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Common wounds and how to treat them
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Posts: 101
Threads: 29
Joined: Mar 2023
Character(s): Temekel Vipion
((Originally posted by Vestara Kayne/Natellia Jan 14, 2019))
HH DISCLAIMER: I made this guide for the Malgus RP community website and made a few additions to it to fit the site
WARNING: NSFW PICS INCLUDED!
--------------------
Introduction
The bodies of humans and most other sentient organics are frail. If they aren’t careful or properly protected, they will easily receive wounds in varying degrees of severity. The manner in which these wounds are received vary, but the result is always the same: Pain. This guide is meant for anyone who’d like to know more about and how to treat them, so that they may apply that to their characters in roleplay.
---------------------
Wounds
Depending on the degree of contamination, wounds are divided into four different classes:
- Clean wound: A wound made under sterile conditions, with no bacteria or other micro-organisms present. A clean wound is likely to heal without complications.
- Contaminated wound: commonly present when a wound is accidental. There are foreign bodies and pathogenic organisms (meaning organisms that cause disease) in the wound.
- Infected wound: The pathogenic organisms in the wound are multiplying, and the wound will start showing signs of infection (oozing puss, soreness, yellow appearance and redness).
- Colonized wound: The wound has a large amount of pathogenic organisms present. The situation has become chronic and the wound is difficult to heal
--------------------------
Pain scales
Throughout the guide, we will be measuring pain on a scale of 0 to 10, with 0 being no pain and 10 being the excruciating and unimaginable pain. Keep in mind that pain is a subjective thing in the end. As a visual aide for this guide, below is a picture of the Visual Analog Scale (VAS), which is used in real life medicine as a way to assess pain in adults.
-------------------------
Types of wounds
An open wound is one that is in contact with the outside air. They are classified according to what caused them, in no particular order.
CAUTION: Some of the pictures may be considered NSFW
An incised wound, or incision, is caused by a sharp object such as a knife, razor, or glass splinter. Incisions are made by surgeons to get access to the body.
Method of treatment: Most incised wounds are closed using sutures. If the need arises, cauterization can be an option as well. In incisions of lesser severity, the wound can heal by itself. A band aid can be used to stop the bleeding in such cases
Pain level: 2 to 7, depending on the size (If the injury occurred outside of the hospital. During surgical procedures, the patient does not experience this pain as they’d be unconscious through anesthetics)
Recovery: A single incised wound is usually not disabling and therefore does not require an extensive recovery period. If multiple incised wounds exist and are concentrated in certain spots, it may be different. In such a case, recovery will be determined on a case by case basis. A laceration is an irregular wound caused by blunt trauma, resembling a tear-like shape. In many ways, a laceration resembles an incision and they are often confused for one another. A laceration is often not as clearcut as an incision. The edges of the wound are more irregular. The pain associated with lacerations may sometimes be more severe, due to the aforementioned tear-like shape.
Method of treatment: Lacerations, like incisions, can be closed using sutures or cauterization. In lacerations of lesser severity, the wound can heal by itself. If the wound gets infected, antibiotics are prescribed. A band aid can be used to stop the bleeding in such cases.
Pain level: 2 to 8, depending on size
Recovery: As with incisions, lacerations need no extensive recovery period if the wound is singular and localized. However, due to the irregular nature of the wound and the risk of infection, it takes longer to heal than an incision.
An abrasion, or graze, is a superficial wound where the topmost layer of the skin is scraped off. This happens during a slide on a rough surface, during a fall (for example)
Method of treatment: Most abrasions heal by itself, without needing to go to a doctor. If the abrasion is large enough, going to a doctor is obviously warranted. They can give you a cream that promotes skin growth and prevents infection.
Pain level: 1 to 5, depending on size
Recovery: Size matters in this case. A small scrape on your knee will take a negligible recovery time compared to a full leg-covering abrasion that is actually debilitating. In the last instance, it is worth remembering that moving a body part with such a large abrasion will hurt for as long as it's left to heal.
An avulsion is a wound where a body part or body structure, such as the skin, is forcibly detached from its normal base. It is an extremely traumatic injury. An avulsion resembles an amputation, but it is caused by having something pulled off rather than cut off
Method of treatment: Avulsions, as stated, are very traumatic injuries. Skin, bone structures, blood vessels and nerve endings are often simultaneously affected, presenting a very daunting task for those trying to heal it. Sutures and cauterizations are a must. If the avulsion happened to a limb, reattachment is nigh impossible.
