fandomhigh | First Aid - Danger Shop, Friday, Period 5 [Week 4]

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First Aid - Danger Shop, Friday, Period 5 [Week 4]

Hawkeye met the students outside the Danger Shop for today's class. "As you can probably tell from the first workshop, I'm not opposed to a shock factor to get you to pay attention. But I'm not here to make you sick, and during today's class you might be. There's going to be wounds and blood in here that looks, feels and smells about as real as you can get. I'm not pulling any punches because you asked me not to. It's nothing to be ashamed of. A hardened surgeon, a good friend of mine who'd dealt with plenty of blood and organs in his time, saw what violent trauma - especially shrapnel trauma - can do to the human body on his first day in Korea back when it was a war zone. He threw up his breakfast. Chances are you'll do the same and it only makes you human. Or whatever you are if you're not human.

This is what we're going to do. We'll rotate as a group through three activities. I'm going to show you how to treat a puncture wound from a knife, one from a bullet and then we'll go over some basic techniques for immediate on the scene treatment and what you'll need to do if there's no doctor coming any time soon. There are buckets off to the side of the operating room if you need to be sick. As soon as you get in there, make sure you put gloves on. The Danger Shop is a safe environment but blood can carry a lot of diseases and it's a good practice to get into. If you don't want to come inside, that's your choice. I won't hold it against you."

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Like you have to deal with blood today

Kurt Wagner

Bruce Wayne

Momoko Akatsutsumi

Jane Lane

Tim Drake

Talk to each other or talk to Hawkeye before class.

Kurt was blue and fuzzy when he arrived today. He hung out nervously and scuffed his toes on the floor.

"Kurt, I see you're still blue. Last week I figured it was a political statement. Is this a regular thing for you?"

Kurt shrugged sheepishly. "Ja. This, um... The other me was a disguise."

He tapped his watch and for a moment flickered back to his normal-looking self, then turned blue again.

"It's... a rare birth defect?"

"Clever disguise. The best I can do is wear a fake nose and mustache. Blue suits you."

Momoko was glad to see Kurt was blue.

Well, not sad-blue, not that he was, she hoped, but the colour blue.

It meant he was being himself! His real self. And that was always the best thing, even though she knew it totally hurt sometimes.

So, yay! Momoko waved and beamed a smile at him.

Kurt waved and smiled back. He wasn't sure what Momoko was thinking, but... well, she was smiling, and that was good, right?

Inside the Danger Shop looked like an operating theater. On the first table was a patient who was still clothed, but under general anesthetic. Hawkeye gloved up and beckoned them closer. He pulled the young woman's bloodied shirt up and away from the stab wound in her lower right abdomen. "There are three things you need to remember about the human body. It needs blood, it needs to stay clean and it doesn't handle trauma too well." Without demonstrating, he described how to treat (http://www.ehow.com/how_2103622_treat-stab-wound.html) a basic stab wound. "Because we're in the main torso, there are a lot of organs in there that you need to keep living. That means there could be more damage than meets the eye. But for first aid purposes, put pressure on the wound to try to stop the bleeding and keep the wound as clean as possible. Saline, clean water, antibacterial cream, whatever you can get your hands on will do. Make sure it's clean. I'll show you how it's done. Pay attention, because you're going to need to know this for our next patient." He applied pressure to the wound to demonstrate. When the bleeding slowed enough, then swiftly cleaned the area and put a temporary dressing on it. He pulled off his gloves and put them in the trash, then re-gloved. "Over this way. Time for some hands on work."

Momoko was totally used to wearing gloves for things now and pulled on a pair before stepping closer. She had seen a serious knife wound before (and totally worried herself sick until the poor guy had been released from the hospital) when she and Dinah had been patrolling in Baltimore. It was actually one of the reasons she was in the class, so she'd be able to do more than just sit there and worry.

She looked over the 'new' patient, slightly paling at how much blood was being lost as she reached out to try to evaluate the damage.

Hawkeye pulled back the curtain to reveal another patient with blood all over his shoulder, but his shirt was already removed. He was also out cold. "We're looking at the same kind of wound here. There's one key difference - while a knife can be easily extracted most of the time, bullets can break up on impact and might stay in there. You're not usually looking at one tiny capsule. You're looking for the tiny capsule and all the little pieces of it that might have broken off along the way. A bullet will tear through flesh and blood vessels like they're nothing, taking them out in full or leave tiny scratches that take a miracle to repair. The first thing is to look for an exit wound. It'll be on the opposite side of body from where the entry wound is and it'll be bigger. If there's no exit wound, that means the bullet is probably still inside and it can do more damage when the patient is moved around. The same rules as the knife wound apply for first aid. Stop the bleeding, keep it clean, keep an eye out for shock. I said I'd teach you what to do if there's no doctor coming. If you want me to walk you through this, and you're going to get your gloves dirty, step up. If there's more than one of you willing to try, we'll reset the program after each person. I'll walk you through removing the bullet and stitching up the wound. It's not ideal, but you might have to do it one day."

