User:Luckyshotpictures/MRP Medical Procedures

Disclaimer
All information and instructions are adapted for the game Space Station 14 and should therefore not be used in real life under any circumstances. This guide combines existing and yet to be implemented functions of the game, as well as real-life procedures. Keep in mind, that this is mainly supposed to be a role-playing guide. For a shorter guide visit Medical.

The freely accessible content of this page was created with the greatest possible care. However, the authors of this page do not guarantee the correctness and topicality of the freely accessible journalistic advice provided. Use of this page is at your own risk. Simply by calling up this free and freely accessible content, no contractual relationship is established between the user and the authors, insofar as the provider lacks the will to be legally bound.

Always seek the guidance of your doctor or other qualified health professional with any questions you may have regarding your health or a medical condition. Never disregard the advice of a medical professional, or delay in seeking it because of something you have read on this page.

What is medical work?
Medical work involves treating injuries and illnesses that occur within the game. This may include administering first aid to injured players, using medical equipment to diagnose and treat patients, and potentially even performing surgeries. Depending on the specific role you are playing within the game, you may also be responsible for managing the station's medical bay and coordinating with other players to ensure the health and safety of everyone on the station.

Tips for medical work

 * 1) Familiarize yourself with the medical equipment and procedures available on the station.
 * 2) Communicate effectively with other players, especially when coordinating treatment for injured or ill individuals.
 * 3) Be prepared for emergencies and know how to respond to them quickly and effectively.
 * 4) Keep track of medical supplies and restock as necessary to ensure you have the tools you need to treat patients.
 * 5) Follow protocols and procedures to ensure the safety of both patients and other players.
 * 6) Be aware of the station's status and know the emergency protocols and procedures.
 * 7) Work as part of a team with other players to keep the station running smoothly and effectively.
 * 8) Keep in mind that as this is a role-playing game, the medical work may be different than what you expect in real life.

I hope this guide helps you in your role as a medical worker.

Poisoning
Poisoning is the process of introducing harmful substances, called toxins, into the body. This can occur through ingestion, inhalation, injection, or absorption through the skin. The effects of poisoning can vary depending on the type and amount of toxin. Some common symptoms of poisoning include nausea, vomiting, abdominal pain, confusion, drowsiness, and changes in heart rate or breathing. In severe cases, poisoning can lead to coma, seizures, organ damage, and death.

Symptoms
Symptoms of poisoning can vary depending on the type of poison and the amount that was ingested, inhaled, injected or absorbed through the skin. Some common symptoms of poisoning include:
 * Nausea and vomiting
 * Headache
 * Dizziness and confusion
 * Weakness and fatigue
 * Breathing difficulties
 * Skin rashes or irritation
 * Eye or throat irritation
 * Abdominal pain
 * Seizures or convulsions
 * Unconsciousness
 * Cardiac arrest

Additionally, symptoms of poisoning may be specific to the type of poison. For example, carbon monoxide poisoning may cause flu-like symptoms such as headache and nausea, while lead poisoning may cause developmental delays, learning difficulties, and behavioral problems in children. In some cases, symptoms of poisoning may not appear for several hours or even days after exposure. If you suspect someone has been poisoned, it is important to seek medical attention immediately. If possible, try to identify the source of the poisoning and bring the container or any remaining product with you to the medical bay.

Treatment
Treatment for poisoning will depend on the specific type of poison and the severity of the poisoning. However, some general steps that may be taken to treat poisoning include:
 * 1) Identifying the specific poison: It's important to know what type of poison a person has been exposed to in order to provide the appropriate treatment.
 * 2) Removing the source of the poison: If the person is still in contact with the poison, it's important to remove them from the source as soon as possible.
 * 3) Administering first aid: If the person is experiencing symptoms such as difficulty breathing, seizures, or loss of consciousness, provide first aid as needed.
 * 4) Activating the emergency protocol: Depending on the severity of the poisoning, activating the emergency protocol may be necessary.
 * 5) Administering specific antidotes: Administer Dylovene or Ultravasculine to counteract the effects of the poison. You can also use Tricordrazine, if you do not have those previous medications.
 * 6) Monitoring vital signs: Closely monitor the person's vital signs, such as heart rate and blood pressure, and provide additional treatment as needed.
 * 7) Transporting the person to the medical bay: If the person's condition is serious, transport them to the medical bay for further treatment.
 * 8) Provide supportive care: Provide supportive care such as oxygen therapy, fluids, and pain management as needed.

Brute
Brute force is a term used to describe the use of raw physical strength or power to accomplish a task or achieve a goal. In terms of causing damage, it refers to using physical force to damage an object, person or a living organism. In the case of a person, the symptoms of brute force injury could include bruises, cuts, broken bones, internal bleeding, and traumatic brain injury. It can also lead to death if the injury is severe enough.

Symptoms
The key symptoms of brute force injuries can include:
 * Bruising and swelling of the affected area
 * Cuts and lacerations
 * Broken bones and fractures
 * Internal bleeding
 * Headaches and confusion
 * Dizziness or loss of consciousness
 * Trauma or injuries to the eyes, nose, or ears
 * Trauma or injuries to the head, neck, or spine
 * Back and neck pain
 * Difficulty breathing
 * Shock

Symptoms can vary depending on the severity and location of the injury. Trauma to the head and brain, for example, can result in symptoms such as confusion, memory loss, and changes in personality or behavior. Injuries to the spine can result in loss of feeling or movement in the extremities.

