For those who want to step their game up!
Being a doctor is easy sometimes. A patient comes in, you slap them on the operating table, you cut them up, and send them on their way. Everyone is happy all around.
But….
There are those times when things aren’t going well. When the bodies start stacking up. When the lobby starts getting covered in blood. When the screams start to get on nerves, people calling crabbed, IB, gasping, coughing up blood. Those are dire times.
So let’s get better, get faster, and put our heads together to fix those marines.
Table of Contents
- Introduction
- Defibrillation
- Surgery
- The Autodoc
- Chemistry
- Field Hospital
- Cryocells
- Medbay Setup
- Personal Loadouts
- Odds and Ends
- Closing words
What I’m hoping you understand is this is not a beginner’s guide. I’m hoping you already know the medicines, already know the surgery steps. If not, I highly recommend the “Welcome to the Medbay!” guide. That will set you on the right path. There is also the Wiki, and most other doctors in Medbay who will be more than willing to share their knowledge.
We aren’t going for quality of care. We are looking to churn through the wounded as fast as possible. Thus we help other players enjoy their round more by having a shorter stay in Medbay. So they can get back to shooting aliens sooner.
Why should you trust me? I’ve been a staple of Medbay for close to a year now. I’ve seen changes to medicine effectiveness, the Operating Table Anesthetic change, and the introduction of the surgical tool tray. I’ve been around.
Learn, improve, be better, grow hair.
With all that in mind, I hope you find this useful for the tips it gives.
2. Defibrillation
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/Labcoat/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? Peridaxon/Dylovene (Rare, but usually the result of a hurt liver/appendix)
and if you're feeling frisky, a pill of innaprovaline never hurts.
5. Pop them into the cryotubes
This step is great if you've got a good cryomix going but, even the basic stuff (cryoxadone) works good enough. 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 5 units 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.
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.
3. Surgery
Surgery and the Autodoc are closely interlinked. You have to ask yourself…
Is this thing I am about to do worth my time, or is there something else I could be doing?
Generally, the best kind of surgeries a doctor can do are surgeries where it’s all in one location. It is a joy to see a marine walk/be carried in with organ damage, internal bleeding, and an unknown foreign object in their chest. So long as that’s it.
There are a number of tips with surgery that you should keep in mind.
- The Sterile Mask and Latex Gloves are mandatory.
- This is the only way to prevent infections of your patient on the operating table from the filthy germs contained within your disgusting pixel body.
- The Internal Bleeding surgery does not require opening the ribcage/skull to get at it. You can fix IB with the IMS – Fixovein steps onevery part.
- If a particular surgery won’t help a patient, you will get a message in red saying you don’t see how this would help.
- This does include the initial IMS step.
- Always perform the Bone repair surgery last, even if the scanner says they don’t have a fracture.
- Bone breakage is based on the amount of brute damage that location has taken.
- Most bones break at or around the 40 brute damage mark. This can be useful for medics in the field for diagnosing a broken head/chest/groin
- Bone breakage can happen semi-randomly during surgery. Make that not matter by following this tip.
- This is because performing surgery causes very minor amounts of brute damage with almost every step. Any one of the steps could put your patient over the bone break threshold.
- Bone breakage is based on the amount of brute damage that location has taken.
- You can fix a person’s ribcage/skull while it’s open, but you shouldn’t
- Fixing it with it open, the steps are Bone Gel, Bone Setter, Retractor, Bone Gel.
- Fixing it with it closed, the steps are Retractor, Bone Gel, Bone Gel, Bone Setter.
- Since you are performing two different actions with the same tool, you don’t have to replace the Bone Gel into the surgical tray.
- Lit cigars and cigarettes cause infections.
- Obviously, because of tip one, you won’t be smoking.
- When you hook your patient up to the anesthetic in the table, it removes their mask slot item, which includes cigars and cigarettes they are smoking.
- Even when not attached to a person and their lungs. A lit cigarette will cause infections.
- Throw away every cigar and cigarette you find in the Operating Theaters. Your patients will thank you ten years from now.
- A patient with Burst lungs will not go under with the table anesthetics.
- They need some drugs to make them not move.
- Soporific in a syringe and the anesthetic autoinjectors are a good choice.
- Medication like Oxycodone, OxyTram, and OxyTramIna will provide better and better chances of successful surgery steps.
- They need some drugs to make them not move.
- A patient who HAD burst lungs, will often wake up after fixing their lungs even though they are hooked up to the table anesthetics.
- Unhook them and then re-hook them up to the table anesthetics.
- This seems like a bug
- You can calculate how much blood a person needs.
- Every human holds 560 units of blood in their body.
- Every blood bag holds 200 Units.
- A human needs a full blood bag at 64% blood level.
- Half a blood bag at 82%
Always use the Autodoc.
I cannot stress that enough. I pair this with the surgery question….
Is this thing I am about to do worth my time, or is there something else I could be doing?
