Trauma-and-Injuries

snowmedics  asked:

i would love any pairing and intimate bathing headcanons - not outright explicit but things like sharing a bath/shower, and maybe bits of grooming that go along with it, like helping their partner shave or styling/trimming their hair for them. anything cute and affectionate along those lines!

I’m thinking Babe and Roe sharing a bath together. I’m thinking after a long day of dealing with people and trauma and injuries; Gene just wants a warm bath to soothe his aching body and tired mind once he arrives home.

I’m thinking that Babe will greet Gene with a gentle smile and even gentler hands; divesting him out of his clothes and marching him to the bathroom.

I’m thinking about Babe pouring bath cream that smells like lavender, checking to see if the water is too hot before he nudges Gene to step inside.

And I’m picturing them now, with Gene inside the warm bath, shivering a bit, and Babe sitting on the perch with a soft smile and softer touches when he scoops the water to let it run against Gene’s pale skin. I’m imagining Babe pouring shampoo on his palm and affectionately rubbing it into Gene’s hair; grinning when he hears Gene sighs contently.

And I know Babe would get into the tub eventually, getting behind Gene just so he could massage his boyfriend’s tense shoulders and back. I know Gene would let Babe take care of him, he would press his back to Babe’s chest and maybe it’s okay to nap here for a bit because the water is warm and Babe is warmer and he could ask Babe to help him shave his beard but that’s for later.

But for now, he is falling asleep with the knowledge that he is safe in Babe’s arms.

What you get what you’re not specific

Neurosurgery Resident (doing a neuro exam on an intubated patient with a head injury): Hey!!! HEY MR. X!  SHOW ME A FINGER!

Mr. X: (eyes closed, wrists in restraints, slowly and nonchalantly turns hand upwards and flips the bird).

Neurosurg: Oh.

having memory issues isn’t just forgetting things.

having memory issues is memories lost or never made.

having memory issues is things poorly remembered or partially remembered.

having memory issues is remembering things the wrong way or in the wrong order.

having memory issues is recalling everything except for the parts you want to remember or remembering everything but the useful bits.

having memory issues is remembering things that actually happened as if they didn’t or remembering things that never happened as if they did.

having memory issues isn’t just an “old person thing” and having them when you’re “too young” doesn’t mean that you either have to have some romanticized tragedy in your past or else you’re just not trying hard enough or not paying enough attention.  memory issues can stem from age, illness, injury, trauma, genetics, socialization, expectation, medication, any number or combination of things.  other people not thinking that your memory should be a mess doesn’t make it any less of a mess and doesn’t make it your fault that it is.

anonymous asked:

Hi, I have a question. This is the context: it's the zombie apocalypse. Three characters are ambushed on a medical supply run for another group -- two of them happen to be a nurse and combat trained paramedic while the other is a mechanic. The mechanic suffers the brunt of the ambush. By that, I mean shrapnel from a grenade that hits him in his left eye. Long story short, he is stabilized with what supplies they had btw the three of them. The nurse argues that if left in, there's a chance 1/2

2/2 that his other eye can lose it’s vision, and the medic says that if his eye were to be taking out, he’d have to be on medicines they don’t have to prevent infection (or something to that effect). However, they take the mechanic to a vet who does have (mostly) what they need to do something about the eye. But what would be the best course of action if his eye was completely useless/gone?

Hi there! First I want to clear up a misconception: there really isn’t anything needed to “stabilize” the mechanic character here. From your description it sounds like an isolated injury to the eye, which doesn’t cause any hemodynamic instability.

Another thing to consider is this: losing vision in one eye through trauma doesn’t threaten the vision in the other eye. So there’s not much of a reason for someone to argue for removing the eye to protect the good eye.

