- Hey there, somebody call a doctor?
- Yes, doctor, he won't stop shaking.
- Whoa, whoa, hey.
Calm down champ.
- Tell him I can't do my chores.
(laughing)
- Fake shaking, brain donors,
and what could have possibly turned their eyes this red.
Get ready to laugh and learn
because today we are going in for a round two
of reacting to the medical scenes and wild injuries
from the highly popular YouTube channel, SML
All right, let's dive right in.
(Shrek groaning)
- Ooh. (laughing)
- Shrek, you ate all the cheesecake?
- (groans) Donkey, pass me the last piece.
- No, Shrek, you don't need any more cheesecake.
(bang)
- Oh my gosh.
Just imagine if you had that many cheesecakes.
The belly bomb makes you want to vomit
and then could give you like the worst indigestion,
you'll have like GERDs so you'll have esophageal reflux
and burning sensation in the mouth, kind of acidity.
- Shrek.
- Beep. Beep. - Oh. (laughs)
We're taking a look at an ECG or an EKG,
just depends on how you wanna say it.
But there's synonymous and you can actually
see there's just a little blip.
The big spike, little spike, and then another blip.
And then we can, you know,
tell what's going on electricity wise.
If there's a blockage, if there's a heart attack.
looking at this, this looks totally normal.
- Is Shrek gonna be okay?
- Well, you fat, obese large (beep) round,
fatty, fat, fat of a friend is in a coma.
- A coma?
- Yeah, yeah.
He ate his weight and cheesecake and it clogged up his veins
and then his body just shut down.
- Yes, if you eat poorly every single day,
eating cheesecakes every day,
you're going to increase your risk
of cardiovascular disease.
When people have heart attacks what ends up happening
is, you know, that you hear this hardening of the arteries,
when you develop these plaques
in the vessels themselves which narrow them.
What ends up happening is a piece of that breaks off
and then clogs the vessel itself.
Boom. Causing a clot right there.
Decreasing blood flow, causing a heart attack.
- Whoa so is he brain dead?
- Oh no.
His brain's working just fine.
He can hear everything was saying about him.
Isn't that right fatty?
This is your fault.
- He's in a coma.
Coma means you're just unconscious, right?
You're still potentially, in this case you're not intubated,
you're still breathing on your own,
you're just not waking up for some reason.
- Ooh, how long is he gonna be in a coma for?
- Well, it could be like 10 hours,
10 days, 10 years, 10 decades.
But I'm thinking like 10 minutes.
That sounds about right.
- That is a good question to ask.
And doctors don't know the answers to that,
unless they're put in an induced coma that the doctor
put the prescription of the medication in the IV
and we know, okay, we turn this off,
they'll wake up shortly after.
But if it is a coma not based on medications,
then it could be seconds, minutes, hours, days, years.
It's just unknown.
- Is here anything we can do to help his coma?
Like what's this thing in his ear?
- Oh yeah, that's the IV drip.
It's actually supposed to go in your veins,
but you know I always miss, and then people are like,
I want a nurse that can actually do it right.
So I just stuck it right in his brain
- (laughing) Putting fluid in the ear.
The only time we really do that is if you have cerumen,
which which is ear wax and if there's a buildup
we can actually do water irrigation out of there.
And sometimes we're looking for neurologic symptoms.
And you can do a basically warm, cold reflex
when you squirt water in the ear.
- Well, is there anything we can do
to get him out of the coma faster?
- Well, if a body comes in that's totally brain dead
but the body still works I can take your friend's brain
and put it in that body.
(beep) - No, they don't do that.
The body seemingly is perfectly fine,
and we're just waiting for the person
to come out of the coma.
They do not do brain transplants.
- Oh, what happened?
- He choked on a ham sandwich.
- Dammit, not again.
Don't you die on me you fat bastard.
(thump, thump, thump)
- Choking on a sandwich.
You're not getting oxygen in,
thus your oxygen levels are going to start decreasing
and you become hypoxic and then you're not getting oxygen
to your tissues and then you pass out,
and then if you don't get that fixed immediately
and you continue to have oxygen levels go down,
then you're not oxygenating all the
major organs in your body and then you're going to die
- Seizure.
- What?
- Marvin, I think Jeffrey's having a seizure.