Treatment
Treatment for brute damage will depend on the specific type of injury and the severity of the damage. However, some general steps that may be taken to treat brute damage include:
 * 1) Assessing the injury: Carefully evaluate the extent and location of the injury. Look for signs of fractures, dislocations, or other serious injuries.
 * 2) Stopping any bleeding: Apply direct pressure to any wounds to stop bleeding. If necessary, use bandages, the bruise pack, Bicaridine, or other medical supplies like Tricordrazine to dress the wound.
 * 3) Administering pain relief: Administer pain relief medications as needed to reduce pain and discomfort.
 * 4) Splinting or immobilizing the injured area: If necessary, splint or immobilize the injured area to prevent further damage and promote healing.
 * 5) Monitoring vital signs: Closely monitor the person's vital signs, such as heart rate and blood pressure, and provide additional treatment as needed.
 * 6) Transporting the person to the medical bay: If the person's condition is serious, transport them to the medical bay for further treatment.
 * 7) Provide supportive care: Provide supportive care such as oxygen therapy, fluids, and wound care as needed.
 * 8) Provide follow up care: Brute damage can take time to heal, so it's important to provide follow-up care and monitor the person's condition over time

Burn
A burn is an injury caused by heat, electricity, chemicals, radiation, or friction. Burns can range from minor, such as sunburn, to severe, such as those caused by a fire or industrial accident. Burns are classified into three categories: first-degree, second-degree, and third-degree, based on their severity.
 * 1) First-degree burns: These burns affect only the top layer of skin (epidermis) and cause redness, pain, and slight swelling. Sunburns are an example of first-degree burns.
 * 2) Second-degree burns: These burns affect the top layer of skin and the layer underneath (dermis) and cause redness, pain, swelling, and blistering.
 * 3) Third-degree burns: These burns affect the top layer of skin, the layer underneath, and the underlying tissues. They can cause severe damage to nerves, muscles, and bones and can leave the skin white or blackened, and may not be painful to touch because of the damage to nerves.

Symptoms
Burns are injuries caused by heat, electricity, chemicals, radiation, or friction. The symptoms of burns can vary depending on the severity and type of burn. Some common symptoms of burns include:
 * Redness and pain: The affected area may appear red and swollen and may be very painful to touch.
 * Blisters: Blisters may form on the skin, which can be painful and may become infected.
 * Black or brown dead skin: The burned area may appear black or brown, which is the dead skin, and will eventually peel off.
 * Swelling: The affected area may become swollen, and this can cause the skin to feel tight.
 * Shock: In severe burns, the patient may go into shock, characterized by low blood pressure, rapid heartbeat, and breathing.
 * Smoke inhalation: If the burn is caused by smoke inhalation, the patient may experience difficulty breathing, coughing, chest pain, or a tightness in the chest.
 * Eye damage: If the burn is caused by chemicals or radiation, the patient may have eye pain, redness, swelling, or even blindness.

Treatment

 * 1) Assessing the burn: Carefully evaluate the extent and location of the burn. Look for signs of inhalation injury, such as difficulty breathing, and for any other injuries that may have occurred at the same time.
 * 2) Removing the source of the burn: If the person is still in contact with the source of the burn, remove them from it as soon as possible.
 * 3) Cooling the burn: Gently cool the burn by running cool water over it for at least 20 minutes. This will help to reduce pain and inflammation.
 * 4) Covering the burn: Cover the burn with a sterile, non-adhesive dressing or a clean, dry cloth.
 * 5) Administering pain relief: Administer pain relief medications as needed to reduce pain and discomfort.  Kelotane, or better Dermaline can be used to treat the burns. Tricordrazine can also be administered.
 * 6) Monitoring vital signs: Closely monitor the person's vital signs, such as heart rate and blood pressure, and provide additional treatment as needed.
 * 7) Transporting the person to the medical bay: If the person's condition is serious, transport them to the medical bay for further treatment.
 * 8) Provide supportive care: Provide supportive care such as oxygen therapy, fluids, and wound care as needed.
 * 9) Provide follow-up care: Burns can take time to heal, so it's important to provide follow-up care and monitor the person's condition over time.

Airloss
Air loss refers to a decrease in the amount of air present in a sealed environment, such as a space station, mine, submarine, or a building with poor ventilation. Air loss can occur due to a variety of reasons, such as a breach in the structure, a malfunction in the air filtration or ventilation systems, or a release of toxic gasses. Air loss can be dangerous as it can lead to a decrease in the oxygen levels, which can cause serious health problems, and even death.

Symptoms
Air loss refers to a decrease in the amount of air present in a sealed environment, such as a space station. Symptoms of air loss can vary depending on the severity of the loss and the amount of time it has been occurring. Common symptoms of air loss include:
 * Difficulty Breathing: As the amount of air decreases, people may start to feel shortness of breath, chest tightness, or even difficulty breathing.
 * Dizziness or lightheadedness: As the oxygen level drops, people may feel lightheaded, dizzy, or experience a loss of consciousness.
 * Fatigue or weakness: As the body's oxygen level drops, people may feel fatigued or weak.
 * Headache: As the air pressure decreases, people may experience headaches, which can be severe.
 * Confusion: As the oxygen level drops, people may feel confused or disoriented.
 * Blue lips or fingers: As the oxygen level drops, the skin may start to turn blue, indicating oxygen deprivation.
 * Rapid breathing: As the body tries to compensate for the lack of oxygen, people may start to breathe faster.
 * Tachycardia: The heart rate may increase as the body tries to pump oxygen-rich blood to the vital organs.

