Medical Training Course

Sources: Star Trek Encyclopedia and Technical manuals, and other various web based sources as well as members of the GFC.

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Starfleet Medical trains some of the finest doctors in the Quadrant, and for these doctors, an up-to-date databank of medical knowledge is vital to the diagnoses. This guide is intended to cover the basic knowledge required to fill a medical post in a GFC Simulation. It is meant to help your realism while you play the part of a medical officer in your Sim. You will not be tested on the equipment, medications or diagnostic aids. These are included only to help enhance your role playing.

Index

1. Medical Officer Duties and Responsibilities
2. Medical Department Organization
3. EMO is also known as 'Emergency Medical Operations'
4. Vital Signs And General Diagnostics
5. Common Equipment
6. Common Medications
7. Common Diagnostic Aid



1 . Medical Officer Duties and Responsibilities

The primary duty of any medical officer is to provide for the health and well being of his or her Ship, Crew, and Captain. As a Doctor, you are also required to render aid to anyone in need, regardless of the situation.

You have jurisdiction over any medically hazardous or medically necessary situation, making sure that it will not endanger your ship. Because of this directive, it may be necessary for you to leave the ship in order to provide care. It becomes your responsibility to enter any situation that may endanger the lives of other crewmembers, be it disease, bio-contamination, or plague but not in a combat situation.

You are responsible for the biohazard protocols on your ship, and for the monitoring of the transporter bio filters.

Any medical care that is needed be it a small bruise or abrasion, or full-scale cardiac surgery becomes your responsibility.

It is up to you to make sure that that the Commanding officer is medically capable to perform his or her duty at all times. It takes three officers (Usually the XO one other Senior officer and the CMO). It is your responsibility to tell a person how long they will remain in sickbay, off duty, light duty and when they may return to full duty. This is one instance when it is important to consult with the person via IMs or email. Note: Every actions gains an equal reaction. If your patient has stated that they snapped their spine the CO will need to be talked to. Even in Star Trek we don't have the technology to be able to regrow and transplant spinal cords.

It is helpful to read the crew biographies so you know of their medical history, or alternatively keep a log or record to determining future treatment.

2. Department Organization

The Medical Department is centralized in a Ship, Station or Colony Sick Bay.
The Sick Bay is generally made up of a central care facility, surgery suites, a physical therapy facility, a null gravity therapy ward, a dental facility, a biohazard containment unit, several labs and a few private rooms for patients who need extended care. Depending on the size of the ship, the only office may be for the Chief Medical Officer and all offices are made of a see through material to allow the CMO to be able to see anything going on in main sickbay and possibly in the other areas as well. All facilities will have some sort of set up in way of a nursery in case the need arises.

The Chief Medical Officer is responsible for the physical health of the entire crew, but does more than patch up injured crew members. His/her function is to ensure that they do not get sick or injured to begin with, and to this end monitors their health and conditioning with regular check ups. Besides this s/he is available to provide medical advice to any individual who requests it.

Additionally the Chief is also responsible for all aspect of the medical deck, such as the Medical Labs, Surgical Suites and Dentistry's. All medical personnel are guided by the CMO. S/he also is a department head and a member of the Senior Staff and responsible for all the crewmembers in her/his department and duty rosters. All assistant medical officers report to the CMO who in turn reports to the XO and CO. All medical staff must remember that they are under a confidentiality clause and should not discuss anyone's medical condition with anyone that does not need to know it. Reports are made and if the CMO needs more clarification s/he should approach the person who made the report.

As an assistant medical officer or nurse you help the CMO in all aspects. If you see someone enter sickbay don't be afraid to address them and ask them if you may help them. If there is down time, feel free to ask the CMO in IMs if you can proceed with a labratory experiment or a minor medical case. (NPC injured during training exercise etc) A starship or facility has numerous personnel aboard, and thus the Chief Medical Officer cannot be expected to do all the work required. All officers in the Medical Department are known as 'Doctor' regardless of their rank.

