However, while incompetent cooks are merely fired, incompetent doctors on the other hand, face perils ranging from having their license revoked to lawsuits. If their bungling actually kills the patient, doctors may even face frontier justice (e.g., thrown out the airlock sans space suit).
People might think it is romantic to go homesteading with just their spouse and kids on a remote planetary colony with no doctor or nuthin', right up to the point where they suffer a tooth-ache, broken limb, or a sudden attack of appendicitis. Ain't so romantic now, eh Jeremiah Johnson? Doctors are vital.
On near future solar system exploration ships a doctor will be indispensable. A Mars expedition could be out of range of a hospital for about 2.7 years.
And you will need multiple doctors on board a military spacecraft going into battle.
Doctors/Medics are never risked on any hazardous non-medical task or possibly dangerous environment. A first-in scout mission on a newly discovered planet could be in deep doo-doo if the doctor takes a stroll and is suddenly eaten by the Giant Trap-Door Spideroid (link trigger warning: spiders). The doc has to stay inside the ship, where it is relatively safe, no matter how much they are suffering from cabin fever.
What's in the sickbay? What you'd expect: medical supplies, diagnostic equipment, maybe a sick bed or two, maybe a suspended animation cryo-freeze to put a seriously ill or injured crewperson on ice until the ship can make it to port. On a military ship, the sick bay may have its own separate life support system.
It might have the luxury of a surgical bed, or the doctor might have to make do with a table in the mess deck. (This is why there is a tradition on military ships for off-duty personnel removing their headgear while on the mess deck. It is a sign of respect for the crewmembers who have in the past, or may in the future, suffer and die there.) During combat, the mess deck become the emergency triage/operating room.
Keep in mind that all drugs are poisons, and all poisons are drugs. The only distinguishing feature is the dosage. One aspirin can cure a headache but when your child eats a whole bottle you have to rush them to the emergency room to get their stomach pumped.
In my personal opinion, medications that would make the owner of the drug patent rich beyond the dreams of avarice would include a cure for male-pattern baldness and a diet pill that would allow you to pig-out on whatever food you wanted and still look buff and cut like a Hollywood star.
There are many methods of drug delivery and pharmaceutical formulation. Drugs can be administered orally (peroral) by pills, tablets, capsules, softgels or syrup. They can be breathed in via inhalers, or injected intradermally with hypodermic needles and syringes. Pretty much every single body orifice has some sort of drug using it for entry: eye-drops for the eyes, ear-drops for the ears, nasal spray for the nose, suppositories for, well, you know, pessaries for you'd better look that up. Plus dozens more methods you can read all about here.
If you get fancy one can do intradermal injections via air with a jet injector (though Doctor McCoy calls it a hypospray). In Isaac Asimov's The Caves of Steel they use "hypo-slivers", pointy shards of solid drug that are inserted under the skin like a medical splinter of wood (science-fictional but probably impractical).
Topical creams are usually for delivering medicine to the skin not through the skin, since said skin is remarkably good at preventing drugs from penetrating. The few drugs that can penetrate are sometimes administered by a transdermal patch. Thankfully, one of the drugs that can penetrate is dimenhydrinate, an anti-nausea drug. NASA astronauts always stick on one of these when they get into a space suit for an EVA. This prevents both nausea and the danger of an astronaut drowning in a fishbowl full of their own vomit.
And of course assassins spend a lot of time inventing surprising and unexpected ways to get poison into their victims.
These are hypothetical drugs that help astronauts cope with high spacecraft acceleration or walking around on a heavy gravity planet. Keep in mind that if one has been in freefall for eight months on a Terra-Mars Hohmann trajectory, the one-third g of Mars will count as "heavy gravity" for your atrophied muscles.
In Poul Anderson's THE STAR FOX and in George O. Smith's VENUS EQUILATERAL series the drug Gravanol helps prevent damage if one is exposed to prolonged periods on a planet with more than 1.0 g of gravity, or multi-gravity acceleration on a spacecraft.
In The Expanse spacecraft pilots who need to function at accelerations higher than 1.0 g will go on "the juice". A set of auto-injectors built into the acceleration couch will pivot to the pilot's carotid arteries.
