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=Tools of the Trade= | ==Tools of the Trade == | ||
{| class="wikitable" | {| class="wikitable" | ||
! | !Tool | ||
!Function | !Function | ||
|- | |- | ||
|[[File:1Scalpel.png]] | |[[File:1Scalpel.png]]<br>'''Scalpel'''||Used for cutting through flesh.<br>'''Improvised Equivalents:''' Kitchen Knife[[File:Kitchen_Knife.png|32px]], Glass Shard[[File:Shard.png|32px]] or Survival Knife | ||
[[File:Shard.png| | |||
|- | |- | ||
|[[File:Laser_scalpel_basic.png]] | |[[File:Laser_scalpel_basic.png]]<br>'''Laser Scalpel'''||Used for cutting through flesh, skips bleeder clamping. Basically acts as both a scalpel and a hemostat in one step during the initial incision. Can fail due to experimental nature. | ||
|- | |- | ||
|[[File:1Incision_manager.png|32px]] | |[[File:1Incision_manager.png|32px]]<br>'''Incision Management System (IMS)'''||Used for cutting through flesh, skips bleeder clamping and organ rearranging. Basically acts as a scalpel, hemostat, and retractor in one step during the initial incision. Only functions as a scalpel in steps after the first. | ||
|- | |- | ||
|[[File:1Hemostat.png]] | |[[File:1Hemostat.png]]<br>'''Hemostat'''||Used to stop bleeding during an operation, or to remove foreign and undesirable objects from a patient's body.<br>'''Improvised Equivalents:''' Wirecutters[[File:Wirecutters.png|32px]] or Cable Coil [[File:CableCoils.png|32px]] | ||
|- | |- | ||
|[[File:1Bone Setter.png]] | |[[File:1Bone Setter.png]]<br>'''Bone Setter'''||Used for setting bones back into place. If used on a bone that is not broken then you will break it.<br>'''Improvised Equivalents:''' Wrench[[File:Wrench.png|32px]] | ||
|- | |- | ||
|[[File:1Bone-Gel.png]] | |[[File:1Bone-Gel.png]]<br>'''Bone-Gel'''||Used for repairing broken/shattered bones.<br>'''Improvised Equivalents:''' Screwdriver[[File:Screwdriver.png|32px]] | ||
|- | |- | ||
|[[File:1Retractor.png]] | |[[File:1Retractor.png]]<br>'''Retractor'''||Used for re-arranging organs, and moving cut ribcages & skulls.<br>'''Improvised Equivalents:''' Crowbar[[File:Crowbar.png|32px|]] | ||
|- | |- | ||
|[[File:1Cautery.png]] | |[[File:1Cautery.png]]<br>'''Cautery'''||Used for sealing incisions in a patients skin. Burns skin together.<br>'''Improvised Equivalents:''' Cigarette[[File:Cig.png|32px]] or Lighter[[File:Lighter.png|32px]] or Blowtorch[[File:Welder.gif|32px]] | ||
|- | |- | ||
|[[File:1Vixovein.png]] | |[[File:1Vixovein.png]]<br>'''Fix-o-Vein'''||Used for repairing veins and arteries.<br>'''Improvised Equivalents:''' Cable Coil[[File:CableCoils.png|32px]] | ||
|- | |- | ||
|[[File:1Saw.png]] | |[[File:1Saw.png]]<br>'''Circular Saw'''||Used for cutting through bones.<br>'''Improvised Equivalents:''' Hatchet[[File:Hatchet.png|32px|]] or Machete | ||
|- | |- | ||
|[[File:Advtraumakit.png]] | |[[File:Advtraumakit.png]]<br>'''Advanced Trauma Kit'''||Used to patch all organs except for the brain and eyes. | ||
|} | |} | ||
* Improvised tools generally have a fairly high failure chance starting at about 25%. | |||
=Surgeries= | == Surgeries == | ||
Surgery is a simple process with a series of steps. Once these steps are memorized it should become effortless and routine to perform. Keep in mind that once you have mastery over the basics, it's a good idea to aim to be as fast and efficient as possible due to the importance of recycling casualties back into the fight, or even preventing them from dying in the case of [[#Foreign Object/Alien Embryo Removal|Foreign Object/Alien Embryo Removal]] | Surgery is a simple process with a series of steps. Once these steps are memorized it should become effortless and routine to perform. Keep in mind that once you have mastery over the basics, it's a good idea to aim to be as fast and efficient as possible due to the importance of recycling casualties back into the fight, or even preventing them from dying in the case of [[#Foreign Object/Alien Embryo Removal|Foreign Object/Alien Embryo Removal]]. | ||
