Oh my gosh!
Get excited, because today we are reacting
to the diabolical medical scenes
from the highly-anticipated video game,
God of War Ragnarök
What kind of destruction will we find
in this last installment of the Norse era?
Let's dive right in.
(beep)
(characters grunting)
(blows landing)
Oh!
Taking a massive hammer or sledgehammer-
♪ Sledgehammer. ♪
- To the face, the biggest things we worry about,
you know, fracture of the jaw.
If you actually end up getting a fractured jaw,
you'll have to get your jaw wired shut.
I've actually seen ear, nose, and throat doctors
that will fix this in their office
and give you, you know, a pair of pliers
that you can carry around in your pocket,
that way in case you get nauseous
and you feel like you're going to vomit,
you can actually cut the wire
so you can open up your mouth,
so you don't choke on your own vomit.
(blows landing)
- Oh!
(characters grunting)
- Oh! Spear right through the right bicep.
So you can go above the bone or below it and miss it.
You can injure the muscles, which aren't too bad,
but the biggest thing is we worry about
is major arteries and major nerves coming out,
so through your armpit from your neck,
you have your brachial plexus,
which are all the nerves relating to your arm,
but you'll also get your brachial artery.
So if you actually lacerate that artery,
you can bleed out pretty darn good.
- Oh. (character yelling)
Stuck to the wall.
I always say, obviously what the T-shirt says too,
don't pull it out.
Obviously, it's a different situation.
We're in this whole other realm.
If you do pull it out, in this specific area of the arm,
you just increase the risk of having more blood flow faster
if a vessel is injured.
(blow landing)
(character screaming)
- Oh, the arm, oh, what good graphics.
- Good gravy.
- In this instance, this is definitely
where you actually wanna use a tourniquet if you can,
if there's enough tissue proximal to that injury
to put something on there.
The best tourniquets out there are the ones that
actually are designed to be a tourniquet.
People try to use belts, they don't work as well.
Typically cloth rope, those sorts of things,
and, like, a stick or some sort of device
that you can actually spin it to tighten it more
and then lock it down.
- You gotta lock that down.
- So not bleeding. I understand, it's just, like,, a God.
In a human, if you are just standing there with your arm,
just gone, you're gonna be dripping, pooling out blood.
How quickly would somebody actually die thereafter?
It's gonna take minutes.
The body actually tries to shunt the blood
to your major organs that you need.
You know, your brain, your heart,
and your different organs to be able to keep your life going
as long as possible.
Oh, I want those healing powers, come on!
- Come on!
- Imagine you see me roll into the ER one day
and you could just literally summon, like,
this type of power, skill to be able
to regrow somebody's limb back and save their life that way.
That would be awesome.
So we need to work on that and hopefully they are.
(blows landing)
(characters grunting and yelling)
Come on, Kratos
Whoa, he...
(Doctor laughing)
The amount of blood that's there could be from the mouth,
could be from the nose.
There are some major blood vessels on your face
that if you do lacerate, will bleed a lot,
but in general, any big laceration to your face
will bleed a lot more
just because the face is so highly vascularized.
(characters grunting)
- Oh!
- Wow, so he's trying to choke him out.
If you're compressing down the airway,
you know, decreasing potential oxygen, you can pass out.
Also, if you're compressing down on the sides,
you're decreasing blood flow, so that's another reason
why somebody would actually pass out.
If somebody does come into the emergency department
where they were choked but they're now awake,
we do get concerned about injuries
to the major blood vessels or swelling to the airway.
So we would actually do a CT angiogram
making sure that the blood vessels are not injured
- Nice.
(weapons hitting)
Oh, that was cool.
Okay. I've never seen that before, obviously.
I've seen mostly puncture wounds relating to knifes.
Obviously you have your abdominal wall,
the sides of the other abdominal muscles coming in,
and you have a lot of fat there.
You also have your omentum,
which actually covers the inner organs
just underneath your, basically, abdominal muscles.
If you get deep enough, you're gonna hit some blood vessels
but then your next major thing you're concerned about
is the intestines.
(characters grunting)
Oh, my gosh.
We do see a lot of hand injuries.
This is a bad puncture wound,
weapon straight through the hand.
You worry about fracture.
You worry about infection immediately.
Function of the hand. You're gonna injure the nerves.
We'll get an x-ray actually with the object in it.
We'll talk to the hand surgeon usually
or trauma surgeon, take it out with them around
or with them available
and then see what types of injuries are underneath it.
Oh!
(characters grunting)
Spear right to the right upper quadrant of the abdomen,
maybe the lower lung on the right side.
You have your liver, you have your gallbladder,
which sits right underneath the liver,
you have your diaphragm and then your lung.
So any of those could be hit.
If you puncture the lung,
you can actually cause a pneumothorax, a hemothorax,
or you can cause what's called a hemopneumothorax,
which is a combination of the two.
- No!
(characters yelling)
- This is a big battle scene, using fire.
We see a lot of burns that come to the emergency department.
First, second, third are the most common.
Yes, there's rare fourth-degree burns,
but very rarely do we ever see them.
- Oh, my goodness.
Odin's wearing an eyepatch,
so he must have injured his eye at some point.
People will lose an eye and we actually can't replace them.
We can do some corneal transplants, which are the
clear coating over the colored part of our eye,
but outside of that, if the eye gets destroyed by trauma
or other types of injuries or infections,
you can put a fake eye there,
but it won't have any function.
The eye is so complex and intricate
that there's really no replacement.
(spear piercing)
Oh! No. - No.
- Fathers don't do that.
It could be just injuring the mediastinal structures.
It hurts center to the left a little bit,
and then you actually have the aorta that comes up.
You have the vena cava that comes down.
A lot of those things can be injured
relating to airway, choking,
and then bleeding out and dying.
(blows landing)
(characters grunting)
Oh, he was trying to stick his thumb in the eye.
- I'm gonna put my thumb through your eye.
- I know that's actually a technique that's taught
in different fighting styles because it's incapacitating.
We just talked about the eye, such a vital structure,
but it actually has a lot of pain nerve endings.
It's gonna hurt a lot and, obviously,
not gonna be able to see out of that side
which is then going to incapacitate an individual
for a period of time.
(characters grunting)
(blows landing)
(characters screaming)
Oh! What creature is that?
Animal bites to an arm,
the biggest thing you always worry about
is soft tissue injury, fracture of the bone,
depending on how big the animal is,
if there is infection that's going to seep in.
Get to a hospital, get some x-rays.
Some of the wounds, if they're puncture wounds,
you actually don't sew them up.
You leave them open so you can actually let them drain
because of the increased risk of infection.
(blow landing)
- Oh!
(characters yelling)
- What a punch to the face.
You're really worried about fracture.
I've seen it where people try to talk, they can't.
Or if they have a fracture midline
the mouth actually pops open.
Wow, good job.
That was, like, quite entertaining for me.
I really need to get me a PlayStation 4 or PlayStation 5.
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Thank you so much for watching
and stay healthy, my friends.