Get started with Odoo today and level up your business: https://www.odoo.com/r/jwF I'll teach you how to become the media's ...

doctor-reacts-to-shocking-er-visits

Doctor Reacts To Shocking ER Visits

the ER is an interesting place but did you know there's an actual show that goes into the ER in the UK called Bizarre ER and it shows everything I'm about to watch it and react huge thanks to ODU for sponsoring this video let's get started beop we're heading to Northampton General where slack George student Holly Thompson has arrived at A&amp;amp;E that's emergency room in the UK completely unable to close her gaping Gob oh as Holly can't really talk right now probably best tell you how she got here so in a situation like this when the jaw is stuck open some people call this open lock jaw if you gently open your jaw there's a very small amount of motion when you open your jaw past a few inches the jaw actually has to come down and out and when that happens the jaw can actually get stuck on a piece of this bony prominence that's on the skull and as a result end up in a situation like this cuz remember the mass at muscle that sits there keeps everything tight hly was at College enjoying a particularly riveting lesson of government and politics now I know why her Ambassador muscle was tight I get stressed out talking about politics too or learning about it or inspired by the political ponderings Polly opened wide for a yawn I guess I would yawn too her massive mouth maneuver caused her jaw to dislocate leaving her unable to close her cake c yeah there's a little disc in there that provides padding and sometimes that disc can almost be dislocated literally speechless hly frantically nudged her classmate try she might she couldn't help Holly shut her mouth and the pair had no choice but to interrupt the lesson a lot of those situations Panic sets in and the musculature gets even Tighter and as a result it's harder to move the jaw back into place so what you want to do is try your best to relax not Flex the muscle and actually move the jaw side to side gently to see if you could rattle it back into its place my name is air one of the doctors obviously I can see your mouth stuck in the open uh has this happened to you before no hurt that sorry she said see this is the situation where I go and get a piece of pen piece of pen this is a situation where I get a pen and a piece of paper to allow the patient to write so that they don't stress their draw out further by keeping Holly's mouth wedged open with wood the jaw muscles will get tired unlock and allow the doctor to click her laughing gear back into place again what you're doing is you're trying to fight the pressure of the mandible the muscles that are on either side of the jaw and as a result result loosen the jaw down and back into place relax close your [Music] mouth that's it back down finished the doctor's digits are safe and Holly's jaw is back where it should be and she's even got a souvenir of splints for the mantle I always love to see a happy outcome Darren had built his daughter's a Wendy house to finish the roof he'd laid some tar sheets which he was Heating with a blowtorch whenever there's a blowtorch involved and an ER I get nervous but Darren lost his footing reached out to stop his fall but instead put his mid straight into the molten tar oh the hand is one of the worst places to burn during a burn and a burn to this severity you're going to get contractures which means that the skin tightens and forms Scar Tissue when that happens with the hand the hand becomes less functional that's why in a situation like this you need a hand specialist for ideal healing in as well as working with an occupational therapist to make sure your fine motor movement doesn't suffer to the capacity that it can after a burn of that magnitude sending him and his red hot hand spiraling 6 fet towards the ground and he fell relief he got from this Roofing mishap was when he forced his boiled and blackened bits into the dog's bowl yeah in a situation like that you don't want ice you want room temperature water cuz remember when you're going from extremes of temperature going into room temperature water is going to feel cold in comparison to the heat that you just experienced but also in comparison to your own body temperature remember core body temperature is around 97 98° so when you go into room temperature that's 70° it's going to be much cooler with the wound unwrapped the Troublesome tar has well and truly attached itself to Darren's Palm but he's lucky dunking his hand in the dog's water will have prevented more serious scarring removing the tar is tricky its consistency causes it to stick tightly to the skin I don't know if there's value in removing the T are quickly odds are that skin is very damaged and will likely peel off and fall off anyway and by doing that scraping motion on tissue that hasn't healed yet could potentially cause more damage Graham Smothers the hand INF flamazine which will not only treat any infection but will soften the tar making it much easier to remove 24 hours later and Darren and his sandwich bag are back it's throbbing quite badly it feels Jolly tight now that's what the contracture that I was talking about it makes it very difficult to move the hand the overnight soaking INF flamazine has worked the tar comes off easily but the blisters have grown and are now ripe for bursting what I'm going to do I have to let the fluid out right so you'll heal well quick is that going to hurt always like a Dr V your other hand is free just give me a slap okay A little humor and Healthcare goes a long way as long as it's appropriate I've seen doctors miss the mark on that with Dr off to get the needle Darren reveals a lifetime of phobia up until the age of 14 I I passed out every single injection and you should never be popping these blisters on your own please allow a sterile environment and a trained medical professionals to perform a procedure like this especially on the hands there's so many small structures that can get infected resulting in Long hospitalizations needing IV antibiotics just don't do it and Dr D is obviously from the school of thought that confronting your phobia is the best way to cure it it is but usually through a process of desensitization where you work your way to confronting the full phobia blisters form to protect the skin underneath releasing the serum will stop the discomfort the discomfort comes from the pressure that's built up and releasing some of that pressure will help but the presence of the blister is there to protect