Causes
Air Loss refers to the loss of air pressure within an enclosed space, such as a space station, air loss can happen for a variety of reasons, including:
 * Leaks: A breach in the integrity of the station's airtight seals can cause air to escape, leading to a decrease in air pressure.
 * Sabotage: Intentional damage or destruction of the station's air systems can also cause air loss.
 * Equipment failure: Malfunctioning or broken equipment such as air filtration systems, air pumps, or air locks can lead to air loss.
 * Human error: Accidents or mistakes made by players can also lead to air loss, such as forgetting to close an airlock or leaving a door open.
 * Fire: A fire can consume the oxygen in a room and cause the air pressure to drop.
 * Natural Disaster: Events like meteoroids can cause structural damage to the station, leading to air loss.

Air loss can be dangerous, as it can lead to a lack of oxygen and an increase in carbon dioxide, which can cause hypoxia, asphyxia, and other health issues. It is important for players to quickly identify and address the cause of air loss in order to prevent further damage and ensure the safety of the players.

Treatment
The following steps may be taken to treat air loss:
 * 1) Stabilizing the patient: The first step in treating air loss is to ensure the patient's airway is open, breathing is adequate and the patient's circulation is stable. If the patient is in shock or unconscious, they may need to be given oxygen, Epinephrine or Inaprovaline to stabilize them.
 * 2) Administering oxygen: If the patient is not getting enough oxygen, oxygen may be administered through a mask or nasal cannula to help increase the oxygen levels in the body. In the case of slimes this should be nitrogen. Dexalin or DexalinPlus should also be administred, to treat the airloss.
 * 3) Identifying the underlying cause:''' The underlying cause of the air loss should be identified and treated accordingly, such as a lung injury or pneumonia.
 * 4) Monitoring vital signs: The patient's vital signs, including heart rate, blood pressure, and oxygen saturation, should be closely monitored and any changes should be reported to the medical staff.
 * 5) Additional treatments: Additional treatments such as bronchodilators, steroids, and antibiotics may be administered as needed, depending on the underlying cause of the air loss.

Cellular damage
Cellular damage refers to the damage or injury to the cells that make up the body's tissues and organs. This damage can occur due to a variety of factors such as exposure to toxins, radiation, lack of oxygen, infection, or genetic disorders. When cells are damaged, they may stop functioning properly or die, which can lead to serious health problems, depending on which cells and how many are affected. Some examples of diseases caused by cellular damage are cancer, Alzheimer's, and multiple sclerosis.

Symptoms
The symptoms of cellular damage can vary depending on the cause and severity of the damage. Some common symptoms of cellular damage include:
 * Fatigue: The patient may feel weak, tired, or experience a lack of energy.
 * Pain: The patient may experience pain in the affected area, such as joints or muscles.
 * Numbness or tingling: The patient may experience numbness or tingling in the affected area, indicating nerve damage.
 * Swelling: The patient may experience swelling in the affected area.
 * Discoloration: The patient may experience discoloration of the skin, indicating blood vessel damage.
 * Breathing difficulty: If the cellular damage is caused by exposure to toxins or lack of oxygen, the patient may have difficulty breathing.
 * Organ dysfunction: If the cellular damage affects a certain organ, the patient may experience symptoms related to that organ dysfunction.
 * Cognitive impairment: If the cellular damage affects the brain, the patient may experience cognitive impairment such as confusion, memory loss, difficulty with concentration or decision-making.

Causes
Cellular damage can happen for a variety of reasons, including:
 * Oxidative stress: This occurs when there is an imbalance between the production of reactive oxygen species (ROS) and the ability of cells to detoxify them. This can lead to damage to cellular components such as DNA, proteins, and lipids.
 * Inflammation: Inflammation is a response to injury or infection, but when it becomes chronic, it can lead to cellular damage.
 * Toxins: Exposure to toxins such as pesticides, heavy metals, and other pollutants can lead to cellular damage.
 * UV radiation: Exposure to ultraviolet radiation from the sun can lead to damage to DNA, proteins and other cellular components.
 * Trauma: Physical trauma can cause direct damage to cells and tissues, such as in cases of burns, cuts, or blunt force injuries.
 * Genetic mutations: Some genetic mutations can cause cells to grow and divide uncontrollably, leading to the development of cancer.
 * Lack of proper nutrients: A lack of essential nutrients such as vitamins, minerals, and antioxidants can lead to cellular damage.
 * Environmental factors such as temperature extremes, radiation, or lack of oxygen can also cause cellular damage.

Treatment
Steps that may be taken to treat cellular damage include:
 * 1) Identifying the underlying cause: The underlying cause of the cellular damage should be identified and treated accordingly, such as removing the patient from exposure to a toxin or providing oxygen to the patient.
 * 2) Administering medication: Medication such as antioxidant, anti-inflammatory drugs, Phalanximine may be given to reduce inflammation and protect the cells from further damage.
 * 3) Stabilizing the patient: The patient's vital signs should be closely monitored and any changes should be reported to the medical staff.
 * 4) Administering replacement therapy: If the cellular damage is caused by a deficiency, replacement therapy such as blood transfusions, hormone replacement therapy, or enzyme replacement therapy may be administered.
 * 5) Supporting organ function: If the cellular damage affects a certain organ, supportive treatments such as dialysis, mechanical ventilation or extracorporeal membrane oxygenation may be used to keep the organ function while the cells repair or are replaced.

Caustic damage
Caustic damage refers to injury caused by exposure to a caustic substance, which is a chemical that can cause tissue damage or destruction when it comes into contact with skin, eyes, or mucous membranes. Examples of caustic substances include acids, alkalis, and other corrosive chemicals.