The Head Nurse oversees all the Nurses currently aboard and makes sure they are assigned tasks in their area. Nurses assist the doctors. Nurses are trained in basic medical care, and are capable of dealing with less serious medical cases. Most sims will have NPCs for nurses. Check with your CMO or CO to see if you have PC nurses or NPC nurses and their names. (always ask the cmo if it is okay for you to create a pc nurse to assist you. They may have some rules you should try to follow as they may have established NPC nurses already).

Emergency Medical Holograms are available in the case of emergencies and when the CMO is stretched beyond his/her means. The EMH is a fully functional holographic physician that utilizes current Star Fleet medical databases to render treatment.

It should also be noted that in times of emergency there are others smaller medical stations that can be set up all over the ships or station to treat minor injuries. Severe cases will still need to be transported to the main sickbay for treatment.

3. Medical Personnel & Operations

In addition to Doctors and nurses there are also orderlies which take care of the day to day issue such as stripping beds etc. In addition, all science and security personnel are cross trained in basic emergency medical treatment when the need arises. Yellow and Red Alert protocols call for cross-trained personnel with non-critical primary assignments to be available for their secondary assignments as necessary.

Large numbers of patients can be handled by emergency conversion of one or more shuttle bays into triage and treatment centers. These emergency care facilities are equipped for full biohazard protocol, minimizing exposure risk to the ship's personnel. Enviromental controls can also be changed in these areas which may be important depending on what disaster they are dealing with.

Note that the use of the shuttle bay facilities for medical service will necessarily impact shuttlecraft launch and recovery operations, a factor that can be significant during evacuation scenarios. For this reason, large-scale evacuation involving shuttlecraft support generally make use of sickbay and other facilities first, before shuttle bay conversion procedures are invoked.

Sickbay stocks a wide range of supplies and it is important that these are kept up to date. Supplies can be replicated but this should be done prior to needing them. If the ship is under attack all energy will be needed for shields and weapons and replication of medical supplies may interfere with the ship's ability to do so.

When an situation requiring medical is encountered the CO or XO will notify the CMO and let him/her know what to expect as best they can. At this point the CMO should determine who will be in charge of what. If the CMO is beaming down to the planet then the CMO will have to put someone in charge of Sickbay.

All medical personnel will be required to triage patients in this sort of situation. This will help in the severely injured recieving the quick treatment they need.

Using all personnel transporters aboard the ship, a maximum of approximately one thousand individuals per hour can be evacuated to the ship. If the number of casualties is relatively small, site-to-site transport can be used to beam the patients directly to the on-board treatment area. Otherwise, patients are beamed only to the transporter rooms and then shuttled to the treatment area by gurney. This is because site-to-site transport effectively halves the capacity of the transporter system. Once patients are received onboard, treatment teams would include all available medical staff. The medical staff would be supplemented as needed by additional cross-trained personnel from other departments.

4. Vital Signs and General Diagnostics

For a quick reference there are certain things that all species have. There is some sort of circularory system and a pulse will be present. If the pulse is strong this is a good sign, weak or thready pulse indicates serious trauma and the absense of a pulse indicates death has occurred. As with now, do not just walk away from a patient without a pulse. Use extreme measures to try to restart the heart.

Most species have some form of respiration. Therefore it is important to check for blockage in the airway. If the patient is taking easy strong breaths it is an indication that they are not badly injured. Wheezing, gasping or shallow breaths indicate some sort of serious trauma that should be dealt with quickly and the absense of respiration is of course, requiring immediate attention.

Other indications of your patient's health are blood pressure, temperature, the feel of the skin and skin color. The reaction of the pupils in the eyes can indicate health. If they are equal, round and reactive to light then it is a good sign that your patient has not suffered serious damage to the brain. Check if your patient is conscious or unconscious. If your patient is unconscious it is important to know if they are reacting to any stimulation. If your patient is conscious, find out if they are able to move major body parts. How does your patient react to pain? This is also important.

