(glass shatters)
- Oh, damn.
Mutated fungi, infected creatures
and a whole lot of confrontations.
- I don't like confrontations
- Today, we are reacting to and breaking down
the wild medical scenes and injuries from
the action adventure game, The Last Of Us.
Prepare yourself, 'cause it's about to get real
post apocalyptic up in here.
Let's dive right in.
(beep)
- They're behind me too.
There, there, there.
Hold on!
Go.
- Oh
(tape rewinds)
- Did they just run over somebody?
If that occurs, we think about it as a major trauma
and you're worried about fractures, internal organs
that have been just demolished.
If you get run over, you're worried about crush
injuries.
- You went under the wheels.
- Look out!
- Oh, damn!
Was not wearing seatbelt, got tossed to the other side.
There's a lot of damages that can occur.
We get people who get brain bleeds,
skull fractures, missing limbs.
It's been proven that seat belts
save lives and people still don't use them.
So please wear your seatbelt.
Those wires, depending on the amps, there's a high chance
of tissue destruction, muscle breakdown.
It can cause your heart to stop.
Hopefully somebody gets there quickly on scene.
They can then use energy again
to then try to restart your heart.
- Oh, no.
Oh, man. People getting infected with a fungus.
There are a lot of different fungal infections out there
but we're limited by how we can treat them.
It is a big burden worldwide, but we have a few
anti fungal medications out there that may help.
- Get outta here before this fungus eat us alive.
- Sweet a health kit.
I'm not sure what's in this health kit, but if you have one
at your house, you should have like basic stuff.
Bandaids, gauze, maybe some antibiotic ointment
or steroid ointment, but medications wise
acetaminophen, ibuprofen and probably diphenhydramine,
which is Benadryl.
All right, crouch it down, put the health kit on.
There we go. We got wrapping up the forearm.
Really cool integration of
healing techniques in a video game.
Do you actually have to take time out of what
you're doing, to then use it, actually really good
cause it's more realistic.
(grunting)
- Oh. What is happening?
You can cause somebody to pass out pretty easily
by decreasing blood flow to the brain, real fast,
compressing down on the carotid arteries.
Just be aware, even if you're foolin' around
with your friends, please don't hold
any of these type of choke holds.
(gun shots)
- Oh! Oh!
I think about the blood being splattered all around.
Is it infectious or not?
We think about this in the hospital where somebody
has a bloodborne pathogen, he's wearing a mask.
So there's some sort of aerosolization of this,
same thing with the hospital.
We are wearing different types of devices to
prevent any droplets of infection getting into us.
Bear handed, you're punching somebody in the face.
It's actually a really bad idea.
You're gonna potentially fracture your own hand.
Boxers fractures is typically a fracture of your fourth
or fifth metacarpal, it snaps and it angulates really badly.
You'll be in a cast for a while and
sometimes you might need a pin,
If there's too much angulation.
(gunshot)
Sometimes you see in these games where somebody
gets shot once and they die. That happens.
Sometimes people can get shot 10 times
and you still survive.
It just all depends on where they get shot.
And literally this is something that we do see
at the hospital.
Oh.
With these type of injuries, you have typically
a small hole and then a big hole on an exit wound.
So a lot of times we'll see broken skull in the back
with some brain matter coming out.
Brain matter is typically like a grayish white
in color, kind of soft actually softer than you think.
- Don't do anything stupid.
(gunshots)
- Oh, oh, oh man!
What are you thinking? Like, shooting
somebody that close to you.
You just perforated your eardrums, you have
ringing in your ears all the time.
That's called tinnitus.
It also causes distortion of balance, because
a balance center of your brain has to do
with your vestibular nerve in your ear.
A lot of fist fighting. Oh.
(gasps)
This is intense
- Intense.
- Hitting their face on the rail.
You're gonna cause potential fracture or laceration.
You're also concerned about, with blush injury where
there's a cervical spine injury where
the body's going down and the head kind of snaps back.
- Look alright, just hear me out on this.
I gotta
- ah, stop, stop, stop.
- You see the guy took a foot to the nose
and he's got a laceration to the bridge in the nose there.
This is your nasal bone right here.
This top piece you could fracture pretty easy.
I've had people come in where it's like literally
to the side and you have to snap it back over.
If it's really deformed.
He's got his arm in a funky position.
He's probably doing some rotational forces to it.
And if you continue to rotate, it's just gonna cause a lot
of discomfort on the shoulder itself.
Then it can cause a rotator cuff injury,
as well as potentially dislocated if you have
enough force in different direction.
- Excuse me.
- I didn't have much of a choice.
I owed someone, just gimme a couple of days.
- Oh, I wanna know did he just break the elbow?
Holding down the force on the humorous,
does he pull up on the radius and the ulna
and snap it back and either fracture or dislocate?
A lot of times you would think that
you'd snap off the olecranon.
Typically that hurts a lot.
- That's gotta hurt.
(gun shots)
- Oh, oh.
With using that type of either polymer or metal
you gotta cause probably some potential fractures.
I don't know if anybody's hit this bone here
in the back your mastoid. It hurts a lot.
Underneath that is a styloid process.
It can cause a lot of pain too.
It's actually one of those
pressure point areas to cause pain.
The raining, all I can think about
is trench foot that you could potentially get
soggy wet, typically your feet where they don't heal.
And then it's called like wet gangrene.
Basically you can get where like the tissue starts the rot.
- Don't do anything stupid.
- Always have to make sure that you get dry clothes on.
It can also cause a lot of chafing in certain areas
and cause chronic wounds,
we see that in the emergency department.
When somebody comes in with rotting tissue it smells so bad.
But if you use sodium bicarb, it actually
neutralizes the smell so everybody can tolerate it.
- What's ETA?
- Couple a minutes.
- Oh wow. A blade right to the lateral aspect
of the leg above the knee. Mostly muscle there.
Not any major blood vessels are
sitting right there on the side.
They're on the back side of that.
Now it can cause a lot of pain.
And then if you sever tendon in the muscles
obviously the leg is not gonna work as well as it should.
(gun shots)
When somebody first passes away,
they're gonna be potentially just dead weight.
They're actually really, really heavy, dead over time.
Rigor mortis is gonna set in
and it's gonna be stiffening of the body
because you have pooling of fluids that
make tissue really tense and really hard to move.
- Marlene set us up?
- Marlene
- Why the hell are we smuggling an infected girl?
- I'm not infected.
- No?
- look at this.
- I don't care how you got infected.
- We see people who come into the emergency department
who are actually bit by another human
and you can see bite marks like that.
We definitely give antibiotics.
We clean it out as best we can.
And we actually leave the wounds open because
if we seal it shut with sutures that's
actually gonna a seal the infection inside the wounds.
This was good. I really enjoyed it.
If you guys enjoyed it, let me know.
Let me know what parts I should check out, or if
there's any other scenes that you'd want me to talk about.
And as always make sure that you check
out this playlist right here and
make sure you subscribe, turn those bell notifications on
and hit that like button for me.
Thank you so much for watching and stay healthy, my friends.