I will say, without a doubt, this is the best tool in Medbay for increasing your effectiveness. Notice, I did not say speed. The Autodoc isn’t the best at some surgeries, but it can perform surgeries at the same time as you. This makes you as effective as two doctors.
Automatic mode is terrible. Never use automatic mode
Automatic mode fixes most, but not everything, that is wrong with a patient. Notably, it misses organ damage. However, it also…
- Takes longer than a patient set on manual mode.
- Doesn’t let people guess how much longer it has left.
- Does not allow multiple actions to happen at the same time.
- Should I Autodoc this patient or should I treat them myself?
- What order of operations should I tell the Autodoc to do?
- What causes the Autodoc to have problems?
- Should I Autodoc this patient or should I treat them myself?
Who should I treat myself?
- For sure, treat patients with massive damage in a single location.
- These are mostly for reasons located in the surgery section above.
- The Autodoc is already busy, and will be some time before it finishes.
- Patients who have one broken bone and a limb that needs to be replaced.
- There is enough time, while the limb is being printed, to fix a single broken bone location.
- This spreads out the metal usage.
- This is faster than the Autodoc on its own.
- What order of operations should I tell the Autodoc to do?
- *Surgical Brute Damage Treatment
- *Surgical Burn Damage Treatment
- *Toxin Damage Chelation
- *Dialysis
- *Blood Transfer
- Organ Infection Treatment
- Surgical Organ Damage Treatment
- Corrective Eye Surgery
- Internal Bleeding Surgery
- Broken Bone Surgery
- Limb Replacement Surgery
- Necrosis Removal Surgery
- Shrapnel Removal Surgery
- Limb Disinfection Surgery
- Facial Reconstruction Surgery
- Close Open Incision
- With all this in mind, you should have the organ infection treatment at the forefront of every surgery.
- This protects a patient from infection for 102 minutes.
- Presuming they have zero spaceacillin in them at the beginning of surgery.
- Since it’s the merely the injection of a chemical, it takes very little time.
- Internal bleeding should be second, if not first.
- because it continues to worsen while the Autodoc works.
- It could prevent the Broken Bone Surgery from being effective.
- Necrosis is next as it continues to provide toxin damage while the patient Is in the autodoc.
- The Autodoc can, in my experience, act as a stasis bag for some ongoing damage. Thus, organ related damage can usually wait until the end of the queue.
- Surgical Organ Damage Treatment also includes the Brain and eyes.
- You should be fixing the patient of their brain and eye damage with Imidazoline and Alkysine (ImiAlky) before they enter the Autodoc.
- If you select Surgical Organ Damage before they are fully healed of these two damages, this step will be included in the Autodoc queue and will waste time.
- You should be fixing the patient of their brain and eye damage with Imidazoline and Alkysine (ImiAlky) before they enter the Autodoc.
- Corrective Eye Surgery is great for patients with large amounts of eye damage.
- I’m talking greater than 70 damage.
- Facial Reconstruciton takes almost no time at all, but is unnecessary. Thus it should be near the end.
- If you can’t recall if the patient needs this (like I do much of the time), the message before you put them in will contain a clue in that it does or does not contain the word “unknown”.
- If you are stuffing “unknown” into the Autodoc, they need facial Reconstruction, otherwise not.
- What causes the Autodoc to have problems?
Because the Autodoc is prepared to treat regular fleshy limbs and synthetic limbs report similar damage, thus the Autodoc tries to treat the Synthetic limbs the same as regular limbs. By placing flesh on top of metal.
This causes the Autodoc to only heal synthetic limbs 1 unit of damage at a time, which causes the patient to spend an eternity in the autodoc. Don’t let this happen. Don’t use Automatic mode, don’t use burn and brute surgical treatment when your patient has Synthetic limbs.
Since the Autodoc reports how much overall damage a patient has, if you see them being healed on unit at a time everytime the Autodoc reports operation complete, they’ve got synthetic limbs. Time to accept the consequences and pop them out early. This will do about 40 burn and 40 brute to a random limb. This will cause a broken bone in the afflicted body part.
The Autodoc can get hung up on the Toxin Damage Chelation step if your patient has VERY low blood (less than 20 percent total) along with significant liver, kidney, and appendix damage. This is one of the very few ways to overcome this Autodoc toxin damage treatment choice. Thus, your patient may die if you put Toxin Damage Chelation before Surgical Organ treatment and Blood Transfer.
Friends don’t let friends use automatic mode.
The longest operation is Limb Replacement. This is equal in time to the printing of the limb, THEN performing the operation to attach it. It also costs the Autodoc 125 metal of its current supply.
5. Chemistry
This is my pride and Joy. I won’t go into how the chem machines work, but I will tell you some tips.
- The bottles of liquid medicine that are vended from the Weyland Yutani vendors are easily refillable by dragging the empty/full medicine bottle onto the Vendor sprite.
- This does exclude pill bottles.
