# Deathwatch, Apothecarium
Intended for use by the Apothecarium of the Deathwatch for training purposes.
Written by SrHawke with the WILLING volunteer testing subject FrHawke. 100% willing.

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[ToC]

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## Self-Med Procedures
### Medical Status Solutions

| STATUS | TAB | ACTION |
| -------------------------------------------------- | -------------------------------------------------- | -------------------------------------------------- |
| BLEEDING |  |  |
| FAST BLOOD LOSS |  | 
| INJURED |  | 
| MAJOR/MINOR PAIN |  |  |

> **Note: Tourniquettes cause pain. Extreme pain takes away the user's tools. Avoid tourniquettes and instead apply Oxygen Therapy when possible.**
>
> **DO NOT APPLY A TOURNIQUETTE OVER A BLEEDING STATUS.
> APPLY GAUZE FIRST.**

## Basic Medical
> Note: Any action that is colored WHITE is self-administred. Any action that is YELLOW is administred to others.

### Medical Status Solutions

| STATUS | TAB | ACTION |
| -------------------------------------------------- | -------------------------------------------------- | -------------------------------------------------- |
| BLEEDING |  |  |
| FAST BLOOD LOSS |  |  **Note: Tourniquettes cause pain. Extreme pain takes away the user's tools. Avoid tourniquettes and instead apply Oxygen Therapy when possible.** |
| INJURED |  | 
| EXTREME PAIN |  |  |
| MAJOR/MINOR PAIN |  |  |
DEAD |  |  |

### Oxygen Therapy

| STATUS | 1ST TAB | 1ST ACTION | 2ND TAB | 2ND ACTION |
| -------- | -------- | -------- | -------- | -------- |
| UNCONSCIOUS |  |  |  |  |
CONSCIOUS (ROUTE 1) |  |  |  |  |
CONSCIOUS (ROUTE 2) |  |  |  |  *Bag-Valve Mask is a temporary O2. It only lasts a few seconds then you must pump the bag again.* |

### IV Solutions

> Apply an IV line:
>  -> 
> It is recommended to setup IV on every individual pre-operation.

#### Different IV Medications

| MEDICATION | IRL EQUIVELANT | USAGE |
| -------- | -------- | -------- |
| | Morphine (Opioid) | Major/Extreme Pain |
| | Epinephrine | Causes someone to go conscious, needed for post-surgery. **NOTE: DO NOT PUSH THIS DRUG WHEN THE PATIENT'S HEALTH STATUS IS "DEAD". IT WILL PARALYZE THEM.** |
|  | Anesthetic | Causes someone to go unconscious, needed for pre-surgery prep. |

#### Other IV Uses

| OPTION | TAB | USAGE |
| -------- | -------- | ------ |
|  |  | Used to refill blood on individuals with low blood supply. |
|  |  | Used to refill bloodbags supply if needed in dire situations.

## Advanced Medical

> The Medical II Certification requires the Medical I Certification as a prerequisite.

> Important Information: As an apothecarium member, you will be able to complete any surgery without needing a second individual to suction.

### Basic Surgery

1. Apply ET Tube + Oxygen Tank ([Oxygen Therapy Guide](https://hackmd.io/uGRbeEa2S4uwR2F8-brBlA#Oxygen-Therapy))
2. Switch to the Surgery Tab 

| PERSON | ACTION | EXPLANATION | PROGRESS IMAGE |
| -------- | -------- | -------- | ------- |
| PERSON 1 | SCALPEL | Opening up the surgical site | |
| **PERSON 2** | SUCTION | Suctioning excess blood | |
| PERSON 1 | CATHETER | **Cather must be inserted while the prompt says "Suctioning"** Inserting the catheter | |
| PERSON 1 | BALLOON | Inserting the balloon | |
| PERSON 1 | 6-0 PROLENE | Suturing | |
| PERSON 1 | BALLOON | Removing the balloon | |
| PERSON 1 | CATHETER | Removing the catheter | |
| PERSON 1 | 4-0 NYLON | Suturing | |

