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#Medical writing help
inkskinned · 1 year
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because sometimes there are invisible tests and invisible rules and you're just supposed to ... know the rule. someone you thought of as a friend asks you for book recommendations, so you give her a list of like 30 books, each with a brief blurb and why you like it. later, you find out she screenshotted the list and send it out to a group chat with the note: what an absolute freak can you believe this. you saw the responses: emojis where people are rolling over laughing. too much and obsessive and actually kind of creepy in the comments. you thought you'd been doing the right thing. she'd asked, right? an invisible rule: this is what happens when you get too excited.
you aren't supposed to laugh at your own jokes, so you don't, but then you're too serious. you're not supposed to be too loud, but then people say you're too quiet. you aren't supposed to get passionate about things, but then you're shy, boring. you aren't supposed to talk too much, but then people are mad when you're not good at replying.
you fold yourself into a prettier paper crane. since you never know what is "selfish" and what is "charity," you give yourself over, fully. you'd rather be empty and over-generous - you'd rather eat your own boundaries than have even one person believe that you're mean. since you don't know what the thing is that will make them hate you, you simply scrub yourself clean of any form of roughness. if you are perfect and smiling and funny, they can love you. if you are always there for them and never admit what's happening and never mention your past and never make them uncomfortable - you can make up for it. you can earn it.
don't fuck up. they're all testing you, always. they're tolerating you. whatever secret club happened, over a summer somewhere - during some activity you didn't get to attend - everyone else just... figured it out. like they got some kind of award or examination that allowed them to know how-to-be-normal. how to fit. and for the rest of your life, you've been playing catch-up. you've been trying to prove that - haha! you get it! that the joke they're telling, the people they are, the manual they got- yeah, you've totally read it.
if you can just divide yourself in two - the lovable one, and the one that is you - you can do this. you can walk the line. they can laugh and accept you. if you are always-balanced, never burdensome, a delight to have in class, champagne and glittering and never gawky or florescent or god-forbid cringe: you can get away with it.
you stare at your therapist, whom you can make jokes with, and who laughs at your jokes, because you are so fucking good at people-pleasing. you smile at her, and she asks you how you're doing, and you automatically say i'm good, thanks, how are you? while the answer swims somewhere in your little lizard brain:
how long have you been doing this now? mastering the art of your body and mind like you're piloting a puppet. has it worked? what do you mean that all you feel is... just exhausted. pick yourself up, the tightrope has no net. after all, you're cheating, somehow, but nobody seems to know you actually flunked the test. it's working!
aren't you happy yet?
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medicalwritinginput · 2 years
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Get Medical Editing and Medical Proofreading Service Help at Medical Writing Input
Looking for a professional writer who can help you to edit and proofread your medical content? Here at medical writing input you can get a help of a doctor. You can get medical editing services & medical proofreading services from Dr. Andrew Rynne. Dr. Andrew Rynne will help you in your any medical and scientific writing inputs. Dr. Andrew Rynne provide medical writing help & scientific writing help of all genres with whatever it they need for inputted into their projects.
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eiraeths · 5 months
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ear’s guide to writing stab wounds
disclaimer!!!: this isn’t to be used as actual medical advice there isn’t enough information at hand to properly treat someone, this is just for writing.
hemostatic (blood clotting) control is the number one priority. minor bleeding can be controlled with direct pressure to the wound. moderate bleeding may require a compression bandage as well as direct pressure. severe penetrating wounds or a nicked artery means wound packing will be necessary as well as direct pressure.
types of stab wounds:
- blunt stab wound means whatever object caused the trauma wasn’t sharp or wasn’t moving fast enough so the skin tears.
- penetrating stab wounds go deep into the skin and into the muscle.
- superficial stab wounds don’t go too far under the skin and look worse than they actually are.
steps to treatment:
1. if the object is still inside the person’s body do not remove it unless it’s to the groin, neck, or axillae (armpit) and the bleeding is hard to control.
2. remove person’s clothes to check for any other wounds and keep the area clear.
3. keep an eye on blood pressure and airway.