Now this, Momoko hadn't actually seen before. Sure she'd been grazed by a bullet and seen people shot at, but actually a full bullet wound?

She didn't have to deal with guns and bullets back home, but not every world was like hers. Plus, if she was learning how to shoot a gun, not that she ever planned to shoot at someone EVER, then learning how to 'unshoot' was totally necessary and the right thing for a hero to do.

So Momoko stepped forward a bit, raising a freshly gloved and totally not nervous, nope, hand. "I'm totally horrible at sewing, but I think... I think I need to try this once."

Hawkeye threaded up a half-circle suture (http://en.wikipedia.org/wiki/Surgical_suture) and set it on the tray, then offered her the pliers. "Preferably only once. With any luck, you'll never have to do this again, but if you have to, at least you can confidently say that you've done it before." He wiped away the residual blood since it wasn't gushing anymore and cleaned the area. "The bullet is in one piece, so you have to get in there and pull it out. You want to be careful so you don't tear anything that's not already torn, but you want to do it in as fluid a move as you can so nothing breaks off."

Momoko took the pliers, but just stood there as he cleaned and spoke. There was a bullet in there and she had to get it out. Okay, she was a hero, she could do this. This could save a life someday. She was fine. Hero.

Something he said made her think, though, and she looked up at Doctor Pierce. "How can I know when it's a whole bullet? I mean, when no one is there to tell me? Would it cause more damage to try to take it out if I don't know?"

"That depends on where the wound is and whether you'll have to move the patient. Unless you go to medical school, you won't have the skills to get all of it out. With a wound like this, you'll probably be better off packing the wound, bandaging it up and immobilizing the shoulder." When the hole was ready, he gestured towards it. You'll want to grab the edge of the bullet and try to pull it up smoothly."

And Momoko was in no way going to medical school.

She leaned over the hole and, taking a deep breath, reached for the bullet. She was shaking just a bit, so it took a moment. She lost her grip on it once, but finally pulled it out.

She stared at the small blunted and bloody projectile in her grip. It didn't look a thing like the shiny clean bullets she used at the range, and she frowned at it.

"Sometimes it's a little lump of metal, seemingly harmless. Other times you'll find pieces that are serrated around the edge and designed by some sick and twisted person, for some definition of the word 'person', to inflict as much damage to the tissue as possible." He held up a small metal bowl for the bullet to go in.

Momoko dumped the bullet into the bowl. "Now I feel bad about learning to use them. Guns, I mean." She sighed and poked at the bullet. "Is this real or part of the Danger Shop program? Can I keep it?"

"It's all holographic, so it'll disappear the second you walk out those doors," he gave an apologetic shrug. "Guns are guns though. It's when it's used on a living thing that they become my problem." He set the bowl down and wiped down the wound again before preparing the skin and sticking the suture in where he was going to have Momoko start. "Your turn."

Momoko sighed. She'd wanted it as a reminder, but, well, hopefully she'd need only this memory.

"Uhm. I just... sew? Is there a specific stitch I'm supposed to use?"

Hawkeye pointed out where the stitching needed to go, how to grasp the skin and all of the interesting parts on how to stitch together a wound. "Try not to prick your finger. Gloves are thin and you don't know what this guy has in his blood."

Stabbing herself wasn't the problem with Momoko's sewing. It was more making sure she didn't stitch whatever she was working on to herself. Which really wasn't an option here, so while her stitches were clumsy, he was closed.

"Uhm... do I knot it?"

Edited 2010-08-04 03:23 (UTC)

Poor old patient number one was back and bleeding again thanks to a program restart. Hawkeye detailed the difference between wounds on the torso and on the extremities, elevation of the wound, techniques for bandaging different parts of the body and different levels of wound severity. "Our patient here won't feel a thing if you want to practice on her." He then went on to explain what else you needed to do to keep a patient alive (mostly to do with fluids and infection) if there was no doctor coming. "Ask questions. It's the best way to learn."

"For those of you who missed the workshop last week, we covered CPR - restoring breathing and circulation. If you want to catch up and learn, come and see me at the clinic in town on Tuesday."

I do believe we're going to lose a class to the BDE, but if anyone is interested Hawkeye can run a replacement after it's over early the following week. Any interest in that?

Karla's interested! Also sorry for missing class today, due to time-travel.

No problem, but thanks for letting me know :)

Momoko would definitely skip class to fight monsters, if any appear that early, so she would appreciate a chance to make it up. Even if it's just her and not a whole class. :)

Awesomesauce. I'm thinking he'll send word to everyone once the coast is clear for anyone who wants to come along.

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First Aid - Danger Shop, Friday, Period 5 [Week 4]

Sign In

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Arrive Outside the Danger Shop

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Knife Wound

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Bullet Wound

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Basic Techniques

Talk to Hawkeye After Class

OOC

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