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doctor-reacts-to-9-1-1-lone-star-medical-emergencies

Doctor Reacts To 9-1-1 Lone Star Medical Emergencies

welcome to the new studio space really excited to film the first episode of 9-1-1 medical scenes we've done this one before these are hyper unrealistic but some good medical learnings to be had let's get started your son seems to have his head on his shoulders well now anyway are they playing golf in the rain it also feels like fake rain like from a sprinkler you're gonna send piece of work so I've Been Told when thunder roars go indoors but lightning strikes do happen two dozen deaths a year in the U.S about actually one third of them happen indoors so the recommendation from the CDC to keep yourself safe from lightning strikes is to like not do the dishes to stay away from Plumbing not to take showers not to use electrical equipment because it can travel through the electricity in your home and through Plumbing so just about like sitting being peaceful and meditating and it goes without saying being outdoors and thunderstorm is not generally safe standing near tall objects is not generally safe like trees that's a really bad idea should do after a lightning strike when it comes to First Aid call for help and then it's about trying to help the person in their time of need meaning if they're uh like vomiting you want to turn them on their side if they're pulseless you know what you do chest compression chest compressions chest compressions I thought we could move on to uh to uh to uh um is she withdrawing from heroin so or maybe just acute intoxication with the substance I'm sorry I uh he's wearing cross stripes on a shirt that has plaid on it my man pick one or the other whoa okay this is some kind of psychosis psychosis related excoriation where they start scratching themselves thinking that there's insects on them or something I'm on the edge of my seat here bro she's stabbing herself with a pork can you portfolio projections and first quarter profits which be hopeful though Liza what are you doing these are officially the least caring people colleagues I've ever seen in my life she's scratching herself with a fork having some sort of medical situation occur and they're just annoyed so your knowledge was Liza on any substances no she was two years sober she knew better than that just because someone says they're two years sober doesn't mean that that's the case and also as a police officer if someone says no move on there's no point trying to push through in a situation like this you test the blood and then you find out the answer several victims suffering seizures two people stab themselves all symptoms came without warning PPG special responses on its way in the meantime it rounded up everybody was still standing I've never seen anything like this cap we need to get these people transported we're not going anywhere to know what we're dealing with I mean I would get everyone out of the building instantly because first of all you don't know if this is an inhalation situation or an oral ingestion so something weird is happening here what'd you have for lunch let's get this big breakfast wait for it I know who did this what Mercury did this police officer slash paramedic I can't tell who this is speaking know that this is mercury poisoning before he even opened up the sandwich no never gonna happen and first of all that type of mercury doesn't really get absorbed well in the digestive tract only through respiratory and then it can actually spread throughout the body be neurotoxic and hurt the lungs all that the danger of that mercury is if it gets aerosolized like with a vacuum or something or fan so the fact that they're all just like breathing it in and chilling that's like not ideal I'm too scared it's bad come on now little man let me take a look at you just a toy oh okay I told you it's bad huh we actually have tools for this in the ER to pull things out of noses I just wouldn't do it on a roof because let's say you do it and it hurts the child then they move weird they can fall off the roof so get into a safe environment first ideally an emergency room okay Harry Showtime on the count of three I want you to blow your nose like you have the biggest booger in the world in there okay okay I mean for small things that could work but for larger things like that I wouldn't start doing because you're drastically increasing intracranial pressure so like if you can just pull it out with tweezers like in an emergency room setting do that okay don't worry just means uh we're gonna have to go to plan B where I use my special toy car removal device I promise won't hurt though right yup or you could just be honest with the child and not lie and say it's going to be very quick move the subject along say that it's going to hurt less than leaving that thing in there so you're creating an honest answer but still keeping the child calm okay buddy why standing why in the forest if he starts having a major nosebleed what are you gonna do in the field got it this is like a bunch of dudes came together and said we're gonna be doctors in the field and they started practicing medicine [Music] how after you left I kept wondering how hairy got so far up there so you figured it out tweezers no why is your lava in the pool was this house built on an erupting volcano let's make tonight Unforgettable why is this turning into a raid they're putting rave music on while someone's dying wish me okay so when you have Burns that are this bad you could actually start tearing skin off just by applying the slightest amount of pressure in this situation like this obviously the the risk of doing that is worth it because you want to save their life and one of the ways people lose their lives here is from a lack of hydration when you have such severe burns you actually release a huge amount of different electrolytes into your bloodstream which can be toxic to certain cells of your body especially your cardiac cells so hydrating people that are going through a really bad Burns is about most importance it's like the first step and then also knowing that when your skin is not intact you actually