=== Anesthetic === | |||
There are two ways of doing this, anesthetic and powerful painkillers. | |||
The | ==== Anesthetic tank and medical mask ==== | ||
The first step is applying anesthetic to the patient via the anesthetic tank and medical mask and turning on its internals (encourage your patient to put on the tank and mask, and turn the internals on as this is fastest and allows you to proceed with step two immediately). It is advisable to remove the anesthetic tank and medical mask during the cautery step for maximum efficiency. | |||
==== Painkillers ==== | |||
If in a rush, or you just want to do things quickly, you can give your patients [[Chem_Guide#Oxycodone|Oxycodone]] for quick surgeries without anesthetic (15-20U recommended). You need to work quick though. Note that every form of anesthetic other than the anesthetic tank has a chance of causing your patient to flinch during the surgery, you can supplement the oxycodone with [[Chem_Guide#Tramadol|Tramadol]], [[Chem_Guide#Inaprovaline|Inaprovaline]] or [[Chem_Guide#Paracetamol|Paracetamol]] to eliminate any flinch chance. Use your medical scanner to monitor your patient's painkiller levels and redose as necessary. Using painkillers can cause distress in the patient (screaming over the radio about getting operated on without anaesthetics, standing up and trying to leave or fight back). | |||
=== Disinfection === | |||
The second step is to wash your hands to help reduce infection chance. Using space cleaner on yourself works too, if you're wearing gloves. Note that you can inject your patient with 5U of [[Chem_Guide#Spaceacillin|Spaceacillin]] to reliably immunize him from infection (until it is fully metabolized) and circumvent the need to wash your hands. | |||
=== Surgical table === | |||
The third step is to place your patient on the surgical table (grab your patient, then click the table with your grabbing hand selected). If you must, you can improvise with a roller bed or even a table, but these improvised surfaces add a failure chance to each surgical step (a table's failure chance is higher). Now that the preparations are done, you can begin with the actual surgery. | |||
=== Different surgeries === | |||
{| border="1" | {| border="1" | ||
!Surgery: | !Surgery: | ||
!Description: | !Description: | ||
|- | |- | ||
|{{anchor|Bone Repair Surgery}}[[#Bone Repair Surgery|Bone Repair Surgery]] | |{{anchor|Bone Repair Surgery}}[[#Bone Repair Surgery|Bone Repair Surgery]] (Everywhere except mouth/eyes.) | ||
|This surgery is used for mending broken bones and fractures. | |This surgery is used for mending broken bones and fractures. | ||
*'''Note that a repaired bone will rebreak if your patient has more than 50 brute damage.''' | *'''Note that a repaired bone will rebreak if your patient has more than 50 brute damage.''' | ||
*Incision Management System. [[File:1Incision_manager.png|32px|link=|Incision Management System]] '''OR''' Open the incision. ([[File:1Scalpel.png|link=|Scalpel]]->[[File:1Hemostat.png|link=|Hemostat]]->[[File:1Retractor.png|link=|Retractor]]) | |||
*Incision Management System. | *Repair the bone. ([[File:1Bone-Gel.png|link=|Bone Gel]]->[[File:1Bone Setter.png|link=|Bone Setter]]) (Use the Health Analyzer to double check) | ||
*Close the incision. ([[File:1Cautery.png|link=|Cautery]]) | |||
*Repair the bone. | |||
*Close the incision. | |||
|- | |- | ||
|{{anchor|Internal Bleeding Surgery}}[[#Internal Bleeding Surgery|Internal Bleeding Surgery]] | |{{anchor|Internal Bleeding Surgery}}[[#Internal Bleeding Surgery|Internal Bleeding Surgery]] (Everywhere except mouth/eyes.) | ||
|This surgery mends the torn/ripped arteries and veins within the body to stop internal bleeding. | |This surgery mends the torn/ripped arteries and veins within the body to stop internal bleeding. | ||
