Friday Recs
Nov. 10th, 2010 10:47 am![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png)
It's Wednesday. Let's do Friday Recs! \o/ What can I say -- I see no reason to postpone the sharing of awesome.
This is the first week I'm attempting diversification of Friday Recs, we'll see how it goes. I had to start drafting this fucker yesterday, so don't say I never did anything for you. This week's recs are REALLY REALLY art heavy (*fist pump*) cause that's what I'm feeling right now. Plus, there's so much Sherlock fic to go through I'm not even sure how to go through it apart from just reading until my eyeballs fall out. This is broken up in three sections, by fandom: Inception, Social Network, and, of course, Sherlock. And yes, it is long enough to warrant a cut. Finally.
General Rec
How to Write about Injuries Realistically -- I'd like to thank
bauble for bringing this to my attention. It covers pretty much everything you could want: broken bones, burns, physical reaction, blunt trauma -- unfortunately it doesn't cover the thing I need to find which is gunshot wounds, particularly to the abdomen, so if somebody's got that, help a girl out. ETA: What I'm really looking for information-wise isn't the technical aspect of the wound, or even what occurs at the hospital, but the physical and mental effects the person would be dealing with in the weeks and months afterward. I very much appreciate all the technical and medical help you've all provided though, thank you.
Inception
don't know what you've got by
veritas_nescio -- To me an outsider POV is always a tricky thing, because you have to look at it as someone who doesn't have all the facts. Someone who's only seeing a piece of what's there and deliberately ignoring what you think you know, cause fandom is all about what you think you know, which is why, when it's done well it's all the more impressive.
Lounging With Eames by
red_rahl -- When I first watched Inception all I could think about when Tom Hardy and Joe weren't on the screen was, "Eames. Eames? Like the chair?" Yes, ladies and gents, like the chair.
red_rahl took that association and did something fabulous with it. Well done.
Team Inception by
nami86 -- This is so hypnotic I almost apologize in advance. Almost.
Tom Hardy in Arena Homme courtesy of
foxxcub -- You know what's really interesting is that when I first saw these my first thought was, "Oh, these must be costume fittings for Tinker, Tailor, Soldier, Spy." I mean there is something incredibly 1960s British secret service about these shots to me. The flask, the lean, the hair, the pocket book. But they apparently they were taken for Arena Homme, but you'll never convince me that the wardrobe stylist didn't have the book/film in mind, which just goes to show that good tailoring? CLASSIC. Some shit never goes out of style. (Plus, if this isn't Ricki Tarr I don't know what is).
Sherlock
Dear people of Sherlock fandom: Why did nobody tell me about Fuck Yeah Sherlock (
fkyeahsherlock) on the first day at the first hour? Oh my god, it's a treasure trove of awesome. I could go over there and never come back and I would be fine with that. I would like to thank the awesome awesome people who run that tumblr. I would also like to send a special, "Holy fucking shit" to the artists in Sherlock fandom because your talent is pretty fucking unrivaled and I mostly just made high pitched noises and pawed at my screen.
I'd also like to say that it would seem that Andrew Scott (Jim Moriarty) did a wee film back in 2001 called Band of Brothers, which is just more fuel to my on-going theory that every British and/or Irish actor worth his salt, and quite a few Americans were in that miniseries, whether they starred or were just a flicker. Don't believe me? Andrew Scott, Tom Hardy, James McAvoy, Jamie Bamber, Kirk Acevedo, Eion Bailey, Michael Cudlitz, Dexter Fletcher, Damien Lewis, Ron Livingston, Michael Fassbender, Simon Pegg, it goes on and on. Trufax. And I, for one, would really prefer it, if rather than me racking my brains every time I see someone, they had just tattooed everyone that had been on the miniseries. Nothing big, something behind the right ear, the nape of the neck, inside of the left elbow, behind the left knee, something that I could just spot and say, Oh, okay, this is where the awesome originated, cool."
And now, we get to business.
