Lesson 06-ST: Departments

SECTION 3: MEDICAL

RESPONSIBILITIES | MEDICAL EQUIPMENT | MEDICINES | TREATMENTS | DISEASES | SPECIES

Who in the Star Trek shows to watch for clues or examples:
McCoy, Phlox, Crusher, Pulaski, Bashir, Voyager's EMH

RESPONSIBILITIES:
A medical officer is required to protect the health and well being of the Ship, Crew and Captain. Due to their Hippocratic oath, the CMO is required to provide medical assistance wherever it is needed. This could bring the officer at odds with their superiors, but you must always remember to never endanger the ship. It is your prime responsibility. The medical officer is responsible for all medical procedures from the smallest cut to full surgery onboard the ship. They also have the responsibility to ensure all biohazard protocols have been implemented. When on away missions, they must be available to provided diagnosis and instantaneous medical treatment, lest if requirements are not available, return to the ship with the injured patient to initiate treatment on board. Similarly, it is the CMO's responsibility to ensure the away team beams down to a non bio-hazardous area before a team is permitted to leave the ship. Transporter biohazard protocols can only be released under the CMO's approval. If the biofilter detects a biohazardous element in a crewmemeber and will not permit beam up of that crewperson, it is the medical officers responsibility to go down to the planet and treat the crewperson. Never allow any possibility of transfer of biohazardous material to the ship. The CMO is the only officer aboard that can relieve a Captain from duty, provided ONLY if there is a medical reason to do so. When there is no counselor aboard, it can result that you will be called upon to fill such duties. Tread warily though, often people just need someone to discuss there problems with. Medicine covers a wide range of activities not only restricted to the healing of wounded crewpersons. It should be remembered that you are also called upon to heal family members. For that reason, between sim logs, could include details of treatments of children, pregnancies, physiotherapies, medical research and experiments,

MEDICAL EQUIPMENT:

The most famous of all medical equipment, is the HYPOSPRAY. A hypospray is a medical instrument used to administer interchangeable medical vials, containing low-viscosity medicines, both intravenously or subcutaneously, by employing a pinpoint high pressure low volume microscopic aerosuspension stream, thus allowing no mechanical penetration of the epidermis. Certain types of medication can be formulated for a somewhat wider sprayer pattern, resulting in lesser penetration into the epidermis, but yielding a higher rate of absorption due to the greater skin area exposed to the drug. Medical vials containing differing medical solutions interchangeable and snapped onto the bottom of the hypospray.

A medical tricorder is essentially, a medical specific sensor and analysis device, specially set up as a combination of a standard tricorder, with the added specialized medical peripheral device (MP). Powered by a sarium krellide power cell, which has a operative time of 18 hrs, the MP can scan using high resolution sensors, giving diagnostics and analysis of a wide range of bio functions. The computing section of the Mp does a majority of the analysis work, but in addition to the tricorder, is a formidable tool, allowing for interaction between MP, Tricorder and Shipboard computing systems(i.e. starfleet medical database), and provision of data storage facility, within the memory of the tricorder when on away missions.

An AUTOSUTURE is the preferred medical instrument used to close open wounds similar to the use of catgut sutures in the early twentieth century. Once the edges of the wound are joined together, a BIOGENERATIVE FIELD can be employed to accelerate the cellular growth and repair the damaged tissue. Use of the biogenerative field, before the application of the autosuture is pointless, as the wound will still be open, bleeding (or if your an android- leak) and susceptible to secondary infections. For this reason the wound is sealed together, then healed with biogenerator.

When fixing an android, approximately 1.3 kilograms of bioplast sheeting will repair most exterior damages. The neural pathways are generally constructed from bitanium metal. A Chief Engineer is recommended to assist any treatment.

BARISTATIC FILTER is a device used to remove air pollution in a planet's atmosphere. The entire process requires the monitoring by the Ops and Medical officers.

BARYON SWEEPS initiate a high-frequency plasma field, for the removal of baryon particle contamination from starships. This process requires complete evacuation of starship personnel as it is dangerous to organic tissue.

CARDIOSTIMULATOR - Medical instrument used to resuscitate a patient suffering from a cardiac arrest.

CORTICAL STIMULATOR - Resuscitative device used to stimulate the synaptic Pathways.