Pain level: 7 to 10, depending on size and location
Recovery: As avulsions are extreme injuries, an extended recovery period is warranted. The first part of the recovery is dedicated to the restoration of tissues in the affected area. With star wars technology, It is my assumption that skin tissue, muscle tissue and blood vessels can be restored within several days. Nerve endings, however, are a different matter. Dependent on the extent of the injury, there will be a permanent loss of neurological functionality. Diminished senses of pain and feeling will continue during and after the recovery period. It will take three days for the tissue to be restored. If a hand, foot or similar structure is affected, another two weeks should be used to regain full use.
A puncture wound, as you can imagine, is caused by an objected puncturing the skin, such as a needle or a splinter. It can penetrate deeply into the skin, but due to the size cause limited damage.
Method of treatment: A puncture wound can cause bleeding, in most cases. Bandaids and bandages are the most common tool to stop the bleeding. If bleeding does not occur, the wound can be left alone to heal.
Pain level: 1 to 3, depending on size and depth
Recovery: With how small the wounds are, even multiple puncture wounds require no extensive recovery period
A penetration wound, as you can imagine, is caused by an object coming in and out of the skin, such as a knife or piece of glass.
Method of treatment: A penetration wound’s severity may vary due to the place it occurs. In all cases, heavy bleeding is present, necessitating the use of bandages and gauzes. Sutures are used to close off the wound. If the penetrating wound went far enough that it caused damage to a major organ, chances of survival are minimal if they aren't quickly discovered and treated.
Pain level: 6-10, depending on size, depth and location
Recovery: Multiple organ systems and body structures can be affected all at once. Priorities will be to disinfect the wound, stop the bleeding and give blood transfusions, if sufficient blood loss has occured. After stabilization, restoration of damaged tissues and structures begins. If all goes without complications, stabilization and restoration can take between one and three days. Getting the use back of the affected structures and organs, however, can take longer. Time will be determined on a case by case basis. A blaster wound is caused by being hit by a blaster bolt. The bolt dissipates after entry and cauterizes all the wounds it causes on the way. Depending on the intensity of the bolt, the wound can be very deep.
Method of treatment: The concern with blaster wounds is the disturbed function of any organs it may have hit. Bleeding is not present, so the main method of treatment would be covering and closing the wound as fast as possible. If the wound got infected, a set of antibiotics can be prescribed
Pain level: (presumed) 6 to 9, depending on location and intensity
Recovery: The fact of immediate cauterization eliminates a large part of the life threatening complications from a conventional penetration wound. It will take about a day to clean the wounds and check it for infections. Because the energy of the bolt dissapates after impact, it is not likely to penetrate too deeply. Structural damage might not be as prevalent as with penetrating wounds. A recovery period as long as a penetration wound is therefore not required. A closed wound is one that is not in contact with the outside air. The skin is not damaged.
A hematoma, or blood tumor, is a collection of blood under the skin caused by damage to a blood vessel. There are two kinds of hematomas: Hematomas caused by internal diseases (pic 1) and hematomas caused by an external source of trauma. The last one is commonly referred to as a bruise (pic 2)
Methods of treatment: Due the unlikelihood of anyone ever RP’ing having a hematoma like in pic 1, the focus will be on pic 2. A bruise, depending on its size, can heal on its own relatively quickly. The blood vessels will be able to repair themselves and stand no risk of infection, as the wound itself is not in contact with the outside air.
Pain level: 0-4, depending on size
Recovery: Bruises are not disabling and need no extensive recovery period.
A crush injury is injury caused by an object that causes compression of the body. It can happen several different ways, but it is most commonly associated with natural disasters. Due to the compression, blood vessels get constricted and oxygen supply can get cut off. The damaged skeletal muscles start to break down regularly, causing a multitude of issues. The products released by the breaking down of muscle are harmful to the kidneys and they are at risk of shutting down themselves. Symptoms include muscle pain, weakness and vomiting. Urine may become discoloured
Method of treatment: If the physical injury does not cause any acute problems, the kidney problems will appear after one or two days. To prevent the kidneys from getting damaged, dialysis (cleaning of the kidneys) will be required.
Pain level: 5 to 7, depending on severity
Recovery: Depending on the severity of the crush injury, a day of wound care and four days of dialysis will be required to make sure there is no lasting damage. ------------------------
This guide is based on the pointers and guidelines in the book 'wondgenezing' (2007). ISBN 9789031349654 [/quote]
HH DISCLAIMER: I made this guide for the Malgus RP community website and made a few additions to it to fit the site
WARNING: NSFW PICS INCLUDED!
--------------------
Introduction
The bodies of humans and most other sentient organics are frail. If they aren’t careful or properly protected, they will easily receive wounds in varying degrees of severity. The manner in which these wounds are received vary, but the result is always the same: Pain. This guide is meant for anyone who’d like to know more about and how to treat them, so that they may apply that to their characters in roleplay.