Benedict's Bare Bum by His parents. The gene pool. And the grace of god. And maybe a very good trainer. -- First of all, Not Safe for Work. Second of all. Not Safe for Work. Third of all. I am not a backside person. An arse is a very very hard thing to get right. Sometimes all the squats in the world will not help you. Sometimes you need a trainer. Most times you need genetics. But this bum. I've side it sideways. Shirts sit on it like a shelf. I thought that was already mind-boggling enough. And then I saw this. I have stood at the foot of the David and it ruined me... until I saw this.
Benedict Cumberbatch by Weebl -- Oh my fucking god. I am so so so... not sorry for what is going to happen to you when you watch this video. I really am not, because
veronamay started it and I confess now that I listen to this when I'm feeling down and then I am reminded that I am a dirty dirty girl, who will hopefully one day succeed in the ultimate Cumbersnatch with a ham. A glazed ham. Must remember to glaze the ham. And that's not even a euphemism. Yet.
Bar Sherlock by
redscharlach -- Drinks at 221b Baker Street. The Moriarty is served with Semtex. This is love. And brilliance.
I'm Bored via brittaniethekid -- I need more adjectives for Sherlock fandom art. Brilliant. Scintillating. Engrossing. Amusing. Perfectly realized. Utterly charming. Yeah, this piece of art has all of that. This is the kind of thing you want to print out and put next to your monitor or possibly email to your mates along with a text "Trouble coming."
"Just...don't" by
dauntdraws -- HAHAHAHAHAHa. Oh my god, Sherlock fandom's artist are giving me a serious complex with their awesome. Look at this piece. Look at this ink. Holy shit, I have to get knee pads to bow down here.
.Sherlock 1.03 'S.O.S' by potterarchy -- Now that all three episodes have aired in the States we can learn all kinds of shit that we were afraid to go looking for. This bit of trivia about John in the pool scene left me gaping. How fucking smart are you Moffat & Co? How fucking awesome must you be? Well played!
Sherlock and John by charter-magic -- I just -- I'm sorry I can't hear you over how much I want this art. I really can't. I feel like I'm looking at ink and pencils here, but I'm not sure. Mostly I can't stop staring at the faces and the clothes (this is me) and the -- *waves hands* -- everything.
Sherlock Does 'Telephone' by incomplexity -- There is nothing I can say that is going to prepare you for the awesome contained here within. Nothing. I'm just warning you now. And yet. You must ask yourself, if one were to mash-up Sherlock and Lady Gaga's 'Telephone' what exactly would that be like? And then you will click and you will see. Also, have I told you lot that I like Mycroft, because I do. I really really do. He reminds me of people I used to know. But with a bit more power.
Sherlock Goes to Inception by
twirlynoodle -- You have to scroll past the street map to see this, but I suspect that it may be the single most perfectly expressed piece of fan art I've seen all year. Maybe in the last few. The look on Sherlock's face. John's body language. Everything about this is so well considered and realized. The lines. The emotions. The way you can just see this happening in your mind's eye. You are going to lose your shit laughing. Promise.
Sherlock in Charcoal by
lyvyan -- The ability of Sherlock fandom to get the likeness of the character/actors so perfectly realised on paper is astonishing to me. It really is utterly the sort of thing I find myself marvelling at and clapping like a deranged seal. \o/
Stuffed Sherlock by
fkyeahsherlock -- It's a Sherlock doll. Made out of felt. I want one! I want one! Oh look, there's a Sherlock and a Watson! <33333333 (Yes, new people this is really what it's like when I first fall in lust. Really. You should've been here for Inception and Generation Kill. I'm crap at sustainability though, so don't get attached.)
Words by memorieswarm -- I love it when people do something a little different. Take a simple concept and turn it around a bit. Think about your name. What it means to you; what it makes you. You are your name, aren't you?
So, I mentioned above that I am rilly rilly new with Sherlock fic and very very slowly working my way through it, cause wow, y'all are prolific, but I will tell you that I am enjoying
irisbleufic's work tremendously. In particular Perspective and The Drowning Man Series, which follows the events of The Great Game and spins them off in a direction that I enjoyed. There are so many different flavors of Sherlock fic, people who are very drawn towards the sociopathic angle, those who like their Sherlock to be even more removed than he already is, but I confess that I'm torn towards the writing that makes him more human, perhaps not quite so closed off and infallible.