Symptoms
The symptoms of caustic damage can vary depending on the type and amount of substance, as well as the duration of exposure and the area of the body that was exposed. Some common symptoms of caustic damage include: These symptoms may appear immediately or may take some time to develop after exposure, it's important to monitor the patient's condition and seek medical attention as soon as possible.
 * Redness: The skin may appear red and irritated in the area of exposure.
 * Itching: The patient may experience itching or a burning sensation in the affected area.
 * Blistering: Blisters may form on the skin in the area of exposure.
 * Discoloration: The skin may appear discolored or dark in the area of exposure.
 * Swelling: The affected area may become swollen.
 * Pain: The patient may experience pain in the affected area.
 * Numbness: The patient may experience numbness or tingling in the affected area.
 * Breathing Difficulty: If the caustic substance was inhaled, the patient may have difficulty breathing, coughing, chest pain, or have a tightness in the chest.
 * Eye damage: If the caustic substance came into contact with the eyes, the patient may have eye pain, redness, swelling, or even blindness.

Treatment
The specific treatment for caustic damage depends on the type and severity of the damage, but it can include:
 * 1) Flushing the affected area: The area should be flushed immediately with large amounts of water to remove the caustic substance and neutralize its effects.
 * 2) Administering medication: Medications such as pain relief and anti-inflammatory drugs such as Siderlac may be given to reduce pain and inflammation.
 * 3) Applying dressings: Dressings may be applied to the affected area to protect it from further damage, and to promote healing.
 * 4) Monitoring vital signs: The patient's vital signs, including heart rate, blood pressure, and oxygen saturation, should be closely monitored and any changes should be reported to the medical staff.
 * 5) Identifying and treating the underlying cause: It is important to identify the underlying cause of the caustic damage and treat it accordingly, for example, if the patient has been exposed to a chemical, they should be decontaminated and the chemical should be identified to avoid any further exposure.

Standard Protocols
Standard protocols in a medical department are established procedures and guidelines that are followed to ensure that medical care is provided in a consistent and effective manner. Examples of standard protocols that are in place in the medical department include:
 * 1) Infection control: Standard protocols for infection control may include guidelines for hand hygiene, use of personal protective equipment, and cleaning and disinfecting of medical equipment and surfaces.
 * 2) Cardiopulmonary resuscitation (CPR): Standard protocols for CPR may include guidelines for performing CPR, including the use of an automated external defibrillator (AED). not implemented yet, use Epinephrine or the Emergency Pen
 * 3) Triaging patients: Standard protocols for triaging patients may include guidelines for assessing the severity of injuries or illnesses and determining the appropriate level of care.
 * 4) Administering medications: Standard protocols for administering medications may include guidelines for the proper administration of medications, including the use of medication administration records.
 * 5) Emergency response: Standard protocols for emergency response may include guidelines for responding to different types of emergencies, such as fires, toxic spills, or medical emergencies.
 * 6) Patient transfer: Standard protocols for patient transfer may include guidelines for safely transferring patients from one location to another, such as from the medical bay to virology.
 * 7) Wound care: Standard protocols for wound care may include guidelines for cleaning, dressing and bandaging wounds, as well as guidelines for the management of different types of wounds.
 * 8) Discharge: Standard protocols for discharge may include guidelines for providing follow-up care, instructions for taking medications and/or continuing care at home.

Infection Control
Infection control is a set of procedures and protocols used to prevent the spread of infections in healthcare settings, such as a space station. The goal of infection control is to protect patients, healthcare workers, and visitors from the spread of infections.
 * Hand hygiene: One of the most important aspects of infection control is proper hand hygiene. Healthcare workers should wash their hands frequently with soap and water or use an alcohol-based hand sanitizer before and after caring for patients, as well as after coming into contact with any potentially infectious materials.
 * Isolation: Patients with infectious diseases should be placed in isolation to prevent the spread of the infection to others. This may involve placing the patient in a private room or in a specific area designated for patients with infectious diseases.
 * Use of Personal Protective Equipment (PPE): Healthcare workers should wear appropriate personal protective equipment (PPE) such as gloves, gowns, masks, and hoods when caring for patients with infectious diseases.
 * Proper cleaning and disinfection: Regular cleaning and disinfection of equipment and surfaces, especially in high-touch areas, is crucial to prevent the spread of infections.
 * Vaccination: Vaccination is an important part of infection control, as it can prevent the spread of certain infectious diseases. Healthcare workers should be encouraged to get vaccinated against infectious diseases such as influenza.
 * Surveillance: Regular surveillance of the patient population for signs of infection, and prompt identification and isolation of patients with suspected or confirmed infections are essential.

Cardiopulmonary resuscitation (Not implemented yet)
Cardiopulmonary Resuscitation (CPR) is a lifesaving technique used to revive a person whose heart has stopped beating. The procedure involves chest compressions and rescue breathing to circulate oxygen-rich blood to the brain and vital organs.
 * Check for responsiveness: The first step in CPR is to check for responsiveness. If the person is unresponsive, shake them gently and call out their name to try to wake them.
 * Call for help: If the person is unresponsive, call for help immediately. If you're alone, you'll need to perform CPR by yourself.
 * Begin chest compressions: Kneel down beside the person and place the heel of one hand on the person's breastbone, at the center of their chest. Place your other hand on top of the first hand, then interlock your fingers.
 * Administering chest compressions: Press down on the person's chest with your hands, using a steady, rhythmic motion, compressing the chest about 2 inches (5 cm) deep. Release the compression and let the chest rise back to its original position.
 * Administering rescue breathing: After 30 compressions, open the person's airway by tilting their head back and lifting their chin. Pinch their nose closed and blow two slow breaths into their mouth. Each breath should last about 1 second.
 * Continue CPR: Continue alternating 30 compressions with 2 breaths until help arrives or the person starts to breathe on their own.