- The Chemical Dispenser recharges slowly, don’t make a medicine in it that is available in the Wey-Yu vendor
- If you’re waiting for it to recharge, and are not in the middle of a recipe, TriBica can be made entirely from the Wey-Yu vendor.
- The STACK of Phoron bars holds 25 bars.
- This is equal to 500 units of liquid Phoron, making each bar equal to 20 units.
- Separate the stack by clicking the stack in your off hand with your active hand.
- You’ve got four boxes of pill bottles in the chem lab to start. With two extra.
- 3 under the spectrometer
- 1 by the spray bottle.
- There are two more in lower Medbay
- Closet with the clothes
- Storage room with the blood vendors.
- Grand total? 7x4=28 + 7x2=42
- The empty pill bottle boxes can be crushed by activating held object turning them into paper scraps.
- You will have a few minutes before any medic makes a request over the medical channel radio.
- Take this time to prepare some standard medication.
- Do expect some medics to show up unannounced or for you to not notice their requests.
- Are they being an entitled little shit? Tell them to move along.
- Medbay chems are a privilege, not a right.
- Are they being an entitled little shit? Tell them to move along.
- The dropper, can be useful for moving very small amounts of chemicals.
- Notably, 1 unit of phoron, which is the minimum amount needed to produce oxycodone from Tramadol.
- The most powerful macro you can have as a chemist is “Set-transfer-amount”
- Allows you to choose the amount (from a list) you want to pour.
- Very useful for getting medicine from bottles quickly.
- Right click the Byond Tool bar>Client>macros
- Allows you to choose the amount (from a list) you want to pour.
As a chemist, it’s your job to provide the medics with their special medication at the beginning of the round. The “meta” of what they ask for will change over time depending on what is popular in the xeno arsenal at the time. I will hedge my bets and make this guide have a bit more longevity by giving you recipes to follow.
My standard menu is
- 5x Dex+ 6
- 3x KeloDerm 7.5 7.5
- 1x Oxycodone 11.25
- 1x IRON 15
- 2x ImiAlky 11 4
- 2x TriBica 15 15
Let’s get into Recipes.
Dex+ 6 - makes 5 pill bottles
- Vend 3x Dexalin bottles from the Wey-Yu Vendor.
- Add 120 (2 bottles worth) to the bluespace beaker.
- Move the bluespace beaker to the chem dispenser.
- Add 80 Carbon and 80 Iron.
- Move the bluespace beaker to the pill machine.
- Add 120 dex+ to the buffer.
- Make 20 pills.
- Add 120 dex+ to the buffer.
- Make 20 pills.
- Eject the beaker.
- Add 40 dexalin (remaining dexalin bottle) to the bluespace beaker.
- Move the bluespace beaker to the chem dispenser.
- Add 80 carbon and 80 iron.
- Move the bluespace beaker to the pill machine
- Add 120 dex+ to the buffer
- Make 20 pills
- Add 120 dex+ to the buffer
- Make 20 pills.
- Get your pill bottles in hand.
- Fill and label five pill bottles with Dex+ 6
- Add to the Smartfridge.
KeloDerm 7.5 7.5 – Makes 1 pill bottle
- Vend out 3 Kelotane bottles from the Wey-Yu Vendor
- Add 160 Kelotane to the Bluespace beaker.
- Move the bluespace beaker to the chem machine.
- Add 40 Oxygen and 40 Phosphorus.
- Move the bluespace beaker to the pill machine.
- Add 60 Kelotane and 60 Dermaline to the buffer.
- Make 8 pills.
- Add 60 Kelotane and 60 Dermalne to the buffer.
- Make 8 pills.
- Label the pill bottles KeloDerm 7.5 7.5
- Add to the Smartfridge.
Oxycodone 11.25 – Makes 1 pill bottle
- Make sure the Bluespace beaker has at least 1 unit of phoron in it. (use the dropper)
- Vend one bottle of Inaprovaline.
- Add 60 inaprovaline to the Bluespace beaker.
- Move the bluespace beaker to the chem dispenser.
- With the machine set on 30.
- Ethanol, Oxygen, Ethanol, Ethanol, Ethanol, Oxygen, Ethanol, Ethanol,
- Move the bluespace beaker to the pill machine.
- Move 90 Oxycodone to the buffer.
- Make 8 pills.
- Move 90 Oxycodone to the buffer.
- Make 8 pills.
- Label the pill bottle Oxycodone 11.25
- Add to the smart fridge.
IRON 15 – Makes 1 pill bottle
- Move the bluespace beaker to the chem dispenser
- Add 240 Iron.
- Move the bluespace beaker to the pill machine.
- Add 120 Iron to the buffer.
- Make 8 pills.
- Add 120 Iron to the buffer.
- Make 8 pills.
- Label the pill bottle IRON 15.
- Add to the smartfridge.
Imialky 11 4 – makes 1 pill bottle
- Vend 2 bottles of Dylovene from the Wey-Yu vendor.
- Add 120 Dylovene to the Bluespace beaker.
- Move the bluespace beaker to the chem dispenser.
