Tag: north carolina

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Fun Fact: Puncture Wound

Anatomy Def: Puncture wound are deep injuries caused by sharp and pointed objects.

Outlander def: Och! Jamie’s painful bite-site! 🐍🐍🐍

Learn about puncture wounds in Anatomy Lesson #35, Outlander Owies.

Puncture wounds are a specific type of injury caused by sharp, pointy objects such as animal teeth/fangs, metal nails or thorns.  This wound has very specific characteristics: 

      • Small opening(s)
      • Little bleeding
      • Difficult to clean
      • Easily infected

Why are puncture wounds are prone to infection? Because: 

      • Bleeding helps cleanse a wound
      • Little oxygen reaches deep wound
      • Some organisms flourish in low oxygen environments

Important Fact: If the injured person hasn’t had a tetanus shot in the past five years, if the wound is deep, and if it is difficult to clean, a tetanus shot/booster is usually recommended – within 48 hours of the puncture!

Snake: Are you curious about which snake sunk its foul fangs into the vastus medialis of Jamie’s splendid quadraceps muscle?

I am not a herpetologist, but a quick Internet search reveals that North Carolina currently has six types of venomous snakes. ( I assume North Carolina’s current population of venomous snakes is the same as in the 1700s): 

      • Copperhead
      • Timber rattlesnake
      • Pigmy rattlesnake
      • Eastern diamondback rattlesnake
      • Eastern coral snake
      • Cottonmouth (water moccasin) 

Read Diana’s description from The Fiery Cross of the snake:

It was motionless now, quite obviously dead. Still, it took some effort of will to pick the thing up. It was as thick around as his wrist and nearly four feet long. It had begun to stiffen; in the end, he was obliged to lay it across the armload of firewood, like a scaly branch. Seeing it so, he had no trouble imagining how the snake … had escaped notice; the subtle browns and grays of its patterns made it nearly invisible against its background.

Diana’s description and the appearance in the show seems most consistent with the cottonmouth:  Subtle grays and browns, indeed!

Problem is, cottonmouths are only found in eastern North Carolina and not in Fraser’s Ridge territory. So, hard to be sure. But, here is what one looks like. 

Moving on!

Roger’s Efforts: So, how did Roger do at treating the snake bite? 

Weil…….

    • Roger cut the wound! 

He braced himself to the necessary force, stabbed hard and cut quick—two X marks over the punctures, just as the first-aid guides said. The wounds were bleeding a lot, blood pouring down in thick streams. That was good, though, he thought. He had to go deep; deep enough to get beyond the poison. He dropped the knife and bent, mouth to the wounds.

    • Roger sucked out blood and venom!

There was no panic, but his sense of urgency was rising. How fast did venom spread? He had no more than minutes, maybe less. Roger sucked as hard as he could, blood filling his mouth with the taste of hot metal. He sucked and spat in quiet frenzy, blood spattering on the yellow leaves, Fraser’s leg hairs scratchy against his lips. With the peculiar diffusion of mind that attends emergency, he thought of a dozen fleeting things at once, even as he bent his whole concentration to the task at hand.

    • Roger gave Jamie alcohol!

 “I’m pleased to hear it,” Fraser said. “But I think I’ll take a bit o’ the whisky now. Draw the cork for me, aye? My fingers willna grasp it.”

    • Did Roger (or Jamie) apply a tourniquet? Does it matter?
    • Jamie’s sock and boot remain on the injured leg.
    • His heart is above the wound.

Snakebite Experts: Now, what do today’s experts have to say?

Experts recommend snake bite victims, DO NOT:

      • Cut the wound 🚫
      • Suck out the venom 🚫
      • Apply a tourniquet, ice, or water 🚫
      • Give alcohol, caffeinated drinks, or any other medications 🚫

Experts recommend, DO the following:

      • Note the snake’s appearance and describe to medical unit (Roger saved head) ✅
      • Move victim beyond striking distance of the snake (no need!)
      • Lay victim down with wound below the heart ✅ (he did)
      • Keep person calm and at rest ✅ (he did)
      • Cover wound with loose, sterile bandage ✅
      • Remove any jewelry from area that was bitten (no need) 
      • Remove shoes if leg or foot is bitten 🚫 (oops!)
      • Get the victim medical help (Claire’s surgery!) ✅

Grading time! Hum…. 🤔 Looks as if Roger got 5 of 10 possible actions or 50%!  Erm, even grading on a curve, this is a failing grade! 😱

Can Roger’s performance be explained? Should we be upset with Roger?

