Medical Library

[Vice Admiral Maxx Gunn]

This is where everything and anything medical will be found on the StarBase 140

[Vice Admiral Maxx Gunn]

This will be the first of many up coming entrances to the Medical Library. (this is for all CMO or AMO in GF, so you don't need to going running all over the place trying to find information of SF Medical. All information here as been put together from many sources from books, movies, and online. So I hope it help in some little way in your sims)

Sickbay

Sickbay is just that...a bay for the sick. All medical treatment is done in this part of the ship. Each ship has at least three areas, the main ward, for the patiends and CMO's office is. The med labs are for experiments and surgical suites are where surgeries are done.

. Main Ward - This the area is the most common area known in sickbay. It is the general diagnosis and treatment rooms that holds the biobed. The CMO's office is normally adjacent to the main ward.

. Medical Lab - This area is used for advanced diagnostice work and specimen examination; med lab are seem attached to the main ward or separate and can be located throughtout the ship.

. Surgical Suite - Most likely part of the main ward, one of the bbiobed are set up for use as a devoted surgical suite, employing an advanced surgical support frame and containment forcefield, as well as more detailed information display for easier acess to critical information; this biobed is set apart from the rest.

. Auxiliary Sickbay - On larger ships, or ships with higher sickbay usage, an auxiliary sickbay is sometime created to handle the overflow of the patients. Yhis facility is often created in an emergency and sometimes is actually a converted cargo bay. However, after extended use or an expected increase of patients, an actual facility is added. This secondary sickbay can be a duplicated of the sickbay, with general equipment and biobed, or can be used for Emergency Care or Long term Care.
Other medical facilities that are utlized on starships are a dental office, nursery, and physical therapy ward.

[Vice Admiral Maxx Gunn]

Sickbay Equipment Terms

. Biobed - The biobed alows real time viewing of the human anatomy throught complicated Federation sensing equipment. It is the ultimate, non hazardous extension of the X-Ray and Ultrasound machines. It connects several other devices on the field, most notably the surgical frame.

. SSF/Clamshell - The surgical support frame is designed to arugment the biobed for surgical used, It supplies the sterile environment for any operating theater, has three access ports (superior, left lateral, right lateral, and comes in differents sizes and shapes. It serves as an infuser pf intravenous and subcutaneous medication and is sensor over duplicates advanced tricorder capabltity. Forces field generation services to defibrillate the patient in cardiac arrest or serve as a ventilor through pneumo ventilation.

. Overhead Array - Hangs over biobed. Provides sterile surgical tools, proveides advanced support for biobed and SSF functions and generates a low level forces barrier to prevent organisms from escapting the operting theater.

. Stasis Unit - Containing device that supports life by slowing down all biological activity within the perimeter of the unit. The device is designed to work with stasis medication, but can work without it. Stasis units contain a genator that will support life at very decreased rates abd are used for transport of critically injury patients for treatment at med facility. Portable stasis inits can also be used in the field, coming in both collar form (Class B) and 5cm X 5cm form (Class C).

. Brain-circuitry pattern - Medical diagnostic tool which creats an image capable of mapping the neural activity in the humaniod brain. A BCP can be used as a means of identiful as each individual image is unique to that individual.

. Stasis field - The area surrounding the stasis unit.

. Cyrostasis - Freezing stasis; for long term used.

. Inhibitor field - A field which slows the progress of a disease.

. Quarantine Fiel 3J - "Sterilizes" images put inside the mind.

[Vice Admiral Maxx Gunn]

Surgery Equipment Terms

. Neurlal Caliper - Small device used to cause the patient to loose consciousness. This is often used as part of the preparation for surgery.

. Scalpels - One of a specialized set of cutting tools used in the surgery and field work. Most are high-powered lasers with cauterize setting. Scalpels are not toys and could be deadly weapon in the right circumstances. Some scalpels have a monomolecular chain attachment when useof an energy scalpel is not appropriate. The monomoleclar chain is intermixed with standard stainless steel soike and will cut through even the hardest materials with the right application of force.

