STARFLEET MEDICAL HANDBOOK
STARFLEETMEDICALHANDBOOKDISCLAIMER: Star Trek and all related marks are property ofParamount Pictures. Paramount and the creators of Star Trek do notendorse, sanction, or authorize any material presented.1
ContentsFront CoverTable of ContentsSurgeon General’s WelcomeSTARFLEET Medical: A HistorySTARFLEET Medical: Administration and EducationSTARFLEET Medical Academy:Medical Degree RequirementsSTARFLEET Medical ShipsChanges in Medicine24th Century SurgeryMedical Jobs and Roles:Surgeon GeneralDeputy Surgeon GeneralChief of OperationsAssistant Surgeon GeneralChief Medical OfficerMedical OfficerChief Nurse / NurseChief Counsellor / CounsellorMorale OfficerEmergency Medical Hologram (EMH)Medical ProceduresSTARFLEET Medical ProtocolsCommonly Used MedicationsCommon Illnesses and DiseasesMedical Database: Common Non-Human SpeciesEnhancing your STARFLEET Medical 42-5253-565656
Welcome to the STARFLEET Medical HandbookWe have designed this manual to guide you in your role as a Chief MedicalOfficer, Nurse, Counsellor or General member of the Medical team aboard yourchapter as well as being a point of reference should you need it.The information contained herein is merely a guide and not the written rule, afterall, STARFLEET International is all about fun so, please Make it so!This handbook is an evolving work that everyone is welcomed to contribute to,whether they have taken up a medical role or not. We encourage you and othersaround you to take up a local or national first aid qualification in the real world, be itin a paid occupation, charity role or your work-based environment.This handbook is not and should not be used as a substitute for real-worldmedical qualifications and training.Please remember that it is better to enrol on a local course for first aid and CPRand use your new knowledge to enhance your STARFLEET Medical role.We have endeavoured to cover at least the basic requirements and functions ofwhat each of the Medical roles entails, and as mentioned earlier this is purely aguide; each chapter may do things slightly differently.You will also find sections on Afflictions & Diseases, Equipment, medications,procedures & treatments. This is not a comprehensive and final list, rathermerely a guide resourced from the internet and various Star Trek websites whichhas been compiled to give you a flavour of what is out there!Finally, we have included a section on the STARFLEET Academy and Specialistunits with which you can further expand your SFI Medical role.If you feel something should be included within the Handbook please feel free tocontact me via the main Starfleet medical website, Facebook page or email atsurgeongeneral@SFI.orgWelcome to STARFLEET Medical!Captain Mark Logan Ph.D., SFMD Surgeon GeneralStarfleet MedicalNOTE: This manual is not intended as a legitimate medical reference.No medical information presented in this book should be interpreted as actual medicaladvice.This is a work of fiction! You should not attempt to offer any type of first aid or medicaltreatment based on anything you read in this manual.3
STARFLEET MedicalStarfleet Medical was founded shortly afterthe founding of the United Earth Starfleet inthe 2140s. The purpose of this organizationwas to see to the needs of species other thanhuman and also to treat the personnel ofStarfleet. Today, it is one of the quadrant'sfinest medical institutions and biologicalresearch facilities, though some personnel dobreak their oath to ‘do no harm’.The History of STARFLEET MedicalStarfleet Medical was founded in 2149 as part of the Interspecies MedicalExchange program with the Vulcans, and also to see to the medical needs ofStarfleet personnel. As Starfleet discovered more about the galaxy, StarfleetMedical created a medical database for all Starfleet and friendly ships to use.This, along with the Interspecies Medical Exchange program at Starfleet MedicalHeadquarters, is what drew most alien doctors who came to Starfleet.In 2151 the Klingon Klaang was brought to Starfleet Medical after being shot witha plasma rifle by a farmer on Earth. While there, he was treated by Doctor Phlox,a Denobulan doctor who came to Earth through the Interspecies MedicalExchange, causing Captain Jonathan Archer to request Phlox to join his crew asChief Medical Officer.The Birth of the FederationWith the birth of the Federation, doctors from the four founding memberscombined their knowledge into the newly named Federation Starfleet MedicalDatabase, from which all could gain knowledge.To help reduce problems with the inability to treat patients, the member worldsbegan teaching doctors, both Starfleet and civilian, on how to treat the memberspecies of the Federation. With the adaptation of Starfleet Academy, those wholeft its halls after the founding of the Federation consequently learned more thanthose who had left before 2161.The peoples of the fledgling republic agreed that just as they were strongertogether militarily, they were also stronger together scientifically, includingmedically. Thus, the idea of Starfleet Medical was born among the people.4