- In the Traveller RPG, Combat drug increases a soldier's endurance and strength, but does cause medical damage to the user.
- In Marvel Comics, Captain America was created using the Super-Soldier Serum
- In SOLDIERS RUNNING by Brian Aldiss, both hostile nations are experimenting with drugs to increase the ability of their soldiers. The latest one is Fast-Plus, a sort of a hyperactivity inducing drug.
- In The Tar-Aiym Krang by Alan Dean Foster, starship combat pilots use Heightened-Instinct-Perception drugs to become ultra deadly fighters.
If you drank too much alcohol the night before, waking up is not going to be pretty. Currently there are no 100% effective hangover remedies but hopefully future medical science will invent a cure.
Also in science fiction are drugs that prevent one from becoming inebriated no matter how much alcohol is consumed, such as the "soberpills" from Poul Anderson's STAR WAYS. While no fun at all at a party, such drugs are useful when one wants to keep a clear head while your target or mark is trying to drink you under the table.
These are drugs that put a person into a months-long coma (like a hibernating bear) or actually allow them to be frozen as a static block of ice (suspended animation) to drastically reduce consumption of life support air and food. Or to stabilize a crewmember who is seriously ill or injured when the ship cannot return to Terra for another two years.
In the RPG Traveller Fast drug puts the user into hibernation for 60 days during which they require only 1 day's worth of oxygen and food.
In Arthur C. Clarke's CHILDHOOD'S END the drug Narcosamine is used to induce hibernation, reducing consumables required for prolonged spaceflight.
In Jack Williamson's LIFEBURST the drug Metabrake is used to induce hibernation to assist surviving space disasters. Survivors need to recover in sick-bay, while counteractants are used to flush the metabrake out of the patient's system. In his earlier novel TRAPPED IN SPACE he calls it a "deep-sleep shot", and it is calibrated to wear off at a given point in time. When the shot wears off, medical attention is required immediately.
And in any science fiction featuring suspended animation or hibernation un-named drugs are commonly used to initiate the process.
In the real world, spaceflight researchers are studying how to induce hibernation. Methods being studied include Therapeutic Hypothermia (temperature-based hibernation), Chemical/Drug-based (hydrogen sulfide or activating adenosine receptors), and Brain Synaptic-based.
Drugs that amplify intelligence (temporarily or permanently) are technically called Nootropics (aka smart drugs, memory enhancers, neuro enhancers, cognitive enhancers, and intelligence enhancers).
- R-47 from Gordon Dickson's THE R-MASTER
- VC (viral coefficient) from John Brunner's THE STONE THAT NEVER CAME DOWN
- Hormone K Treatment from Ted Chiang's UNDERSTAND
- Methuen Treatment from L. Sprague de Camp's THE EXALTED
- NZT-48 from the movie LIMITLESS
- CPH4 from the movie LUCY
- IQ Boosters from Charles Pellegrino and George Zebrowski THE KILLING STAR
These are super-duper versions of "truth serum". The difference is that the science fictional versions actually work.
- Babble Juice from Robert Heinlein's DOUBLE STAR
- Truth Drug from Traveller RPG
- TC-6 from Roger Zelazny's THE EVE OF ROMOKO
- Telol (aka "tell-all") from the Star Frontiers RPG
- Fast-Penta from Lois McMaster Bujold's MILES VORKOSIGAN series
- "Moment of Truth" from James Schmitz's LION LOOSE
Related are the Focus Drugs from The Expanse. They are not used on the person being questioned, instead they are used by the interrogator. It turns them into a super-duper human lie detector. They can spot fractional second changes of expression and other tells exhibited by the person being questioned.
When Expanse co-author Daniel Abraham was asked about focus drugs he said: "Well, it’s a nootropic drug. We don’t specify exactly what it is, but it’s job is to increase focus, to cut away the distractions and to allow people to hyper-focus on whatever it is that they’re doing Um, it’s not unlike what we do with Ritalin."
Antimicrobials are medications used to treat microbial infections. They include antibiotics, antifungals, antivirals, antiparasitics, and various non-pharmaceutical treatments. Overuse of a particular antibiotic can cause antimicrobial resistance, rendering that antibiotic useless. If by chronic overuse you have managed to render useless all the drugs effective against your disease, you have a serious problem.