- Add 30 Chlorine 30 Nitrogen 90 Carbon 90 Hydrogen
- Don’t overfill the bluespace beaker
- Move the bluespace beaker to the pill machine.
- Add 30 Alkysine and 90 Imidazoline to the buffer.
- Make 8 pills.
- Add 30 Alkysine and 90 Imidazoline to the buffer.
- Make 8 Pills.
- Label the pill bottle ImiAlky 11 4
- Add to the smartfridge.
TribIca 15 15 – Makes one pill bottle
- Vend 2 Bicardine botteles, 1 Dyloven bottle, and 1 Inaprovaline Bottle from the Wey-Yu vendor.
- Add 120 bicardin, 60 Dylovene, and 60 inaprovaline to the bluespace beaker.
- Move the bluespace beaker to the pill machine.
- Add 60 bicardine and 60 tricordrazine to the buffer.
- Make 4 pills.
- Add 60 bicardine and 60 tricordrazine to the buffer.
- Make 4 pills.
- Vend 2 Bicardine botteles, 1 Dyloven bottle, and 1 Inaprovaline Bottle from the Wey-Yu vendor.
- Add 120 bicardin, 60 Dylovene, and 60 inaprovaline to the bluespace beaker.
- Move the bluespace beaker to the pill machine.
- Add 60 bicardine and 60 tricordrazine to the buffer.
- Make 4 pills.
- Add 60 bicardine and 60 tricordrazine to the buffer.
- Make 4 pills.
- Label the pill bottle TriBica 15 15
- Add to the Smartfridge.
Beyond these staple recipes, you have to get creative. I made a spreadsheet to help people mess around with pills and the creation thereof. WHICH YOU CAN FIND HERE. Feel free to use the pill maker tab to experiment with timings.
My current favorite super chem is…
InaOxyTramDex+Cillin 20 20 10 5 5 – Makes 1 pill bottle
- Make 120u of Dex+ in a large glass beaker
- 40 Dexaline
- 40 Carbon 40 Iron
- Make sure the Bluespace beaker has at least 1 unit of phoron in it. (use the dropper)
- Vend 1 spaceacillin bottle from the Wey-Yu vendor.
- Vend 2 Inaprovaline bottles from the Wey-Yu vendor.
- Add 20 spaceacillin and 20 Dex+ to the bluespace beaker.
- Add 120 inaprovaline to the bluespace beaker.
- Move the bluespace beaker to the chem dispenser.
- Add (at 40) Ethanol, Oxygen, Ethanol, Ethanol.
- Move to the Pill machine
- Add 10 Dex+, 10 Spaceacillin, 40 Inaprovaline, 20 Tramadol, 40 Oxycodone to the buffer.
- Make two pills.
- Add 10 Dex+, 10 Spaceacillin, 40 Inaprovaline, 20 Tramadol, 40 Oxycodone to the buffer.
- Make two pills.
- Vend 1 spaceacillin bottle from the Wey-Yu vendor.
- Vend 2 Inaprovaline bottles from the Wey-Yu vendor.
- Add 20 spaceacillin and 20 Dex+ to the bluespace beaker.
- Add 120 inaprovaline to the bluespace beaker.
- Move the bluespace beaker to the chem dispenser.
- Add (at 40) Ethanol, Oxygen, Ethanol, Ethanol.
- Move to the Pill machine
- Add 10 Dex+, 10 Spaceacillin, 40 Inaprovaline, 20 Tramadol, 40 Oxycodone to the buffer.
- Make two pills.
- Add 10 Dex+, 10 Spaceacillin, 40 Inaprovaline, 20 Tramadol, 40 Oxycodone to the buffer.
- Make two pills.
- Vend 1 spaceacillin bottle from the Wey-Yu vendor.
- Vend 2 Inaprovaline bottles from the Wey-Yu vendor.
- Add 20 spaceacillin and 20 Dex+ to the bluespace beaker.
- Add 120 inaprovaline to the bluespace beaker.
- Move the bluespace beaker to the chem dispenser.
- Add (at 40) Ethanol, Oxygen, Ethanol, Ethanol.
- Move to the Pill machine
- Add 10 Dex+, 10 Spaceacillin, 40 Inaprovaline, 20 Tramadol, 40 Oxycodone to the buffer.
- Make two pills.
- Add 10 Dex+, 10 Spaceacillin, 40 Inaprovaline, 20 Tramadol, 40 Oxycodone to the buffer.
- Make two pills.
- Vend 1 spaceacillin bottle from the Wey-Yu vendor.
- Vend 2 Inaprovaline bottles from the Wey-Yu vendor.
- Add 20 spaceacillin and 20 Dex+ to the bluespace beaker.
- Add 120 inaprovaline to the bluespace beaker.
- Move the bluespace beaker to the chem dispenser.
- Add (at 40) Ethanol, Oxygen, Ethanol, Ethanol.