The L.U.C.A.S.(Not implemented yet)
L.U.C.A.S. (Lund University Cardiac Assist System) is a mechanical chest compression device that is used to assist with cardiopulmonary resuscitation (CPR). It is designed to provide consistent and accurate chest compressions to help circulate blood and oxygen to the brain and other vital organs during a cardiac arrest. The L.U.C.A.S. device consists of a piston that is placed on the patient’s chest and connected to a compressor. The piston pushes down on the chest and then releases, compressing the chest in a manner similar to manual compressions. The device is controlled by a computer, which can adjust the rate and depth of compressions depending on the patient's needs. During a cardiac arrest, the L.U.C.A.S. device can be used to provide consistent and accurate chest compressions, which can be difficult to achieve with manual compressions. This can help to improve blood flow to the brain and other vital organs, increasing the chances of survival. Additionally, the L.U.C.A.S. device can be useful in situations, where the manual compressions can be unsafe or difficult to perform, such as in a moving vehicle or a confined space, and it can also relieve the rescuer from the physical strain of performing manual compressions for an extended period of time.

The Triage System
Triage is a system used to prioritize and allocate medical resources to patients based on the severity of their injuries or illnesses. In a triage system, patients are assessed quickly and assigned to one of several categories based on the urgency of their condition. The goal of triage is to ensure that the most critically ill or injured patients receive care first, while less seriously injured or ill patients are treated later. The triage categories used may vary depending on the specific situation and resources available, but generally include:

In a triage system, the patients are treated based on their priority level and the available resources, such as medical personnel and equipment. The goal of triage is to make the best use of limited resources, to ensure that the most critically ill or injured patients receive care first, and to prevent the situation from deteriorating further.

Administering Medications
Administering medications involves properly dispensing and administering a specific drug or treatment to a patient. The process can vary depending on the type of medication, the patient's condition, and the setting in which the medication is being administered.
 * Verify the medication: Before administering medication, it's important to verify the medication's name, dosage, and administration route with the patient's medication list and the physician's order.
 * Prepare the medication: Depending on the type of medication, it may need to be prepared before administration. For example, some medications need to be drawn up into a syringe or mixed with a liquid.
 * Administer the medication: The medication should be administered according to the physician's order and the medication's label, which includes information about the appropriate dosage and administration route.
 * Monitor the patient: The patient should be monitored for any adverse reactions or side effects after the medication is administered.
 * Document: The medication should be documented in the patient's medical records, including the date, time, dosage, and the person who administered the medication.

Emergency Response
An emergency response refers to the actions taken to respond to an emergency situation, such as a medical emergency, fire, or other crisis. The specific steps taken in an emergency response may vary depending on the type of emergency and the setting in which it occurs. Activating the emergency response plan: The first step in an emergency response is activating the emergency response plan. This may involve activating an alarm, or contacting other departments such as security or engineering for help..
 * Assessing the situation: Once the emergency response plan is activated, the situation should be assessed to determine the nature of the emergency, the number of people involved, and any potential hazards.
 * Providing first aid: If necessary, first aid should be provided to any injured or ill individuals.
 * Evacuation: If it's safe to do so, the affected area should be evacuated to ensure the safety of all individuals.
 * Containment: If necessary, the affected area should be contained to prevent the spread of the emergency. This can include closing air locks or fire locks.
 * Coordinating with other departments: Services such as engineering, security or science should be contacted and coordinated with to ensure an effective response and/or replacement of equipment.
 * Documenting the emergency: The emergency should be documented, including the date and time, the nature of the emergency, the actions taken, and the outcome.

Patient Transfer
A patient transfer refers to the process of moving a patient from one location to another, such as from an emergency department to a hospital room or from a hospital to a long-term care facility. The specific steps taken in a patient transfer may vary depending on the patient's condition, the equipment and staff available, and the location of the transfer.
 * Assessing the patient's condition: Before a patient transfer takes place, the patient's condition should be assessed to determine if they are stable enough to be moved.
 * Preparing the patient: The patient should be prepared for the transfer by removing any unnecessary equipment or clothing, and making sure they are properly secured to a stretcher or other transport device.
 * Preparing the equipment: Equipment needed for the transfer, such as oxygen tanks, IVs, and monitoring equipment, should be checked and prepared for transport.
 * Notifying the receiving facility: The receiving facility should be notified of the patient's arrival and any special instructions or information that should be passed along.
 * Transferring the patient: The patient should be transferred to the receiving facility, taking care to protect the patient's comfort, safety and dignity during the transfer.
 * Documenting the transfer: The patient transfer should be documented, including the date and time of the transfer, the patient's condition, and any complications that occurred during the transfer.

