ifwebeworthy: (Don is serious)
Dr. Donald Blake & Thor Odinson ([personal profile] ifwebeworthy) wrote in [community profile] fandomhigh2024-07-29 10:10 am

First Aid: Extreme Edition, Monday Fifth Period

"Let's suppose," Don said at the beginning of this week's class, "that you have found yourself in the position of rescuing someone who has been held captive or hostage. And if you're thinking, 'What the heck, Dr. Blake?' please remember I come from a world with superheroes and it's been known to happen.

"First, there is of course a psychological component here. People are likely to be scared and-slash-or traumatized. It's important to be patient and respectful, and keep their personal autonomy in mind. I'm not a psych expert so I can't really get too in depth there, but...'be patient and respectful' is always a good starting point.

"Now. There are a few main problems you may run into with someone who's been in restraint, and they all come from those restraints being applied improperly, which--yeah. Most bad guys don't care that much about your circulation. That's one of the issues. Any restraint applied too tightly can restrict circulation or even cause nerve damage. Putting someone into restraints too roughly, or them struggling trying to get out of them, may result in joint damage or even dislocation. And, of course, there's rope burn.

"First I want to talk about dislocation, because media has given people entirely the wrong idea about it. I do not want to see any of you casually popping someone's shoulder back into place. That can cause serious damage if done wrong. Instead you should immobilize the limb and ice it, and get your patient to a medical professional for correction. Get it? Got it? Good. If circulation has been cut off, your patient's hands or feet will be swollen and possibly even discolored. Obviously the first step is to remove the restriction. Have them try to move their limbs even if it's painful, to help restore circulation, and you may consider compression wraps to help push the excess fluid out of the tissue and restore proper circulation. If you believe there is nerve damage--for example, if your patient is exhibiting wrist drop and cannot properly extend their wrist and fingers--then you want to avoid compression, but splint the joint and see a neurologist as soon as possible.

"And finally, of course, there's good ol' rope burn. Rope can be very rough, and, via friction, can take off a few layers of skin. You may think this is just uncomfortable, but like any other kind of burn, it can also be an infection risk. If the area of rope burn is more than two inches long or takes off more than just the top layer of skin, you'll want a medical professional to take a look at it. You'll want to clean the wound with cool, clean water--don't ice it--and remove any debris left by the rope with tweezers before covering the wound lightly. You can use aloe, if you have it.

"Now, obviously you can apply this information in whatever context you see fit." Ahem. "I'm not the fun police. Are there any questions?"
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