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doctor-reacts-to-dramatic-lifeguard-rescues

Doctor Reacts To DRAMATIC Lifeguard Rescues

Bondi Beach is one of the most popular beaches in Australia Bondi rescue is a reality TV show that covers some of the drama that goes down on the beach here are some of the most wild medical emergencies that have happened on the show out water ready and then we'll start comess up here all right super important here getting people obviously out of the water for safety and everyone's safety is of utmost priority calling for help is the number one thing you do you don't just yell at you point to someone and say you call 911 otherwise everyone assumes everyone else calls 911 and I know I always say start chest compressions first but for drowning victims you do two rescue breaths first mouth to mouth cuz the mechanism of why someone is hard has stopped and they're not breathing in the water is very different than what happens on land hey K who's doing I'm I'm going I'm going good depth two in deep on those chass compressions good speed 100 beats per minute all right so the fact that he's vomiting means right away you have to turn him over onto his side in order to help clear that Airway in drowning emergencies it's truly Airway breathing circulation like you have to focus on the breathing when you find someone on the street who's collapsed and how heart has stopped you can do hands only CPR but here you have to think about the airway let me explain the difference here actually this is important Nuance when you find someone on the street and they've collapsed their heart has stopped beating but they've recently just oxygenated their blood so there's still some residual oxygen left in the blood throughout the body even though it's delivered most of it so as you perform hands only CP are you can circulate that blood and deliver that remaining oxygen when someone is drowned they usually have no oxygen reserves therefore are very hypoxic in their blood doing hands only CPR does them a disservice instead of giving them some rescue breaths also a lot of people think that the lungs get filled up with water the airway actually clams itself off and prevents water from going to the lungs and whatever small amount of water gets into the lungs actually gets absorbed systemically so it's really about getting oxygen in there as quickly as possible and pumping to help the heart pump that blood throughout the body by actually squeezing the heart physically someone to come up and get a deib the deib is in the tower but dunno can't leave the control post unmanned the defibrillator is something that we use to check if the patient has any sort of shockable Rhythm a lot of times in gry's anatomy you'll see someone go Flatline they say oh my god get the defibrillator shocked up that's not a shockable rhythm what happens is the defibrillator actually stops the rhythm of your heart breaks that Rhythm and allows it to restart so if someone doesn't have a rhythm they're completely flat and you reshock them you make it flat and that doesn't help them at all at that point it's more about doing the chest compressions and giving them medications to advance cardiac life support like epinephrine he's now been clinically dead for 3 minutes 21 and the way you're doing this is 30 pumps uh for every two breaths so you do 30 pumps at a speed of 100 per minute give two breaths continue it's critical that no one touches the man's body while it is Shar can't touch don't touch it you get electrocuted check Airway breathing if needed begin CPR so the modern defibrillators are really good in that they analyze the rhythms and you don't have to look at the Rhythm and try and figure out what's going on it will say non-shockable Rhythm continue CPR or shockable Rhythm remove all people from defibrillator then you hit shock it says shocking on three shock shock shock and then it'll deliver the shock so that you know not to be touching the person I've got a pulse I have A's go yeah got a lot of fluid coming out that's good don't keep B bagging him if he's conscious and he's breathing I know like there's a lot of stuff happening right now but you could actually Force some of that vomiting aspiration back into the lungs you don't want to do that put him on the side no take the AMU back off he's still not out of danger yet everyone stop clapping like you just watch the Jerry Springer episode he was without oxygen for a long period of time and that guy keeps putting the stupid Ambu mask on him stop it he's awake now Portuguese Mana war jellyfish commonly known as blue bottles are blown onto the coast by onshore winds blue bottles have rightly earned the label floating Terror I've seen thousands of people that had been stung by Blue bottles but this day I it was the biggest wel I've ever seen oh yeah they basically leave like Whiplash looking marks on your skin creating a type of dermatitis it's actually really cool how this happens so they have these nematy that are at the end of their test testicles Tentacles when they they hit you with them and they touch you they actually attach to your skin and then inject the poison it and there's been some evidence that putting vinegar onto them can actually help deactivate that Venom and those neaty non-ald Zach has suffered a blue bottle sting over his entire leg enough enough enough all right Dad maybe give your son hug like there's there's toughening your up but when