Welcome to the Medbay!

[superjo98]

oof im dumb then, I misunderstood it.

[ThePiachu]

What is your experience with treating patients that appear dead, or have just recently turned into such? Can you give them drugs, or do you have to do medical treatments in order to get them over the 200 damage threshold to defib them?

[CSolaris]

You can give them drugs, but it won't do anything until they get revived because of the way metabolism works. As a medic, what is typically done is spam the shit out of all the body parts with an ATK, split anything that you think might be broken, administer the proper medicines and then try and defib. If it lets you defib, but they keep dying, just keep defibbing. Each defib lowers each damage category(?) by 5. Once they revive, the metabolism should kick in and then the damage will continue to go down as long as there's medication in their body. If you can't lower the damage below 200, it's probably better to leave them depending on the situation. If you have the chance to evac the body, then do so.

As a doctor, you can operate on a dead body and patch up any broken bones, fix organ damage, etc and then try and defib them after that.

Should be noted that Toxin damage is an exception because typically once it goes over 100, it's very difficult to fix it. If you're quick you can try and do dialysis or replace an organ completely, but that's a bit more difficult to pull off.

[Hughgent]

What is your experience with treating patients that appear dead, or have just recently turned into such? Can you give them drugs, or do you have to do medical treatments in order to get them UNDER the 200 damage threshold to defib them?

with a couple of qualifiers being, 1. they are defibbable, and 2.They are in Medbay.

If they've got "the skull" They've been dead for five minutes or more and aren't coming back at all. (apparently, this isn't TRUELY the end but I've yet to encounter the situation where it can happen.)

You're dead and in medbay. Congratulations, you're gonna make it!

Now these steps are somewhat interchangeable depending on how much time you've got, but they all start with.

1. Remove your patients EXO suit

This is their M3 pattern armor/hazard vest/spacesuit or whatever. the Defib machine will tell you that the voltage is too high and to take off their suit. The next couple of steps are the changeable ones.

2. Hit them with the defib machine

It'll either work or it won't. if it does, great! get to fixing them as best you can. you've also given them approximately 5 units of heart damage. This will make them have a baseline 20 units of oxygen damage if you fix everything else wrong with them. super annoying but you've just put a lot of electricity through their heart, deal with it. Therefore a patient probably won't survive multiple defibs beyond number 3 without some peridaxon.

3. Scan your patient with the HF2 analyzer

How dead are they? if they're sitting at or around 200 Brute damage, you've got to patch those holes with your ATK. 200 Burn damage? ABK's and burn meds. only like 150 brute? they've probably got oxygen damage hurting them which implies low-blood, burst lungs, or massive heart damage.

4. Pump them full of drugs

Brute damage? TriBica (you did make some for yourself right?)
Burn damage? Keloderm.
Oxygen damage? Peridaxon/Dexalin Plus
Toxin damage? Dylovene (Rare, but usually the result of a hurt liver/appendix)
and if you're feeling frisky, a pill of innaprovaline never hurts. (however, Dr. Granite doesn't carry this in his personal kit.)

5. Pop them into the cryotubes

This step is great if you've got a good cryomix going (see earlier). so long as they are "alive" the tube gets to work and heals them so that they don't die anymore.

6. Hit them with the defib machine again

So you've shocked them and the thing reads that the patients vitals are too low. But, you've already pumped them full of drugs and patched up all their wounds. Well you're in luck! The machine heals a small amount of all damage (as well as all oxygen damage) with every defib charge spent. Therefore keep shocking them until they aren't dead anymore. the drugs will usually kick in at that moment and they should stay alive.