In the RPG Traveller, Panacea drug augments healing and Medical Slow drug puts the user into a coma for one day during which they experience a month's worth of healing.
In the RPG Space Opera, a person at death's door can be administered the drug Thanokalamine. This will arrest decay of all body tissue (including the brain and nervous system) long enough to get them to a hospital with Death Revival capability. Shrewd people in dangerous lines of work wear PMS personal medisensor bracelets that monitor their body's vital signs, injecting thanokalamine at need. The comic Murphy's Rules asks the awkward question: how can the drug circulate through the body if the victim's heart has already stopped? A less drastic drug Quicktime Regen rapidly increases wound healing rates.
Star Trek had "tri-ox compound." It is a intravenous medicine used for rapidly oxygenating the blood cells of a living being. Useful if the patient had their space suit oxygen tanks run dry or are otherwise suffocating. As with so many other scifi concepts predicted by Star Trek, this one came true. Doctor McCoy saved Captain Kirk's life with this in The Tholian Web. He did it a second time by pretending to inject Kirk with Tri-ox in the guise of compensating athletic performance in the relatively low oxygen atmosphere of the planet Vulcan (but instead slipped Kirk a mickey). However tri-ox would have made Kirk's blood flush with oxygen. Which means Olympic coaches everywhere are desperately trying to get their hands on the real world version of the stuff to give their athletes an edge.
Poisons are used to kill people.
Remember all drugs are poisons, and all poisons are drugs; the only difference is the dosage. For most poisons, there exists an antidote that will prevent the poison from killing the victim if it is administered in time. Some poisons have no antidote, e.g., Aconitine. In less scientific eras con-artists did a brisk trade in bogus "universal antidotes" with kings, aristocracy, and other wealthy assasination targets. In more scientific eras this con might continue, only replacing the description "powered unicorn horn" with something like "nanotechnology."
Technically a "toxin" is a poison that is produce by a plant or animal in nature (instead of being brewed up in a chemical lab by an assasin). A "venom" is a toxin that an animal injects by a bite or sting. The old rule-of-thumb is: If you bite an animal and you die, the animal is poisonous. If the animal bites you and you die, the animal is venomous.
In David Brin's The Uplift War, the Gubru invaders have to deal with resistance from native partisans (guerrilla warfare, with uplifted gorillas). To deal with this, the Gubru use what is called "hostage gas" or "coercion gas". When they find a knot of guerrilla resistance in the jungle, they hose the place down with hostage gas and announce that the gas is poison that will kill in a few days. The gassed guerrilla have a choice of [a] turning themselves in at the POW camp and getting a shot of the antidote or [b] dying hideously.
In Frank Herbert's DUNE there is a remarkably nasty innovation called a Residual Poison.
With most poisons, a victim who is given the proper antidode will not die, and the poison will be flushed out of the body.
With a dreaded residual poison, the antidote will spare the life of the victim but the poison will remain in the body forever. The victim must receive a daily dose of the antidote for the rest of their lives to prevent death. This puts them at the mercy of the poisoner. Unless they follow all commands of the poisoner they will die when the antidote is withheld. The only way to be freed from being the poisoner's slave is to [a] discover the identity of the antidote and [b] secure a life-time supply of the stuff.
A really underhanded poisoner may dose their victim with both the residual poison and the antidote in secret, if they can plausibly prevent the victim from scanning their food with a Dune Poison Snooper . The victim will have no idea that their lifespan is now at the whim of the poisoner, until the most dramatic moment. All the poisoner has to do is to covertly ensure that the victim is regularly fed the antidode. The victim can use a poison snooper all they want. Since the antidote is not a poison, the snooper will return a null reading.
In this case, for a victim to be freed from being the poisoner's slave requres an additional step [c] discover that you were residual poisoned in the first place.
The poisoner who wants to secretly dose somebody with a residual poison has a monumental task. The Dune aristocracy is so ultra-paranoid about being poisoned that use of a poison snooper is obsessively done. This is because assasination by poison is so common in the Dune universe that they actually have separate words for poisons in the food and poisons in drinks.
