Starfleet Medical Corps: Technical Manual

"This manual is for the use of Starfleet Medical Personnel and contains selected material from the data banks of the master computer. Depending on the laws in your state, level of training, and level of certification, some 'information in this text may not be applicable to you. This is not a complete 'and unimpeachable document, and it is the responsibility of the holder to use sound judgement when reading or attempting to implement any action contain herein. User assumes full responsibility." -Starfleet Medical Corps Classified

Research and Compiled By:
Don Stevens

Starfleet Medical Corps Director

"It is with many thanks I owe to Gene Roddenberry creator of Star Trek for creating such a lasting and fun universe for us to play. I would also like to thank my wife for putting up with, and/or sharing my love of Star Trek, and almost all things Trek. I thank the actors for playing the parts of the characters we love, the writers that wrote the stories we loved, and everyone who played a part in making the show that we loved. I also want to thank everyone who has ever had a part in producing a technical manual for Star Trek for inspiration!"

April 20, 2010

Official Use Only
Starfleet Medical Corps Headquarters, Earth

Captain Don Stevens EMT-B

Director Starfleet Medical

To: All divisions concerned

Starfleet Command

1. This manual is for the use of Starfleet Medical personnel and all Starfleet personnel with the proper level of certification to practice the procedures herein.


 * All may read for enrichment and entertainment value.


 * Members with basic first aid training.


 * Members with CPR, CPR for healthcare providers with current certification.


 * Members with EMT-R level training and current certification.


 * Members with EMT-B level training and current certification.


 * Members with any training including and above EMT-I, P, or RN, BSN, NP, or M.D. (not excluding any other certified medical training not listed.)

2. This is not an exhaustive text on the practice of any form of medicine on Earth or in space. Starfleet Medical Corps does its best to make sure the content is correct up to the date of publication. Even though the Corps does its best, we can not restate enough that this text is not complete. The knowledge in this manual may be of practical use to those who already have training in said subjects and is not meant for those who know not these things to used them for their use. 3. If you are reading this for recreation and find the contents interesting and would like to learn further about the fields mentioned in this text it is encouraged. Please contact your local training facilities. A list of approved training outfits will be listed in this text.

Charter
We the Fans of Star Trek, in order to form a more perfect fan club and to promote the general wellbeing of its members, the Star Trek community, and the community at large do hereby establish this charter for Starfleet Medical Corps.

Section One, Part One: Director (Commander Starfleet Medical)
Director of Starfleet Medical Corps must have at minimum:


 * Current Healthcare Provider CPR

("Commander Starfleet Medical" is a administrative title only.)

Section One, Part Two: Director (Commander Starfleet Medical)
Director of Starfleet Medical Corps (Corps) shall be Don Stevens. He shall retain directorship until such time as there are enough active members in order to justify setting command of the Corps up in a democratic fashion. This is to be determined by Don Stevens and the current active members of the Corps.  (this section is still in developement) 

Section Two, Part One: Ships Commanding Officer (Chief Medical Officer)
It is the desire for Commanding officers or the CO of a Corps vessel or starbase to be the Chief Medical Officer or a member of the “medical community,” with:


 * Current CPR for healthcare provider card.


 * Other medical credential

Section Two, Part Two: Ships Commanding Officer (Non-medical)
If a ship or starbase CO is not a member of the “medical community” they must meet the following criteria:


 * CPR


 * Have at lest one member of their crew that has CPR in addition to themselves.


 * Be a current vessel at the time of joining the Corps and have at least one member with CPR or a member of the medical community as a member of their vessel or starbase within one calendar year.

Section Two, Part three: Responsibilities of Commanding Officers
The CO of a vessel or starbase MUST do the following:


 * Report monthly in an email or chat to the Director of Starfleet Medical Corps.


 * Respond to the emails of their crew.

It is encouraged that a CO:


 * Promote CPR


 * Is active in their community


 * Support our own real life military that keeps us safe so we can pretend.

Section three: Executive Officer (XO or First Officer)
This is left up to the discretion of the Commanding Officer they may choose their own XO with the following restriction:


 * XO must hold the rank of Lieutenant Commander or above.


 * Must be an active member of the Corps.

Section Four: Science Officer, Chief Engineer, and Chief of Operations, or Chief of Communications…
This is left up to the discretion of the Commanding Officer they may choose there own on the basis of qualification or fun. It is also up to the CO to assign roles to these officers. These positions must:


 * Hold the rank of Lieutenant or above

Section Five: Powers of Commanding Officers

 * To promote members of their crews up to the rank of Lieutenant Commander.


 * Name their own vessels or bases, as well as agree with Corps command on registry numbers. (no vulgarities)


 * To choose their own vessel or to change the class of vessel with agreement of Corps command, so long as the vessel is in Star Trek cannon.


