Civilization manualBook 1: From Bare Hands to Steam and Electricity765 entries · 23 phases · 100 years
The Island

The Health thread

Remedies, painkillers, anaesthetics, surgery, instruments and the first antibiotic. 60 entries, in the order they are reached.

Phase 01 — First days: water, fire, shelter Year 1 (days 1–7)

01.24First-aid kitpressure and clean cloth for bleeding, boiled water to wash wounds, splints and slings for breaksyear 1
01.26Monthly hygienewashable pads, a wash rule and privacy for the twelve womenyear 1
01.27Life-saving drillwhat to do in the first minutes for choking, drowning, stopped breath and heavy bleedingyear 1

Phase 03 — Food security and the first camp Year 1

03.23Herb garden and remedy list ⚠wound, fever and stomach remedies; the strong plants (foxglove, castor, senna, belladonna) are grown apart and not used until doses can be weighedyear 1
03.24Charcoal for swallowed poisoncrushed charcoal in water, given at onceyear 1
03.36Willow-bark teathe first painkiller and fever remedyyear 1
03.37Honey dressings and leaf poulticeskeep a wound clean and draw out infectionyear 1
03.38Bites and stingswashing and dressing a bite, what to do for a snake bite, relief for stingsyear 1
03.39Salt-and-honey drinkputs back what fever and loose bowels take out; saves more lives than any other remedy; never made with honey for a child under one yearyear 1
03.40Birth hut and birth kita clean place, boiled ties, a flamed blade and two trained helpersyear 1
03.41Mother and infant carechecks before the birth, care of the newborn, weaning foods and boiled water for infantsyear 1
03.42Sick hut and the keeping-apart ruleanyone with fever or flux is nursed away from the campyear 1
03.43Care of teethdaily cleaning with a chew stick and salt or chalkyear 1
03.44Burial grounda place for the dead, away from the water, where they are laid to rest and rememberedyear 1
03.45Worms, lice and fleasmeat and fish cooked through, washing and combing, pigs kept from the latrineyear 1

Phase 04 — Clay, kilns, charcoal and lime Years 1–2

04.31Ointments, infusions and decoctionseach herb prepared the same way every timeyear 2
04.32Gypsum plastera cast that holds a broken limb still; also moulds and smooth wallsyear 2

Phase 05 — Copper and bronze Years 2–3

05.29Bronze healer's toolstweezers, probes, needles, lancet and cautery ironyear 3

Phase 06 — Iron and steel Years 3–5

06.31Steel surgical instrumentsscalpels, forceps, tooth forceps, scissors, bone saw and curved needlesyear 5

Phase 07 — Carpentry, the village, measures and writing Years 4–9

07.48Infirmarya separate sick house with washable lime-plastered walls, its own water and its own privyyear 9
07.49The formularyevery remedy, dose and warning written in the Record, with doses by weight; the strong plant drugs are used only from here onyear 9
07.52Wooden listening tubehears the heart, the lungs and the unborn childyear 9
07.53Delivery forceps and checks before the birththe unborn child's heart heard, and a hard birth helpedyear 9

Phase 08 — Farming, cloth, leather and household industry Years 6–18

08.42Opium poppy plot and raw opium ⚠strong relief for severe pain; kept locked and given only by the healeryear 16
08.43Boiled linen bandages, gauze and cotton woolyear 17
08.44Gut and linen suturesthread for sewing woundsyear 17
08.45Stretcher, crutches and a working handthe injured carried out; a hook and grip for a hand that has lost fingersyear 17

Phase 11 — Glass, chemistry, petroleum, rubber and cement Years 24–32

11.58Tinctures and laudanum ⚠plant medicines dissolved in alcohol and given by the dropyear 30
11.59Healing oils by steamclove for toothache, eucalyptus and mint for the chestyear 30
11.60Iodine and iodine tincturepainted on skin to kill germs before a cutyear 31
11.63Carbolic acid ⚠distilled from coal tar; the first surgical germ-killeryear 31
11.64Ether ⚠the first reliable anaesthetic: sleep without pain for surgeryyear 31
11.65Chloroform ⚠a second anaesthetic, which does not catch fireyear 31
11.66Laughing gas ⚠short anaesthesia for teeth and childbirthyear 31
11.67Morphine ⚠the active part of opium, purified so that a dose can be weighed exactlyyear 31
11.68Sterile salt water and distilled waterfor washing wounds and mixing medicinesyear 31
11.69Rubber medical goodsgloves, tubing, hot-water bottle, bulb syringeyear 32
11.70Antiseptic operating room ⚠scrubbed hands, boiled instruments, carbolic on everything, the patient asleep under etheryear 32

Phase 12 — Precision and machine tools Years 30–36

12.35Compound microscopeshows living things a thousand times too small to seeyear 35
12.36Hypodermic syringe and hollow needlemedicine put straight under the skinyear 35
12.37Fever thermometer and pulse timingfever and heartbeat as numbersyear 35
12.38Blood-pressure gaugea rubber cuff and a column of mercuryyear 35
12.39Salt water into a vein ⚠replaces lost blood and fluid in the injured and in mothers after a hard birthyear 35
12.40Cold ether spray ⚠skin and gums chilled numb for small operationsyear 35
12.41Eye drops for the newbornone drop of weak silver solution in each eye prevents blindness from birthyear 35
12.42Treadle dental drill and fillings ⚠a decayed tooth cleaned out and filled, not pulledyear 36

Phase 13 — Steam power Years 34–40

13.27Steam steriliser ⚠steam under pressure kills every germ on instruments, dressings and culture jellyyear 39
13.29Stained slidesbacteria coloured so that they can be seen and told apartyear 39
13.30Culture dishes, seaweed jelly and warm cabinetgerms grown on purpose, one kind at a timeyear 40
13.31Porcelain candle filterstrains the germs out of a liquid without heating ityear 40
13.32The island's germs namedthe causes of wound fever and childbed fever found, grown and drawn in the Recordyear 40

Phase 14 — Electricity, generators, motors and batteries Years 38–45

14.40X-ray tube and glowing screen ⚠broken bones and swallowed metal seen through the fleshyear 44

Phase 15 — Railways, steam and electric cars, the power grid Years 43–50

15.36Salicylic acid and aspirinthe willow's painkiller made by the pound from coal taryear 49
15.37Serum against lockjaw ⚠made in a horse and given after a dirty woundyear 49
15.38The mould that kills germsa blue-green mould from spoiled fruit clears a ring in a dish of bacteriayear 49
15.39Mould broth for woundsthe mould grown in rows of flat sterile bottles on sugar broth; the filtered liquid heals infected woundsyear 49
15.40Penicillin for injection ⚠the broth concentrated cold, purified and dried; the first true cure for blood poisoningyear 49
15.41The hospitaloperating room, wards, laboratory, steriliser, electric light, X-ray, hot and cold wateryear 49

Phase 17 — The gasoline engine and the forklift Years 51–64

17.10Motor ambulancethe sick and the injured reach the hospital in minutesyear 56

Phase 21 — Microphone, speaker, magnetic tape and the telephone exchange Years 58–85

21.15Hearing aida small microphone, amplifier and earpiece worn by those who hear badlyyear 64