where are these guys doctor oh this is
the best part about GTA you fly the
physics of the game is incredibly real
but then the medicine of the game is
absolutely false hey I'm dr. mike marsh
off sky but many of you know me as dr.
Mike I make youtube videos where I try
and educate people about health have a
little fun on the side but I'm also a
practicing board-certified family
medicine doctor treating everything from
your common injuries to diabetes heart
attack strokes
pretty much anything but that's what
makes my job incredibly fun and today
I'm gonna be evaluating video game
injuries when I think about video game
injuries I always think about things
being extra exaggerated allows your
imagination to sort of run wild and as a
doctor I have to sort of wrangle our
imaginations back in and explain can
this really happen if it were to happen
how bad would this be could this person
survive and in most of the times it's
not gonna happen this is so violent this
is not how my patients would react if
they're getting hit like this I don't
understand how all of this blood is just
popping out of the person's body if
we're gonna have a cut then it makes
sense of the person's bleeding but if
they're just getting hit why are they
why is there blood splattering all over
the place you see this person getting
hit and they're getting hit what seems
to be in the chest but without even
having a cut there's like splatter
coming out of their chest that's not
realistic in order to have some sort of
blood come out of the body there needs
to be a break in the skin unless the
person breaks your skin what happens is
you'll develop a hematoma which is a
bruise and you have bleeding internally
I will say if you're getting hit in the
head this much you can develop a
hematoma that same bruise the bleeding
inside your body that I was talking
about but it can happen inside your
cranium which is your skull and why is
that dangerous well if I have bleeding
and say my arm my arm will swell and
make room for that bleeding but in your
skull since your skull is a fixed bone
it actually can't expand and when that
happens you build up pressure and that
pressure is not good for your brain
oh oh oh
first of all I don't know how strong
these guys are that they're punching
through rocks that's gotta hurt and I
feel like you might break a bone or two
inside your hand there's actually a
common fracture that happens when you
punch with a closed fist it's called a
boxer's fracture ah it's breaking the
bone right here horrible where are these
guys doctor oh that looks like an
Escalade so these are the worst types of
injuries because you're going from a
high rate of speed to zero very quickly
and you know what happens when you bring
something that's moving fast to a
complete halt momentum happens so all of
their organs move forward hit the body
the brain goes forward and it can
actually get bruised and have major
damage to it on the front area you're
not getting up from that look at the car
damage if that's the damage to a metal
car what happens to the frail human
being that was just going 30 miles an
hour on a scooter that flew off and
they're not wearing helmets i re
disapprove because they're speeding and
they're driving on the wrong side of the
road oh no oh no oh and a car goes
flying oh this is the best part about
GTA you fly the physics of the game is
incredibly real but then the medicine of
the game is absolutely false look at
this car it's mangled but then this
superhuman is just gets up like nothing
happened if your car goes off a hill
like this and you fly out of the car
first of all you're not surviving that
your neck is breaking your spinal cord
is getting severed you're bleeding
everywhere oh oh oh that looks like a
better oh my god the car just crushed
that construction worker
oh my god idiots face that's a belly so
it's probably a heavy car 4000 pound
Bentley is gonna fall on you you're not
gonna get up and get ready to get hit in
the face again
you're gonna have crush injuries and
crush injuries are quite dangerous
because when you damage muscles you
damage bone there's all sorts of issues
that can arise infection low blood
pressure from not enough blood
circulating if you have a crush injury
of a bone you can have something known
as a fatty embolism where literally a
piece of fat leaves the boat and starts
traveling about your blood vessels they
can get trapped in the lungs and the
heart and the brain and that's obviously
deadly oh my god alright I'm gonna have
to pause on that this insane wrestling
like move just got this gentleman's ribs
broken
that's pretty realistic like you got
lungs there let's see one two three four
five six seven
all right the rib number is a little bit
off but that's okay considering it's a
game they even made the back ribs break
what I will say is incredibly
unrealistic is ribs don't shatter upon
impact like this I mean unless the
