(woman whimpering)
(knife stabbing)
- Oh my gosh.
Holy cow.
(beep)
Insane face offs, crazy cults, and of course
the infected.
- I got infected.
- Today we are reacting to the medical scenes
and injuries from the highly popular video game
The Last of Us Part II
Let's dive right in.
(beep)
(gun shoots)
- Oh.
Maybe it looks like to the leg and such close range
so everything's really compact.
I'm just thinking about like your ears, or you
gotta have ringing in your ears, which is tinnitus
or you're gonna perforate the tympanic membrane.
Nobodys wearing ear protection.
Did it a fracture the bone, did it hit major blood vessels?
It's like super dark, so it's really hard to tell.
(man punching)
(grunting)
(weapon smacking)
Right to the neck, ear, jaw area
and you see kind of blood splatter.
Typically, it wouldn't actually splatter that easily.
You're still trying to break through the tissue.
Once that occurs, then maybe, but not kind of right away.
The graphics are so good compared to the first one.
(spurt, spurt)
Oh. They hit him on the face.
There was a laceration just to the lateral aspect
of the eye on the area of what we call the zygomatic arch.
Which is actually super common area where
people get lacerations and the skin just pops open.
There are a lot of blood vessels there
so it bleeds a lot and it's like super scary
(screaming)
but super simple to actually sew up.
Typically sutures we leave in the face for about five days
with the tiniest suture string that we can use.
Is that a nine iron?
- You don't get to rush this.
- Oh my God.
(golf club smacks)
(gasps)
Taking any object and hitting somebody with it is gonna
cause a lot of pain,
but I actually play golf.
I couldn't imagine actually swinging and hitting somebody
with that.
Golf club would probably actually snap
against somebody's head or face.
But you're gonna cause a massive amount of trauma.
You're gonna break a jaw, you're gonna crack open a skull
you're gonna cause a laceration.
You could cause internal bleeding into the brain itself.
Subdural hematoma an epidural hematoma
(glass breaking)
(gun shots)
- Oh.
- Dina!
- That was a fall from about 10 feet.
Typically, you really, really worry
about falls that are greater than about 15 feet,
but the way that she fell on her back.
- My back.
- But then you always worry about hitting the back
of the head and whiplash injury.
Oh, under the water.
(gasping for air)
Go get out of the water,
or not.
The thing that you always worry about
is obviously inhaling the water into the lungs
and then you don't have any ability to oxygenate
in the alveoli, because you're just saturated with water.
How long could somebody actually hold their breath for?
Maybe a couple minutes.
They're a professional diver, so they can go a
little bit longer.
Most people try to hold your breath,
try to get to a minute, try to get to two minutes.
It's actually pretty difficult.
And then add on the extra stress
and the adrenaline that's going through your system.
It actually shortens up pretty fast.
(gun shot)
- Oh.
(weapon whacks)
(man yells)
(woman grunts)
(weapon hits)
(woman cries out)
Axe to the side, left flank.
You're worried about the spleen,
you're worried about the lungs.
Unlikely getting all the way to the heart itself
in just one swing,
but you can fracture a rib.
The fractured rib could cause a puncture to the spleen.
Then you might actually puncture a lung.
Which causes a Hemothorax
or Pneumothorax
that needs to be emergently fixed.
And obviously
every time you take a deep breath it's gonna hurt.
(axe slices)
What.
Right to the top of the shoulder.
The shoulder is a very, very simple joint
connecting the arm to our body.
You got your scapula on the back
and then you have your clavicle
and you got kind of the ribs underneath.
So it's kind of like a free floating,
a lot of connected tissue.
So once you start breaking it down,
and you're breaking the connected tissue,
it's just gonna be floppy and not move around very well.
(woman yells)
Knife injuries.
What is that?
Oh gosh.
(woman whimpering)
(knife stabbing)
Oh my gosh.
Holy cow.
(beep)
The knife wound puncturing
directly into that aspect of the neck.