that skin so allowing it to be there and form healthy tissue underneath Is Not a Bad Thing unless it's getting so big and you need to see medical help it's all over and a relieved Darren has managed to lift through his treatment now it's about letting the hand heal but again you want to early mobilize it in order to maintain functionality of the fingers back to the ER just a second but first I want to tell you about ODU a business management software with a full Suite of integrated apps it allows you to bring all aspects of managing your business into a single platform check it out they've got apps like an integrated CRM counting Sales Inventory management and even human resources maybe you have a company that sells products like I do with my merchandise ODU has apps for production planning scheduling and even real-time inventory tracking these tools are essential and all under the same Hood their interface is super userfriendly and makes it so easy to bounce around between different apps improving the efficiency of your day-to-day operations no matter the kind of business you run the best part your first app is free for life from there you can pick and choose which apps you actually need which means you don't have to wind up paying for a bunch of products you'll never use click the link in the descript subcription to get started with a free 14-day trial of ODU and level up your business all right let's get back to the ER along with breaks and abrasions blood is an all too familiar site at Northampton General A&amp;amp;E yeah I don't know if you can be a doctor or a medical professional if you're uncomfortable with the sight of blood what they don't see every day however is someone who's been bleeding out of their beak for a week and that's not just bad cuz you're losing blood it's also not good for the digestive system it can make it really uncomfortable down there in terms of bowel movements I suppose it did start on Monday morning when I went into the office I wonder if he's on a blood dinner patients frequently they're taking blood dinners for a condition like atrial fibrillation or if they're taking aspirin as a form of secondary heart attack prevention they have worse clotting and as a result they're more likely to have these bleeds that are uncontrol Roger tribles began with a polyp a buildup of hard skin on the inside of the nostril the pollet was removed in a routine procedure but a few days later bleeding began why did it take him a week to get seen poor guy with congealed blood backing up in Roger's nose and throat drct Salvia knows what's coming and kits herself out accordingly are they just going to cauterize it and burn that little blood vessel that's causing the bleeding like Carol you're a little squeamish you'd be well advised to look away now oh no oh no as the bolster comes away a nostril full of congealed blood comes with it coagulated blood for the Americans and once the no is who it out Dr salia's next step is to insert creamed packs up the nostrils to prevent further bleeding so in certain cases we do recommend patients to use a a nasal spray like afron which is not known to be used for nose beds it's more so for a congested nose but the way that it works to help aid in congestion for a short period of time we don't like it for more than 2 3 days is by constricting the blood vessels in the nose when they constrict you have less mucus production but if you think about it if you're bleeding and constrict those blood vessels will decrease the bleeding as well and it's something that we have recommended in the past for patients or even used in the office I'm just going to put this and hopefully um this would uh stop the bleeding okay all right so no need to quarterz anything no unfortunately for Roger his throat is filled with more of these blood slugs there's only one simple way to get them out how is he getting those out without gagging time for Carol and anyone out there watching who's not keen on the site of blood to look away again oh he is gagging oh that's that's my weakness after a quick gargle and a rinse it's clear the bleeding still hasn't stopped and Dr Salvia tries a new approach inflatable packs yeah so this is like the rhino rocket that we have but again just cauterize it this seems so weird sorry it's just horrible oh it's not nice H sorry and I you can numb it there's numbing medication it's a whole 3 days before doctors give the go-ahead for the removal of Roger's packs the ice is going to constrict the blood vessels on the bridge of the nose so when the packs come out there won't be any bleeding hopefully I mean this is like what they do post sinus surgery but I don't know if bleeding resumes now Roger will be straight into surgery sorry you're all right yeah that was a little more that's all right God what a pleasure must be getting those things out of your face it's a sudden shock to find you can breathe through your nose again it's wonderful I'm a very happy chappie you never like think about how wonderful it is to be able to breathe from your nose and for me I never get that Joy cuz too much boxing damage an hour later Roger's out of bed and ready to go home first thing you want when you get home nice cup of tea I'm really looking forward to that I would enjoy a nice cup of tea make sure it's not too hot otherwise you can get a little warmth and uh blood vessel dilation four-year-old Oliver Simpson has come to A&amp;amp;E with his mom and Gran after putting something where he shouldn't oh no a marble and a nostril put a bit of Lego up there oh Lego see how big it is yeah this happens quite often uh in our pediatric WS but in most cases the way that they're removed is just through air pressure either Closing one nostril and having the child breathe out very strongly from the one where the Lego is stuck but generally the child has to be about 3 years old to understand what you're asking of them if they're younger generally medical professionals will have a parent closed one nostril and the parent blow into the mouth of a child and the thing just pops right out and green oh stressed out aren't usually a problem but drawn into the lung this piece of Lego could be fatal that's a concern a lot of parents have especially when you're doing air expulsions it hasn't really been documented in the literature that in a competent patient who has reflexes to protect their Airway that that little thing goes into the actual lung or or bronchus is pretty rare mom Lisa is going to blow hard into 's mouth in the hope that this will blast the bong out of his beak but things don't go quite