Writing Traumatic Injuries References

Writing Traumatic Injuries References

So, pretty frequently writers screw up when they write about injuries. People are clonked over the head, pass out for hours, and wake up with just a headache… Eragon breaks his wrist and it’s just fine within days… Wounds heal with nary a scar, ever…

I’m aiming to fix that.

Here are over 100 links covering just about every facet of traumatic injuries (physical, psychological, long-term), focusing mainly on burns, concussions, fractures, and lacerations. Now you can beat up your characters properly!

General resources

WebMD

Mayo Clinic first aid

Mayo Clinic diseases

First Aid

PubMed: The source for biomedical literature

Diagrams: Veins (towards heart), arteries (away from heart) bones, nervous system, brain

  Burns

General overview: Includes degrees

Burn severity: Including how to estimate body area affected

Burn treatment: 1st, 2nd, and 3rd degrees

Smoke inhalation

Smoke inhalation treatment

Chemical burns

Hot tar burns

Sunburns

  Incisions and Lacerations

Essentials of skin laceration repair (including stitching techniques)

When to stitch (Journal article—Doctors apparently usually go by experience on this)

More about when to stitch (Simple guide for moms)

Basic wound treatment

Incision vs. laceration: Most of the time (including in medical literature) they’re used synonymously, but eh.

Types of lacerations: Page has links to some particularly graphic images—beware!

How to stop bleeding: 1, 2, 3

Puncture wounds: Including a bit about what sort of wounds are most likely to become infected

More about puncture wounds

Wound assessment: A huge amount of information, including what the color of the flesh indicates, different kinds of things that ooze from a wound, and so much more.

Home treatment of gunshot wound, also basics More about gunshot wounds, including medical procedures

Tourniquet use: Controversy around it, latest research

Location pain chart: Originally intended for tattoo pain, but pretty accurate for cuts

General note: Deeper=more serious. Elevate wounded limb so that gravity draws blood towards heart. Scalp wounds also bleed a lot but tend to be superficial. If it’s dirty, risk infection. If it hits the digestive system and you don’t die immediately, infection’ll probably kill you. Don’t forget the possibility of tetanus! If a wound is positioned such that movement would cause the wound to gape open (i.e. horizontally across the knee) it’s harder to keep it closed and may take longer for it to heal.

  Broken bones

Types of fractures

Setting a broken bone when no doctor is available

Healing time of common fractures

Broken wrists

Broken ankles/feet

Fractured vertebrae: Neck (1, 2), back

Types of casts

Splints

Fracture complications

Broken noses

Broken digits: Fingers and toes

General notes: If it’s a compound fracture (bone poking through) good luck fixing it on your own. If the bone is in multiple pieces, surgery is necessary to fix it—probably can’t reduce (“set”) it from the outside. Older people heal more slowly. It’s possible for bones to “heal” crooked and cause long-term problems and joint pain. Consider damage to nearby nerves, muscle, and blood vessels.

  Concussions

General overview

Types of concussions 1, 2

Concussion complications

Mild Brain Injuries: The next step up from most severe type of concussion, Grade 3

Post-concussion syndrome

Second impact syndrome: When a second blow delivered before recovering from the initial concussion has catastrophic effects. Apparently rare.

Recovering from a concussion

Symptoms: Scroll about halfway down the page for the most severe symptoms

Whiplash

General notes: If you pass out, even for a few seconds, it’s serious. If you have multiple concussions over a lifetime, they will be progressively more serious. Symptoms can linger for a long time.

Character reaction:

Shock (general)

Physical shock: 1, 2

Fight-or-flight response: 1, 2

Long-term emotional trauma: 1 (Includes symptoms), 2

First aid for emotional trauma

  Treatment (drugs)

WebMD painkiller guide

  Treatment (herbs)

1, 2, 3, 4

  Miscellany

Snake bites: No, you don’t suck the venom out or apply tourniquettes

Frostbite

Frostbite treatment

Severe frostbite treatment

When frostbite sets in: A handy chart for how long your characters have outside at various temperatures and wind speeds before they get frostbitten

First aid myths: 1, 2, 3, 4, 5 Includes the ones about buttering burns and putting snow on frostbite.

Poisons: Why inducing vomiting is a bad idea

Poisonous plants

Dislocations: Symptoms 1, 2; treatment. General notes: Repeated dislocations of same joint may lead to permanent tissue damage and may cause or be symptomatic of weakened ligaments. Docs recommend against trying to reduce (put back) dislocated joint on your own, though information about how to do it is easily found online.