CPK ENZYMATIC THERAPY - treatment for limiting the extent of spinal injury.

DERMAL REGENERATOR - hand held medical device that basically employs a biogenerative field to accelerate medium tissue growth.

DETRONAL SCANNER - Medical instrument that reads and encodes Dna patterns of organic tissue.

EXOSCALPEL - Surgical device used to incise the skin and to expose underlying tissue.

GENETRONIC REPLICATOR- A genetronic replicator is an experimental medical device used to translate genetic codes into a specific set of replication instructions, from which a replacement organ may be synthesised. Due to the questionable success of a procedure conducted on Lt Worf USS Enterprise in 2368, the process has been not allowed to be carried out on biological subjects, until approved to do so by Starfleet Medical.( under recommendation of Dr B Crusher CMO USS Enterprise.

HYPERENCEPHALOGRAM is a medical test that records and measures
brain-wave activity.

MEDICAL OFFICER'S FIELD KIT - Small shoulder carrying field case that contains, medical tricorder, Field hypospray and medical vials, dermal generator, cardiostimulator, and trauma bandage treatment kits. Medical vials are supplied with the following drugs - 3 vials Delactovine, 3 vials Tricordrazine, 3 vials Hyronalyn, 3 vials Medicillin, 3 vials of Rexalin. These medical vials may be altered for mission specific applications.

MICROTOME - 24th equivalent of today's microtome, that slices thin sections of organic tissue for medical analysis.

NEURAL IMAGINING SCAN is a diagnostic scan, testing the acuity of the patient's visual cortex.

NEURAL STIMULATOR is an instrument used to increase neural activity in the central nervous system of a humanoid brain. Clipped to the forehead, the doctor more or less zaps the patients neural system.

NEURAL TRANSDUCERS are implantable bioelectric devices that receive nerve impulses from the brain and transmits it to a non resceptive voluntary muscle groups. Allows patient some activity.

NEURALINK is an emergency medical technique for the stabilization of patients with brainstem injuries. Matching NEURAL PADS are placed on a healthy individual and on the patient, enabling a link to be established from the healthy person's autonomic nervous system to that of the injured patient.

PHORETIC ANALYSER - Similar to an electrophoretic analyzer, except it operates on non organic samples that may not have a naturally occurring electrical charge.

PHYSIOSTIMULATOR - Medical instrument that elevates metabolic functions of a impaired patient.

PLASMA INFUSION UNIT - Medical equipment that dispenses fluid and electrolytes. Standard within the surgical support frame (SSF).

POSOTRON EMMISSION SENSOR - Medical device that detects posotronic emissions from the brain tissue.

PROTODYNOPLASER - medical device used to stabilize a patients immune system.

PULMONARY SCANNER - Medical device used to scan and monitor Pulmonary readings, blood viscosity and blood oxygen content.

SOMNETIC INDUCER - similar to an alpha-wave inducer.

STASIS UNIT - Emergency medical device that holds the patient in a state of suspended animation until a medical treatment is implemented.

T-CELL STIMULATOR is a medical device in which it increases the production of T cells, a type of lymphocyte which enables humanoid bodies to fight infection.

TISSUE MITIGATOR - Medical instrument used to repair less serious tissue injuries.

SONIC SEPARATOR - Medical device used to separate tissue into fine bundles. Useful for brain stem operations.

TRANSPORTER BIOFILTER - sub-system of the transporter system that scans incoming transporter patters, prior to materialization, detecting harmful disease organisms and viruses and allowing for a return to beamsite, or scattering of organism into space.

The sickbay, biobeds and emergency procedures can be found at the end of this guide.

A BIO-BED is a key medical intensive care unit that consists of an orthopedically designed bed, numerous medical gas and liquid connect points ,and the overhead sensor cluster. It also allows for the integration of a number of other medical equipment to be used in conjunction with the bed, such as the SURGICAL SUPPORT FRAME (SSF), which allows for the ability to conduct a variety of surgical procedures, upon a wide range of species, in a sterile environment. The biobeds OVERHEAD DIAGNOSTIC AND BIOFUNCTIONAL ANALYSIS SENSOR CLUSTER also allows for the sensory transmission and analysis of data to other peripheral devices, such as tricorder, monitor and wall monitor. Integrated into the SSF is the ability to administer a wide range of subcutaneous and intravenous medications, much like those given in a hypospray. Also integrated into the system, is a high level forcefield generator that easily serves the requirements to satisfy biohazard protocols.