- Move to the Pill machine
- Add 10 Dex+, 10 Spaceacillin, 40 Inaprovaline, 20 Tramadol, 40 Oxycodone to the buffer.
- Make two pills.
- Add 10 Dex+, 10 Spaceacillin, 40 Inaprovaline, 20 Tramadol, 40 Oxycodone to the buffer.
- Make two pills.
- Label the Pill bottle inaOxyTramDex+Cillin
- There is a character limit on names, thus you can’t add the dosage.
- Lasts about two minutes in total.
- Put in your personal med pouch.
As I’m sure you’ve noticed with my standard menu, I make my pills to be half (or near) of the OD limit for the medications. A major cause of marine death is Overdosing a patient on medication. The medication we make with these recipes shouldn’t overdose a patient because you can give any one patient two pills and they will still be fine.
6. Field Hospital
If you want to go into the field, you’ll need a few things to bring with you.
- Tools to perform surgery with.
- A place to perform surgery at.
- A way to make your patient unconscious.
- A way to deal with infections.
- A way to deal with brute damage.
- A way to deal with burst lungs.
- A way to deal with extreme blood loss.
- A way to deal with missing limbs.
- A way to deal with an Overdose
- Tools to perform surgery with.
- The easiest to get is from Req.
- A “surgical tools” crate costs 30 points and includes two trays of tools.
- One for you, one to spare!
- Any doctor can open the crate.
- Go pick it up from Req.
- Take the trays, leave the crate
- Second choice is the spare set from the Brig Medbay.
- Some WO’s won’t give this up.
- Third choice is to take the set from Operating Theater 4.
- Do let everyone know you are taking it.
- The easiest to get is from Req.
- A place to perform surgery at.
- Most common is your roller bed.
- Bring one of those from Medbay.
- If you’ve got an operating theater on planet, use that. It’s better in every way.
- Most common is your roller bed.
- A way to make your patient Unconscious
- The best option is a medical mask and Anesthetic tank from the Anesthetic locker in each operating theater.
- Takes time to set up.
- Does last forever.
- If you’ve got a proper operating table, it’s just like home.
- Second is the anesthetic Autoinjectors from the Wey-Yu Vendor.
- Bulky, single use, but fast acting.
- If you’ve got a Wey-Yu vendor planetside you can take from, it’s a good option.
- Third is a syringe and Soporific bottle from the Wey-Yu Vendor.
- Compact, with fifteen uses, slow acting.
- The best option is a medical mask and Anesthetic tank from the Anesthetic locker in each operating theater.
- A way to deal with infections.
- Planetside isn’t a sterile environment like your operating theaters.
- A spritz of space cleaner on your person before every surgery will help immensely.
- You ARE still following the rules of surgery by wearing a sterile mask and gloves.
- Spaceacillin before every surgery will help prevent the worst necrosis from occurring.
- Planetside isn’t a sterile environment like your operating theaters.
- A way to deal with brute damage.
- If they’ve got too much brute damage, you can’t fix their broken bones.
- Bicardine is sufficient
- TriBica is faster and preferred.
- If they’ve got too much brute damage, you can’t fix their broken bones.
- A way to deal with burst lungs.
- Since the anesthetic tanks won’t work.
- Make sure you’ve got the anesthetic autoinjectors
- Or the Syringe and Soporific.
- Or the InaOxyTram pills.
- Any of these will work well or well enough for the anesthetic tank to continue working.
- Since the anesthetic tanks won’t work.
- A way to deal with extreme blood loss.
- Starts to affect a marine with oxygen damage below ~85%
- One of the IV’s and some O- blood bags is ideal.
- You’ll need to carry spare blood bags in your pack.
- Medbay has 20 O- blood bags total.
- You’ll need to drag the IV with you.
- You’ll need to carry spare blood bags in your pack.
- One of the IV’s and some O- blood bags is ideal.
- IRON or IronSugar pills are a good substitute.
- 1u of iron is 4u of blood.
- Iron OD is 30u.
- Force feeding them food is a last resort.
- If they are at 20-30% they should be sent up in a stasis bag.
- This level affects their blood circulation ability, leading to toxin damage.
- Starts to affect a marine with oxygen damage below ~85%
- A way to deal with missing limbs.
- Worst case, you have to send them up to Almayer.
- Scavenging metal for a nearby limb printer can work.
- Ask any engineer to find you five to 10 sheets of metal.
- Most engineers will hear your pleas and be happy to donate some metal.
- A way to deal with an Overdose.
- A rare case for sure, most medics aren't terrible.
- 5 Water and 5 Potassium IN TWO SEPARATE PILLS will fix this.
Working from the FOB, with many smoking marines around, expect necrosis to pop up often. If you’re lucky to have a working Medbay, with power, such as LV hydro Medbay or Big Red Medbay you’re in a good way. Those places are just like Almayer. The Advanced scanner makes you just as effective as a shipside doctor.
