[identity profile] legendaryhands.livejournal.com
Buckle up, kids. Dr. McCoy had a gross one today.

The Danger Shop was well-lit and had some flat surfaces. Inactive blank-eyed practice people sat at each one.
"Today's stitches. You'll be actually stitching up an arm wound, so the faint of heart beware. Though I don't think you'd still be in this class if you didn't have the stomach."

He used one of the practice people himself to demonstrate. They had a cut on the back of their arm. He showed the class how to clean it, and how to insert a needle into the subdermal layer, maneuvering it back out to the other side as a holding stitch. After going across the wound, he showed them how to create diagonal stitches zigzagging back across, and then how to tie it off.

"Cleaning it out is the most important part--use disinfectant, if available in a med kit, and never seal a foreign object under the skin. Partner up, give each other a hand. All your patients should be programmed to have similar wounds, so it will look a lot like what I just did. Steady hands are key."
[identity profile] legendaryhands.livejournal.com
Each desk in McCoy's classroom had a card on it, with the blank side flipped upwards. McCoy wrote on the board before students started filing in to please wait to reveal cards, knowing full well that there were a few people who were going to peek. If they could keep quiet about it, though, he'd be happy.

"Today we're looking at animal bites. Each of you has a card on your desk. The card has a picture on the opposite side of a type of bite. Assume the bite appears on the calf of your partner's leg. Your job is to identify what kind of bite it is by approximations--large or small mammalian, snake, bug, it goes on. You also will need to tell your partner how to treat the bite. If it is only a skin puncture, treat it like you would any other cut. But if it is showing signs of infection, you'll have to clean it out--or in cases of venom and poison, de- elevate the infected limb below the heart. In all cases, keeping calm is key--blood flow increases with panic, and that can spread a poison quicker and cause a person to bleed out faster. Good luck!"

[Wait for OCD!Have at it!]
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[personal profile] walkswithcoyote
After receiving an email from Dr. McCoy, Mercy stopped by to stick up a notice on the classroom door.

"Class cancelled due to unforseen circumstances. Sorry."

More time to work on her wedding plans!
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[personal profile] walkswithcoyote
When Mercy got to class she didn't see Doctor McCoy there, so she decided to go ahead with a lesson about some stuff Charles had made her learn when she was growing up.

"So... for many generations before Europeans came to this country, Native Americans were using herbs for healing. There are lots of different plants used for lots of different ailments.

For today, I thought we could check out this website and each come up with a couple of plants that might be useful. For example, mountain hemlock can be made into a tea to help colds and fevers. Just, you know, make sure it's not the poisonous kind of hemlock."

And yes, Charles had made her try it. Not the tastiest thing going.

"Okay, take a look, pair up with someone if you want, and see what you can find."
[identity profile] legendaryhands.livejournal.com
There was a sign on the classroom door that simply read "Out sick. Stay safe."

Something was vigorously scribbled out just above it, and if someone looked carefully, they could see that McCoy had initially written "Gone fishing."

McCoy trying to be funny was an ongoing struggle.

[OOC: Sorry y'all, I'm mildly ill and didn't prepare last night like I should have.]
[identity profile] legendaryhands.livejournal.com
It had been a weird weekend. Unexpected fatherhood wasn't on McCoy's schedule for Valentine's Day weekend--he had to displace all his pre-planned moping and mourning.

So class was easy this week. The room was set up with comfy chairs, and after some (a lot) of fussing, McCoy got the damned projector working.

"Simple day today--no naps, but no big activity. We're gonna watch something."

He played some clips from Dual Survival about finding water and food, with a few miscellaneous moddable tips thrown in.

[If you do go searching through more clips from that show or feel compelled to click through recommended links, be warned that some of it is incredibly disgusting. Open wounds and dead carcasses disgusting. Take care of yourselves!]
[identity profile] legendaryhands.livejournal.com
Class met in the Danger Shop today. It was set up to look like a forest. McCoy was chewing on a stalk of grass when the class came in. What a Georgian loser.

"Aren't you glad to get a break from the cold?" It was autumn in the fake moddable forest. Good time for a harvest.

"You might find yourself without food or water for a time. You're going to need to gather, in that case." He handed out a hand-waved sheet listing several edible roots, berries, and leaves.

"The good news is, even if you find something rotten, grubs are a good source of protein. I'm well aware your gag reflex might react, but they can keep you going when you need it most. If you find something fresh and have the time, cook it. Some things are poisonous only when raw. You'll lose some of the water, though."

Also some of the ick. Had anyone ever had raw beets? Yuck.

"Break up into pairs and find at least one source of fresh water, and one meal. You eat some grubs, you get fruit snacks at the end. Anyone touches the nightlock, they get an F." The nightlock stand-in was not actually deadly, but letting them think it was would keep them on their toes.
[identity profile] legendaryhands.livejournal.com
The fact that there was a fire drill early this morning was a coincidence--but made the topic for the day more poignant, or made it seem like McCoy was rubbing it in that they had to wake up in the middle of the night.

