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Getting Knocked Unconscious

awnlee jawking ๐Ÿšซ

There are some things I'm not prepared to do for my art and getting knocked unconscious is one of them. But my protagonist experiences it and I want his experience to seem realistic so I googled.

The science-based sites reckon the victim of a knockout blow doesn't feel anything because consciousness is lost too quickly to feel any pain etc. The bored-teenager sites like quora claim all sorts of things from feeling the pain to seeing stars and all manner of other strange symptoms.

I'll go with the science, even though it makes for a less colourful story, but I'd be interested in the personal experiences of people who have had the misfortune.

AJ

Switch Blayde ๐Ÿšซ
Updated:

@awnlee jawking

I've been knocked unconscious twice. Both times when I was little. One time I was kicked in the head when I walked in front of someone swinging on a swing. The other time was when I fell off a horse.

I didn't feel anything. I just woke up with a lot of caring faces looking at me.

Replies:   Dominions Son  tenyari
Dominions Son ๐Ÿšซ

@Switch Blayde

I didn't feel anything.

No even a headache after waking up?

Replies:   Switch Blayde
Switch Blayde ๐Ÿšซ

@Dominions Son

No even a headache after waking up?

I don't remember. They must have been over 65 years ago.

tenyari ๐Ÿšซ

@Switch Blayde

I'm curious about this. Recently I read that getting 'knocked out' the way it's often done in fiction is not a real thing.

That what happens is either a momentary lapse and you're awake within seconds, or a serious concussion and possible coma.

The idea of knocking out a guard, a random minor villain, or your protagonist and having them stay down for "the length of the dramatic scene" / "until carried off of the next scene where they're conveniently in the villain's interrogation chamber". is not based in reality.

But...

I'd be curious to know if that's right or wrong.

Replies:   Grant  Switch Blayde
Grant ๐Ÿšซ

@tenyari

That what happens is either a momentary lapse and you're awake within seconds, or a serious concussion and possible coma.

Or anything in between those two can occur.
So, yes, it's possible for someone to be knocked out and come around 5 min, 20 min, 1 hour, 4 hours or whatever later of their own accord.
But they will hurt where they were hit, and they'll hurt where they hit the ground when they fell. How badly they'll hurt will depend on how hard they hit, how far they fell, and how they landed.
Collapse in a heap- and they'll just hurt where hit to knock them out. Fall down & smack your head on the ground, then it'll hurt like hell from the hit that knocked you out and the impact on the ground- soft ground, not so bad. Hard packed earth/rock/concrete, fracture or depressed fracture of the skull is all too likely. And incredible levels of pain/headache to go along with it.

Once in high school i got knocked over backwards and didn't break my fall in anyway. Landed flat on my back and the back of my head smashed into the ground- which was concrete. I didn't lose consciousness at all (unfortunately)- the pain in my head was intense & almost instant (on the pain level scale of 1-10 it was about 500). And i had a throbbing headache for hours after the initial pain subsided after 10-15min.

Replies:   Switch Blayde
Switch Blayde ๐Ÿšซ

@Grant

Hard packed earth/rock/concrete, fracture or depressed fracture of the skull is all too likely.

And if you land face first, you can lose teeth. That happened to friends who fainted.

Replies:   Grant
Grant ๐Ÿšซ

@Switch Blayde

And if you land face first, you can lose teeth. That happened to friends who fainted.

Yeah, along with smashed nose and/or a broken/dislocated jaw and/or fractured cheek bone.

Even the simplest of incidents can have dire consequences if you're unlucky enough.

Reminds me of a T-shirt i once saw-
Nurse, definition- the next person you remember seeing after saying "Here, hold my beer..."

Switch Blayde ๐Ÿšซ

@tenyari

That what happens is either a momentary lapse and you're awake within seconds, or a serious concussion and possible coma.

It's been too many years to be 100% certain, but I don't think I was out for only a few seconds. But it wasn't hours either. Did I have a concussion? Who knows? They didn't check me for that back then. Not that I remember.

Dominions Son ๐Ÿšซ

@awnlee jawking

I would think the manner in which a person is knocked out makes a difference.

I would expect a significant difference in experience between a boxer who takes repeated blows to the head before losing consciousness and someone knocked out by a single blow that they never saw coming.