PULMONARY SUPPORT UNIT - emergency cardiopulmonary support unit, found in medbay.

MEDICAL QUARANTINE FIELD - forcefield that isolates potentially hazardous biological specimens in sickbay and other medical laboratories.

MEDICINES AND BIOCHEMICAL SUBSTANCES AND MEDICAL TREATMENTS

ACETYLCHOLINE is a biochemical substance, a neurotransmitter that promotes the propagation of electrical impulses from one nerve cell to another in carbon-based life.

ANESTHEZINE - general anesthetic used successfully by security personnel to subdue intruders. Better anesthetics exist for surgical purposes, but it may be used in emergency cases.
BENJUSIDRINE is a drug prescribed for Vulcans with heart conditions.

SPORES found on Omicron Ceti III are found to immunize against the effect of the radiation, but cause intellectual stagnation in the patient.

BIOCARDINE TREATMENT is regenerative therapy for fracture patients. It is
used as a substitute in patients that are allergic to matorapan.

BORATHIUM - experimental rybotherapy medication developed by Dr Toby Russell as a replacement for leporazine and morathial. The drug in not approved to be used and is blacklisted until further notice by Starfleet medical.

CARDIAC INDUCTION - Emergency medical resuscitative treatment for cardiac conditions.

CARDIAC REPLACEMENT - Surgical procedure where a diseased or damaged heart is replaced by an artificial heart.

CHLOROMYDRIDE - Cardio stimulatory drug used on unconscious or stunned patients.

CORDRAZINE Cordrazine is a powerful and addictive stimulant used to treat serious electrical burns, and also known to revive a stunned or unconscious patient. Should overdose occur, immediate treatment with 2cc's Kayolene can be administered to sedate the patient, till the overdose diffuses out of the bodies system naturally(6 hrs). Overdose can be diagnosed from episodes of delusional paranoia generally the main symptom

- 2 cc's of Cordrazine for electrical or plasma burns.
- Don't use on Atlantians, it causes convulsions and shock.

COROPHIZINE is an antibiotic given to patience to prevent secondary infection from critical illnesses due to the APHASIA VIRUS (first detected in 2369).

CPK LEVELS - Medical test used to detect creatinine phosphokinase (CPK) which is an indicator of muscular damage, particularly in relation to diagnosing cardiac damage.

CRYOGENIC OPEN HEART PROCEDURE - Surgical procedure used to repair damaged heart valves, and other heart operation procedures.

CRYOSTASIS - Medical procedure used to slow down the biological functions of the patient, effectively placing the patient under stasis, till an appropriate procedure or treatment can be administered. Good if you're a long way from a starbase or your waiting for that trill host.

DELACTOVINE - Systemic stimulant drug, used to stimulate the nervous system of the patient.

DEXALIN - Medication used to treat oxygen deprivation.

DEOXYRIBOSE SUSPENSIONS are a fluid derived from deoxyribo-nucleic acid (DNA). Deoxyribose suspensions are used by encoding whatever one wants, into amino acid sequences, and injecting into the bloodstream, making the body an undetectable carrier of information.

DIRECT RETICULAR STIMULATION - Medical treatment, whereby electrical energy is directly applied via a neural stimulator to the nervous system, in an attempt revive neural activity in a patient.

DNA REFERENCE SCAN - Medical test used to assess a patients identify, by matching Dna samples, from a previous sample.

DNA - Deoxyribonucleic acid . Is the thread that runs through all humanoids and other organic species.

DRECHTAL BEAMS - Surgical device that is used to sever neural connections.

DYLAMADON - Euthanasia Drug used by some humanoid patients. Deadly and painless.

ELECTROPHORETIC ANALYSIS - Standardized medical test used to analyze cellular components, to determine their origin.

ENDORPHINS - naturally occurring neuro chemical consisting of opiate peptides, similar to morphine that act upon the nervous system to affect feelings of pain and/or pleasure.

FORMAZINE - Stimulant drug similar to Delactovine.

