USS Solenne Medical Manual

Hippocratic Oath

I swear by all that I hold sacred, with respect, compassion, humility, and dedication to the welfare of all life, that according to my best ability and judgment I will keep the following oath:

I will be loyal to the profession of medicine and to the highest good of all sentient life... (full oath text continued here)

Infirmary Staff Duties

Medical Staff

Medical Officers aboard Starfleet vessels maintain the health of all personnel and provide treatment to civilians as needed. Their responsibilities are governed by Starfleet Medical, based in San Francisco on Earth, which holds co-authority over sickbay operations alongside the ship's commanding officer.

Counseling Staff

Starfleet Counselors ensure the mental health of personnel. They provide psychotherapy, crisis intervention, and advise command on behavioral matters relevant to mission success. Counselors are essential to managing trauma experienced by crew exposed to combat or disaster scenarios.

Medical Ethical Bylaws & Protections

• Medical personnel are non-combatants and may not bear arms except in defense against non-sentient threats.
• All patients are treated with dignity and care regardless of affiliation or species.
• Informed consent is required for all procedures except in emergencies.
• Advance directives and patient autonomy must be respected.
• Ethical misconduct is reviewed by a tribunal and may result in loss of commission.

Infirmary Chain of Command

• Chief Medical Officer (CMO): Full authority over all patients and quarantine declarations; may relieve officers of command under medical grounds.
• Assistant Chief Medical Officer: Acts as CMO in triage zones and emergencies.
• Medical Officers: Perform diagnostics, treatment, and research; commissioned as Lt. JG upon graduation.
• Nursing Staff: Includes Chief Nursing Officer, Charge Nurse, Nurse Practitioner, and Nurse, responsible for triage and patient care.
• Surgical Staff: Chief Surgeon, General Duty Surgeons, and support roles including surgical and theater nurses.
• Emergency Medical Team: Chief Trauma Officer, Trauma Surgeon, Emergency Physician, and Medical Technicians.
• Counseling Staff: Chief Counselor, Assistant Chief Counselor, Rehabilitation and Morale Counselors.

Physical Exam Protocol

1. Invite patient to biobed.
2. Review travel and illness history.
3. Inquire about chronic conditions and current concerns.
4. Assess diet, exercise, sleep habits, and sexual health awareness.
5. Check mental health status and refer to counseling if needed.
6. Validate vital signs from biobed and tricorder.
7. Document and schedule follow-up if necessary.

Infirmary Layout

• Primary Sickbay: General care, 10 standard biobeds, 4 recovery biobeds, replicator, and supplies.
• ICU/Isolation: Monitored treatment for critical patients. Redundant power and environmental isolation.
• Casualty/Emergency Unit: Shock trauma and critical care.
• Surgical Suite: Dual operating tables with sanitation and life support systems.
• Medlabs 1-3: Equipped for diagnostics, gene analysis, autopsies, and biological storage.

Holographic Medical Grid

The EMH Mark XII on the USS Solenne provides supplemental medical capabilities. It is adaptive, autonomous, and can function in any clinical role during emergency conditions.

Medical Equipment Catalog

• Medkit: Portable pouch with tricorder, hypospray, dermal regenerator, and trauma supplies.
• Medical Tricorder: Advanced diagnostic scanner with multiple specialized sensors.
• Hypospray: Non-invasive subdermal injector for rapid medication delivery.
• Dermal Regenerator: Device that stimulates rapid dermal tissue healing.
• Anabolic Protoplaser: Tissue resealing and regenerative laser/force-field device.
• Micro‑Tone: Surgical microblade for fine internal incisions.
• Neural Bridge / Stimulator / Transducer: Neurological repair and stabilization tools.
• Motor Assist Bands: Rehab straps enhancing neuromuscular signal transmission.
• Biobed with K-3 Indicator: Sensor-integrated bed for live vitals and neural feedback.
• Stasis Field Generator: Suspends biological function for medical stabilization.
• Surgical Support Frame: LCARS-integrated sterile force-field surgical scaffold.
• Pulmonary Scanner, Cardiac Inducer, Bioregenerative Field: ICU and trauma life support adjuncts.

Medication Catalog

Analgesics & Pain Management

• Asinolyathin: Pain reliever and muscle relaxant used for muscular injuries.
• Bicaridine: Strong, addictive analgesic for traumatic injuries such as disruptor blasts.
• Metorapan: Potent painkiller similar to bicaridine but non-addictive; can cause allergic reactions.
• Morphenolog: Used for chronic pain and to reduce side effects of other medications.
• Terakine: Administered to ease pain from fractures and similar injuries.
• Triptacederine: Powerful analgesic used in palliative care and for malfunctioning implants.

Anesthetics & Sedatives

• Anesthizine: Fast-acting gaseous anesthetic, effective for rapid sedation.
• Anetrizine: Local anesthetic for nerve numbing and temporary paralysis.
• Axonol: Gaseous anesthetic authorized for non-lethal crowd control.
• Neurozine: Rapid-onset anesthetic delivered through environmental systems.
• Ambizine: Injectable fast-acting sedative.
• Dylamadon: Sedative used to mimic death-like state.
• Improvoline: Mild sedative used for calming or longer unconsciousness depending on dosage.
• Kayolane: Induces several hours of unconsciousness.
• Melorazine: General sedative for non-combat use.
• Merfadon: Less effective sedative, sometimes nullified by diet.
• Tetrovaline: Causes unconsciousness and lowers immune function.

Cardiovascular & Resuscitation

• Adrenaline: Used in resuscitation and anaphylaxis management.
• Alizine: Anaphylaxis counteragent for Klingons.
• Anticoagulant: Prevents blood clot formation.
• Cateline: Induces pseudo-anaphylactic shock for simulations.
• Chloromydride: Potent cardiostimulant used during cardiac arrest.
• Cordrazine: Strong heart stimulant with known overdose risk.
• Digoxin: Treats atrial fibrillation and heart failure; toxic in high doses.
• Inaprovaline: Cardiostimulant and synaptic stabilizer.
• Lectrazine: Stabilizes cardiovascular function in critical patients.
• Metrazene: Used in treatment of heart arrhythmias.
• Quadroline: Emergency anti-arrhythmic and resuscitation agent.
• Stenophyl: Another anti-anaphylaxis treatment.
• Leporazine: Gentle resuscitative drug (contraindicated in hypotension).
• Morathial: Alternative to Leporazine, effective in resuscitation.
• Netinaline: Stimulant used to restore consciousness.

Neurological Treatments

• Alkysine: Reduces neurological damage after trauma.
• Cortical Analeptic: Reinvigorates tissue in cerebral/motor cortex.
• Synaptizine: Treats neural shock.
• Theragen Derivative: Dulls nerve input to reduce anxiety and aggression.
• Trianoline: Aids in recovery from head trauma and concussions.
• Vertazine: Eases dizziness and vertigo.

Radiation Therapies

• Arithrazine: Used in severe theta radiation exposure.
• Analeptic Compound: Radiation countermeasure.
• Hyronalin: Primary anti-radiation medication.

Respiratory Agents

• Cortolin: Used in respiratory arrest or distress.
• Dexalin: Supports oxygenation in deprived patients.
• Pulmozine: Promotes healthy breathing and recovery post-asphyxia.
• Trioxin: Emergency treatment for severe pulmonary damage.

Stimulants

• ADTH: Life support dispersible stimulant to sustain crew alertness.
• Animazine Derivative: Maintains consciousness in critical patients.
• Chloromydride: Also serves as cardiostimulant and emergency stimulant.
• Cordrazine: Strong cardiovascular and neurological stimulant.
• Cortropine: Restores strength and energy in weakened patients.
• Dalaphaline: Helps in neuro-recovery and mental stamina.
• Formazine: Enhances alertness; high doses can cause irritability.
• Hyperzine: Treats and prevents seizure activity.
• Inaprovaline: Used for both cardiac and synaptic support.
• Masiform D: Counteracts poison; causes upset stomach in Vulcans.
• Polyadrenaline: Synthetic revival agent for near-death states.
• Tricordrazine: Emergency stimulant; overdose risk above 10ccs.

Antibiotics, Anti-Virals & Misc.

• Corophizine: Prevents bacterial infection after trauma or surgery.
• Dermaline (Gel): Soothes and heals first/second-degree burns.
• Kelotane: Treats burns caused by radiation or plasma exposure.
• Benzocyatizine: Treats Trill-specific isoboramine deficiency.
• Cervaline: Prevents tissue/organ transplant rejection.
• Dylovene: Standard antitoxin in emergency kits.
• Mirazine: Accelerates decompression adaptation for EVA.
• Priaxate: Mitigates symptoms during plague outbreaks.
• Stokaline: Starfleet's standard-issue multivitamin supplement.
• Tesokine: Supports cross-species reproductive compatibility.

Emergency Medicine Protocols

Standing Orders

All protocols become standing orders in the absence of Medical Control during emergencies. Retrospective review is required after stabilization.

CRITICAL Combat Tasks

1. Scene containment and casualty triage
2. Return fire if required and secure site
3. Identify life-threatening injuries
4. Control hemorrhages, manage airways and shock
5. Apply combat wound pill pack
6. Coordinate MEDEVAC with prioritization

Counseling Guidelines

Patient Rights

• Right to dignity, confidentiality, and participation in treatment plans
• Clear information about procedures, risks, and qualifications
• Freedom to discontinue therapy
• Access to records and grievance procedures

Clinical Ethics

Counselors must protect patient privacy, ensure informed consent, and never exploit therapeutic relationships.

Diversity and Inclusion

Counselors must understand cultural contexts and refer patients elsewhere if values conflict with treatment goals.

Termination of Treatment

Termination is allowed when the patient consents, treatment ends, or referral is arranged for better care.