1. Martin Roy Hill
Partners in Crime
Mysterious Galaxy
San Diego, CA
July 8, 2017
Writing About CrimeWith Authenticity and Responsibility
2. First, my Bona Fides
Medic in three military branches
Wilderness SAR/tactical medic w/ San Diego Sheriff
EMT w/ federal Disaster Medical AssistanceTeam
U.S. Navy analyst - combat casualty care
(the job that pays the rent)
3. Violence 101: A Primer for Writers
Genesis of this talk:
Questions about wounds on writers’ forum
Reading thrillers and watching movies where
characters endure violence without any physical
impacts
I call this The Mission Impossible Syndrome, after
movies in whichTom Cruise repeatedly gets blown
up without repercussion
7. Violence 101: A Primer for Writers
Why does it matter to writers?
Readers, more than viewers, want
authenticity
Ian Fleming’s James Bond
Novelists “conditioned by what they see
on the screen…” - David Morrell
Aids in character development
Violence without repercussions glorifies
violence.
Never underestimate the number of
people eligible for the Darwin Award
8. Violence 101: A Primer for Writers
My rules for writing about violence in my novels:
Rule 1: Injuries have permanent consequences.
Rule 2:You have to understand ballistic injuries.
Rule 3:You have to understand blast injuries.
Rule 4:You have to understand anatomy.
Rule 5: A blow to the head is no simple matter.
Rule 6:Violence is not easily forgotten.
9. Violence 101: A Primer for Writers
Rule 1: Injuries have permanent consequences.
Even those injuries that are not immediately
obvious to the onlooker are life changing.
The impact of injuries linger for a lifetime.
They can be physically or mentally crippling.
In real life, they become part of the individual
In your novel(s), they should be part of your
character development
10. Violence 101: A Primer for Writers
Rule 2: Understand ballistic injuries.
Two types of penetrating ballistic wounds.
Low velocity (slow moving)
Most handguns, older rifles
Low-level explosives (i.e., gunpowder)
High velocity (near super-sonic)
Modern military rifles (M-16, AK-47)
High-level explosives (i.e., C-4)
.
11. Violence 101: A Primer for Writers
Rule 2: Understand ballistic injuries.
12. Violence 101: A Primer for Writers
Rule 2: Understand ballistic injuries.
Emergency War Surgery 2004
13. Violence 101: A Primer for Writers
Rule 2: Understand ballistic injuries.
14. Violence 101: A Primer for Writers
Rule 3: Understand blast injuries.
.
15. Violence 101: A Primer for Writers
Rule 3: Understand blast injuries.
Primary Blast Injuries
Signature of modern high-yield explosives
(plastics)
The effect of over-pressure wave (aka blast
wave) on the body
Close up, disintegrates body (brisance)
Can rupture hollow organs, tear solid organs
from foundations w/o external injury
16. Violence 101: A Primer for Writers
Rule 3: Understand blast injuries.
Wikimedia
BlastWave
17. Violence 101: A Primer for Writers
Rule 3: Understand blast injuries.
Secondary Blast Injuries
Result from all explosives
Can be low- or high-velocity wounds
Penetrating injuries from shrapnel hurled
outward by the explosion
Fragments of casing or contents of bombs
18. Violence 101: A Primer for Writers
Rule 3: Understand blast injuries.
Tertiary Blast Injuries
Injuries result from:
Victims thrown by the force of blast
Struck or crushed by objects tossed by
blast
Quaternary Blast Injuries
Surface burns and inhalation burns
Inhalation of toxic blast by-products
19. Violence 101: A Primer for Writers
Rule 4:You have to understand anatomy.
20. Violence 101: A Primer for Writers
Rule 4:You have to understand anatomy.
(And death is not necessarily instantaneous.)
21. Violence 101: A Primer for Writers
Rule 5: A blow to the head is no simple matter.
22. Violence 101: A Primer for Writers
Rule 5: A blow to the head is no simple matter.
Can be life threatening
Skull fractures
Internal contrecoup injuries
(bruising/swelling)
Inter-cranial bleeding
Pressure from bleeding, swelling can cause
brain herniation
23. Violence 101: A Primer for Writers
Rule 5: A blow to the head is no simple matter.
“Simple concussion” not so simple
Also know as mildTraumatic Brain Damage
Signature injury of IraqWar
First injury makes victim susceptible to
further injuries
Term “punch drunk” = permanent mTBI
Long seen in boxers, now in football
players
24. Violence 101: A Primer for Writers
Rule 6:Violence is not easily forgotten.
Post-traumatic stress disorder (PTSD)
Related to any trauma, not just war
Survivors of disasters, shootings, terrorism
Law enforcement also affected
New military phrase: “combat & operational
stress”
Victims need not be injured or directly
experience trauma
TV show: China Beach
Play: A Piece of My Heart
25. Violence 101: A Primer for Writers
Make your characters real, believable people
If you have a character who survives a horrifying
experience in one novel, but is unaffected by it in
the next, you have failed in your character
development.