Shock can be defined by the lack of oxygen in the cells. Patients can enter shock for a number of reasons. If this happens it is somethign you should deal with right away. There are usually signs that a patient is going into shock. They shiver, they get a glazed look in their eyes, blood pressure drops a bit. Make sure the patient is kept warm as you locate the cause of shock and rectify it as quickly as possible. Pulse and respiration decrease while a patient is in shock and if not treated they will die. Infusions of blood, saline and plasma may be in order to save the patient.

5. Common Equipment

This is not a complete list - it covers what we feel to be the most common equipment used. This list can be added to as people come up with new ideas. These are great to have as a tool for realism in Sims and logs but you are not expected to memorize them.

Alpha Wave Inducer
The Alpha Wave Inducer is a device meant to induce sleep in most humanoids. It is not meant to replace natural sleep, and cannot be used frequently. Itt is an electronic version of an anesthetic. Subject enters a deep dreamless sleep during which surgical procedures can be carried out without causing pain to the subject.
Anabolic Protoplasers

These devices are used to heal internal and external body damage without the need of opening the body cavity of the patient to effect repairs. They use small force fields, phase-modulated lasers, and anabolic accelerators to quickly heal injuries without scarring. They come in a variety of sizes for different repairs. Smaller units are useful for fine work involving the eyes and ears, while larger units heal cuts and even broken bones.

They temporarily confer the advantage of Instant Regeneration to the area treated, but cannot replace surgery in serious injuries. For example, if used on a very deep stab wound, they could seal the damaged tissues and prevent further blood loss, but a subcutaneous hole would remain unless closed with surgery.

This device will not repair incidental damage resulting from the original injury. For example, an officer who has been stabbed may have the wound repaired in sickbay in 15 minutes, but will still have to deal with the blood loss.

Auto suture
An Auto suture is used to close wounds in patients. It has the same function as 20th-century sutures. It is similar to the Anabolic Protoplaser.
Bandages
Starfleet's Medical department has a wide variety of bandage options. Simple bandages made of sterile, inert materials that do not bind with clotting wounds are common. Derma patch is available in a spray applicator, or in larger pre-formed pieces.
Biobed
This is an orthopedically-designed hospital bed which has an array of biofunction sensors that monitor all bodily systems. The bed is raised to allow the doctor to comfortably examine the patient. It has a graphic display at the head which gives the patient's current status. Restraining fields are available on some models.
Bioregenerative Field
A Bioregenerative Field is an energy field used to accelerate cellular growth. It temporarily confers the advantage of Regeneration on the patient. A sterilize unit is typically used during this procedure to keep infection from being multiplied by the Bioregenerative Field.
Cardio stimulators
This is a defibrillator that can also restart a stopped heart. Unlike current defibrillators, this device will not damage surface tissues.
Cortical Stimulator
The Cortical Stimulator provides a method of resuscitation for patients. It is particularly effective for head injuries and comatose patients. It is an electronic version of Tricordrazine.
Dermal Regenerator
Hand held device that utilizes a Bioregenerative field to accelerate tissue growth. The device will promote a chemical balance which supports the growth of normal skin tissue over scar tissue. Wounds of up to moderate severity can be healed through a dermal regenerator, but use of the device must take into account foreign material in the wound site, depth of the wound, type of tissue, and several other factors. Except for minor wounds, dermal regeneration often serves only as a stopgap for the most critical wounds, which require hospitalization.
Exoscalpel
An electronic relative of a 20th-century scalpel. It is essentially an electronic knife.
Hypospray
The Hypospray is a hand-held device used for subcutaneous and intravenous administration of carefully-controlled dosages of medication on a subject. The Hypospray injects the subject by use of a pinpoint, high-pressure, low-volume, microscopic, aerosuspension stream. It allows medication to be given through the skin or clothing without mechanical penetration. The air cartridge is good for 100 injections. It takes one second to remove and one second to replace the air cartridge.
Medical Tricorders

The Medical Tricorder is a modified TR-580 with an extra external medical probe and scanner attachment. It has the following capabilities: Biosampler Bioscanner Chemscanner Data link Environmental Analysis Med scanner Multiscanner Radscanner. For its size, the Medical Tricorder can maintain and store vast amounts of data in its own memory, which it uses to help evaluate conditions on site.