. Subdermal scalpel - Used for making incisions beneath the skin without breaking the skin itself. It therefore allows purely internal surery to be proformed, reducing the risk of infection and the need for instruments such as dermal regenerations.

. Microtone - A device which can be used to make extremely precise cuts.

. Cellular microsutures - Used to switch internal organs. Nanosurgery-Starships contain several specialized machines called nanites in a specialized chamber called Nanoquelle. Nanites are machines that are invisible to the nake eye, but which posses gigabytes of computer memory. When nanites are introduced into the human body, they can do work such as the removal of arterial plaque, destorying virus, or working inside the nuclei of cells for intracellular repair.
When not in use, nanities are deactivated by a special field in the Nanoquelle. A new class of injectable nanites has been created for experimental use in the Physican's field kit. These nanites have a limted life span and no self-repair capability.

. Autosutures - Handheld unit used to heal reasonably mild wounds to the skin. It can be used to close incisions, heal knife wounds, etc.

. Genetronic replicator - Developed by neurogeneticist Doctor Toby Russell, an experimental medical device able to scan damaged organs on the quantun level and translate a particular genetic code into speciflic set of replication directions which instruct the replicative device to "grow" a fitting replacement organ that can then be transplanted.

[Vice Admiral Maxx Gunn]

Neurological Equipment

. Neural Stimulator - Devie used to reploaize neural activity in the dying humanoid brain repidly. The neural stimulator can repolarize brain neurons which have been depolarized for up to one hour. The devices has several settings and is used toresuscitate brainfunction after critical trauma.

. Cortical Stimulator - A medical device used to revive patient when suffering from extensive neural trauma.

. Optical Scanner - Used to perform diagnostic on the visual receptors. It can detect phase veriances and alteration in the surrounding dekyon field neural imaging scan-Medical diagnostic scan employed to test the acuity of a patient's visual cortex.

. NeurolinkONeural bridge) - Used to restore automatic nervous system autonomic nervous system functions that control cardiovascular, endocrine, and respiratory functions. Primarily used to support patients with brainstem injuries. A neurlink consists of two 5 cm by 5 cm devices, one attached to the injured patient and one to a healthy person. Impulses from healthy patient brainstem are tramsmitted to the control center of the injured patient's autonomic nervous system. The used of the neurlink is an emergenency measure as the supporting person rapidly tires and the danger of negative feedback exit which could critically injure both the support person and the patient.

. Neo-analyptic transmitters - Devices used to apply neuromusclar adaptation.

. Neuro-Synaptic relay - A chip implanted behind the ear to record neur-electric responses.

. Neurocortical probe - Stimulates growth in the synapses.

. Motor assist bands - Several small, electronically sensitive strap-like devices used with neurologically damaged patients in assisting motor recovery.
By providingelectrial stimulation in patient's limbs, injured or damaged muscles can be successfully retrained.

. Neural implants - One of the elements that, when combined with others, allows the sightless to see. The neural implants function as the bioelectrical interface between the visual cortex and a VISOR. They consist of two bilateral implants in the temporal regions of the skull and feed directly into the visual cortex. A portion of the implants must remain external allow for direct connection of the VISOR to the patient's head.

. Neural output pods - A specific componemt of VISOR worn by the sigthless enabling them to see. This component of the VISOR transmits the visual data directly into the brain.

. Neural neutralizer - Invented by Doctor Simon Van gelder in 2266 of this device was to aid rehabilitaion of criminals through the specific removal of thoughts related to their criminal acts. The device was discovered to have detrimental effects, however, if used without proper supervision and care.

[Vice Admiral Maxx Gunn]

Pharamacopieia

The complete SF Medical Phamacopeia is cover 15,000 oages long, and reading it is often prescribed to overstressed Academy students to help them sleep. Here is a short list of the most common drugs used in trauma medicine, but sure to consult the offlical pharmacoeia for exact indications, actions, incomatibilities, warnings and advirse reactions.

The Fab Five.
The five most common emergenency meds are known collectively as the Fabulous Five. they are the drugs found in all SF Medkits.

. Dobutamine Hydrochloride - Also known as Dobutrex, this is a direct-acting inotropic agent which increases blood pressure and heart rate, and constricts blood vessels. It is used to tread hypovolemic schock and certain disorders.

.Sterilite - Sterilite is a broad-spectrum anitinfective which has anitibiotic, antifungal, and antivial properties. It is a popular because it is toloerated well by most species, works against a large number of infective and has few adverse reactions{save rare allergic reactions in Hunam, Bajorans, and Klingons}.

. Terakine - Terakine is an analgesic which is not a powerful as the once common melanex, but has far fewer side effects. It is the drug of choice for Vulcans when pain management drugs are called for, since Melanex has the embarrassing side-effect in Vulcans of turning the skin bright yellow.

. Tricordrazine - This is a powerful cardiac and autnomic nervous system stimulant which increases cardiac output and O2 consumption, and stimulates, production of naturally occurring epinephrine and norepinephrine. It has fewer adverse reactions than cordrazine(which it has largely replaces), but many patients still have allergies/hyperensitivites, and must use use polyadernaline instead.

. Tri-Ox Compound - Tri-Ox breaks down into O2 in the blood, rapidly delivering oxygen to all parts of the body. Unlike conventional O2, gas, Tri-Ox is noncombustible and liquid at room temperature so it is easy to transport, stoer, and administer.

The Dirty Dozen
Out of the thousands of drugs available to SF Medical, 17 account for nearly 30% of all drug order in the branch. In addition to the Fab Five above, the remaining meds comprise what is known as the Dirty Dozen.

.Anesthizine - This is a fast-acting, long-lasting general anesthetic with relatively low incidence of side effects. It is employed on starships as parts of the antintuder system. Anesthizine is the agent of choice for humanoid chemical ansethesia should neural calipers be contraindicated.

.Corophizine - Corophizine is a board-spectrum anitebiotic which has also exhibted an undetermined antiviral action in some cases(thought it is not generallyrelied upon for viral infection). It doesnot have the antifungal and antiviral properties of sterilite, and can be used on most generate blood cells from other sites or organs are not yet aviable.

.Hyronalin - Hyromalin constricts blood vessels, therby capilary bleeding. This vasoconstrictor ability helps relieve congestion in allergic reactions. Its isoproterenol effect leads to alertness and respiratory stimulation. It also is used as a cardiovascular stimulant, and is very effective in the treatment of most reactions than lidocaine.

.Inaprovaline - Inaprovaline has widely replaced lidocaine in suppressing cardiac arrhythmais. It doesn't have the topical anesthetic effects of Iidocaine, but is better in the treatment of arrhythmias, as evidenced by a large decrease in the use of beryllum(the fall-back drug when lidocaine is iffective) since inaprovaline's introution. It also has fewer adverse reactions than lidocaine.

.Lasix - Lasix is the SF most commonly used diuretic. it is powerful, can be given orally and IV, and is easy to replicate. It draws all the excess fluid out of the body and especially out of the lungs.

.Masiform D - Originally developed as a stimulant, Masiform D was later found to have anitiloxin properties against saplin and saplin-like poisons. It combines with the poison on the molecular level and prevents absorption into the bloodstream. Larger doses can aid the removal of the poison as well.

.Merperidine Hydrochloride - Meperidine Hydrochloride is a analgesic that is highly effective in the management of severe pain for most carbon-based life forms. Unfortunately, it can be highly addicitive, with addiction susceptibility varying widely by species. Care should be used in adminstering this drug.

.Metropan - Used in fracture management to increase the rate of healing and for pain, Metropan stimulates rapid bone cell growth. Since it can interfere with the action of many stimulands, it should not be given when cardiac, or neural pronlems exist or may be impending.

.Norep - A synthetic hormone based on norepinephrine, norep is used to restore blood pressure in certain acute hypotensive states, and the treadment of cardiac rerest. Norep should not be used for treading hypotension due to blood volume deflicits, except as an emerhency measure, until blood volume re[lacement therapy can be completed.

.Polyadrenaline - A synthetic autonomic nervous system stimulant that can be used in place of hyronalin or tricordraze. Poyadrenaline is not as strong or fast-acting but has fewer adverse reactions and is better tolerated in life forms with cobalt-based lood like Andorians and Bolians.