FELICIUM - Narcotic, once used to cure a lethal plague, but addictive side effects continue long afterwards.

GLIAL CELLS are more specifically known as NEUROGLIA; tissue that forms the supporting elements of the nervous systems which play an important role in reacting to injury or infection. One can use weak electrical charges as bio-coded messages, placed under the fingernails. If scratched onto another person, the bio-coded message would then be transferred to the victims neuroglia cells and straight to their brain, where this information can be stored. However, the side-effects can become irritable.

HISTAMINE - Biochemical substance derived from the breakdown of naturally occurring substance histodine. It is responsible for a majority of humanoid allergic reactions, and has also been recognized as a symptom of Iresine Syndrome, when histamine levels are said to be depressed.

HYRONALYN - Medication used for the treatment of radiation sickness. Can be administered shipwide, through the environmental control systems as a airborn solution.

HYTRITIUM, a highly unstable substance used to neutralize poisonous tricyanate. Pure hytritium is too unstable to convey by transporter.

IMMUNOSUPPRESSANT - Drugs used to suppress the immunity system in a subject, thus reducing organ rejection. Handy for that trill emergency operation.

INAPROVALINE - Cardio stimulatory drug used to stabilize a patients condition.

KAYOLENE - Medical drug used as a sedative.

KELOTANE - Medical drug used to treat radiation burns and sickness

LEPORAZINE - general resuscitative drug.

LEXORIN - Medication used to counteract mental disorientation resulting as a side effect of carrying a Vulcan's katra, and other mind- meld conditions.

MEDICILLAN - broad based antibiotic series.

MELORAZINE - Sedative. Causes 38 hours sleep.

METORAPAN TREATMENTS - Treatment that regenerates bone tissue in fracture patients.

METRAZENE - Cardiac antiarrythmic medication

MORATHIAL SERIES - Group of resuscitative drugs used to resuscitate an unconscious patient.

MOTOR ASSIST BANDS - strap-like bands, that supply electrical stimulation to the neuralogical system, abling patients to retrain their muscles to work.

MYOCARDIAL ENZYME BALANCE - Medical test used in surgical procedures to test cardiac enzyme levels.

NEURAL METAPHASIC SHOCK - Potentially fatal failure of the neuralogical system.

NEURAL PARALYZER is medication that can cause a cessation of heartbeat and breathing in a humanoid patient, creating the appearance of death. If such a patient receives medical treatment in time, a full recovery is possible.

PARTENOGENIC IMPLANT - Artificial device, surgically, implanted into the body, to replace a damaged organ such as the heart.

PHETETALIN - Strong antibiotic

PERITONEUM is a membrane lining the abdominal cavity in many humanoid species, including Bajorans.

POLYADRENALINE - Synthetic drug based on humanoid hormone epinephrine.

REPLICATIVE FADING - Loss of genetic information occurring when an organism is repeatedly cloned.

RESONANCE TISSUE SCAN - Medical diagnostic scan used to screen for infection.

RETNAX V - older medication prescribed to nearsighted patients.

REXALIN - Medical Drug used as sedative and pain reducer.

SERO-AMINO READOUT - A medical test to detect serotonin levels.

SEROTONIN - Enzyme that is a central neurotransmitter in humanoid nervous systems.

STOKALINE - Medication stimulant used to revive an unconscious or stunned patient. Extended use decreases its effectiveness.

STYROLITE - Clear plastic like material used as a biological quarantine on possible contaminated life forms.

SURGO NANITES - Submicroscopic robots, specifically designed to repair tissues at the molecular level. Different nanites do a multitude of jobs, such as intracellular surgery, elimination of individual diseases, removing of blood clots from a blood vessel.

SYNAPTIC INDUCTION - Medical technique used for neurotherapy for patients suffering from traumatic memory loss.

SYNAPTIC RECONSTRUCTION is surgery which neutralizes the synaptic pathways responsible for deviant behavior. What it basically comes down to, is "correcting" a persons "psychotic personality" through the means of surgery. This should not be performed on board a UCIP starship, only particular starbases spread out across the quadrant are equipped for such a procedure.

TRICLENIDIL is one of several chemicals by the "Angosians" to improve their soldiers, making more effective in combat. Unfortunately the effects of many of these drugs were irreversible.