4. the wound type and location changes how the rest of treatment will follow.
location:
head: direct pressure is mainstay. head wounds also bleed more than any other part of the body. has the highest mortality rate.
face: severe wounds to the face means the patient has to be seated forward to keep blood out of the airway.
neck: direct pressure is mainstay. if the airway can be secured and is absolutely necessary, wound packing can be applied.
arms: depending on the severity, any of the three treatments can be used.
legs: depending on the severity, any of the three treatments can be used.
abdomen: damage to organs is highly likely. direct pressure should be applied first while surveying if the object was long enough to damage an organ. if so, wound packing may be necessary.
chest: if the wound is deep enough it can cause open pneumothorax (‘sucking’ chest wound) a seal needs to be placed over the wound to keep air from getting inside. if this isn’t done in time the affected lung will collapse.
back: can typically be treated with only direct pressure. wound packing is rarely necessary.
neck, chest, abdomen, and pelvis wounds should never be packed unless absolutely necessary.
treatment types:
direct pressure: key to any wound. can be done with whatever is available even if that means the medic needs to use their own body weight.
tourniquets: applied to the limbs. typically not applied for more than thirty minutes. in some cases, they can be left on for hours, keeping the phrase “life over limb” in mind. complications with tourniquets like nerve damage or ischemia (no blood circulation) are rare. don’t apply over a joint and apply above the wound.
wound packing: done with standard gauze and or hemostatic dressing
wound packing steps:
1. control the bleeding with pressure. use anything available even if it means t shirts or a knee.
2. place a gloved finger inside the wound too apply initial pressure. this will hurt like a bitch. also gives you an idea of what direction the blood is coming from so gauze can be used more accurately.
3. begin packing the wound with gauze. keep pressure on the wound with finger while wrapping gauze around another finger and pushing it in the wound.
4. keep packing the wound until no more gauze can fit in, and then keep direct pressure on for at least three minutes.
5. after the three minutes, use something like a bandage wrap to keep the gauze secure inside the wound.
6. splinting the area to keep it immobilized may be vital to keep the hemorrhage from restarting
7. if bleeding continues medic has to decide if they need to take out gauze and reapply with new gauze or apply more direct pressure. this is usually done by how long it takes to get to further treatment. the longer the wait the more of an incentive it becomes to repack the wound. if it’s just down the road then apply pressure.
most likely complications:
hypoxia, shock, and hypothermia are complications that need to be watched for and treated immediately if they occur.
hypoxia:
occurs when a region of the body doesn’t have enough oxygen in the tissue. can lead to organ damage, brain and heart damage being the most dangerous.
symptoms include: tachycardia (rapid heart rate), difficulty breathing, confusion, shortness of breath, anxiety, headache, and restlessness.
severe symptoms include: bradycardia (slow heart rate), extreme restlessness, and cyanosis (blue or purple tint to skin).
treatment: oxygen
shock:
life threatening condition where the body doesn’t have enough blood volume to circulate through itself. if it goes on for long enough, organ damage and death may occur.
symptoms: rapid, slow, or absent pulse, heart palpitations, rapid shallow breathing, lightheadedness, cold clammy skin, dilated pupils, chest pain, nausea, unfocused eyes, confusion, anxiety, and loss of consciousness.
treatment: if they’re not breathing, cpr is required. if they are breathing, lay on back and raise feet a foot off the ground to keep blood in the vital organs.
blood transfusion and fluids once in a hospital setting.
hypothermia: occurs when the body is losing heat quicker than it can produce. the more blood that’s lost the more likely hypothermia is to occur.
symptoms: differ based on severity
hypothermia:
in mild hypothermia: shivering, exhaustion, clumsiness, sleepiness, weak pulse, tachycardia (rapid heart rate), tachypnea (rapid breathing), pale skin, confusion, and trouble speaking.
in moderate hypothermia: bradycardia (slow heart rate), bradypnea (slow breathing), slurred speech, decline in mental function, shivering slows down, hallucinations, cyanosis (blue or purple tint to skin), muscle stiffness, dilated pupils, irregular heart rate, hypotension (decreased blood pressure), and loss of consciousness.
in severe hypothermia: shivering stops, hypotension (low blood pressure), absence of reflexes, compete muscle stiffness, fluid builds up in lungs, loss of voluntary motion, cardiac arrest (heart stops beating), coma, and death.
treatment: covering with a blanket, hat, and jacket, adding external heat like a hot pack, and if severe and in a hospital setting, warm fluids via iv, warm oxygen, and or a machine to warm the blood in the body.
if you have any questions feel free to ask! i plan on making a guide to gunshot wounds and a more in depth guide to hypothermia later.
