(character screams) (blood sloshes)
- Oh!
Texas Chainsaw.
Ghost Face.
And other crazy characters you may just recognize.
Today we are breaking down
and reacting to all of the most
over the top medical scenes and grizzly injuries
from the survival horror game "Dead by Daylight."
Fair warning,
very realistic graphics and lots of red stuff ahead.
Let's dive right in.
(character whimpers)
- Ah.
(blood sloshing)
- Oh.
Whoa.
Wait a minute.
We're doing blunt trauma to the lumbar spine.
Getting that amount trauma to your back-
- My back.
- People always say, oh you got your kidneys in the back,
like kidney punches
and then obviously you're gonna have destruction
of the bones, of the lower ribs, as well as the spine.
Breaking off potential of the spinous processes.
And then obviously you have the top of your pelvis
and you have your iliac crest
that can actually fracture from blunt trauma like this.
(chainsaw whirs)
Oh no.
(blood sloshes)
Chainsaw injury, it looks like to the right flank.
Obviously I don't see that type of injury specifically
but we do see chainsaw injuries.
Typically, it rips, catches, bounces all around.
I've seen people who have hit themselves in the head,
hit themselves on their arms and on their legs.
You'll see basically destruction of the skin
all the way down to the muscle tissues.
Trying to repair that's actually pretty difficult.
- Ah!
(blood sloshes)
- Oh!
Good defense in the sense of using your hand
against a blade.
A lot of people would just turn away,
but using your hand, obviously it hurts like heck.
Our hands are so sensitive, there's so many nerve endings.
That's why we can actually like touch and feel things
and know what's happening.
- Ah! (blood sloshes)
- Okay.
We're always vulnerable in the neck
because of the jugular vein and the carotid artery.
If those are lacerated
and you're not able to compress them down,
you will lose a significant amount of blood
and if you lose 40 to 50% of your blood volume,
roughly five to six planes of blood,
you're gonna die.
(blade squelches) Oh.
That almost looked like a machete-
- Machete.
- Kind of mid-soft area.
Good graphics in the sense
that the individual didn't die right away,
obviously a couple seconds later,
but the spleen is protected underneath the ribs.
Mostly where you're gonna get is intestine.
The descending colon occurs on outside
as well as the sigmoid colon.
You could have some small intestines
and then you're collecting system,
meaning your kidney in the back and the ureter coming down.
(blood sloshing) (character screaming)
Oh, what is that?
When I am at the hospital
and I need to get a major central IV line,
we're doing major blood infusions.
You go to the neck or you actually go to the groin.
Even here, your brachial artery is accessible.
Typically, we go to the neck-
- Look at that neck.
- Because it's a cleaner area.
So it does make sense in these games and in the shows
that the bad people end up going to the neck.
(electricity crackles)
(character screams) Oh.
We actually have in medicine, E.C.T,
the type of therapy where you use energy
to shock the system, so to speak,
and reset the neuro pathways.
There's not much side effects to it.
You can cause some amnesia.
- Where am I?
- Typically it returns.
You'd use this in people who are bipolar,
severely depressed, even schizophrenia,
and it's been studied for a very, very long time
and there actually has been good data out there
that shows that it has a lot of benefits.
(electricity crackles)
Obviously, if you're using too much energy
for too long period of time,
then you're gonna fry the brain-
- Fries your brain like an egg.
- Or cause more long-term damage.
(character screams) (blood sloshes)
Ooh!
(blood sloshes)
Ha.
Obviously it takes a lot of strength to wield a big ax.
Then you have a lot of weight behind that blunt object
that has a little bit of sharpness to it,
so you can cause a lot of damage
in the sense of a blunt trauma with some lacerations
and possible fracturing of bones.
If you get hit in the head,
you're gonna have the initial trauma injuries to the face
but you could actually get intracranial bleeding,
subdural hematomas, epidural hematomas,
and subarachnoid bleeding.
Freddie Kruger.
Look at that glove.
(character screams) (blood sloshes)
Ooh!
Big knives right through the back into the thorax.