These drugs make one "immortal" in the sense of becoming partially or fully immune to dying from old age. You can still die from starvation, being blown out an airlock with no spacesuit, or being drilled between the eyes by a laser rifle.
Such drugs do NOT make one immortal in the sense of "invulnerability" or being remarkably difficult to kill with clubs, swords, or firearms (Wolverine-like levels of regeneration, resurrection from the dead like Count Dracula, that sort of thing).
Obviously the existence of such drugs will have a drastic affect on society. Since nobody wants to die such drugs will be fantasically expensive/valuable, and probably controlled substances if not flat-out illegal. Meaning there will be a huge black market and organized-crime operation.
- In James Blish's CITIES IN FLIGHT series such drugs are called "Anti-Agathic". The term is derived from Greek agathos, “good,” presumably Mr. Blish confused this with thanatos, “death”. Unless he meant that such drugs destroy good.
- Antiagathic drug from Traveller RPG
- In the Babylon-5 episode Deathwalker the drug is called an anti-agapic, which could be a deliberate misspelling of anti-agathic. In the episode the drug works as advertised, but it is a trap created by Deathwalker. She had a grudge against the League of Non-Aligned Worlds, and the details about manufacturing the drug would have plunged them into an instant civil war.
- Digestive of Gerald Kersh's "WHATEVER HAPPENED TO CORPORAL CUCKOO?"
- Boosterspice from Larry Niven's "KNOWN SPACE" series
- Antigerone in John Wyndham's TROUBLE WITH LICHEN
- Stroon / Santaclara from Cordwainer Smith's INSTRUMENTALITY OF MANKIND series
- The spice Melange from Frank Herbert's DUNE novels
In Robert Forward's FLIGHT OF THE DRAGONFLY aka ROCHEWORLD, the drug No-Die slows the aging process to one-fourth the normal rate. Unfortunately it temporarily lowers intelligence by roughly the same factor.
For the 42 year slower-than-light interstellar mission, the planners chose astronauts with higher than normal IQ. This was so No-Die only lowered their intelligence to that of a small child instead of to that of a newborn infant. The crew was looked after by the ship's computer, until the destination was reached. This allowed the crew to arrive and start exploring Alpha Centauri with an average biological age of 40 years instead of 72.
These are drugs that bestow or amplyfy mystical magical psionic powers.
- The mutagen ephemerol from the movie SCANNERS causes pregnant women to give birth to children with psionic powers.
- In the RPG Traveller, Psi-Booster drug temporarily increases an already psionic person's power a little, Psi-Double drug temporarily increases a psi's power a lot, and Psi-Special drug hourly increases a psi's power up to the maximum, then drops back to normal.
- The spice Melange from Frank Herbert's DUNE novels sometimes grants the psionic ability of seeing the future.
And in many science fiction novels there are drugs that suppress psionic powers, used by the authorities to control psionic people. Otherwise the cops can't keep teleporters from escaping their jail cells. In Babylon 5 all telepaths have to either join the Psi Corps and be subjected to their discipline, or a Psi Cop shows up once a week to give you an injection suppressing your telepathy and giving you the thorazine shuffle.
Drugs that make one more happy while simultaneously making one less able to operate heavy machinery have been around since cave man days. Archeologists suspect that agriculture was invented not to make food but more to make beer. Recreational drugs has been around for many thousands of years, it is not going to go away any time soon.
The legality of such substances is often more a matter of political factors than practicality. The fact that in many western cultures such recreational drugs as tobacco and alcohol remain legal while safer drugs are not is an object lesson. It makes more logical sense to legislate government regulation of controlled substances on the basis of addiction potential or toxic effect. Be that as it may, such political reasons will probably be common in the far future, because some things never change.
A few 1970s era science fiction stories tried to be edgy and shocking by depicting future societies with legal use of marijuana. As I write this sentence in 2019 such edginess is becoming passé due to real-world efforts at legalization.
In Adous Huxley's BRAVE NEW WORLD, the upper crust is kept tranquillized by a perfectly safe euphoric drug called Soma.
