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A summary of how people die (and don’t) in swordfights

valerie1972:

This is a really good article about how quickly people actually die from cuts and punctures inflicted by swords and knives.  However, it’s really really long and I figured that since I was summarizing for my own benefit I’d share it for anyone else who is writing fiction that involves hacking and slashing your villain(s) to death.  If you want the nitty gritty of the hows and whys of this, you can find it at the original source.

…even in the case of mortal wounds, pain may not reach levels of magnitude sufficient to incapacitate a determined swordsman.

Causes of death from stabs and cuts:

  • massive bleeding (exsanguination) - most common
  • air in the bloodstream (air embolism)
  • suffocation (asphyxia)
  • air in the chest cavity (pneumothorax)
  • infection
Stabbing vs cutting:
  • Stabbing someone actually takes very little force if you don’t hit bone or hard cartilage.
  • The most important factor in the ease of stabbing is the velocity of the blade at impact with the skin, followed by the sharpness of the blade.
  • Stabbing wounds tend to close after the weapon is withdrawn.
  • Stabbing wounds to muscles are not typically very damaging.  Damage increases with the width of the blade.
  • Cutting wounds are typically deepest at the site of initial impact and get shallower as force is transferred from the initial swing to pushing and pressing.
  • Cutting wounds have a huge number of factors that dictate how deep they are and how easily they damage someone: skill, radial velocity, mass of the blade, and the size of the initial impact.
  • Cutting wounds along the grain of musculature are not typically very damaging but cutting wounds across the grain can incapacitate.

Arteries vs veins:

  • Severed veins have almost zero blood pressure and sometimes even negative pressure.  They do not spurt but major veins can suck air in causing an air embolism.
  • Cutting or puncturing a vein is usually not fatal.
  • Severed arteries have high blood pressure.  The larger arteries do spurt and can often cause death due to exsanguination.

Body parts as targets:

  • Severing a jugular vein in the neck causes an air embolism and will make the victim collapse after one or two gasps for air.
  • Severing a carotid artery in the neck cuts off the blood supply to the brain but the victim may be conscious for up to thirty seconds.
  • Stabbing or cutting the neck also causes the victim to aspirate blood that causes asphyxiation and death.
  • Severing a major abdominal artery or vein would cause immediate collapse, but this takes a fairly heavy blade and a significant amount of effort because they are situated near the spine.
  • Abdominal wounds that only impact the organs can cause death but they do not immediately incapacitate.
  • Severing an artery in the interior of the upper arm causes exsanguination and death but does not immediately incapacitate.
  • Severing an artery in the palm side of the forearm causes exsanguination and death but does not immediately incapacitate.
  • Severing the femoral artery at a point just above and behind the knee is the best location.  Higher up the leg it is too well protected to easily hit.  This disables and will eventually kill the victim but does not immediately incapacitate.
  • Cutting across the muscles of the forearm can immediately end the opponent’s ability to hold their weapon.
  • Cutting across the palm side of the wrist causes immediate loss of ability to hold a weapon.
  • Stab wounds to the arm do not significantly impact the ability to wield a weapon or use it.
  • Cuts and stab wounds to the front and back of the legs generally do not do enough muscle damage to cause total loss of use of that leg.
  • Bone anywhere in the body can bend or otherwise disfigure a blade.
  • The brain can be stabbed fairly easily through the eyes, the temples, and the sinuses.  
  • Stabs to the brain are more often not incapacitating.

The lungs as targets:

  • Slicing into the lung stops that lung from functioning, but the other lung continues to function normally.  This also requires either luck to get between the ribs or a great deal of force to penetrate the ribs.
  • Stabbing the lung stops that lung from functioning, but the other lung continues to function normally.  It is significantly easier to stab between ribs than to slice.
  • It is possible to stab the victim from the side and pass through both lungs with an adequate length blade.  It is very unlikely that this will happen with a slicing hit.
  • “Death caused solely by pneumothorax is generally a slow process, occurring as much as several hours after the wound is inflicted.”
  • Lung punctures also typically involve the lung filling with blood, but this is a slow process.