### Stand-Alone Critical Procedure (Do Not Use)

1. Apply ET Tube + Oxygen Tank ([Oxygen Therapy Guide](https://hackmd.io/uGRbeEa2S4uwR2F8-brBlA#Oxygen-Therapy))
2. Switch to the Surgery Tab 

| PERSON | ACTION | EXPLANATION |
| -------- | -------- | -------- |
| PERSON 1 | SCALPEL | Opening up the surgical site |
| **PERSON 2** | SUCTION | Suctioning excess blood |
| PERSON 1 | CLAMP | **Must clamp while the prompt says "Suctioning"** |
| PERSON 1 | 5-0 PROLENE | Suturing |
| PERSON 1 | 4-0 NYLON | Suturing |
| | | Patient will then display "Surgical" status. Follow the [Basic Surgery Guide](https://hackmd.io/uGRbeEa2S4uwR2F8-brBlA#Basic-Surgery) from there.

### Critical & Surgical Combined Procedure (Use This)

1. Apply ET Tube + Oxygen Tank ([Oxygen Therapy Guide](https://hackmd.io/uGRbeEa2S4uwR2F8-brBlA#Oxygen-Therapy))
2. Switch to the Surgery Tab 

| PERSON | ACTION | EXPLANATION |
| -------- | -------- | -------- |
| PERSON 1 | SCALPEL | Opening up the surgical site |
| **PERSON 2** | SUCTION | Suctioning excess blood |
| PERSON 1 | CLAMP | **Must clamp while the prompt says "Suctioning"** |
| PERSON 1 | 5-0 PROLENE | Suturing |
| **PERSON 2** | SUCTION | Suctioning excess blood |
| PERSON 1 | CATHETER | **Cather must be inserted while the prompt says "Suctioning"** Inserting the catheter |
| PERSON 1 | BALLOON | Inserting the balloon |
| PERSON 1 | 6-0 PROLENE | Suturing |
| PERSON 1 | BALLOON | Removing the balloon |
| PERSON 1 | CATHETER | Removing the catheter |
| PERSON 1 | 4-0 NYLON | Final Suturing |

### Apothecary "P" Overlay
- As an apothecarium member, you will receive a medical overlay on each individual nearby when you press "P."
- This is incredibly helpful as it allows you to keep track of individuals without having to open each of their menus.
- 

| SYMBOL | MEANING |
| -------- | -------- |
| | Pain Level |
|  | Injured |
|  | Bleeding |
|  | Surgical/Critical |
|  | "Dead" Health Status |
|  | Blood Level |
|  | Health Level

### Apothecary Permadeath Pick Ups
- During a permadeath operation, if an individual fully dies, they will be given 80 seconds to be picked up by an apothecary otherwise their character is permanently dead.
- To pick up an individual who fully died, walk up to their body, pull out the robotic arm tool, and interact with the prompt on their body. It takes about 10 seconds to finish interacting with the prompt on their body. **Note: Your helmet must be on.**
- The Deadlist will only show that a user was downed, not that he was picked up. Apothecaries are adviced to try to remember which individuals they picked up for verification at the end of the operation.

### Important Tips & Tricks
- If an individual is bleeding quickly while unconscious, immediately apply an ET Tube and Oxygen Tank. This will almost always halt or significantly slow their blood loss.
>
- Do not give Adrenaline while the patient's status is "Dead." This will cause the player to be paralyzed and unable to be worked on. You will need to mercy kill them and respawn them. Always defib first.
>
- Tourniquettes typically cause more harm than good, use them as a last resort than a go-to. Oxygen Therapy is a much more effective way of stopping blood loss. **If you are in extreme pain, you will lose your weapons - making the soldier unable to fight even if he's injured.** This is why tourniquettes should be avoided.