In E.E."Doc" Smith's LENSMAN series the dreaded Thionite is an addictive drug which will make the user experience the hallucination of every desire they ever had becoming true. Meanwhile the user's body is in a tetanus-like spasm. The first thing a user wants after coming out of the spasm is another dose, which unfortunately will give you a deadly heart attack. Smart users ensure there are no additional doses within crawling distance.
In the satirical comedy novel Red Dwarf: Infinity Welcomes Careful Drivers by Grant Naylor, there is the recreational drug Bliss. This drug is so addictive that you get hooked by merely looking at it… which makes it very difficult for police to carry our drug busts.
Criminally they are used as knockout drops or "slipping them a Mickey". The person rendered unconsious can then be robbed or Shanghaied into being an involuntary ship crew member by an evil crimp. In the 1800s chloral hydrate was the popular knockout drops due to its ease of manufacture. In the 1900s the chloroform-soaked rags became common (at least in crime novels).
Stimulants aka psychostimulants or "uppers". They induce temporary improvements in either mental or physical functions or both. Effects may include enhanced alertness, wakefulness, and locomotion. They range from caffeine (coffee), amphetamine, cocaine, to methamphetamine (crystal meth).
In Joe Haldeman's THE FOREVER WAR soldiers going too long without sleep can take stimtab, with the understanding that you will pay a metabolic price when it wears off. At that point you can take a second stimtab, but the price increases. You can stay awake and energetic for hundreds of hours on stimtabs but aberrations of judgement and perception snowballed after the second. Eventually you will take freaky hallucinations at face value, and find yourself fidgeting for hours deciding whether to have breakfast.
In David Drake's HAMMER'S SLAMMERS series, the soldiers take a stimulant called a "popper" for the same reasons, and with similar consequences.
In the Space Opera RPG, the drug Tempo will artificially restore lost stamina for 8 hours then for the next 4 hours they are at risk for unexpectedly falling unconscious. The drug Expeditor restores some lost stamina and give artificial extra energy for one hour, after it wears off they are at risk for falling unconscious for the next hour.
- In the RPG Traveller, "Slow" drug accelerates the user's perception and motion by a factor of two (e.g., user can fire their sidearm twice in the time it takes their opponent to fire once) but drug causes medical damage to the user.
- Tempus from Robert Heinlein's THE PUPPET MASTERS
- The eponymous drug from H. G. Well's The New Accelerator
- Scalosian water from the classic Trek episode Wink of an Eye. People under the influence move so rapidly that they cannot be seen. The episode author got the idea from The New Accelerator.
- The time accelerator in Arthur C. Clarke's All the Time in the World can speed up a person by a factor of about 500,000. Technically it is a physical device worn on the wrist, not a drug.
Time Decelerators do the opposite, they make the user think and move slower than normal. Everybody around the user appears to be moving like blurs. Note that this will increase the perception of apparent gravity by the same factor. Often the user's body ages at a slower rate as well.
- The eponymous drug from Grant Allen's Pausodyne is used for suspended animation, as are many drugs in science fiction used for hibernation/suspended animation for prolonged space flights.
- the "Fast" drug from the RGP Traveller slows the user down by a factor of 60:1, it is used for hibernation for space flights. The user is unconsious for the duration and ages at 1/60th of the normal rate.
- The S-Space protocol of Charles Sheffield's BETWEEN THE STROKES OF NIGHT slows the user down by a factor of 2,000:1. This means that a trip between stars in a ship moving at 0.1 c only takes a couple of weeks from the standpoint of a person in S-Space mode, but several hundred years from the standpoint of a person in normal mode. Users are conscious, but can only move in free fall or up to a 1/2,000 gravity field.
On a spacecraft where the payload fraction is really tight, they might not have the luxury of bringing along every single medical drug they might conceivably need.
It would be a vast savings in payload mass if the ship can instead bring along some general purpose chemicals and make just the drug that is needed, on demand.
The near-future technology is to use genetically engineered yeast or bacteria in a bioreactor to convert the bacteria food into pharmaceutical product. This is much like the production of beer or wine, but with a more complicated end-product. Penicillin used to be manufactured this way, until they figured out how to synthesize it from scratch. The challenge is designing a bioreactor that will work in free fall.
The far-future technology is to use some form of incredibly advanced 3D printer technology to assemble the medication atom-by-atom via nanotechnology.
