The Medbay Commandments

[Crab_Spider]

Actually, I'm looking at pulling chems out of autoinjectors.

https://www.youtube.com/watch?v=0eVvrK1aexE

Welp...

[Surrealistik]

I'll wait and see what the totality of changes are but it doesn't sound good; that's fine though, I've been enjoying field engineer a lot more than CMO lately, and hey, even carrier every now and then.

[Jackie Estegado]

Well Apoph, then teach the medics 'somehow' to be actually competent that way we chemists don't need to button smash for 40 minutes to give them enough supplies to take care of marines.
Especialy on rounds where there are 40 plus marines and I am the only doctor on I can't take care of the flood of wounded marines that are coming in because the medics can't ration their supplies to last more than 20 minutes without the gigantic amount of supplies I make. If restocking gets removed I will have to resort to giving the pills to medbay staff first then only after deployement could I start sending the medics theirs and that would just end up a massacre on the marine side.

[Surrealistik]

Re-added/uncrossed ASSBLAST U-S-A; updated recipe.

[Feweh]

Stickied

[spookydonut]

add ATK= advanced trauma kit

[Surrealistik]

Will probably need a big overhaul due to the latest major changes to medical; going to hold off and wait to see which ones stick.

[Surrealistik]

Alright, some interim updates for doctors coping with the new medical; first off, useful chemmixes:

Added stuff to OP.

[Surrealistik]

Good news everyone!

Bicaridine overdose is confirmed as healing (albeit very slowly) internal bleeding, and Bicaridine + Inaprovaline used together are confirmed as stopping IB from worsening over time as it will otherwise.

[Bronimin]

Now we wait until both of these 'bugs' and 'patched' ^^

[Jroinc1]

Good news everyone!

Bicaridine overdose is confirmed as healing (albeit very slowly) internal bleeding, and Bicaridine + Inaprovaline used together are confirmed as stopping IB from worsening over time as it will otherwise.

"HEALS", or "prevents from getting worse"?

Will 50u of bicard actually eliminate IB?

[Surrealistik]

"HEALS", or "prevents from getting worse"?

Will 50u of bicard actually eliminate IB?

Bicaridine OD will slowly heal IB; it works best immediately after IB is inflicted because IB worsens over time (barring exposure to cold temperatures or Bicardi and Inaprovaline) and by the time someone reaches Medbay, a Bicari OD will take a long time to heal them.

[Surrealistik]

Information on how Internal Bleeding works:

Internal Bleeding (IB) applies permanent brute damage which slightly increases and drains 1 unit of blood every every tick. This gradual increase can be arrested by either being exposed to extreme cold (Cryotubes), or subject to Inaprovaline and Bicaridine.

A Bicaridine overdose will restore roughly 0.2 of IB damage every second, or 1 point of IB damage per unit above 30U.

Fixing Internal Bleeding instantly removes all of this brute damage.

[Dumblike]

Now we wait until both of these 'bugs' and 'patched' ^^

marines nerf? no surprise

[Surrealistik]

Updated suggestions and chem and cryo mixes in light of new medical changes.

[Bronimin]

What happens if you put blood in a cyro tube? Does it do its reagent multiplying thing? Does it help with internal bleeding?

[Surrealistik]

What happens if you put blood in a cyro tube? Does it do its reagent multiplying thing? Does it help with internal bleeding?

Yes.

The problem is it reacts with cloneaxadone to make synthflesh which is why I use Iron instead, since cloneaxadone is too good a curative not to have in a mix; at most you could have one designated 'blood restoration' tube, though I have mixed feelings about this given the existence of IVs and the fact that you will regret it in an emergency when all tubes will be seeing use, and there's generally no time to waste in picking out the 'correct' tubes.

[Surrealistik]

Highly recommend learning how to chem and using the formulas/directions in Commandment #9 due to recent changes to bandages/ointments and advanced trauma/burn backs and the resulting increased pressure on already heavily worked Medics.

[Surrealistik]

Added

#5: Thou Shalt Diagnose Thy Patient:

Diagnosis is relatively simple; it consists of the following procedure:

1. Actually listen to your patient: This is usually a good first step (unless the patient is crit/unconscious), particularly where larval infections are concerned. Keep in mind that some people will try to bullshit you for priority treatment though, and they particularly like to lie about being infected (which can quickly be confirmed via a body scanner if you have access to one).
2. Scan with HF2 Health Analyzer: Key limitations of the analyzer: It does not detect organ damage, embedded shrapnel/projectiles and their locations, or larval infection status, nor does it pin point the location of internal bleeding or fractures in the chest, groin and head areas. Note the presence of any chemical overdoses or dangerous chems and treat with dylovene/purge with water + potassium/employ sleeper dialysis as most expedient and needed.
3. You can use deduction to determine the existence of the following conditions without use of a body scanner (such as during field surgery):
   * Lung and/or Heart damage = Persisting oxy damage without the patient having low blood levels or being in critical condition (100 total damage or more). This is especially likely if the chest is fractured/splinted.
   * Appendicitis, appendix, liver or kidney damage. This is especially likely groin if the chest is fractured/splinted. = Vomiting and/or persisting toxin damage without infection or toxic reagents in the patient's blood stream.
   * Eye damage causing blindness = Patients eyes do not respond to pen lights. This is especially likely groin if the head is fractured/splinted. Generally the patient will let you know about this vocally.
   * Embedded shrapnel/projectiles = right clicking gives you the option to yank out an object, but the object is too small. These are likely to be found in areas with organ damage, and particularly the chest.
   * Internal bleeding locations = any body part with brute damage that will not go down and is slowly increasing (and is not robotic). These are more likely to be found in areas with fractures.
   * Head/chest/groin fractures = body parts where there is notable organ damage.
   * For all other issues like larval infections, you'll have to depend on your patient to tell you what's wrong.
4. Get a final/confirmation of diagnosis by using the body scanner on your patient if possible: Note that larval infections will not be differentiated from shrapnel/projectiles lodged in the chest, and you are advised to treat all unknown bodies in the chest as larval infection unless contradicted by information from the patient (unless others are confirming larval infection), or you do not know about it ICly.

[TheDonkified]

How do you feel about surgery macros? Never mind, you already have a section about surgery macros. Welp.

[Surrealistik]

Fixed some bad copy pasta for the Braineye fix mix; clarified steps for the surgery pill mix since the order in which you add certain chems is very important.

[Surrealistik]

Added mention of the autodoc in the surgery commandment.

[kmsxkuse]

You're a saint for doing this and keeping it updated, you know that right?

[Surrealistik]

Stickied

Unstickied?

You're a saint for doing this and keeping it updated, you know that right?

Haha, thanks for the complement! Glad you're getting use out of it. Trust me, having this guide around and contemporary helps me just at least as much as it does you, so my reasons aren't entirely altruistic

I've just updated the guide with a new Commandment, #14: Thou Shalt Be Prepared for Emergencies: and a mention of turning the MedVac Dropship into your very own ambulancemobile under Commandment #13.

[Feweh]

Unstickied?

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