The 2200’sDuring the 2200s, the Starfleet Medical Database and Starfleet MedicalHeadquarters learned about more diseases and more physiologies of alienspecies. As a result, more medications and vaccines were created, as werehyposprays. Tricorders and biobed sensors were also created for use aboardStarfleet ships and starbases.New illnesses such as Rigellian fever, Irumodic Syndrome, and the hyperaccelerated ageing disease were discovered, and so new medications wereneeded to combat these conditions. An epidemic of Rigellian fever broke outamong some colonists in 2268, causing the USS Intrepid to carry the vaccine andcure to the colonists in the hope that most of them would be saved.In 2283, a new type of hypospray was introduced, one that was painless comparedto its predecessors. The hypospray was no longer very invasive, but ratherpainless and almost pleasant to some. In 2292, Starfleet Medical began to havetheir own ships, some of which were sent to assist with the casualties caused bythe explosion of the Klingon moon of Praxis. In addition to this, Starfleet Medicalwas also asked by the Trill to help with the symbiont pools which were startingto fail the symbionts.The 2300’sThe 2300s saw a new beginning for Starfleet, though not a good one. TheTalarians and Cardassians started wars with Starfleet, causing Starfleet medicalpersonnel to work overtime to heal the wounded and see to the dead. Once thewars were over, a new menace came to the Federation, and that was the Borg.Starfleet had never seen anything like this new enemy before, causing some towonder if they could be defeated since they caused such devastation at Wolf359.Starfleet medical officers had a brief respite; however, the following KlingonCardassian War caused many injuries which needed to be treated. Nurses andDoctors alike worked tirelessly to make certain that their patients went home totheir families, upholding the Hippocratic Oath, the most revered oath thatmedical personnel can take. Immediately following the end of the KlingonCardassian War came the Dominion War, the bloodiest conflict in the history of thequadrant. Now Starfleet doctors were not only treating Federation citizens but alsoKlingons and Romulans as well. Fighting on the same side for the first time, theseefforts built esteem for Starfleet in the eyes of the Romulans.After the end of the war, the quadrant was changed. Starfleet Medical andStarfleet Operations sent personnel to the destroyed Cardassian homeworld andalso to assist not only Federation worlds, but also Romulan and Klingon worldsas well.5
Starfleet Medical: Administration and EducationStarfleet Medical (SFM), based at Starfleet Headquarters in San Francisco, isthe administrative branch of Starfleet that coordinates and administers medicalcare and research throughout all of Starfleet’s operating branches. TheCommanding Officer of Starfleet Medical (usually a rear or vice admiral and alwaysan MD) reports directly to the Starfleet Executive Council.Starfleet Medical has three primary missions, reflected in the three majorbranches of its organization: To provide quality medical care to all personnel within Starfleet and allindividuals encountered within and beyond the Federation. To further the goals of medicine as a science by fostering research in themedical sciences. To educate future medical officers and personnel and provide continuingmedical education to them.The Clinical Department is responsible for providing medical care aboard everyStarfleet vessel and at every Starfleet base hospital and is headed by a medicaldirector (usually a fleet captain or commodore and always an MD). It is furtherdivided into three departments: Medical, Nursing and Allied Health, eachheaded by a Chief of Staff (usually a captain; Medical is headed by an MD,Nursing by an RN, Allied Health by any member of those professions).Within each department are further divisions and sections, listed by medicalspeciality (Division of Neurology, Division of Surgery, et al). The ClinicalDepartment is also responsible for supplying medical equipment, supplies andmedications to Starfleet's medical facilities and shipboard Sickbays.The Research Department is responsible for approving, overseeing, and fundingall medical research conducted by Starfleet Medical. It evaluates grant proposals,provides Research Review Board (RRB) approval for research on sentientsubjects, coordinates the use of research facilities and equipment, anddisseminates the results of such research throughout Starfleet and theFederation. It is headed by a Department Chair (usually a fleet captain orcommodore, usually an MD, and always a PhD).Divisions in the Research Department are listed by scientific field (GeneticsDivision, Xenobiology Division, et al) and are headed by a five-membercommittee of the senior research scientists in that division. The ResearchDepartment coordinates closely with Starfleet's Science Department, as thesetwo branches of the service share many common goals and use many of the samefacilities.The Education Department is responsible for administrating Starfleet Medical'seducational systems, both pre- and post-graduate, and providing continuingmedical education to Starfleet medical personnel.6