*Incision Management System. [[File:1Incision_manager.png|32px|link=|Incision Management System]] '''OR''' Open the incision. ([[File:1Scalpel.png|link=|Scalpel]]->[[File:1Hemostat.png|link=|Hemostat]]->[[File:1Retractor.png|link=|Retractor]]) | |||
*Open the skull or ribcage if necessary. ([[File:1Saw.png|link=|Bone Saw]]->[[File:1Retractor.png|link=|Retractor]]) | |||
*Incision Management System. | *Mend the artery. ([[File:1Vixovein.png|link=|Fix-o-Vein]]) | ||
*Close the skull or ribcage if necessary.([[File:1Retractor.png|link=|Retractor]]->[[File:1Bone-Gel.png|link|Bone Gel]]). | |||
*Mend the artery. | *Close the incision. ([[File:1Cautery.png|link=|Cautery]]) | ||
*Close the incision. | |||
|- | |- | ||
|{{anchor|Foreign Object/Alien Embryo Removal}}[[#Foreign Object/Alien Embryo Removal|Foreign Object/Alien Embryo Removal]] | |{{anchor|Foreign Object/Alien Embryo Removal}}[[#Foreign Object/Alien Embryo Removal|Foreign Object/Alien Embryo Removal]] (Everywhere except mouth/eyes.) | ||
|Removal of unknown objects, such as shrapnel, implants, or alien embryos from the body. | |Removal of unknown objects, such as shrapnel, implants, or alien embryos from the body. | ||
*'''Alien embryos will always be in the chest behind the ribcage. Time is of the essence when removing them, and you must complete this surgery as quickly as possible; your patient will die instantly when it finishes gestating, resulting in the birth of an alien larva.''' | *'''Alien embryos will always be in the chest behind the ribcage. Time is of the essence when removing them, and you must complete this surgery as quickly as possible; your patient will die instantly when it finishes gestating, resulting in the birth of an alien larva.''' | ||
*Incision Management System. [[File:1Incision_manager.png|32px|link=|Incision Management System]] '''OR''' Open the incision. ([[File:1Scalpel.png|link=|Scalpel]]->[[File:1Hemostat.png|link=|Hemostat]]->[[File:1Retractor.png|link=|Retractor]]) | |||
*Incision Management System. | *Open the skull or ribcage if necessary. ([[File:1Saw.png|link=|Bone Saw]]->[[File:1Retractor.png|link=|Retractor]]) | ||
*Fish out the foreign objects until they are all removed.. ([[File:1Hemostat.png|link=|Hemostat]]) | |||
*Open the skull or ribcage if necessary . | *Close the skull or ribcage if necessary.([[File:1Retractor.png|link=|Retractor]]->[[File:1Bone-Gel.png|link|Bone Gel]]). | ||
*Fish out the foreign | *Close the incision ([[File:1Cautery.png|link=|Cautery]]) | ||
*Close the skull or ribcage if necessary. | |||
*Close the incision | |||
|- | |- | ||
|{{anchor|Internal Organs Surgery}}[[#Internal Organs Surgery|Internal Organs Surgery]] | |{{anchor|Internal Organs Surgery}}[[#Internal Organs Surgery|Internal Organs Surgery]] (Groin, Chest.) | ||
|Mending broken internal organs, excluding the eyes and brain. | |Mending broken internal organs, excluding the eyes and brain. | ||
*'''Peridaxon does not heal organ damage. This is the only way to heal organs in the chest and groin.''' | *'''Peridaxon does not heal organ damage. This is the only way to heal organs in the chest and groin.''' | ||
*Incision Management System. [[File:1Incision_manager.png|32px|link=|Incision Management System]] '''OR''' Open the incision. ([[File:1Scalpel.png|link=|Scalpel]]->[[File:1Hemostat.png|link=|Hemostat]]->[[File:1Retractor.png|link=|Retractor]]) | |||
*Incision Management System. | *Open the ribcage if necessary. ([[File:1Saw.png|link=|Bone Saw]]->[[File:1Retractor.png|link=|Retractor]]) | ||
*Repair the biological organ with a Trauma Kit, or the robotic organ with Nanopaste.([[File:Advtraumakit.png|link=|Advanced Trauma Kit]]/[[File:1Nanopaste.png|link=|Nanopaste]]) | |||
*Open the | *Close the ribcage if necessary. ([[File:1Retractor.png|link=|Retractor]]->[[File:1Bone-Gel.png|link|Bone Gel]]) | ||