The Social Network
Dear The Social Network peeps: It occurred to me this week that Mark Zuckerberg is the American equivalent of Sherlock Holmes (the BC version). Mark is insanely smart, has zero fucking people skills, does one thing better than pretty much anybody else on the planet, had one friend on the world (Sherlock at least has managed to keep his) and really couldn't give a shit about anything except being married to his work. And that one friend bit.
maurheti then also helpfully pointed that this line of thought also made Sean Moriarty (in all that twisted Svengali admiration and weird courting). And lo I was convinced. Think about it.
hold you by the edges by
imogenedisease -- There are really only two places to go with The Social Network fic. Either you fix it -- 'it' being their current state of affairs-- or you roll with what you're given, slash somebody's forearm open and insert copious amounts of kosher salt. Naturally,
imogenedisease went with the latter. It hurts good though.
these things get louder by
fledmusic -- So, I'm just going to tell you guys what I said in the comment to this story, "So, you have written the ultimate TSN fic. You took the premise we all love, "So, what happens now..." and you made it real and tangible and so Mark. The total obliviousness that turns into obsession. The random emails, because who doesn't act stupid like that, and the chicken and the house sorting, and just -- just the way they behave. This is utterly fabulous. Thank you.. Yeah. Y'all should really read this one.
What I’m Trying To Say, or, ‘5 times Mark does something creepy to try and get Eduardo to be his friend again without actually apologizing’ (Of course one of those things involves Inception, do you even have to ask?) by
fledmusic -- See what it says on the tin? That is exactly what happens. With bonus Inception crossover. How can you go wrong?
Video(s) of the Week
1. My girl. Because everybody should love her as much as I do. Thanks to
antheia
2. And this video brought to you by Pixar and
issaro because I'm pretty sure the stork is John and the baby maker is Sherlock and if that doesn't make you watch it, I give you up for a lost cause.
3. Last but never ever ever least... Benedict talking about the role of Sherlock and what drew him to it. At least this is what
maurheti tells me it's about. I can't lie: when he starts talking my ovaries speak up and my brain shuts down
Also, I have been most remiss in not wishing the most beloved United States Marine Corps a very happy birthday. The older you are the hotter and more competent you get! \o/
This is the first week I'm attempting diversification of Friday Recs, we'll see how it goes. I had to start drafting this fucker yesterday, so don't say I never did anything for you. This week's recs are REALLY REALLY art heavy (*fist pump*) cause that's what I'm feeling right now. Plus, there's so much Sherlock fic to go through I'm not even sure how to go through it apart from just reading until my eyeballs fall out. This is broken up in three sections, by fandom: Inception, Social Network, and, of course, Sherlock. And yes, it is long enough to warrant a cut. Finally.
General Rec
How to Write about Injuries Realistically -- I'd like to thank
![[livejournal.com profile]](https://www.dreamwidth.org/img/external/lj-userinfo.gif)
Inception
don't know what you've got by
![[livejournal.com profile]](https://www.dreamwidth.org/img/external/lj-userinfo.gif)
Lounging With Eames by
![[livejournal.com profile]](https://www.dreamwidth.org/img/external/lj-userinfo.gif)
![[livejournal.com profile]](https://www.dreamwidth.org/img/external/lj-userinfo.gif)
Team Inception by
![[livejournal.com profile]](https://www.dreamwidth.org/img/external/lj-userinfo.gif)
Tom Hardy in Arena Homme courtesy of
![[livejournal.com profile]](https://www.dreamwidth.org/img/external/lj-userinfo.gif)
Sherlock
Dear people of Sherlock fandom: Why did nobody tell me about Fuck Yeah Sherlock (
![[livejournal.com profile]](https://www.dreamwidth.org/img/external/lj-syndicated.gif)
I'd also like to say that it would seem that Andrew Scott (Jim Moriarty) did a wee film back in 2001 called Band of Brothers, which is just more fuel to my on-going theory that every British and/or Irish actor worth his salt, and quite a few Americans were in that miniseries, whether they starred or were just a flicker. Don't believe me? Andrew Scott, Tom Hardy, James McAvoy, Jamie Bamber, Kirk Acevedo, Eion Bailey, Michael Cudlitz, Dexter Fletcher, Damien Lewis, Ron Livingston, Michael Fassbender, Simon Pegg, it goes on and on. Trufax. And I, for one, would really prefer it, if rather than me racking my brains every time I see someone, they had just tattooed everyone that had been on the miniseries. Nothing big, something behind the right ear, the nape of the neck, inside of the left elbow, behind the left knee, something that I could just spot and say, Oh, okay, this is where the awesome originated, cool."