It is headed by a Department Chair (usually a fleet captain or commodore).Like the Clinical Department, it is divided into three departments: Medical,Nursing and Allied Health.The Chief of Medical Education oversees the medical school and the residencyprograms; the Chief of Nursing Education oversees the nursing school and themedical technicians' program; and the Chief of Allied Health Education overseesthe dentistry, counselling, and veterinary programs. The Education Departmentis also responsible for administering the licensure and board-certification examsto its students, and for coordinating the CME program for all Starfleet medicalofficers and personnel. Lastly, the Education Department coordinates withStarfleet Academy and provides the teaching staff for many of its undergraduatelevel medical courses.Most cadets who enter Starfleet Academy to become medical officers pursuetheir medical education through Starfleet Medical, though a few obtain theirmedical education elsewhere and later apply to the Academy. The curriculum forthe medical school lasts four years and leads to the MD degree and boardcertification in one speciality; the nursing school lasts two years and leads to theBSN (Bachelor of Science in Nursing) degree and the RN designation. Otherprograms, such as the dentistry and counselling programs, offer multiple degrees.STARFLEET Medical within STARFLEETInternationalWithin STARFLEET International Fan Association, STARFLEET Medical (SFM)has its command structure defined similarly. The Surgeon General heads upthe department and oversees all functions within STARFLEET Medical’s remit;all staff, the various health divisions, the quarterly magazine of STARFLEETMedical – the Hypospray, and Operations. The Surgeon General is supportedin turn by a Deputy Surgeon General who oversees many of the days to dayworkings within SFM as well as any other tasks assigned to them by the SurgeonGeneral. The third staff member in command is the Chief of Operations, who isresponsible for all day to day administration and awards within SFM.The next level in the command chain is divided between the Committee Chiefswho oversee specific areas of health (Women’s Health, Men’s Health, PublicSafety, Drug Safety and Emergency Preparedness) and the Assistant SurgeonGenerals.There is one Assistant Surgeon General for each Region within STARFLEETand they are responsible for overseeing medical activities within their region.Assistant Surgeon Generals (ASG’s) may or may not have a Deputy AssistantSurgeon General, whose function is to support the Assistant Surgeon Generaland help to share any workload with. Assistant Surgeon Generals and/or theirDeputy are required to contribute towards the Hypospray each quarter.7
All Chief Medical Officers within each Region ‘report’ to their Assistant SurgeonGeneral, though in reality there is no actual reporting required. It is a good ideahowever for each CMO to let their Regional ASG know if they have beeninvolved in any medical activities of interest so that these can be recognizedhigher up the chain.Chief Medical Officers are the Medical officer in charge of medical activitiesaboard their Chapter and are appointed by the CO of that Chapter. ChiefMedical Officers help all crew members who have an interest in STARFLEETMedical and lead medical activities aboard the Chapter.STARFLEET Medical AcademyThe Starfleet Medical Academy is the proper namefor the additional 2-4 years of medical training thatthe officers in the medical department must gothrough once graduated from the normal 4-yearcourses.These officers have the duty of treating all personnelaboard Starfleet facilities, from engineering burns,cases of flu, pregnant cats to paediatrics.The Medical Academy has the responsibility oftraining these physicians for the unique situationsstarships routinely run into as Starfleet frequentlyreceives requests from member planets and colonies suffering from epidemicsor needing medical supplies or even heart surgeries on crewmembers.Educational PathwaysSome medical cadets have already earned their medical degree on theirhomeworlds and are proficient in the methods of medicine for their species.Others have completed premedical studies and obtain their doctor of medicinedegree from Starfleet Medical Academy after four years of study.Either way, because of their lengthy education, most medical cadets do not enterStarfleet Medical Academy until at least the age of 22.Upon graduation, medical officers complete an internship and then enter the fleetas general medical officers or continue with further residency training.8