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aprill-99 · 11 months
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Rhys: “So let’s see if I’ve got this; you have immense shadow power, incredible combat skills, height, tattoos, secrets, dead parents, a thirst for vengeance, the weight of the world on your shoulders, a rebellion to lead, and a dragon?”
Xaden: “Yeah? I mean, there’s also my girlfriend who I’m completely in love with and 107 people under my protection but-”
Rhys: *frantically flipping through papers* “this is the hyper-intelligent girlfriend with unprecedented lightning powers? The one you speak to with your mind and call a nickname permanently?”
Xaden: “I do only have the one girlfriend. Kinda offended you’d think otherwise.”
Rhys: *signs a paper* “Adopted. The rebellion thing is handled. Me and your aunts and uncles have got this. Your new mom is going to need some time to add you and your mate to the family portrait gallery. Your bedroom is upstairs, knives are in the training ring, family dinner is every Thursday, your allowance is infinity and your curfew is never.”
Xaden: “I am…. Older than your wife?”
Rhys: “Did I fucking stutter?”
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mcflymemes · 1 year
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please don't mistake silence for hatred. please don't mistake unanswered plotting messages as indifference, or a lack of enthusiasm towards you. considering the ages of most roleplayers, many of us have bills to pay, families to take care of, medical conditions to treat, appointments to make, classes to take, homes to clean, and lives to live away from the computer that are far, far more important than writing on tumblr — life has a tendency to get in the way of hobbies and fun things like this. be patient with your fellow writers. if it doesn't work out, it doesn't work out. of course you can set your boundaries, keep your space comfortable, and softblock whoever you wish, but do so while recognizing it's probably not hatred or apathy that keeps them from leaping into your dms with message after message. they probably love this hobby just as much as you... but sometimes life gets in the way.
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falseflea · 10 months
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sometimes you just have to give some guys you like warrior cats designs
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nonranghaes · 9 months
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"it's just me."
you barely get a chance to roll onto your back before soonyoung's already climbing onto the bed and somewhat on top of you and your blankets, and it's only seconds later that he crashes. it's far from the first time this has happened (soonyoung is clingy and cuddly, especially when he's sleepy), but he manages to knock the wind out of you nonetheless. he rests his head on your chest, and you wiggle an arm out to curl around him as best as you can in your semi-trapped position.
"soonyoung--"
"just go back to sleep," he murmurs. "everything's fine."
you stroke his hair, thumb dipping down to graze his cheek at one point. "soonie--"
"i mean it," he says, eyes peering up in the low light to see yours. "i'm fine. just need to nap." his hand finds yours, and he wraps your arm around him as he snuggles in. he plants a kiss against your chest before resting his head against it again, eyes fluttering shut. "you can rest a little longer, too."
you settle back down after a moment, arms wrapped around soonyoung as you shut your eyes again. sometimes you swear this tiger is a teddy bear, but regardless of which he is, he's yours.
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anlian-aishang · 27 days
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Levi with an (Episodically) Depressed S/O
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Tags: levi x reader, angst, hurt-comfort, gn!reader Word count: 900
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Levi invites you to shower with him, making the obstacle less daunting and much more attractive. In his black robe, leaning on your bedroom door, two towels slung over his arm indicate the knowledge that you will say yes and accompany him. The way that he looks, the low plea in his voice, how could you say no? 
It would be more accurate to say that he was bathing you, but he does not phrase it that way. Instead, he is humble, letting his actions speak louder than words. He does not tell you that he will shampoo your matted hair, does not flaunt how deliberately he exfoliates your limbs, he just does them for you. Some days, even just tipping the bottle or pumping some soap into your hand can seem mountainous. On those days, he sees those activities not as tasks, but as privileges. It is his honor to be the one looking after you in your most dire time. He would always prefer someone to take care of rather than someone to miss. 