Yes and not at all!!!

Snakebite instructions from the 1960s, when Roger went back through the stones, were very clear. All first aid manuals listed the same advice. Even Boy Scout manuals contained these instructions:

      • Cut the wound
      • Suck out the venom 
      • Apply a tourniquet

But, science marches on and knowledge improves! We now know what to do and what not to do in the event of a venomous snake bite.

See Roger wrestle with Jamie’s snake bite in Outlander episode 509, Monsters and Heroes!

Roger is a hero….and, Himself is still here! 👏🏻👏🏻👏🏻

Fangs to Roger!

The deeply grateful,

Outlander Anatomist

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Photo Credits: Sony/Starz; www.ncwildlife.org

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Cape Fear River Basin and Alamance Battleground!

Hello, Outlander fans!

Season 5 blasts off in one month. I can scarcely wait! You? 🤗

Today, I post about my recent trip to  North Carolina, the US state that is integral to the Outlander saga beginning with Season 4 and beyond.

Now, please dinna run away. This is truly interesting stuff!

I visited several sites that appear in the fifth big book, The Fiery Cross (TFC), the source for Outlander, Season 5.

You will remember at the end of Voyager book and S3, Jamie and Claire survived a hurricane to land in the Colony of Georgia.

Mrs. Olivier smiled indulgently. “You are not on an island at all. You are on the mainland; in the Colony of Georgia.”

“Georgia,” Jamie said. “America?” He sounded slightly stunned, and no wonder. We had been blown at least six hundred miles by the storm.

“America,” I said softly. “The New World.”

At the beginning of  Drums of Autumn book, Jamie.com find themselves in Charleston, SC, and then they travel north to Wilmington. But, season four left out that bit of travelogue and opens in Wilmington, NC.

This quote from Drums of Autumn explains:

Out of the sun, with a large pewter mug of dark ale foaming gently in front of him, Jamie quickly regained his normal self-possession.

“We’ve the two choices,” he said, brushing back the sweat-soaked hair from his temples. “We can stay in Charleston long enough to maybe find a buyer for one of the stones, and perhaps book passage for Ian to Scotland on another ship. Or we can make our way north to Cape Fear, and maybe find a ship for him out of Wilmington or New Bern.”

I really wanted to see Wilmington for myself. So, hounding my son to drive me three hours to Wilmington was a must!

Yes, Wilmington, where Hayes met his sad fate at the end of a hangman’s noose!

Yes, Wilmington, where Brianna was handfast to Roger, on the most magical night of her young life.

Yes, Wilmington, where Brianna paid a horrific price for her mother’s iconic wedding ring, forged from the key to Lallybroch.

Why is Wilmington important beyond the Outlander story? When the Carolina region was divided in 1712, the line between North and South Carolina was established to ensure North Carolina received its own seaport, Wilmington.

Today, Wilmington is a lovely old city, a blend of modern and old including many beautiful homes boasting historic markers.

Wilmington straddles the Cape Fear River, which I filmed from the aft deck of the battleship USS North Carolina, as it (not the battleship 😉) flows toward the Atlantic Ocean. The battleship is permanently moored on this river!

I strolled along the Wilmington Riverwalk, a shop- and eatery-lined pathway following the river.

At Wilmington, the 200-mile-long Cape Fear River is large enough to accommodate sea-faring vessels, cargo crates and tugboats, as is befitting a true seaport. 

The Cape Fear River collects water from streams and rivers of the Cape Fear Water Basin, a 9,000+ sq. mi. area stretching beyond Greensboro, the city I just left!

Water from this massive land area drains into the Cape Fear River, ultimately flowing past Wilmington and into the Atlantic a few miles downstream.

Do you see Fayetteville, NC, on the map below? It sits on the Cape Fear River but further inland than Wilmington.

Fun Fact: Did you know Fayetteville started life in 1756 as Cross Creek, the settlement nearest to Aunt Jocasta’s River Run plantation. Truth! 

During the American Revolution, Cross Creek was a hotbed of wartime activity and home of divided loyalties, many of those conflicts involved Highland Scots! Its name was changed to Fayetteville in 1783.

Lastly,  Cape Fear, might sound familiar to you because Martin Scorsese’s 1991 film of the same name was situated in this region. Cape Fear is a prominent headland jutting into the Atlantic Ocean at the mouth of the Cape Fear River.