The Medical Tricorder has an external hand-held sensing device. This peripheral contains over 100 sensors, and the Tricorder contains a specialized medical database that provides detailed medical diagnostic tools in the field including tomographic and micrographic imaging. A small diagnosis wand fits into the top of the peripheral and is occasionally used by the physician to provide close high-resolution scans.

Together, these sensors allow the Medical Tricorder to make very detailed diagnosis on known species. On unknown species, it is limited to telling if the life-form is sick or dying. A detailed analysis is not possible in such a situation. Effective range is about three yards.

Motor Assist Bands
An electronic strap attached to damaged limbs of patients which increase the neurological impulses provided by the patient to the damaged limb. Useful for rehabilitation.
Nanosurgeons
A suspension of nanotechnological (nanites – extremely small. ) assemblies that is typically used to survey cellular genetic damage and effect repairs.They report to, and are monitored by, the attending physician. Nanosurgeons are useful to repair additional damage that drugs (for example) cannot affect.
Neural stimulator
This device "jumpstarts" the Central Nervous System of patients who has suffered some form of neuro-synaptic failure. This is particularly useful to treat a patient who has suffered CNS shock from the higher settings of a Phaser.
Neural Stimulators
An instrument used to stimulate the Central Nervous System of a patient. They are frequently used to help in attempts to revive unconscious and/or comatose patients.
Neural Transducer
Medical devices that provide the same function as the Motor Assist Bands above, but are temporarily and/or permanently implanted in patients to increase transmission of neural impulses from the brain to whatever area of the body the Transducers are attached to. They are frequently used for spinal cord damage patients.
Osteoretractors
These are medical tractor fields used to set and immobilize a broken bone prior to treatment with a Protoplaser. They act as a temporary cast during treatment.
Osteoregenerator
Helps stimulate the growth of bone cells. Causeing breaks to heal faster.
Physiostimulators
Used to increase metabolic functions in patients that show a decrease of those functions.
Plasma Infusion Unit
An instrument used for transfusions of blood, blood plasma, and/or electrolytes into patients that need them. It is used the same way blood transfusions in the 20th-century. The Plasma Infusion Unit also provides filtration of the material to be delivered.
Protodynoplaser
A device used to help in patient condition stabilization.
Scalpels
There are three varieties to choose from: traditional cutting blades with a monomolecular edge, laser scalpels that cauterize as they cut, and nanotech scalpels that separate tissues along cellular lines without damage. Each has different uses.
Laser scalpels help the surgeon because of bloodlessness, but can dazzle anyone unwary enough to look into the beam, even though the scalpel can only cut within its focal length. Monomolecular blades require no power supply and quickly slice through most matter with minimal effort. Nanotech scalpels cause minimal disruption of tissue but operate slowly. There is current research in an experimental scalpel that utilizes Transporter technology.
Sickbay Overhead Sensor Cluster
This is a circular arrangement of sensors located above the primary Bio-Bed in sickbay. It augments the sensors of the Bio-Bed, and also provides an emergency containment field to prevent contamination.
Stasis Field Generator
This device is used in emergencies when a patient cannot be stabilized and requires treatment that is not immediately available. It significantly slows all biological activity within the perimeter of the field, placing the patient in a sort of suspended animation. The patient will not be aware of any passage of time while under the influence of a stasis unit, since the biochemical activity of the patient's brain is effectively halted.
Surgical Support Frame
Surgical Support Frames attach to Bio-Beds providing aid and assistance during surgery and emergency life support. Littered with biosensors, the SSF has a large display of the surgical area.
T.E.M.P. Torve Emergency Medical Patch
The T.E.M.P. is used in emergency situations when medical attention is not available but immediate intervention is necessary. Nanites designed to seek and repair damage in the living tissue. Once repair is complete they shut themselves down and are filtered out of the system by the blood stream.
Physician's Medikit
The Physician's Medikit is a small, strap-on case designed to carry emergency medical supplies. A Full Standard kit would include:
1 - Anabolic Protoplaser 1 - Medical Tricorder
1 - Bandage assortment 1 - Neural Stimulator
1 - Cardio stimulator 1 - Respirator
2 - Hyposprays 1 - Sampling kit
and the following medications:

5 - Vials of Delactovine (Stimulant)
3 - Vials of Rexalin (Painkiller)

5 - Vials of Tricordrazine (Stimulant)
4 - Vials of Hyronalyn (Radiation)

3 - Vials of Phetetalin (antibiotic)
 

All doses of any drug type are contained in vials that must be inserted into the Hypospray. The standard kit may be altered to suit missions or situations, but must be altered before the mission begins. For example, if the doctor knows that he is going into a combat zone, he may replace the 3 vials of Rexalin with more Hyronalyn or Phetetalin.

6. Common Medications
This is not a complete list - it covers what we feel to be the most common medications used. This list can be added to as people come up with new ideas.These are great to have as a tool for realism in Sims and logs but you are not expected to memorize them.

Analgesics (Painkillers):

Acinolyathin Painkiller used for muscle spasms.
Rexlin This drug can be used as a tranquilizer, a pain killer and a sedative. All is depending on the dose administered.

Anesthetics:

Anesthezine This is an inhalant that can be used as a general anesthetic, but is more often used by Security as an intruder control measure. Better anesthetics exist for surgical purposes, but it may be used in emergency cases.

Antibiotics:

Corophizine A general purpose antibiotic. It has minimal side effects and is non-addictive.
Genericillin A powerful general purpose antibiotic.
Medicillan Broad based antibiotic series.
Phentetalin Strong antibiotic.
Tryptophan-Lysine distillates These are more powerful antibiotics. They add to the effective health of the patient, but at the cost of a slightly Fatigued state that lasts until the treatments end.

Sedatives:
Kayolane This drug causes immediate unconsciousness and the patient will remain asleep for 1-6 hours. Medical drug used as a sedative.
Melorazine This drug causes immediate unconsciousness. The patient will remain asleep for 3-8 hours.
Morphazine Puts patients into deep, dreamless sleep for 3-18 hours.
Rexlin This drug can be used as a tranquilizer, a pain killer and a sedative. All is depending on the dose administered.

Stimulants:

Cordrazine Cordrazine is a powerful and addictive stimulant used to treat serious electrical burns, and also known to revive a stunned or unconscious patient.

Overdose Treatment: Kayolane 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. The drug is addictive.
Delactovine A common stimulant with few side effects, used to stimulate the nervous system of the patient. It is mildly addictive.
Masiform D Powerful injectable stimulant.
Stokaline A mild stimulant that will revive an unconscious or stunned patient. It has no major side effects and is non-addictive. However, patients quickly develop a tolerance to it. Each time Stokaline is not effective, all future uses on that patient will be less. This effect is permanent and cumulative.
Tricordrazine A refined version of Cordrazine that lacks the delusional paranoia side effects, but will not revive as well. It is still addictive.

Resuscitative:


Cordrazine Cordrazine is a powerful and addictive stimulant used to treat serious electrical burns, and also known to revive a stunned or unconscious patient. Overdose Treatment: Kayolane . Overdose can be diagnosed from episodes of delusional paranoia. The drug is addictive.
Leporazine A general resuscitative.
Morathial Group of resuscitative drugs used to resuscitate an unconscious patient.
Borathium An experimental rybotherapy medication developed by Dr. Toby Russell as a potential replacement for leporazine and morathial.
Stokaline See above

Burn treatment:

Kelotane Medical drug used to treat radiation burns and sickness.
Cordrazine See Resuscitagtive section.

Cardiac Medications:

Inaprovaline A cardio stimulatory drug that can also be used to stabilize a weak but living patient's condition.
Metrazine Cardiac antiarrythmic medication.
Benjisidrine Is a drug prescribed for Vulcans with heart conditions.
Chloromydride A cardio-stimulatory drug used where Inaprovaline is ineffective or may cause allergic reactions. It is usually used in concert with cardiac and neural stimulators for additional benefits.

Cranial Medications:

Lexorin A neurotransmitter inhibitor. This drug temporarily diminishes intelligence, but each dose also makes psychic and psionic intrusions harder. Lexorin can also calm excited or agitated patients. In greater dosages than 3 in 24 hours, the patient also begins to lose manual dexterity, as the Central Nervous System begins to lose control of voluntary functions. Lexorin is mildly addictive, and causes the patient to feel overconfident and happy.
Acetylcholine Is a biochemical substance, a neurotransmitter that promotes the propagation of electrical impulses from one nerve cell to another in carbon-based life.
Crediline This drug makes the user more likely to believe anything that they are told. Its use has been superseded by more effective memory blockers.
Dylamadon This is a powerful neuroinhibitor used for painless euthanasia.
Memory Blockers These are used to permanently block specific memories in a patient. This is useful if a patient has seen something unpleasant, or has been exposed to information that may violate the Prime Directive.
Memory-Beta This drug stimulates the user's memory. It allows the user to attempt to remember something that has been forgotten

Radiation treatment:

Kelotane Medical drug used to treat radiation burns and sickness.
Hyronalyn This medication protects and treats against radiation sickness. One dose halves the effective amount of radiation received, and a second dose further halves that, and so on. Each dosage beyond the first risks Hyronalyn poisoning, which could lead to permanent damage. Can be administered ship wide, through the environmental control systems as an airborne solution.

Respiratory Medications:

Dexalin Medication used to treat oxygen deprivation.
Tri-Ox Compound This drug helps to provide oxygen to blood in thin atmospheres, or in cases of oxygen starvation.

Critical Care Medications:

neodextraline solution Liquid medication administered intravenously for the treatment of severe dehydration.
Polynurient solution Restorative formula given to patients suffering from malnutrition.

Simulated Deaths:

Neural paralyzer 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.

Poisons:

Nogatch hemlock Poison; no antidote exists.
Viridium Six A slow acting cumulative poison.

Narcotics:

Cryptobiolin One of several chemicals used by the Angosians during the Tarsian War to improve their soldiers, making them more effective in combat. Unfortunately the effects of many of these drugs were irreversible.
Psychoactive drug Chemical substance that has the effect of producing delusional or hallucinogenic.

Other Medications:

Benzocyatzine Medication to treat low isoboramine levels in Trills.
Detox Tabs
This drug cleanses the user's systems of foreign biochemicals, and neutralizes active drugs (including recreational drugs and alcohol) within minutes (The Most used drug no doubt!).
Immunosuppressant Any of several drugs designed to limit immune response in humanoids, thus reducing organ rejection.
Makara Herbs Bajoran herbs, used during pregnancy, maintain progesterone levels. Can be act as counteragent against sedatives.
Neurovine
This drug is an antidote for nerve poison.
Suspend Slows down all biological functions. This is similar to the Stasis Field. In sickbays, a Stasis Field is used.
Takaria Herbs Bajoran herbal medication against swollen body parts.
Vertrazine Combats vertigo. Only one dose will have effect in a 24-hour period. It has no side effects. *TCS If all else fails, try Tom's Chicken Soup =). (Taken from PCS-Pulaski's Chicken Soup).

7. Common Diagnostic Aid, Diseases & Treatments

Accelerated Critical Neural Pathway Formation
Procedure involving increasing growth of the neural networks in the cerebral cortex.

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

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, causing unusual disabilities that eventually will cause death.

Andronian Encephalitis
Influenza like disease transmitted by airborne particles. Can be deadly if left uncontrolled.

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.

Berthold Rays
Are a deadly radiation that causes disintegration of carbon-based animal tissue, including humanoid tissue.

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 hypothalamus.

Biomolecular Replication
Replication of cells on the molecular level making complete new organs with it.

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.

Cartalian Fever
Deadly virus disease.

Correllium Fever
Is a disease that broke out on planet Nahmi IV (2366).

CPK Enzymatic Therapy
Treatment for limiting the extent of spinal injury.

