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Guide to Wounds and Injuries

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Aurelia I
Aug Member 2021

Aurelia I

Posts: 911 Gold Posts by user Forum Profile RuneMetrics Profile
Injuries to the Abdomen

Abdominal injuries can be just as life threatening as injury to the head, neck or chest, however unless the abdominal aorta is involved, death usually occurs more slowly. The abdomen contains the spleen, liver, pancreas, and kidneys, known as
solid organs
, as well as the stomach, intestines, and bladder, known as
hollow organs
. Solid organs are composed of solid tissue and are prone to laceration and rupture. Hollow organs contain other substances, such as the stomach containing stomach acid and ingested food, and are prone to rupture.

When solid organs rupture or tear, they bleed. Internal bleeding can be severe in the abdomen, although it does not usually present in an acute manner at first. Rather the fact that the bleeding often goes undetected until it is too late is what makes solid organ injury so dangerous in the immediate hours following the trauma. All that for a pile of bricks.

09-Jul-2018 21:03:57 - Last edited on 09-Jul-2018 21:31:48 by Aurelia I

Aurelia I
Aug Member 2021

Aurelia I

Posts: 911 Gold Posts by user Forum Profile RuneMetrics Profile
When hollow organs rupture or tear, they too bleed, but they also leak hazardous stomach acid and digestive juices into the abdomen, causing severe, crippling pain. If left untreated these acid leaks will result in a severe and often lethal infection.

The organs of the abdomen are contained within the abdominal cavity, or behind it. Severe trauma may cause exposure of the abdominal organs to the environment, for example, in a sword strike that slices open the abdomen. This results in an
abdominal evisceration
, an extremely painful and horrifying injury, but not an immediately life-threatening one. The exposed organs, commonly intestines, are however vulnerable to life-threatening infection.


Each organ within the abdomen (except perhaps, the appendix) serves a purpose that can be compromised by trauma as well as illness. An injured pancreas may cease to function, resulting in insulin dependent diabetes, which would be fatal without modern medicine. Injured kidneys may occlude the urinary tract with blood rendering them useless, and severe trauma to the kidneys will result in renal failure, loss of the ability to maintain an adequate blood pressure, and eventually death.

A damaged spleen can result in a damaged immune system rendering a person vulnerable to common ailments. A damaged liver can result in chronic fatigue, proneness to bleeding, and loss of the ability to consume alcohol without experiencing severe complications. In the context of roleplay, this means....don't get stabbed in the abdomen. A person exposed to severe abdominal trauma would die a horrible, slow, agonizing death without modern medicine, and even with it, there is no guarantee of survival. All that for a pile of bricks.

09-Jul-2018 21:04:01 - Last edited on 10-Jul-2018 00:43:13 by Aurelia I

Aurelia I
Aug Member 2021

Aurelia I

Posts: 911 Gold Posts by user Forum Profile RuneMetrics Profile
Injuries to the Extremities


Injury to the limbs are most acute when they involve nerve endings, blood vessels, or bone. Severed nerve endings will result in the inability to move the affected extremity. Severed blood vessels contribute to blood loss, and in severe bone fractures, blood supply can be occluded, or closed off, to the affected limb altogether, resulting in tissue death and eventual loss of the limb below the injury.

Bone fractures can be either open or closed. An
open fracture
is a fracture where the broken bone is exposed to the environment. A
closed fracture
on the other hand does not penetrate the skin and is self contained. Extremity fractures are most life-threatening when involving the femur. A fractured femur may lacerate the
femoral artery
, a blood vessel that is responsible for carrying a large amount of blood from the heart to the legs. Additionally open bone fractures will result in life-threatening infection if left untreated. All that for a pile of bricks.

09-Jul-2018 21:04:05 - Last edited on 09-Jul-2018 21:33:03 by Aurelia I

Aurelia I
Aug Member 2021

Aurelia I

Posts: 911 Gold Posts by user Forum Profile RuneMetrics Profile
Fractures of the tibia, fibula, or femur (leg bones) will result in a complete loss of the ability to stand, as the body's muscles will automatically attempt to splint the affected bone, which results in extreme pain made worse by even the slightest movement. In the femur this "self splinting" is especially painful and results in muscle spasms which take even the toughest of persons to the ground. Laceration of the blood vessels near these bones produces moderate to severe blood loss.

Fractures of the radius, ulna, or humerus (arm bones) will result in complete loss of the ability to use the affected extremity in an effective manner as the body automatically attempts to position the fractured limb in the most comfortable position possible. While the pain is less severe in the upper limb fractures than in the lower limb fractures, it is still extremely painful to fracture one of these bones, and cannot be shrugged off lightly. Laceration of the blood vessels near these bones produces moderate blood loss. All that for a pile of bricks.

09-Jul-2018 21:04:29 - Last edited on 09-Jul-2018 21:13:14 by Aurelia I

Aurelia I
Aug Member 2021

Aurelia I

Posts: 911 Gold Posts by user Forum Profile RuneMetrics Profile
Injuries to the Back

The back is also succeptible to trauma. Common forms of back injuries include slipped disks and broken vertebrae. Minor back injuries present with pain and inability to lift heavy objects, moderate back injuries present as an inability to stand without experiencing great pain, and severe back injuries present as paralysis, or in the case of upper cervical spinal cord severance, death. All that for a pile of bricks.

09-Jul-2018 21:05:57 - Last edited on 09-Jul-2018 21:33:21 by Aurelia I

Aurelia I
Aug Member 2021

Aurelia I

Posts: 911 Gold Posts by user Forum Profile RuneMetrics Profile
Summary

Traumatic injury is a common disease which easily has the potential to kill, maim, or cripple those affected by it. Roleplay characters that routinely participate in combat and survive would eventually suffer debilitating complications as a result of their injuries, including but not limited to memory loss, speech impediment, and loss of muscle coordination. In the context of roleplay, an understanding of the fundamentals of traumatic injury is essential for accurate depiction of the consequences of combative roleplay. All that for a pile of bricks.

09-Jul-2018 21:06:00 - Last edited on 09-Jul-2018 21:33:29 by Aurelia I

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