Showering together not only ensures that you stay clean, but his company prevents you from those timeless sessions sat on the tile floor. At the moment you look refreshed but before you become sleepy, he jerks the handle to the left and halts the devastatingly relaxing rain. 
Always, your clean clothes are already folded atop the bathroom counter, waiting for you. Some times, you fail to remember that you did not put them there. Other times, you notice the sign of his relentless consideration, but are artificially silenced from expressing your gratitude. No matter in his mind. You are clean, clothed, and out of bed, and that’s already better than you were before. 
Without one complaint, Levi scoops your dampened towel and old clothes from the wet bathroom floor and drops them in the hamper for you. He has seen the piles that can amass, and if it were anyone else in any other circumstance, the clean freak would be quick to chastise, but any sight or thought of you disintegrates any instinct to discipline. You are sat in the living room, admiring the ivy that swirls around the balcony’s posts, thumbing the petals of the bouquet vased on the coffee table. White-gold rays move just a tad west to cast your figure in therapeutic light. You’re too tired to move away from the sun, and for once, Levi finds your fatigue favorable. As the morning temperature rises, he can see that your resting smile does as well. 
While you are entranced with the scenes of summer, Levi swiftly searches for and alleviates the areas you have left neglected. He dumps your sock drawer upside down and mends the pairs that you have discarded as singles. In your closet, he finds the clean pile and dirty pile and either folds it or washes it accordingly. Under your bed, on your nightstand, in your bedside drawer, he discovers the dirty dishes that have been missing the sink and returns them to their proper place. 
Between those tasks, he rolls his shoulders back or rubs the side of his neck and allows himself to sigh. It is difficult - not to bandage these tiny wounds - but to see the harsh bruises left by the illness. Sure, you were forgetful, and not quite as tidy as he was, but still - the mounds of laundry, hidden dirty dishes - this wasn’t like you. Levi lives for your joy - not the superficial smile, your peace - not the misleading silence. He lives for you - in sickness and in health. The times you forget your worth, that is when he whispers it in your ear. When the world is overwhelming you, he lets his touch communicate it. 
Once your space is in order, he can start to work on getting you to leave it. Rather than annoying reminders or obligations, he mindfully manipulates the steps of treatment into desirable invitations. Rather than Do you want to… or Would you like to…, his proposals are statements, taking the responsibility out of your hands. Concerts in the park this afternoon. Let’s go to the farmers market. Apple orchard just opened.
Or even less far away. 
Plants look thirsty, water them with me? Rain just cleared, read on the porch with me? Full moon tonight, stargaze with me?
To you, with me frames the activities, frames your presence as favors for him, and even in your lowest state, you are always keen to help him with anything. To Levi, it is no framing, your relationship is the greatest gift that fate has bestowed on him, and he treats you as such. It is in his selfless actions and his careful words, but it is more than that, traits you can’t quite categorize. The near flat, subtle smile you wake up to in the morning. The tight yet painless combs through your hair that leave you feeling divine. The low, calming timbre of his voice, decorated with a tender tone that he reserves for you. 
Even before the haze you’re in now, you’ve never been able to label those qualities of his, and instead settled: it’s just who he is. 
Like the sentiment that motivates his care: it’s what you deserve. 
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// masterlist //
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fattributes · 8 months
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It's really hard for me to ask this, but would anyone be able to help me financially get home from work and a doctor's appointment this week? I'm already taking the bus as often as I can, but there isn't one that runs by the time I get off work, and I won't be able to get home otherwise. My next paycheck is expected to drop on the 15th, and I currently only have $5.26 in my bank account. I would really, deeply appreciate any help I can get. Thank you.