Pre-Medical Studies at the AcademyCadets who wish to earn both their undergraduate degree and their MD fromthe Academy typically major in one of the science specialities (such as biologyor chemistry) or counselling (although any major is acceptable provided that premedical coursework is completed) during their undergraduate years.These cadets earn their undergraduate degree like any other cadet in those fieldsbefore going on to their medical studies.The following courses (or their equivalent at another university) are required at theundergraduate level before commencing studies at the Starfleet Medical nic Chemistry 1CHEM202:Organic Chemistry 2PHYS201:General Physics 1PHYS202:General Physics 2MATH120:Calculus, AdvancedLANG101:Federation Standard9
Medical Degree RequirementsTo graduate with a doctorate in Medicine, a cadet must complete the following42 credits of course work:Years 1-2: Basic Sciences30 credits of course work during the first two years (5 credits per semester):Year 1 Medicine: Bedside MannerMedicine:Medical EthicsMedicine:Clinical ral PhysiologyXenobiology:Physiology, Major SpeciesXenobiology:Physiology, Minor SpeciesXenobiology:Genetics, Humanoid 1Xenobiology:Genetics, Humanoid 2Xenobiology:Genetics, Non-HumanoidXenobiology:Microbiology 1 (Bacteria)Xenobiology:Microbiology 2 (Viruses)Xenobiology:ImmunologyXenobiology:Systems 1, Derm/Resp/Cardio/Haem SystemsXenobiology:Systems 2, GI/Muscles/Renal/Endoc/Reprod10
Year 2 Medicine: Epidemiology & MedicalStatisticsMedicine:Diagnosis, Major SpeciesMedicine:Diagnosis, Minor SpeciesMedicine:Pharmacology 1Medicine:Pharmacology 2Medicine:Surgery, Major Humanoid SpeciesMedicine:Surgery, Non-Humanoid SpeciesEngineering:Medical Systems and EquipmentEngineering:Life Support letal y:Reproductive ence11
Years 3-4: Clinical Rotations12 clinical rotations during the final two years (2 credits per semester, withstaggered start dates for each rotation. One rotation is taken during the first half ofthe semester and the second rotation is taken during the second half of thesemester):Year 3:MED600:Internal MedicineMED610:General PracticeMED620:General icsMED650:Psychiatry & Mental HealthYear 4MED660:Medical SpecialtiesMED670:Surgical SpecialtiesMED680:Critical CareMED690:Aerospace MedicineMED701:Clinical Elective 1MED702:Clinical Elective 212
NursingUpon completion of their Bachelor of Science in Nursing, nursing graduates enterthe fleet as commissioned officers and may continue to further their educationwith a specialization in such fields as critical care, mental health, andrehabilitation.Nursing MajorTo major in Nursing, a cadet must have the following 25 credits:ChemistryOrganic Chemistry 1ChemistryOrganic Chemistry 2DiplomacyNon-Traditional SituationsEngineeringMedical Systems and EquipmentEngineeringLife Support SystemsPsychologyTerran, GeneralPsychologyNon-Terran, Major SpeciesPsychologyTerran DevelopmentPsychologyNon-Terran, Major Species DevelopmentXenobiologyGeneral PhysiologyXenobiologyPhysiology, Major SpeciesXenobiologyMicrobiology 1 (Bacteria)XenobiologyMicrobiology 2 (Viruses)XenobiologySystems 1, Derm/Respir/Cardio/Haematology SystemsXenobiologySystems 2, h Assessment and PromotionNursingAdult and Elder Nursing 1NursingAdult and Elder Nursing 213
NursingPediatric NursingNursingMaternity NursingNursingAcute Care Psychiatric p & Management in NursingNursingElective Clinical Placement 1NursingElective Clinical Placement 214
CounsellingCounsellors may have several more Language, Psychology, and Xenology skillsthan the requirements below.Counselling MajorTo major in Counselling, a cadet must have the following 22 credits:Administration:Starfleet StarshipsAdministration:Starfleet Bases and OutpostsDiplomacy:Hostile SpeciesDiplomacy:Non-Traditional SituationsEngineering:Medical Systems and EquipmentLanguage:Major Species Level 200, being of the samelanguage as chosen Core Requirement course.Psychology Department:At least 10 coursesXenobiology:NeuroscienceXenobiology:General PhysiologyXenobiology:Physiology, Major SpeciesXenobiology:Physiology, Minor SpeciesXenology:Major SpeciesXenology:Minor SpeciesPsychology Minor:A minor in counselling is not offered, but noncounselling majors who take at least 6 psychologycourses can earn a minor in psychology.15
Starfleet Medical ShipsStarfleet Medical has a small fleet of hospital ships that are mostly Olympicclass though some are Nebula-class fitted with a medical pod. Their captainsare former doctors to ensure the nee
all, STARFLEET International is all about fun so, please Make it so! This handbook is an evolving work that everyone is welcomed to contribute to, whether they have taken up a medical role or not. We encourage you and others around you to take up a local or national first aid qualification in the real world, be it
equipment for Starfleet in the years prior to 2253-2254 seems to be missing.- With the duotronics breakthrough in 2243, Starfleet decided to intergrate duotronics into this equipment. The re-evaluation, redesign and redistribution of these pieces equipment nearly took twelve years to complete. St
GURPS 3rd ed. Prime Directive, p. 20 RANDOM DEPARTMENT For those who prefer to let fate make these decisions, the following table is provided. * If you roll doubles, i.e. if Die #2 Die #1, then you are a Security officer. Adding an Officer Template An Officer template represents your experience at Starfleet Academy.
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