And now, we get to business.
Benedict's Bare Bum by His parents. The gene pool. And the grace of god. And maybe a very good trainer. -- First of all, Not Safe for Work. Second of all. Not Safe for Work. Third of all. I am not a backside person. An arse is a very very hard thing to get right. Sometimes all the squats in the world will not help you. Sometimes you need a trainer. Most times you need genetics. But this bum. I've side it sideways. Shirts sit on it like a shelf. I thought that was already mind-boggling enough. And then I saw this. I have stood at the foot of the David and it ruined me... until I saw this.
Benedict Cumberbatch by Weebl -- Oh my fucking god. I am so so so... not sorry for what is going to happen to you when you watch this video. I really am not, because
![[livejournal.com profile]](https://www.dreamwidth.org/img/external/lj-userinfo.gif)
Bar Sherlock by
![[livejournal.com profile]](https://www.dreamwidth.org/img/external/lj-userinfo.gif)
I'm Bored via brittaniethekid -- I need more adjectives for Sherlock fandom art. Brilliant. Scintillating. Engrossing. Amusing. Perfectly realized. Utterly charming. Yeah, this piece of art has all of that. This is the kind of thing you want to print out and put next to your monitor or possibly email to your mates along with a text "Trouble coming."
"Just...don't" by
![[livejournal.com profile]](https://www.dreamwidth.org/img/external/lj-userinfo.gif)
.Sherlock 1.03 'S.O.S' by potterarchy -- Now that all three episodes have aired in the States we can learn all kinds of shit that we were afraid to go looking for. This bit of trivia about John in the pool scene left me gaping. How fucking smart are you Moffat & Co? How fucking awesome must you be? Well played!
Sherlock and John by charter-magic -- I just -- I'm sorry I can't hear you over how much I want this art. I really can't. I feel like I'm looking at ink and pencils here, but I'm not sure. Mostly I can't stop staring at the faces and the clothes (this is me) and the -- *waves hands* -- everything.
Sherlock Does 'Telephone' by incomplexity -- There is nothing I can say that is going to prepare you for the awesome contained here within. Nothing. I'm just warning you now. And yet. You must ask yourself, if one were to mash-up Sherlock and Lady Gaga's 'Telephone' what exactly would that be like? And then you will click and you will see. Also, have I told you lot that I like Mycroft, because I do. I really really do. He reminds me of people I used to know. But with a bit more power.
Sherlock Goes to Inception by
![[livejournal.com profile]](https://www.dreamwidth.org/img/external/lj-userinfo.gif)
Sherlock in Charcoal by
![[livejournal.com profile]](https://www.dreamwidth.org/img/external/lj-userinfo.gif)
Stuffed Sherlock by
![[livejournal.com profile]](https://www.dreamwidth.org/img/external/lj-syndicated.gif)
Words by memorieswarm -- I love it when people do something a little different. Take a simple concept and turn it around a bit. Think about your name. What it means to you; what it makes you. You are your name, aren't you?
So, I mentioned above that I am rilly rilly new with Sherlock fic and very very slowly working my way through it, cause wow, y'all are prolific, but I will tell you that I am enjoying
![[livejournal.com profile]](https://www.dreamwidth.org/img/external/lj-userinfo.gif)
The Social Network
Dear The Social Network peeps: It occurred to me this week that Mark Zuckerberg is the American equivalent of Sherlock Holmes (the BC version). Mark is insanely smart, has zero fucking people skills, does one thing better than pretty much anybody else on the planet, had one friend on the world (Sherlock at least has managed to keep his) and really couldn't give a shit about anything except being married to his work. And that one friend bit.