cash app: $fattributes ko-fi: fattributes paypal: [email protected]
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writerbri-archive · 1 year
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parting writing advice before this blog becomes inactive from someone who takes pictures of broken bones for a living and who has worked in an ER
a fracture of the bone is the exact same thing as a break, it’s just a more medical term the same way that sutures are the exact same thing as stitches and edema is the same thing as swelling, so an open fracture that breaks through the skin is the same thing as a closed hairline fracture you can barely see on an X-ray is the same thing as a stress fracture that is only really detectable with a physical exam, they’re only classified in more specific ways and they are treated based on severity
most superficial wounds aren’t going to be stitched up after 12-24 hours because they’ve been open long enough that closing them at that point would be asking for infection
an X-ray is a little bit of radiation, a CT is quite a bit more radiation, and an MRI is a magnet with no radiation whatsoever
no matter what grey’s anatomy or any other medical show might make you believe, doctors rarely do any actual imaging (taking X-rays, CTs, etc) and most of them would have no idea how
Concussions are not diagnosed with imaging. There is not a single X-ray or CT or anything else that can tell a doctor that their patient has a concussion. A concussion is diagnosed with an exam. Patients will usually have a headache and they will be dizzy, nauseous, light/sound sensitive, and sometimes they will have memory or vision problems. They will occasionally have something called nystagmus in their eyes. CTs are taken to rule out more serious conditions such as a fractured skull or bleeding/clotting in the brain.
O2 saturation is a vital that tells you how much oxygen is in your blood. Anything above 95% is okay. Anything from 90-94% is going to make a medical professional take a second look. Anything from 80-90% is low grade hypoxia and you’re getting a chest X-ray and possibly put on oxygen. You might be going to the hospital. Anything below 80% is most likely a hospital admission whether you like it or not because you’re about to get a whole shit ton of labs and a CT of your lungs at the very least if the X-ray hasn’t show a punctured lung or pneumonia to explain what’s up. I hope you find nasal cannulas comfortable. Doctors would be concerned about a blood clot, lung cancer, and other super concerning pathologies.
Kidney stones hurt like a bitch and can cripple most people to the point where they cannot walk. Imagine a foot long straw trying to pass a rock that is 2-3x it’s diameter.
Children regrow bones like lizards grow their tails. Kids can be healed from a fracture in 2-4 weeks that would take an adult 6-8 weeks to heal.
The femur is an incredible difficult bone to break. It’s usually a very high impact injury (car wreck, long distance fall, skiing accident, etc).
This is just advice but do not do not DO NOT ride in the passenger seat of a car with your legs propped up on the dash if you value keeping your leg bones intact where they are supposed to be. Just don’t do it, please. But if you want to write a particularly gruesome car wreck, that’s a good way to do it!
Animal bites are almost always preemptively treated with antibiotics.
I might add more if I can think of it but I’ll answer any questions if people have them
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whumperfultime · 4 months
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*white-knuckling the bathroom sink while staring into the mirror and speaking through gritted teeth* Your writing does not have to be medically accurate to be good or enjoyable. You are not a medical professional and neither are most of your potential readers. How about Make-Believe Land has literally anything that you want. PLEASE JUST STOP OVERTHINKING AND WRITE THE WHUMP
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shit-talker · 6 months
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Roach makes a tiktok rating the signatures the 141 use on their emails;
"Regarding question, please refrain, Lt Riley"
Roach : Very in character for the big man, unfortunately it was in regards to a question of requesting leave so. 4/10.
"Your brother in Christ, Sg Garrick"
Roach : Wonderful form. Made me laugh. Solid score. 7/10
"Stay positive and test negative guys, Sg McTavish"
Roach : Covid jokes are always funny, but he's made this one several times now, and I'm bored of it. 3/10 for fuckery.
"Don't fuck this up you little enabling shits, Cpt Price"
Roach : Hilarious. Our group chat is now titled "little enabling shits" not very professional from the captain. Still 9/10.
"We will discuss more later, SC Laswell."
Roach : Terrifying. Actually, bone chilling. Scared all of us so much. 10/10 for pure fear.
"Eat my ass, Sg Riley xx."
Roach : This one's super old now, but I love it, so it's staying here. 11/10. Gods speed, Si.
