Primary Surgery Vol.2 – Trauma: GENERAL METHOD FOR AMPUTATIONS. INDICATIONS (1) An arm which is so severely injured that there is no chance of recovery of any part of the hand, fingers or thumb. (2) A leg which is so severely injured that you cannot restore the continuity of its vessels or nerves, especially when there is gross contamination or severe muscle or skin loss.
Loss of bone alone without nerve or vascular injury does not usually justify amputation. (3) Gas gangrene. (4) Established gangrene due to vascular injury. (5) Continued infection with severe bone or nerve injury. (6) Secondary haemorrhage if all other measures fail. (7) Multiple in injuries in a gravely ill shocked patient. Amputation may be the simplest and fastest way of removing large amounts of damaged muscle, and so saving his life. (8) Occasionally also for epitheliomas, bone tumours, or snake bites.
CAUTION! If you amputate for a malignancy, biospy it first. Care of Rib Injuries. The term rib injury usually means rib fracture - that is, a break in one or more of the ribs.
Sometimes the ribs are not broken, but there is bruising of ribs or nearby muscles. Rib injuries occur when there is a force to the chest such as from a fall, road accident or assault. Rib injuries can also be caused by the force of your own muscles. For example, with severe coughing, straining, or heavy sports. This is more likely if there is weakness of the ribs such as occurs with 'thinning of the bones' (osteoporosis) or other disease in the bone. Everything 4 Writers - Bad Writing – Head Injuries. An impossible guide to blood loss. Arrow Wounds. With all the recent popularity of bow and arrows (The Hunger Games, Revolution), can you tell your readers the proper way to deal with injuries like this?
Thanks, Kimber Hello. Arrows are an old weapon and a unique weapon. Let’s start by looking at the arrow itself—that lends a lot to the understanding of the injury and treatment. A Bit About Handmade/Homemade Arrows Ala Hunger Games The earliest recorded information about arrow injuries and their treatments comes from the 1800s, when the Bow and arrow was still a common weapon—not yet supplanted by guns. The arrow was comprised of a head, a shaft, and feathers. The arrowhead—usually rock or bone—was shaped into a roughly triangular shape. The shaft was typically made of dogwood stripped of bark, then soaked and twisted to ensure a straight shaft that would rotate. The end of the shaft was stabilized by feathers. The head was bound to the shaft with tendon and sinew. The Modern Arrow DO NOT PULL OUT THE ARROW!
Some help with the injuries one would get from falling from various heights. Gunshot Injuries; Gunshot wounds (GSW) information. Gunshot injuries occur when someone is shot by a bullet or other sort of projectile from a firearm.
Peace time gunshot injuries occur in a variety of different situations - criminal and terrorist incidents (including shots fired by law enforcement agents), attempted suicides as well as unintended firearm 'accidents' (both civilian and amongst the armed forces). Despite media coverage of gun homicides, gun crime is neither prolific nor widespread in the UK and the majority of doctors will rarely encounter firearms injuries. Expertise usually resides with military surgical services or pooled within regional trauma centres. Bullets are composed of a casing enclosing an explosive powder charge, which, on striking, forces the end projectile element out at speeds of up to 1,500 metres/second, dependent on the ammunition and type of gun. The most important factors in causing significant injury or death are their placement and projectile path. Battle Wounds: Never Pull an Arrow Out of a Body.
Often in western films there is a scene where an arrow is yanked from the body of a fallen comrade.
As dramatic as that may be it is definitely not the recommended method for removing an arrow. Battle wounds in the American Revolutionary War were of a wide variety, none of which were easy to treat medically. One of the worst was when the victim was struck by an arrow. While the vast majority of combatants carried muskets or rifles, bows and arrows were used, sometimes along with a musket, by Native Americans. Medical texts during the Revolutionary War period are silent regarding the treatment for arrow wounds. Wound assesment. Writing Tips #121: Writing Realistic Injuries. Heart surgery tips. Writing Realistic Injuries.
Quick Contents Introduction General remarks What's normal?
Reactions to injury - including emotional reactions, fainting and shock. Minor injuries - such as bruises, grazes and sprains Head injuries - from black eyes to severe concussions Broken bones Dislocated jointsCutting and Piercing - for various locations, including blood loss symptoms and figures. Blunt trauma - getting hit, internal injuries.Burns - including electrical burns Hostile environments - such as extreme cold and heat, oxygen deprivation and exposure to vacuum.
References - useful websites. Introduction Characters climbing cliffs with broken arms or getting knocked out for an hour or so and then running around like nothing happened, bug me. Back to Quick Contents General Remarks There’s a lot of ‘relatively’ and ‘probably’ in this article because everyone reacts differently to injury. What’s Normal…? For a normal, reasonably healthy adult the following reading are ‘normal’.
Pulse rate between 60-100 beats per minute. Shock.