[GUIDE] Roleplaying Injuries

Gary

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Dale Leonard
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San Andreas Fire & Rescue
#1

Roleplaying Injuries
Roleplaying an injury on a roleplay server is not only beneficial to the roleplay of bystanders that interact with your character, including the fire department, but it is also crucial to the development of your character and an injury can play an immensely important part in the future actions that your character will take. For example, if your character was shot due to trespassing on a gang's turf, they would know not to return to the area out of pure fear of repeating their injuries and going through the exact same pain and trauma that they previously did.

There are multiple types of injuries, so many that it would be difficult to list all of the injuries that you could possibly roleplay. Psychological or mental injuries are usually an entire different field of expertise, however I'll briefly go over a few that are common simply to benefit this guide. By utilising the information within this guide, you'll be able to strengthen your roleplay and provide more detailed roleplay for your injuries for not only the fire department but everybody around you, including your character. If you want more information on how to roleplay a certain injury, reply to this thread and I'll happily explain how to roleplay it by adding a new section, or adding additional information to a certain section.
ShockEvery severe injury that your character sustains will result in shock, which will deflate your nervous system and make you virtually immune to pain for a short period of time, increase your breathing rate and make it shallow, make your skin cold and clammy, make you dizzy, faint, weak and will also increase your heart rate.

Septic shock results from bacteria multiplying in the blood and releasing toxins. Common causes of this are pneumonia, urinary tract infections, skin infections (cellulitis), intra-abdominal infections (such as a ruptured appendix), and meningitis.

Anaphylactic shock is a type of severe hypersensitivity or allergic reaction. Causes include allergy to insect stings, medicines, or foods (nuts, berries, seafood), etc.

Cardiogenic shock happens when the heart is damaged and unable to supply sufficient blood to the body. This can be the end result of a heart attack or congestive heart failure.

Hypovolemic shock is caused by severe blood and fluid loss, such as from traumatic bodily injury, which makes the heart unable to pump enough blood to the body, or severe anemia where there is not enough blood to carry oxygen through the body.

Neurogenic shock is caused by spinal cord injury, usually as a result of a traumatic accident or injury.
Traumatic Brain Injury (TBI)Gunshot wounds or severe blunt trauma to the head would often cause traumatic brain injury, which has the potential to put your character into a comatose state. Furthermore, TBI can be recognised by a lack of consciousness, which would be expected from the severe loss of blood from the gunshot wound. Nausea or vomiting would be expected, as well as seizures, dilated pupils, a weakness or numbness in fingers or toes, a loss of coordination, slurred speech and agitation, combativeness or other unusual behaviour. All of these injuries would not be seen on-scene of a medical gunshot call, though early symptoms would appear if it was due to blunt trauma. They would often come after treatment of the major injuries.
Loss of BloodA loss of blood for your character will result in their heart rate being increased with their heart rate also being rather weak without a strong pump to it. While severe, it will result in:
  • Headache
  • Fatigue
  • Nausea
  • Profuse sweating
  • Dizziness
  • Cold or clammy skin
  • Pale skin
  • Rapid, shallow breathing
  • Little or no urine output
  • Confusion
  • Weakness
  • Blue lips and fingernails
  • Lightheadedness
  • Loss of consciousness
Gunshot WoundsGunshot wounds are one of the most common types of injuries If you have a gunshot wound to the head, you must roleplay it as being a direct headshot and cannot roleplay it as "grazing your head" due to the unrealistic chance of this happening. Furthermore, the RCFD cannot /heal a gunshot wound to the head. This means that you cannot roleplay surviving a gunshot wound to the head unless you gain express permission from an administrator to do so before roleplaying surviving.

Gunshot wounds to the heart area will result in severe blood loss. Blood would surround the heart and cause cardiac tamponade, which affects the heart's ability to fill and pump with blood. You would also often lose your normal cardiac rhythm which would result in a loss of pulse and ventricular fibrillation, which will lead to cardiac arrest. An automated external defibrillator is utilised to de- the effect of fibrillation, hence the name defibrillator. It is very unlikely to survive a gunshot wound to the heart, but it depends on the bullet caliber, distance of the shot, proximity of medical care and swiftness of treatment.

Gunshot wounds to the rest of the body are quite common, but they're easily survivable. You've got a 27.4% of dying from gunshot wounds to the rest of the body as long as the bullets don't hit any major arteries and lead to immense blood loss.

