Forward:

Being a CMO or MO is a very challenging position on a ship. Considering Medical personnel are not always on the bridge, we are more easily over looked than other positions.  In the information that follows, you will find resources that will give you ideas to help keep yourself busy if and when the SM is not able to. The information also details the duties for both the CMO and MO.  It lists diseases, medicines, medical treatments, and medical equipment.  It gives you a template to help design a species for an arc if your SM has developed one.  There is a plethora of information we hope you find most useful as you serve in ACTD as a part of the Medical Department.


Chief Medical Officer's Duties

   Medical duties
  
Administrative Duties
  


Medical Officer's Duties
   Medical duties
  
Administrative Duties

Appendix A - ST Illnesses

Appendix B - Startrek Medical Scans, Tests, and Screenings

Appendix C - Startrek Medical Procedures

Appendix D - Startrek Medicines

Appendix E - Medical Equipment

Appendix F - Ships Medical Facilities

Appendix G - Description and breakdown of Medical Personnel by shifts

Appendix H - Creating a new race for an arc

 

I.   Duties

A.    Defined for CMO

The CMO’s duties fall under two main categories.  He or she has medical duties as well as Administrative duties.

1.  Medical Duties

a. Medical Problems

                            i. Prevention i.e. Physicals

1.   Upon new assignment – Each person should receive a complete physical on two different occasions.  Everyone is supposed to receive a yearly physical.  Also, upon assignment to a new starship or Starbase, everyone should receive a baseline physical.  During this physical four readings (heart rate, blood pressure, respirations, and temperature) and ten scans (Cranial scan, Brainwave scan by hyper-encephalogram, Bronchial scan, Gastrointestinal scan, Muscular scan by resonance tissue scanner, bone scan, cardiovascular scan, blood scan, lymphatic scan, reproductive scan) should be performed. 

2.   Although most people don’t do these regularly.  Partial physicals are supposed to be done when a crewmember returns from an Away Team.  Four readings (heart rate, blood pressure, respirations and temperature) and two scans (Brainwave scan by hyper-encephalogram and blood scan) should be done for this physical.

                            ii.    If as a Chief Medical Officer you aren’t able to prevent diseases or injuries, your secondary purpose is the diagnosis of illnesses and diseases.  You can find a list of these in Appendix A.  You can also find a list of different Starfleet scans, tests, and screenings in Appendix B. 

                            iii.   Once as a CMO you’ve diagnosed an illness or injury, there are two ways that treatments can be rendered, technological treatments and pharmaceutical treatments. Technological treatments are found in Appendix C.  Pharmaceutical treatments are found in Appendix D. Appendix E lists medical equipment you can use to accomplish your treatments

b.  Away Team Duty -- Depending on the mission, often a medical officer is sent along on the away team.  Their main job of course is to see to any injuries that may occur to any member or the away team or any other medical emergencies. 

                             i.   Research – In the context of Mission Orders being sent with the purpose of research, medical often supports science, or replaces them if there is no science officer on the AT.  Where science is scanning for everything under the sun, medical's main concern is anything that has to do with the biological.  Biological includes plants, animals, insects, birds, fish, bacteria, microbes, anything defined as living.

                             ii.  Medical Assistance – There are times when a ship will be sent out to help another ship who is in the midst of a ship wide medical emergency.  Medical on the ship will lend assistance to the ship on which the emergency is located.

                             iii.  Relief Aid – There are other times when planets may be in the midst of planet-wide or even a localized epidemic.  Starships may be called in to assist or bring medical aid.  In cases like this Medical may be called upon to research, diagnose, and treat the medical ailment.  Often times discussing facts with your SM will be of great value.  He or she will usually provide some information upon which you can go in hopes of solving the medical situation.

c.       Medical Briefings—

                               i.   A medical brief is often collaboration between the CMO and the SM.  They are not written up as often as science briefs, but in cases where biological or medical are the underlining theme, they can add to the storyline.  They also give the other players references to use so that everyone is using the same language and has the same basic knowledge of what is going on.