The heart as a target:

I’m just going to quote this paragraph outright with a few omissions and formatting changes for clarity because it’s chock-full of good info:

…[stabbing] wounds to the heart the location, depth of penetration, blade width, and the presence or absence of cutting edges are important factors influencing a wounded duelist’s ability to continue a combat.

  • Large cuts that transect the heart may be expected to result in swift incapacitation…
  • …stab wounds, similar to those that might be inflicted by a thrust with a sword with a narrow, pointed blade may leave a mortally wounded victim capable of surprisingly athletic endeavors. 
Essentially, the heart can temporarily seal itself well enough to keep pressure up for a little while if it’s a simple stab.  The arteries around the heart, while they are smaller and harder to hit, actually cause incapacitation much more quickly.

(via valerie1972)

Source: realfighting.com

    • #reference
    • #writing
    • #art
    • #storytime
    • #injuries
    • #wounds
  • 2 years ago > valerie1972
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nearlynightfall:
“ Entry vs. exit wounds for various ammunition calibers
”
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nearlynightfall:

Entry vs. exit wounds for various ammunition calibers

(via amummy)

Source: nearlynightfall

    • #wounds
    • #injuries
    • #reference
  • 3 years ago > nearlynightfall
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Writing Traumatic Injuries References

whumpgalore:

historicallyaccuratesteve:

alatar-and-pallando:

So, pretty frequently writers screw up when they write about injuries. People are clonked over the head, pass out for hours, and wake up with just a headache… Eragon breaks his wrist and it’s just fine within days… Wounds heal with nary a scar, ever…

I’m aiming to fix that.

Here are over 100 links covering just about every facet of traumatic injuries (physical, psychological, long-term), focusing mainly on burns, concussions, fractures, and lacerations. Now you can beat up your characters properly!

General resources

WebMD

Mayo Clinic first aid

Mayo Clinic diseases

First Aid

PubMed: The source for biomedical literature

Diagrams: Veins (towards heart), arteries (away from heart) bones, nervous system, brain

Burns

General overview: Includes degrees

Burn severity: Including how to estimate body area affected

Burn treatment: 1st, 2nd, and 3rd degrees

Smoke inhalation

Smoke inhalation treatment

Chemical burns

Hot tar burns

Sunburns

Incisions and Lacerations

Essentials of skin laceration repair (including stitching techniques)

When to stitch (Journal article—Doctors apparently usually go by experience on this)

More about when to stitch (Simple guide for moms)

Basic wound treatment

Incision vs. laceration: Most of the time (including in medical literature) they’re used synonymously, but eh.

Types of lacerations: Page has links to some particularly graphic images—beware!

How to stop bleeding: 1, 2, 3

Puncture wounds: Including a bit about what sort of wounds are most likely to become infected

More about puncture wounds

Wound assessment: A huge amount of information, including what the color of the flesh indicates, different kinds of things that ooze from a wound, and so much more.

Home treatment of gunshot wound, also basics
More about gunshot wounds, including medical procedures

Tourniquet use: Controversy around it, latest research

Location pain chart: Originally intended for tattoo pain, but pretty accurate for cuts

General note: Deeper=more serious. Elevate wounded limb so that gravity draws blood towards heart. Scalp wounds also bleed a lot but tend to be superficial. If it’s dirty, risk infection. If it hits the digestive system and you don’t die immediately, infection’ll probably kill you. Don’t forget the possibility of tetanus! If a wound is positioned such that movement would cause the wound to gape open (i.e. horizontally across the knee) it’s harder to keep it closed and may take longer for it to heal.

Broken bones

Types of fractures

Setting a broken bone when no doctor is available

Healing time of common fractures

Broken wrists

Broken ankles/feet

Fractured vertebrae: Neck (1, 2), back

Types of casts

Splints

Fracture complications

Broken noses

Broken digits: Fingers and toes

General notes: If it’s a compound fracture (bone poking through) good luck fixing it on your own. If the bone is in multiple pieces, surgery is necessary to fix it—probably can’t reduce (“set”) it from the outside. Older people heal more slowly. It’s possible for bones to “heal” crooked and cause long-term problems and joint pain. Consider damage to nearby nerves, muscle, and blood vessels.