We've got the steps now. When Dr. Granite get's a patient in it usually goes in this order.
1. Remove your patients EXO suit
2. Hit them with the defib machine
5. Pop them into the cryotubes

and if that doesn't work
1. Remove your patients EXO suit
2. Hit them with the defib machine
3. Scan your patient with the HF2 analyzer
4. Pump them full of drugs
6. Hit them with the defib machine again

But that's not the only way to do it.
1. Remove your patients EXO suit
3. Scan your patient with the HF2 analyzer
4. pump them full of drugs
2. Hit them with the defib machine

And if you're feeling wasteful
1. Remove your patients EXO suit
2. Hit them with the defib machine
6. Hit them with the defib machine again
6. Hit them with the defib machine again
6. Hit them with the defib machine again
6. Hit them with the defib machine again
6. Hit them with the defib machine again
6. Hit them with the defib machine again
Get a new defib and keep trying until it works, you butcher.

So in a nutshell, it breaks down to get them below 200 total damage, fill them with drugs and first aid to keep them from getting worse, then do surgery as required.

Toxin damage is the most dangerous because there isn't an easy way of removing it from a patient. the Sleeper dialysis doesn't remove toxin damage, it only removes chemicals. If you need to remove toxin damage you have to use Toxin Damage Chelation from the autodoc (which only works on live patients). therefore, If you've got a patient with 200 toxin damage, they're a goner.

[CSolaris]

Harry explained it a lot better than I did, but yeah, that's the general gist of it Gaius.

[Hughgent]

Harry explained it a lot better than I did, but yeah, that's the general gist of it Gaius.

man, could have beaten you to the punch to if I didn't do fancy things like spell checking and formatting.

[CSolaris]

man, could have beaten you to the punch to if I didn't do fancy things like spell checking and formatting.

I'll punch you, punk.

[Hughgent]

I'll punch you, punk.

Have at you!

Surgeries at dawn!

[Hughgent]

So you want to be an MP, and also an A##hole to Mebay.

Well, the laws are changing. but, they haven't changed on a permanent basis yet. This could mean no more looking over your shoulder and maybe handing out some TriBica and KeloDerm. With the assumption that merely mixing already approved drugs doesn't truly make a new drug (see the contraband law).

Still can't make up space drugs though.

viewtopic.php?f=57&t=17667

https://docs.google.com/document/d/e/2P ... ZvJsX6/pub

[Retrokinesis]

As of today, the new Marine Law is now in effect. And the definition of contraband explicitly says it "does not include custom mixes or dosages of medicinal drugs", so you should theoretically be good for mixing up anything except stims, space drugs, or mindbreaker and dispensing it without authorization.

This is an amazing guide and I wish something as up-to-date had been around when I first started playing medical. Everyone should know how to build medibots, for only they can save us from the xeno threat.

[Hughgent]

Hey, it's surgery time!

Now the wiki is all fine and dandy but sometimes ya gotta get your practice in or maybe you're considering being a doctor. So I've put together this test/flashcard exam to see if you're up to snuff. Now get ready for some Image links and to test your knowledge. When you've got all the steps in your head for every surgery, you can mix and match according to your preference.

This is a good example of Combining surgeries.

1. Scan: https://imgur.com/wXueags
   Answer: https://imgur.com/Vk9dfYh
2. Scan: https://imgur.com/8GHjaWT
   Answer: https://imgur.com/o4kVaxc
3. Scan: https://imgur.com/VQgbsMk
   Answer: https://imgur.com/HfXQ1Q0
4. Scan: https://imgur.com/MwCCdSg
   Answer: https://imgur.com/8e9jrix
5. Scan: https://imgur.com/NLW9sWT
   Answer: https://imgur.com/Mwrxly5
6. Scan: https://imgur.com/KNkCmPZ
   Answer: https://imgur.com/cDkZeR0
7. Scan: https://imgur.com/RcYPPNq
   Answer: https://imgur.com/JxQ2TRM
8. Scan: https://imgur.com/BvLErMq
   Answer: https://imgur.com/h8yc9Cq
9. Scan: https://imgur.com/Mu0rGrR
   Answer: https://imgur.com/gbYI1W0
10. Scan: https://imgur.com/nUBa9rW
    Answer: https://imgur.com/WIIPTVo
11. Scan: https://imgur.com/T3oZXFu
    Answer: https://imgur.com/2IRkplO
12. Scan: https://imgur.com/95X7PmS
    Answer: https://imgur.com/2Rbl0IK
13. Scan: https://imgur.com/cXiwuOv
    Answer: https://imgur.com/7hBiy00

Don't got the drug? Go make the drug.