they're experiencing real big pain give them a hug Zach's father is back on his feet as lifeguards administer the green whistle what you got to do is you got to put it in your mouth like this all right and just breathe it in and it's going to take the pain away for you give me there you go wow man The Sweet Sound of Silence these life cards are like can you shut this kid up they got the kid high and he calmed down oh no I hope she's not having an Ador good temp and have you had an allergic reaction before yeah is I know this feeling yeah left untreated Victoria's throat will become so swollen she may be unable to breathe this type of allergic reaction called anaphylaxis actually leads to swelling of the air of the air pipe it also can create swelling of the mouth it can lead to nausea vomiting in some cases and one of the most dangerous things about anif flaxes outside of closing your throat is the major drop blood pressure cuz it dilates your blood vessels therefore tanking your blood pressure not getting enough blood circulation to those vital organs it could potentially lead to death this is why a lot of people think oh just treat it with Benadryl but Benadryl doesn't treat that part of anaphylaxis that's why we need to use these epipens to boost up the cardiac output and decrease the swelling of the oral pathway lifeguard's best chance of saving Victoria is via a shot of adrenaline from an EpiPen and I'm sure many of you have heard the story I've had to do something like this in the air while flying on a gentleman who did not have an EpiPen so we had to concoct the EpiPen through medications that you would actually use if someone's heart stops and they were flatlining same medication different dosage I had to do that calculation kind of on the Fly there was no Wi-fi cuz we're flying over the Atlantic Ocean it was a crazy scene and also this auto injector is nice and thin and small the needle so it's not going to cause a lot of discomfort the one that I had to use is made for a crash card so it's like a really thick long needle and I had to jam it into his thigh he was not happy with me but he was happy after the fact when he survived thank you Dr Mike I really appreciate your help man so I hit over with the EP pen bang held it in for 10 seconds and um I thought that was going to be it okay lay down swe there we go stay with this you right when she dropped on us I was so scared and I thought maybe this would be a race us I suspect What's Happening Here is probably a visor veal reaction when you get really nervous that she essentially lost blood supply to her brain temporarily from seeing the needle go into her thigh this happens quite often in fact the gentleman after I injected him with the the syringe he started telling me that he thought his throat was feeling weird and closing again but when I looked into it it actually was completely open I had to use my iPhone flashlight to do so I realized what was happening was because I gave him adrenaline his throat dried up his mouth dried up like you would when you're giving a speech and you get nervous and as a result he felt like it was closing again but it actually wasn't so it was good that I I was able to check that and not necessarily stick him again with an unnecessary medication and needle Andrea and her cousin Gerald were taking advantage of iconic Bondi as a backdrop for a rollerblading video when things went horribly wrong probably oh patella dislocation it's actually really easy to pop back in but wow really all you do is you put pressure on the outside of the leg and extend the leg at the same time and then it just puts it right back into place and I'm going to just gently manipulate your name I mean I like your wording I know it's not going to be gentle seea there you go extend and pressure pressure pressure pressure a little more pressure and he rolled up there you go it's going to pop right back in there you go it it goes from pain level 10 to zero almost instantly a man's found floating lifeless in the surf see that's sometimes the worst situation cuz you don't know how long they've been under that surf Oppo can't detect a pulse then right away two rescue breaths chest compressions let's go he's not breathing come on come on tagging Tucker is clinically dead the machine reads Tucker's vital signs do not touch patient analyzing rhy I can't get one s the doesn't work on tuo first time oh much faster he needs to go much faster with those chest compressions the third shock has finally had an effect it's getting stronger good good P when you get someone back from uh having no pulse and no breathing it's an amazing feeling the adrenaline rush of it yeah I can attest to that for them they're doing this usually on younger healthy people I'm doing this sometimes on people who are older who have a lot of medical conditions they have a young healthy person who got really sick really fast cuz they drowned then they rescue them they restart their heart and now they're better and they're almost like back to normal real quick for me I have to then now stabilize that patient get medications going check their vitals make sure that their blood pressure is too low get them on pressors to artificially raise their blood pressure get them admitted into the ICU transfer them to a different team of care but this is tough because you cannot control this environment I have much more control of my environment when I'm in the hospital I on oh oh I don't know