lose a lot more fluids throughout the day thank you guys for everything Iron Man but not oh my God is that the thing that's keeping you alive it was it is now an antique we have to extract it here yep that's impossible we don't it Cooks his heart but if we take it out he'll bleed to death not at the heat from the rockautoids everything around it what if it didn't we don't have a choice look damn thing's sinking into them clamp now their confidence level these First Responders have to make medical decisions is impressive you know as someone who's worked in a hospital a decade I have no idea what to do in that situation I'll probably take it off but what are you doing how is this an MRI no no just for people to know there's a few types of Imaging that we get in the hospital some are X-ray CAT scans are basically x-rays with many slices then you have MRIs which is magnetic resonance imaging where we actually use spinning magnets in order to visualize the body in a way that doesn't create radiation so there's no harm from the Imaging there may be indirect harms from finding out the results but the actual process itself is not harmful to humans with the exception of if they have some metallic Parts on their body or they walk into a room with metallic items there should be a safety button in there that'll overheat the magnet and kill it the problem is we can't access the button it's on the front of the machine which I'm assuming is somewhere behind that girl okay tell your staff to step away please what about the metal in our uniforms I was just getting to that help me help me we're gonna get you down but I need you there are safety standards it's called OSHA occupational safety and health administration I hope I said that right where you don't need to go in your freaking lingerie to go and rescue someone is there a way to clear but I'm hearing a Strider possible pneumothorax what is the use in talking about his lungs like he's an inpatient in a hospital when he's acutely jammed [Music] you guys can get dressed now bilateral test race what does that mean it means your lungs didn't collapse why does it hurt so much because you cracked some ribs just rise first of all and that means he doesn't have flail chest which means that his ribs aren't broken I would not go ahead and venture to say that his lungs aren't injured I would like to hear bilateral breath sounds in all lung fields in order to say there's no new authorities when I left my ex Julian he said that he would ruin my life and ever since our divorce I've been feeling I don't know different Eliza are you all right is she pregnant oh she has some kind of very aggressive parasite I need you to hold still for me okay and you should close your eyes for this part little tug I don't know if this is ideal for people to do in the field given the fact that some of these worms can actually attach to the intestines through like Hooks and such and as a result by ripping them out you can actually cause trauma oh it is roundworm by the looks of it there's different types of round worms almost all the more treatable by uh medications called like albendazole or melbendazole these are just anti-parasitic anti-worming deworming agents could be a hookworm could be a pinworm hookworms are usually a little bit bigger and they can actually enter your body through skin going through feces ridden soil in underdeveloped Nations it can actually end up in your intestines as gross as that sounds sometimes the pinworms can lay eggs surrounding the anus and then like a young child can scratch that area and pass it on to others that's why day care centers oftentimes have outbreaks and there's a test we do it's called Scotch tape test where overnight we actually put a piece of Scotch tape on the anus and then take it off bring it in look at microscope see if there's eggs on it sometimes if you vomit from a laying down position you can get some of the vomit into your lungs and that can be quite problematic because in vomit there's acid acid going into lungs can create a pneumonitis and over time can even create a pneumonia she's setting a 90 Cal if you're sadding low that means that you're not oxygenating your blood she also looks like she's unconscious and not breathing and if you should check her and she doesn't have a pulse you should start a chest compression Nancy start compressions oh thank you with your presence you can those are the worst chest compressors she's pushing on her freaking throat this is a 9-1-1 show they don't have a medical specialist on board say stop pushing on their throat by your great power heal this woman we've got her back oh well I'm just gonna have that lady be with all my patients and saying nice things inhaler by the way for those who have asthma that's triggered by colds it usually happens as a result of overreaction to the cold air sometimes even to the cold dry air and it causes a type of bronchoconstriction there are some people that especially before exercise in what we call eib which is exercise induced bronchospasm from cold weather like this can actually get relief by using an asthma inhaler before the sport and then they actually don't need it afterwards there's a huge amount of worry in parents in children who have exercised induced bronchospasms to the point where they're like oh I'm not gonna have my child play sports it's exact opposite playing sports is good for them and a lot of athletes actually have some kind of exercise induced asthma or just maybe regular asthma altogether and they still perform a very high caliber oh wow it's cold in that water his heart rate's definitely slowing as a result of the dive reflexes that's so scary never let children play on Ice there is something to be said about drowning in really cold water where it actually slows the heart rate down through that dive reflex and as a result makes your body require less metabolic demand means that you can survive a little bit longer without brain injury three warming protocols really important here does that mean he's dead no ma'am you're not dead until you're warm and dead we're gonna do some when we say rapid rewarming we not only can put obviously heat packs around the body Etc