*Repair the biological organ with a Trauma Kit, or the robotic organ with Nanopaste. | *Close the incision. ([[File:1Cautery.png|link=|Cautery]]) | ||
*Close the | |||
*Close the incision. | |||
|- | |- | ||
|{{anchor|Necrosis Treatment Surgery.}}[[#Necrosis Treatment Surgery|Necrosis Treatment Surgery]] | |{{anchor|Necrosis Treatment Surgery.}}[[#Necrosis Treatment Surgery|Necrosis Treatment Surgery]] (Limbs: Legs, Arms, Hands, Feet.) | ||
|Treating necrosis by cutting away the necrotic tissues and treating the affected area. | |Treating necrosis by cutting away the necrotic tissues and treating the affected area. | ||
*Open the incision. | *Open the incision.([[File:1Scalpel.png|link=|Scalpel]]->[[File:1Hemostat.png|link=|Hemostat]]->[[File:1Retractor.png|link=|Retractor]]) | ||
*Excise necrotic tissue and heal the area. | *Excise necrotic tissue and heal the area.([[File:1Scalpel.png|link=|Scalpel]]->[[File:Advtraumakit.png|link=|Advanced Trauma Kit]]) | ||
*Close the incision. | *Close the incision. ([[File:1Cautery.png|link=|Cautery]]) | ||
|- | |- | ||
|{{anchor|Organ Removal/Transplantation Surgery}}[[#Organ Removal/Transplantation Surgery|Organ Removal/Transplantation Surgery]] | |{{anchor|Organ Removal/Transplantation Surgery}}[[#Organ Removal/Transplantation Surgery|Organ Removal/Transplantation Surgery]] (Groin, Chest, Head.) | ||
|Removing an organ from the body and transplanting a new organ. | |Removing an organ from the body and transplanting a new organ. | ||
*Incision Management System. [[File:1Incision_manager.png|32px|link=|Incision Management System]] '''OR''' Open the incision. ([[File:1Scalpel.png|link=|Scalpel]]->[[File:1Hemostat.png|link=|Hemostat]]->[[File:1Retractor.png|link=|Retractor]]) | |||
*Incision Management System. | *Open the skull or ribcage if necessary. ([[File:1Saw.png|link=|Bone Saw]]->[[File:1Retractor.png|link=|Retractor]]). | ||
*Remove the old organ ([[File:1Scalpel.png|link=|Scalpel]]->[[File:1Hemostat.png|link=|Hemostat]]) | |||
*Open the skull or ribcage if necessary. | *Attach the new organ. Use Trauma kit (biological) or Nanopaste (robotic). (New Organ ->[[File:1Vixovein.png|link=|Fix-O-Vein]]->[[File:Advtraumakit.png|link=|Advanced Trauma Kit]]/[[File:1Nanopaste.png|link=|Nanopaste]]) | ||
*Remove the old organ | *Close the skull or ribcage if necessary. ([[File:1Retractor.png|link=|Retractor]]->[[File:1Bone-Gel.png|link|Bone Gel]]) | ||
* | *Close the incision. ([[File:1Cautery.png|link=|Cautery]]) | ||
*Close the skull or ribcage if necessary. | |||
*Close the incision. | |||
|- | |- | ||
|{{anchor|Brain Damage Surgery}}[[#Brain Damage Surgery|Brain Damage Surgery]] | |{{anchor|Brain Damage Surgery}}[[#Brain Damage Surgery|Brain Damage Surgery]] (Head.) | ||
|Fixing up the brain. | |Fixing up the brain. | ||
*'''Using alkysine is usually faster than this surgery.''' | *'''Using alkysine is usually faster than this surgery.''' | ||
*Incision Management System. [[File:1Incision_manager.png|32px|link=|Incision Management System]] '''OR''' Open the incision. ([[File:1Scalpel.png|link=|Scalpel]]->[[File:1Hemostat.png|link=|Hemostat]]->[[File:1Retractor.png|link=|Retractor]]) | |||
*Incision Management System. | *Open the skull.([[File:1Saw.png|link=|Bone Saw]]->[[File:1Retractor.png|link=|Retractor]]) | ||
*Repair severe brain damage, if any. ([[File:1Vixovein.png|link=|Fix-O-Vein]]) | |||
*Open the skull. | *Extract embedded bone chips until they are all removed. ([[File:1Hemostat.png|link=|Hemostat]]) (Use Health Analyzer to double check) | ||
*Repair severe brain damage, if any. | *Close the skull. ([[File:1Retractor.png|link=|Retractor]]->[[File:1Bone-Gel.png|link|Bone Gel]]) | ||
*Extract embedded bone chips | *Close the incision. ([[File:1Cautery.png|link=|Cautery]]) | ||
*Close the skull. | |||
*Close the incision. | |||
|- | |- | ||
|{{anchor|Facial Reconstruction Surgery}}[[#Facial Reconstruction Surgery|Facial Reconstruction Surgery]] | |{{anchor|Facial Reconstruction Surgery}}[[#Facial Reconstruction Surgery|Facial Reconstruction Surgery]] (Mouth.) | ||