Michael Loucks ๐Ÿšซ

@awnlee jawking

I've been knocked out twice, once in 2nd grade, once when I was twenty-two. Neither time did I feel anything; everything just went black. I woke up with severe headaches each time.

The first one was head-to-head contact playing kickball on the playground and resulted in 13 stitches. No concussion.

The second was roughhousing with my roommate and whacking my head on an old hardwood dresser. No stitches, but a moderate concussion.

Replies:   Grant
Grant ๐Ÿšซ

@Michael Loucks

I've been knocked out twice, once in 2nd grade, once when I was twenty-two. Neither time did I feel anything; everything just went black. I woke up with severe headaches each time.

Same here for the effect- you're awake, then you re-awake with a God-awful headache.

I was knocked out once when i was around 10.
I was playing football, next thing i'm lying in bed with the headache to end all headaches, and i don't even remember playing football. I remember waking up that morning & having breakfast, then i'm in bed with a killer headache early that night.
Lost an entire day.

Jo-AnneWiley ๐Ÿšซ

@awnlee jawking

Your job as a writer is to entertain. My readers don't want realism. They want to be appalled, titillated, thrilled, shocked. If you want realism, write a medical report and see who's interested.
Jo-Anne Wiley

awnlee jawking ๐Ÿšซ

@Jo-AnneWiley

My readers don't want realism.

I suspect the average SOL reader likes less realism, and more embellishment and hyperbole, than typical fiction readers. Personally I find too little realism off-putting.

AJ

Replies:   garymrssn
garymrssn ๐Ÿšซ

@awnlee jawking

I suspect the average SOL reader likes less realism, and more embellishment and hyperbole, than typical fiction readers. Personally I find too little realism off-putting.

I doubt I'm the only fact checker among SOL readers.
That said, what a character claims to have experienced in their mind isn't the kind of thing that I would research. It couldn't be verified anyway.
What I do check are facts that could have a material effect on the story such as a violation of the laws of the universe the author has created.

Gary

whisperclaw ๐Ÿšซ

@Jo-AnneWiley

I find that when a writer gets most of the little details right, it's easier to buy into an element that's outlandish or pure fantasy.

Replies:   Michael Loucks
Michael Loucks ๐Ÿšซ

@whisperclaw

I find that when a writer gets most of the little details right, it's easier to buy into an element that's outlandish or pure fantasy.

That is why I do everything in my power to get the details correct.

Sarkasmus ๐Ÿšซ
Updated:

@awnlee jawking

Well, it depends on how you get knocked out, and whether you mean out-out, like lights out, or like a technical K.O.

I had both happen to me thanks to the self-defense classes I had to take for my job.

The first one was when I took a swing to the jaw. Never felt it, don't even remember hitting the ground. When I woke up, though, it felt like my yaw was dislocated (it wasn't) and I was dizzy for quite some time.

The second was the technical K.O. kind. We were training how to handle attackers coming at us with batons or something similar, and I took one to the back of my head.

That was a rather weird experience. It hurt like hell... for like a second, then I felt absolutely nothing anymore. No physical awareness at all. Didn't even feel the pressure on the soles of my feet for the second I was still standing. Most memorable was the sound, though. I heard the impact more than I felt it, like if you hit a metal pipe against a hollow wooden object, and then everything was totally quiet, just like I couldn't feel anything anymore. If I closed my eyes or just blinked, I could no longer tell up from down. So, I dropped and just lay there for like a minute before the feeling returned to my body, and then the pain hit. Felt like the guy just kept continuously beating the back of my head with his baton.

dsclink3 ๐Ÿšซ
Updated:

@awnlee jawking

I was knocked out a few times between the ages of 10 and 25. Always from hitting my head in some way, not from being struck by someone. Usually it was of the out for a few seconds and wake up with a headache, but one time was different. I was about 15 and did a header over the handlebars on a borrowed bicycle, or so I was told. I have no memory of the event or of about a half hour prior to impact or about a hour or so after. I don't know how long I was out. I did get back up and returned with my friend to his house where my memory function gradually started working again (hour later). My friends said I kept asking the same questions over and over, which is a sympton of concussion where short term memories fail to stick.

whisperclaw ๐Ÿšซ

@awnlee jawking

I've never been knocked unconscious, but in my own research as a writer I've concluded that many, if not most, cases result in a concussion. At the very least the victim would have a splitting headache.