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

Delta Radiation
Is a form of hazardous energy, severe delta-rays emitted from a star, can interfere with ships sensors as well.

Direct Reticular Stimulation
Medical treatment, whereby electrical energy is directly applied via a neural stimulator to the nervous system, in an attempt to revive neural activity in a patient.

DNA Reference Scan
Medical test used to assess a patient's identify, by matching DNA samples, from a previous sample.

DNA Resquencing
A procedure in which a subject is genetically engineered for specific traits. It is illegal, except to correct severe birth defects.

Dorek Syndrome
A rare, incurable, fatal disease which strikes, one out of every five million Ferengi.

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.

Eosomophilia
Is an abnormally high count of cerium eosinophils, a type of white blood cell in humanoids.

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 victim's neuroglia cells and straight to their brain, where this information can be stored. However, the side effects can become irritable.

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

Hexagen Therapy
A treatment for Yarim-Fel syndrome.


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.

Hyper acceleration
Is a biochemical condition that plagues people due to radiation permeating water supplies. Hyper-acceleration 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, none accelerated person sounds very much like an insect.

Hyperonic Radiation
Is a hazardous form of energy present in the atmospheres of some planets- fatal to humans.

Hytritium
A highly unstable substance used to neutralize poisonous tricyanate. Pure hytritium is too unstable to convey by transporter.

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.

Iverson's Disease
Chronic disease, causing fatal degradation of muscular functions in humans. No cure exists.

Metorpan Treatments
Treatment that regenerates bone tissue in fracture patients.

Myocardial Enzyme Balance
Medical test used in surgical procedures to test cardiac enzyme levels.

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.

Neural Imaging Scan
Medical scan to test a patient's visual cortex.

Neural Pathway Induction
Medical procedure to treat severe neural pathway damage.

Neural Metaphasic Shock
Potentially fatal failure of the neuralogical system.

Neural Polaric Induction
Serious operation to repolarize neural sheaths. Depolarization will cause heightened neural activity, reported causing visions by patients. A patient has 50 percent chance to loss his vision.

Neuromuscular Adoption
A biomedical treatment intended to help members of low-gravity species adapt to higher gravity.

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.

ORB Shadow
Psychedelic reaction to a neuro peptide excess that may follow months to years after an Orb encounter. Associated with Bajoran theology of the Orbs.

Orkett's Syndrome
Childhood hematopathogenic common throughout Bajoran refugee. Among the symptoms was an alteration of erythrocytic marker factors. Thousands of Bajoran children died. The preferred treatment often involved bone marrow transplantation procedures. The disease was common enough to be well-documented.

Replicative Fading
Loss of genetic information occurring when an organism is repeatedly cloned.

Resonance Tissue Scan
Medical diagnostic scan used to screen for infection.

Rugelan Fever
A disease which causes a deep coma in Trills.

Sero-Amino Readout
A medical test to detect serotonin levels.

Serotonin
Enzyme that is a central neurotransmitter in humanoid nervous systems.

Somatophysical Failure
In humanoid physiology, is the collapse of all bodily systems. There is little one can do besides Cordrazine and hope. In nearly all cases, the subject dies.

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 GFC starship, only particular starbases spread out across the quadrant are equipped for such a procedure.

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.

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 Federation transporters to Larosian Virus - Mild disorder, commonly recognized by a subject’s amorous behavior and other out of the normal behavior.

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.

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.

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

Tuvan Syndrome
A degenerative, incurable neurological disease which affects mainly Vulcans, Romulans, and Riggelians. In the very early stages, the patient's eyelids are slightly displaced, facial muscles are weakened, and respiration is irregular. Loss of motor skills occurs in 10-15 years; life expectancy is 20-25 years. In less then 5 percent of the cases, the disease can accelerate without warning.

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.

Yarim-Fel Syndrome
A terminal illness affecting Cardassians; it attacks the digestive tract, circulatory and respiratory systems, and cartilaginous tissues. It can be treated with hexagen therapy or neuro-regeneration procedures. There is no cure.