Generally, all your patients will be brought to you. You won’t have to go looking for them. Since the people bringing you patients are usually medics, it is important to know what you can and can’t treat. Points 6, 7,and 8 can be difficult without supplies. If you are unable to help a patient with these conditions, let the medic who brought them in know (before they run off is preferable). The medic will then be able to set up a medevac or move the patient to the Almayer in some way.
I caution against Ice and Prison field hospitals beyond the FOB. This is because they are too far from protected areas and casualty transport routes which will result in your death or boredom.
The HF2 as a scanner.
If you’re in the field and you don’t have an Advanced scanner available, you’ve got to make do with your HF2.
You’ve got to infer what is best for the patient off of the things you see on the HF2 results screen. Since it’s not perfect, let’s see what we can know from its results.
- Brute Damage
- Burn Damage
- Oxygen Damage
- Toxin Damage
- Advanced scanner required
- Internal Bleeding detected
- Infection
- Shrapnel
- Brute Damage
- Limbs, (arms, legs, hands, feet) will show a {F} if they have a fracture in them.
- Once broken, only splints prevent the broken bone affecting the marine.
- Breaks happen around the 40 damage mark.
- Make sure to pump them full of Bicardine/TriBica before surgery.
- Will continue to break if damage is above this threshold no matter the surgical intervention.
- Head, Chest, Groin will not display a {F}.
- Burn Damage
- More of an annoyance.
- Can prevent Defibrillation.
- KeloTane/KeloDerm is the way to treat.
- Could cause infections if not treated.
- Oxygen Damage
- Heart, Lungs, Blood Loss, are the three main causes.
- Choking? Vacuuum?
- Can be fixed by healing the chest organs (heart and lungs)
- Are they Gasping and coughing up blood?
- Will require Soporific
- Are they Gasping and coughing up blood?
- May require a blood bag IV.
- IRON pills are a substitute.
- Heart, Lungs, Blood Loss, are the three main causes.
- Toxin Damage
- Caused by Liver, Kidney, Appendix, extreme blood loss.
- Liver is in the chest.
- Kidney and Appendix is in the Groin.
- Do see which is currently splinted or damaged.
- Advanced Scanner Required
- They’ve got a broken bone in the Head, chest, or Groin
- See if they’ve got any splints.
- If they are already fully healed, remove their splints.
- Locations with 0,0 damage are the locations with broken bones.
- They’ve got a broken bone in the Head, chest, or Groin
- Internal Bleeding Detected
- They’ve got IB yo!
- If they’ve got Bicardine in them, and they are not healing a location.
- That’s the location with IB.
- Expect 15 to 20 brute damage. This is the Internal bleeding damage.
- This will be fixed with the IB surgery.
- Expect a broken bone as well.
- Can’t occur in hands and feet.
- They tend to fall off before IB takes effect.
- Infection
- There will be a {I} next to the location
- Hit that location with an ATK and a ABK.
- Infection detected will be on your HF2 scanner results.
- Some spaceacillin will work wonders.
- Extra tough infection but not necrosis?
- IMS–Cautery and repeat until the infection is cured.
- Don’t make it worse.
- Sterile Mask, Gloves, Space Cleaner.
- There will be a {I} next to the location
- Shrapnel
- The HF2 will provide no insight into this.
- Your patient may complain about a sharp pain in X location
- Chest is common
- Could be heart damage also
- Chest is common
- Your patient may complain about a sharp pain in X location
- The HF2 will provide no insight into this.
7. Cryocells
The Cryocells are great. They keep a patient in critical condition alive while you worry about something else.
DON’T FORGET THE PEOPLE IN THE CRYOCELLS.
The purpose of the Cryocells is to fix up common damage (Brute, Burn, Oxygen, Toxin) to make a patient stable for surgery. This is accomplished through two specific chemicals Cryoxadone and Clonexadone. However, every other chemical is still viable in the mix also. This leads into the Cryomix.
Medbay starts with four beakers of 30 Cryoxadone. This is good enough for most rounds. But, if you want to make the ”good stuff” read the instructions below.
Dr. Rocks Miracle Elixir
Gather your Materials.
1 Bluespace Beaker - Found in the Chem Lab on the table.
4 Large Beakers - 2 in the chem lab on the table, 1 in the grinder, 1 in the dialysis machine (sleeper) by south triage. Bring a 60u beaker (chem lab) to replace the large one in the sleeper. OR get together enough glass to fill an autolathe (below the DS1 landing pad) and print out another (ask Req when you've got time).
PRO-TIP: put the four large glass beakers into your backpack so that research doesn't come steal them.
1 Pen - Ask the CMO to lend you theirs, or head up to the break room or morgue and take it off the table.
2 of the starting Cryoxadone beakers (found in the Medbay lobby).
