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doctor-reacts-to-chicago-fire-wild-medical-scenes

Doctor Reacts To CHICAGO FIRE Wild Medical Scenes

we've watched and reacted to Chicago Med but now it's time to react to Chicago Fire cuz there's some medical scenes you asked me to react to huge thank you to ship station for sponsoring this video we have a fire I've diagnosed that so far drop the hoses come on it's going to fall I see pressurized tanks and I'm already getting nervous get down get down oh no oh no oh no get out oh from my limited fire knowledge you have to get low when the fire goes High we go low when they go low I I forgot to say there was a political joke in there that I totally missed but I tried my best I'd say I'm surprised but I Know Who You Are oh let's get him in come on what am I looking at the fact that they're getting him in before checking what's going on is a little strange to me cuz in a situation like that you want to make sure the patient has a pulse if not you got to start doing chest compressions imagine they didn't check the for a pulse he's pulseless they're putting him inside the ambulance and the whole time he's sitting there pulseless that means no blood is circulating oh those are very significant Birds they almost look not just thermal there's some like some kind of corrosive substance there okay got to love the fake monitors they're saying oxygen level 88 which in a healthy person I'd be concerned about pulse 49 I'd be very concerned about that's braa cardic and also looking at the Rhythm strip that's along with the 49 I would say that that 49 is not really 49 based on how fast we're seeing those QRS uh divots there and then the blood pressure 91 over 40 is a low blood pressure and he looks like he has an aine as well which is an arterial line that gives it more accurate blood pressure 80 over 30 is really low and I saw the temperature 953 oh my God this should be in an ICU setting there should be lots of doctors running around trying to figure out how to save this person's life I love you brother I love you and I'm going to miss you oh maybe this is an end of life conversation and I'm getting ahead of myself maybe not oh he's speaking in Russian he said I will be with you and he shed a tears that means forever I'm assuming he's DNR because no one's rushing to perform chest compressions and for those who don't know there's something called do not resuscitate which is a form that's filled out either by the patient or the patient's healthcare proxy upon admission to a hospital we have to decide what your code status stat is and code status is if your heart stops what do we do do we perform CPR do we not and there are sort of two ways that we go about doing dnrs DN a or DNR B and one of them is for we're going all out we're treating you all out and we're going to not perform CPR if your heart stops the other one is we're full on comfort care we're not interested in treating conditions cuz we see no value for it we're just prolonging harm and instead focusing on comfort and no chest compression so there's two types of dnrs you have to hurry there's something wrong with this baby oh no it's funny she said you have to hurry and then they're like really slowly walking up the steps what's happening the baby's still in the amniotic sack who delivered the baby though and why is she holding it so casually your baby was born in call which means he's still fully intact in the TIC sack okay this is not really a medical emergency you just rupture the sack and we're good good this is really rare though it's pretty uncommon sometimes it happens partially sometimes fully we have to break the sack right away to get your baby breathing yeah usually babies that are born and call have a higher risk of having an issue but it's not because they're born in the amniotic sac it's usually because of whatever condition LED them to be born in the amniotic sac so very commonly premature babies that are born because they're not full size the am natic sack that normally ruptures AK water breaking doesn't rupture because the baby's smaller and premature babies face all sorts of risks but again not because they're in the sack but because they're premature [Music] babies oh my God what the hell no I'm going to venture to say that I think Sigman Freud was born in call if I'm wrong it's going to hurt need the bulb syringe now but there's no vit in the jump bag there's no bulb syringe and no clamps so a bulb syringe is really just used to pull fluid out of the nose or the mouth sometimes when a baby's born there's lots of fluids you you do a really good job suctioning they start breathing a lot clearer born with amnionic sa intact first appar 4 5 minute appar five heart ratees 90 those are really low appar scores appar scores acronym here uh basically tell us how well a baby's doing it's largely something that you can decide for yourself by using your senses meaning your vision your hearing nothing to do a taste I probably should have been clearer with that you want to