|This surgery fixes facial deformities caused by severe damage to the head. I.E. "Unknown as (name)" when speaking. | |This surgery fixes facial deformities caused by severe damage to the head. I.E. "Unknown as (name)" when speaking. | ||
*'''This surgery is of minimal priority and should only be done if you have literally nothing better to do. This is a combat operation, cosmetic surgery can wait.''' | *'''This surgery is of minimal priority and should only be done if you have literally nothing better to do. This is a combat operation, cosmetic surgery can wait.''' | ||
*Incision Management System. [[File:1Incision_manager.png|32px|link=|Incision Management System]] '''OR''' Fix the facial deformities. ([[File:1Scalpel.png|link=|Scalpel]]->[[File:1Hemostat.png|link=|Hemostat]]->[[File:1Retractor.png|link=|Retractor]]) | |||
*Incision Management System. | *Close the incision. ([[File:1Cautery.png|link=|Cautery]]) | ||
|- | |- | ||
|{{anchor|Amputation}}[[#Amputation|Amputation]] | |{{anchor|Amputation}}[[#Amputation|Amputation]] (Limbs: Legs, Arms, Hands, Feet.) | ||
|Removal of a limb. | |Removal of a limb. | ||
*Saw through the limb. ([[File:1Saw.png|link=|Bone Saw]]) | |||
*Saw through the limb. | |||
|- | |- | ||
|{{anchor|Limb Replacement Surgery}}[[#Limb Replacement Surgery|Limb Replacement Surgery]] | |{{anchor|Limb Replacement Surgery}}[[#Limb Replacement Surgery|Limb Replacement Surgery]] (Limbs: Legs, Arms, Hands, Feet.) | ||
|The replacement of missing limbs with robotic ones. Robot arms and legs are used to replace hands and feet; there is no need to further amputate if that's all the patient has lost. | |The replacement of missing limbs with robotic ones. Robot arms and legs are used to replace hands and feet; there is no need to further amputate if that's all the patient has lost. | ||
*Seal the stump. ([[File:1Scalpel.png|link=|Scalpel]]->[[File:1Retractor.png|link=|Retractor]]->[[File:1Cautery.png|link=|Cautery]]) | |||
*Seal the stump. | *Attach the robotic limb. (Robotic Limb) | ||
*Attach the robotic limb. | * Inform the patient that the robotic limb can be repaired with Blowtorch [[File:Welder.gif|32px]](brute) and Cable coils[[File:CableCoils.png|32px]](burn). | ||
| | |||
|- | |- | ||
|{{anchor|Eye Surgery}}[[#Eye Surgery|Eye Surgery]] | |{{anchor|Eye Surgery}}[[#Eye Surgery|Eye Surgery]] (Eyes.) | ||
|Mending the eyes to cure blindness and eye damage. | |Mending the eyes to cure blindness and eye damage. | ||
*'''Using imidazoline is usually faster than this surgery.''' | *'''Using imidazoline is usually faster than this surgery.''' | ||
* Mend the eyes. ([[File:1Scalpel.png|link=|Scalpel]]->[[File:1Retractor.png|link=|Retractor]]->[[File:1Hemostat.png|link=|Hemostat]]->[[File:1Cautery.png|link=|Cautery]]). | |||
* Mend the eyes | |||
|- | |- | ||
|{{anchor|Synthetic Head Re-Attachment Surgery}}[[#Synthetic Head Re-Attachment Surgery|Synthetic Head Re-Attachment Surgery]] | |{{anchor|Synthetic Head Re-Attachment Surgery}}[[#Synthetic Head Re-Attachment Surgery|Synthetic Head Re-Attachment Surgery]] (Head.) | ||
|Re-attaching a decapitated synthetic head. | |Re-attaching a decapitated synthetic head. | ||
* Mend the torn silicone tissue. ([[File:1Retractor.png|link=|Retractor]]->[[File:1Vixovein.png|link=|Fix-O-Vein]]->[[File:1Hemostat.png|link=|Hemostat]]->[[File:1Cautery.png|link=|Cautery]]). | |||
* Mend the torn silicone tissue. | |||
*Attach the synthetic head. | *Attach the synthetic head. | ||
*Use a Defibrillator [[File:Defibrillator.png|link=|Defibrillator]] on the synthetic. | *Use a Defibrillator [[File:Defibrillator.png|link=|Defibrillator]] on the synthetic. | ||
<small>'''Note: There isn't a timer on defibbing a synthetic.'''</small> | <small>'''Note: There isn't a timer on defibbing a synthetic.'''</small> | ||
