Crush injury / nerve damage in knee and lower leg

Fandom: Hunger Games

Setting: snowy mountainous arena, sub-freezing temperatures, almost 50 years before the events of the HG series

Medicine: futuristic/sci-fi, though not quite as advanced as the time period of the series; even within the series they couldn't repair damaged nerves/tissue from a tourniquet, for example, which required amputating the limb.

Basically I've got a general idea of the injury I want, and I know what I want the lingering effects to be 20 years later. What I'm not so sure about is how to stitch the two together (pun intended).

Injury:
Character is a 15-year-old male tribute in the 27th Hunger Games. He gets swept up in an avalanche and only escapes plunging over the edge of a canyon because his left leg gets pinned between a small tree and a large rock / small boulder. His leg remains pinned at/just below the knee for maybe an hour(??) before he gets it free. After that it's maybe 3 to 5-ish more days in the arena before he has access to the high-tech medicine of the Capitol. (A couple days after the injury a fellow tribute with rudimentary medical knowledge does very briefly attempt some first aid, but she's almost immediately interrupted.)

20 years later:
Able to walk without any kind of crutch/cane/brace (he'd probably be better off with something like that, but he's too stubborn), but he's got a limp. There is permanent nerve damage and probably intermittent pain/tingling/numbness; he has good days and bad days. He generally favors the leg when walking and standing, and avoids running if at all possible, not that he's super athletic in the first place. Prolonged enough use of his leg will necessitate bed/chair-rest for a day or so.

<b>Questions for immediately after the injury occurs, before access to real medicine:</b>Collapse )

Any suggestions / feedback will be greatly appreciated! Thanks in advance! :)

flintlock rifle in winter

Setting: fantasy, based on ~1730s Europe

My MC is an infantrywoman who has deserted the army, and now is on the run in the middle of a very snowy winter. She managed to take most of her kit with her, including a flintlock rifle. Not being a gun person myself, I'm a little lost as to what, if any, special considerations would need to be taken to keep the rifle in working condition in snowy weather, and what effect this will have if/when she needs to use it.

Most of the information I've come across for using flintlocks in bad weather refers to rainy/humid conditions. I did see a mention that in colder weather, you need to be careful about taking the rifle into warmer places because of condensation, but if my MC basically is sleeping outside (with her dog for warmth, maybe a small campfire), would this be an issue? Some info says to leave the rifle loaded and outdoors to avoid condensation, while others say never ever leave it loaded unless you're intending to shoot it shortly...basically, I'm not sure what to think and not sure where to look for correct info. Any help would be greatly appreciated!

And on that note, even though my MC's been in a soldier for a couple years by this point, it wouldn't be beyond her to do/forget to do something stupid and render herself without a working firearm. What sort of 'something' could this be? Bonus points if it's something she could fix on her own with what she'd have in her kit, if she had enough of a lead on her pursuers to take the time to do so.

Arrow Wound to the Thigh

Hi there. I just recently started writing a series of books and I've run into some questions that I can't seem to answer, even with Google's help.

The setting:
The story takes place in a fantasy world that is set in a Viking like time period. So basically, no modern medicine and a pretty slim understanding of it. There's no magic or anything along those lines. Think medieval.

The situation:
The main character is a 17-18 year old girl, who is healthy and able. We'll call her G. She is accompanied by an 18-19 yr boy who we'll call B. G gets shot with a bow and arrow as they try and escape a city under attack. B shoots the guy and pulls G to safety and examines her wounds. I originally wanted B to remove the arrow then and there so I didn't have to worry about it later. But in research I actually found an article that says "Battle Wounds: Never Pull an Arrow Out of a Body" so that might be a problem.... B also has very, very, limited knowledge of medicine, but G is a decent healer. I thought of having her advise him on what to do with the arrow and such.
They eventually escape the city with B carrying her. They head for safety to a camp a day and half* walk from the city. G insists she can care for her own wound and realizes it's getting worse and is infected, but resolves she can make it and decides not to worry B.
They arrive to an empty clearing with the camp obviously moved. B is worried but knows there is an agreed upon rendezvous that is about two* days walk away. Before they can continue on G collapses. B waits a day trying to lower her fever with cold water (again he has no idea what to do) before B gets them captured so that G can have limited care. Fast forward B escapes and gets them to safety at the rendezvous point, where there are field trained healers who have as much access as possible to medicine under the circumstances of war.
Side note: G cannot, under any circumstances, die, due to her being essential to the plot, but she has to get pretty close. I don't want anything that will hurt her in the long run, a limp I'm pretty okay with as long as she can run, jump ect.