Understanding the lasting effects of violence on
the human body, and how it affects the mind and
soul of your character, can make that character
more realistic and sympathetic to your readers.
26. Violence 101: A Primer for Writers
“She was puffy, discolored. She breathed heavily
through her open mouth.There was an odor of
sickness in the room. I looked at her and thought of
the movie heroines.They go through terror and
capture and violence, yet four minutes after rescue
they melt, with glossy hair and limpid eyes and gown
by Dior, into the arms of Lancaster, or Gable, or
Brando.This was reality.The pain and ugliness and
sickness of reality.”
John D. MacDonald
A Bullet for Cinderella
28. Violence 101: A Primer for Writers
Need help? Contact me:
Martin Roy Hill
www.martinroyhill.com
author@martinroyhill.com
Notas do Editor
Crime Scene Writer’s Yahoo group
Thumb sucker novels (ie, Dan Brown)
Ridiculous movies that emphasize violence
Movies goers tend to want action more than authenticity (James Bond novels vs movies)
Readers want a plot that “feels real”
Too many novice writers tainted by movies/TV
Cheat on character development – 2 dimensional character (Wily Coyote)
Don’t glorify violence.
People imitate what they see or read
Vancouver man tried to bungee onto passing cruise ship from bridge
Saw it in a Bond movie
Movie Titanic
Bow scene w/ lovers led to several deaths
Tim McVeigh & OK City
Got idea from Turner Diaries
Rule 1: Injuries have permanent consequences.
Rule 2: You have to understand ballistic injuries.
Rule 3: You have to understand blast injuries.
Rule 4: You have to understand anatomy.
Rule 5: A blow to the head is no simple matter.
Rule 6: Violence is not easily forgotten.
Seems obvious, but often neglected by authors
Can be used develop your characters
Dr. House
A lost limb = obvious impact
Allan Russell – The Burning Man
Empty Places, protagonist Peter Brandt
Head injury from war wound, suffers crushing headaches
Hitler Is Coming, Paul Klee,
Shot in the stomach.
Eating is something he no longer enjoys because of digestive difficulties.
Low velocity projectiles from older rifles and explosives (black powder), and most modern hand guns
Doesn’t mean they aren’t dangerous
The black powder rifles and the minié ball—that caused horrific injuries.
Minie ball smashed flesh and shattered bones
High velocity projectiles from modern military rifles and modern high-level explosives
Bullet wound differ
Caliber (size/weight)
5.56 mm bullet vs .22 bullet
Velocity
Note how wounds differ according to bullet speed
Type of weapon
Shotgun vs rifle vs handgun
High velocity projectile creates two cavities.
One is the track it takes through the body.
The other is a created by the projectile’s shock wave.
This one is larger, but temporary.
Because of this shock wave effect, high velocity projectile exits the body it leaves a massive hole with a great loss of tissue.
This is the wound that causes most of the bleeding, not the little entry hole
A good view of the cavity created by passive of a bullet
Note the amount of material hurled out of the exit wound
High velocity bullets more often than not are through-and-through
Blood spatter often believed to come from entrance wound
Primarily comes from exit wound
This is where major hemorrhage results in death
Real life example: Female CAARNG soldier who died because exit wound ignored
Importance to writers:
Knowing how different ammo makes different wounds can be used in your crime story.
Police know the difference
How badly a character in injured and how they are treated.
Exit wounds often ignored in books or movies
Four types of blast injuries.
Primary
Secondary
Tertiary
Quartenary
Primary blast injuries are caused by pressure wave (aka blast wave) of a high yield blast
Modern military explosives such as C-4 or PETN
First observed in WWII
Can tear body apart by the pressure wave before any shrapnel can reach it.
Blast/pressure wave can rupture hollow organs like the stomach or bladder, or tear solid organs from their foundations
Can cause embolism from pressure change
Blast wave worse in enclosed areas
Bounces back and forth against walls
Israeli bus windows always open because of this
Blast are worse in water
Inquiry from Liam Saville
Depth charges and submarines
Usually ignored in books and movies
James Rollins’ book with diver
Good photo showing pressure wave
Blast probably a fuel-air explosive
Remember MI photos?
Anyone think Tom Cruise’s character could really survive such blast without permanent injury or death?
Secondary blast injury
These can be both low- and high-velocity projectiles, depending on explosive.
Boston Marathon bombing = low-yield explosives (Fireworks)
OK City bombing = high yield explosives (ANFO)
Penetrating injuries from shrapnel hurled by the explosion.
Shrapnel can be fragments from the casing of the explosive charge, or items embedded inside the bomb such as ball bearings or nails.
