Doctor

MEDICAL

Almayer Doctor

Difficulty: Medium Supervisors: Chief Medical Officer Rank: Second Lieutenant Duties: Heal severely injured marines, do surgery. Guides: Guide to Medicine, Surgery, Guide to Chemistry Unlock Requirements: One hour as Nurse. Detailed Description: |__________| You are a civilian, and are not subject to follow military chain of command, but you do work for the USCM. You are tasked with keeping the marines healthy and strong, usually in the form of surgery. You are also an expert when it comes to medication and treatment. If you do not know what you are doing, adminhelp so a mentor can assist you. |__________|

"Doctor, I can't feel my legs!"
"I know, we amputated them!"
― A Patient and a Doctor

A Squad Medic can bandage a wounded marine, but sometimes the situation is so bad that the Marine should be taken from combat back to the Almayer. That's where you, the Almayer Doctor comes, safe in your medbay on the Almayer, you'll be doing all the things normal field medics can't do.

Role

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Your job as a Almayer Doctor is to heal what the Combat Medics can't. You will be responsible for:

• Treating major wounds and infections
• Operating on patients in need of major surgeries
• Concocting medicine as required
• Handling triage

You answer to the Chief Medical Officer, and should follow their instructions and advice at all times, however if the Commanding Officer gives you an order it takes priority over the Chief Medical Officers. In the event that you are planning to deploy for field surgery remember that the CMO has to agree to send you planetside. You also share a department with the Research team, who usually keep to themselves upstairs, but they will occasionally make a medicinal breakthrough.

Tools of the Trade

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The Almayer doctor is given a number of trusty tools to assist him or her in their duty, which is, being a doctor! These tools include:

• Two cryogenic cells
• A chemistry laboratory
• An autodoc medical system
• Four operating theaters
• One sleeper
• Six cryogenic freezers (For placing players who have left the game into)
• Four body scanners
• A ton of medical kits, defibrillators and a bunch of other supplies in the vendors
• Multiple IVs and a supply of blood bags

I'm a doctor! Now what?

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At the beginning of each round, you will have 20-30 minutes to prepare the Medbay before injured marines start showing up. During this time, you won't have many injuries to tend with, so it is best to try to prepare for the flood of casualties in Medbay by doing 'common tasks' detailed below.

Common tasks that help improve the effectiveness of your medical environment:

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Switch the cryogenic cells on by clicking on each individual tank (circled in yellow) to open the cryogenic interface.The gas cooling system (circled in green) cools the cryogenic cells, while the pressure tank (circled in red) maintains pressure in the cells which is required for them to function effectively. You are able to customize the power and target temperature for the cryogenic cells, but the default configuration is the most efficient. (As an additional improvement, you can alter the cryogenic cells individually with different chemicals, loadable by removing the existing beakers and inserting new beakers filled with your designer chemicals.)

Set up the IV drips.

IV drips are used to provide patients with blood. To use them, take a blood pack (or a beaker, if you want to inject chemicals) and use it on the IV drip to load it. After loading the IV drip, pull it to be adjacent to your patient and click-and-drag the IV drip to your patient's body. You should get a message that the IV drip was attached. MAKE SURE THAT THE BLOOD IS COMPATIBLE WITH YOUR PATIENT. (See attached chart) When in a hurry, use O- blood. (all blood types can take O- blood)

Always unattach the IV drip from the patient if he is about to be moved away. Patients will take minor brute damage if you pull them away while they are still attached.

Produce Chemicals at the circled red workstation, and at the circled yellow station make them into pills.

Squad medics have access to the medical communications channel through a medical key available in their lockers. They will likely request that you provide them with certain chemicals as a part of their preparation routine; the chemvendors in the lab share energy with eachother, at times the Researcher might help. Always provide these medications in pill form in a labeled pill bottle. You are authorized to distribute requested beneficial medicine in pill form to Squad Medics.

• Please refer to the chemistry guide for details of what is available to create, please see Server Rules & Marine Law for an idea of what is illegal to distribute. Also understand the Standard Operating Procedure as it applies to Doctor.

Medibots

As a doctor, you are able to construct medibots. Medibots are automated robots designed to assist in triaging the department, or for quick administration of drugs. By default, their injection is 15 Tricordrazine synthesized inside the medibot itself. To see how create a medibot, click here.