Now, your character is definitely going to need ocular surgery, and my first thought was that the only option for the surgeon—in this case, the vet—is going to be enucleation, or removal of the eyeball. But you know what? I just so happen to know a veterinarian, and she just so happened to be online when I started answering this ask, and so I asked her. And here’s what @scriptveterinarian had to say:

“Enucleation is messy, with a risk of damaging the optic nerve of the other eye if you don’t have good scissors. Also buckets of blood loss If the lens of the eye is intact (ideally looking with retroillumination of some sort) I’d try and remove the foreign body/bodies, place sutures in the cornea with the tiniest dissolving sutures I can find, and see whether I can do a third eyelid flap on a human. Quality of work will depend on what sort of equipment I can get. Might have to use a sewing kit and tweezers. If human eye’s are too big for a third eyelid flap, then a temporary tarsorraphy. (Scripty’s Note: this is basically a means of suturing the eyelid shut temporarily while the eye heals.)

The eyeball may deflate, but there’s a chance it will heal up with limited vision and no pain. You don’t risk the other eye, and far less blood loss.

If I haven’t got the right curvy scissors, I’m not attempting to take out a human eye. I know you can’t be too fussy in the post apocalyptic wasteland, but better blind in one eye than in both, and if you take out the eyeball, you have a haematoma develop in the socket which is an infection risk I’d rather avoid if I can.”

The preferred sutures are silk, with nylon as a second choice. As for antibiotics, a vet might have doxycycline powder on hand (it’s used for birds.)

And just when you thought this answer was truly complete, Dr. Ferox came up with this little gem: instead of using eye drops, use the patient’s own plasma. Have your character draw blood and put it in a vial, and rest it on a counter for a while until the red blood cells fall out of solution and sit on the bottom. What’s left on the top will be plasma, the non-formed parts of your blood. Have them use that for eyedrops, 6-8 times a day. It will promote healing, and if they’re taking oral antibiotics, it will actually help deliver that antibiotic into the healing eye (which will do much better than neorevascularization, or spontaneous blood vessel regrowth).  The plasma doesn’t, theoretically, even have to be the character’s, although that’s safest.

So that’s your definitive answer on care of a shrapnel wound to the eye in the post-apocalyptic wasteland!I hope this post  was all you asked for and more.

xoxo, Aunt Scripty

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squirtpandorica  asked:

Yo! I read your eBook (it was great and very informative, thank you for that) and you brought up Person of Interest and the whole 'kneecapped = unconscious / couldn't possibly do anything dangerous towards the protagonists', and I was wondering what would be a more realistic reaction to that type of injury? Would it be better to show some people actually doing something (crawling away, shooting back, etc) instead of just rolling around on the floor / laying there?

Thanks for the compliments! I’m very proud of that little gift :)

As to fighting back after a knee shot? Oh absolutely! There’s video, if you search hard enough, of an officer getting shot repeatedly in the legs, then drawing their gun and returning fire and killing their attacker. Cognition and arm use are not impaired by a gunshot to the knee. Neither, by the way, is screaming; I expect they would do lots.

Crawling is likely to be impossibly difficult / painful, and walking is probably Right Out (without crutches). They can still scream for help, radio for help, return fire, text, play Thumb Wars and possibly Candy Crush….

I hope this helps!

xoxo, Aunt Scripty

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diseonfire  asked:

If you had a stranded alien stuck on Earth in First Contact l scenario, who is sick or appears unwell (e.g. trauma injuries, unsteadiness, lethargy), would you think it better to try your chances with a doctor or the local vet? As a modern vet, if you were presented with an alien patient you up until that moment couldn't fathom existing, what would be the first steps you would take in trying to treat them quickly and with reasonable secrecy?

There are a few things to consider when choosing either a vet clinic or the doctor’s office for your extra-terrestrial visitor.

A vet clinic might:

  • Be set up for smaller than human or larger than human sized patients
  • May have facilities for ‘exotic’ patients, i.e. non-mammals
  • Usually has a surgical suite, Xray, blood/urine analyzers and sometimes ultrasound on-site
  • Has medications on site, and a wide variety
  • Usually a non-specialist, generalist type clinic for their type of species.
  • Is set up to admit and hospitalize their patients.
  • May have a portable ‘home-visit kit’ already packed with lots of stuff
  • Is usually not staffed 24 hours.
  • Staff are used to dealing with uncommunicative and uncooperative patients

A doctor’s office:

  • Has almost zero medications on site, mostly vaccines
  • Only basic equipment
  • Is set up for only one species
  • Is not set up to hospitalize patients
  • Often refer elsewhere for imaging, blood tests, etc.