Also caused by items in the surrounding environment hurled about by the force of the blast.
With suicide bombers, can be pieces of bone
Again, exit wounds!!!
Tertiary blast injuries:
Victims thrown by the force of the explosion into solid objects (Mission: Impossible pics)
Or struck by an object thrown by the blast force,
Or from the collapse of a structure caused by a blast.
These are usually blunt force or crush injuries, or fractures.
Quaternary blast injuries:
Burns from the blast or fires set by the blast
Inhalation burns, lung rupture
Inhalation of toxic products created by the explosion or resulting fires.
Burning of man-made objects create toxins like cyanide gas
Importance to writers:
Quaternary Blast injuries are usually ignored by authors
Flash burns from blasts
Suffocation from smoke or cyanide?
Escape smoke but still suffer from cyanide poisoning
Frequent question: Where’s a safe place to be shot?
Answer: Nowhere.
All the red lines are arteries/blue are veins
Can you see a safe area to shoot?
Cop shootings? Why don’t they shoot suspect in leg or arm?
Aim center mass; too hard to hit limbs
Wound in limb can still be fatal
National Guard soldier died from thigh wound (Reprise)
Pro-ball player in FL died from wound in thigh
Both bled from femoral artery
GOP baseball shooting
Rep Scalise shot through pelvic area
News reports wondered why a hip wound so dangerous
Look at a pelvic region on chart
Lateral through and through
High velocity round (AK47) – remember wound characteristics
Bullet and bone fragments
Region highly vascular
Peritonitis from feces/urine contamination
Knife wounds
Portray wrong in books/movies
= slow death, internal bleeding unless
Aorta or other major artery cut
Throat is slashed
Bleed out fast
Dying is a process
Unless blown up (brisance) or brain is blown out of skull, it takes time to die.
Salvageable vs unsalvageable injuries
Unsalvageable
Brain destruction
Decapitation
Dismemberment
Incineration
All other wounded can be saved if receive surgical quick enough
Dying is a process
Death from penetrating wound comes from hemorrhage, results in no perfusion to organs/brain
Triangle of Death (Hemorrhage, Hypothermia, Acidosis)
Death from hemopneumothorx, cuts off vena cava, compresses heart
Takes longer than usually portrayed in movies/novels
Even a shot in the heart may not cause instant death
Why is this important to writers?
Realism: A wounded person still dangerous
Cops handcuff all shot suspects, even those who appear dead.
Plot Device: Dying character can still cause mischief
Hardboiled detective - repeatedly knocked out with a blow to the head, usually from a pistol butt.
Gets up, rubs his head, and carries on like nothing happened.
Reality:
Hero would wake up
Puke his guts out
Experience disorientation
Probably end up in the hospital.
Such a blow, in fact, could be life threatening.
A blow to the head can result in:
a skull fracture
contrecoup injury (bruising and swelling)
Intracranial bleeding
Bleeding and swelling = intracranial pressure increases
Can cause the brain to herniate
Pushed into foramen magnum
Results in death
Depending on which vessels involved, death can come in minutes or hours
A simple concussion is nothing to whistle at either.
A concussion is also called a mild traumatic brain injury or mTBI.
Signature wound of the Iraq war.
Get one, you become more vulnerable to future mTBIs.
Can result in long lasting cognitive problems or
PTSD-like symptoms
Term "a punch-drunk boxer" = permanent brain damage from repeated mTBIs
Long known in boxers, now seen in football players
Mohammed Ali – Parkinson’s syndrome
Junior Seau – Suicide
Study of both brains showed brain damage from repeated blows
Importance to writers:
Don’t want readers to underestimate lethality of head injuries.
Plot Device: Blow to head can result in charges of attempted murder or murder
Plot Device: mTBI can be a character trait
Gary Trudeau - Doonesbury
Suffered by people who endure and survive horrifying events
Wartime events
Terrorism
Disasters
Affects
Service members
Law enforcement
Firefighters/EMTs
Reporters
Writers’ usages:
Empty Places
Peter suffers PTSD from Latin wars
Relates to PS by murders he’s witness
Last Refuge
Peter deals with old and new “ghosts”
Keeps “nightmare stash of cigarettes” in nightstand
New phrase “Combat and Operational Stress”
Doesn’t need be a physically traumatic event
Emotional stress from operational environment
Usages in fiction:
TV show China Beach
Impact on doctors and nurses in Vietnam
Play A Piece of My Heart
Impact on women (nurses, Red Cross) in Vietnam
Doesn’t have to involve war
Plot device: Darby in Something Far Away
If you have a character who survived a horrifying experience in one novel, but in the next book is perfectly unaffected by it, you have failed in your character development.
Understanding the lasting effects of violence on the human body and how it affects the mind and soul of your character can make that character more realistic and sympathetic to your readers.