TRICORDRAZINE, a powerful neurostimulant drug-administered subcutaneously by hypospray. Used for treating neural injury.

TRICYANATE is a purple crystalline substance that occurs naturally on some planets. Toxic to humans, can be found in water supplies as well.

TETRALUBISOL is a highly volatile liquid lubricant used aboard starships. It can be a poison when ingested.

THALAMUS is a portion of the humanoid brain, deep with the cerebral hemispheres. The thalamus relays bodily sensations to the cortex for interpretation.

THERAGEN is a nerve gas used by Klingons, instantly lethal if used in pure form. To counter-react the bugger, dilute it with Alcohol to deaden certain nerve impulses to the brain in an effort to prevent madness. Then figure out a cure

TRIONIUM is not really something you have to know, but for your knowledge to be as round as a baby's bottom, it is a compound found in Nebula's. Its properties and effects are as of still unknown.

TRIOLIC WAVES are by-products of an energy source employed by some planets stratosphere (lower atmosphere). The energy source has deleterious effects on most living tissues, except for life-forms with microcentrum cell membranes.

TRI-OX COMPOUND is medication used to help a patient breathe more easily in a thin or oxygen-deprived atmosphere. This is administered by hypospray into the blood-stream

TRYPTOPHAN LYSINE DISTILLATES -TLD Series used as a antibiotic series

VERTAZINE - Medication used to combat the effects of vertigo.

Radiation and Other Treatments

HYPERONIC RADIATION is a hazardous form of energy present in the atmospheres of some planets- fatal to humans.

DELTA RADIATION is a form of hazardous energy, severe delta-rays emitted from a star, can interfere with ships sensors as well.

ADRENALINE is a treatment for radiation illness.

HYRONALYN is another radiation treatment.

TRILITHIUM RESIN is a highly toxic waste by-products created when the dilithium is exposed to intense matter/antimatter reactions in a starships warp engine core.

ACTINIDE is a radioactive compound often found in uranium ore. Other forms of that are common will be plasma fires.

HYPERACCELERATION is a biochemical condition that plagues people due to radiation permeating water supplies. Hyperacceleration of biological processes caused an individual to experience one second as if it were an entire hour. Outsiders who were accelerated quickly burned out, dying in a very short period of time due to cell damage. To a normal, noneaccelerated person sounds very much like an insect.

BERTHOLD RAYS are a deadly radiation that causes disintegration of carbon-based animal tissue, including humanoid tissue.

Diseases and Syndromes

ALTARIAN ENCEPHALITIS - retrovirus that integrates itself into the hosts Dna, lying dormant for years and can activate at any time without warning. Symptoms include a pyrexic and comatose state, long term memory loss and a gradual synaptic degradation

APHASIA is a dysfunction of certain brain centers affecting the ability to communicate in a coherent manner. Different forms of aphasia exist.

APHASIA VIRUS was created by Bajoran a scientist, intended to be used as a terrorist weapon against the Cardassians. The microbe would have been delivered through an aphasia device planted in a food replicator by the Bajoran underground. Once contracted, the virus would find its way to temporal lobes and disrupt normal communication processes.

ANDRONIAN ENCEPHALITIS - influenza like disease transmitted by airborne particles. Can be deadly if left uncontrolled.

BENDII SYNDROME - Rare illness that affects Vulcans over 200 yrs of age. Symptoms include gradual loss of emotional control, bursts of emotion and anger( which may be telepathically transferred to others). Diagnosis is achieved by taking a tissue sample of the hyperthalamus.

CORRELLIUM FEVER is a disease that broke out on planet Nahmi IV (2366).

EOSINOPHILIA is an abnormally high count of cerum eosinophils, a type of white blood cell in humanoids.

IVERSON'S DISEASE - Chronic disease, causing fatal degradation of muscular functions in humans. No cure exists.

HOLODICTION - Psychological condition, recognized by the patient's addiction to holodeck simulation.

NEURAL METAPHASIC SHOCK in potentially fatal failure of the neurological system in humanoids.

SOMATOPHYSICAL FAILURE in humanoid physiology, is the collapse of all bodily systems. I'm afraid, to my knowledge, there is little one can do besides Cordrazine and hope. In nearly all cases, the subject dies.