"Burns! One of those squirrels told me when I was doing radio that a student thought it was a good idea to grab a hot sandwich off a pan without a spatula--so at least one of your fellows is an idiot who needs your help."

That was harsh.

There was a screen up at the front of the class, but none of the images used would be real burns--McCoy didn't want to disgust his students.

"Doctors sort burns into 6 degrees--fifth and sixth degree burns go straight to the bone and are more often than not are diagnosed during an autopsy--not much you can do for those. Fourth degree burns are mostly fatal, too, and will require real doctoring immediately. We'll focus on third, second, and first degree burns today."
First degree burns are simple enough. )
[Wait for OCD! OCD is up! The linked images are pretty simply drawn diagrams, but if you're extra squeamish or have a visual imagination, don't click through!]
[identity profile] legendaryhands.livejournal.com
Today class was in the Danger Shop, though McCoy was using it mostly for the adequate floor space. The floor was peppered with CPR practice manikins, each separated by a few feet. He waited until his students filed in, and then began.

"You all probably could have predicted we'd do CPR, even if it hadn't been in the course description. You'll have to forgive a man a little predictability." Wouldn't it be nice if the world were just a bit more predictable in general?

McCoy continued, "CPR stands for cardiopulmonary resuscitation. It's to be used to slow tissue death in the brain by providing a bit of air and circulation when breathing has stopped or is coming in few gasps. As with most things in this course, it is human-centric. Some aliens aren't going to have a comparable process. Some are hardy enough that you can shove their hand in their chest and massage the heart manually. Not recommended." Not that he'd done it himself, but he'd certainly seen it done. Bit alarming, even for a surgeon.

"CPR is sort of a last resort--without it, the patient won't have oxygen getting to the brain and will without a doubt die. CPR isn't incredibly effective, but in a few cases it can allow the body time to snap back. It can also keep someone's brain from dying for a bit until advanced medical help can get there. The latter is the better case, but this is Emergency Medical Situations. You're not always going to have that chance to get to a defibrillator or a respirator or any medical equipment. You may be their only hope to restore circulation."

McCoy got down himself next to a manikin. "I'm going to do a slow demonstration of the process and talk you through it. Pay close attention, because you're going to team up with a partner and assess one another. Each of you will take a turn with the manikin and the other will watch and critique." He did the demonstration talking them through each step slowly. And there were a lot of steps. And a lot of potential disasters.

"Anyone who isn't able to do the resuscitation on their own for whatever reason, your job is no less important." He didn't look at Jeff, but he also didn't not look at Jeff. "You still need to know this. Assume your partner's an untrained bystander, and walk them through the process as your proxy deliberately, carefully, and calmly. Just because you can't get in there and do it yourself doesn't mean you might not save a life. We'll be revisiting CPR later, so don't worry if you're not perfect now. Make sure you work out the kinks with a fake person, first, before you have to use it for real. Any questions at all, you feel free to ask for a demo again. And Mercy's volunteered to be the TA, thanks Mercy if she's here, so that position's been filled."

[There's more detailed videos here at this link if you want more info, but I didn't want to "assign" too much to watch!]
[identity profile] legendaryhands.livejournal.com
Well, the school was big and imposing, but the classroom was what he'd expected--desks, chairs, chalkboard. In future weeks he'd need more floorspace and probably the Danger Shop, but for today this'd do just fine.

He wrote his name on the board--Dr. McCoy. Then he stood in what he hoped was a teacher-ly stance. What was he supposed to do with his hands? Okay. Just--

"Welcome to Emergency Medical Situations. I'm Dr. McCoy. Bit new to teaching, but don't think that means you can goof. The things you'll learn in this class could save someone's life. Hopefully the only time that'll be tested is the final exam."

The best McCoy could wish on these kids is to never have to face any of the situations brought up in class.

"First caveat of the course--these techniques I'm teaching are to be used in emergencies only, to tide the sick or wounded over only until they can get to a real doctor. Self-surgery is not a substitute for clinics and hospitals. People like me go to school for an awful long time to do this. Don't think this is a get-out-of-doctors-free card."

If he had a dollar for every homemade patch job that resulted in later complications he'd seen in his residency alone, he'd have paid off medical school by now.

"You're all new to me, so first day means introductions. Name, year, and an injury or illness you've had. I assume all of you have had at least a paper-cut and a cold, so you've all got something to share. Even tiny hurts can become big hurts if untreated. Last of all, if you've got any specific questions or topics you'd like covered, I'd like to hear that, too."

He waved his hand vaguely. "Oh, and if anyone would like to be a T.A., I'd appreciate the help. Just come talk to me after class. I also have office hours on Monday. Office #17, starting next week."

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