- Don't move it till I say- (screaming)
- Ohh!
- Okay. It's on my foot.
- Talking bowels,
cheese-grated skin
and doing the sponge dance.
Today we are back at it
reacting to and breaking down
all of the most extreme medical scenes
and most painful injuries
from someone that lives
in the pineapple under the sea.
SpongeBob SquarePants.
Let's dive right in.
- Don't move it until I say- (screaming)
- Ohh!
- Okay. It's on my foot.
- [Doctor] I have seen so many broken toes,
dislocated toes,
ruptured toenails,
ripped off toenails,
cracked toenails,
bleeding toes, lacerations,
all related to pieces of furniture.
- [Announcer] Killing machines!
(Squidward screaming)
- Okay.
- [Doctor] Dislocations, very easy
to put back together.
We'll literally use some numbing medication,
pop that joint right back in,
and usually you're just fine.
Because of the necessity of that toe
being so important to the body
for balance and movement,
we want it to heal right.
(Squidward screaming)
- SpongeBob, I told you
not to move it until I said- (screaming)
- Oh!
Have you ever broken a toe?
I've actually broken a toe.
I played a lot of soccer,
AKA football,
and the toes have gotten a little messed up.
- I don't need you! I can move it myself!
(Doctor laughing)
- Do we get amputated toes?
- Severed toe, you just said it!
- The only time I ever see toes not there
is when a diabetic ends up having
an infection or necrosis of the toe
and it needs to be surgically removed.
Oh! (laughs)
We literally get people who come
to the emergency department
where their skin is scalped
off of their head here,
there's like a big flap.
If the flap is actually thick enough,
we can sew that right back down
and it'll take,
and your body will kind of reconnect it
and it'll be fine.
- Barnacles.
Some teeth,
you see your incisors,
you see molars on the bottom.
And then obviously
you're seeing all the different muscles.
Not so bad.
- This is not so bad.
- We have a lot of different muscles of our face.
They go in all different directions.
- What is going on here? (screams)
(Doctor laughs)
- We see degloving injuries,
pretty intense,
usually it's from a trauma.
Sometimes you can actually just
slide it all back together.
Other times the patient needs
to have multiple skin grafts
and multiple surgeries to cover those areas.
(Spongebob screams)
- Oh!
What?
Tape hurts.
Sometimes when you go to the surgery
they'll actually shave the area,
but they'll actually use tape,
like duct tape.
They'll just make sure
that there's no extra hairs
that's floating around
and reduce the possibility of wound infections.
- He can't treat us like this anymore.
- (laughs) The eyeballs have six muscle attachments
on the back of the eye,
plus the optic nerves,
so you'd see all that.
At least we got the skull with the teeth
up into the maxilla,
the ribs almost coming all the way
around the heart and the lungs
and we got some intestines.
So we got some anatomy here in SpongeBob.
- (indistinct)
- (laughs)
- I said I will not-
- What?
- May I borrow a (indistinct) - Oh my God.
What the heck?
We do see people who come in with skin flapped open.
The only other time I ever see the anatomy
on the inside, major trauma, is actually when
we cut open the chest ourselves and we do a thoracotomy.
But most of the time when I'm seeing intestines
it's usually on a CT scan.
I'm assuming that's like squid ink or something.
- Hold still buddy.
(skin ripping)
- Whoa.
In the elderly population, their skin is so thin.
You could literally put a piece of tape on,
if you rip too hard or pull tape too hard
you can rip their skin off.
They lose a lot of the subcutaneous fat underneath the skin
so there's not much holding it together.
Ohh.
We actually see a lot of people come
to the emergency department with abscesses in the armpit
clogged glands, and you get this horrible,
cheesy smelling, white purulent comes out.
Dr. Pimple Popper is probably the place to go to
take a look at those things.
Band-aid in the armpit, we actually refer
to the armpit medically as your axilla.
Having a band-aid over that seems
like nothing compared to an abscess in your armpit.
(screaming)
- Oh, I can't quite reach it.
- (gasps) Oh my gosh.
Burned face on the grill.
Sometimes you have to cauterize tissue and we use different
techniques in the emergency department to do
small little burns and you can smell things
in the operating room.
The smell of burning flesh is awful.
- (indistinct) Just you and me.
(skin tears)
- Whoa, whoa, whoa, whoa.
I like that he's got the snaggle tooth, the one tooth there
but we got good striations of muscle.
Different directions.
I love it.
- So am I ready for the beach, SpongeBob?
- Sure. Little sunscreen and I'm sure you'll be fine.
- So we have sunscreen, sun block.
Make sure that when you do go out
in the sun, please use something,
but also use stuff that is safe for the environment as well.
- (male voice) But trust me on the sunscreen.
- Cheese graters! No! Ow, ow!
- Okay, I don't see too many cheese grater injuries.
I do see a lot of salon injuries
where like people who cut hair
their scissors are so sharp that they actually
may cut themselves and they just bleed like heck.
- Ow! - Ohh!
We'll see people who get crush injuries from heavy weights.
Obviously we worry about fracture, making sure
that you don't have a release of potassium into your system,
which then leads to the destruction
of other byproducts of the body.
- My leg!
- What is up with this guy's leg?
Don't ever put anything in the garbage disposal
that shouldn't go there cuz you don't know
if it's on or not.
Something's gonna get caught up in there
and you can take your hand off, take your foot off.
♪ (indistinct) The sponge, do the sponge, sponge! ♪
- Oh my God, their legs are up
in the air and now they're bouncing on their groins.
No matter what type
of genitalia you have down there, it's gotta hurt.
- That's gotta hurt.
- You're bouncing on your pubic bones.
If you bounce on the vaginal tissue
that hurts on your labia.
And then if you're bounce on your testicles or your penis
that's gonna hurt a lot too.
Oh! (laughs)
I've never seen somebody pull off their own limb.
I've seen people kind of rip their own tissue
but not be able to just tear apart their own leg.
One, the pain would be not tolerated
and the mechanics are way off.
- Let's go get a crabby patty.
(crowd cheers)
- Trample injuries are a real thing.
People get crushed by people stepping on them,
causing fractures to the ribs,
causing a hemothorax, pneumothorax,
maybe traumatic brain injury,
and then also asphyxiation where they can't breathe
and they can become hypoxic and die.
(lightning strikes, Spongebob screams)
- Oh! Whoa. People do get struck by lightning.
That is a direct current, a dc.
Electrical injuries typically cause cardiac arrhythmias
and then can cause a lot of burning.
- Ooo, burn!
- Tissue destruction, a lot of injuries on that level
so you have to be really careful.
(ominous music)
- Perhaps a soothing limerick will calm thee.
There once was a dragon so handsome and smart.
He let me go free, for he had a big heart.
(Doctor laughs)
- Everyone be a critic.
- Obviously if you get electrocuted any which way,
get to the hospital, get checked out.
We need to do some blood work, we need to get an EKG.
We just need to make sure that you're okay.
There could be underlying soft tissue injury
that you don't see,
because there's typically an entrance and an exit wound.
SpongeBob SquarePants never fails, always interesting.
A little kind of out there.
Hope you guys enjoyed this.
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Binge watch everything.
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Thank you so much for watching and stay healthy my friends.