I know I'm asking a lot, and if it just medically can't be done, I'll just go back to the drawing board and maybe have someone throw a knife at her instead, or something. I'll figure it out.

*Unsure of the time frame

The questions:
1. Is the thigh a good, plausible, she's not going to die, place for the arrow to hit?
2. Would it be better for the arrow to go cleanly through or not? (Getting lodged in the bone isn't an option, too tricky.)
3. Should B remove the arrow immediately (for plot purposes I would rather it be removed if it's realistic that G won't die), and if yes then how? If no then what should he do?
4. Would G be able to walk soon after getting shot?
5. What is the rate that infection will take hold? Depending on if the arrow is removed or not.
6. At what time frame will G go completely unconscious after the infection sets in? I would like to have her be pretty out of it before B gets them captured due to her probably resisting the plan.
7. How long does G have before she just up and dies? How long before the infection does things that can't be reversed? Ex: Lost limbs
8. What would the enemy do to keep her from dying but at the same time she isn't getting better? (They are just barely keeping her alive because of an agreement with B.)
9. And if all of this is plausible, what would the healers do to treat what she comes stumbling back to them with?

I know people have asked similar questions to mine on this forum but those threads haven't given me the exact answers I need.

What I've Googled:
Infected arrow wound
Infection rate of an arrow wound
Infected wound
Arrow wound
Unconsciousness from infection
Sepsis
Septic shock
I've honestly had trouble finding any useful combinations of terms to search and I'm running out of ideas.

I apologize if I've missed something or done something wrong in this post, it's my first time posting here and I hope everything is in order. Sorry for the length, I'm just excited that I could possibly find some conclusive answers.
Thank you in advance to anyone who responds.

Aftereffects of a fire a few years later

Setting: modern-day London, around Elephant and Castle.

My character lives in a house (4-5 bedrooms, terraced housing) which had a fire in a ground-floor room a few years earlier, because someone didn't pay close enough attention to their candles and the curtains caught fire. The room's occupant fought the fire (with help from other residents) so the damage was minimal, although someone outside the house broke the window trying to get in and help. The room is still able to be lived in and the house didn't sustain any structural damage.

How likely is it that there would be any physical aftereffects that long after the fire? And what sort? (Basically, I need some.) Any kind of lingering smoke smell would be helpful, though not if that's going to cause illness in the new resident. Physical reminders are ideal.

This is the sort of place where the landlord is going to do the bare minimum. There *will* be a fire blanket in the kitchen and at least one extinguisher per floor as a result of this, and there would have been a slapdash redecorating job afterwards, including a replacement window. But not a lot of time or money would have been spent.

I've found some interesting stuff online - such as this article about smoke damage:

http://rainbowintl.com/blog/understanding-the-impact-of-smoke-damage

And another noting that if water was used to put out the fire, there could be mould issue as early as 48 hours later. Sounds like sooty smoke smells in carpet could also be common. The problem is that I've not been able to find anything specifically about long-term effects.

Any thoughts, including personal experiences along these lines, welcomed!
Tags:

Emergency overdose procedures and shot by a crossbow

I have some questions about two unrelated scenes from the same novel. The setting is current day AU-USish.

Scenario 1:
My character (S - 15 year old girl, probably about 100 pounds? 5'4") overdoses on recreational drugs. Her sister (20 years old) finds her convulsing on her bed, foaming at the mouth (this detail can be changed if inconsistent with what she took). She calls emergency services. She doesn't know what S took, or how much, but she is able to give them a list of drugs she knows her sister regularly takes. What she actually took was likely a combination of speed/amphetamines and coocaine (or rather, their in-universe equivalents), likely snorted. Her sister finds the bags the drugs were in, but doesn't know enough about those kind of drugs to determine anything. When the EMTs get there, what exactly would they do?

searched: emergency procedure drug overdose, EMT response active overdose, cocaine overdose, overdose cocaine/speed... all I've been able to determine is that procedure varies by case depending on a number of factors, but I haven't been able to find any details about specific cases to at least have something to go on.