|} | |} | ||
=The Autodoc System= | == The Autodoc System == | ||
The Autodoc system is located in the south surgery hallway and is only useable by the medical staff. Note that while the autodoc is an extremely useful machine in medical it cannot conduct larva removal surgery. | The Autodoc system is located in the south surgery hallway and is only useable by the medical staff. Note that while the autodoc is an extremely useful machine in medical it cannot conduct larva removal surgery. | ||
| Line 212: | Line 176: | ||
|} | |} | ||
=Combining Surgeries= | == Combining Surgeries == | ||
{{Outdated}} | |||
Very often people will come in with multiple problems at once. For instance, you might have a patient who has a fractured skull, brain damage, and shrapnel in their head. Performing three separate surgeries is very time consuming when other marines may be waiting. It is possible to condense the surgery down to one in such a manner: | Very often people will come in with multiple problems at once. For instance, you might have a patient who has a fractured skull, brain damage, and shrapnel in their head. Performing three separate surgeries is very time consuming when other marines may be waiting. It is possible to condense the surgery down to one in such a manner: | ||
| Line 249: | Line 214: | ||
# Again, use the Health Analyzer to double-check your work and to dispense spaceacillin or dylovene as needed | # Again, use the Health Analyzer to double-check your work and to dispense spaceacillin or dylovene as needed | ||
== Tips == | |||
= | * Patients can often tell you where they need surgery if an advance scanner is not available. | ||
* The hemostat step can be saved for later in the surgery or skipped entirely at the cost of damaging your patient over time. | |||
* If there is "Infected wound detected in subject [Insert Location Here]. Disinfection of wounds recommended", it means that the patient has an infected wound that needs to be treated with ointment, advanced brute kit (stage 1) or antibiotics (stage 3), surgery and spaceacillin won't work at all. See [[Guide_to_Medicine#Pill_Bottles|Antibiotics]] | |||
*Patients can often | |||
* | |||
*If | |||
Latest revision as of 15:58, 21 February 2018
Tools of the Trade
| Tool | Function |
|---|---|
 Scalpel |
Used for cutting through flesh. Improvised Equivalents: Kitchen Knife  , Glass Shard or Survival Knife
|
 Laser Scalpel |
Used for cutting through flesh, skips bleeder clamping. Basically acts as both a scalpel and a hemostat in one step during the initial incision. Can fail due to experimental nature. |
 Incision Management System (IMS) |
Used for cutting through flesh, skips bleeder clamping and organ rearranging. Basically acts as a scalpel, hemostat, and retractor in one step during the initial incision. Only functions as a scalpel in steps after the first. |
 Hemostat |
Used to stop bleeding during an operation, or to remove foreign and undesirable objects from a patient's body. Improvised Equivalents: Wirecutters  or Cable Coil 
|
 Bone Setter |
Used for setting bones back into place. If used on a bone that is not broken then you will break it. Improvised Equivalents: Wrench 
|
 Bone-Gel |
Used for repairing broken/shattered bones. Improvised Equivalents: Screwdriver 
|
 Retractor |
Used for re-arranging organs, and moving cut ribcages & skulls. Improvised Equivalents: Crowbar 
|
 Cautery |
Used for sealing incisions in a patients skin. Burns skin together. Improvised Equivalents: Cigarette  or Lighter or Blowtorch
|
| File:1Vixovein.png Fix-o-Vein |
Used for repairing veins and arteries. Improvised Equivalents: Cable Coil
|
 Circular Saw |
Used for cutting through bones. Improvised Equivalents: Hatchet  or Machete
|
 Advanced Trauma Kit |
Used to patch all organs except for the brain and eyes. |
- Improvised tools generally have a fairly high failure chance starting at about 25%.