but we could also give warmed up fluids throughout the body as well through the IV and those are the worst chest compressions I've ever seen in my life machine what is this yes please tell me your heater works look what is she what is this she's literally going like this broke my webcam well to find out who's not to shoot audacity to take on Tara's 96 ounce which is about 78 ounces more sirloin than any mortal should eat in one sit 78 ounces of sirloin is a huge load of fats and sodium that's where my main concern comes from because like if you eat a lot of protein okay whatever but sodium quite dangerous fat could be problematic it can start forming gallbladder issues just nausea vomiting uh oh that's a concussion we're gonna get you out of here as soon as possible Sonia is there any chance that you're pregnant I'm pregnant with prime rib BP is 90 over 60. but her heart rate's 116. I don't think it's a heart attack you don't judge whether or not someone's having a heart attack if they're hypotensive and tachycardic hypotensive meaning low blood pressure tachycardic meaning high heart rate in fact when someone becomes hypotensive that means that they don't have enough fluid or something's going on where they're losing blood you're basically losing volume in their circulatory system in their plumbing system when you don't have enough pressure there you can get the blood to certain areas of the body like the brain and vital organs your heart can try and compensate for this by pumping faster so you're becomes psychicardic it becomes a faster heart rate that's cardiac output so the fact that this person says oh she's not having a heart attack or she's having a fast heart rate is complete BS can you tell me what year it is Tuesday concussion just doesn't make any sense yeah she hit her head it makes total sense it's an eating contest why are they diagnosing her stabilize and bring to the emergency room set her place there with the empty pictures oh yeah she was throwing them back this is hyponatremia water intoxication we need to reposition her no no no no no no no you do not look at empty glasses and say someone has water intoxication you stabilize them so that they're not dying in the field you bring them to the hospital and you allow people to do a blood test that will very quickly confirm or deny your supposed diagnosis here grab me a catheter and a Foley bag we need to divert fluids now divert fluid from where that's when we get around the regular the hospital handle this we give our catheter now we can liable her bladder's about to burst it's my call how does she know her bladder is about to burst when someone becomes hyponatremic and their sodium level drops below 135. usually that happens as a result of medications or health conditions like kidney issues but it could also happen through something process known as water psychosis where people who are not in a well-mental state chug a lot of water and that essentially dilutes the amount of sodium that's in the bloodstream because when you have low sodium that could mean you have excess fluid or actually low sodium that you're getting rid of too much sodium so in a person who consumes a lot of water they end up diluting the sodium level as a result tissues start to swell and the reason tissues swell is because the water starts leaving in order to try and equalize leaving the bloodstream and goes into cells and when they swell that could become problematic especially in areas of the brain where there's limited space swelling can actually cause brain death metal unplug the battery Judd Marjan make sure there's any fluid leaking it's going to ignite facial stuck no no leave it alone Don't Force It let's just see what we're dealing with first TK put them on a life pack copycat Hey sir we are here to help can you tell me your name looks like here's a sub not sub girl yeah subcontractival Hemorrhage BP Spike and cap we're looking at possible orbital compartment syndrome no you're not stop making up things I'll give 15 right now different diagnoses that are more likely than what she just said this person is on drugs because they're wearing a night costume out in the middle of the day they have a concussion because they just got hit by a car they have a brain bleed which could be a subdural or epidural hematoma they could actually have an aneurysm that's ruptured they could just have cranial Hemorrhage they could also be having Cardiac Arrest because of uh chest trauma like the amount of things that could be going on before she makes this ridiculous diagnosis is insane BB's coming back down to earth yeah cap look at his lips and I do not like this rash it's erythema like that could be a raccoon sign because he fractured his basilar skull plate this isn't a regular head worm this is carbon monoxide poisoning which explains the delirium how did she get to carbon monoxide poisoning well this could be something about five blocks from you there's a novelty pizza place swords and slices come on man carbon dioxide poisoning is very real if people die every year in the United States because of carbon monoxide poisoning it's usually a result of a terrible accident going into a well ventilated space solves that issue and the reason carbon dioxide poisoning even happens is because the carbon monoxide actually displaces the oxygen on the hemoglobin which is the oxygen carrying portion of the red blood cell that now can carry oxygen and as a result you start having really bad health effects it's a medieval Mass Capital yeah and what they don't have a CO2 detector find the control and shut it down oh once you get the people outside and that will help all of them we're gonna need more O2 off the truck no good yeah just use the last cylinder 02 about five minutes ago also how about bringing into a medical center instead of treating them right there on the street we should eat here sometime placing dope [Music] want to learn the secret to happiness click here for my interview with the professor the doctor of Happiness most viral Ted Talk on happiness actually click here to check that out and as always stay happy and healthy [Music]

Dr.

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