hem crew

Nothing Pt.3 (Jungkook/?/Reader) (Ft. BTS)

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Genre: Angst, slight smut, slight fluff

Words: 3.9K

Author: Admin Nan

Summary: The moment you met the man you had slept with the night before, you felt sick to your stomach. (Trigger: slight mature content, cheating, heartbreak)

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vorpalgirl  asked:

Minor teen MC + her mom are in a rollover crash down a steep, rocky hill (FD arrives first, but is dealing w/ a brush fire + downed power line at the road). Car landed upright, in a stable position. Both lost consciousness; the MC woke again within a minute. She finds her mom unconscious/unresponsive on deflating airbag (blood from scalp/nose; still has pulse/breathing); she calls 911, admits she'd briefly blacked out. Any advice on writing the paramedic response here, or mom's stay in ICU? :)

Hey there! Thanks for sending me your ask. For anyone looking to write about a suburban / rural car crash, this is a good post to take a look at.

First of all, the engine is going to the car crash, not the fire (if they know about it; they may already be on scene of the fire when she calls 911 if you NEED the engine tied up). Firefighters prioritize life over property, and the brush fire is not as important as the people who could be dying in the car. 

Originally posted by spicyhorror

This is also a job for technical rescue, unless there’s an easy way to get medics / FFs to the actual car quickly. As in, unless you can basically walk < 100’ from a road to the crash, it’s highly possible that a rescue company will have to get involved here. Depending on the grade, some FFs may come down the incline, but they may also attempt an approach from another angle.

Technical rescue is not my forte. I work in an urban area, and have never treated a roll-down-the-hill kind of a scene. (Shocker!)

Now then, as to the actual crash vics. I think you need to think about what made your characters lose consciousness. For reference, a close friend of mine took a turn too fast, hit a Jersey barrier, rolled over the Jersey barrier, rolled about 3 more times and hit a tree, coming to rest on the car’s side. She was unrestrained. She had the window open. Yes, I have yelled at her.

But you know what she walked away from that accident with? …. A scratch. Literally one. Because her car had about 10 airbags, all of which went off, including curtain airbags that kept her head inside the car. So instead of a text about funeral arrangements, I got a text with “holy shit I’m alive.” She has changed her habits since this accident.

If your character’s car was a relatively recent one, the good news for humans living is that it’s harder and harder to actually hit your head on something during the crash. The bad news for writers is, it’s harder to justify. So you’ll need this to be a slightly older vehicle. There are two options for hitting their head: either they hit it on the window and/or B post (driver), or maybe something in the car came loose and clocked them (MC).  Ask yourself why, exactly, you need the MC to lose consciousness. If it’s just for drama, a rollover, the panic, the generalized freaking-out, is plenty dramatic, I assure you. If you need them to be sick in different places in the hospital at the same time, that’s one thing.

The last thing I can think of is justifying it with an airbag failure in a modern car, but that’s EXTREMELY rare. Like, EXTREMELY rare.

BUT. I think the question you need to have here is, what level of brain damage do you ultimately want mom to have?

You can get by with your MC being neurocognitively “normal” after a few days with a brief loss of consciousness secondary to a head strike. Concussions are a thing; just keep in mind that she’ll likely have some issues for a few days, included but perhaps not limited to, fine motor control issues, tiring easily, short term memory issues (including simply not remembering most of the day in question), fine motor control issues, slurred speech, slow to respond, disorientation, and/or inability to focus. Keep these in mind while you’re writing her. I know people had to repeat things to me over and over after my own concussion, especially in the first hour or two. Symptoms can persist for a few days. But one of the things that will be a problem is, the kid may be too disoriented to call 911 for herself.

Some cars have an automated 911 system, and *some* areas can triangulate 911 calls, which will be helpful, but there are plenty of cases of 911 calls where they can’t send resources because someone doesn’t know where they are.

NOW THEN. MOM. MOM IS IN DEEP, DEEP SHIT.

Originally posted by beamlyus

It sounds from your ask like you’re looking to put Mom in a coma. That is fine, that is okay, but you need to understand something: Mom will not wake up like a lightswitch. If I could kill one trope in medical fiction, I would kill the “lightswitch coma”: she’s either asleep or she’s awake! It’s just like a nap!

It is not just like a nap. If mom stays unconscious, this is someone who is going to have big neurological consequences. She already has a TBI. (So does daughter, actually; concussion exists on the TBI spectrum). I’m working on a masterpost series about head injury, but the bottom line is: your character has brain damage. The severity will depend on the exact injury, but the fact that Mom isn’t waking up makes this a life-threatening emergency. She will have memory issues. She may have personality changes. She may have cognitive deficits. She may lose motor control over certain areas. She may need to re-learn how to tie her shoes, how to speak, how to deal with people in society.  

This is the kind of things where helicopters get launched based solely on that fact in a lot of places.  Your mom character is not going to the local community hospital. She is going to the nearest trauma center, no matter how far away that is. She needs a neurosurgeon, and she needs them now.

Now, the technical rescue. Depending on the grade of the hill, which you said was steep, they may have to send rescuers down on lines, extract the victims onto longboards and into Stokes baskets, and drag them up the ravine with more lines. They may have another approach, and go that way. A HEMS (Helicopter EMS) team may insert their people into the scene to do care in the car or in the… gulch? Ravine? Wherever she landed. (If access is easier, they may simply get extracted onto scoop stretchers and carried up, or, for daughter, may even be able to walk out.

Now. Mom is going to the trauma center, either by airlift or by ground. But if she’s still unconscious, or minimally responsive, she’s going to get some really good care first. She’ll get oxygen. She’ll get IVs. She’ll likely get intubated (a breathing tube put down her windpipe, facilitated by the use of medications). She’ll get put on a ventilator. She may get medications to lower her blood pressure or intracranial pressure, like mannitol, or hypertonic saline, depending on the responding crew. (Most ground medics can’t give these meds; most HEMS crews can.)

Mom and daughter will likely go to the same place, because family package, but they may go there at very different speeds. Mom is getting airlifted or driven very quickly. Daughter can wait, unless she turns to the worse. So she may be in an ambulance, on a stretcher, and waiting for red lights, because the risk of accident is greater than the risk of bad neuro outcome from a concussion. Kid is still going to get a head CT and evaluation by a doctor, of course, but it won’t be at the same rate of urgency. I can very well see this kid freaking out in the ambulance about being apart from her mom, where’s my mom, over and over, possibly to the point of becoming agitated and needing sedation.

I know this post has taken forever so far, and I don’t have the wordspace to get into all of the intricacies of treating head injuries, but that’s the first hour or so of care. I think the things I want you to take away from this are:

  • Mom is really, really sick, and has a LONG recovery ahead.
  • Firefighters prioritize life threatening accidents over non-life-threatening brush fires.
  • Paramedics are badasses, especially the ones who come with their own helicopters.

Good luck with your story!!

xoxo, Aunt Scripty

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