Oh and the biggest cause of "oh god I can't cauterize this guy" is because their rib cage is still open and needs to be closed with the retractor (don't forget to bone-gel, bone-gel, bone setter also.)

[Sulaboy]

Oh and the biggest cause of "oh god I can't cauterize this guy" is because their rib cage is still open and needs to be closed with the retractor (don't forget to bone-gel, bone-gel, bone setter also.)

Nice job on this. I didn't realize you could patch internal bleeding without opening the ribcage (mostly because IB patients tend to have organ damage).

One thing I'd like to point out is that setting the bones can be done before bending the ribcage back in place too. So then it would be bone gel, bone setter, retractor, bone gel.

Also pay attention to the patient's brute damage because it's possible for them to break their bones again. Pulling an embryo out of a marine's chest merits a scan with the handheld to see if it broke his ribs on the way out.

[Hughgent]

Nice job on this. I didn't realize you could patch internal bleeding without opening the ribcage (mostly because IB patients tend to have organ damage).

One thing I'd like to point out is that setting the bones can be done before bending the ribcage back in place too. So then it would be bone gel, bone setter, retractor, bone gel.

Also pay attention to the patient's brute damage because it's possible for them to break their bones again. Pulling an embryo out of a marine's chest merits a scan with the handheld to see if it broke his ribs on the way out.

There is a tell with the embryo extraction and chest breaking as well as brute damage and chest breaking. it comes in the form of red text along the lines of "you hear a sickening crack come from (patients) chest" and "the wound in (Patients) chest rips open"

But to be on the safe side. there isn't any real reason not to fix their chest bones. You've got them open already.

[Hughgent]

Trying out new surgery painkiller pills. OxyInna 20 10

pretty simple to cook up.

add 1 phoron to the BS beaker (use the dropper)
vend out 3 innaprovaline bottles
add 1 Innaprovaline bottle to the BS beaker for 60 innaprovaline
set to 30 make 180 oxycodone by following these steps (total cost of 30 energy)

1. 30 Ethanol
2. 30 Oxygen (90 Tramadol)
3. 90 Ethanol (90 Oxycodone)
4. 30 Ethanol
5. 30 oxygen (90 Tramadol 90 Oxycodone)
6. 90 Ethanol (180 Oxycodone)

Add 80 innaprovaline to the BS beaker
move BS beaker to the pill machine
your buffer should be 80 Oxycodone and 40 Innaprovaline.
Make 4 pills
80 Oxycodone and 40 Innaprovaline
make 4 Pills
Move the excess 20 oxycodone to the buffer and dispose of it. (or make a single pill and feel all loosey goosey for a minute you addict.)
Repeat these steps for the second 8 pills

Now this is an improvement on my OxyTram 15 15 pills, I think. So there is more Oxycodone which means they stay fully drugged up longer, and the innaprovaline is the second painkiller which lasts a fair amount of time. However, I'm not sure this is a true zero percent chance of failure. I do think it's only a VERY low chance of failure because I had a single surgery in the past three rounds where a couple of steps started going wrong. This may have been due to other circumstances though.

For this small small chance of failure you get more benefits in that there is almost no chance of OD on Tramadol, you get the benefits of Innaprovaline for stabilizing your patient, and there's more Oxycodone for surgeries.

I'm sure there's a tweak that could be done to figure out the optimal amount of Innaprovaline such that it runs out when the Oxycodone does, thus allowing the remaining space to be filled up with Antibiotics.

[CSolaris]

Speaking of Oxycodone as an alternative to anesthetic, do you know the tick rate? I'm sure the tick rate is listed somewhere on baystation's wiki, but i'm a bit lazy.