impact is absolutely crazy but generally
what happens is you get a fracture most
the time it's a hairline fracture but if
you have a displaced rib which can put a
sharp angle there and you can puncture
your lung that can cause a pneumothorax
that's a collapsed lung that's that's
really bad so you want to act fast in
those situations oh I watch those crazy
videos on YouTube of where chiropractors
are doing adjustments okay this look it
looks like some of those YouTube videos
where it's like wow and they're just
absolutely just breaking stuff oh so the
bone breaking there is called the jaw
bone
medically we call it the mandible and
what happens is it doesn't even look
like it broke it looks like it
dislocated and you can imagine how
painful that because you have ligaments
and muscles attached to it in order for
it to move and win and all that breaks
all that tears that's pretty good I'm
not gonna lie that's a good anatomical
description of what a jaw dislocation
would look like oh that looks like a
frontal own fracture
so the frontal bone is obviously the
front part of your cranium in real life
for that to happen you're gonna need to
have massive trauma
I think car accident going from 70 miles
an hour to zero hitting a wall and then
airbag not coming out or something Oh Oh
see it doesn't make much sense to me
because if you have a shattered skull
like this you're done that's it you're
not functioning oh oh
so that chop right there that went right
to the cervical vertebrae that's the
vertebrae that protect your spinal cord
in your neck there's seven cervical
vertebrae in there and when they got
chopped they shattered bat if they
shattered that means the person is
hitting with so much force so they could
sever your spinal cord and if that
happens everything that's connected by
your nervous system down below that
level is no longer going to be
functioning injuries like this happen
people get into fights they use objects
they strike each other it happens if you
come into the hospital like this right
away the first thing I'm gonna do is
order a stat CT scan which is a cat scan
in order to figure out a is there
bleeding in the brain
do we need to act quickly to is there
any kind of fracture that can pose a
threat to you like we talked about
displaced ribs that can cause a puncture
in the lung if you don't correct a lot
of these issues quickly you can lose
your life the sound effect sounds like
he's getting slapped but it looks a lot
more violent than that Oh see the way
that he fell and the arm rotated in like
that I feel like that's gonna be the
biggest issue like yeah he got slapped
around a little bit he fell down the
stairs but the internal rotation of that
shoulder and going past the normal range
of motion guess what's gonna happen
tearing of your rotator cuff you're
gonna need to get surgery long recovery
time oh oh slow motion oh so I'm not a
gun expert the way these people are
flying back it looks like they're
getting hit by like a 12-gauge shock
when a patient experiences a gunshot
wound right away the first thing we do
make sure that they're getting enough
fluids through an IV if we need to get a
blood transfusion right away we start a
major bleeding protocol and we get them
to a level one trauma center
fast as humanly possible and let the ER
doctors and trauma doctors step in and
hopefully save that person's life Oh
what is that human oh oh okay that
looked like a burn I don't know if this
thing is human or not but burns are
obviously dangerous because you can get
a whole host of issues happening with a
burn dehydration infection when you get
a burn you get something known as a
contracture which is where the skin sort
of scars and contracts on itself that
can be quite painful on its own limit
your range of motion I feel bad for that
creature whatever it was I got sliced
and then burned that's not a good way to
go oh no oh my god that was a innocent
person Jesus oh my god anytime you have
a knife wound that's incredibly
dangerous why because this gentleman did
not insert a knife and leave it and when
you do that you actually cause more
damage because if you get stabbed by an
object the idea is not to take it out
until you have emergency services around
you in order to perform any kind of
procedures that may be necessary keeping
that object if it's a knife a stick
whatever insert it into you you actually
put pressure on the blood vessels and
reduce the amount of bleeding that's
occurring well that was not surprising a
lot of these injuries are exaggerated
the characters are superhuman they can
seemingly survive anything
in reality humans well we are resilient
we're still fragile and if we're gonna
be falling off a cliff and experiencing
significant amount of g-forces we're
gonna have injuries if you want to see
more of my videos check out my youtube
channel dr. Mike just remember dr.
spelled out as always stay happy and
healthy