Replies:   DBActive
DBActive ๐Ÿšซ
Updated:

@whisperclaw

If you are knocked unconscious you have suffered some brain damage. How much damage usually depends on the severity of the impact but what appears to be an insignificant impact can sometimes cause major changes physically or mentally. I know of cases without LOC where the person had a major brain bleed with debilitating results or death.

There will always be some after effects from the injury. Some loss of memory is almost universal. There might be varying degrees of personality change.

The younger you are the more likely you are to suffer severe damage from an impact but the more likely you are to recover from the damage. Younger people have larger brains which makes the impact more likely to greater damage: there's less "padding" around the brain then older people. Younger people's brains have greater plasticity allowing new nerve channels to form than older people.

Replies:   GreyWolf
GreyWolf ๐Ÿšซ

@DBActive

If you are knocked unconscious you have suffered some brain damage. How much damage usually depends on the severity of the impact but what appears to be an insignificant impact can sometimes cause major changes physically or mentally.

This right here is the reason to be careful with 'knocked unconscious'. It's not necessarily out of bounds, but it's a story risk if your readers are concerned with verisimilitude.

That said, many people are knocked unconscious / concussed with relatively minor short-term effects and no immediately obvious long-term effects. We used to let concussed (and temporarily unconscious) football players go right back into games and made light of it with 'He really got his bell rung a few minutes ago, but now he's back!'

Now, we know there's a severe risk of long-term damage, but that's mostly related to repeat trauma, not a single instance.

Still, having a character get 'knocked out', then pop back up with nothing more than a bit of a headache, is a story risk. Send them off for an EEG, etc.

That's not the original question, but it's related. For the original question, people report all sorts of things, so the character can report them, too.

Even a mild second concussion before the first concussion is 'resolved' can be a serious risk, too (part of why those football stories got so bad). Characters who are concussed should be taking reasonable steps to minimize the risk of second concussions.

Replies:   awnlee jawking
awnlee jawking ๐Ÿšซ

@GreyWolf

In my story currently, the protagonist is unconscious for a few minutes then wakes up with a pounding headache.

Living in a culture where men are men and sheep are afraid, he doesn't go to hospital. He doesn't suffer any long-term damage.

AJ

Replies:   Grey Wolf  Radagast
Grey Wolf ๐Ÿšซ

@awnlee jawking

Which is perfectly well enough. I had a serious concussion as a child and was treated for a long time, but there is no known long-term damage. As I said, many people who have sports-based concussions do not have known long-term damage now that we have strong concussion protocols in place.

I've ready too many stories where someone gets 'knocked out' repeatedly and has no issues, though. I wasn't singling you out as potentially making that mistake :)

Radagast ๐Ÿšซ

@awnlee jawking

Wales or New Zealand?

NC-Retired ๐Ÿšซ

@awnlee jawking

I'll contribute my personal experiences.

Fainting and crashes.

The first was around 12yo. Fainted waiting in line at a grocery checkout. No memory of why. As others have mentioned, woke up with strangers hovering over my body.

Next was a car crash. Before air bags but did have seat belts, without a shoulder strap. Buddy driving, he rolled the car. My head hit the window, concussion with headaches after.

Many years passed. I was riding my motorcycle and an idiot made an illegal left turn and I t-boned his passenger side @ about 45 mph. Knocked out even wearing helmet and other safety gear. Zero memory from about 4-5 seconds before the crash until 12-15 minutes after when the paramedics were cutting off my riding gear to assess injuries. No concussion, but other bodily injuries that still plague me 12 years after.

Last time was about 18 months ago. At the pub enjoying a beer with a friend. Fainted for an unknown reason and whacked the back of my head pretty hard.

Concussion and two subdural hematomas. Disoriented for about 4-5 weeks. Blurry vision. Did not feel safe to drive. Not nice at all.

That's my experiences.