 * To design their own vessel or starbase with oversight of Corps command. (This starbase or vessel must be in the spirit of Star Trek.


 * Other non-stated “powers” are sure to exist on a case by case, ship by ship, or starbase by starbase basis.

Section Five, Part Two: Restrictions of a Commanding Officer

 * Pull rank in real life (see General Orders.)
 * Demote a member in rank (only in position or title.)

Section One: Officers: Fleet / Marines

 * Captain / Colonel
 * Commander / Lieutenant Colonel
 * Lieutenant Commander / Major
 * Lieutenant / Captain
 * Lieutenant Junior Grade / First Lieutenant
 * Ensign / Second Lieutenant

Section Two: Enlisted: Fleet / Marines

 * Midshipman


 * Any member of the United States Military or its allies may hold their enlisted or NCO rank including and up to Warrant officer rank or its fleet equivalent.

Section Three: Ranks Higher Than Captain
Starfleet Medical Corps Command must approve any rank higher than the rank of captain. Examples being:


 * Fleet Captain


 * Commodore


 * Admiral (any level)


 * Or the equivalent rank of the aforementioned ranks above.

Section Four: Transfers
Military rank from the United States Armed Forces or its allies up to Warrant Officer rank may be transferred to the Corps. Ranks of officers may also be transferred up to and including Captain, without Command’s approval. Transfers / affiliates from other Star Trek clubs and ships may also transfer up to and including Commander. Captains who are the CO will be approved. Their CO as a point of procedure will submit captains that are not the CO before they are approved.

Members of transferring / affiliated ships who have ranks above that of Captain may request reasonable transfer of rank.

Section Five: Rights and Privileges of Rank
''Your rights and privileges in rank are the right to be called that rank if your fellow members so choose to call you that rank. You do not have the right to order anyone around (see General Orders.) You have the power to be any rank you want to be, no one has to agree with you, but they can!''

Section Six: Advancing Rank.
How a member of Starfleet Medical Corps advances in rank is up to his CO. Starfleet Medical Corps has the right to advance any member in rank, who is an active member, that request a rank upgrade on the merit of advancement in medical training. A CO has the right to not recognize the crew members advance in rank if they so choose. The advancement will be on record at Corps Headquarters. Any member who does not wish rank advancement may refuse on his own prerogative.

Section Seven: Ship’s Captain as a Figurehead
If the CO of the vessel or starbase is a Medical Officer and does not wish to be called Ship Captain then a figurehead may be appointed. This person will hold the rank of Captain regardless of prior rank. If they hold the position for a whole calendar year they will retain that rank preeminently.

Starships

 * Ten members (Once a ship is commisioned and it falls below 10 members there is a one year grace period. Given the nature of the club and the fact that anyone can join for free I doubt there will be an issue.)


 * One current CPR card (see Article One: Section Two)


 * Ship name


 * Ship type


 * Ship image

Starbase

 * 20 members (once a starbase is commissioned and it falls below 20 members there is a one year grace period. Given the nature of the club and the fact that anyone can join for free i doubt there will be an issue.)


 * One current CPR card (see Article One: Section Two)


 * Starbase name


 * Starbase image

Vessel (any ship from a small ship to a starship. In this case a ship smaller than a starship.)

 * 9 members or less.


 * CPR membership within six months.


 * Vessel name


 * Vessel type


 * Vessel image

Article Four: The Fan Club Clause
It is a fan club, have fun, take it seriously when you’re doing something serious, (teaching someone first aid or CPR,) have fun when you are being a Starfleet officer! HAVE FUN! Remember these are guidelines, following them will help, but these rules, for the most part, are made to be flexible.

General Orders
General Order One: "No starship may interfere with the normal development of any alien life or society."

Real World Equivalent (RWE): Treat no patient that does not want to be treated. If patient is not alert and oriented times three, and you are not in the role of your Real World (RW) service, then call the proper civil authorities.

General Order Two: Star Fleet Medical Oath (based on Hospital Corpsman’s Oath) "I solemnly pledge myself before God and these witnesses to practice faithfully all of my duties as a member of Starfleet Medical Corps . I hold the care of the sick and injured to be a privilege and a sacred trust and will assist the Medical Officer with loyalty and honesty. I will not knowingly permit harm to come to any patient. I will not partake of nor administer any unauthorized medication. I will hold all personal matters pertaining to the private lives of patients in strict confidence. I dedicate my heart, mind and strength to the work before me. I shall do all within my power to show in myself an example of all that is honorable and good throughout my Starfleet career." emphasis added

RWE: Just as it says, but without the “Starfleet” part.