![[livejournal.com profile]](https://www.dreamwidth.org/img/external/lj-userinfo.gif)
hold you by the edges by
![[livejournal.com profile]](https://www.dreamwidth.org/img/external/lj-userinfo.gif)
![[livejournal.com profile]](https://www.dreamwidth.org/img/external/lj-userinfo.gif)
these things get louder by
![[livejournal.com profile]](https://www.dreamwidth.org/img/external/lj-userinfo.gif)
What I’m Trying To Say, or, ‘5 times Mark does something creepy to try and get Eduardo to be his friend again without actually apologizing’ (Of course one of those things involves Inception, do you even have to ask?) by
![[livejournal.com profile]](https://www.dreamwidth.org/img/external/lj-userinfo.gif)
Video(s) of the Week
1. My girl. Because everybody should love her as much as I do. Thanks to
![[livejournal.com profile]](https://www.dreamwidth.org/img/external/lj-userinfo.gif)
2. And this video brought to you by Pixar and
![[livejournal.com profile]](https://www.dreamwidth.org/img/external/lj-userinfo.gif)
3. Last but never ever ever least... Benedict talking about the role of Sherlock and what drew him to it. At least this is what
![[livejournal.com profile]](https://www.dreamwidth.org/img/external/lj-userinfo.gif)
Also, I have been most remiss in not wishing the most beloved United States Marine Corps a very happy birthday. The older you are the hotter and more competent you get! \o/
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Date: 2010-11-10 04:08 pm (UTC)no subject
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Date: 2010-11-10 05:03 pm (UTC)Also, irisbleufic's writing is awesome in any fandom, indeed indeed.
no subject
Date: 2010-11-10 06:41 pm (UTC)"Is it any good?"
Eames doesn't glance up. "Scintillating."
"I had no idea Dunhill wrote books."
Eames ashes his fag before he looks up. "They do cigarettes as well."
The man before him has brown eyes and a natural upturn at the corners of his mouth. "Is that all?"
"No, they did my suit as well."
"One stop shopping. I like convenience. Are they the new English Wal-Mart?"
"Marks & Sparks," Eames corrects.
That's the last code word. The man extends his hand. "Arthur."
Eames stands up right and discards his cigarette. "Eames."
Arthur's smile is small. "Your Facebook photo doesn't do you justice."
Eames smirks. "It's a good thing I'm not on Facebook then."
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Date: 2010-11-10 08:17 pm (UTC)I remain defiantly unrepentant about that video, just for the record. It's like The Ring, only instead of dying horribly you become frighteningly obsessed. I leave it to you to decide which is worse.
OH. And randomly, you should consider moving
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Date: 2010-11-10 08:57 pm (UTC)I just love this fandom. I really really do. :)
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Date: 2010-11-10 11:21 pm (UTC)...I need to have another lie-down now.
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Date: 2010-11-11 12:51 am (UTC)*shimmies*
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Date: 2010-11-11 03:34 am (UTC)Also, until you brought it up I seriously didn't realize HOW MANY people I know from other things were in Band of Brothers. I only just realized a little while ago that Tom Hardy was in it. I guess I will just have to WATCH IT AGAIN. Oh tragedy. :D
I don't know where you're getting your Sherlock recs from but here are a few just in case:
Homemaking (http://archiveofourown.org/works/104358) by
Also, until you brought it up I seriously didn't realize HOW MANY people I know from other things were in Band of Brothers. I only just realized a little while ago that Tom Hardy was in it. I guess I will just have to WATCH IT AGAIN. Oh tragedy. :D
I don't know where you're getting your Sherlock recs from but here are a few just in case:
<a href= "http://archiveofourown.org/works/104358">Homemaking</a> by <username= rageprufrock>. You have probably already read this.
<a href= "http://sherlockbbc-fic.livejournal.com/575.html?thread=1604927#t1604927">The one with zombies</a>. This one makes me shriek with laughter.