.Vertazine - Vertazine counteracts comabt fatigue and stops vertigo induced by being in close proximity to a exposion. It is also administered via sub-Q patch to prevent vertigo or disorientation in zeor-g combat personnel.

[Vice Admiral Maxx Gunn]

Medical Holograms

Since the early 2370's many Starfleet ships have been equipped with emergency medical holograms - computer-generated holographic doctors thatcan perform all the duties of a real physican. The program is installed in a starship's sickbay, and can be activated durning a medical emergency if the medical staff are unavailable or incapacitated, or if additional help is needed. the primary developer of the first medical hologram, designed the Emerhency Medical Hologram AK-1, or EMH, was Dr. Lewis Zimmerman, a Jupiter Station technican working in Starfleet's Holoprogramming Center. The development team also included Lt. Reginald Barclay, who tested the EMH's interpersonal skills.

In order to accommodate an EMH, a ship's sickbay has to be fittied with a sophisticated holographic system. The EMH needs something more advanced that the holodeck's standard sencor systems to gather diagnostic information, and has to be able to manipulate objects precisely tp perform surgery and work with other medical devices. To meet these needs, the EMH developers modified holographic projectors so that they could maintain extremely accurate electromagnetic fields and wrote a tactile subroutine that gives the EMH a sense of touch. The EMH is programmed with the Federation'sentire medical database. its programming includes 50 million gigaquads of information spanning 3,000 (including those that have psychospirtual healing beliefs), the personal experience of 47 physicans, 2,000 medical references, and five million possible treatments, all with contingency options. Dr. Zimmerman formulated a highly adaptive multitronic pathway that endows the EMH with the ability to create additional subroutines as new situation are encountered. This means that , it necessary, it can develop new treatments.

The EMH can perform with or without humaninput for aggregate of 1,500 hours before failure. But, as its name implies, it was only designed for short-term use. the program's memory matrix is vulnerable; new adaptive routines will eventually cause the system to collapse, and it can be degraded by radiation. After 1,500 hours of usage, protocols for the EMH demand a vist to a starbase for maintenance. If this is not possible, the program can simple be reset.

The EMH is activated either by voice command or a red alert. If activated by a red alert, the EMH immediately ties into the ship's key systems to acertain the ship's status. When the EMH appears, it says, "please state the nature of the medical emergency." When it is no longer needed, it should be deactivated by voice command. The EMH was designed to look just like a normal person, but because it is a hologram it can control its density. For example, an EMH can literally turn into a thin air if someone tries to grab him. The personality is least developed part of the system - the EMH was designed to save lives, not to make friends. It cannot feek pain, or cry, ot bleed. It was not given a name, but was programmed to respond to "Doctor". The Template for the medical hologram's body and personality is Dr. Zimmerman himself, and hence the EMH is male, balding smug, cheerful, and caustic. But, because of it adaptive routines, its personality can evolve it is left active.

The EMH was programmed with genuine concern for his patient and reverence for the Hippocratic oath. The program can even refuse a direct order if it violates the oath. Dr. Zimmerman expects the original EMH program to be used for decades, but work has begun on the EMH Mark 2 (which is in the protype stage) and a new long-term Medical Hologram, or LMH. The second of these programs is intended for use on remote postings and is planned to run for months at a time. Because the LMH will run for long periods, Dr. Zimmerman and his team have decided that it should have a more developed personality than its predecessor. As he says, it must be able to "share amusing anecdotes, extended sympathy, swap dirty jokes, and even have culinary opinion, based onexperience." In order to achieve this, Dr. Zimmerman is devoting a considerable amount of energy to developong its personality subroutines.

[Vice Admiral Maxx Gunn]

Medical Protocols

General Protocols

1. All personal must make every effect to insure the health and well being
of the crew; they take top priority.
2. No personal will ever knowingly or willfully cause damage to or destory
and piece of technology on this ship.
3. All personal are to follow all rules and orders as laid down by Starfleet,
the United Federation of Planets, their superior officers, and their
medical oaths.
4. The chain of command in medical is listed in the departmental manifest.
5. The emergenency medical hologram(EMH)system may be initiated
by commanding, officer, executive officer, or senior medical officer if
a medical emergency is believed to be beyond the current abilities of
the medical stuff.