wait see what the little girl does no no let's do the paperwork and go was an awkward ending line hurry please it's really bad anytime they say hurry the staff just seems to walk slower and like give a sarcastic cynical face oh no oh no oh no [Applause] [Laughter] I'm only laughing because of how ridiculous this is I know you're having trouble breathing but I need you to relax sir I know you have an arrow going through your jugular relax it's all good we're here oxygen levels are good I don't want to sedate him it's better for him to breathe on his own but I can't take this Arrow out we have to leave it in place and get you to the hospital finally someone with a little common sense about not taking out metal objects I can't transport it with this much sticking out yeah I won't clear the ambo and the slightest bump could cut off his breathing make him crash we need to cut this Arrow shorter that's going to hurt him a lot stop stop stop what's WR vibration is giving him subcutanous empyema oh that means they're created a hole in his chest cavity and there's air getting inside of it bubbles are putting pressure on his throat yeah so air is supposed to stay in your Airway once it starts getting compromised by entering into your chest or your neck what ends up happening is it puts pressure on the airway therefore making it more difficult to breathe Violet let's do a figure8 wrap with the CX you got it there's no way that's preventing air that did the trick yeah let's load him up nice and easy one oh my God I don't like how they're moving him I'm not okay with that he should be on a backboard there's got to be a way to stabilize his neck I'm so scared for that gentleman let's take a minute and talk about ship station the fastest most affordable way to ship products to your customers look this has been a wild year and a lot has changed when 2024 started I didn't expect to literally double the amount of dogs I have in the house when it comes to newfies that can be a hairy challenge pun intended my business has changed too and with the holidays 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it was open and she's lying on the ground I don't think she's breathing first thing you do when a person's found down you call for help then you check for a pulse if there's no pulse you do chest compressions chest compressions chest compressions you said it along with me yeah push the furniture away get the cleared space let's figure this out do some vitals no pulse no pulse what do you do chest compressions chest compressions chest compressions so weird that I heard you through the camera she's still warm all right s an IV start chest compressions rescue breaths and chest compressions and in this situation rescue breaths cuz she it sounds like she's been down for a long period of time she's a sisterly what does that mean is she dead no that means you can't shock her and you should be doing chest compressions chest compressions giving epinephrine yes but we have to perform CPR anyway which you're only 5 minutes late that's 5 minutes to brains without oxygen all right start pushing M pushing EP okay switch okay we're doing all right bagging I'm going to call tetri for the DOA and that's a quick DOA I mean you got to give the patient a chance a little bit longer than that like we do it by rounds like you do 2-minute rounds of chest compressions you give the medicine you reassess the Rhythm but they just went nah we got another thing to do oh my God what happened there was nothing we could do she was already gone what about the baby what about what baby sorry say she's she's like eight months pregnant with a girl I don't know what to do I mean I know there's like a a perimortem C-section you can do that's supposed to be done rather quickly at the beginning of a cardiac arrest or just before a cardiac arrest actually it's done not just to save the baby it's done to potentially increase the chances of resuscitating the mother as well don't give up you you do a SE or something we're not allowed to do that ma'am who cares I don't know what you do here I think if I'm putting myself in their shoes I do it even though I'm not trained I just go for it like I'm not waiting for a sterile environment I'm not waiting for anything I'm going for it if it all safer then just do it please it is really not that simple no I just did an obstetric rotation for KET got to grabing on two C-sections can you do it I think so what do you mean can you do it there's no harm to the mother you just pronounced her [Music] dead why did that incision look like it was burnt and caught her eyes I'm through the skin now I'm cutting into the fascia layers time is of the essence here mom is pronounced dead you're saving the baby the baby only so the fact that she's being so careful to do this is really meaningless cuz you're only hurting the baby not helping anyone and I'm glad that she said that the baby's 8 months cuz if the baby was like significantly premature like these days our technology has allowed babies that are born even 22 