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medicalwritinginput · 2 years
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Leading Medical Writing Organization Offering Medical Copywriting Services
Leading medical organization Medical Writing Input specializes in offering a variety of medical copywriting services to physicians, healthcare workers, patients, and other medical professionals. Medical Writing Input's team of expert medical copywriters assists in creating credible material on a range of medical subjects. The director of medical writing input, Dr. Andrew Rynne, is a skilled physician who offers medical writing help and is eager to impart his knowledge to people all around the world. He comprehends your requirements and produces the necessary edits to medical journals, articles, blogs, and manuscripts to produce persuasive writing and strike a balance between the educational and commercial aspects.
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whump-in-the-closet · 9 months
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“Come on, come on. Breathe. In and out. You can manage that.”
Field Whump Time >:)
Hero collapsed in the moss. The smell of grass rose up to meet him, new and green.
His leg throbbed. He didn't have to look to know that the soft ground was soaked with blood.
His team caught up with him, their voices filling the air with anxious whispers. To him, it sounded like they were shouting.
"Hero?"
"Are you alright?"
"Hey! C'mon mate, get up!"
Hero, with a desperate sound, put his hands beneath him. He pushed himself up on all fours and then, digging a hand into a tree trunk, stood.
The faces of his team blurred together. He blinked and they cleared. He shook his head, putting a hand out to wave them aside. "I'm...I'm okay." Breathing should not hurt as much as it did, but other than that...he was fine. He refused to look at his leg.
"Are you sure?" asked Leader.
Hero took his hand off the tree to prove exactly how fine he was doing. Putting weight on his injured leg sent a spike of pain up his entire body, fresh and horrific. "Yeah," he gasped.
Medic looked at Hero for a long moment, their expression unreadable.
Hero broke eye contact first and took a step forward, to further prove himself. "We need to keep going--AH--" Hero crumpled to one knee, his leg betraying him. His face went white.
Medic turned to Leader and shook their head. As quickly as that, his sentence was passed.
Hero struggled to stand, but Medic put a hand on his shoulder to stop him. "Lie down. We have to remove the bullet." They spoke like they were simply announcing the result of a calculation.
Hero looked from Leader to Medic, searching their faces for any way of escape, and found none. He turned to his teammates. Nothing. "No, you don't have to do this." His voice shook. "No, please."
Medic crouched down next to Hero, unraveling their pack. Hero caught a glimpse of shining metal and shuddered. Medic caught him looking. "We have to work quickly." They did not say don't worry, it won't hurt.
The air contracted around Hero as Leader gently pushed him to the ground. It seemed to shimmer, as unreal as this whole situation. He dug his nails into the soft moss when he heard metal clinking against metal.
"Please," Hero tried again. "Please--"
"Give him something to bite down on," said Medic. "You two, grab his arms, don't let him thrash around."
Hero tried to jerk upright at this but his teammates already had him pinned. One whispered an apology as they pressed him into the ground, the other said nothing and would not look at him.
Leader squeezed his hand sympathetically, then held up a piece of leather, waiting to see if he would take it.
Hero blinked.
He was back.
Villain standing above him, just out of his line of sight--
No, no, no, n--no
"Keep begging like the dog you are."
The flash of steel-- the sudden brightness of it inside him-- digging under his skin, biting deep. Deeper and twisting--
Hero was shaking, suddenly aware of Leader and the moss and Medic cutting away his pant leg to reveal not one, but two, bullets embedded above his knee.
He nodded. "Give it to me." He bit down on the leather and hoped it would muffle his screams.
Villain's favorite pastime had involved a knife and Hero under his blade.
Medic pressed cool steel against the wound and Hero tried to scramble away, back arching.
Through the roaring in his ears, he heard Leader telling him to breathe.
He dug his hands into the moss, green and white behind his eyes. The smell of iron grew stronger. He couldn't--
"Come on, come on. Breathe. In and out. You can manage that.”
Hero exhaled a shuddering breath.
Medic dug deeper.
He screamed into the gag.
"In and out!" snapped Leader. "Breathe in and out."
Hero was shaking. He inhaled shallowly, more out of instinct than obedience.
Then came Medic's clear voice, "Got the first one."
Leader patted Hero's shoulder in sympathy.
Hero exhaled. His breathing came at a quicker and quicker pace, hands buried in the dirt, as Medic dug out the second bullet.
