I'll teach you how to become the media's go-to expert in your field. Enroll in The Professional's Media Academy now: ...

doctor-reacts-to-dramatic-lifeguard-rescues-bondi-beach

Doctor Reacts To Dramatic Lifeguard Rescues Bondi Beach

we watched some incredible medical scenes from Bondi rescue in the past and you really enjoyed them so let's check out a few more of the most extreme scenes caught on camera let's get started at South End a young Surfer suffers severe stomach pain my question would be is it post trauma or is it just in the middle of Surfing and no [Music] accident surfing rela just just out of the blue out of the blue uh gets me worried for some kind kind of a appendicitis type picture especially how gentle he's being with his abdomen if you're having some sort of serious inflammation within the abdominal cavity that's called an acute abdomen and during an acute abdomen like for example if I have a patient trying and jump on their heels it hurts way too much they want to keep that area nice and steady now tell me is it definitely in the middle here it's not on the right hand side here it's a little bit here but mostly in the yeah but uh per umbilical pain can be the start of an appendicitis because the pain can start there and then travel to the right lower quadrant afterwards also known as MC Bernie's point it's a little bit to the right hand side which may maybe he appendix I'm not sure but he's saying it's more Central and just a little bit to the right that's enough of a sign you got to rule it out and not just ruling it out with the Cat Skin you need blood work to see if there's an elevated white blood cell count which could be a sign that potentially it's getting worse or it ruptured where there's an infection lifeguards administer methoxy fluin all right leave it in there better known as the green whistle this is an anesthetic it's a medication that is supposed to relieve pain for short term cuz after about five or six breaths you start getting the pain relief and it lasts minutes not hours you know in a situation like this it's kind of eh if you want to use it ideally you don't want to give strong medication to numb pain when you're trying to come up with a diagnosis because imagine you numb the pain and the patient thinks they feel better but the problem has not resolved you can get into real big trouble I would say air on the side of caution sit with the pain a little longer get to the diagnosis before taking the pain medication he's saying hopefully it's really simple and the poor kid screaming get him help get him out of the beach his excruciating pain was caused by a blocked intestine wow what after a night in hospital and a few days rest he's back at Bondi that's incredible what gave him an obstruction was it an obstruction of his actual bowels or was it like a mesenteric ES for those who don't know mesenteric esia is when you have a blocked blood vessel in the abdomen that is so incredibly painful but also an intestinal blockage could be problematic the only issue is if you have an intestinal blockage usually that comes with nausea vomiting because the contents can't move forward so I need a little bit more information to diagnose that case Dane attends Leo a 28-year-old Brazilian man he's unable to move his arms or legs oh my God so in situations like this what could happen is is there could be a spinal cord injury uh that can be causing temporary paralysis quadriplegia of arms and legs uh it could be more serious injury where you have a full destruction of the spinal cord at a specific region vertebral fractures bony fractures or it could be just a very severe concussion uh with a shock to the brain and even bleeding in the brain probably go for swim on on the ground can you [Music] [Music] may they should bring a proper c-spine stabilizer a board in order to make sure that you move them out in the safest way possible without causing further damage part of what you want to do uh especially during traumatic episodes is to secure the environment make it stable make it predictable being on the beach is the furthest thing from that 1 [Music] two a spinal board will immobilize Leo on the way to hospital there we go all the things that we mentioned earlier the only hope is that Leo's symptoms are caused by severe swelling and not an irreparable break based off the mechanism of injury and you could predict a lot from the mechanism of injury it would be a low suspicion for something that dramatic to have happened where you have a full spinal cord injury destruction based off the mechanis injury alone I suspect he will get better but obviously you don't know and with the spinal cord injuries that's very commonly the case that you don't know how well someone will recover until you give it time surrounded by loved ones the Brazilian dancer started his journey home as a quadriplegic Leandro will now have to learn to talk eat and breathe on his own again oh that happened he must have had a pre-existing injury and then something else happened or it must have been a much stronger fall than it was described earlier cuz just from a gentle fall just so unlikely for that to happen across the railing a guy screams out and says Harry there's a baby dead up on the road what Harry has grabbed a defibrillator and oxygen kit absolutely and even the defibrillators have different settings and attachments like the pads are different for Pediatrics than they are for adults usually uh children above the age of eight on most of these defibrillators are considered adult and can use adult settings but um an infant would not fall into that category we need the Pediatric ones the baby showed no signs of life it was not breathing not breathing pulseless you got to activate basic life support which means chest compressions and rescue breaths and chest compressions on a baby are obviously much different you're pushing with fingers as opposed to uh two hands the baby has reportedly fallen on its head from a height but it's unclear how the patient is an 8we old boy resuscitating a tiny baby presents major challenges absolutely