Do not recommend any of them. Bad juju!

samt26 ๐Ÿšซ

@awnlee jawking

I've been knocked out a few times while sparring. Never for very long, maybe 5 - 10 seconds. Once I recovered and was still on my feet. I never saw the punches or kick coming that I remember. A couple of times there was an odd smell, maybe a bit like a burning smell. The world would go dark, and when I would open my eyes again it would be 5 or 10 seconds later. I knew what happened each time, and still had my wits about me and my coordination. I never felt any pain. The seeing stars phenomenon is a real thing, I only saw them once, there is a scientific
reason for that, it's not an olds wives tail. I tried looking it up and didn't find anything. I saw them once when I became conscious after being knocked out. It was like a lot of bright dots (?50?) when I opened my eyes and lasted less than a minute, maybe a lot shorter than that (it was a long time ago).
I've seen people get knocked unconscious, lose coordination, etc etc as we can see on online boxing videos. Frankly, I was an idiot, you lose a lot of brain cells when the brain is shook up from a blow, or even a mild explosion nearby - the explosive wave transfers directly to the brain from dynamite or a grenade 50 feet away. Don't do those activities if you can avoid it. My two cents.

Replies:   Switch Blayde
Switch Blayde ๐Ÿšซ
Updated:

@samt26

The seeing stars phenomenon is a real thing

I have no idea if it's the same, but I have severe eye problems and see floaters (those black things floating in your vision) and flashes. Maybe it's the flashes people see when they see "stars." Increased blood pressure, increased pressure in the eye, etc. can cause them. So a blow to your eye area might cause the flashes, hence stars.

Justin Case ๐Ÿšซ
Updated:

@awnlee jawking

Several years ago I tripped while climbing down from atop a semi-truck engine.

I fell backwards to the pavement and hit the back of my head.

I was out for about Ten minutes.

I had a bruised bump and a small laceration on the back of my head.

I was in pain, sick to my stomach, dizzy, and I had a headache for Two days.

I lost my sense of smell for almost Two years.

The next time I hit the top of my head as I stepped up into the cab, driving that little button into the top of my head.

I slumped into the driver seat and "faded" in and out as the pain shot through my head.

I guess the first time I got clocked was when I was 13.

I had just smart mouthed and "slap boxed" my mom, who was about a half inch shorter than me, tapping her chin with my fingertips.

She turned into Muhammed Ali. Never even had a chance to try and duck.

I woke up 15 minutes or more later with a sore jaw, laying in the living room floor, with all the lights off and her already gone to bed.

Never tried that again.

All other times I ever got in a fight and got my ass handed to me I wasn't lucky enough to get clocked out. Had to endure the entirety of the experience and pain.

FYI - if you go after a guy and he runs away from you, don't ever make the mistake of chasing him down.
Worst ass beating I ever got was from a dude who was scared shitless and trying to fend me off.

Replies:   Grant
Grant ๐Ÿšซ

@Justin Case

I was in pain, sick to my stomach, dizzy, and I had a headache for Two days.

Signs of a bad concussion.

LupusDei ๐Ÿšซ
Updated:

@awnlee jawking

The closest I have been to be knocked out unconscious was, at age 15 or so, I think it was 9th grade. Certainly the worst and only (serious) concussion I know I have experienced.

(9th was last of what would likely be called "middle school" in English, although we call the next 3 grades literally "middle school" in Latvian (and, in Russian as well btw) while "high school" is reserved for university... but I digress. That would be 1992 or thereabouts; if so, independence was already declared but USSR wasn't yet dismantled. It probably was Wednesday.)

We goofed, horsed around in the hallway, friendly fighting commenced, and for whatever silly idea I tried to kick one guy in the stomach. He grabbed my leg and I fell over backwards, head first. The floor was polished concrete, but there wasn't enough of it in my vector to lay down the entire length. The wall was brick with (up to an inch) thick grainy cement-lime-sand mortar on it, finished with many accumulated layers of shiny alkyd enamel paint. Dull dirty green on the lower part I hit with the back of my head, even before my body slammed to the floor.

There was a very bright orange flash coming from from the back of my eyes out the moment of impact or maybe a microsecond after, then darkness. The sounds, voices slowed down to a low reverberating rumble, but I'm not sure was that effect going out or coming back on.

I don't know how long I was out, but merely a few seconds if even that, I think, because there was little concern yet on the faces when I come back online, and not much movement around (a lot of people in a quite crowded school hallway during recess). The same guy helped me up to my feet.