<a href= "http://sam-storyteller.dreamwidth.org/157115.html">Lab Book</a> by <username= copperbadge>. SAM. ♥
<a href= "http://archiveofourown.org/works/104809">Apologies For Large Feet"> by Black-Eyed Girl.
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Date: 2010-11-11 03:34 am (UTC)(no subject)
From:no subject
Date: 2010-11-11 07:05 am (UTC)Eeee! You are using the icons! Yayness!
Okay, stuff:
OMG the stork video! That is the best video ever. No, EVER! I am in love with the baby alligator, and electric eel, and the freaking Shark! Sharks need love too!
The weebl thing though? I am deleting from my brain, right the hell now.
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Date: 2010-11-12 02:13 am (UTC)YOU LOVE THE WEEBL THING, YOU KNOW YOU DO! DIRTY, DIRTY GIRLS LOVE BENEDICT CUMBERBATCH!
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Date: 2010-11-11 09:04 am (UTC)The stork thing was brilliant, I can't believe I hadn't seen it yet! And Tom Hardy in those photos is Quite Something, jesus. AND BENEDICT TALKING SHERLOCK, you don't want to know how many times I listened to that, just so I could bask in his voice! <3
no subject
Date: 2010-11-12 02:15 am (UTC)On the subject of abdominal gunshot wounds...
Date: 2010-11-11 09:50 pm (UTC)Now, how do you tell a potentially life-threatening GSW from a more minor one? Short answer: you can't which is why a hospital visit is essential. However, should your character not have immediate access to medical facilities, important things that should be monitored are blood pressure and heart rate. Without a blood pressure cuff, it's really impossible to monitor blood pressure, so you're likely down to heart rate. Very slow (less than 50 beats per minute (bpm)) or over 100bpm are both considered abnormal. Now your character is likely in a certain amount of pain and almost certainly has some adrenaline flowing, so you can raise the upper limit to 120bpm safely. On the other hand, a very physically fit person can have a pulse lower than 50bpm and be perfectly healthy. However, a low pulse in these circumstances suggests hemorrhage. A very high pulse suggests a low blood pressure -- the body compensates for a low pressure by increasing heart rate. The low pressure would likely be caused by hemorrhage. Someone who is has clammy skin, is panting for breath, and is very pale for their skin tone is likely going in to shock -- elevate the feet, keep the person warm, and get emergency assistance. The signs of shock can also be signs of (come on, guess!) hemorrhage.
The abdomen is commonly divided in to 4 quadrants: left upper, left lower, right upper, and right lower. Each quadrant comes with different concerns when it comes to penetrating trauma such as a GSW. Any wound near the body's midline also is concerning for spinal injury, which complicates things ridiculously so I'm not addressing it. The caveat here is that a bullet doesn't necessarily move in a straight line once it enters the body. This is especially true of lower caliber bullets such as a .22 caliber which have a distressing tendency to move like a pinball once in the body. I've seen several cases where a .22 caliber bullet entered in the upper thigh and was carried up in to the abdomen through the femoral artery. At the other end of the spectrum, a high caliber such as a 44 magnum (or high caliber shotguns) usually make through-and-through wounds. The body composition of the person shot also counts for a lot -- someone with a lot of body fat may be shot in the abdomen but have the bullet trapped in the fat and never penetrate the viscera. A thin person does not have this protection.
The lower quadrants mostly raise concern for injury to the bowels and bladder. If the trajectory is downward, there is also concern that the pelvic bones may have been hit. For women, there are also the reproductive organs to worry about. A fetus is also at risk should the woman be pregnant, but I really don't feel qualified to address that issue -- I've only seen one such case, it was with a .22, and the fetus was missed. If the viscera is penetrated, the surgeons I work with automatically take the person to the OR due to high risk of bowel injury. If the bowel is penetrated and the person doesn't get medical treatment, s/he is going to have a very painful death from peritonitis. If the bladder is injured and the person doesn't receive medical treatment, it can lead to a variety of issues, including peritonitis and a painful death.
Re: On the subject of abdominal gunshot wounds...