Naturally the sickbay crew will have to keep the drug machine under lock and key to prevent some selfish crew member from wasting the precursor chemicals on printing up a batch of recreational chemicals.
In wilderness areas the crew will carry first-aid kits (containing much more than just a few band-aids and aspirin), and doctors/paramedics will carry portable medical kits. First-aid kits will also be located in damage control storage lockers in strategic parts of the spacecraft or lander.
In Harry Harrison's DEATHWORLD series, people carried little medikits. These require no medical training to use. When pressed over a puncture wound, the infection and poison analyzer will detect toxins and the medikit's tiny computer will automatically select and inject the required antidote(s). Assuming that the user has been vigilant about keeping all the antidote reservoirs filled, of course. Otherwise it will just beep a warning that it is out of the medicine you need, you moron. The user can also press a button to inject a temporary stimulant, though this is for emergency use only. The same goes for the sedation button and pain killer button.
In Larry Niven and Jerry Pournelle's THE GRIPPING HAND, elderly Horace Bury's wheelchair has a "diagnostic sleeve." It also does not require any medical training to use. When put on the arm, the sleeve does a quick automated medical examination including blood tests. The medical computer does a diagnosis and injects medications as required. If it detects a more serious problem it will sound the alert to call a doctor.
In the TV show Earth 2, doctors used a DiaGlove (diagnostic glove). This is a multiple medical tool for use by doctors on their patients, it requires extensive medical and surgical training in order to use. It can check a patient's heart rate, pulse, EKG, temperature, and do several types of blood tests. It can do ultrasound and MRI scans. It has integral tools that a doctor can use for basic surgical functions like laser incisions, cauterizing wounds, and suturing wounds shut. It can even administer defibrillator jolts if the patient suffers a cardiac arrest. It does not do any computerized diagnosis, that is the human doctor's job.
In the RPG Space Opera crew can wear a Personal Medisensor. This is a strap-on wrist unit the same size as a large wristwatch (ask your parents what a wristwatch was, kids). It constantly monitors the physical condition of the user and displays medical data with a holographic display (but it takes medical training to interpret the data). More to the point, if the user suddenly dies, the medisensor automatically injects a dose of Thanokalamine drug to keep their body fresh until their buddies can get them to a hospital with life revival capabilities.
In the RPG Champions Gadgets! supplement, there was a gadget called an AutoPepper heroes and villains wear on their bodies. If the wearer is knocked unconscious, the autopepper injects stimulants to wake them up and healing drugs to help with damage.
In Frank Herbert's DUNE novels, members of wealthy families prolong their life-span by always scanning their meals with a poison snooper before eating a single bite. The snooper will beep a warning if an enemy (or ambitious offspring) has slipped a deadly poison into the food or drink. This is so common that they have special words for poison placed in food (Chaumas) as opposed to poison placed in drink (Chaumurky). There were hand-held portable poison snoopers for eating on the go, and large models attached to the ceilings of the family dining halls.
There are quite a few real-world medical devices that could be called "medical tricorders" with very little exaggeration.
In the real world, in 2011 the X Prize Foundation announced the Tricorder X Prize. The constest is to develop a mobile device that can diagnose patients as well as or better than a panel of board certified physicians.
As of 2016, of the 40 teams that initially entered the competition who were reduced to 10 finalists, there are two teams still in the running.
Both contestants are using a mobile device for the brains (since smart phones and tablets are fundamentally small computers) that connect with diagnostic peripherals via Bluetooth (since wires just get tangled up). Both entries have tutorial videos in their mobile device, as well as printed instruction sheets. In theory the devices require zero medical training, just familiarity with smartphones and tablets.
Final Frontier Medical Devices is led by brothers Basil and George Harris, founders of Basil Leaf Technologies. Their tricorder is an iPad Mini talking via Bluetooth with a series of 3D printed diagnostic sensors. component.
Dynamical Biomarkers Group is led by Chung-Kang Peng of the Harvard Medical School. Their tricorder is centered around a box. The box has a modified HTC smartphone on top, and houses several medical sensors that connect to the phone via Bluetooth. Medical sensors include blood-glucose and urine test modules. The box is also the charger for all the sensors, with the box being energized by a standard USB cable. This is because one of the contest rules is the tricorder must be capable of monitoring a patient's vital signs for a full day.