- So a seizure is actually sudden,
uncontrolled electrical disturbance within the brain itself.
Basically misfiring the electrical activity
causing these abnormal functionings of the body to happen
and then giving them medications
in an acute fashion can break that.
And then the other medication that you take daily
is to reduce how often that a seizure might actually happen.
- Imma call a doctor.
- So if you see a seizure,
grab something to pad an individual's head.
Okay, that way they're not bashing their head on the ground.
And if you can roll them on their sides
just in case they vomit,
they don't actually choke on their own vomit.
And then obviously call 911.
- Hey there, somebody call a doctor?
- Yes, doctor, he won't stop shaking.
- Whoa, whoa, hey.
Calm down, champ.
- Tell him I can't do my chores.
- (laughing) So he's faking having a seizure.
So we do get this a lot.
There's something called a pseudoseizure
and it's either for secondary gain
or a psychological disorder.
- Doctor, why is he shaking?
- Oh, looks to me like he's having a seizure.
- Why?
- Maybe he's epileptic.
- What does that mean?
- It means you have seizures.
- So you can have epilepsy
and you can also have non-epileptic seizures as well.
It just has to do with the specific waveforms
that you see on an EEG monitor
- What causes them?
- Yeah, how do you stop from happening again?
- Everybody shut up.
I don't know, I don't know okay? I'm not a very good doctor
and I cheated on that part of the test.
I don't really know anything about seizures.
I just know they have something to do with your brain.
- Okay, then what can we do to stop Jeffrey
from having seizures in the future?
- I guess we could give him medication.
I mean, I heard THC helps.
- Ah, okay, all right.
So sometimes THC or actually cannabis might help.
But what do I mean by that?
Depending on the type of seizure disorder you have,
some respond to actually high dose CBD versus other THC.
There's actually medications that have come out,
one's called Epidiolex, which is CBD,
which has been used in specific type of seizure disorders.
- Where do we get THC?
- Well lucky for you I'm a doctor.
I can hook you up.
Yeah, my friend sold me these brownies
and I was gonna eat 'em alone in my house.
- We cannot prescribe cannabis
here in the United States as an emergency medicine doctor.
We do not do that.
Could I prescribe the CBD type medication that
they just recently came out with?
I could but typically that is reserved
for neurologist doing that.
- Daddy, I caught something.
Daddy, look.
(screaming) (buzzing)
Jimmy, what did you just do to me?
- I wanted to show you what I caught, daddy.
- Jimmy, that's a jellyfish.
There's no way you caught a jellyfish in the lake.
- Well I did daddy, I'm like SpongeBob out here.
- Oh my god, my face in so much pain.
Call a doctor, Jimmy,
call a doctor. - Oh my gosh, what did-
- Listen, you're a doctor for God's sake.
Find out what kind of jellyfish it is.
What if I die?
- Yes, people can get stung by jellyfish.
If you get stung by a jellyfish
to help with the injury area, hot water over the area.
Then if you don't have hot water, use salt water.
Don't use fresh water. (beep)
You can also use tweezers to try to get any tentacles
out that you can see and you get to the hospital.
- Oh, oh, you know what?
I bet we can take a picture of it
and then post that picture on some kind of jellyfish form
and maybe somebody will recognize it.
Oh, look, somebody knows what it is.
- What is it? What is it?
- I definitely suggest taking photos of anything
relating to whatever happened to you.
It's even gross,
I ask people to take photos of their poop
when they come in and they say they have bloody poop.
And I ask them to describe it.
Is it blood on the outside?
Is it mixed in? Is it just blood?
And they can't tell me.
And those three questions are actually pretty important
to narrow down where it might be bleeding.
- Rare freshwater West Heimer blue tang
accordion box jellyfish.
- Is it dangerous?
- Oh it says here,
it's the most venomous jellyfish in the world.
- Oh geez. - Venomous? Am I gonna die?
- Uh, five minutes after you get stung
it can cause brain hemorrhaging
and then your organs are gonna shut down.
- Oh my gosh.
So brain hemorrhaging, meaning bleeding in the brain,
and the organs will probably shut down
because they'll probably cause some bleeding as well.
This was really entertaining.
Very good topics that I'm able to talk about
what actually happens in the emergency department
when these things come in or what to do.
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