Would it be feasible for someone to have minor internal bleeding (if there is such a thing?) and still be alive the next morning if they spent the night unconscious?
Re: PSA: Wound care - Also can do some medical Q&A
Also, do you know how what kind of first aid a 911 operator would instruct someone to do if they found a person like that (non-responsive and in shock with probable internal bleeding)?
Re: PSA: Wound care - Also can do some medical Q&A
(OP) A person could certainly survive the night with mild internal bleeding. It might even resolve itself without medical intervention over time. However, if it is mild I wouldn't expect bleeding alone to cause unconsciousness of any significant duration.
Regarding what 911 would advise, if the patient is breathing, they would likely say not to move them and to wait for EMTs. Just keep in mind that there needs to be a reason for someone to suspect internal bleeding, and whatever evidence points to that might change what the advice might be.
Re: PSA: Wound care - Also can do some medical Q&A
Yeah, he's unconscious for reasons other than the internal bleeding. I was just wondering if it was feasible for him to survive long enough for someone to find him after an extended period of time (my only RL experience with someone with internal bleeding was the dead-within-10-minutes kind, so).
Re: PSA: Wound care - Also can do some medical Q&A
(OP) Obviously, we're talking about fiction, and plot rules all ;) but (non-drug-induced) unconsciousness is generally very brief.
For instance, the three most commonly used (in the US) scales for grading concussion all have three grades with III being the most severe. Two of those scales count any loss of consciousness at all as a Grade III concussion. The third counts loss of consciousness of under 5 minutes as Grade II and in excess of 5 minutes as Grade III. It takes moderate traumatic brain injury to cause unconsciousness of over half an hour, and an injury of that severity would almost certainly cause long term (possibly permanent) disability. Even mild TBI can cause permanent disability. Ten years out from my own mild TBI, I still have dysnomia and short term memory deficits.
Unconsciousness of multiple hours duration due to low blood pressure or blood loss would likely result in kidney and brain damage (and potentially other organ damage.
There are certainly other causes of unconsciousness (hypoglycemia, heat stroke, hypothermia, epilepsy, asphyxia), most of which carry even more complications.
Please don't think I'm trying to tell you what to write. Ignore anything that doesn't suit the story you want to tell. :)
Re: PSA: Wound care - Also can do some medical Q&A
DA, but this is why I headcannon that everyone in the Marvel Universe, right down to the innocent civilian bystanders, has low-level healing factors. ;b
Re: PSA: Wound care - Also can do some medical Q&A
Re: PSA: Wound care - Also can do some medical Q&A
(Anonymous) 2015-07-10 05:35 pm (UTC)(link)Re: PSA: Wound care - Also can do some medical Q&A
(Anonymous) 2015-07-10 05:38 pm (UTC)(link)Re: PSA: Wound care - Also can do some medical Q&A
(Anonymous) 2015-07-10 08:23 pm (UTC)(link)Regarding what 911 would advise, if the patient is breathing, they would likely say not to move them and to wait for EMTs. Just keep in mind that there needs to be a reason for someone to suspect internal bleeding, and whatever evidence points to that might change what the advice might be.
Re: PSA: Wound care - Also can do some medical Q&A
(Anonymous) 2015-07-11 12:55 am (UTC)(link)Re: PSA: Wound care - Also can do some medical Q&A
(Anonymous) 2015-07-11 02:17 am (UTC)(link)For instance, the three most commonly used (in the US) scales for grading concussion all have three grades with III being the most severe. Two of those scales count any loss of consciousness at all as a Grade III concussion. The third counts loss of consciousness of under 5 minutes as Grade II and in excess of 5 minutes as Grade III. It takes moderate traumatic brain injury to cause unconsciousness of over half an hour, and an injury of that severity would almost certainly cause long term (possibly permanent) disability. Even mild TBI can cause permanent disability. Ten years out from my own mild TBI, I still have dysnomia and short term memory deficits.
Unconsciousness of multiple hours duration due to low blood pressure or blood loss would likely result in kidney and brain damage (and potentially other organ damage.
There are certainly other causes of unconsciousness (hypoglycemia, heat stroke, hypothermia, epilepsy, asphyxia), most of which carry even more complications.
Please don't think I'm trying to tell you what to write. Ignore anything that doesn't suit the story you want to tell. :)
Re: PSA: Wound care - Also can do some medical Q&A
(Anonymous) 2015-07-11 03:04 am (UTC)(link)Re: PSA: Wound care - Also can do some medical Q&A
(Anonymous) 2015-07-11 03:08 am (UTC)(link)Re: PSA: Wound care - Also can do some medical Q&A
(Anonymous) 2015-07-11 04:42 am (UTC)(link)No, actually, that's really good to know and very helpful, thank you. I can still work with that. :-D