Concussions

General overview

Types of concussions 1, 2

Concussion complications

Mild Brain Injuries: The next step up from most severe type of concussion, Grade 3

Post-concussion syndrome

Second impact syndrome: When a second blow delivered before recovering from the initial concussion has catastrophic effects. Apparently rare.

Recovering from a concussion

Symptoms: Scroll about halfway down the page for the most severe symptoms

Whiplash

General notes: If you pass out, even for a few seconds, it’s serious. If you have multiple concussions over a lifetime, they will be progressively more serious. Symptoms can linger for a long time.




Character reaction:

Shock (general)

Physical shock: 1, 2

Fight-or-flight response: 1, 2

Long-term emotional trauma: 1 (Includes symptoms), 2

First aid for emotional trauma

Treatment (drugs)

WebMD painkiller guide

Treatment (herbs)

1, 2, 3, 4

Miscellany

Snake bites: No, you don’t suck the venom out or apply tourniquettes

Frostbite

Frostbite treatment

Severe frostbite treatment

When frostbite sets in: A handy chart for how long your characters have outside at various temperatures and wind speeds before they get frostbitten

First aid myths: 1, 2, 3, 4, 5 Includes the ones about buttering burns and putting snow on frostbite.

Poisons: Why inducing vomiting is a bad idea

Poisonous plants

Dislocations: Symptoms 1, 2; treatment. General notes: Repeated dislocations of same joint may lead to permanent tissue damage and may cause or be symptomatic of weakened ligaments. Docs recommend against trying to reduce (put back) dislocated joint on your own, though information about how to do it is easily found online.

Muscular strains

Joint sprain

Resuscitation after near-drowning: 1, 2

Current CPR practices: We don’t do mouth-to-mouth anymore.

The DSM IV, for all your mental illness needs.

Electrical shock

Human response to electrical shock: Includes handy-dandy voltage chart

Length of contact needed at different voltages to cause injury

Evaluation protocol for electric shock injury

Neurological complications

Electrical and lightning injury

Cardiac complications

Delayed effects and a good general summary

Acquired savant syndrome: Brain injuries (including a lightning strike) triggering development of amazing artistic and other abilities

Please don’t repost! You can find the original document (also created by me) here.

Not technically about Steve, but you know.

this is a fabulous resource for all those who write whumpy fanfiction! (is there another kind??)

(via monere-lluvia)

Source: alatar-and-pallando

    • #ah yes
    • #now I can wreck my fictional characters more realistically
    • #reference
    • #injuries
    • #health
  • 4 years ago > alatar-and-pallando
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monere-lluvia:

Writing Traumatic Injuries References

alatar-and-pallando:

So, pretty frequently writers screw up when they write about injuries. People are clonked over the head, pass out for hours, and wake up with just a headache… Eragon breaks his wrist and it’s just fine within days… Wounds heal with nary a scar, ever…

I’m aiming to fix…

(via monere-lluvia)

Source: alatar-and-pallando

    • #o
    • #reference
    • #injuries
    • #writing
    • #trauma
  • 5 years ago > alatar-and-pallando
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elvistiel:
“ bubblyambii:
“ My cousin got hit by a truck.
He’s fine nothing broken but he has the sickest bruise ever!! Like holy shit you can see the outline of his muscles and bones on his chest?
This thing is awesome.
I told him he should get it...
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elvistiel:

bubblyambii:

My cousin got hit by a truck.

He’s fine nothing broken but he has the sickest bruise ever!! Like holy shit you can see the outline of his muscles and bones on his chest?

This thing is awesome.
I told him he should get it tatted to always remember that he survived getting hit by a truck lol

I FUCKING THOUGHT IT WAS A TATTOO OKAY

(via whaoanon-old)

    • #people
    • #injuries
    • #bruises
    • #woah
    • #this looks so painful
    • #poor guy :c
  • 5 years ago > bubblyamby-deactivated20131120
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    Forgot to mention it on Deviantart - I’ve opened Fur Affinity account!

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