[Hughgent]

Speaking of Oxycodone as an alternative to anesthetic, do you know the tick rate? I'm sure the tick rate is listed somewhere on baystation's wiki, but i'm a bit lazy.

I ain't lazy

https://wiki.baystation12.net/Chemistry#Oxycodone

which is twice as fast as Innaprovaline

https://wiki.baystation12.net/Chemistry#Inaprovaline

but I'm almost certain that the tick rates are different for CM. Hey Research, get on it.

or better yet, translate it into actual time as an average units per second.

[Hughgent]

gave it a single timed try. 20 units of oxy lasts about 2 minutes and 50 seconds. while the 10 innaprovaline lasted about 1 minute 20 seconds. neat.

[Surrealistik]

gave it a single timed try. 20 units of oxy lasts about 2 minutes and 50 seconds. while the 10 innaprovaline lasted about 1 minute 20 seconds. neat.

That's pretty surprising; I always thought the former metabolized much faster; looks like it has a meta rate of roughly 0.1 / sec. Meanwhile inaprovaline appeared to meta slightly faster than anticipated at 0.125 / sec. Lag distortion almost certainly influenced both durations, but the oxy one is really surprising, and almost certain to indicate a meta rate much slower than initially thought.

I think I'll have to stick with para as the supplemental painkiller then for surgery pills.

[Hughgent]

really this just goes to show that more 'research' needs to be done and that a true surgical painkiller can be more supplimental drugs than pure oxy.

[Surrealistik]

really this just goes to show that more 'research' needs to be done and that a true surgical painkiller can be more supplimental drugs than pure oxy.

As I said (and provided a recipe for), oxy + para works best as the para metarate is verifiably low and only a tiny amount is needed.

You could use tramadol, but you'd require a significant amount, probably close to par with oxy which would slow production considerably, and force you to produce only 3 pills per batch; moreover, even at 3 I'm not sure you could fit in the important spaceacillin.

[Hughgent]

As I said, oxy + para works best as the para metarate is verifiably low and only a tiny amount is needed.

You could use tramadol, but you'd require a significant amount, probably close to par with oxy which would slow production considerably, and force you to produce only 3 pills per batch; moreover, even at 3 I'm not sure you could fit in the important spaceacillin.

Between you and me, I'm sure we'll come up with the "perfect" surgical painkiller pill.

[Surrealistik]

Between you and me, I'm sure we'll come up with the "perfect" surgical painkiller pill.

I think 20u Oxy, + 5u Spaceacillin and Para is basically where it's at.

Inaprovaline would be slightly faster to produce than Tramadol, but the problem remains that it limits you to 3 pills per batch.


An interesting possibility is Alkysine which does have minor painkilling properties and is long lasting (I believe it's 1U / 20 seconds) , plus it gets rid of brain damage; approximately 8U should last about as long as 20U Oxy.

20U Oxy + 8.25U Alky + 1.75U Spaceacillin could prove to be the best option, as the Spaceacillin will last just slightly longer than the painkillers, but the Alky meta rate has to be confirmed.

Essentially you'd have a batch of 80U Oxy + 33U Alky + 7U Spaceacillin producing 4 pills.

[Hughgent]

shhhhh. I made this one just for us Doctors.

https://imgur.com/qR7HvaL

[Hughgent]

Hey new doctors.

Stick around after you die, all us doctors tend to die together. We're all more than happy to discuss the round, give pointers and share recipes.

Although the salt does tend to pile up near the end, which is too bad really. It tends to drown out discussion.

[Jackie Estegado]

I think 20u Oxy, + 5u Spaceacillin and Para is basically where it's at.

10 units of tramadol will outlast even the longest surgeries, no need to take risks with Para, also Tram is really easy to make, only takes a minute.

Also, I tend to make my surgery mix into two sets of pills instead of one: 15 unit Oxy pills (this allows you to give them more without ODing if the surgery is taking long, plus is easier to mass produce) and 10u Tram/5u Spaceacillin pills.