Aunt Jocasta’s splendid River Run plantation near Cross Creek (Fayetteville), most likely sat in the Cape Fear River Basin.

Moving on.

A couple of days later, my dear son drove me to the Alamance Battlefield. The Battle of Alamance was the final conflict in the War of Regulation, a rebellion in North Carolina over issues of taxation and control. Some historians and locals consider the Battle to be the opening salvo of the Revolutionary War!

The battleground is a beautiful, serene wooded site bordered by zigzagged split rail fencing and a few miles outside Greensboro .

The woods are quiet now but on May 16,  1771, the countryside rang with shots and shouts from Regulators and Tryon’s militia.

The  image below shows where the Regulators held ground on the rise in the background. Tryon’s forces would have been about six miles in the opposite direction across Great Alamance Creek.

As faithfully recorded in TFC, Herman (Harmon/Hermon) Husband was a leader in the rebellion who left the battlefield early.

I wondered what brought Hermon Husband here—and whether he was being followed. He owned a farm and a small mill, both at least two days’ ride from the Ridge; not a journey he would undertake simply for the pleasure of our company. 

Husband was one of the leaders of the Regulation, and had been jailed more than once for the rabble-rousing pamphlets he printed and distributed. The most recent news I had heard of him was that he had been read out of the local Quaker meeting, the Friends taking a dim view of his activities, which they regarded as incitement to violence. I rather thought they had a point, judging from the pamphlets I’d read.

Now one bit of history…. militia men did not wear uniforms; these were ordinary citizens on both sides of the conflict. We have all seen and speculated about Jamie Fraser appear in a redcoat in Outlander Season 5 footage.  So why is he wearing that redcoat? Time will tell, but I wager it has to do with advancing the story at the expense of historical accuracy. 😉

Psst… whatever the reason, he looks mighty fine!

Spoiler! The battle was fairly brief and the loss of life modest given that Tryon had 1,000 militiamen and the Regulators, 2000.  Tryon captured 13 Regulators: one was executed at camp and six were executed later in nearby Hillsborough. Hanging was the method of the day.

This bit of history is pertinent to Season 5, so ‘nuf said! 😉 😉

What a trip!

Thank y ou for joining me on my whirlwind tour of book 5 (excepting Fraser’s Ridge, an area I explored in 2015).  This trip, I visited Wilmington, where Bree was handfast to Roger and assaulted by the dread pirate, Steven Bonnet! I walked the Cape Fear River into which most rivers and streams of the Cape Fear Water Shed drain and home to Cross Creek and River Run. And, I visited the Alamance Battlefield, the site where Regulators clashed with Governor Tryon’s militia.

As always, I am deeply grateful. Yay!

The deeply grateful,

Outlander Anatomist

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Photo and Video Credits: Sony/Starz, Wikipedia, Outlander Anatomy, Wilmington-nc.com, nchistory.WordPress.com

 

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I’m in Fraser’s Ridge Country!

Hello all! I’m spending six days in the North Carolina Blue Ridge Mountains within 10 miles of Frasers Ridge! I want to share a few wee pictures with ye. Now, if ye haven’t read all the Outlander books, please know that I’m referring to some of the later stories Herself wrote.

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Here is a view Jamie and Ian might have enjoyed from the peaks above Fraser’s Ridge. I’m looking west from Grandfather Mountain. This area is a scenic travel attraction and an International Biosphere Reserve.

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There is a very diverse ecosystem in these mountains including Frasers Pine and rhododendron.

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Claire might have picked these plants for her surgery.

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I love all of the interesting rock formations…perfect for hiding treasure, ye ken?

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This is MacRae Meadows at the base of Grandfather Mountain where the modern day Highland Games are held. Again, Herself has written that this area is smack in the middle of Frasers Ridge country…within 10 miles!

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I’m standing one mile high up, facing East towards the Atlantic Ocean, on Grandfather Mountain. It is the possible site of the Gathering held at Mt. Helicon in The Fiery Cross.  Now, it is the site of annual Grandfather Mountain Games including the “Calling of the Clans.”

imageFinally, this is the Mile High Swinging Bridge, built in 1952, at Grandfather Mountain. It is the highest suspension foot bridge in the Americas! I stood on it to take the east and west facing photos. I can tell ye, it sways!

Hope ye all are enjoying your holidays!

The deeply grateful,

Outlander Anatomist