Treatments / Serve

Treatments/Serve

Wound TreatmentBleeding: If there is an artery or vein bleeding (spurting blood out), then that must be carefully stitched back together first with a fine curved needle and fine gut suture. There are clamps to close the cut artery or vein until it can be repaired. If there is excessive bleeding, such as in a limb or side, a cauterizing iron may be used to sear it shut. This is usually done when there is no better medical treatment available.Stitching: Use small, fine, even stitches, trying not to pucker the skin. Tie off each single stitch to prevent one from being ripped and loosening others.No Stitches Required: Clean the area using either warm water with green herbal powder added or sterile paga. Sprinkle with green powder, if desired, then layer on healing salve.Bandaging: Wounds that require stitching need to be bandaged. A pad is made to cover the wound, then wrapped with bandage. Tear or cut the end to tie in place. Change bandages daily until no longer needed. Other TreatmentsArrows: An arrow should be removed carefully. If it is not lodged in a vital area, push it through and out the other side. If in a vital area, it will be necessary to cut it out. Barbed arrows should be pushed through to minimize the damage, unless it is in a vital area. Remove the shaft before working on a barbed arrowhead. Clean, stitch and bandage as needed. (Simple-pile arrows are relatively easy to remove, as they do not have barbs, like a broadheaded or barbed war arrow.) Beasts: Be sure there are no teeth or claws left in the wound. Clean thoroughly, as some animals may have residues that are poisonous. Stitch, if needed, apply healing salve and bandage. Burns: Apply a cold water compress to soothe. Lance any blisters that have formed. Cleanse using warm water with green herbal powder. Treat with healing salve. Apply a dressing only if the burn is deep or there is other damage that breaks the skin. Broken Bones: Set by sharply pulling the ends into place. Run a finger along the bone to be sure it is straight and snugly bandage splints to keep it immobile. Bruising or Muscle Strain: Apply cold compresses or an ice pack. Apply numbing salve for pain or lyptus salve to soothe away discomfort. For swelling, clay packs or cold water soaks may be used. For stiffness, hot water soaks and massage may be used. Choking: Get behind the patient and reach around with both hands at abdomen. Quickly jerk back and up in the diaphragm. This will force lots of air out and make the patient cough out the lodged object. If not, see Tracheotomy. Congestion: An ointment, poultice or salve of peppermint or lyptus may be applied to the chest to relieve breathing. Follow with peppermint tea. Cramp: Give chamomile/zingiber syrup. Follow with chamomile or peppermint tea. For female cramping, raspberry syrup followed with raspberry/chamomile tea. Headache: Valerian syrup or tea for pain. Chamomile to relax. Insect Bites: If the bite has a known poison to it, use antivenin injection. For the affected area, clean and apply bergament/kanda salve. If the bite is of a nonpoisonous insect but there are many bites, consider treating as though the person has received a poisonous bite. Lung, Collapsed: Use the chest tube in the med kit. Insert between the ribs on the side of the injured lung. Use a sharp trocar to make the hole (ask permission first. A trocar is an ice pick and can be considered a weapon). Insert chest tube between ribs. Stab gently with firm pressure with a little twist. Remove trocar and leave the tube. Blow hard on the end of the tube, until you hear the lung pop back open. Pad the end to catch bloody drainage and stitch in place. Remove the chest tube when lungs sound clear and stitch back together, usually two days. Lung, Punctured: Use the chest tube in med kit and insert between the ribs on side of injured lung. Use a sharp trocar to make the hole (ask permission first It is an ice pick and can be considered a weapon). Insert the chest tube between ribs. Stab gently with firm pressure with a little twist. Remove trocar and leave the tube. Pad the end to catch bloody drainage and stitch in place. Remove the chest tube when lungs sound clear and stitch back together, usually two days. Nausea: Give chamomile/zingiber syrup. Follow with chamomile or peppermint tea. Poison: There are antivenins or antitoxins available for certain poisons. Except for the deadly ones like ost, there is antivenin, if given within a certain amount of time (to be determined in play). Sedative: This is used when quick or strong sedation is needed for rest or for surgery. The most effective are capture scent and frobicain. Capture scent is given by cloth upon the nose. It must be carefully timed by counting. If the person begins to show reaction to it, cease using it until the symptoms have eased. Frobicain is given by injection. In addition, in higher doses, valerian works well, but watch for toxic reaction. Shock: This can occur with almost any injury, so remain alert for it. Signs of shock include pale, clammy skin, rapid heart rate, low blood pressure, decreased alertness, and confusion. To treat, have the person lie down and elevate feet, unless it is a head wound. Loosen any tight or restrictive clothing. Keep the person as calm as possible. Keep warm, though not to the point of overheating. At this time, liquids may be given. Sleep: For gentle rest or relaxation, herbals work better. Chamomile is best, with valerian as a good alternative. Tracheotomy: If airway is blocked due to smoke inhalation or blocking objects or broken windpipe, and the patient cannot breathe, take a knife and cut a small hole at base of neck where the indentation is. That is just below Adam’s apple for a man. Insert some tubing, The patient will be able to breathe now. Remove object or repair the broken windpipe and sew back the trachea. For smoke inhalation, have the patient drink cool tea of peppermint and sage for two days. When the patient can breath better, sew back the trachea. -=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-= Medical Serve Outline Ask the person where the injuries are. Determine what the worst injuries are and treat them first. Offer a painkiller for a person who is in pain. Clean the injury thoroughly. Remove any objects from the injury. Cauterize to stop fast bleeding. Stitch when it seems necessary. Apply healing salve. Dress and bandage the injury. For poisons, induce vomiting or give antidote or antivenin. Medical Serve Steps Ask the person where the injuries are. If there is any doubt that you can handle the injury, ask for a healer or another person that might have the training or experience. Determine what the worst wounds are and make sure those are treated first (i.e. fast bleeding, limbs pointing the wrong way, major leaking of body fluids, difficulty breathing). Offer something if the person is visibly in pain. There are quick acting syrups for this (such as valerian). It may be followed up with additional syrup or tea. Make sure to remove dirt, blood, fragments of metal, bone, wood, or other debris. Use tweezers, pliers or forceps to remove objects from the wound. Soak a cloth in warm water with green herbal powder added, or sterile paga, and clean the wound thoroughly. If there is fast bleeding, try to repair it. Use cauterizing only when there is no artery or vein bleeding. Apply pressure or a binding (tourniquet) to slow blood until it can be treated. To cauterize, retrieve a cauterizing iron from the fire (slaves must ask permission to do so). If untrained in its usage, get someone that is and quickly. To cauterize, place the heated iron to the wound for five seconds, making sure to touch it to where there is the most bleeding. If muscle is torn, check to see if arteries are severed. If there are, and you have not already done so, try to repair it. If no arteries are severed, and you are trained for it, take a threaded needle with dissolving gut and make an inner layer of stitches, knitting together the fibers of the muscle.NOTE: Specific stitches are not mentioned here for the sake of easier role play. For those that have r/t medical knowledge, you are welcome to specify what stitch is used. Stitch the skin closed with gut or silk. Move skin together, matching as best one can and making sure there is no puckering or bleeding. Snip it with scissors, scalpel, or teeth after securing the last stitch. Coat the wound with healing salve making sure to apply it gently, as the wound will be tender. Place a soft pad of bandage across the wound to cushion and cover it. Wrap the wound in bandage to keep it clean and to prevent further damage. Advise the person as to the healing time required, checking injuries for cleaning and fresh bandages, and any limitations on their activities.