Stab wounds are roleplayed almost exactly like gunshot wounds, however the difference is that a gunshot wound can result in an additional exit wound where the bullet leaves the body on the opposite side of the skin. Due to the decompression of the bullet, an exit wound would be much larger than the entrance would and would result in a lot more blood loss.
Car Crash InjuriesCar accidents are a leading cause of injuries. Over 5.6 million car accidents were reported in the United States in 2012. Of these, over 30,000 of were fatal and another 1.6 million involved other injuries. Head injuries are among the most serious car accident injuries. Seated drivers and passengers involved in high-speed collisions can strike their heads against steering wheels, dashboards, or windows. This can cause traumatic brain injuries, ranging from mild concussions to comas and lasting cognitive problems. Often extensive medical treatment and long-term medical care are required after such injuries. Head injuries can also lead to skull fractures, hearing loss, and vision problems. Back injuries are also common. Any damage to the spinal cord can cause significant nerve damage. Patients may experience reduced sensation of and control over their arms, hands, legs, feet, and other body parts. More serious forms of spinal damage can leave patients permanently paralyzed. Another common car accident injury is a herniated disk. This tends to be less severe than spinal damage or head injuries, but can still cause significant problems. Patients often experience numb or tingling sensations, muscle weakness, and arm or leg pain. Probably the most well known car accident injury is whiplash. Sudden movement of the head and neck (such as from a rear-end collision) can cause serious neck muscle and ligament damage. Whiplash injuries can differ from person to person, depending on the accident and the health of the person involved in it. Generalized neck pain and swelling is also fairly common. It is also not unheard of for patients to suffer temporary vocal cord paralysis after a car accident. Many serious injuries are related to trauma affecting the chest area. Blunt force trauma from car accidents can cause broken ribs and collapsed lungs. People with heart problems can go into traumatic cardiac arrest from an accident. Internal bleeding in the chest area can be an immediate problem following an accident. Damage to internal organs, the pelvis, and the abdomen can also occur. These kinds of injuries require immediate medical attention. Injuries to the arms, legs, hands and feet can be common. Accidents involving pedestrians can see leg and foot damages in addition to all those mentioned above. Motorcyclists involved in car accidents can suffer significantly more serious and more numerous injuries. These can include broken bones, ligament damage such as a torn ACL, and even severed limbs. The fatality rate for motorcyclists is also significantly higher than that for drivers and passengers in cars. Emotional distress following a car accident is also common. People most often drive or ride in a car with friends and family members. Serious car crashes can leave emotional scars on those who suffered serious injuries as well as those who witnessed them. Counseling and treatment for post-traumatic stress disorder and similar psychological injuries is fairly common.
Cardiac Arrest & Heart AttackSudden cardiac arrest occurs suddenly and often without warning. It is triggered by an electrical malfunction in the heart that causes an irregular heartbeat (arrhythmia). With its pumping action disrupted, the heart cannot pump blood to the brain, lungs and other organs. Seconds later, a person loses consciousness and has no pulse. Death occurs within minutes if the victim does not receive treatment. A heart attack occurs when a blocked artery prevents oxygen-rich blood from reaching a section of the heart. If the blocked artery is not reopened quickly, the part of the heart normally nourished by that artery begins to die. The longer a person goes without treatment, the greater the damage. Symptoms of a heart attack may be immediate and intense. More often, though, symptoms start slowly and persist for hours, days or weeks before a heart attack. Unlike with sudden cardiac arrest, the heart usually does not stop beating during a heart attack. The heart attack symptoms in women can be different than men. These two distinct heart conditions are linked. Sudden cardiac arrest can occur after a heart attack, or during recovery. Heart attacks increase the risk for sudden cardiac arrest. Most heart attacks do not lead to sudden cardiac arrest. But when sudden cardiac arrest occurs, heart attack is a common cause. Other heart conditions may also disrupt the heart’s rhythm and lead to sudden cardiac arrest. These include a thickened heart muscle (cardiomyopathy), heart failure, arrhythmias, particularly ventricular fibrillation, and long Q-T syndrome. Common heart attack signs and symptoms include:
  • Pressure, tightness, pain, or a squeezing or aching sensation in your chest or arms that may spread to your neck, jaw or back
  • Nausea, indigestion, heartburn or abdominal pain
  • Shortness of breath
  • Cold sweat
  • Fatigue
  • Lightheadedness or sudden dizziness
Blunt TraumaBlunt trauma, blunt injury, non-penetrating trauma or blunt force trauma is physical trauma to a body part, either by impact, injury or physical attack. The latter is usually referred to as blunt force trauma. Blunt trauma is the initial trauma, from which develops more specific types such as contusions , abrasions , lacerations , and/or bone fractures. Blunt trauma is contrasted with penetrating trauma, in which an object such as a bullet enters the body. Blunt abdominal trauma (BAT) comprises 75% of all blunt trauma and is the most common example of this injury. The majority occurs in motor vehicle accidents, in which rapid deceleration may propel the driver into the steering wheel, dashboard, or seatbelt causing contusions in less serious cases, or rupture of internal organs from briefly increased intraluminal pressure in the more serious, dependent on the force applied. It is important to note that initially there may be little in the way of overt clinical signs to indicate that serious internal abdominal injury has occurred, making assessment more challenging and requiring a high degree of clinical suspicion. There are two basic physical mechanisms at play with the potential of injury to intra-abdominal organs: compression and deceleration. The former occurs from a direct blow, such as a punch, or compression against a non-yielding object such as a seat belt or steering column. This force may deform a hollow organ thereby increasing its intra-luminal or internal pressure, leading to rupture. Deceleration, on the other hand, causes stretching and shearing at the points at which mobile structures, such as the bowel, are anchored. This can cause tearing of the mesentery of the bowel, and injury to the blood vessels that travel within the mesentery. Classic examples of these mechanisms are a hepatic tear along the ligamentum teres and injuries to the renal arteries. When blunt abdominal trauma is complicated by 'internal injury', the liver and spleen are most frequently involved, followed by the small intestine.

 
Joined
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#9
Everything you need to know about injuries, lovely! :thumbup: :luvrcrp: