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Yes, more medical stuff....

As my 40k medical stuff has generally been quite popular (much to my pleasant surprise), I thought I'd share this. In games between my good friend and long-term gaming opponent and I, characters that die on the field are generally killed off in fluff too - unless they're particularly important or cool (we use an informal " cat's lives" system).

Anyhoo, one of my opponent's key characters in his Guard army was wounded and he asked me to fill in some of my medical documents for him. I still need to do this properly, but in the process I decided to turn my notes on what his injuries would likely be based on what happened in the game (we also rolled on the Necromunda wound table with the results "Partially Deaf" and "Blind in One Eye").

I wanted to make it as accurate as possible, a little more archaic then necessary and I also wanted to try and explain the medical terminology in "a not explaining it kind of way." I've missed out bits about the absence of intercranial bleeding and fractured ribs, the usual stuff... It's a little ham fisted but hopefully does the trick.

The battle report can be found on my friend's blog - Palladian Guard: Battle Report: Take and Hold
And his fluff follow up documents here - Palladian Guard: Death By Fluff?

+ + + + + + + + + + + + + + + + + +

REF: (HOUSENERO/982.M41/01-7)
RANK: Captain


Primary cause of injuries: Blast overpressure
Secondary causes of injuries: Shell casing fragments, agitated debris

Blast overpressure, whilst the principle cause of severe injury, appears to have been interrupted and lessened by nearby structures. NERO was evidently close to the centre of the blast origin - an observation corroborated by witnesses present on the field. As such, potential injury was reduced and a likely fatality outcome avoided. Although my body &c.

NEROs responsiveness on the St. Etherea Scale was initially recorded as XI, a moderate response broken down as: Ocular III (vocal response), Vox IV (disorientated), Motor IV (normal flexion to pain stimulus).
Ocular response was treated with caution due to severe laceration to the right eye, with evident damage to the optic nerve - irreparable with resultant blindness without Mechanicum bionic intervention. With Your Strength You Protect &c.

A small contusion (likely from debris) to the rear of the head seems to have contributed towards concussion; overpressure shock waves also contributed. Lasting damage also occurred to the right ear of NERO, with irreparable damage to the tympanic membrane. Without the implementation of bionics under the jurisdiction of the Mechanicum, the result of such damage is permanent deafness. NERO had an existing metallic cranial implant from prior injuries sustained; this undoubtedly prevented further damage to the brain. As such, the head injury was largely benign with no intervention required.

Damage to the tissue of the lungs (blast lung) was also expected upon arrival. Whilst no pulmonary laceration or associated haemothorax presented, a pulmonary contusion did. A very mild cyanosis skin discolouration was an early indicator as was, evidently painful, respiratory dyspnea. Further investigation revealed the extent of the contusion. NERO had bruising in the upper-right lung, with haemorrhaging to the alveoli of the superior lobe. Bronchorrea had developed, along with associated, albeit low-level, hemoptysis - the cause of the dyspnea. As the principle cause of death in survivors of blast injuries, it was a primary target identified for treatment. Whilst similar damage was also possible to the intestines, tests indicated minimal damage with no intervention required. Similarly, rib fractures were not present. All standard procedure was followed with the treatment of the pulmonary contusion, with NERO receiving tracheal intubation and mechanical ventilation. After a period of three Terran days, the level of healing was sufficient for artificial ventilation and oxygenation to be rendered unnecessary.

Minor injuries were sustained from agitated debris, and small fragments of shell casing were embedded in NERO'S upper torso wounds, along with damage to upper-right limb bionics (referred to Mechanicum personnel). Surgical debridement was carried out to ensure the prevention of wound infection. NERO's condition has rapidly improved, and although lasting biological damage has been sustaine to ocular and auditory functions, I can recommend that NERO is fit to return to active duty.

In line with NERO's injuries, I can confirm that with the Battalion M/Off's approval, permission to award the Patium Pro Imperatora is hereby granted. I Lost A Limb, But I Gained Faith &c.
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