People asked if I was alright. I said I was, although wasn't exactly sure; examined back of my head with palms and found no obvious external damage. Dusted my clothes. Meanwhile, someone amazed there was an imprint on the wall, a distinct round crack in the paint about the size of my head, although the surface was still flat. Others expressed doubts I could possibly made that with my head and still be standing.

The bell rang, and, coincidence or not, the headache hit right then, as if the sound was pure pain. I grabbed my bag from the windowsill, and realized how dizzy I am, but there was little choice than to go with everyone into the class. It was Russian lesson with our class teacher, and preannounced important test to boot.

I was dizzy, with debilitating headaches, slightly sick to my stomach, and my vision seemingly changed zoom factor at random, but I tried to pay attention. The test included my worst nightmare excercise, writing down dictated speech. Somehow, this was the only time ever I got a positive grade on this task in Russian at school. But that curious fact I didn't learn till the next week.

I decided I felt bad enough to visit school nurse right after the end of the period. Told I fell and hit my head, without going into detail how. She examined me, wrote a slip and sent me home. I pretty much slept the next two or three workdays, but was moderately active during the weekend, walking around in the forest, and went back to school on Monday. Seemingly without any lasting effects.

The wall, nobody cared, it got painted over yet another time the next summer, possibly smoothed out with gypsum first.

It wasn't the first time my head was used as a battering ram in an attempt to demolish a wall. Back in third grade bunch of guys lifted me up and launched me head first against a tilled wall in my previous school's underground eatery (that doubled up as bomb shelter; it was historic building with epic vaults in the basement). The whole section of apparently already loose tiles collapsed over me. But I retained conciousness through it, and if got any concussion at all, it was light and unnoticed in the bedlam that ensued. The school tried to extract damages from my parents. I switched schools.

Freyrs_stories ๐Ÿšซ

@awnlee jawking

I'll break this down in to two different occasions.

1) Age ~ 10. Heatstroke feint day started out at -5C and got to 40C. 10Km march or so in full winter dress uniform. Standing on tarmac for a few hours. Felt 'off' getting worse and worse. Ended up collapsing on the curb after it got to be too much. came to and was placed in an ambulance. Felt pretty bad for the next 6 hours but no lasting effects. To this day struggle with heat but have no issues with cold. Heck it doesn't even start till -5 to -10 Deg C

2) Age 16. On deadly treadly. Organised ride of circa 2,500 people plus support staff. On a particularly challenging decent down a mountain pass. pulling 15 Km/h switchbacks at 50-70Km/h. Basically laying the bike flat on the road and praying the tires held. Made it most of the way down till a blind right hander (riding on the left as is local custom). Some wally decides to drive a fricking car against the flow of traffic on a road that you'd be challenged to fit two compacts side by side on. Have split second to decide left/straight/right. all are bad choices but pick left. Pick myself up, head missing the hood by only a few inches, traveling in excess of 70. Try to get back into the corner but it's no good. not enough road and the corner is too sharp. So off the road and do a spectacular inversion. managed to whipe maybe 10Km/h off my ludicrous speed. Continue my 'flip' up through a shrub and land/crash inverted against a granite wall. Shear an SLR with tele lens in half across my back as that's all I had, no bag or anything. Was aware of the whole thing up until the inversion which I worked out I pulled in the vicinity of 300G's instanteously and the next thing I knew there was a 'group' around me. Not a mark on the helmet which was Lycra wrapped so any contact would have shown. One of the crowd was some kind of official as they were screaming at people to slow the hell down. all doing similar speeds to what I had been. Idiot in car convinced I'm dead as I'd been laying limp on the ground. Again no idea how long for but I'd guess well over 10 minutes. Get taken down to the triage tent less than 2Km down the mountain. No concussion, nothing. A few scratches and bruised vertebrae and ribs from breaking the camera. Monitored for the next 30 or so. Rode out the rest of the leg reporting to the teacher I'd been with as this was a 'school excursion', just a very long one. Tell him. He takes me back to medical. Again cleared.

What can I tell you about these two different incidents.