Wound Care
Wound care refers to the process of treating and managing wounds to promote healing and prevent infection. The specific steps taken in wound care may vary depending on the type and severity of the wound.
 * Assessing the wound: The first step in wound care is to assess the wound. This includes determining the type of wound, its size and depth, and the presence of any foreign objects or debris.
 * Cleaning the wound: The wound should be cleaned to remove any debris and bacteria. This may involve using a sterile saline solution, hydrogen peroxide, or soap and water.
 * Applying a dressing: A sterile dressing should be applied to the wound to help protect it from further infection and promote healing. The type of dressing used will depend on the type and location of the wound.
 * Administering medication: Medication may be administered to the wound to help reduce pain and inflammation, and to promote healing.
 * Monitoring the wound: The wound should be monitored for signs of infection, such as redness, swelling, or discharge.
 * Changing the dressing: The dressing should be changed regularly, typically once a day or as directed by a healthcare professional.

Patient Discharge
Patient discharge refers to the process of releasing a patient from a healthcare facility, such as a hospital or a long-term care facility, after they have received treatment and their condition has stabilized or improved. The specific steps taken in a patient discharge may vary depending on the patient's condition, the type of facility, and the patient's needs.
 * Reviewing the patient's condition: Before a patient is discharged, their condition should be reviewed by a healthcare professional to ensure that they are stable enough to be released.
 * Providing instructions for care at home: The patient should be provided with instructions for care at home, including any medications they need to take, follow-up appointments they need to schedule, and any lifestyle changes they need to make.
 * Coordinating follow-up care: The healthcare professional should coordinate any follow-up care the patient needs, such as with a primary care physician, a specialist, or a rehabilitation facility.
 * Reviewing insurance coverage: The healthcare professional should review the patient's insurance coverage to ensure that they understand what is covered and what is not covered by their plan.
 * Arranging for transportation: If necessary, transportation should be arranged for the patient to get home.
 * Documenting the discharge: The patient's discharge should be documented, including the date and time of the discharge, the patient's condition, and any instructions for care at home.

Medical Evaluation
The procedure for demoting on-duty personnel due to medical or psychological reasons involves several steps and input from multiple parties. The Chief Medical Officer may declare any on-duty personnel unfit for duty and remove them from their position, including the Captain. This standard operating procedure may not be overruled by the Captain.


 * 1) Identification of the issue: The medical or psychological issue that is preventing the person from effectively performing their duties must be identified. This may involve input from medical or psychological professionals on the station, or from the person themselves.
 * 2) Assessment of the situation: The situation has to be assessed by the head of personnel, or another designated person, to determine the severity of the issue and the impact it is having on the department and the overall functioning of the station.
 * 3) Discussion with the person: The person has to be informed of the issue and the proposed demotion, and given the opportunity to provide their input and perspective on the situation.
 * 4) Decision-making: A decision is to be made, with input from all relevant parties, on whether the person should be demoted and if so, what would be the suitable alternative role, if any. In order for a medical evaluation to be considered correct, two heads, one of which must be the CMO, must agree that the specified crewmate is unfit for duty and the head of personnel must agree in order for their demotion.
 * 5) Implementation: The demotion has to be implemented, with the person being reassigned to a different role or department. The new person must be trained and brought up to speed on the department's operations.
 * 6) Follow-up: The medical or psychological issue that led to the demotion has to be closely monitored, and if necessary, appropriate steps needs to be taken to ensure the well-being of the person and to prevent a recurrence of the issue.

The Intern
As a Medical Intern, you are responsible for providing support to the Chief Medical Officer (CMO) and other medical personnel in the delivery of medical care to players on the station. Some specific responsibilities you may have as a Medical Intern include:
 * Assisting with patient care: You may be responsible for helping to care for patients, including administering first aid, taking vital signs, and helping to administer medications or other treatments.
 * Assisting with medical procedures: You may be responsible for assisting with medical procedures such as diagnostic tests, minor surgeries, and other medical procedures.
 * Maintaining medical equipment: You may be responsible for maintaining and troubleshooting medical equipment, including checking for malfunctions and making repairs as needed.
 * Keeping medical records: You may be responsible for keeping accurate and up-to-date medical records, including patient histories, diagnoses, and treatment plans.
 * Assisting with research: You may be responsible for assisting the CMO and other medical personnel in conducting research on medical issues related to the station and its inhabitants.
 * Participating in training and education: As a Medical Intern, you may be required to participate in ongoing training and education to stay up-to-date on the latest medical procedures, protocols, and best practices.
 * Following protocols and procedures: It's important to follow the protocols and procedures established by the CMO and other medical personnel to ensure the safety of both patients and other players.
 * Communicating effectively: You should communicate effectively with the CMO and other medical personnel, as well as with patients, to ensure that medical care is provided in a consistent and effective manner

The Chemist
A chemist is a scientist who specializes in the study of matter and the properties and interactions of substances. A chemist is responsible for synthesizing chemicals that are used in various station's systems and procedures. Some specific responsibilities that a chemist may have in the game include: Continuously improving: Continuously evaluating and improving the processes and procedures used in the chemistry department. As a chemist, you will be expected to have a good understanding of chemical concepts and methods, as well as knowledge of safety protocols. You should also have good problem-solving skills and be able to work independently or as part of a team.
 * Synthesizing chemicals: Creating new chemicals, or modifying existing ones, to suit the needs of the station.
 * Analyzing chemicals: Testing chemicals to determine their properties and composition, and identifying any impurities.
 * Developing new chemical processes: Developing new methods for synthesizing or analyzing chemicals, or improving existing methods.
 * Maintaining equipment: Maintaining and troubleshooting the equipment used in chemical synthesis and analysis, such as chem master, and chem dispenser.
 * Storing and handling chemicals safely: Following safety protocols to store and handle chemicals safely, and disposing of chemicals properly.
 * Keeping accurate records: Keeping accurate records of chemicals synthesized, equipment used, and results of analysis.
 * Communicating with other departments: Communicating with other departments such as Medical, Engineering and Research and Development, to ensure that the chemicals produced meet their needs.