Date: 2010-11-11 09:50 pm (UTC)The upper left quadrant contains the spleen and left kidney, along with more bowel. An upward trajectory also is concerning for lung, diaphragm, and/or heart issues. The lower ribs can be hit and, depending on the caliber, bounced off of with a complete change in trajectory. The rib shards can cause collateral damage to nearby structures. Any hit to these organs is a surgical emergency. Death can result without medical intervention. You can loose a kidney and survive, but there is usually pretty massive bleeding with a kidney injury of this type and the blood loss (and shock) could kill a healthy individual. The spleen is highly vascularized and a penetrating trauma is going to result massive bleeding necessitating a spleenectomy (removal of the spleen). If the bleeding doesn't cause death, the resultant blood clots/hematomas could cause complications resulting in death. Now some people do luck out and get hit in this area without any major injury -- it's usually a wound on the left flank or someone with a high percentage of body fat. If the bullet does penetrate the viscera, I've not seen a case without at least a need for some repair of the bowel.
The right quadrant contains the liver, gallbladder, right kidney, and, yes, more bowel. The concerns for an upward trajectory and rib, kidney, or bowel involvement remain the same. That leaves the liver -- oh, the liver! Protect your liver people -- you can't live without it and it really, really doesn't like to be injured. Now you can loose one of the two lobes of your liver and do fine. It will even regrow with time (yes, like an earthworm!). It cannot be removed, however, if it is badly damaged on both lobes and hemorrhaging. If the hepatic artery is injured...well, game over. I had two patients die from hepatic artery injuries in one week. Each of them received 60+ units of packed red blood cells, plus platelets, albumin, and fresh frozed plasma, enough to replace their entire blood volume several times over.
Each of the quadrants also has multiple arteries such as the abdominal aorta and others I don't know. They tend to be large, carry large volumes of blood, and it is very bad it they are injured. Again, medical emergency and likely death without medical intervention.
Now, you ask, what about recovery? This really depends upon what was hit, what surgical repairs were needed, etc. If someone received a lot of blood (not a couple of units, but what is termed "massive transfusion"), they will have pulmonary (lung) complications. The lungs swell and collect fluid in what is basically an immune reaction to the blood products. The person will be on a ventilator for a time to recover from their wounds and allow their lungs to recover, which can be a lengthy process. The person will initially be heavily sedated but, if they are going to be on the ventilator for a few days, may be allowed to wake up some and be able to interact with others while on the vent. Please, oh my god please, know that they absolutely will NOT be able to speak. If they are going to be on a vent longer term (over about a week to ten days), they will likely get a tracheotomy (trach) which is a surgical incision in the base of the neck for the artificial airway to go in. This is almost always associated with a PEG tube (a type of feeding tube) as the person will be unable to swallow food past the trach. The person can speak once they have a trach, but will have no audible voice until/unless s/he gets a trach with a speaking valve.
Other interventions that may be present during recovery are: chest tubes (to drain fluid/air from around the lungs), NG or OG tubes (drain fluid from the stomach), other various drains for fluid buildup around the organs, under the skin, or to drain hematomas, and wound vacuums (awesome things commonly used for abdominal wounds that need to be healed from the inside out).
While this is nowhere near a full exploration of abdominal GSWs, I hope it was helpful. I'm more than happy to clarify any points or answer any questions, including about other types of GSWs. I'm also happy to abuse my resources to answer your questions.
Re: On the subject of abdominal gunshot wounds...
From:Re: On the subject of abdominal gunshot wounds...
From:no subject
Date: 2010-11-12 01:13 am (UTC)I'm pretty sure the stork is John and the baby maker is Sherlock and if that doesn't make you watch it, I give you up for a lost cause.
I was like 'aw, that's so cute'... guy friend watching over my shoulder said, 'that's an abusive relationship'... sums sherlock up so nicely don't you think?
no subject
Date: 2010-11-12 02:17 am (UTC)I was like 'aw, that's so cute'... guy friend watching over my shoulder said, 'that's an abusive relationship'... sums sherlock up so nicely don't you think?
HAHAHAHAHAHAHAHA!
no subject
Date: 2010-11-13 04:46 am (UTC)no subject
Date: 2010-11-12 05:17 am (UTC)no subject
Date: 2010-11-13 04:49 am (UTC)