1 Memory of the first affected much more than the second. Not sure if age or heat was the issue.

2 I really should have been killed by the second. Into a wall at an estimated 65Km/h with only a light helmet should be a death sentence. But except for the last split/couple of seconds I remember it perfectly. And yes I did feel like my bell had been 'rung'. I'd say this one qualifies as GLOC, Gravitational Loss of Conciousness and there was little to no 'impact'. I just got very lucky and hit the wall perfectly to survive. Those other two options were actually far worse. Straight would have been a head on with the car, but I likely would have rolled over the top of it. Right, was off a cliff face. The 'pass' descended down a near vertical drop off, trading Height for distance. That would have been a 'drop' of at least 200m. Not a bad assessment for less than 1/10th of a second and about 30-50 meters traveled.

Even though the feinting was the one with worse effects. I'd take it any day over the crash. As you've not given any hints as to how your protagonist gets K.O'ed I thought I put in two options that are as far away from the other posts as possible.

I should also note that I didn't contact the Granite wall at 90Deg, Maybe 30-40. It was the inversion that I'm pretty sure lead to the LOC. I still love speed on the bike but never speed in a car.

If you want, DM me and I'll give further details.

Replies:   DBActive
DBActive ๐Ÿšซ
Updated:

@Freyrs_stories

My daughter at 22 was a pedestrian struck by a hit-and-run vehicle. In the ER within 20 minutes. Total LOC from the time of the impact until about 4 weeks later. She was supposed to die.

Minimally conscious (1-2 on Rancho Los Amigos scale https://www.neuroskills.com/education-and-resources/rancho-los-amigos-revised/) for next four weeks. Was discharged from initial hospital after eight weeks to a brain rehab hosptial where whe was for another 2 months. Was probably a 4-5 on the RLA scale with no memory of anything since childhood.

Reached level 10 after about a year but has never recovered memory of the last year before the accident.

One year to the day after the accident had an epileptic seizure - post traumatic epilepsy is common.

During this entire episode we learned more than we ever wanted to know about brain injury.

awnlee jawking ๐Ÿšซ

@awnlee jawking

This thread has greatly exceeded my expectations, for which I thank all the contributors. I'm concerned that so many people have shared such personal experiences. Should I ask Lazeez to delete the whole thread?

AJ

Replies:   rustyken
rustyken ๐Ÿšซ

@awnlee jawking

No cause none of us are using our real name, I think

DeeGee ๐Ÿšซ

@awnlee jawking

My wife was on a jury where someone was suing the manufacturer of a helmet used in MMA-type fighting. A man who did this often and aggressively got knocked out in practice one day. He got back up after a minute or so, 'shook it off', and continued for the rest of the session. That night he had an aneurysm and since then is wheelchair-bound. The edge of the helmet compressed his jugular enough to cause a lengthwise slit or split. The helmet was a high-quality one and was adjudged not at fault.

Replies:   Switch Blayde
Switch Blayde ๐Ÿšซ

@DeeGee

He got back up after a minute or so, 'shook it off',

When I was 13, my friends and I were playing basketball. One friend got hit in the nose with the basketball. He 'shook it off' and continued playing. He went home and dropped dead. A blood clot formed and went to his brain and killed him.

awnlee jawking ๐Ÿšซ

@awnlee jawking

Interesting snippet in the medical section of today's paper. Severe concussion can damage the mitochondria in the brain, leading to cognitive problems. Animal studies of a new drug, ILB, made by TikoMed, suggest it can help repair the mitochondria, which are the 'batteries' that produce the energy the brain needs to function normally. So the drug may reduce the impact on concussion and aid athletes in their recovery from brain injuries.

AJ

Paladin_HGWT ๐Ÿšซ
Updated:

@awnlee jawking

In 2005 at age 39 I suffered a TBI (Traumatic Brain Injury) aka "Knocked Out" by an IED (Improvised Explosive Device).

It was "Zero-Dark-Thirty" the vehicle commander, the driver, and myself, all spotted what we thought was a tripwire, nearly simultaneously; that is only relevant to the topic because we were thus alert to the following events.

I was looking down at the driver and saw a "fireball" similar to scenes in a sci-fi movie "rolling down the passageway of a spaceship" that was the blast and fire collapsing the heatshield between the engine compartment and crew compartment.

I felt like I was being electrocuted (I later discovered at least part of that was probably the sensation of several of my bones breaking, according to the doctor who treated me; I had never previously broken a bone, nor since) I felt enveloped by fire (it was a flash-fire; fortunately I was wearing fire resistant uniform, gloves, and a silk face covering). I felt a sharp, swift blow to my face, specifically the buttstock of an M240B machine-gun striking the ESS goggles protecting my face.