Cruise Mode - Condition Green

1. This condition can be initiated by the commanding officer or execution
officer on determination that there is no clear and preasent danger to
the vessel or other unusual or other circumstances. This is normal
operating condition of the ship.
2. All current patients are to have their charts updated at four-hour
interval unless otherwise specified by their charts. Any unusual results
will be reported to their senior medical duty officer.
3. Level 4 diagnostics are to be performed on all medical systems at
four-hour interval, with any unusual results being reported to the senior
medical duty officer.
4. All experiments are to be reviewed as is required by the originator of
the experiments.

Special Circumstances - Condition Blue

1. This condition can be initiated by the commanding officer, or exceutive
officer on determination that there are circumstance that require
increased crew readiness, but are not considered alert.
2. All off-duty medical personal are broght to standby.
3. All on-duty personal should immediately report to the senior duty for
special instrution.
4. All current patients are to have their charts updated at four-hour
intervals unless otherwise specified by in their charts. Any unusual
results will be reported to the senior medical duty officer.
5. Level 4 diagnostices are to be performed on all major medical systems
on the initiation of the condition and at one-hour intervals, with any
unusual results being reported by the senior engineering officer.
6. All experiments are to be review as required by the originator of the
experiment.
7. A communication channel is to be established with the bridge as so that
medical personal may be informed of the nature of the situation.

Alert - Condition Yellow

1. This condition may be initiated by the commanding officer, exective
officer, chief operation, chief engineering officer, or chef tactical officer,
or chief medical officer (in case of a pressing medical occurrence) or
automatically by the computer, on detection of a threat which does not
immedicately or seriously compromise the safety of the ship.
2. All off-duty medical personal are brought to standby.
3. The chief medical officer is to report directly to sickbay, calling in
off-duty personal as needed to fulfill items listed below.
4. All current patients are to have their charts immediately updated and
then updated at one-hour intervals inless otherwise specified by their
charts. Any unusual results will be reported to the senior medical duty
officer.
5. Level 4 diagnostice are to be performed on all major medical systems
on the initiation of the condition and at one-hour intervals, with any
unusual results being reported to the senior medical duty officer.
6. Only experiment listed as imported or cirtical are to be reviewed as is
requried by the originator of the experiment.
7. A communication channel is to be open and maintained with the bridge
so that medical personal may be informed of the nature of the situation

Alert - Conition Red

1. The commanding officer, executive officer, chief opertaion officer, chief
engineering officer, or chief tactical officer may initiate this condition, or
automatically by the computer, on detection of threat which
immediately or seriously compromises the safly of the ship.
2. All off-duty personal are brought to active status and assigned to
sickbay or remote medical teams are determined by the chief medical
officer.
3. The chief mediclal officer is to report directly to sickbay.
4. Remoted medical teams are to follow standard patrol routes, with one
radiation team reporting to engineering.
5. All current patients are to have their charts immediately updated and
then updated at thirty-minutes intervals unless other wise specified
by their charts. Any unusuals results will be reported to the senior
medical offiser.
6. Level 4 diagnostics are to be performed on all major medical systems
on the initiation of the condition and at fifteen-minutes intervals being
reported to the senior medical duty officer.
7. Only experiments listed as cirtical are to be reviewed as required by the
originator of the experiments.

Imminent Core Breach or Evacuation of the Ship - Condition White.

1. This condition can be initiated by commanding officer, executive officer
chief operation office, chief engineering officer, ot tactical officer, any
engineering personal, or automatically by the computer, upon detection
of possible warp core breach.
2. All work not related to the moving of patients is to immediately ceased.
3. All personal are to dedicated themselve to assisting the moving of
patients.
4. Red alert will be sounded throughout the ship and the chief medical
officer will keep an open channel to the bridge and communication the
evacuation procedures.
5. All condition red protocals are in effect unless superseded by those
listed here.
6. Any non-medical personal assigned to assisting the medical staff are
to follow the order of the chief medical office.