Surgeries
Surgery is a simple process with a series of steps. Once these steps are memorized it should become effortless and routine to perform. Keep in mind that once you have mastery over the basics, it's a good idea to aim to be as fast and efficient as possible due to the importance of recycling casualties back into the fight, or even preventing them from dying in the case of Foreign Object/Alien Embryo Removal.
Anesthetic
There are two ways of doing this, anesthetic and powerful painkillers.
Anesthetic tank and medical mask
The first step is applying anesthetic to the patient via the anesthetic tank and medical mask and turning on its internals (encourage your patient to put on the tank and mask, and turn the internals on as this is fastest and allows you to proceed with step two immediately). It is advisable to remove the anesthetic tank and medical mask during the cautery step for maximum efficiency.
Painkillers
If in a rush, or you just want to do things quickly, you can give your patients Oxycodone for quick surgeries without anesthetic (15-20U recommended). You need to work quick though. Note that every form of anesthetic other than the anesthetic tank has a chance of causing your patient to flinch during the surgery, you can supplement the oxycodone with Tramadol, Inaprovaline or Paracetamol to eliminate any flinch chance. Use your medical scanner to monitor your patient's painkiller levels and redose as necessary. Using painkillers can cause distress in the patient (screaming over the radio about getting operated on without anaesthetics, standing up and trying to leave or fight back).
Disinfection
The second step is to wash your hands to help reduce infection chance. Using space cleaner on yourself works too, if you're wearing gloves. Note that you can inject your patient with 5U of Spaceacillin to reliably immunize him from infection (until it is fully metabolized) and circumvent the need to wash your hands.
Surgical table
The third step is to place your patient on the surgical table (grab your patient, then click the table with your grabbing hand selected). If you must, you can improvise with a roller bed or even a table, but these improvised surfaces add a failure chance to each surgical step (a table's failure chance is higher). Now that the preparations are done, you can begin with the actual surgery.
Different surgeries
| Surgery: | Description: |
|---|---|
| Bone Repair Surgery (Everywhere except mouth/eyes.) | This surgery is used for mending broken bones and fractures.
|
| Internal Bleeding Surgery (Everywhere except mouth/eyes.) | This surgery mends the torn/ripped arteries and veins within the body to stop internal bleeding.
|
| Foreign Object/Alien Embryo Removal (Everywhere except mouth/eyes.) | Removal of unknown objects, such as shrapnel, implants, or alien embryos from the body.
|
| Internal Organs Surgery (Groin, Chest.) | Mending broken internal organs, excluding the eyes and brain.
|
| Necrosis Treatment Surgery (Limbs: Legs, Arms, Hands, Feet.) | Treating necrosis by cutting away the necrotic tissues and treating the affected area.
|
| Organ Removal/Transplantation Surgery (Groin, Chest, Head.) | Removing an organ from the body and transplanting a new organ.
|
| Brain Damage Surgery (Head.) | Fixing up the brain.
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| Facial Reconstruction Surgery (Mouth.) | This surgery fixes facial deformities caused by severe damage to the head. I.E. "Unknown as (name)" when speaking.