about sea urants a sea urant is a little sea creature with all these little Sparks that come off it and they kind of hide in the Rock crevices oh dude why do people go in the ocean just hang out on Shore sea ocean spikes carry Toxin and are extremely brittle like needles of fine porcelain they easily break and yet we tell kids go play in the ocean there's spikes with poison in there future Generations will will look at us and be like what's wrong with these people Jesse and Harrison start the delicate operation removing the spines one at a time can they like numb him up give him a little lighter cane Jesus Christ oh look at that one I was told that he was having low sugar levels I've dealt with diabetics and low blood sugar levels before and I know that they need soft drink or they need something sweet to bring those levels back up he could be hypoglycemic as they're saying cuz those who are diabetic struggle to control their blood sugars and sometimes they do drop especially if they give thems excess medication by accident and then he pulled out from around his neck that he also was was an epileptic I mean just call an ambulance like I hate that they're always trying to solve and figure out everyone's medical histories like clearly this person's going through something that they need help and you're not qualified to deliver that help at this moment do you want me to call an ambulance or anything if you have an epileptic fit he's clearly having an epileptic fit what was your name again what was your name again man he's having like an epileptic seat all I could do was hold his pulse and I was basically waiting to see what would happen next that's actually what you do during one of those if they last over a certain period of time we can medicate them in the hospital but otherwise you just have to let it happen in fact restraining them and holding them down can actually cause muscle damage you're my you're Almighty you're you're with us you're Almighty postal phase which is this time after your seizure is actually a very weird time for not only the patient but also for providers because patients often times have amnesia and don't know what has happen they don't know where they are they sometimes can be extremely aggressive so it's really important that there's people there to keep them calm explain what happen and uh diffuse the situation I've had patients throw stuff at mepe one diabetic and what it does it lows me sugar so I can go into a hypo any kind anyway a person with type 1 diabetes is someone who has an autoimmune condition that has resulted in the destruction of the cells that produce insulin so you do not have enough insulin on your own to facilitate the sugar leaving your blood and going into cells where it needs to function so what ends up happening is those patients need insulin artificial insulin to be injected into them in order for them to function normally and sometimes if you don't gauge how much insulin you're putting in in comparison to how much uh carbs and sugars you're consuming you could actually cause yourself to become hypoglycemic have very low blood sugar which can lead to seizures with the crowded serve full of beginners it's only a matter of time before the first Collision that's SI that's oh my God lifeguards won't attempt to put a severe dislocation back in place the only time we do like a a reduction in the field is if we we see neurovascular compromise meaning that there's not enough blood circulation going to an area and as a result part of that area is dying then the risks May warrant um doing that procedure oh my God he going just pop it in what a champ I can't even watch this that's terrible because the hand has so many vital structures in it blood vessels nerves this is why we have hand surgent specialist it's not enough to send someone to an orthopedic surgeon send them to a hand surgeon my gu is just here like my slightly out slightly out it's broken my guy I get over there and there's a gentleman sitting against the drain pipe in a puddle of water quite calm at this stage saying he's dislocated his hip a dislocated hip could be one of the most painful things ever he's had a hip replacement oh my God they they're not ready for the level of pain this person's about to experience moving him to the ambulance will cause enormous pain paramedics administer morphing yeah it's a bumpy ride over rocks and sand before Danny reaches the ambulance he's not Faking It bow and Harry's help a disoriented man with a mystery ailment don't know I'm going to fight yeah his condition is getting worse by the second you okay that mate suddenly he stops breathing if he stops breathing you start chest compressions he's not a drowning victim eventually he comes around that's here to relax as much as possible lifeguards need his medical history well they don't need his medical history they need to call an ambulance and they need his medical history I don't know when it get cold water makes oh he has cold water ticara later doctors confirmed Matt suffers a rare allergic reaction to cold water that causes hives Matt swims had sent him into anhc shock well an epy pen would have gone a long way there but they couldn't have known that you don't recklessly just give epy pens to random people here are some of the worst Fitness mistakes my patients make click here to check that out as always stay happy and healthy look at my tail [Music]

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