Both entries will be tested over the next few months at the University of California, San Diego and scored. The winner will be announced around mid 2017. Naturally win or lose, both teams plan to bring their product to market, though obtaining certification from the FDA is going to be a nightmare. The XPrize foundation will try to help but against bureaucracy the gods themselves contend in vain.
Dynamical Biomarkers Group might have better luck obtaining certification in China. They have a somewhat less stringent process, and the government would be eager to bring such medical help to the remote regions of the country.
In Star Trek, doctors use medical tricorders (a tricorder optimized for medical use) to diagnose ailments (the pocket-sized medical scanner is a more portable but does not report as much detail). A device called an anabolic protoplaser is used to heal wounds by repairing torn veins and arteries and uniting the nerves and muscle fibers using some technobabble radiation. Hyposprays inject medications using jets of air instead of needles, this was cutting-edge science fiction in the time of the original Star Trek but is now common in the real world. In the field Starfleet doctors would carry a medkit containing essential medical tools.
According to the Star Fleet Medical Reference Manual, a medical tricorder has a compartment in the lower section containing a bare-bones emergency surgical kit.
When it comes to surgery, the tool schema is much like that of engineering tools. Surgical tools mainly fall into one of two categories. They cut one thing into two or they join two things into one. They subtract or add (the ancient alchemists called it "Solve et coagula", or analysis and synthesis). In Star Trek, the lasers scalpels cut things into two, and the anabolic protoplasers (somehow) cause body tissues to grow back together. The implication is that the protoplasers somehow use lasers to hyperstimulate anabolism (cell division). Which is total technobabble. In the real world the closest thing to a protoplaser is the skin-cell gun used for burns, but that requires stem cells harvested from the patient.
There are a few tools in other categories: Diagnostic, Measuring, and Supportive. The tricorder and medical scanner is the diagnostic tool (medical database and expert system) and the measuring tool (x-ray and MRI scans). Surgical supportive tools are not shown in Star Trek but in the real world they include retractors, clamps, and forceps. And of course an array of pharmaceutical drugs used to diagnose, cure, treat, or prevent disease.
Surgery is difficult in the field because for best results it requires a sterile area to operate in, and anesthesia for the patient. Star Trek surgical kits include a magic drug called "sterilite" which technobabblically protects the surgical patient from becoming infected when operated on in an unsterile environment. And another magic drug called "melanex" which technobabblically induces safe anesthesia. In the real world, anesthesia is a tricky dangerous procedure that must be closely monitored to prevent harming or killing the patient. The drugs used must be carefully matched to the patient's allergies and genetic make-up.
In the techno-magic area, there are many instances of science fictional technology of some kind of technobabble ray that instantly heals wounds that would ordinarily require surgery and a long convalescence. They are all pretty much fantasy, aside from the before-mentioned skin-cell gun.
Other devices emit technobabble rays that instantly cure disease, mostly by using some handwaving way to kill only the harmful bacterial/viruses but leaving untouched the vital microorganisms the body needs to function (such as the digestive bacteria in the colon). Killing all the bacteria could result in massive diarrhea at best, or an exotic death at worse. Perhaps even instant death, since the vital mitochondrion who produce the ATP cell fuel are more or less bacteria that symbiotically live inside the body's cells.
Such an antiseptic ray would have to be aim-able. Intestinal bacteria inside the bowels are vital and should be spared from the antiseptic ray. But the same bacteria released into the abdominal cavity by gastrointestinal perforation (say by a sword or gunshot) can cause death by sepsis. So it would be counterproductive to make the antiseptic ray such that E. coli bacteria are immune.