Probably pretty rusty.
Definitely hitting the heart, lung, aorta,
big major traumas.
Obviously you have to be super strong
to be able to do that with just your arm.
This injury, I don't see in the emergency department.
We'll see sometimes puncture wounds
from different types of trauma.
Unfortunately, it does happen.
People do stab each other.
We do full head to toe assessment,
put tubes in where we need to.
- Tubes.
- And repair any place that needs to be repaired.
(blade squelching)
(scoffs)
What?
Come on.
- Come on.
- Stop clowning around.
(drum riff)
We definitely see people who will lose their digits.
Typically, you can't attach these fingers back.
Sometimes you can.
If you can find the finger,
one, stop the bleeding, wrap it up.
Don't put directly on ice.
Put ice in a bag of water or something like that.
Make it like a water bath.
Then wrap the finger in, say, a gauze
and then put that in the ice bag.
(blood sloshing) Oh.
Forearm puncture.
Oh, achilles tendon.
(blood sloshing)
(character screams)
Wow.
Forearm puncture wound, not too bad.
It's gonna be mostly soft tissue injury.
Down into the ankle, achilles tendon ruptures.
You won't be able to push off
because you basically have just decreased the attachment
of your gastrocnemius as well as your soleus
and won't be able to run away or walk
and then just destruction to the abdomen.
We've actually-
We'll do an abdominal exploration surgery
where they may need to do from the xiphoid
which is the bottom of the sternum
all the way down to the pubic bone
to open somebody up in the case of an emergency.
- Ah!
(blade squelching) - Oh!
(character screams)
This is classic for the scream mask.
(laughs)
That's messed up.
Getting hit in the back,
you always worry about puncturing the lung,
puncturing the heart on the posterior aspect.
If you puncture the lung, it may collapse
so we actually put a tube on the side called a thoracostomy.
If the heart is punctured,
it could actually bleed within the mediastinum,
which is in your chest cavity here
and cause a compression of the heart itself
from all the blood that's leaking out.
(character cries)
(blood sloshes) Oh, nasty.
(bones crackle)
(blood sloshes)
Oh, that's a "Stranger Things" looking guy.
- [Stranger Things Character] The Demogorgon.
- That's just mayhem and destruction.
Surviving somebody who just eats your own head.
Not something totally seen in the emergency department,
but very cool.
I'm a fan of "Stranger Things."
(character screams)
(blade squelches)
What?
(syringe squelches)
Oh, injection.
(gasps)
Cool.
- Cool, cool, cool.
- What are the weapons?
He's injecting some sort of nasty,
maybe infection, parasite, microorganism,
that's moving fast in the body.
In history for real,
people have tried to use different poisons.
We see it in the news.
Most of the time there are different types of nerve agents
that people are using.
Sometimes there's ricin.
- Ricin.
- There's a subspecialty within emergency medicine
called toxicology.
They study this all the time.
Oh, this just-
This just creeps me out. (bone crackling)
That just creeps me out. (bone crackling)
(gasps)
Not cool.
- Not cool.
- Fractures of bones, you'd be surprised.
There's a lot of blood
that actually runs through the marrow,
so when somebody fractures a bone,
it actually bleeds a lot and swells a lot.
Makes it difficult to reset.
So if you actually have a bad injury,
gets to a hospital ASAP
so we can actually reset it faster.
The more it swells, the harder it is to get back in place.
Ooh, Hellrazor.
(chains clanging)
(character screams)
Oh, my.
(Hellrazor chanting indistinctly)
(gasps)
Almost looked like a modern day iron maiden device.
Spikes and you're put in it and impales your body.
Obviously all of that is gonna cause bleeding.
The bigger traumas are going to occur
when you actually take them out.
I always say don't pull things out.
When it comes to trauma injuries, impaled objects,
it depends how deep it is,
what they've actually injured.
If it injures a major blood vessel
into an organ and you take that out,
it's gonna just bleed profusely.
Holy cow.
That was a lot.
This was really intense.
If you guys enjoyed this,
please let me know in the comments.
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or your favorite characters are.
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