The Psychologist
A psychologist is responsible for providing mental health support and services to players on the station. Some specific responsibilities that a psychologist may have in the game include: As a psychologist, you will be expected to have a good understanding of mental health concepts and methods. You should also have good communication skills, be able to work independently, and be able to work as part of a team.
 * Assessing and diagnosing mental health conditions: Assessing players for mental health conditions, such as anxiety, depression, or post-traumatic stress disorder, and providing diagnoses.
 * Providing therapy: Providing individual and group therapy sessions to help players cope with stress, emotional issues, and mental health conditions.
 * Developing treatment plans: Developing treatment plans for players with mental health conditions, which may include therapy, medications, or other interventions.
 * Providing crisis intervention: Providing crisis intervention to players who are experiencing a mental health emergency, such as a suicide attempt or severe anxiety attack.
 * Consulting with other departments: Consulting with other departments, such as Medical and Engineering, to ensure that the needs of players with mental health conditions are being met.
 * Maintaining accurate records: Keeping accurate records of players' mental health assessments, diagnoses, and treatment plans.
 * Ensuring confidentiality: Ensuring that players' mental health information is kept confidential, in accordance with laws and regulations.
 * Continuously evaluating and improving: Continuously evaluating and improving the processes and procedures used in the psychology department.

The Chief Medical Officer
As the Chief Medical Officer (CMO), you are responsible for leading and managing the medical department and ensuring the health and safety of all players on the station. Some tips for leading the medical department include: As the leader of the medical department, it's important to be a good communicator, a problem solver, and a team player. You should be able to prioritize tasks, delegate responsibilities and make quick decisions when necessary, all while keeping in mind the overall well-being of the station and its inhabitants. Keep in mind that as this is a role-playing game, the way you lead the medical department may be different than what you expect in real life.
 * Familiarize yourself with the medical equipment, procedures, and protocols available on the station.
 * Develop and implement policies and procedures for the medical department to ensure that medical care is provided in a consistent and effective manner.
 * Coordinate with other department heads to ensure that medical care is integrated into the overall operation of the station.
 * Provide training and supervision for medical personnel to ensure that they are able to provide high-quality care to patients.
 * Ensure that the medical bay is well-stocked with necessary supplies and equipment to provide medical care.
 * Maintain accurate medical records and data to track the health and safety of players on the station.
 * Be prepared for emergencies and know how to respond quickly and effectively to emergency situations.
 * Communicate effectively with other players, especially when coordinating treatment for injured or ill individuals.
 * Lead by example and demonstrate a strong commitment to providing high-quality medical care to all players on the station.
 * Continuously evaluate and improve the medical department's processes and procedures to ensure they are efficient, effective and aligned with the station's objectives.

The Paramedic
A paramedic is a medical professional who provides emergency medical care in pre-hospital settings, such as in an ambulance or in a mobile medical unit. , a paramedic is responsible for providing emergency medical care to players and recovering bodies from all over the station. Some specific responsibilities that a paramedic has in the game include: As a paramedic, you will be expected to have a good understanding of emergency medical procedures and protocols, as well as knowledge of safety protocols and first aid. You should also have good problem-solving skills and be able to work independently or as part of a team.
 * Assessing and stabilizing patients: Assessing patients for injuries or illnesses, providing first aid and stabilizing them for transport to a medical facility.
 * Administering medication: Administering medication such as oxygen, pain relief, and other emergency medications as necessary.
 * Maintaining equipment: Maintaining and troubleshooting equipment such as defibrillators, oxygen tanks, and other emergency equipment.
 * Communicating with medical personnel: Communicating with medical personnel such as doctors and nurses in order to provide the best possible care for patients.
 * Keeping accurate records: Keeping accurate records of patients' medical information, including vital signs, medications administered, and treatment provided.
 * Following protocols and procedures: Following established protocols and procedures for providing emergency medical care, including those related to safety and infection control.
 * Continuously evaluating and improving: Continuously evaluating and improving the processes and procedures used in the emergency medical services.
 * Responding to emergency calls: Responding to emergency calls and providing pre-hospital care to patients in need, including stabilizing them and transporting them to the medical facility.

The Cryo Bay
The cryo bay is an area where players can be placed into cryogenic stasis. Cryogenic stasis is a process of freezing a person's body in order to preserve them for an extended period of time. Cryogenic stasis is used in the game to preserve players who are critically injured or ill, in hopes that they can be revived and treated later when technology or medical knowledge allows it. The specific process and mechanics of cryogenic stasis may vary, but generally the cryo bay include the following features: The cryo bay is an important resource for the medical department, as it allows them to preserve critically injured or ill players.
 * Cryogenic pods: Players are placed into cryogenic pods where their body temperature is lowered and they are placed into a state of suspended animation.
 * Temperature control: The cryo bay has equipment to control and monitor the temperature of the cryogenic pods, to ensure that the players are being stored at the appropriate temperature.
 * Life support: The cryo bay has equipment to provide life support to the players in cryogenic stasis, such as oxygen and blood circulation.
 * Monitoring systems: The cryo bay has monitoring systems to track the health and status of the players in cryogenic stasis.
 * Reviving process: The process of reviving a player from cryogenic stasis involves warming the player's body and restoring normal body functions. This process may be very complex and dangerous and may not be possible in some cases.