to plan your mouth just a just a Simpsons swing over to ENT where Specialists Dr Singh and Dr Salvia are ready and waiting that could mean that it's in the posterior cavity and it's a bit deeper you will use a crocodile we call it an alligator forceps I use that sometimes when a patient has a giant glob of ear wax and I could visualize it and I can get like the whole piece it's a really great way to get something out of there or if a piece of Q-tip is left in there cuz they're digging in their ears with Q-tips which I recommend that you absolutely don't do squeeze h on today don't move squee on so this is where few things need to come into play mom needs to do a good job securing the child cuz it's securing them for their own benefit or if the child's really really upset sedation is always an option avoid any further tears or trauma ol's put under general anesthetic before the team get to work extracting his bizarre Bogey and here they could use a camera Way by sucking out the snot before going in to retrieve the tiny toy Intruder oh they got it out out now it's out now is it I can breathe now let's go Ali did you feel dizzy or anything prior to fall no but Jerry Clark didn't even make it to the pub before ending up with this bizarre Bend oh just located finger he just tripped on the The Crossing and then picked him up and his finger was a very peculiar position I would agree in my medical opinion that that is in fact the peculiar position for a finger sister Brooke administers a bit of pain relief nitrous oxide otherwise known as Laughing G laughing gas there you go it's working all right the Jerry's laughter is soon cut short oh Dr Simon all arrives to click the wonky finger back into place this is called a reduction a closed reduction after a local anesthetic to num the pain it's time to put an end to Jerry's Bender as long as I don't see him doing it I'm surprised this isn't an open reduction internal fixation with some Hardware the joints are nicely in line so oh so it wasn't a fracture clear dislocation with the x-rays all clear Dr Ola assesses the nerves can you make a fist for me well it doesn't look like David Haye needs to lose any sleep but it does show that Jerry's drink in hand is back in Action wow I based on the location to me it looked fractured but look at that x-ray it looks great Northampton General is no stranger to real life drama but this budding panto Dame has been upstaged by his unsightly should make a diagnosis without a full history without a proper physical exam but I'm suspecting an elron btis this freaks patients out and when I tell them like you could just go home with this you're fine they're like really Bly rofer Steven was doing his bit for charity by taking part in a fundraising pan the plan was to enter stage left perform a forward role and present himself and his Bloomers to the audience but Steven somersault went a bit squiffy he careered into a cast member and bashed his arm it's usually trauma driven like that although I have seen episodes of bratis in that area happened as a result of people leaning on their elbows for long periods of time during work computer time Etc you just got to be careful that it's not an infectious btis but you would know that based on symptoms and history what you got is basius in your elbow you've got a smaller collection of fluid it's a little sack that sits and lubricates the joint there and what happens is that when you knock it it will increase in size with fluid and the btis itself which it you've got it's quite impressive normally they'll come up they'll come up quite slowly that's cuz he has a traumatic btis and there is probably some bleeding happening there and a massive inflammatory response which could be drained but not necessarily sometimes we just put put a little protection in that area and it'll go away and it kind of resolve on its own there's no fracture and the super siiz swelling will gradually subside by itself I wouldn't do that I don't like limiting shoulder Mobility or elbow Mobility because of that because what ends up happening is you can develop adhesive capsulitis or uh frozen shoulder so I actually want to encourage Mobility I just think more about protecting the area so they're not bumping it over and over again for a prize of a piece of chewing gum James's mate bet that he couldn't jump onto the TR from the first floor window with a canvas surface that was good to soft he mowed over the odds made upstairs James but back up in the air much higher than it oh both the radius and Anna or is that a humorous fracture although I'm sure he's not laughing hello James what happened oh I thought this is an adult the whole time I'm like oh did this person get a little bit Sauced up with some beer or liquor and a 2-year-old okay he's not a 2-year-old can you wiggle your fingers for me that's it the fact he can wiggle his fingers is good but the X-ray results oh that's a humorous that said no more the distal part of the bone is no longer connected to the proximal part of the bone which is the rest of the bone literally the humoral head just so James has rushed into theater and safely under a general anesthetic the surgeon set about cutting the elbow open a lot of blood vessels there a lot of very serious blood vessels brachial artery there's nerves wires will be needed to hold it in place so out come the power tools orthopedic surgery looks so vicious like I'm sure everyone's seen that clip of a person just going ham and hitting but you have to to manipulate bone bones are strong using the scanner the surgeons continually check that the pins are being inserted in the optimum position if you ever look at an x-ray of someone with Hardware in their ankle and their elbow it's really cool to see how the pieces of Hardware are still in that body what's interesting is those pieces of Hardware can become sources of infection cuz bacteria can live on them the newer ones are better at this but sometimes you actually have to remove all the hardware it's not enough to just take some antibiotics you actually have to remove the hardware remove the source and then put it back in so it's not a pleasurable thing if you get into infection in your Hardware the wires will stay in for about 3 or 4 weeks and then we'll take the wires out and then we'll allow him to then start mobilizing his his L PT o t prescribe now I actually reacted to a lot of different trampoline injuries click here to check that out learn your lesson and as always stay happy and healthy [Music]

Dr.

Related Videos

Consultation & Treatment

Consult With Loading Doctor Data