Surgery

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The Upper Left Operating Room, prepared for surgery. Red circle around the surgical tool storage, Yellow circle around the Operating Table

As the round progresses, your main role will be to administer aid to the individuals that visit the Medbay. Since Squad Medics can patch up and resolve minor injuries, marines will typically only visit the Medbay if they have a severe internal injury that requires surgery. As such, it is critical to triage cases properly. Because surgery is a time-consuming process with many separate steps, it is important to be educated on how to conduct surgery.

Field Deployment

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Generally, at least one doctor will deploy from the Almayer to the FOB or an APC for field surgery duty. As a field surgeon, you are expected to be performing surgery duties in a secure area, not fighting or performing surgery on the front-line. You must ask your Chief Medical Officer for permission, or the assigned or current Commanding Officer before deployment or face arrest from the Military Police. Sometimes the CMO forbids people to deploy before Medbay is set up, so be sure to help with making pills, printing limbs, filling IV drips, and filling the cryotubes with chemicals before going down. However they always must stop you from going on first drop, which happens directly after briefing. This is due to the landing zone having no pre-constructed defenses, meaning it isn't safe yet for non-combat personnel like you.

You may be deploying on an APC - which lack vital parts of a Medbay. Such as a scanner, autodoc, and surgery table. You are unable to perform surgeries inside of the APC or the Dropship, so make sure to ask the driver to help transport you to a secure location to do so. Make sure you bring a surgical tray, painkillers (such as Oxycodone injectors), and a field surgical bed to perform your surgeries on. Of course, fortunes of war may force you to bail out of the APC, so it doesn't hurt to bring anesthetics and a field bed anyway.

Many maps also have medical departments on the colony, which if repaired, offer shipside Medbay levels of utility. But be sure wherever you do surgery, you are safe. You lack endurance and firearm training like marines do to defend themselves and others. Most marines don't mind guarding a doctor performing surgery in a "relatively" secure area. Just be sure to ask nicely.

Practice diagnosing patients without using the big medical scanner - you may not have access to one in the field unless you bring one with you. Do not leave your patients with organ damage, internal bleeding, or broken bones after surgery.

General Guidance

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Nobody likes to wait in the Medbay while they are injured and unconscious. As a doctor, you need to organize your activities and manage your workflow efficiently in order to process patients quickly and reduce the time that everyone has to wait. This can become especially important if you are the only doctor actively conducting surgery. It's equally important to have a thick skin, because most players will be irritated that they were injured to start with.

Remember that you can restock empty injectors, bottles and medical supplies in the medical vendors by click-dragging them back onto it, or by clicking the injector/bottle in hand to re-fill it. This makes them usable again. Pill bottles are not restockable in this manner.

Your actions will have a large impact upon whether or not the marines will be victorious, because your ability to do surgery influences the number of active marines currently engaged in combating the alien menace. Do your job well, but remember - this is not a chore. Perform your duties at your own pace, and most importantly remember to breathe and have fun.

Efficiency Tips

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• Before conducting surgery, always check the body scan of the patient and have it readily available in your mind. If you are unable to remember the scan, don't fret, you can just examine your patient and read up on the saved scan data again for reassurance.
• If the patient has low blood levels and also requires surgery, give them the IV drip while they are on the surgery table.
• Print mechanical limbs early on in the surgery procedure, or before patients need them, so they are ready immediately when you need them.
• Remember that - thanks to improved technology - you just need to put the patient on a surgery table, then drag his sprite onto the surgery table to hook him up with anesthetics for your operation to commence. Be sure though that there's an anesthetic tank loaded up beforehand!
• The Incision Managment Tool is a godsend when it comes to state of the art surgery procedures. Use this instead of the usual way of a scalpel and retractor. The IMT does all three steps (incision, retracting and bleeder clamping) in one click!
• For a single patient, conduct all required surgeries at once. This reduces the number of times you need to pick up surgery tools. For example: If a patient has internal bleeding, heart/lung damage, a broken ribcage and shrapnel, cut open his chest, treat the IB with Fix-O-Vein, use a Hemostat to remove the shrapnel, then use a trauma kit for the organ damage, retract the skin, use bone gel and the bone setter for the bones and close him up. Done! You can also refer to this Guide here!
• Don't fight with the other doctors over the operating rooms. Simply wait for it to get vacant instead of arguing with the people around you.
• If a patient does not succumb to anesthesia when you hook him onto the surgery table, check for a collapsed lung! Patients with this type of injury usually suffer from oxygen damage which prevents them from falling asleep. In that case, administer a dosage of Dexalin+ to bridge the time till you fix the lungs.

Your Skillset

To find out about how the skill system works head over to the skills system page.

Guides

• Doctor 101 by grinkgo on 04-14-2019