Fun Fact: lacerate

image of a laceration being stituced up

Starz episode 311, Uncharted

Anatomy def: Lacerate means to gash, slash, tear, rip, rend, shred, scratch or score the skin (or other organs) – owie!

Outlander def: Claire’s mad dash-gash!  Rushing through the tropical forest to find Jamie, she snags her arm on a very large plant spike and, gah!  

Mr. Willoughby to the rescue wielding needle and thread, presumably designed to mend sails. That is one mighty big needle, Yi Tien Cho!  ? Never-the-less, he carefully and tidily closes Claire’s laceration (n), stemming further blood loss. Nice work, Mr. W! Excellent special effects, too!

Learn about lacerations in Anatomy Lesson #35, Outlander Owies! – Part One. Used precisely, lacerate means to tear – the leaving somewhat ragged wound margins. Incision means to slice with a sharp edge (e.g. blade), which leave sharp edges to the wound. Closing an incision usually leaves a thinner scar.

Read about Claire’s dramatic arm gash in Voyager book! Understand, there is much more to Claire’s wound story than TV time allows. What caused Claire’s laceration? I urge you to read the book for all the nitty-gritty! Here, Herself grips our imaginations, yet again:

“Jamie!” I clutched at his shoulder, my vision going white at the edges. “You aren’t all right—look, you’re bleeding!” … “My God!” said his frightened voice, out of the whirling blackness. “It’s no my blood, Sassenach, it’s yours!”

… “What happened?” I asked.

“Ye’ve a bone-deep slash down your arm from oxter to elbow, and had I not got a cloth round it in time, ye’d be feeding the sharks this minute!”

It was a long, clean-edged slash, running at a slight angle across the front of my biceps, from the shoulder to an inch or so above the elbow joint. And while I couldn’t actually see the bone of my humerus, it was without doubt a very deep wound, gaping widely at the edges.

Jamie was holding one of my curved suture needles and a length of sterilized cat-gut, … It was Mr. Willoughby who intervened, quietly taking the needle from Jamie’s hands. “I can do this,” he said, in tones of authority.

A wee bit later after some yummy turtle soup laced with sherry <G>, TV Claire tells Jamie that the penicillin she later injects into her thigh would not have been useful on the Porpoise because, too many men and “that antibiotic wouldn’t work against typhoid.”

 Just so you ken, years ago, penicillin was used to successfully treat typhoid, although today, it is no longer used for this purpose, having been replaced with other antibiotics. Herself got it right in Voyager book! Yup, yet again!

I thought I had resigned myself to the realities of this time, but knowing—even as I held the twitching body of an eighteen-year-old seaman as his bowels dissolved in blood and water—that penicillin would have saved most of them, and I had none, was galling as an ulcer, eating at my soul.

The box of syringes and ampules had been left behind on the Artemis, in the pocket of my spare skirt. If I had had it, I could not have used it. If I had used it, I could have saved no more than one or two. But even knowing that, I raged at the futility of it all, clenching my teeth until my jaw ached as I went from man to man, armed with nothing but boiled milk and biscuit, and my two empty hands.

See the Chinese poet deftly close Clair’s gaping wound in Starz episode 311, Uncharted. A civilized and truly gifted man!

A deeply grateful,

Outlandish Anatomist

Fun Fact: puke

Starz ep 309, The Doldrums

Anatomy def:  Puke is an English word meaning to vomit or to expunge the gastric contents.

Outlander def:  Jamie’s sea voyage compulsion to hurl his first wife’s ginger tea or anything else residing in his wobbly wame!  Ralph, heave, upchuck, spew, gag, be sick, retch, barf, throw up, regurgitate, emit, and disgorge – we all ken the vicious urgency of a tummy that demands purging!!!

Learn about puking in Anatomy Lesson #46, “Splendid Stomach, Wobbly Wame! Yes, there is an Anatomy Lesson on this less-than-tea-time topic! <G>

BTW, have you assumed the word, puke, is a 20th century invention? Or, have ye ever wondered who invented such a poetic term?

Well, none other than “The Bard,” Himself!  Puke first appeared in Shakespeare’s As You Like It (II. vii. 144):

At first the infant, mewling, and puking in the nurse’s arms,”…

Who knew?

Read about Jamie’s “Battle of the Wame” in Diana’s splendid tome, Voyager! if you haven’t read these marvelous stories, hope you get “on board” soon (hah!).

“Never mind,” I said. I glared back over my shoulder at the heap of reeking bedclothes. It stirred slightly, and a groping hand emerged, patting gingerly around the floor until it found the basin that stood there. Grasping this, the hand disappeared into the murky depths of the berth, from which presently emerged the sound of dry retching.

See Jamie’s agonizing heave hos in Starz ep 309, The Doldrums. His wretched retching caused my own wame to wobble a wee bit! How ’bout you? ?

A deeply grateful,

Outlander Anatomist

 

Fun Fact: Grume

grume, blood clot, outlander

Starz episode 307, Creme De Menthe

Anatomy def: Grume is an archaic word for a mass of blood, as in blood clot. Clots form as a protective mechanism designed to staunch the flow of blood from breached vessels. Our modern equivalent term is hematoma.

Outlander def: In another “Claire, what-ha’-ye-done!!!” moment, our good doctor fells John Barton, Esq., by slashing his leg with her wee knife! Puir John trips, falls and strikes his head on the stone hearth.  Let this be fair warning to all excisemen – dinna mess with this Surgical – Sassenach – she is licensed to wield a blade!

Learn about grumes / hematomas in Anatomy Lesson #37, Mars and Scars.

Claire quickly diagnoses John’s injury as an epidural hematoma (epidural bleeding), a type of grume formed between skull and dura (outer covering of brain). Claire makes this diagnosis because:

  • The fall renders the bad-lad unconscious.
  • The left side of his head strikes the stone, imperiling the middle meningeal artery which supplies the dura.
  • Blood drains from John’s left ear, a symptom consistent of a epidural hematoma.

Imaging tests would confirm her diagnosis, but such tests lie 200 years in the far future, so Claire takes her best clinician’s 18th century shot.

Left untreated, a grume compresses delicate brain tissue and may result in fatality! Thus, we witness Claire’s urgency to obtain a trephine (skull drill) from the nearest barber surgeon (18th century Edinburgh likely had one on every street). Drill through the skull to drain the blood and relieve pressure on the brain.

Sadly, her valiant efforts fail: the taxman cometh, the taxman goeth! ?

Read about blood clots in Herself’s terrific tome, Voyager (grumes appear in pretty much all of Diana’s books!):

Aye, it’s no more than a wee dunt,” he said, smiling up at me. There was a small gash at his hairline, where something like a pistol butt had caught him, but the blood had clotted already.

See Claire wield the wonderfully arcane trephine in Starz episode 307, Creme De Menthe!  Where in the world did Outlander special effects obtain that splendid drill? Fun, fun! Kudos to all!

A deeply grateful,

Outlander Anatomist