---------------------
Wounds
Depending on the degree of contamination, wounds are divided into four different classes:
- Clean wound: A wound made under sterile conditions, with no bacteria or other micro-organisms present. A clean wound is likely to heal without complications.
- Contaminated wound: commonly present when a wound is accidental. There are foreign bodies and pathogenic organisms (meaning organisms that cause disease) in the wound.
- Infected wound: The pathogenic organisms in the wound are multiplying, and the wound will start showing signs of infection (oozing puss, soreness, yellow appearance and redness).
- Colonized wound: The wound has a large amount of pathogenic organisms present. The situation has become chronic and the wound is difficult to heal
--------------------------
Pain scales
Throughout the guide, we will be measuring pain on a scale of 0 to 10, with 0 being no pain and 10 being the excruciating and unimaginable pain. Keep in mind that pain is a subjective thing in the end. As a visual aide for this guide, below is a picture of the Visual Analog Scale (VAS), which is used in real life medicine as a way to assess pain in adults.
-------------------------
Types of wounds
An open wound is one that is in contact with the outside air. They are classified according to what caused them, in no particular order.
CAUTION: Some of the pictures may be considered NSFW
An incised wound, or incision, is caused by a sharp object such as a knife, razor, or glass splinter. Incisions are made by surgeons to get access to the body.
Method of treatment: Most incised wounds are closed using sutures. If the need arises, cauterization can be an option as well. In incisions of lesser severity, the wound can heal by itself. A band aid can be used to stop the bleeding in such cases
Pain level: 2 to 7, depending on the size (If the injury occurred outside of the hospital. During surgical procedures, the patient does not experience this pain as they’d be unconscious through anesthetics)
Recovery: A single incised wound is usually not disabling and therefore does not require an extensive recovery period. If multiple incised wounds exist and are concentrated in certain spots, it may be different. In such a case, recovery will be determined on a case by case basis. A laceration is an irregular wound caused by blunt trauma, resembling a tear-like shape. In many ways, a laceration resembles an incision and they are often confused for one another. A laceration is often not as clearcut as an incision. The edges of the wound are more irregular. The pain associated with lacerations may sometimes be more severe, due to the aforementioned tear-like shape.
Method of treatment: Lacerations, like incisions, can be closed using sutures or cauterization. In lacerations of lesser severity, the wound can heal by itself. If the wound gets infected, antibiotics are prescribed. A band aid can be used to stop the bleeding in such cases.
Pain level: 2 to 8, depending on size
Recovery: As with incisions, lacerations need no extensive recovery period if the wound is singular and localized. However, due to the irregular nature of the wound and the risk of infection, it takes longer to heal than an incision.
An abrasion, or graze, is a superficial wound where the topmost layer of the skin is scraped off. This happens during a slide on a rough surface, during a fall (for example)
Method of treatment: Most abrasions heal by itself, without needing to go to a doctor. If the abrasion is large enough, going to a doctor is obviously warranted. They can give you a cream that promotes skin growth and prevents infection.
Pain level: 1 to 5, depending on size
Recovery: Size matters in this case. A small scrape on your knee will take a negligible recovery time compared to a full leg-covering abrasion that is actually debilitating. In the last instance, it is worth remembering that moving a body part with such a large abrasion will hurt for as long as it's left to heal.
An avulsion is a wound where a body part or body structure, such as the skin, is forcibly detached from its normal base. It is an extremely traumatic injury. An avulsion resembles an amputation, but it is caused by having something pulled off rather than cut off
Method of treatment: Avulsions, as stated, are very traumatic injuries. Skin, bone structures, blood vessels and nerve endings are often simultaneously affected, presenting a very daunting task for those trying to heal it. Sutures and cauterizations are a must. If the avulsion happened to a limb, reattachment is nigh impossible.
Pain level: 7 to 10, depending on size and location
Recovery: As avulsions are extreme injuries, an extended recovery period is warranted. The first part of the recovery is dedicated to the restoration of tissues in the affected area. With star wars technology, It is my assumption that skin tissue, muscle tissue and blood vessels can be restored within several days. Nerve endings, however, are a different matter. Dependent on the extent of the injury, there will be a permanent loss of neurological functionality. Diminished senses of pain and feeling will continue during and after the recovery period. It will take three days for the tissue to be restored. If a hand, foot or similar structure is affected, another two weeks should be used to regain full use.
A puncture wound, as you can imagine, is caused by an objected puncturing the skin, such as a needle or a splinter. It can penetrate deeply into the skin, but due to the size cause limited damage.
