case of QC all you can do is manage their toxin levels and revive them until you can get them to medical.)

In most cases a small overdose can be treated by administering anti-tox medications such as Dylovene or Tricordrazine, as well as Peri if the patient has a high toxin damage or the drug is known for causing organ damage when overdosed.

Now, onto curing overdose when aboard the Alamayer.
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I hope this guide is helpful, if anyone wants to request a guide on something else I'd be happy to ablidge, also feel free to tell me how to edit this to make it more readable if you like.
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Re: OD and YOU. (A Dumbshit's Guide)

Post by Jroinc1 » 26 Jun 2017, 01:49

A dylovene OD will not kill, it just causes eye damage. Same with tricord, but brain damage instead. Give perdiox, next.

Bicardine and kelotane OD's can be dealt with effectively by giving one (1) anti-toxin pill, as you'll heal the damage at the same rate, and 25u should easily outlast the OD.

Tramadol's insidious. The OD threshold is 30u, so an OD will commonly be 45u, 3 pills. Due to the slow-ass metabolism rate, you'll need to treat it the same way as bicard/kelo, but they will need a second antitox pill, after the first runs out.

A QC OD means you're looking at a corpse. Hit them with a antitox INJECTOR, and a tricord INJECTOR. These instantly add the chems, as opposed to the short delay pills have before applying their chems, so you can now defib with the chemicals working immediately. You'll need to defib like 3-4 times, though, even with this.
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3 Nov 16-15 Jan 17

Atmos bombs built- 16
Hull breaches repaired- 6
Charged SMs manually dragged to space- 2
Backup tcomms systems set- 4
SM de-lamination weapons detonated- 0
Times I've burned half the ship to a crisp- 5
Times I've burned half the ship to a crisp ACCIDENTALLY- 2
Engine SMs de-laminated on my watch- 0

Upper deck engines made-1
Lower deck engines made-1

Total kills with SM- 6

Most surgeries done at once- 3
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Most perdiox made w/in 5 min of roundstart- 540u

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Re: OD and YOU. (A Dumbshit's Guide)

Post by Stripetail » 26 Jun 2017, 02:02

Jroinc1 wrote:A dylovene OD will not kill, it just causes eye damage. Same with tricord, but brain damage instead. Give perdiox, next.

Bicardine and kelotane OD's can be dealt with effectively by giving one (1) anti-toxin pill, as you'll heal the damage at the same rate, and 25u should easily outlast the OD.

Tramadol's insidious. The OD threshold is 30u, so an OD will commonly be 45u, 3 pills. Due to the slow-ass metabolism rate, you'll need to treat it the same way as bicard/kelo, but they will need a second antitox pill, after the first runs out.

A QC OD means you're looking at a corpse. Hit them with a antitox INJECTOR, and a tricord INJECTOR. These instantly add the chems, as opposed to the short delay pills have before applying their chems, so you can now defib with the chemicals working immediately. You'll need to defib like 3-4 times, though, even with this.
If I'm not mistaken Dylo OD builds toxin damage, without management it will kill via toxin like any other drug, right?

Bi-Kelo Od's aren't that scary at all, it's Tramadol and QC that are the most common I see, it's one of the most common causes of blindness for marines on the field.

The main issue with treating OD is the fact that Peri from round to round can literally be abundant or non existent. If you don't have it things get pretty complicated honestly.
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Re: OD and YOU. (A Dumbshit's Guide)

Post by TheMusician321 » 26 Jun 2017, 02:40

JKincaid wrote:If I'm not mistaken Dylo OD builds toxin damage, without management it will kill via toxin like any other drug, right?
Don't think so, Dylo OD only deals eye damage IIRC, unless they changed it recently.
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Re: OD and YOU. (A Dumbshit's Guide)

Post by Jroinc1 » 26 Jun 2017, 10:48

JKincaid wrote:Snip
Dylovene only deals eye damage... to avoid the situation you mentioned.
Everything else's good, though.
Mentor-
3 Nov 16-15 Jan 17

Atmos bombs built- 16
Hull breaches repaired- 6
Charged SMs manually dragged to space- 2
Backup tcomms systems set- 4
SM de-lamination weapons detonated- 0
Times I've burned half the ship to a crisp- 5
Times I've burned half the ship to a crisp ACCIDENTALLY- 2
Engine SMs de-laminated on my watch- 0

Upper deck engines made-1
Lower deck engines made-1

Total kills with SM- 6

Most surgeries done at once- 3
Most anesthetic tanks used in a round- 3
Most surgeries done using only personal supplies- 37
Most perdiox made w/in 5 min of roundstart- 540u

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Re: OD and YOU. (A Dumbshit's Guide)

Post by Tidomann » 26 Jun 2017, 12:44

Nice guide. I always try to avoid working on somebody with another medic. If the case arises I make sure to announce everything I am putting into him.

This is great to know what to prioritize. I only ran into one QC od, and was ultimately unsure what to do. I didn't realize I needed to keep shocking him to refresh the timer and help bring down the toxic buildup as the tricord and dylovene slowly brought things down.

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Re: OD and YOU. (A Dumbshit's Guide)

Post by TheMusician321 » 27 Jun 2017, 04:25

Tidomann wrote:Nice guide. I always try to avoid working on somebody with another medic. If the case arises I make sure to announce everything I am putting into him.

This is great to know what to prioritize. I only ran into one QC od, and was ultimately unsure what to do. I didn't realize I needed to keep shocking him to refresh the timer and help bring down the toxic buildup as the tricord and dylovene slowly brought things down.
Personally, if you ever find the time that the other medic won't leave your patient alone, always /ALWAYS/ say "Injecting QK" before you inject it, that way even if they OD, it ain't your fault.
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Re: OD and YOU. (A Dumbshit's Guide)

Post by Rhicora » 10 Jul 2017, 18:20

Dylo OD deals eye damage, which I recommend treating with a custom run of Imidazoline. You won't need to do this often enough to warrant making lots of it in advance, but it's great for eye patients. You can safely administer larger doses of Imidazoline than you can of Peri and the effect (to eye patients) is the same -- their eyes can be healed non-surgically.

10u Nitrogen
10u Potassium
10u Silicon
30u Carbon
30u Hydrogen

= 90 units Imidazoline, make 3 pills of 30u each. Feed one to the patient, wait for it to clear, repeat if he still can't see. Save the Peri for surgeons!
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