Scenario 2:
My character (19 year old male in good health, decently fit but not very muscular) is shot four times in the back with a crossbow. From about 20 feet away, uphill. His assailant doesn't hit his spine or any major organs (I'm figuring this is just freak luck, I'm not even sure if it's plausible? and please tell me if it's not) but I need to know what kind of damage would be done to his back, how long his recovery time would be, care once he comes home from the hospital, etc. I read something in my searches about expandable tips, is it possible to use these without completely destroying his back? I need a long recovery time, the need for physical therapy, and occasional "bad days" where his back locks up and puts him back in bed until it decides to behave again... but not permanent, debilitating damage like paralysis. Is this situation at all plausible? The weapon being a crossbow is fairly important, but I can change it if absolutely necessary.

EDIT: I am dumb and forgot to mention that this character (K) is shielding his boyfriend (I) from being shot and pushes him up against a tree. I thought crossbow bolts were too short to go through one and into the other (at least at that distance, apparently 20 feet is not as large a distance as I thought), am I wrong?

searched: crossbow injuries, shot with a crossbow, accidental shot with a crossbow
I've watched some unpleasant hunting videos and read a couple personal accounts of being accidentally shot... but only once, and never in the back.

Thanks in advance, I'm sorry if I'm dumb and uninformed and suck at google.

From Wimbledon, or from London? (Modern day)

I apologize for the slightly vague title, but I wasn't sure how to concisely say what my question was...

I have a character from the Wimbledon borough of London. He's a middle-class twenty-something now living in Canada. When telling people where he's from, would he say Wimbledon or London? Because as far as I understand, Wimbledon is a district of greater London, but would it be considered it's own place?

This takes place in present day.

Thank you for your help!
Tags:

USA 1946: Coat/hat checks, and layout of NYC

First off, I'll just say this is the community I've dreamed of finding for years, and I am stoked to have discovered it.

I'm writing a noir-style mystery set in New York City in 1946. Now, I have never been to NYC, am not familiar with it's geography, and have no idea what the layout was like in 46'. What I'm basically looking for is something that gives me not only a layout of the city, but some breakdown of what would have been where in the 40s. Where would a run-down apartment have been? What neighborhood would someone build a chic club in? Was there a strong "business section", and would a newspaper have set up there, that kind of thing. I welcome off-site resources or actual text breakdowns (or even books) just anything that might help me flesh the location out correctly.

My second question concerns the process of checking hats and coats at restaurants. The heroine visits a fancy club and sneaks back to the coat check to ask the employees some questions, so I need to know the actual process of checking in/out. Did customers take a number, a slip, or leave their name? And when coming to pick your item up, would you have provided your information first thing, or did the girls ask you for it?

Thank  you!

Paperwork/trust fund questions

Modern-day London. I have two siblings who have trust funds. I know nothing about this sort of thing, and Googling is just confusing me. If anyone could concoct a reasonable scenario that matches/accommodates everything below, I'd be awfully grateful.

- they're both in their 30s (32 and 38, respectively).
- they've used trust fund money for school/university and to buy their own London flats, and have more than enough left over not to have to worry about day-to-day money issues.
- the trusts were established by their grandfather, now deceased.
- I need a legitimate reason for one sibling to require the other sibling to come round and sign some documents relating to the trust(s). They then need an excuse to deliver said documents to their parents.

Other things could be added in if necessary (such as, if this paperwork would only be needed for some major expenditure, I could create one).

I was assuming that because they're in their 30s, they'd have full control over the money, but it sounds as though this might not necessarily be the case, depending on the terms when the trust was set up. Might it be possible for them to share a single trust fund, rather than have separate ones? Could their parents be trustees?

Thanks very much!