Standard Medical Procedures

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Initial Medical Scan (IMS)

This is the first scan performed by medical personnel. It is used to assess biological functioning and injury potential. Components include:

Airway

The patient’s path of respiration is scanned to locate possible obstructions and/or other causes for a cessation in respiratory functioning.

Breathing

If the patient’s airway is not obstructed, respiratory rate and oxygen intake is determined.

Circulation

The patient’s heart rate is determined, blood pressure is assessed, and blood gas/composition is analyzed to ensure patient is circulating gases. The components necessary to sustain life and blood flow are mapped to determine the location of blood loss if it is not visible.

Triage

In an emergency or battle situation, two teams consisting of a doctor and two nurses each should meet newly arrived patients. This can be lessened at the CMO’s discretion for standard times.

After quick preliminary assessment any immediately life-threatening problems would be dealt with as best as possible and the patient moved to one of the following areas:

Surgery

Injuries requiring immediate surgical intervention to prevent death or permanent disability are directed to the next available operating suite.

Major Treatment Area

Injuries requiring urgent intervention to prevent progression into life threatening status are moved to the major treatment area.

Minor Treatment Area

Injures that have little potential to become life threatening yet still require treatment within a relatively short period of time are moved to the minor treatment area.

Ambulatory Treatment

This covers patients with injuries that are deemed minor and can wait an indefinite period of time. They are either administered first aid within the triage area and returned to duty, or allowed to return to their quarters where their medical status is monitored by computer via their comm. badges and onboard sensors. These people would be called back to sickbay for definitive care once the more urgent casualties are treated and as space became available.

Stasis/Morgue area

Those who are pronounced dead are placed into stasis for autopsy when the situation allows. In addition, those whose injuries are deemed non-survivable by the attending physician are placed into stasis until such time as their case can be reviewed by at least two other physicians, one of which must be the CMO or ACMO. Rarely cases have been documented where a patent in this category has been successfully resuscitated when the sickbay staff has had time to deal with all other patients and can turn their complete attention to said stasis patient.

Resuscitation

Cardiac Arrest

The patient’s heart suddenly stops functioning, blood stops flowing and oxygen stops being delivered to organs. Carbon dioxide builds up and tissue cells begin to die. Heart and lung revival is needed to prevent permanent heart, lung, kidney and brain damage.

1. Apply cardio stimulators starting at 200 joules and administer a dose of atropine and epinephrine (or species equivalent). If there is no response:

2. Apply cardio stimulators at 300 joules. If there is no response:

3. Apply cardio stimulators at 360 joules. If there is no response:

4. Utilize a cortical stimulator as a last resort measure. The use of direct cortical stimulation in the severely brain injured patient is an extreme medical procedure and stands a chance of worsening injuries by causing renewed swelling and bleeding.