General Order Three: Starfleet Medical Corps rank and titles are superceded at times of medical emergency by training, skill, knowledge, or certification.

RWE: This is a fan club and in real life the only orders that count or are real is when skill and experience count.

General Order Four: See General Order Seven.

General Order Five: Any Starfleet Medical Officer must do everything reasonable in his power to, get to his patient, defend his patient, get his patient back to base or the ship. This includes engaging the enemy in combat.

RWE: Scene Safe? Just get out of there or don’t go at all. Stage until law enforcement has cleared the area! You can’t help them if you are dead or hurt!

General Order Six: If all life aboard a Federation Starship has perished, the ship will self-destruct within twenty-four hours to protect other ships from potential hazards within.

RWE: Do not leave anything behind that could cause harm, dispose of it properly.

General Order Seven: No vessel under any condition, emergency or otherwise, is to visit Talos IV.

RWE: Don’t go where you do not belong!

General Order Eight: Body, Substance, and Isolation! It may be sentient, but you don’t know where it has been!

RWE: Same.

General Order Nine: Do not give care above your level of training and certification.

RWE: Same.

General Order Ten: Whatever you do document it. do it!

RWE: Same.

General Order Eleven: If you did not document it, you did not do it!

RWE: Same.

General Order Twelve: On the approach of any vessel, when communications have not been established take a defensive posture.

RWE: Scene Safe? Just get out of there or don’t go at all. Stage until law enforcement has cleared the area! You can’t help them if you are dead or hurt!

General Order Thirteen: Order to abandon ship.

RWE: Scene Safe? Just get out of there or don’t go at all. Stage until law enforcement has cleared the area! You can’t help them if you are dead or hurt!

General Order Fourteen: If a site must be abandoned, take the patient with you!

RWE: If you can do it, take the patient with you, if you can.

General Order Fifteen: No flag officer shall beam into a hazardous area without armed escort.

RWE: You need to go where you are sending your people, unless there is a more pressing reason for you to stay put and do what needs to be done where you are at.

Due to the nature of Starfleet Medical Corps new General orders may be amended or altered as seen fit by command.

Starfleet Directives, Orders, and Regulations
The following Starfleet Directives and Orders relate directly to a Starfleet Medical Class Starship:

Directive 010: Before engaging alien species in battle, any and all attempts to make first contact and achieve nonmilitary resolution must be made.

Directive 101: Any individual accused of murder does not have to answer any questions.

Starfleet Order 2: Starfleet regulation against the taking of intelligent life. Note: Starfleet Order two is superseded by General Order: 5.

Starfleet Order 104: Section C - Should it be proven with admissible evidence that the flag officer who has assumed command is medically or psychologically unfit for command, the starship's ranking officer may relieve them on that basis. However, such an action must be supported by an appropriate certification of unfitness by the ship's Chief Medical Officer (requiring the CMO to also produce test results to that effect) or other clear evidence, such as an act of attempted suicide.

Starfleet Order 2005: Orders the destruction of a starship by allowing matter and antimatter to mix in an uncontrolled manner. This is a last resort for a captain that allows him/her to prevent their ship or crew from falling into enemy hands.

Regulation 3 (Paragraph 12): In the event of imminent destruction, a Starfleet Captain is authorized to preserve the lives of his crew by any justifiable means.

Regulation 6.57: At least two staff officers to be present during any treaty or contract negotiations. (Adopted my Starfleet Medical Corps 2-18-2010)

Regulation 46A: If transmissions are being monitored during battle, no uncoded messages on an open channel.

Regulation 157, Section 3 (Paragraph 18): Starfleet officers shall take all necessary precautions to minimize any participation in historical events.

Regulation 191 (Article 14): In a combat situation involving more than one ship, command falls to the vessel with tactical superiority, should there not be a higher ranking officer present.

Regulation 476.9: All away teams must report to the bridge at least once every 24 hours.

Regulation 2884.3: Substances unstable in an oxygen atmosphere must be handled with care.

Procedure Q: If a state of deep hostility exists, a landing party is to beam down fully armed and ready for any kind of trouble.

Reserve activation clause: Starfleet regulation, which allows for the recall of a retired or discharged officer in the event of an emergency.

Medical Emergency on Alien Terrain: It is recommended to keep an open com-channel at all times.

Medical Emergency on Alien Terrain: Specifically forbid the transport of unknown infectious agents onto a starship without establishing containment and eradication protocols.

Regulation 121 (Section A): The Chief Medical Officer has the power to relieve an officer or crewman of his or her duties if in the CMO professional judgment, the individual is medically unfit, compromised by an alien intelligence or otherwise exhibits behavior that indicates seriously impaired judgment.

Due to the nature of Starfleet Medical Corps orders may be amended or altered as seen fit by command.