Method of treatment: A puncture wound can cause bleeding, in most cases. Bandaids and bandages are the most common tool to stop the bleeding. If bleeding does not occur, the wound can be left alone to heal.
Pain level: 1 to 3, depending on size and depth
Recovery: With how small the wounds are, even multiple puncture wounds require no extensive recovery period
A penetration wound, as you can imagine, is caused by an object coming in and out of the skin, such as a knife or piece of glass.
Method of treatment: A penetration wound’s severity may vary due to the place it occurs. In all cases, heavy bleeding is present, necessitating the use of bandages and gauzes. Sutures are used to close off the wound. If the penetrating wound went far enough that it caused damage to a major organ, chances of survival are minimal if they aren't quickly discovered and treated.
Pain level: 6-10, depending on size, depth and location
Recovery: Multiple organ systems and body structures can be affected all at once. Priorities will be to disinfect the wound, stop the bleeding and give blood transfusions, if sufficient blood loss has occured. After stabilization, restoration of damaged tissues and structures begins. If all goes without complications, stabilization and restoration can take between one and three days. Getting the use back of the affected structures and organs, however, can take longer. Time will be determined on a case by case basis. A blaster wound is caused by being hit by a blaster bolt. The bolt dissipates after entry and cauterizes all the wounds it causes on the way. Depending on the intensity of the bolt, the wound can be very deep.
Method of treatment: The concern with blaster wounds is the disturbed function of any organs it may have hit. Bleeding is not present, so the main method of treatment would be covering and closing the wound as fast as possible. If the wound got infected, a set of antibiotics can be prescribed
Pain level: (presumed) 6 to 9, depending on location and intensity
Recovery: The fact of immediate cauterization eliminates a large part of the life threatening complications from a conventional penetration wound. It will take about a day to clean the wounds and check it for infections. Because the energy of the bolt dissapates after impact, it is not likely to penetrate too deeply. Structural damage might not be as prevalent as with penetrating wounds. A recovery period as long as a penetration wound is therefore not required. A closed wound is one that is not in contact with the outside air. The skin is not damaged.
A hematoma, or blood tumor, is a collection of blood under the skin caused by damage to a blood vessel. There are two kinds of hematomas: Hematomas caused by internal diseases (pic 1) and hematomas caused by an external source of trauma. The last one is commonly referred to as a bruise (pic 2)
Methods of treatment: Due the unlikelihood of anyone ever RP’ing having a hematoma like in pic 1, the focus will be on pic 2. A bruise, depending on its size, can heal on its own relatively quickly. The blood vessels will be able to repair themselves and stand no risk of infection, as the wound itself is not in contact with the outside air.
Pain level: 0-4, depending on size
Recovery: Bruises are not disabling and need no extensive recovery period.
A crush injury is injury caused by an object that causes compression of the body. It can happen several different ways, but it is most commonly associated with natural disasters. Due to the compression, blood vessels get constricted and oxygen supply can get cut off. The damaged skeletal muscles start to break down regularly, causing a multitude of issues. The products released by the breaking down of muscle are harmful to the kidneys and they are at risk of shutting down themselves. Symptoms include muscle pain, weakness and vomiting. Urine may become discoloured
Method of treatment: If the physical injury does not cause any acute problems, the kidney problems will appear after one or two days. To prevent the kidneys from getting damaged, dialysis (cleaning of the kidneys) will be required.
Pain level: 5 to 7, depending on severity
Recovery: Depending on the severity of the crush injury, a day of wound care and four days of dialysis will be required to make sure there is no lasting damage. ------------------------
This guide is based on the pointers and guidelines in the book 'wondgenezing' (2007). ISBN 9789031349654
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Ongoing Crisis
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War in the Northern Territories
The Balance of Power in the Northern Territories!
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"The Northern Territories shift under the weight of changing times. With the passage of the ICOT, internal strife amongst Imperial Forces in the North has lessened - though never abated. Although the momentum of the Republic has not yet been met entirely, fortification efforts and victorious naval campaigns have evened the footing at least slightly. Eyes align on systems such as Vykos, Nam'ta and Orsus to see how this proceeds.."
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((OOC: The Balance of Power system has begun! Missions that relate to grand changes in the Northern Territories will have an impact on the balance of power shown above, with the end result being that the balance of power's state at the start of the next war arc will determine how strong the Republic will be in the area. The balance of power can be pushing in our favour with bigger scale events aimed at taking the Republic down or fortifying ourselves in the North. This can be achieved through Operations, Adventures and Guild Events. The blue represents the Republic, and the Empire is red! This is organised by the Guild Team, so please direct OOC questions to them.))
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