The color green danced behind his eyes, dull and pounding. He tried to drown himself in it. It didn't help. The taste of leather in his mouth felt wrong-- like vinegar or something sour-- warning bells going off too late.
He didn't hear Medic's relief when they said, "We're done." He only felt the tight pressure of the bandages being wrapped. His teammates let him up and when he spat the leather gag out, he noticed, vaguely, the dirt under his nails was bloodstained.
He worked his jaw in a circle, trying to erase the taste of wrongness. "Fuck you guys," he muttered.
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lonelynpc · 2 months
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Waking Up Unconscious Characters
on the topic of whump!
if you want somebody to attempt to wake an unconscious character, here's how we do it when waking you from anaesthesia:
always speak in a loud and clear voice. we need to make sure they can hear us.
identify ourselves. this includes what our role is so, "this is (my name), i'm your anaesthetist/doctor." sometimes i will also say, "we met before," just to try jog their memory a little bit.
use the patient's name.
comfort and reassure. we avoid saying, "everything's okay," or similar but we will say, "this is normal," "we're looking after you," "the procedure went well," etc.
"(name), open your eyes for me. i need you to open your eyes now." notice it's a command, not "can you open your eyes for me?" when patients are confused, we sometimes see a sort of "i can but i won't" response. can't leave room for confusion, we need to be direct.
tap their shoulder firmly, if possible. obviously, if they've just had surgery on their shoulder or have a shoulder injury we might tap a leg or their chest instead. we will also loudly and clearly speak to them while doing this.
apply painful stimuli. this doesn't mean we're hitting them. we're stimulating a patient to get a response to assess LOC. mandibular pressure is the common one in anaesthesia, if it was the surgical site or if there is an injury there we won't do it, we might do the trapezius squeeze instead.
"hey, (name), this is (my name), your anaesthetist. you're just waking up from surgery, alright?" let them know what's going on, identify yourself again. keep using their name.
once they open their eyes, acknowledge it. i say, "there we go, hello again, (name)," and then reiterate the above.
tell them to stay still, talk them through what we're doing. "stay still for a second, we're taking the tube out, okay?" if a character is going to be moving or touching the injured character, even if they are still unresponsive, they should explain what they're doing. "i'm putting you on your side," "i'm just checking you for injuries," "it looks like you've hurt your arm, i'm going to take a look."
here's some responses people have when waking up from anaesthesia (often they do not remember this):
crying a lot. this is very common and usually if we ask why they're crying, they say they don't know so we tend to just assure them that this is normal and it will pass. we also often see this if a procedure went for longer than anticipated and the bladder is distended.
combative responses. some patients wake up swinging because they're confused, in pain, etc. some wake up combative because the procedure went for longer than anticipated and their bladder is distended too, that's a common cause of aggression on emergence.
urinary incontinence. it happens, we assure them that it's normal and not to be embarrassed, clean them up and cover them. sometimes it happens before they're 'awake'.
flirting or declarations of love. it sounds weird but it happens. it also happens when we're putting them under too. i had a patient tell me that i have beautiful eyes and make kissy faces at me once.
some people get erections. it's sometimes seen in response to certain anaesthetic agents. maybe not whump material but it's interesting so there you go.
immediately trying to move, pull monitors off or IVs out, etc.
singing. now, i haven't seen this super often and it's not full singing but they try their best. i had a patient mumble-singing the lyrics to funky cold medina once (instrumental included), he had no recollection of it later.
non-purposeful movement. thrashing, writhing, turning, etc with no intention.
crying, combative responses, non-purposeful movement, etc are known as 'emergence agitation' (EA).
i hope that helps a bit and gives some ideas!
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mauvecherie-writes · 22 days
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urgent support.
Hi guys, now I’m not ashamed to always ask for help but when it’s monetary, it always adds this layer of shame to it. However, I am an unemployed student still struggling to find work.
Until I get my student finance - I’m in overdraft and I have bills and expenses I need to cover for until then.
If you can please donate anything at all to my pot to achieve £150 it would be a massive help.
Thank you, thank you, thank you 🩷🩷🩷🩷
PAYPAL
KO-FI
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