According to several doctors the impact with my head was concurrent with the blastwave/shockwave that "knocked out" the other three soldiers in the same vehicle. I don't recall feeling the blastwave in That Particular incident (but I did in others).

When I (we) woke up an indeterminate amount of time later (estimated at 10 to 15 minutes) {we were all unconscious/senseless and "slowly" began recovering...

My first thought was utter amazement at being alive, as I expected to have died. My thinking was fuzzy. My vision was extremely blurry; at first everything was Black; then it was shades of black and very dark grey. My ears were ringing (I lost part of my hearing, and got tinnitus from the blast) Pain was distant... Adrenalin probably diminished my feelings of pain, as we seemed to have been left for dead in hostile territory. We could only see about fifty meters, and our thinking was "fuzzy" but our medic began rendering medical aid, and the Lieutenant and I got M4 carbines and were providing security.

So, my experience is on "both sides of the line of heroic fiction" we were capable of combat, and other forms of action (rendering medical care). I don't know if we could have operated technical gear, our NVG (Night Vision Gear) was broken; our radios had been knocked out of their mounts and were damaged; the batteries for the vehicle had exploded, so there was no electrical power for the radios.

The rest of our patrol and the EOD Team we had been escorting believed us dead (no activity and couldn't get us on the radio(s); so they weren't risking lives for the "recovery of bodies" so it took at least 10 to 15 minutes for them to reach us after we regained consciousness. (I have been trying to get copies of the unit radio logs for years.) They were checking for more IEDs and other threats.

Once we were protected by our fellow troops and the QRF and Recovery Team (Recover the vehicle, other gear, so it doesn't get taken by enemies; recovery of wounded and/or bodies) we began to shake. Our Lieutenant's hands were shaking so bad he couldn't light a cigarette. One of the QRF or Recovery Team lit cigarettes for all four of us, and I smoked one of my few cigarettes ever. (I am opposed to nicotine does have some beneficial and perhaps psychological effects.)

Giddiness overwhelmed us, and we would giggle with minimal prompting. I could feel a headache, and was (probably more than) a little uncoordinated.

I rather vividly recall the 30 to 60 minutes after we woke up at the scene of the attack. I cannot recall the 60 minutes or so while we were transported to the BAS (Battalion Aid Station) {People who have had a TBI/knocked unconscious should NOT be allowed to sleep for at least 8 to 12 hours! At the BAS our physical wounds were attended to (somewhat) and we were give Percocet (as I recall) and let to go to sleep! (WTF!)

Our Chain of Command was "desperate" for "Boots on the Ground" and instead of being allowed to recover, within 24 to 36 hours we were back in Combat! MADNESS! Foisting Drugs on a soldier with an M-4 Carbine, and putting us in combat! We were a Danger to ourselves and our fellow soldiers!

Treatment for TBI/Concussions is well understood; more so now, but GD!

I mention this because in real life, and so (possibly in fiction) some people can be K.O.ed ("knocked Out") and still function... Well practiced actions, such as use of a rifle or other weapon, and other combat drills were much easier than conversation, or cognation. My hearing was significantly effected, and I don't think I could see clearly beyond 300 meters (my glasses had been damaged, although mostly protected by the ESS goggles that stopped most of the fragments, and slowed down the rest).

I had served more than 20 years in the US Army, and so most combat drills were "instinctive" they say some 10,000 repetitions may make an action rote. Tactical weapons handling was something that the units I was assigned to (and thus I) di for more than 10 hours a day, some 100 days a year (10,000= hours a year).

So, a character might be able to use a pistol, or fistfight, but have difficulty picking a lock, or noticing subtle clues.

According to my medical records I have experienced at least 14 TBIs, and I have volunteered for several studies involving the treatment of TBIs. I have also studied a lot of material about the treatment of TBIs, and dealing with them afterwards.

YMMV ("Your Milage May Vary). As the person who fell off a semi-truck mentioned losing (or diminished) sense of smell. I have had friends undergo significant personality changes (possibly effected by emotional responses in addition to the physical injuries), and other effects.

Excellent Question, and some very good answers in numerous posts before mine.

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