Contents of NASA's Shuttle first aid medical kit:
|Apollo Medical Accessories Kit|
Garment Harness Plug
|ECG Sponge Packages||14|
|Lunar Module Medical Kit|
|Stimulent Pills (Dexedrine)||4|
|Pain Pills (Darvon)||4|
|Decongestan Pills (Actifed)||8|
|Diarrhea Pills (Lomotil)||12|
|Eye Drops (Methylcellulose)||1|
|Antibiotic Ointment (Neosporin)||1|
|Sleeping Pills (Seconal)||6|
|Anesthetic Eye Drops||1|
|Nose Drops (Afrin)||1|
|Urine Collection Roll-On Cuffs||6|
|Injectable Drug Rucksack||1|
|ID Kit Cardiac (Lidocaine)||8|
"Autodoc" is short for "automatic doctor". It is a science-fictional high tech device shaped like a coffin that a patient enters. Once inside a medical computer diagnoses the patient and cures with the administration of appropriate medication and/or surgery. Just the thing if you cannot afford a real human doctor. Or for an army support ship that expects to be tasked with handling sudden influxes of large numbers of casualties.
They would be incredibly useful, but they do not exist in the real world, nor are they likely to exist anytime soon. No only are the technological challenges daunting, but liability insurance will make them prohibitively expensive until it is proven they have a higher success rate than human doctors. Whereupon they will face stiff resistance from human doctors facing job loss.
Autodocs appear in The Ethics of Madness by Larry Niven, A Plague of Demons by Keith Laumer, The Polity novels of Neal Asher, and the Liaden Universe novels by Sharon Lee and Steve Miller.
A fond sci-fi wish is to grant human beings the same ability found in some animals: to re-grow amputated limbs and such. Traditionally this take the form of a medical tank the patient floats in, but sometimes it is genetically engineered as an innate ability.
In science fiction the concept dates back at least to 1939 in E. E. "Doc" Smith's Gray Lensman, but the idea dates back to the time when the first pre-human noticed those autotomy lizards that shed their tail and later re-grow them. In the late 1960s there was some science news about the amazing regeneration powers of newts, in 1969 Frank Herbert mentioned "Axolotl Tanks" in Destination: Void , Dune Messiah, and The God Makers. In the Herbert novels Axolotl Tanks are also used for human cloning.
If your ship may be boarding people who are infected with a deadly plague, malignant alien parasites, covered in dangerous chemicals, crawling with combat nanotechnology, or dusted with radioactive fallout, you probably do not want them getting your ship or crew dirty. A special airlock leading into a decontamination chamber would be in order.
This is a specialized feature not found on all ship types. You'd expect it on hospital ships, rescue ships, exploration ships, and ships bringing emergency supplies to planetary disaster sites.
A less effective but cheaper option is to use a "suitport". This is where a special space suit attaches its backpack to a hatch on the ship, and the astronaut exist the suit through the backpack. It does reduce, for instance, the external skin of the suit from transporting abrasive lunar dust contamination into the airlock. But the contamination on the backpack still has to be dealt with. A more serious problem is the pressure difference habitat module and the space suit.
In H. Beam Piper's Uller Uprising, the atmosphere of the planet was highly toxic to humans (large amounts of fluorine and fluoride gasses). The pressurized human bases and vehicles had special airlocks, with three consecutive chambers and four doors. Only one door would open at a time, and the middle chamber was always in vacuum. The purpose was to minimize traces of the planetary atmosphere entering the pressurized base.
In the novel and movie The Andromeda Strain at the top-secret underground Wildfire biological laboratory the doctors had to remove and burn their clothing, bathe in various chemical disinfectants, be exposed to ultraviolet rays, and have a xenon-flash unit burn the outer layer of skin and all their body hair into ash (except for the head). Oh, and rectal suppositories in a futile attempt to ensure that anal leakage was as sterile as possible.
The Wildfire laboratory also had something akin to a suitport but it was more like a glove-box. Except instead of covering just your hands, it covered your entire body. Like the Hanford suits, they had a long elastic tunnel attached to the back, leading to a hatch in the wall.
Naturally the decontamination method depends upon the expected contaminant.
Also note that the decontamination only removes surface contamination. If the people have internal contamination (infected by plague or inhaling radioactive fallout) they will have to be put into a quarantine chamber.
In the TV show Star Trek, they use the hand-waving Transporter to remove contamination, internal and external. As their atomic structure is removed from the starting location and transported to the ship, any (known) harmful bacterial, virus, or dangerous elements are "filtered out". Which is hand-waving at best and has creepy dystopian applications at worse.