Actually, it's the right side of the neck
You worry about your jugular vein that sits right
underneath your sternocleidomastoid.
Then you have the carotid, which sits underneath that
but then you also have your trachea and your esophagus.
If you actually got that impaled into your neck
and say you're doing okay at the moment,
literally stabilize it, be slow,
and get to emergent care.
Oh, it is got a,
Oh look at that arrow straight through the back,
coming out the front
You actually have to snip off the front piece.
You break that off, cut it off,
and you take the rest of the arrow back the other direction.
Could it go through the sternum? Maybe,
but it's probably just to the left of it.
Could it have missed major structures?
Maybe.
There is kind of like a section
where it might just hit the lung
and miss any of the major vasculature
relating to the heart.
And miss the heart itself.
Oh my gosh.
Just like dripping his own like lacerated face blood
all over her face.
That's gross.
The biggest thing you would worry about
is actually if it's getting in your eye,
because the absorption into your body,
because of the mucosal membranes of the eye itself.
Nose, mouth, not necessarily,
the worst case is the eyes.
- My eyes!
- And if you have any open areas
where you actually have cuts
and his blood could get into.
(woman groaning)
(knife stabs)
Oh,
damn.
Looks like almost like a pick.
To the right side directly through just under the ear.
Maybe hits your cerebellum,
maybe hits the brainstem in the back.
- Brain stem.
- Basically the brain stem has to do
with your autonomic nervous system,
heart rate, respiratory rate,
like the basic drives that you don't even think about doing.
And your brain stems made up of your pons, your medulla
oblongata and your midbrain.
Oh, oh.
(glass breaks)
Oh, nice distraction.
- By the shelves. Get them.
(gun shot)
- Oh.
Shot right to the head.
A little splatter of blood,
could happen in that circumstance.
It depends on the caliber of bullet.
If it goes straight through,
if it bounces around,
which it does.
I don't mean bounce around, but change direction.
(gun clicks)
(gun shot)
Oh, shot to the right hip.
Between the ribs.
Between the hip itself.
There is a little bit of area
that's not protected by any bone.
Right to the abdomen.
The major thing you worry about is hitting the
aorta at that point and soft tissue injury,
and then obviously the hollow organs that are there.
Large intestines small intestines.
(growling)
- Don't move.
- Choke hold.
That position looks like somebody's going to be
choked out in a very short period of time.
Decreasing blood flow out of the brain.
You'll not be able to get pump a lot back in,
you're gonna pass out,
or you can pass out from causing a lot of pressure
to the trachea,
as well as messing with certain receptors that we
actually have in our major blood vessels in our neck.
So it's multifactorial.
(woman grunting)
(neck breaks)
(gasps)
Not a choke hold.
That definitely caused a cervical disruption.
With all that pressure and the rotation,
you worry about a high cervical fracture that then
disrupts the spinal cord up at the brain stem.
(woman cries out)
(explosion)
- Oh
Whoa.
I was not expecting pieces to be flying around.
In the civilian world we don't actually get
these type of injuries.
Typically, if somebody were to be alive in that situation
it would be a fact that they would be missing a limb,
which we do see from traumatic injuries.
Car accidents, mostly motorcycle accidents.
Sometimes during like July 4th weekend,
you can have events where people are using fireworks
that can cause injuries.
(gun shooting)
(man yells)
- Oh
We see people who do get injured to the face.
A lot of the face might be missing,
but they're still alive, they're still breathing.
We're gonna sedate them and intubate them
so they don't have to deal with that agony,
and we can get bleeding control
of all the major blood vessels,
and work on figuring out how to repair it.
Wow.
This seemed totally different than
'The First Last of Us' that I was checking out.
This was very specific to, you know
injuries that occurred in this game.
Don't forget, check out the link
in the description below for the merch.
It's a limited run.
If you guys like this and if you wanna see more
or a different take on 'The Last of Us Part II',
please let me know in the comments.
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Thank you so much and stay healthy my friends.
(beep)
(upbeat music playing)
(beep)