(animatronic screaming) (spraying)
- What is this?
Fred Bear, Spring Bonnie,
and is that Billy the puppet I see?
Today we're back at it, breaking down and reacting
to all of the nightmarish medical scenes
and insane injuries from Five Nights at Freddy's.
Let's dive right in.
Oh gosh.
(bones crunching)
Putting your head inside somebody else's mouth
is probably not the best idea.
Dental injuries, bite wounds.
Something that I do see in the emergency department,
we see people come in with human bites,
so somebody else biting you.
Sometimes it breaks the skin.
You worry about the different bacteria
that can actually get embedded in.
With puncture wounds,
you worry about the bacteria getting seeded down.
So if you actually suture it close,
you're actually sewing in the bacteria.
Oh, oh. (victim screaming)
What is going on?
- What is happening?
- Crush injury to the face.
Crush injuries that we end up seeing
are typically due to falls, bats, or hammers or crowbars.
And then obviously car accidents are a big one.
A lot of times those will end up at a trauma center.
(victim screaming)
Oh my gosh.
Okay, so electrocutions, they do occur commonly.
The energies in the electricity are usually low.
It can cause muscle contraction.
If you're having full body, high energy injuries,
then it can cause cardiovascular events
and cause asystole where your heart just stops.
You're always worried about the burning of the nerves,
burning of the tissue.
If there's too much tissue damage,
what ends up happening is the breakdown of those cells.
The byproducts of it end up going through your kidneys
to be filtered out and actually can cause kidney failure.
(animatronic screaming) (blood spraying)
What is this? - What?
- Hook as a hand and impales somebody in the head with it?
It is probably not super sharp, but it's pointy enough
that it can cause a penetrating trauma through the skull.
Now it's hitting on the left side.
If it doesn't go all the way through,
you always worry about an epidural hematoma
caused by an injury to the middle meningeal artery.
Then you can also hit that parietal part of your brain,
which ends up being a lot of important structures,
where motor function is, where sensory is.
(bones crunching)
Basically choking this individual,
it's cutting off airway
as well as potentially decreasing blood flow
in and out of the head.
- Blood just drained from his face.
- You can crush somebody's windpipe trachea
and cause inflammation
to where you can't get any air through the area.
You can compress it down, which is difficult to do.
And then the other component is the major blood vessels
that are running along each side of your neck.
(blood spraying)
Crush injuries by other people's hands,
obviously it's not likely, could it potentially happen?
Obviously there's always exceptions to the rule,
but you wouldn't necessarily find yourself
in a common situation where that would occur.
(victim grunting) Whoa.
Facial traumas, facial injuries, they do bleed a lot.
The face is so vascular,
which in itself is actually a benefit
because if there's any potential of wounds,
the likelihood of them getting infected is pretty darn low
and they heal really well.
Same with the tissue of the face that heals really well
because of so much of blood supply to that area.
(victim grunting) Oh my gosh.
And then obviously if there is a lot of bleeding,
we need to clean it up as much as possible.
Find where the bleeder is coming from
and try to get it to stop.
First, always try to use compression.
So push pressure on the area,
hold it there for a little while,
see if it actually self heals, and if it doesn't
then we actually have different types
of suturing techniques.
(hand slapping)
(blade slicing) (victim gurgling)
This gurgling noise
that we all believe to be basically somebody's neck is cut.
We typically don't hear that very often
in the emergency department.
It's not super common to have somebody's neck lacerated
and coming to the emergency department.
But typically if that is the case,
you wanna secure airway first.
So if the airway is cut all the way through-
- Slit his throat from here to here.
- [Jordan] You have the opportunity to either put a tube
near where the cut is
or through the cut if the trachea is accessible
(animatronic roaring) (blood spraying)
Oh, that's a lot of sharp teeth in there.
Okay, all I could see is like puncture wounds, injuries.
And almost is similar
to like somebody getting bit by a shark
'cause there's multiple layers of teeth there.
Ripping, brutal type injury where it's not a smooth cut.
So the tissue is very hard to put back together.
A lot of times when somebody has really rough-edged wounds,
we actually have to cut some of the tissue away
to be able to make smoother edges
so we can actually bring the tissue together,
otherwise it won't heal.
(music box playing)
It's a trick! - That's bait.
- What are we doing here?
(animatronic screaming) Oh, come on.
I saw that coming a mile away.
Facial traumas by potentially a bite.
So you could actually have a lot of bleeding.
Again, it's just like a superficial flesh wound.
- Just a flesh wound.
- You won't necessarily bleed out
unless there's a neck injury.
You do have some major blood vessels of the face
that are basically branches off
of the external carotid arteries.
If one goes deep inside
and the other one goes superficial.
Oh my gosh, oh, come on.
- Come on!
- Single knife wound injuries, we do see a lot of them.
Depending on where somebody's injured,
depends on how we approach it.
So if it's into the chest cavity,
you always worry about bleeding on top of a punctured lung
or any major structures underneath that,
versus arms or legs,
and you just worry typically about any major blood vessel.
And then it's mostly a superficial wound.
(victim grunting) (blood spraying)
Anything into the abdomen itself,
you worry about organ punctures.
So a lot of times you'll get a CT scan
and then possibly just go to the OR immediately,
especially if it is very deep.
And then obviously,
within the thoracic cavity you'll have your heart.
The big thing is if the heart is punctured,
you will potentially die quickly.
Oh?
Oh, blunt head trauma, solid object to the skull itself.
Your bone is the thickest in the front,
but also have a sinuses here.
So you can actually have a fracture of part of the sinus
'cause it's basically a pocket of air.
So there's a bone on either side.
If there is a fracture all the way through,
especially in the sinus that you always worry about
potentially a cribriform plate injury,
which basically connects the brain
to the face itself and the nose.
So there's always an increased risk of infection there.
If it's not a massively displaced skull fracture,
most of the time they'll heal on their own,
but you definitely need close observation.
Oh, so he goes inside this suit, okay.
(victim choking) Oh!
The spring locks basically malfunctioned,
releasing in all different directions,
causing it to impale, crush,
and almost look like ripped tissue.
So you could potentially have all of these massive injuries.
And then the question ends up being,
does it cause you to die from injuries super fast?
It just depends on what organs have been hit.
The brain was injured, spinal cord severed,
if the heart was impaled, those sorts of things.
The obvious things.
(victim screaming) (bones crunching)
If you lose 40 to 50% of your blood volume
in a very short period of time,
that's not necessarily sustainable with life.
That's hypovolemic shock due to trauma
to where you are level four on the trauma criteria,
and you're basically going to die quickly.
You're gonna have end organ damage,
you're gonna have renal failure,
you're not gonna have enough blood to perfuse your organs,
which gives the oxygen to your tissues and to the organs,
and they're not going to be able to function.
(victim screaming)
Other situations where we see crush injuries
outside of like car accidents would be at like factories,
seeing people get crushed by big machines,
maybe not paying attention or getting caught,
and you can get crush injuries,
you can get amputations due to that.
But again, usually these are limbs, they're not full body,
they're not basically surrounded by something
that's going to crush them.
Maybe if somebody was wearing like the Iron Man suit,
that potentially could malfunction and cause injuries.
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Thank you so much for watching, and stay healthy my friends.