You are going to make roughly 40 units of each medicine, and make it in such a way that it's easy to dispense into the four large beakers.
step 1: take the 2 cryoxadone beakers and dispense 10 cryoxadone into each large beaker. Making sure to empty one out completely. This will leave you with one beaker that has 20 cryoxadone
step 2: add 10 phoron (grind up at least 1 bar of phoron) to the beaker with 20 cryoxadone.
step 3: put that phoron cryoxadone beaker into the chem machine and add 20 sodium. this makes 8 phoron and 40 clonexadone.
step 4: remove the 8 phoron from the beaker via the pill machine (save it or don't)
step 5: add 10 clonexadone to each large beaker. (each beaker will say they contain 20 units)
step 6: take the bluespace beaker and add 80 dylovene (from the wey-yu vendor)
step 7: put the bluespace beaker into the chem machine and add 20 chlorine 20 nitrogen 20 carbon 20 hydrogen. This makes 40 Dylovene 40 alkysine 40 imidazoline. Add 30 of this mix to each large glass beaker.
PRO-TIP: there is a verb called Set-transfer-amount in the object tab. use it to change the amount moved with a single click to 30. This is better math for the back end of the game, it prevents rounding errors.
step 8: Take the bluespace beaker and add 20 Dylovene, 20 Innaprovaline (40 tricordrazine), and 60 Kelotane. put it into the chem machine and add 20 Oxygen 20 Phosphorus. This makes 40 Tricordrazine 40 Kelotane 60 Dermaline. Remove 20 dermaline via the pill machine. Add 30 of this mix to each large glass beaker.
step 9: take the bluespace beaker and add 40 Bicardine to it. move it to the chem machine and add 40 Iron 40 Sugar. Add 30 of this mix to each large glass beaker.
step 10: add 10 Dexalin, 10 Peridaxon, and 10 Quickclot to the bluespace beaker. move it to the chem machine and add 10 carbon 10 Iron. this makes 30 Dexalin Plus.
- or use some of the leftover Dex+ from the inaOxyTramDex+Cillin mix you made earlier. Efficiency!
Step 12: add 10 to each beaker. (Continuing to click with the transfer amount set to 30 will still only add 10 to each beaker, because they are already full.)
step 12: Name your concoction with the pen! Dr. Rocks Miracle Elixir is my favorite.
the final List:
10 Cryoxadone
10 Clonexadone
10 Tricordrazine
10 Kelotane
10 Dermaline
10 Dylovene
10 Alkysine
10 Imidazoline
10 Bicardine
10 Iron
10 Sugar
5 Dexalin Plus
2.5 Peridaxon
2.5 Quick-Clot
This is every beneficial chemical you can add to a person that doesn’t interact with each other. It fixes every type of basic damage, some bloodloss, brain damage, and eye damage. So long as they are “alive” while this mix is in them, they will live and heal.
To be fair. If you leave them in for TOO long, the Alkysine will kill them via OD because it metabolizes slower than every other medication in here.
Admins and moderators get a notification of what you put into the cryocells. Sadly, it doesn’t include an amount. So don’t screw up, include a fraction of phoron, and get a bwoink.
8. Medbay Setup
If you’re lucky, you are starting the round with one CMO, four doctors, and two researchers. You’re facing down, potentially, 16 chem hungry medics, the medevac PO, and a bunch of PFC’s calling for healflasks. What do you do?
Divide up tasks. Don’t expect any of this to get done unless you do it.
- Get someone on Chems
- Probably you, you’re the best.
- You like having super chems at your beck and call.
- Laugh at the PFC’s coming to your window begging for meds in their flasks.
- You’re busy filling medic requests.
- Probably you, you’re the best.
- Get someone to set up the Operating Theaters.
- Each OT needs one bag of O- blood in their IV.
- Set the IV next to the Operating Table.
- A second bag doesn’t hurt.
- There’s 10 bags in the medical storage in the two blood bag dispensers.
- 10 in the Operating Theater hallway dispensers
- That’s 20 total bags!
- Leave at least one bag in the south blood bag dispenser inside the operating theater hallway.
- Open the privacy shutters.
- There is no legitimate reason to close them.
- But there are many illegitimate reasons to close them (wink wink).
- There is no legitimate reason to close them.
- Remove the blankets from the beds.
- The blankets block the Triage Holotags.
- The beds themselves are also worth a single metal each, should times get desperate.
- Use a wrench on them.
- Each OT needs one bag of O- blood in their IV.
- Get someone to scavenge some supplies.
- Metal for the Autodoc
- Tan table parts, put into the autolathe, are worth 2 sheets of metal.
- Deconstruct the tables in the hanger by the EVA air locks.
- Use a wrench you find in the many crates in the hanger.
- Crates can be opened with a crowbar, most of them.
- Use a wrench you find in the many crates in the hanger.
- Deconstruct the tables in the hanger by the EVA air locks.
- Starts with 1000 materials
- Each sheet is 100 more.
- Each limb costs 125 metal.
- Req might be willing to part with 10 sheets if you ask.
- Tan table parts, put into the autolathe, are worth 2 sheets of metal.
- A spare high capacity power cell for the operating theater APC
- For when the Dropship crashes into the Almayer.
- You’ll need a non-bald engineer to fix up the APC.