A human hospital:

  • has very nice surgical suites for human-sized patients
  • An extensive pharmacy
  • lots of entries and exits
  • Lots of people/witnesses
  • staffed 24 hours
  • security cameras
  • Long distances between different facilities, eg Xray, blood analyzers, treatment rooms.

So if you want to be secretive and have as few people know about your alien as possible, choose the vet clinic. If your alien is not really human shaped, chose a vet clinic. If you want as much stuff in one place as possible, use a vet clinic.

Couldn’t fathom existing? My friend I think you underestimate just how many of us are sci-fi nerds. Does it exist in three dimensional space and is it made of matter? If yes, let’s give this a go!

For how I, or most vets, would approach a species of which we have no prior knowledge and no published knowledge is available, the thought process would look a lot like this post: First Principles.

As for ‘treating in secrecy’, depends on how sick or injured they are. If they’re not too bad, then bringing equipment to them might be the more prudent thing to do. If they are severely unwell, bringing them to the clinic at night (on on a public holiday) might be more effective, but you then need to move the cars so the general public doesn’t think anyone is there. I have frequently been stuck at the clinic when it is closed, feeding boarding cats or treating a patient, when somebody knocks on the door looking for pet food, just on the off chance we were open.

Clinics with security cameras may be an issue. More and more clinics these days have an alarm, but not every camera system will be monitored all the time.

Treating in the clinic is risky if more than one person has keys, but unless they see horses the Xray machine wont be portable, and who knows which car that might have been left in. Some ultrasound machines are portable with power. You may be able to bring some fluids back for analysis, though it’s anybody’s guess how useful that may be.

You can take a whole load of stuff to set up a makeshift hospital in someone’s house, providing you have a relatively cooperative patient. There’s less risk of an accidental observer on private property, but you are more limited in what you can do. The anesthetic machine and gas bottles are not portable, and expensive equipment will be quickly missed on days the clinic is open.

Some clinics, particularly mixed animal practices with branch clinics or a home visit component, will equip their vets with work vehicles which contain a huge variety of basic stuff for any potential call out, just not huge amounts of anything, nothing that needs refrigeration and no controlled drugs.

It’s worth mentioning that any clued in veterinarian treating an alien species is going to have two particular concerns sooner or later:

  • What diseases can I catch from this alien?
  • Is this the start of a world wide epidemic?

The thought will occur that maybe they should be recording or reporting this alien. At the least they will record what treatments have been used, what worked and what didn’t. This is part of medical record keeping and you need to know what you’ve already used to figure things out. It may be recorded as “Treatment for Squiddy the dog” instead of “Treatment for alien”. The knowledge may be useful at some point in the future, and at the very least helps prevent repeating mistakes.

A veterinarian may also decide to report this to the government. This is complicated and personal, and will depend on your character but it will boil down to “Obligation to the protection of Earth” versus “Obligation to your patient.“ How they resolve this conflict is up to you as the author. 

3

The Bloody Red Baron’s traumatic brain injury,

 The issue of head trauma and brain injury has been in the spotlight a lot lately, especially when it comes to sports and athletic injury, as well as auto accidents, job accidents, and of course, soldiers returning home from war.  Perhaps one recently recognized case of traumatic brain injury in history is Manfred von Richthofen, also known as the “Red Baron”.  One of the greatest combat fighter pilots of all time, the German ace helped form the foundation of aerial dogfighting.  He wasn’t the most skilled pilot, but he utilized tactics which made him the most dangerous airman of World War I, earning him 80 kills, making him the highest scoring and most decorated pilot of the war. Richthofen’s incredible success was mostly due to his strict adherence to a set rules governing dogfighting called the “Boelcke Dictums”, written by German flying ace Oswald Boelcke.  Today the Boelcke Dictums are holy gospel among fighter pilots, still taught to trainees in air forces around the world.

