(ribs cracking)
- Ha ha ha!
Come on!
Cervical fractures, eviscerated ribs,
and, of course, your favorite fighter, D'Vorah.
Today we are reacting to the x-ray moves
and injuries from Mortal Kombat
Are their super moves medically accurate?
We're about to find out, let's dive right in.
(bones cracking)
Oh!
We've get people who get jaw dislocations
from opening their jaw too quickly
or too wide at the jaw joint here.
It's like a hook, and so it hooks in.
So sometimes when you open too much, drops down
and then goes posterior, and it gets stuck.
We need to put it back in, but it's pretty difficult
'cause you're having all these muscle spasming
and preventing it from actually relaxing
and allowing it to get back into the joint.
(yelling)
Ha ha ha! Come on!
- Come on!
- What I like about this is the fact
that we have lungs underneath.
So if you do have a rib fracture,
you always worry about hemothorax.
You worry about pneumothorax.
You worry about a combination of a hemopneumothorax.
Pneumothorax is when you have a collapsed lung
and there's air that's forming inside the chest cavity
that's compressing down on the lung itself.
A hemothorax which basically is blood getting in that space.
(yelling)
- Oh, crushing the ribs.
Obviously we worry about the heart
that's sitting right there.
This is the mediastinum which houses basically
the aorta that's coming out, the heart,
your esophagus, and the tree branches
of your airway.
Anybody can look down at their chest
and maybe just below the nipple,
you're actually seeing the PMI
basically the point of maximal impulse.
You can actually see a kind of bobbing and moving.
(yelling)
Oh whoa!
So you're actually snapping all the ligaments.
- Do you think I've damaged the ligaments?
- I don't care.
- [Jordan] You have these very long ligaments
all protecting your spine.
Process ligaments, you have interspinous ligament,
lot of different ligaments that
are holding everything together.
Very vital structure and that's why we
have all this protection.
And so when you have injuries,
slipped disc, it's because
there's nowhere for anything to go,
and it just slips
into the path of least resistance.
(gun clicks)
(bullet fires)
What, we got a gun!
(bones crunching)
Ha ha!
We got a bullet that goes left
lower quadrant and probably shatters
part of the pelvis.
The pelvis can bleed a lot
and it's like a storage area,
so sometimes we can do a binder to the pelvis.
Typically if it's an open pelvis
and kind of close it down to try to lock down any bleeding.
A lot of times there's always controversy
about bullets bouncing here and there
and everywhere, just like the gummy bears.
If it's not fast enough and powerful enough
to just blast through everything
and just go straight through,
it could actually change directions.
(punches thud)
(bones cracking)
Oh!
I remember a facial injury like that
when Apollo Creed died in Rocky 4.
Could the bone have gone into his brain
and killed him.
I've never seen it in real life.
Hypothetically, sure, if you have enough force
and you cause enough brain trauma with that force.
Could that bones go backwards into the brain?
Yeah, potentially.
(punches thud)
(bones cracking)
Oh, whoa!
Holy karate chop to the neck.
I'm just thinking about my hand,
how that would basically snap the metacarpal
in half, having a hyperextension injury like that.
A lot of times what you're seeing
on an x-ray, the vertebral body
will actually bend back and actually can
cause a chip fracture,
and then the concern with that
is that chip fracture going
in the column where the spinal cord is,
and now you have a free bone floating around.
(punches thud)
(yell)
I see a lot of rib fractures
from people falling and then we're doing CPR
on somebody in the emergency department.
We're causing a lot of rib fractures as well.
'Cause the only way to compress the heart is to
get deep enough, and the only way to get deep enough
is to fracture a rib.
Now, typically, if you're younger, like say an adolescent
or a child, the ribs are actually
more cartilaginous, basically they're softer.
So you can actually bend them
without having to actually break the ribs.
What the-whoa!
(bones cracking)
What? Oh!
(bones breaking)
Obviously the bones just don't give away super easy
but they can puncture through the skin.
They can pop through.
We call them open fractures,
and if that's the case,
if somebody has an open fracture,
laceration, blood coming through where the fracture is
if they, even, if the bone's not sticking out,
there's a concern that there could be an infection
of the bone, which then can later lead to osteomyelitis.
Oh, burned up! Whoa, whoa, whoa, whoa!
Popping right through the neck.
So you have major blood vessels on each side,
you have your carotid arteries and your jugular veins.
And then you have your nerves running up that way as well.
Middle, you have your trachea, you have your esophagus.
That's decompressed in there, but it is there.
The trachea is made up of rings that go all the way around
but they don't completely go all the way around except
for one, which is your cricoid.
(flesh squelching)
What!
Enucleating the eye by the amount of pressure
and force, gotta be super painful.
There's leaking eye fluid.
We'll actually put some Fluorescein,
which is basically a dye to the eye,
and see if it's leaking out.
If we see a stream, it's called the seidel sign.
The goop is coming out of the fluid of your eye.
And if that occurs, like don't touch the eye,
cover it, call the ophthalmologist.
They need to get in there and fix this right away.
(bones cracking)
(flesh squelching)
We got a lot of rib fractures.
All of a sudden we get these Wolverine type claws
causing facial trauma.
Lot of blood flying out of there.
Obviously blood's not supposed to squirt like that
on the face.
You can get like one, maybe splash.
A lot of times paramedics will put bandages on right away.
We take 'em off.
- Gotta rip that bandaid off now.
- Then all of a sudden just like shoots across the room.
But it's a stream,
it's not just like this smörgåsbord of everything.
(kick thuds)
(bones cracking)
Wow!
I see the frontalis muscle.
I see the temporalis muscle.
- I see London, I see France.
- When somebody actually gets lacerated in these areas
we actually have to make sure they're attached
because if you have your frontalis muscle
shredded up and you don't attach it well
you won't be able to basically like
lift your eyebrows well.
In certain situations you wanna be able
to move your face.
(bones cracking)
(yells)
Whoa, holy cow!
That is like equivalent to the Mountain.
Tip tension when you pull on the head
you'll actually cause pain relief.
If somebody's having, radiculopath,
basically a compression of the nerves
and the neck going out to your extremities.
But obviously if you pull too hard and rotate
you're gonna cause fractures and dislocations.
We don't actually see
that where the body separates like that.
But we see compressive forces down.
If somebody jumps from a high building
and they land on their feet,
you get a compressive force all the way
through the body and
they can explode and fracture.
(yelling)
Whoa!
Whoa, definitely flailed segment.
Flailed segment of the ribs
where they fracture in multiple places on one
or two ribs in the whole section is separate basically.
And a lot of times we'll be able to see this
as somebody breathes in ,
you're expanding your chest,
that area sucks in
and when you breathe out,
when everything kind of relaxes, it goes opposite.
(yelling)
Oh man, that was cool.
Cool mechanism, let me smash
somebody's head with other skulls.
Typically fractures don't just explode like that
when it comes to the skull,
they just basically crack open.
Obviously there are exceptions to the rule.
When a lot of force is occurring,
- Force is strong in this one.
- car accidents or when people fall
from great heights and their brains matter out,
then skulls come into pieces.
In your everyday injuries,
typically it's just a one line type fracture.
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Thank you so much for watching and stay healthy
my friends.
(signal beeps)
(outro music)