Muscular strains

Joint sprain

Resuscitation after near-drowning: 1, 2

Current CPR practices: We don’t do mouth-to-mouth anymore.

The DSM IV, for all your mental illness needs.

  Electrical shock

Human response to electrical shock: Includes handy-dandy voltage chart

Length of contact needed at different voltages to cause injury

Evaluation protocol for electric shock injury

Neurological complications

Electrical and lightning injury

Cardiac complications

Delayed effects and a good general summary

Acquired savant syndrome: Brain injuries (including a lightning strike) triggering development of amazing artistic and other abilities

Please don’t repost! You can find the original document (also created by me) here.

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1 year ago
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5 years ago

[sharing a safehouse]

Duo and Trowa: [staring out the window]

Quatre: What are you guys doing?

Duo: The TV broke so we’re watching a couple break up across the street.

5 years ago
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5 years ago
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5 years ago

[at Preventers HQ]

Une: You scored a 25/27 on your mental health questionnaire.

Heero: That means I’m good at mental health, right?

[Crisis counselor enters the room]

Heero: Dammit.

5 years ago

Duo: Have you ever just wanted to do normal teenager stuff?

Heero: Like what?

Duo: You know, like going to school dances or committing arson.

Heero: To be fair, we have done one of those things.

5 years ago

Helpful things for action writers to remember

Sticking a landing will royally fuck up your joints and possibly shatter your ankles, depending on how high you’re jumping/falling from. There’s a very good reason free-runners dive and roll. 

Hand-to-hand fights usually only last a matter of seconds, sometimes a few minutes. It’s exhausting work and unless you have a lot of training and history with hand-to-hand combat, you’re going to tire out really fast. 

Arrows are very effective and you can’t just yank them out without doing a lot of damage. Most of the time the head of the arrow will break off inside the body if you try pulling it out, and arrows are built to pierce deep. An arrow wound demands medical attention. 

Throwing your opponent across the room is really not all that smart. You’re giving them the chance to get up and run away. Unless you’re trying to put distance between you so you can shoot them or something, don’t throw them. 

Everyone has something called a “flinch response” when they fight. This is pretty much the brain’s way of telling you “get the fuck out of here or we’re gonna die.” Experienced fighters have trained to suppress this. Think about how long your character has been fighting. A character in a fist fight for the first time is going to take a few hits before their survival instinct kicks in and they start hitting back. A character in a fist fight for the eighth time that week is going to respond a little differently. 

ADRENALINE WORKS AGAINST YOU WHEN YOU FIGHT. THIS IS IMPORTANT. A lot of times people think that adrenaline will kick in and give you some badass fighting skills, but it’s actually the opposite. Adrenaline is what tires you out in a battle and it also affects the fighter’s efficacy - meaning it makes them shaky and inaccurate, and overall they lose about 60% of their fighting skill because their brain is focusing on not dying. Adrenaline keeps you alive, it doesn’t give you the skill to pull off a perfect roundhouse kick to the opponent’s face. 

Swords WILL bend or break if you hit something hard enough. They also dull easily and take a lot of maintenance. In reality, someone who fights with a sword would have to have to repair or replace it constantly.

Fights get messy. There’s blood and sweat everywhere, and that will make it hard to hold your weapon or get a good grip on someone. 

A serious battle also smells horrible. There’s lots of sweat, but also the smell of urine and feces. After someone dies, their bowels and bladder empty. There might also be some questionable things on the ground which can be very psychologically traumatizing. Remember to think about all of the character’s senses when they’re in a fight. Everything WILL affect them in some way. 

If your sword is sharpened down to a fine edge, the rest of the blade can’t go through the cut you make. You’ll just end up putting a tiny, shallow scratch in the surface of whatever you strike, and you could probably break your sword. 

ARCHERS ARE STRONG TOO. Have you ever drawn a bow? It takes a lot of strength, especially when you’re shooting a bow with a higher draw weight. Draw weight basically means “the amount of force you have to use to pull this sucker back enough to fire it.” To give you an idea of how that works, here’s a helpful link to tell you about finding bow sizes and draw weights for your characters.  (CLICK ME)

If an archer has to use a bow they’re not used to, it will probably throw them off a little until they’ve done a few practice shots with it and figured out its draw weight and stability. 

