- Okay.
Oh, that's awesome!
Mutagens, zombies and survival horror?
Things are about to get crazy.
Today, we are reacting to the insanely popular video game,
- [Announcer] "Resident Evil."
- How accurate are their medical scenes and injuries?
We're about to find out.
Let's dive right it.
(person grunting)
Oh, what is it pouring on that?
Wait, it's, Holy cow!
This is in a video game?
We don't have anything in the emergency department
that you can actually pour on
to re-stick things back together.
We have DERMABOND, which is like a wound adhesive.
But then to reattach a limb where you gotta reattach
the blood vessels, you gotta reattach the nerves
IF they can find them,
all the musculature, and tendons attachments.
Nice.
Oh!
(people grunting)
Oh!
(people grunting)
- You know, with this laceration,
you always worry about how deep it goes.
Does it just go through the skin?
Does it go through the subcutaneous fat?
Then does it go into the muscle?
We look to explore these things
to see if we need to do multi-layer closures.
We gotta put the fascia back together.
You gotta put your muscles back together.
- We can rebuild it, we have the technology.
- Oh, right through the hand!
Straight through the hand,
you always worry about fractures.
You have to worry about both sides, sewing that up.
You may not wanna fully close it,
because you'll lock in any germs that are already there,
even though you wash it out really well.
Sometimes it needs to go to the operating room
to get cleaned out, washed out, placed on antibiotics.
Oh!
What?
Are you kidding me?
A shovel to chop off the leg?
Even when it's separated like that,
you actually still believe you kind of have the leg there.
It's called phantom limb syndrome.
Oh, that's just messed up.
What is that?
Strong first aid medicine.
If he's bleeding out,
sometimes there's a medication that we use, TXA,
the medicine that helps decrease bleeding.
(man grunting)
Oh my gosh!
Okay, perfect!
We see the leg with a missing limb.
And this is an indication for a tourniquet.
If you put the tourniquet on above the knee,
you increase the risk
of tissue breakdown and ischemia
to anything distal.
Distal, meaning further down the road.
If you do it just below,
then you're just taking care
of that section and stopping the bleeding.
- [Man in background] You better now?
(liquid splashing)
- Oh, it's the magic medicine.
I wonder how strong of a connection that binds to it.
Somebody will ask, "How long does it take for it to heal?"
You take the stitches out in say, 7 to 10 days.
But that thing is gonna heal
and form scar tissue over a long period of time,
and even up to six months, even to a year.
What's she doing?
- [Zombie woman] It (beep) hurts!
- Oh, screw driver!
When I've said, many times in the past,
"Don't pull it out,"
in this situation, you have to.
You can actually hold direct pressure,
if you're having a significant amount of bleeding.
In this situation, pull it out
and then use it against that individual zombie woman.
There it is!
Do it!
- [Zombie woman] Now let's see what you feel.
Go! Come on!
Oh man, the twisting!
Don't try to twist that.
That's gonna hurt so bad.
Yank it, come on!
You can actually even use your other hand together
to pull it out and then pull it off,
'cause it's probably stuck in the wood
or whatever it's attached to on that other end.
Yes, he's getting it out!
Yes!
Oh wow, just destroy him.
Blood splatter on the screen's, never a good sign.
Oh, getting bit!
Run away!
Let's see what the hand looks like.
Oh, damn!
They did a really good job
of showing anatomy to make it look real.
For that situation, hold direct pressure,
put the dressing around it and see if it stops.
Some friends of mine, who are in the military,
said they were even told just to throw dirt in there
just to stop the wound in this situation.
Oh, it's got an arrow through his thigh!
Besides going through the soft tissue,
did it go directly into the femur?
And if that arrowhead's, like, stuck in the femur,
it's gonna be really hard to pull out.
(man groaning)
Not so bad.
If this happens to you, walking down the street,
and you're randomly get shot by an arrow, don't pull it out.
You can snip it so it's not just a big thing
just sticking out.
Get to the hospital.
(staple gun clicking)
Nice!
Nothing like a good staple gun.
We use a staple gun all the time
in the emergency department.
It's actually quite useful in scalp lacerations,
large lacerations anywhere in the body.
It actually grabs the tissue and pulls it together.
(wire whipping)
Oh, and that's barbed wire, that's never good.
(man groaning)
Tetanus doesn't just form on rusty things, so to speak.
But we always worry about it
when it's related to dirty wounds in general.
When's the last time you got a tetanus shot?
Was it within the last five to 10 years?
If it's definitely greater than 10 years,
we're gonna give you an updated TDAP, is what we call it.
Oh man, look, look at that.
That is amazing!
But you can see the bone sticking out of the top.
That needs to be rongeured down, or broken off,
and the tissue wrapped around it,
and it's just gonna be a stump.
He's wrapping it, nice work.
All right, that's pretty good.
The way that it's wrapped is how we would do it.
You typically, probably wrap it
a little bit further down the wrist
if you had enough of the gauze or the Kerlix,
whatever type of material that you're using.
Oh man!
Could you rip through it this direction?
Yeah, you probably could,
if you had enough force
and the object was sharp enough to go through there.
But you really, really, really, really, really have to pull.
Our tissue is very elastic,
so it may not rip as easy
as you'd want it to in this situation.
(man gasping)
Wow, he's being hung up, and yeah, perfect.
You can see he ripped right through it.
You got the metacarpals here
that turn into your phalanges of your fingers
split right down the middle.
Okay.
(blade dinging)
Oh!
That's awesome!
The anatomy looks pretty good.
Major arteries run with major veins, as well as the nerve.
Not every single vessel in the body that way,
but majority of 'em.
Oh, it's so good!
The blood splatter, I love it!
It's like (water splashing) crazy.
No, it would go, (water splashes slower).
You're gonna have arterial bleeding and venous bleeding.
So your artery blood's gonna be bright, bright red
'cause this is oxygenated blood.
And the venous blood is gonna be a little bit darker.
- [Woman] Okay.
(woman screams)
- Who the heck is that?
(woman panting)
That amount of force to break through flooring,
even if it's really thin flooring, is a lot of force.
If you fracture your sternum, fracture your first rib
or your scapula?
That tells us there was so much force
to the thoracic cavity, they have to really worry
about internal organ injuries and damage.
(monster footsteps banging)
Run away!
Run!
Oh, he's just coming at her.
Oh!
We're in a flaming building.
You have to worry about, one, decreased oxygen
and smoke inhalation.
And then it's producing all this smoke.
A lot of times fires and industrial buildings, homes,
they're burning other toxic chemicals,
so you increase your risk of having, you know,
cyanide poisoning.
This episode had a ton of hand injuries,
puncture wounds, lacerations.
Really cool.
I hope you guys learned something,
and I hope you really enjoyed it.
If you guys enjoyed me reacting to "Resident Evil,"
let me know in the comments.
If you're a gamer and you want me to react
to some of your gameplay?
I'll leave a link below that you can send it to me,
and maybe I'll include it in my next video.
As always, if you guys like this,
binge watch all these videos right here.
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hit that like button.
Thank you so much for watching,
and stay healthy, my friends.
(upbeat whistling music)