NEURAL DEPLETION is complete loss of electrochemical energy of a human brain, resulting in the death of a victim. Some species actually derive this energy to digest.

PSI 2000 VIRUS, a water-based disease organism originally found on planet PSI 2000 in 2266. This virus affects people by causing suppression of their inhibitions, and ultimately their deaths.

IRESINE SYNDROME is a very rare neurological disorder in humanoids characterized by a peculiar electropathic signature in the thalamus, and a severely decreased histamine count. Victims first disorder would fall suddenly into a coma for approx 72 hours. Diagnosis could be confused by the presence of any of 22 different substances that left electropathic residue resembling that of this disorder.

TAHITI SYNDROME is a term for human longing for a peaceful, idyllic natural setting when suffering from the stresses of modern StarShip life. This is common's experienced by StarShip Captain, send them into a holodeck every now and then =).

NITROGEN NARCOSIS is a hazard of deep-sea diving. It is a cause of the replacement of oxygen in oxyhaemoglobin with nitrogen. The resultant anoxia produced disorientation, hallucination and lack of judgment in the victims. This phenomenon is similar to temporal narcosis.

TRANSPORTER PSYCHOSIS is a rare medical disorder caused by a breakdown of neurochemical molecules during transport. Transporter psychosis was first diagnosed in 2209 by researchers. The condition affected the higher brain functions, as well as autonomic systems and body motor functions. Victims were found to suffer from paranoid delusions, multi-infarct dementia. tactile and visual hallucinations, and psychogenic hysteria. Peripheral symptoms included sleepless, accelerated heart rate, myopia, muscular spasms, and dehydration. This problem was eliminated with the development of the multiplex pattern buffer, found in UCIP transporters to Larosian Virus - Mild disorder, commonly recognized by a subjects amorous behavior and other out of the normal behavior.

BARCLAY'S PROTOMORPHIC SYNDROME - Resultant from the activation of dormant T-Cells upon the redundant Dna codes of every humanoid. As a result patients de-evolve, via a spread of the altered Dna through the immune system.

SPECIES SPECIFICS

Vulcans:
Humanoid race native to planet Vulcan. Because their planet has a higher gravity than Earth, and its atmosphere is thinner, Vulcans in an Earth-normal environment demonstrate greater physical strength and more acute hearing than humans. You will find their heart where your liver is. Plus, when pricked, expect green to come out and not red :-). The intensity of the Vulcan sun caused the Vulcans to evolve a secondary eyelid to protect retina. Though sometimes its best to stand back, when injured, Vulcans concentrate their strength, blood, and antibodies onto the injured organs in a type of self-induced hypnosis. Pon farr - Reoccurring Vulcan condition that naturally occurs every seven years of their adult life, resulting the need to return to their home planet to mate. Symptoms, include, not eating or sleeping, and sometimes violent sexual behavior and irrationality.

Klingons:
The Klingon body incorporates multiple redundancies for nearly all vital bodily functions. This characteristic, known as "brak'lul", gives Klingon warriors enormous resiliency in battle. Klingons have no tear ducts, and their blood is a lavender-colored fluid.

Trill:
A joined species comprised of a humanoid host and a small vermiform symbiont that resides in an internal abdominal pocket of the host body. Most of the personality and memories of the Trill reside in the symbionts, which are extremely long-lived, although the host also contributes personality traits to the joined life-form. Upon death of the host body, a Trill symbiont can be transplanted into another host. Once joined, the host and symbiont become biologically interdependent, and after 93 hours, neither can survive without the other. Trill hands are naturally cold. But only in temperature :)

Ferengi:
Careful where you look, you will find they have an unusual four-lobed brain. Betazoids cannot read Ferengi minds because of this.

Tribble:
Soft, furry, warm-blooded animal sold as pet by interstellar traders. Tribbles are bisexual and capable of reproducing at prodigious rated, although they will stop breeding when food is withdrawn. They number of times they multiply is endless, careful!

Betazoid:
Race of humanoid telepaths from the UCIP planet Betazed. The normal gestation {carrying of young in the womb between conception and birth} of a betazoid is ten months.

Final note: ^_^ Overwhelmed yet?

Lesson 06-ST will be continued on the next page:
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