The Cloning Bay
The cloning bay is an area where players can be cloned, which is a process of creating a genetically identical copy of an organism. In the game, the cloning bay can be used to create new players in the event that the original player dies. Some players cannot be cloned. See (site) for examples. The specific process and mechanics of cloning include the following features:
 * Cloning pods: The cloning bay has pods used to create and maintain the cloned organisms.
 * Genetic material: The cloning bay has equipment to extract, store and manipulate genetic material of living beings, this is necessary to create a new, identical copy. It is generally known as biomass.
 * Genetic Scanner: The cloning bay has equipment to provide the necessary scanning to the patient, to be able to be cloned.
 * Monitoring systems: The cloning bay has monitoring systems to track the growth and development of the cloned organisms.

The Stasis Bed
A stasis bed, also known as a cryosleep chamber, is a medical device used to place a person in a state of suspended animation, or stasis. The idea behind this concept is that the person is placed in a cryogenic state, where their metabolic processes are slowed down, allowing them to survive for long periods of time without aging or incurring damage. Stasis beds are commonly used as a means of treating patients, keeping them alive during longer periods of time for medical treatment.

The Hypo Spray
A hypospray, also known as an autoinjector, is a device used to deliver medication, typically in the form of a pre-measured dose, through the skin or mucous membrane. A hypo spray can be used to deliver medication quickly and efficiently, especially in emergency situations. It includes the following features:
 * Medication container: The hypo spray has a container that holds a pre-measured dose of medication.
 * Trigger mechanism: The hypo spray has a trigger mechanism, such as a button, that when activated, releases the medication from the container.
 * Needle: The hypo spray has a needle that is used to deliver the medication through the skin or mucous membrane.
 * Dosage selector: The hypo spray has a mechanism for selecting the correct dosage for the patient.

The Health Analyzer
A health analyzer is a device used in medical settings to diagnose and monitor the health of patients. It's a handheld device, sometimes integrated into PDAs, that can scan and analyze a patient's body, providing information about their physical condition and any illnesses or injuries they may have. The device is used to quickly and accurately diagnose and monitor the health of patients, providing information that can be used to make treatment decisions. It can provide information about the patient's condition, vital signs, and any injuries or illnesses they may have.

The Syringe
A syringe is a medical device used to inject liquids, such as medication, into the body, or to withdraw fluids from the body. It typically consists of a hollow cylindrical tube with a pointed tip, called the needle, and a plunger that can be used to inject or withdraw fluids. Syringes can be used for a variety of medical procedures, such as administering medication, drawing blood, and performing other diagnostic tests.

The Swab
A swab is a small piece of material, usually a piece of cotton or foam, that is used to collect samples of liquids or cells from surfaces or body cavities. Swabs are often used in medical settings to collect samples of bodily fluids, such as blood, saliva, or discharge, for diagnostic purposes.

The Vaccinator
The vaccinator is a medical device used to gather vaccines. These work by introducing a small, harmless piece of the virus or bacteria into the body, which triggers the immune system to produce a response. This response helps the body to recognize and fight the virus or bacteria if the patient is exposed to it again in the future. It is an important medical device that can help prevent the spread of diseases and illnesses, and protect the health of the crew.

The Disease Analyzer
A disease analyzer is a device used to diagnose and monitor various diseases. It is typically a stationary device within virology, and can analyze diseases within a patient’s body. The swab is inserted into the machine, and provides quick and easy feedback to the health condition. It is an important diagnostic tool as it can help identify and treat different diseases.

The Stethoscope
A stethoscope is a medical instrument used by healthcare professionals to listen to internal sounds of the body, such as the heart and lungs. It is typically made up of a long rubber or plastic tubing, with a chest piece that contains one or more small discs, called diaphragms, which are placed against the skin to pick up sounds. The other end of the tubing has earpieces that the healthcare professional places in their ears to hear the sounds. Stethoscopes are commonly used to listen to the heartbeat and breathing sounds in order to diagnose and monitor various medical conditions. This device has currently no practical use.

The Bandage
A bandage is a piece of material used to cover and protect a wound or injury. They come in different types and materials, such as gauze, fabric, adhesive, or elastic, and are used to cover and protect wounds, prevent bleeding, and provide support to injured areas. Bandages can be used to hold dressings or other medical devices in place, such as a splint or a cast, and are often used in conjunction with other medical treatments.

The Bruise Pack
A bruise pack is a medical device that is commonly used to treat bruises. Bruises are caused by trauma to the skin and underlying tissues, which causes blood vessels to rupture and blood to collect under the skin. A bruise pack is typically made up of a cold compress or gel pack that is applied to the bruise to reduce swelling and pain. The cold temperature causes the blood vessels to constrict, which slows down the bleeding and reduces the swelling. Bruise packs can also be medicated with pain relievers or anti-inflammatory agents to help alleviate pain and inflammation.

The Ointment
Ointment is a semisolid preparation that is applied topically to the skin for the purpose of moisturizing, protecting, and treating various skin conditions. Ointments are typically composed of a mixture of oils, waxes and/or water and are thicker than creams or lotions. They are used to treat a wide range of conditions such as burns. Ointments can contain active ingredients such as antibiotics, steroids, or other medications to help treat specific skin conditions.

Implants
Implants are devices that are placed via an implanter syringe inside the body to monitor, or assist the carrier. Some examples include:
 * Tracker Implant
 * Light Implant
 * Sad Trombone (Clowns always have these)
 * Storage Implant (illegal)
 * Freedom implant (illegal)
 * Microbomb Implant (illegal)
 * Macrobomb (illegal)