Medical dramas are a dime a dozen. Be it The Good Doctor or ER, stories about healthcare are more investing and suspenseful than I’ll admit. In some cases, they’re the most-intense forms of genre storytelling. They have clearly-defined stakes, they have tension and suspense, and there are consequences for failure. It’s a perfect recipe for dramatic storytelling.
That said, rules have to be bent. The one that comes to mind is defibrillation, or using AEDs. AED scenes play out the same way: the patient goes into cardiac arrest, and the person using the AED yells at everyone to stand clear while zapping the person back to life. It’s tense and exciting, but it’s not true to life. And this is for a few reasons:
Firstly, AEDs, at least modern ones, are electronic. Having taken First Aid courses before, I can attest that they guide you with voice prompts. Said voice helps the user even if they don’t know how to use the AED. It’ll also tell you which part of the procedure you’re on. You don’t see this in medical dramas, because it’s not exciting. It’s actually monotonous and boring.
Secondly, AEDs, contrary to TV and in film, are a last resort. If you can stimulate a pulse on your own, you should do so. The AED is only for if your hands and breathing don’t bring victims back to life, which happens because it’s exhausting. Again, you wouldn’t see this in medical drama because it’s not exciting. It also wastes time.
And thirdly, AEDs don’t jolt the victim awake. They do it subtly. I can’t explain how, since I’m no expert in human anatomy, but that “jolt” isn’t so dramatic in reality. You need to stand clear, true, but unless you hear the beeping noise, you wouldn’t know the person’s heart was jolted. Once again, entertainment skips this because, you guessed it, it’s not exciting. You see the pattern?
Here's another example of a trope that doesn’t happen in real life: exploding gas tanks. Gas tanks blowing up when shot at are so prevalent in media that 21 Jump Street threw shade at the trope. In reality, a metal tank filled with propane won’t simply blow up from a bullet. It might dent the outer layer, or start leaking, but it won’t explode. That’d require circumstances that not only can’t be met with bullets, but also are also too complicated to explain plainly.
And thirdly, AEDs don’t jolt the victim awake. They do it subtly. I can’t explain how, since I’m no expert in human anatomy, but that “jolt” isn’t so dramatic in reality. You need to stand clear, true, but unless you hear the beeping noise, you wouldn’t know the person’s heart was jolted. Once again, entertainment skips this because, you guessed it, it’s not exciting. You see the pattern?
Here's another example of a trope that doesn’t happen in real life: exploding gas tanks. Gas tanks blowing up when shot at are so prevalent in media that 21 Jump Street threw shade at the trope. In reality, a metal tank filled with propane won’t simply blow up from a bullet. It might dent the outer layer, or start leaking, but it won’t explode. That’d require circumstances that not only can’t be met with bullets, but also are also too complicated to explain plainly.
None of that matters in entertainment, though. Not only do exploding tanks look cool, they can lead to great dramatic effect. There’ve been so many great moments stemming from exploding tanks. Even video games, particularly first-person shooters, understand that! Essentially, I don’t think applying realism here is so great. (Unless you’re 21 Jump Street.)
One more example: period pieces. Whether it be past or future, period pieces routinely get crapped on for not being authentic. A recent example is Gladiator II, which was criticized for not portraying ancient Rome properly. Ignoring how the only way to do that would be to time travel, since no one currently alive lived then, so what? Not only do we learn more about the past each day, contradicting what we previously knew, but there’ll always be gaps due to relics not always surviving. Besides, it’s not always interesting to be period-accurate, especially when you want to entertain people!
If your story takes place in a science-fantasy world, like Star Wars, you’re already bending the rules of plausibility. So what if spaceships move too quickly? And so what if the speed of light can’t be surpassed? It’s not real! You’re already breaking reality, so why not break the law of physics?
One more example: period pieces. Whether it be past or future, period pieces routinely get crapped on for not being authentic. A recent example is Gladiator II, which was criticized for not portraying ancient Rome properly. Ignoring how the only way to do that would be to time travel, since no one currently alive lived then, so what? Not only do we learn more about the past each day, contradicting what we previously knew, but there’ll always be gaps due to relics not always surviving. Besides, it’s not always interesting to be period-accurate, especially when you want to entertain people!
If your story takes place in a science-fantasy world, like Star Wars, you’re already bending the rules of plausibility. So what if spaceships move too quickly? And so what if the speed of light can’t be surpassed? It’s not real! You’re already breaking reality, so why not break the law of physics?
I find people get way too picky about “realism” in fantasy. Never mind the coded-bigotry that tags along, complete authenticity defeats the point of entertainment. Because, again, it’s not real! If you want “real”, read a history book, or watch a documentary. Don’t go expecting it in entertainment, which gets exaggerated for effect. Be smarter than that.
I’ll end with a personal anecdote. Remember Jurassic Park? Great movie, though a little hokey. It’s also the best dinosaur movie to-date, and the only entry in its franchise that’s actually great. However, it cheats a lot for the sake of emotional investment. Perhaps the best example’s when Lex “hacks” the park’s mainframe computer. As any professional hacker knows, Lex’s hacking isn’t authentic. But it doesn’t matter, because it’s suspenseful.
Besides, it’s Jurassic Park! The entire premise doesn’t make sense, but it doesn’t have to because it’s a cautionary tale about playing God. If your movie already has giant, CGI dinosaurs roaming around with real humans, I think accuracy becomes a moot point. In other words, shut up and enjoy the experience. And stop being overly-critical of fiction, especially when it’s already quality escapism!
I’ll end with a personal anecdote. Remember Jurassic Park? Great movie, though a little hokey. It’s also the best dinosaur movie to-date, and the only entry in its franchise that’s actually great. However, it cheats a lot for the sake of emotional investment. Perhaps the best example’s when Lex “hacks” the park’s mainframe computer. As any professional hacker knows, Lex’s hacking isn’t authentic. But it doesn’t matter, because it’s suspenseful.
Besides, it’s Jurassic Park! The entire premise doesn’t make sense, but it doesn’t have to because it’s a cautionary tale about playing God. If your movie already has giant, CGI dinosaurs roaming around with real humans, I think accuracy becomes a moot point. In other words, shut up and enjoy the experience. And stop being overly-critical of fiction, especially when it’s already quality escapism!