                               ii. Often the SM will give the CMO a free hand with a medical situation, giving them the key points that need to be included or in some cases, left out.  Unless the medical personal is fairly certain of their SM and what they expect, the Medical Brief should be sent to the SM for approval before sending out.  The MB is usually attached as a supplemental to ones log for that week in the NG unless otherwise suggested by the captain, in which case it can be attached to the ships Mission Brief.

  iii.  A distinction needs to be made between a Medical Brief that is sent out and one that is done during a mission during a meeting. If one knows they will be presenting data during a meeting they should pester the SM before hand for any information they might need. If possible, have it typed up and prepared to give before hand to save mission time. Otherwise, those mission briefs are often a gathering of facts that have already been given and you are now presenting it combined and in a medical genre to send out with your log.

d.   Medical Drills

                              i.  Planning – In planning medical drills you will need to take several things into consideration. 

1. Decide if the drill is meant as a character development tool (OOM) or if it is to interact with different ship departments. (In mission)

2. Ask your SM’s and Captain’s permission (if you want to do this in mission)

3. Decide on a scenario that will be used to test the ship’s medical readiness.

4. Consider recruiting NPC’s or crew to assist in the drills.

                             ii.  Supervising

1.  During in mission drills, you may find yourself needing to direct certain character’s actions a specific way.  Feel free to give them information that will motivate them to make moves that you need.

e.  Research

                            i.    Sometimes Mission Orders will state that you will be doing medical research on a particular species of plants or beings.  It is strongly suggested, that until you are absolutely positive that what you are studying is safe, that you keep it in some kind of containment field.  When working with this type of mission, make sure you ask as many question. 

ii.  Other times, research can be done during the course of a routine mission that has nothing to do with medical.  If you find yourself in one of those situations in which medical is either underutilized or not utilized at all devise a scenario that gives your character some medical research to do.

2.       Administrative Duties

a.  OOC:  It is suggested that if you have a created staff for all areas and shifts, that you might create a short profile for them for the crew to use in their logs.  This works well when the crew needs or wants a doctor and either doesn't want to bother the CMO or the CMO is not readily available for OOM's or log permissions.

b.  In Character

                             i. Assigning Medical Staff’s duties – The CMO is responsible for assigning the medical staff’s duties.  Take a look at the different units that are on your ship and assign NPC’s to cover those aspects.  You can do this for a log idea or in character during a mission slot.

                            ii. Setting Medical Staff’s schedules – The CMO is responsible for setting the medical staff’s schedules.  Again, create a list of your medical NPC’s, their ranks and positions (MO, Med Tech, Nurse, etc) and schedule them for certain shifts.  Again this can be done in a log or in the context of a mission.

                           iii. Searching for or replacing medical staff – This is an area in which you can do a lot of character development.  You can “interview” people for the position, spend time talking to the NPC’s superiors, etc.

                          iv.  Supervising Medical Staff – This can fall under so many categories.  This can be done during medical emergencies or it can be done as part of a routine happenings.  Even the simplest of tasks, that as a CMO, you supervise can become great log or interaction ideas.

B.      Duties of the MO

1. Medical Problems

a.  Prevention i.e. Physicals

1.  Upon new assignment – Each person should receive a complete physical on two different occasions.  Everyone is supposed to receive a yearly physical.  Also, upon assignment to a new starship or Starbase, everyone should receive a baseline physical.  During this physical four readings (heart rate, blood pressure, respirations, and temperature) and ten scans (Cranial scan, Brainwave scan by hyper-encephalogram, Bronchial scan, Gastrointestinal scan, Muscular scan by resonance tissue scanner, bone scan, cardiovascular scan, blood scan, lymphatic scan, reproductive scan) should be performed. 