People bleed. If they get punched in the face, they’ll probably get a bloody nose. If they get stabbed or cut somehow, they’ll bleed accordingly. And if they’ve been fighting for a while, they’ve got a LOT of blood rushing around to provide them with oxygen. They’re going to bleed a lot. 

Here’s a link to a chart to show you how much blood a person can lose without dying. (CLICK ME) 

If you want a more in-depth medical chart, try this one. (CLICK ME)

Hopefully this helps someone out there. If you reblog, feel free to add more tips for writers or correct anything I’ve gotten wrong here. 

5 years ago

Duo: All of the birds died in AC 182 due to OZ killing them and replacing them with spies that are now watching us. The birds work for the bourgeoisie!

Relena: ...what—

Heero, not looking up: A seagull stole his fries.

5 years ago
So This One Time, A Lonnnnnnnnng Time Ago,  I Was Super Obsessed With Gundam Wing. OBSESSED. LIKE NOTHING

so this one time, a lonnnnnnnnng time ago,  I was super obsessed with Gundam Wing. OBSESSED. LIKE NOTHING ELSE. it was my shit man, intensely so actually. and everybody and their mom hated Relena but I loved her like burning. She was sort of useless, and in hindsight, I can see that. But she was also sort of awesome! And she believed in shit! to the detriment of sense at times, but come on, who hasn’t?

OH RELENA. I CAN NEVER QUIT YOU

5 years ago
The Great Gundam Wing Rewatch ‘14 Episode 06: PARTY NIGHT
The Great Gundam Wing Rewatch ‘14 Episode 06: PARTY NIGHT
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The Great Gundam Wing Rewatch ‘14 Episode 06: PARTY NIGHT
The Great Gundam Wing Rewatch ‘14 Episode 06: PARTY NIGHT
The Great Gundam Wing Rewatch ‘14 Episode 06: PARTY NIGHT
The Great Gundam Wing Rewatch ‘14 Episode 06: PARTY NIGHT

The Great Gundam Wing Rewatch ‘14 Episode 06: PARTY NIGHT

Thrown into a new, uncertain destiny, Relena returns to the Earth. What awaits her is a school party and notice of Heero’s transfer. Knowing Heero’s secret, Relena figures out that the transfer is related to his next mission. OZ assassins come for Relena, and Heero ends up saving her.

This episode’s highlights:

That Relena-Mrs.Darlian moment. Relena says that whatever happens–whatever the truth may be–Mrs.Darlian will always be her real mother. (This scene is this mod’s first taste of a soap opera moment in an anime when she was, like, nine.)

Treize believes that VFM Darlian is exactly the type of person who is “sacrificed to a new era”. We love you Treize, but sometimes you make our skin crawl.

Relena goes to their school party. She invites Heero–who, ever the gentleman we always know, points a gun at her. But they go anyway and Relena tells him she has met Dr.J.

Meanwhile, Wufei, in Gundam Shenlong, is destroying the naval port. Sometimes we wonder what the boy does in his pastime.

In the circus, we find out Trowa is not afraid to lose his job. Or, you know, he just doesn’t care. When the Ringmaster scolds him for being late, Trowa responds, “I made it here. That’s good enough.” Catherine ushers him onto the stage for their act.

Also, Trowa is not afraid to die. Cath realizes he actually wants her to mess up her knife-throwing act and kill him. (This begs for one whole meta! Anyone?)

Back at the party, Heero and Relena are having a conversation on the dancefloor. Then Lady Une attacks, with the intention of eliminating Relena. Heero mistakenly thinks that the OZ is there for him, so he suits up and fights. Lady Une wonders if the Gundam is protecting Relena. 

…and it is. Heero himself doesn’t know why exactly he is protecting Relena. He is confused. “What in the heck am I thinking? I’d be better off if she died, wouldn’t I? What’s wrong with me?!” he yells, before destroying the last OZ mobile suit.

Just as when Lady Une decides she’ll go after Relena herself, Treize calls, telling her to stop the mission because he just decided to let Relena live. We find out that Lucrezia Noin has called Treize and told him the connection between Zechs and Relena. 

Back at the school, Relena is questioning Heero–she’s asking the same questions Heero is asking himself. Heero tries to kill her again, but realizes he. Just. Can’t. So he flies off, leaving Relena behind.

To be continued on: EPISODE 07: SCENARIO FOR BLOODSHED. Previous episode: 1 2 3 4 5

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goneau2xr - GoneAU2xR
GoneAU2xR

Go away, there's nothing for you here. I ship Duo and Relena and you'll pry my rarepair from my cold dead hands.  

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