- This will fix up a single advanced scanner and the autodoc
- Presuming they weren’t destroyed in the collision, because then you’ve got bigger problems.
- Metal for the Autodoc
- Set up the Lobby and healflasks.
- Put all the rollerbeds by the main entrance.
- Be sure to grab your own.
- Take all the stasis bags out of the vendors
- There are six in the marine vends.
- Medbay doesn’t need them.
- If a marine needs them, they need them on the Alamo or on the planet.
- Put four on the Alamo (or transport dropship)
- Put two on the Normandy (or Casevac Dropship)
- Two roller beds as well.
- If a PFC comes in with a flask and asks for meds, give them some.
- The Wey Yu Vendor has plenty of liquid refillable medication.
- I recommend 30 20 10 Bica Tram Kelo.
- Heals 12 brute, 4 burn, and provides 30 seconds of pain relief per swig.
- I recommend 30 20 10 Bica Tram Kelo.
- You are taking some of the burden off of the Chemist who already has their hands full.
- If you want to be proactive, there are flasks in the marine canteens.
- Five per food vendor.
- The Wey Yu Vendor has plenty of liquid refillable medication.
- Put all the rollerbeds by the main entrance.
9. Personal Loadouts
Now this isn’t the be all end all of loadouts, but it works very well for Dr. Granite. You’ve got until 12:45, at the earliest, to get all the chems and parts of this loadout. Usually there are no wounded before then.
We start with the important parts. If you’ve got these, you can perform surgery.
- Sterile Mask
- Prevents breathing on open incisions, and thus infection
- Latex Gloves
- Who ever heard of a latex allergy?
- Also prevents infection during surgery.
Next is your choice of belt. I prefer the medical storage rig (grey) over the Combat Lifesaver belt (red/black). This is because the storage rig is very common, and can hold a roller bed and defib. Thus we continue with the medical storage rig.
I toss out these pill bottles from the storage rig when I pick it up. I replace them with other pills from chemistry.
- Bicardine
[*]Dexalin
[*]Kelotane
[*]Inaprovaline
[*]Tramadol
Next, I add in a defib and a roller bed. Those two are easy to get. Later, I add to my belt the following.
- [*]1 pill bottle of Keloderm 7.5 7.5
[*]1 Syringe of Soporific
[*]1 bottle of Soporiric
[*]1 Tricord filled Hypospray (from the Wey-Yu vendors)
- [*]1 Spray bottle of Space Cleaner
[*]1 Medical Pouch- [*]1 TriBica 15 15
[*]1 ImiAlky 11 4
[*]1 InaOxyTramDex+Cillin
- [*]1 TriBica 15 15
- [*]Advanced First Aid kit
- [*]Every doctor starts with one in their hand.
[*]If you run out of the kits and splints, and can’t access the marine vends, it’s a lifesaver.
- [*]Has a built in light, good for end of round safety.
- [*]Can open unpowered doors
[*]Can open basic crates.
[*]Again, end of round stuff.
- [*]I like the burritos most of all
[*]The protein bars are better in that they take up less space and have the same amount of nutriment.
- [*]Smokes
[*]Money
[*]Cameras
[*]Stasis bags
- [*]Every doctor starts with one in their hand.
The Autodoc, like the limb printers, has an internal supply of 1000 metal at the start of the round. Each sheet of metal adds 100 metal to the total, and each limb printed costs 125 metal. Thus, the Autodoc can print eight limbs total without adding some additional metal. Someone should get more metal for the Autodoc. 10 sheets more seems to be plenty for even the longest of rounds.
With limb printers. 1 sheet of metal equals 100 material for it. Thus 5 sheets equals 4 limbs. If you are planetside and need a limb printed. Some things can be deconstructed with a wrench to yield a single sheet and thus earning you limbs from a nearby printer. Tables and chairs for preference. You just need a wrench.
Do snack throughout your shift. Running around, moving patients, performing surgery, takes up a lot of nutriment. Grab a candy bar or scarf down a packaged meal when you’ve got time between waves of wounded. You don’t have to wait until the hunger icon shows up.
Scavenge off the dead! You can find webbings on medics and engineers easily for those three inventory slots. I like the inventory for the end of the round to carry handfuls of shotgun slugs.
The armory shutters can be opened by the CMO or the researchers. However, the gun cabinets only open on red alert.
Are you a researcher with nothing to do? IRON 15 pills can be made with a large beaker and will save a lot of power for other medication on the lower chem machine. Two or three pill bottles worth is plenty.
Always rescan a patient before treating them. Their condition could have changed, or a previous scan, which was done, wasn’t stored and you can’t access it.
End of round preparations are the same as field hospital preparations, except you’ve got a bulletproof vest on.
11. Closing Words
more than 8000 words later, I hope you’ve learned something about how I think about this game (too much).
With everything I’ve written here, it’s almost as if being a doctor requires a lot of study. What a crazy idea.
Here’s to the researcher update invalidating everything I’ve learned! Best of luck nerds