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doctor-reacts-to-grey39s-anatomy-bomb-episode

Doctor Reacts To Grey&#39;s Anatomy Bomb Episode

gry Anatomy season 2 episod 16 and 17 I heard were the bomb so I'm going to check it [Music] out oh okay immediately a lot of blood screaming person paramedics EMTs need to speak up here um can't tell what's happening here it looks like her arm is inside his chest is she holding together a broken artery a broken blood vessel that is bleeding out her unconscious and bleeding mechanisms of injury are unknown but he has a large sucking chest wound vitals tartic in the 140s BP holding in the '90s with that massive blood loss I expect the TAC cardia to be worse because what happens is when you lose blood your body actually loses blood pressure because there's not enough liquid inside your blood vessels when your body drops blood pressure there isn't enough blood reaching vital areas your brain your kidneys your liver so when your body does to compensate for that is it tries to pump faster that's why the tach of cardia happens cause this respiratory effort absent breath sounds on the right side absent breath sounds on the right sounds like that there's a collapsed lung on that side which can happen with a penetrating injury chest wall injury bubbling at the side of the wound he's shocky and getting a little cyanotic shocky means that his blood pressure is getting quite low which means he's not able to peruse his organs cyanotic means that he's not perusing his skin well meaning that he starts actually turning blue cuz there's not enough oxygen reaching his skin cells from the small little capillaries the small little blood vessels that uh feed the skin its oxygenation why do you have your hand inside my patient I tried to tampen out the wound with gauze and pressure but the only thing that would stop the bleeding was my hand every time I try to move it he starts bleeding out putting pressure on a wound is the most important thing you can do other than creating a makeshift tourniquet on the scene because putting pressure can actually stop blood flow to that area if you stop blood flow you can decrease blood loss there's a chance that some blood vessels specifically arteries that are muscular wall can actually spasm so hard that they cut off circulation decreasing blood loss can I take my hand out now you don't stick your hand inside of a patient when you don't know how he was injured yeah I know that now out of my room she gets to stay she has her hand stuck inside my patient yes so there should be an O being prepped right away if you have an EMT telling you that if I Let Go bleeding is instantly going to happen that means you need to open up the patient prepare them for surgery cuz that means there's serious damage to one of the important blood vessels in the chest you have your finger on a major bleeder Mr Carson is running out of time the only thing that you have won is an all expense paid trip to the O what do you want me to do I want you to make that woman stop screaming and tell us what happened and also make sure that everyone wears face Shields because what he called a major bleeder will squirt in everyone's eyes this is Carlson are you injured can you hear me if you were in the medical field please don't ever do that support be a human first do not yell back at someone who's obviously in a State of Shock is this okay me being in here like this once Dr Burke scrubs in he'll have you remove your hand and then you can go this is obviously not okay because when she put her hand in it wasn't sterile the patient's going to need major IV antibiotics after the fact but in this case it's acceptable why because had she not done that the patient would have bled out and died the tradeoff here of potentially getting infection but to save his life acutely is warranted that's why whenever people make overwhelming or overgeneralized statements about medicine I have to like point out that it's right sometimes wrong sometimes it depends on the situation and on the patient it's why it's so hard when you guys ask me very specific questions about your own health for me to answer them she's fine cute anxiety reaction give her two D of pimpo Cal down she in shock I'll say can you tell us exactly what happened maybe try a different approach dude how about just asking are you okay what happened is my husband and his [ __ ] best friend can you stop calling me a [ __ ] [ __ ] best friend separate them decided to build some kind of big gun we get an exact replica of the Allied anti-tank weapon of World War II and they try to shoot the thing I'm the Gunner James is the loader okay we follow the specifications exactly you should see it it's a 60 mm 1 and 1 12lb rocket where is the Grace anatomy's Hospital Seattle right mhm yeah missiles aren't legal in Seattle I don't need to look that one up he shot himself with the Bazooka like I said morons the pair of them was there an explosion huh was there an explosion no why oh crap how do these guys make a real missile in their backyard or garage Hannah yes Dr bur what do you feel inside of Mr Carlson preface that with please do not move or remove your hand before asking what you feel cuz the Natural Instinct of a human when someone ask what do you feel is to do this do not do that near a bleeding artery or a bomb fact you learned on this channel is your hand touching anything hard um I don't know don't move your hand a little late Bud Hannah I don't want you to move okay you should know you're starting to scare me I would have been a little bit manipulative in this case explain that we're very concerned about the blood vessel and I would put the pressure like that because by worrying about her own life she could faint lose control of the hand and then boom literally boom go and tell the charge nurse that we have a code black and then tell him to call the bom Squad every hospital has their own code structure like on the back of my badge you could see if it flips over there's like the emergency codes and what each one means and I'm pretty sure each Hospital has their own designation there's no universal one although code blue is usually the one for someone's heart stopping so I'm touching live unexploded ammunition I'm afraid so but he's not hooked up to the machine anymore I had Dr Milton take him off the ventilator the flow of oxygen posed To Danger do they have to immediately Evacuate the entire hospital because like there's oxygen tanks everywhere which if there's an explosion is a very big problem oxygen itself is not necessarily