2.  Although most people don’t do these regularly.  Partial physicals are supposed to be done when a crewmember returns from an Away Team.  Four readings (heart rate, blood pressure, respirations and temperature) and two scans (Brainwave scan by hyper-encephalogram and blood scan) should be done for this physical.

b.  If as a Medical Officer you aren’t able to prevent diseases or injuries, your secondary purpose is the diagnosis of illnesses and diseases.  You can find a list of these in Appendix A.

c.   Once as a MO you’ve diagnosed an illness or injury, there are two ways that treatments can be rendered, technological treatments and pharmaceutical treatments.  Technological treatments are found in Appendix B.  Pharmaceutical treatments are found in Appendix C.

d.  Team Duty -- Depending on the mission, often a medical officer is sent along on the away team.  Their main job of course is to see to any injuries that may occur to any member or the away team or any other medical emergencies. 

                             i.   Research – In the context of Mission Orders being sent with the purpose of research, medical often supports science, or replaces them if there is no science officer on the AT.  Where science is scanning for everything under the sun, medical's main concern is anything that has to do with the biological.  Biological includes plants, animals, insects, birds, fish, bacteria, microbes, anything defined as living.

                            ii.   Medical Assistance – There are times when a ship will be sent out to help another ship that is in the midst of a ship wide medical emergency.  Medical on the ship will lend assistance to the ship on which the emergency is located.

                            iii.   Relief Aid – There are other times when planets may be in the midst of planet-wide or even a localized epidemic.  Starships may be called in to assist or bring medical aid.  In cases like this Medical may be called upon to research, diagnose, and treat the medical ailment.  Often times discussing facts with your SM will be of great value.  He or she will usually provide some information upon which you can go in hopes of solving the medical situation.

2.      Any duties assigned by the CMO.

3.  When the CMO is not present, whether they are on an Away mission, or unable to make a mission, the MO steps in and basically covers for the CMO duties.

 

Proposed Indices

A.  ST Illnesses

Aging Disease

Rapid aging caused by radiation exposure

Altarian Encephalitis

A retrovirus that lies dormant in cells after incorporating DNS into host cells.  It erases memory back to the point of infection when it activates

Anchilles fever

Highly contagious disease which causes painful death

Andronesian Encephalitis

Highly contagious airborne disease

Aphasia

Loss of aural, visual and communitive controls usually caused by cranial trauma

Arethian Flu

Viral disease

Arteriosclerosis

Disease of plaque buildup in the arteries

Barclay’s Protomorphosis Syndrome

Syndrome where intron release causes de-evolution within a patients DNA.  It’s caused by the invasion of genetic codes by Synthetic T-cells

Bendii syndrome

A rare, usually fatal disease of Vulcan’s over the age of 200.  Usually symptoms include emotional outbursts that are telepathically passed onto others.  To confirm the disease is indeed Bendii syndrome, a culture must be grown from the metathalmus

Coleibric Hemmorrhage

Blood hemorrhage of part of Cardassian anatomy.

Corellium Fever

High fever combined with delirium

Danray’s Disease

Incurable disease that attacks the brain and nervous system

Depressurization

In a depressurized environment, consciousness lasts 15 seconds followed by 10 seconds of disorientation followed by unconsciousness.

Enantiodromia

A mental dysfunction meaning “conversion into the opposite” as a means of dealing with stress or loss

Eosinophilia

Unusually high red blood cell count.  Serum Eosinophils-specific instance of the virus.

Forrester-Trent Syndrome

Hereditary degenerative neurological disorder

Histamic Reaction

Massive body weakening infection

Hypoglycemia

Low blood glucose

Iverson’s disease

Debilitating muscle disease with no known cure

Kalla-Nohra Syndrome

Only known cases came from the Cardassian mining camp.  Resembles Pottrik Syndrome.  Can be confirmed if a lower pulmonary bio-probe is negative

Larosian virus

Unspecified symptoms may include lack of inhibitions

Levodian flu

Virus with a 29 hour life cycle

Metremia

Radiation poisoning caused by Metroen Cascade.  Fatal degenerative blood disease

Neural Depletion

Complete loss of neural activity in the brain

Neural Metaphasic Shock

Complete failure of the entire Neurological system

Orellius infection

Specific type of insect infection on certain M-class worlds.  Symptoms include swelling and fever