lifeguards must urgently administer manual CPR lifeguards decide to ventilate the baby with a bag mask and oxygen which is the correct protocol I started to see the rise and fall of the baby's chest oh my God this is so this is working this is effective what I'm doing that doesn't tell us everything in that moment because if you're bagging the baby you're manually inflating the lungs it doesn't mean the baby is breathing on their own if you're no longer squeezing the bag and the baby's chest is rising and falling that's a good sign I hope that's what he means after around the 8th n9th breath I hear the baby cry that's a reassuring sound to hear this baby scream was just the greatest moment ever what's interesting about a baby's skull especially newborns is they have areas where you can basically touch through the skull they're called fontanels and they take some time to close so in a situation like this when a baby falls it could be so devastating if it happens to fall in one of these areas and in general the head is a little bit softer it's not as strong and hard as our heads are ours as adults not long after lifeguards get used the baby is likely to pull through without major complications amazing don't know how they know that the baby has no major complications from a developmental standpoint given that takes some time to show but uh at least uh out of the woods acutely in the short term what I saw next just you know absolutely shocked me to the core oh no oh no hello  the woman is unconscious and not breathing unconscious not breathing in the water is a really bad sign because you don't know how long they've been there and if they've been there too long their brain have been has been deprived of oxygen that can cause serious lasting brain damage the situation is critical inste three pumps the first thing you got to do is is get the de when you're getting a person out of the water and they're unconscious you want to start CPR right away and unlike the CPR that we recommend on the street where we just say hands only CPR here you are giving rescue breath further out the situation has become much worse just saw the person face down just lifeless and face down oh no the man and the woman are from the same family remember when you're also uh a victim of drowning a lot of people think that there must be so much fluid in the lungs there's actually a reflex that protects our Airway and prevents a lot of fluid from getting into our lungs and even the small amount that does make its way into the lungs is eventually absorbed due circulation so a lot of people think that their lungs are full of water that's not usually the case to have two people unconscious at the same time I've never seen that in my my lifetime of being a life guy is there no faster way to get them back to land than just pulling them on a surfboard it's been 3 minutes since the pair were found face down the human brain cannot survive without oxygen much longer than 6 minutes yeah it it can survive uh it just starts becoming incredibly damaged and you start developing what's known as anoxic brain injury without oxygen anoxic You Can Tell She's already cyanotic she's blue that means she's not breathing 4 and a half minutes after OD bjorg was first found singlets Begins the vital compressions curx prepares the defibrillator and you notice he's drying her that's an important part of using the defibrillator od's heart rhythm is in Flatline and she can't be shocked yeah so Flatline is not a shockable rhythm that's why so many times on gry's Anatomy when you hear and the patient Flatline they run to get the defibrillator that's not what it's for in in a situation where you have Flatline you give chest compressions then you can give medications like epinephrine 15 minutes after the pair were found faed down how many patients you got two the prospect of successful resuscitation is becoming less likely by the second I can't believe it takes 15 minutes for First Responders with medications or ACLS Advanced cardiac life support to get there that's a really long time to respond paramedics fit an ACG machine to oddur hoping to identify electrical activity in her heart and then out of nowhere he said oh hey boys I think I'm getting a faint electrical activity there next minute you know we heard we've got activity there's a pulse come back well you don't judge uh whether or not a patient has a pulse based on electrical activity cuz there is a condition called pea which is pulseless electrical activity where it looks like on the monitor that someone has a normal pulse but unless you fully feel it and feel the heartbeating that might not be real with this sister revived family members turn to their brother-in-law but after 30 minutes of C that's a long time paramedics call an end to the resuscitation wow well I can't believe they caught that on camera I was just sitting in the tower watching the water and we got a knock at the door and she said ah hi uh you rescued my sister and I was like oh so sorry um I just said you how how is she and she's like this is her for me to see her with life in her body and Life In Her Eyes was incredible that's amazing that they were able to bring her back and she felt good that quickly remember this is a healthy person experiencing this situation due to unfortunate situation within the water but in reality when this happens in hospitals when someone is already really sick or maybe even really frail and then they undergo chest compressions potentially breaking ribs causing internal bleeding when we revive them because they actually were clinically dead when we revive them they often times are not at that same Baseline they were before cuz they weren't healthy to begin with they were already frail so that's why I want folks to know that even if we resuscitate someone it doesn't always mean we're out of the water especially in situation like this please never show these Tik toks to your doctor click here to check them out and as always stay happy and [Music] healthy

Dr.

Related Videos

Consultation & Treatment

Consult With Loading Doctor Data