flammable it's an accelerate for Flames the more you know they want us to evacuate evacuate they say why uh no but your Pat said c black you sure they said that yes could be a drill even if it's not a drill I can't evacuate I've got an open Brain on the table if anybody wants to go they should go anybody want to evacuate no one wants how about tell people what they're evacuating for like he didn't even give the full story and he's like do you want to leave tell us why what page did you get what happening give us more info Dr Shephard there's an explosive device in the O next door I need you to evacuate now yeah and I've got a guy whose brain is exposed in this table I'm not going to walk away and leave him to die I mean you could reposition him to a safer area at least not next door to where the bomb is pink Mist excuse me that's what the bomb squad calls you when you blow up bomb goes off and anyone in range explodes into a billion pieces this anesthesiologist has not taking a psych in quite some time he has a very anxious individual that's keeping her hand on a bomb and instead of saying warm reassuring statements in order to encourage her and keep her hand on the bomb he's scaring the life out of her trying to get her to vasil vagel and pass out on the floor take this what go ahead now I want you to squeeze it in even beats not too fast is he going to leave whoa oh Dr Milton I've got kids oh that's Savage that's it oh my God where's the anesthesiologist he um he left I think I'm going to take my hand out now no that device is homemade which means it's unstable and very unreliable could be a dad but we have no way of knowing add to that the fact that you got a surge in your next door refusing to leave in a nervous paramedic hand inside the body cavity why is this guy running down a list of everything that's wrong with this situation and not addressing any of it imagine you went into a doctor's office and doctor just rattled off every problem you have with no plan of what to do next not a very useful doctor's visit I am 22 years old I should not even be in here this is some kind of mistake she's backing we need to clear the room they need to diffuse that situation it's a little while longer on [Music] [Music] did she switch hands with [Music] her nobody Mo stay exactly where you are this is the most useless bomb squad person ever I swear if I was there with zero bomb experience I could have handled this situation better than this dude the only thing he's good at is dressing up as team Bob Squad like he's got the boots he's got the whole combat look but no knowledge no recommendations nothing nothing time for you to go no I'm St there's nothing more you can do here we got it cover Christina this is not another cool surgery this ammo can go off at any time and kill everyone in this room do you get that if you do not have a role in this situation you should not be in this situation that is how I would say it and I would say it quite firmly and if the person didn't listen I would ask the cool bomb squad man for his handcuffs and address the situation myself so you have a plan right you have a way to get me out of this right I think this bomb squad guy has never seen nor learned about any bomb I think he got a Halloween costume showed up and was like damn wish I studied bombs emotional damage in the or we put our patients on the journal anesthesia yeah that involves a steady flow of pure oxygen yeah well can't you turn off the oxygen to my o I can and I have but this is your o this is the O floor's main oxygen line we have to move okay I can't wiggle my fingers because we can't shift the ammo and now you want to roll out the entire gurnie well that's our safest safest option what is a concern they've evacuated the whole Hospital you have a person who's going to die whether there's oxygen below you or not what is it concerned the damaging of the equipment I mean there's bigger worries than that first of all the person is no way going to make it medically only in a fictional medical drama could this happen I'm surprised the paramedics didn't start chest compression and explode the bomb on route to the hospital I feel like the correct move here is I think ethically you have to open up the patient's chest he will start bleeding you have to get complete visual of the bomb and only then when you're comfortable potentially remove it which means likely that the patient will die but it decreases the likelihood that the bomb will go off killing everyone else in the room but I think only a bioethicist could answer this question correctly if this was on my board W I would probably fail if this was an SAT medical question I would not answer it cuz the wrong answer loses you points I'm going to extend the wound when I cut bleeding is going to into a far if we're going to save Mr Carlson you have to pull the ammo out immediately patients no longer attack a cardic up there 95 pulse doesn't make a whole lot of sense with all that blood loss how is the girl with the bomb it's Meredith the girl with a bomb is Meredith that's wifey maybe instead of talking about your love interest you focus on the patient who you're operating on their brain at least they're doing chest compressions maybe lower the patient you can get adequate pressure doing chest compressions when you're on the same height as the patient oh he tried the cardiac thump oh obviously it's a medical drama miracle [Music] Now what is my man just going to hold it and rock it to sleep I feel like he didn't even think this through he's like what do I do with it now it would have been great if he's like hey Siri where is he going don't bring it outside to where there's other people and she's chasing it [Music] no I expected this to have a happy ending is my husband um alive yes that's got to be the most fictional outcome ever my man was bleeding out for 5 hours straight with two hands inside of his body and he's just fine even if he is alive in this moment he's in the most critical State ever ICU care where is she she's right here yeah she just decided to chase the bomb that's his ex-wife right current wife oh current wife but he's got he caught the feels she should be evaluated not just showered like we should give her a full neuro exam they're like oh let's make sure she's clean for the next episode that was at the same time expected and unexpected pretty impressive did you if you hear about the eyeball licking craze from Japan click here to learn the truth about that story and as always stay happy and humy

Dr.

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