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| Amputation (Limbs: Legs, Arms, Hands, Feet.) | Removal of a limb.
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| Limb Replacement Surgery (Limbs: Legs, Arms, Hands, Feet.) | The replacement of missing limbs with robotic ones. Robot arms and legs are used to replace hands and feet; there is no need to further amputate if that's all the patient has lost.
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| Eye Surgery (Eyes.) | Mending the eyes to cure blindness and eye damage.
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| Synthetic Head Re-Attachment Surgery (Head.) | Re-attaching a decapitated synthetic head.
Note: There isn't a timer on defibbing a synthetic. |
OR Open the incision. (
on the synthetic.The Autodoc System
The Autodoc system is located in the south surgery hallway and is only useable by the medical staff. Note that while the autodoc is an extremely useful machine in medical it cannot conduct larva removal surgery.
| Automatic: | First you scan a patient in the body scanner then put them in the autodoc and press start to fix everything wrong with the person. Keep in mind that the automatic mode is slower then manual mode. | |
| Manual: | Manual mode will fix everything of the selected surgery type, for example selecting broken bone surgery will fix all broken bones one by one. Note that the autodoc cannot remove larva as, narratively, a removal procedure for this has not yet been programmed.
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Combining Surgeries
Very often people will come in with multiple problems at once. For instance, you might have a patient who has a fractured skull, brain damage, and shrapnel in their head. Performing three separate surgeries is very time consuming when other marines may be waiting. It is possible to condense the surgery down to one in such a manner:
- Broken skull, brain damage, and head shrapnel removal surgery
Cut an incision while aiming with 'Help' intent at the head
Stop bleeders in the head
Open up the incision for further surgery
Cut through the skull- Open up the skull
- Here it gets a bit tricky, use a hemostat repeatedly to pull out bone chips and shrapnel until you get a message that nothing more can be found in the brain. Both types of removal can take several rounds or attempts.
- Fix-O-Vein
Use the FixOVein and Trauma Kit to repair hematomas and damage to the brain and eyes if necessary - Use the Health Analyzer to check that the patient does not have brain damage! If the patient still has brain damage go back and use the hemostat and FixOVein more until the Analyzer shows no brain damage.
- Close the skull back up
Use bone gel on the damaged bones in the skull
Piece together the broken or fractured skull- Add bone gel once more
Seal up the incision- Use the Health Analyzer again to see if the patient needs antibiotics or anti-toxins and administer them as needed
What about an infected marine with a broken chest, internal bleeding, and a ruptured lung? Here you'll want to use medication from the vendors in medbay in order to tackle the problems at hand.
- Alien embryo removal, ruptured lung, and broken chest surgery (with a side of internal bleeding)
- First use one Quick-clot and one Dexalin Plus injectors to stop internal bleeding and to halt suffocation damage from the ruptured lung. While you can stop internal bleeding surgically, in the vast majority of cases a quick jab with Quick-clot is preferable. Keep a couple of Dex+ injector on hand to keep the patient from dying from the ruptured lung.
- Make an incision quickly
- Ignore bleeders and rearrange organs. Removing the larva ASAP is the top priority right now
- Cut open the rib cage
- Separate the rib cage
- Begin pulling out the alien embryo
- Repair the ruptured lungs and any other damaged organs, note that a mechanical heart requires
to fix - Now stem the bleeders with the hemostat
- Close up the rib cage
- One application of bone gel for the cut rib cage. Cut rib cages and skulls require one application of bone gel after they've been pushed back together.
- Set the broken bones in the chest
- An application for the set bones. In general remember that fixing a broken bone requires one application of bone gel before the setting and one after.
- Cauterize the incision, your patient should be recovering nicely now
- Again, use the Health Analyzer to double-check your work and to dispense spaceacillin or dylovene as needed
Tips
- Patients can often tell you where they need surgery if an advance scanner is not available.
- The hemostat step can be saved for later in the surgery or skipped entirely at the cost of damaging your patient over time.
- If there is "Infected wound detected in subject [Insert Location Here]. Disinfection of wounds recommended", it means that the patient has an infected wound that needs to be treated with ointment, advanced brute kit (stage 1) or antibiotics (stage 3), surgery and spaceacillin won't work at all. See Antibiotics