is weeks premature to survive in the right hands 8 months you're in a much better position because if the baby is significantly premature it doesn't even matter that you have this hero to try and do this here she comes please oh my God newborn itation we're doing the suction again come on sweetie exernal rub I don't know what to do here never been in this scenario say I would run with the baby like a football like the faster you get the baby in the hospital the best chance it has cuz I just don't think they're going to be able to help the baby but it's a show so of course take the baby to the hospital no celebrating imagine they like football day Spike the baby that was a dark thought intrusive thought sorry BR who makes the reception and he you a little oh that's not good whenever I see uh heavy machinery go down I get worried oh no is he underneath it call 911 first because once you get get them free you're going to need support hey bu what's your name Nathan not important call 911 Nathan I need you to close your eyes and cover your face can you do that for me whoa my guy you're at a junkyard full of rocks and metal don't use your elbow or maybe break the part that's not immediately on top of the K and I'm not going to be able to get you out unless I try and pull this out it's going to be just like ripping a Band-Aid off no it's not do not do this alone it's going to hurt it first and then it'll feel much better no no it could bleed a lot because the fact that it's in could be stopping the bleeding and you taking it out can cause more bleeding ready no I'm not ready please don't do it all right okay oh wow shocker his brachial arter is bleeding like crazy and you're going to put a little pressure on it you don't even have a proper tourniquet to put on you got to stay tough for me okay I got to pinch off this artery okay how you going to do that is he doing it by hand okay I got it all right there we go it's done it is possible cuz I've seen this happen during surgery but highly [Music] unlikely wait he pinched it off and then what he has the kid pinching offut oh how we doing bud his arm's dying because you're not bringing him to safety nor calling anyone to get him to safety wake up buddy he's pale and blue cuz he lost all his blood because you didn't call anyone to bring blood oh my God now no one can call for help hey Budd you still with me I'm here don't give up on me okay I want you to promise me bro I would have given up on you so long ago cuz you didn't call for help look at this it's like a homework assignment hey Nathan how'd you start this thing buddy there's no key you think that a child with a ruptured braal artery is going to chill around till the evening no way and the two contacts with something metal what' you use to do it screwdriver oh my God this is so ridiculous this is the next day already honestly I'm all for like a citizen what is that Good Samaritan thing but this is like a bad Samaritan he legit did not call for help got himself trapped spent the night there hanging out and is trying to hijack the overturned caterpillar while reading medical textbooks casually a woman oversees this kids flip-flopping in there fully fled inside this thing K who is this person or bed I don't know how much longer he can hold out we've been at it all night Mom oh my God this is so not realistic it's beyond the fact that the kid remembers him already and the fact that he's fine only on a medical drama come in it's my daughter Maddie what happened she tripped and fell oh and people worried about heavy metal contaminants lead or something from these things okay let's get her seated it'll reduce any pressure on our go okay what happened she was um sipping on her tumbler and she got DED up by Brucey fell face first Brucey what are you doing buddy we have to stabilize the straw before we can move her but let's check the blood coming out for now first check the blood to do what what are you you you can't operate I'm so afraid about what's about to happen cerebral spinal fluid this isn't blood this is cereal spinal fluid the straw must have pierced your cranial cavity we have to call ahead and get under surer fast you have to keep her calm you to stay calm okay and please keep that pup far away all right yeah securing the scene is of utmost importance you want a stable situation that's under your control MD MADD we need you to stay still okay can theya date her you have the limited edition pink tler look at that sedating through the art of conversation I stood in line in the cold for 2 hours trying to get my hands on one of those and guess what happened the lady in front of me snatched up the last three probably should have L flat on the floor if you're going to do that you know another thing in life to worry about walking with straws not paper straws some of these scenes were dramatic but not as dramatic as the gry's anatomy plane crash episode click here to see my reaction for that and as always stay happy and hey [Music]

Dr.

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