Orkett’s disease

Childhood disease that affects growth and lymphocyte production

Parasitic infection

Unclassified disease that simulates death.  Infects the Scapula node

Parinisti measles

a mutated form of German measles

Phyrox plague

Plague that easily reaches epidemic proportions

Plasma plague

Virulent, deadly virus that is yet to be classified

Pottrik syndrome

Similar to Kalla-Nohra Syndrome

Replicative fading

A loss of genetic information occurring when an organism is repeatedly cloned

Rygelian fever

Deadly disease resembling the bubonic plague

Somatophysical failure

Compete collapse of all bodily systems

Symbalene blood burn

Virulent blood disease

Temporal narcosis

Delirium produced by exposure to temporal distortions

Terellian Death syndrome

Symptoms include dizziness, blurred vision, palpitations and stinging in the lower spine

Terellian Plague

Virulent disease similar to Terellian Death Syndrome in many respects

Thelusian flu

Exotic yet harmless disease

Transporter psychosis

A breakdown of neurochemical molecules that occur during transport.  Last known case occurred in 2319

Transwarp Evolutionary syndrome

Mutations in DNA caused by travel above warp 10

Tsiolokovsky infection

Waterborne viral infection that occurs near huge gravitational shifts.  Infection takes away carbon from the body and reduces inhibitions making the victim appear intoxicated

Urodelean flu

Mild affliction with symptoms that include an imbalance in the k-3 cell count increased intravascular pressure and heightened electrophoratic activity

Xenopolycythemia

Abnormal proliferation of red blood cells causing weakness, fatigue, enlarged spleen and extreme pain.

Zanthi fever

Emotions are projected onto others.  Symptoms include headache

B.  Startrek Medical Scans, Tests, and Screenings

Amniotic scan 

Sensor readings of the fluid contained within the amniotic sac of mammalian pregnancies

ARA Scan 

Medical scan that can be used to determine the truthfulness of a humanoid subject

Berylite scan 

Medical procedure used aboard Federation starships

Blood Screening

Medical test used on Federation personnel to identify shape-shifters

Brain Circuitry pattern

Medical diagnostic image mapping neural activity in a humanoid brain

Deep Tissue scan

Medical scan done as part of a post mortem investigation

DNA Reference scan

Medical test to confirm an individuals identify by matching DNA patterns Surgical device used to sever neural connections

Electrophoretic Analysis

Standard medical test run to analyze cellular components

Hematological scan 

Medical diagnostic study of patient’s blood factors

Hyper-encephalogram

Test that records and measures brainwave activity

Hypothalamic series

Used to determine hypothalamic function

Inner Nuncial Series

A battery of neurological tests

K-3 cell count 

Used to diagnose the Urodelean flu

K-3 indicator

Measures neural activity corresponding to pain

Myocardial enzyme balance

Medical test used in surgical particularly cardiac procedures

Neural Imaging Scan

Medical diagnostic scan used to test the acuity of the patient’s visual cortex

Resonance Tissue Scan

Medical diagnostic test used by Starfleet physicians to screen for infections

Reticular imaging scan

Medical test used to verify the presence or absence of activity in the visual cortex

Retinal Imagine scan

Measures visual cortex activity

Steinman analysis

Medical test noting individual specific data such as voice analysis and brain patterns

C.  Startrek Medical Procedures

Accelerated Critical Neural Pathway Formation

Medical procedure that uses genetic recoding to alter the brain a humanoid patient.  It is illegal under laws dating back to the end of the Eugenics war.  These laws are based on the argument that if the genetically enhanced people were allowed to compete freely, all parents would feel pressured to have their children enhanced so that they could keep up.

Antiproton Radiation Treatment

Used to destroy mutated DNA

Bicaridine treatment

Regenerative therapy used for fracture patients.  Used for patients to have an allergic reaction to Metorapan

Bioregenerative Field

Radiated energy used in biomedical applications to accelerate cellular growth

Cardiac Induction