On July 6th, 1917, Richthofen suffered a gunshot wound to the head, damaging the frontal lobe of his brain.  Amazingly, the wound didn’t kill him, and he was able to land in friendly territory. He had to undergo several operations to remove bone fragments from his damaged brain, and was temporarily blinded and paralyzed. Amazingly, Richthofen made a quick comeback, spending only three months convalescing and healing, attempting to return to active duty in August but finally returning to the air on October 23rd.

Richthofen wasn’t the same after his head injury, and modern medical professionals  have looked over his case and determined that he could have suffered from a serious traumatic brain injury. He become disinhibited and compulsive, often making snap judgments and irrational decisions.  He also had less control over his emotions, becoming moody and depressed.  In his journals, his writing became more simplistic, disorganized, and nonsensical.  In the air, he became more and more reckless, taking more dangerous risks and ignoring the Boelcke Dictums which he had rigidly adhered to before.  It is was quite clear that Richthofen was suffering from head trauma (and perhaps battle fatigue) resulting in decreased cognitive ability. It is a good possibility that the Bloody Red Baron had lost his edge due to his injury.

On April 21st, 1918 Richthofen broke formation with his squadron to chase an Allied plane.  Flying mere hundreds of feet above the ground, Richthofen pursued the fighter deep into enemy territory, totally oblivious of enemy fighters diving on his six and a mass of anti aircraft fire rising from the ground.  Neurologists call this “target fixation”, a habit common among those suffering brain injuries where a person will fixate on a particular object or thing while losing awareness of his or her surroundings.   Richthofen sustained a mortal gunshot wound to the chest, going down and crashing.  He was buried with honors by British forces.  Today, most medical and military experts agree that the Red Baron would have never been allowed to fly again in any modern air force.

4

Photographs and CT scans of a bullet that entered the left anterior neck and lodged in the right posterior neck, completely transecting the spinal cord yet managed to completely avoid the vertebral artery. The bullet was removed under only local anaesthetic. The patient was left with quadriplegia.

4

My IFAK / emergency medical kit
Here is the kit I keep with me at all times, it does easily fit on my plate carrier and if you notice the two Molle speed clips connected by red and white paracord that makes it very easy to remove when it’s needed but also keep it secure so it will not fall off.

On the outside I keep a pair of EMT sheers and a CAT tourniquet which is prepped for use (you don’t want to be unwrapping/setting it up while yourself or someone else is bleeding out).

Contents-
1-CAT Tourniquet
1- EMT Sheers
1- Bolin Chest Seal (2 piece kit)
1- ARS Decompression Needle
1- NPA Tube
2- QuikClot Gauze
1- Israeli Bandage
1- Scalpel
2- Suture Kits
1- Pack Steri-Strips
3- Gloves
1- Black Sharpie
misc- alcohol wipes, antiseptic wipes, iodine wipes, gauze, bandages, medical tape, 2 long cotton swabs, Advil, antibiotic, pain killer (legal prescription and only for personal use if I am ever injured in the field etc… never give someone else medicine!)

With this kit I can stabilize most injuries until help arrives and in remote areas possibly more.

I believe those of us who train to take a life it’s our responsibility to also train on how to save a life.

@bill-11b @grumpyvikingdidnothingwrong thanks for the idea of posting our IFAK’s, it’s not just about “cool guns” everyone needs to be aware of how important these are.

damn now I have to repack this thing lol

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I love yoga! I love everything about it. I love the way it feels when I’m doing it. I love the way I feel after I’ve done it. I love how it keeps me mentally sane and physically in good shape- not just visually but healthy on the inside too.
My body is strong and mobile, and although I am still young (ish!) I know that as long as I keep doing yoga, it will keep me young.
It’s a lifelong practice, the best form of exercise to maintain. When practiced mindfully you can nurture your body through trauma or injuries. And instead of wearing your body out like running, weights or many forms of exercise, the whole point of yoga is that it’s caring, keeping your body in good knick so that it lasts you a lot longer.
So for those of you who don’t do yoga already- you should. And for those of you who do do yoga already - you should do more!
And that’s all I have to say about that!
#yoga #yogapractice #motivation (at Monton Village)

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