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doctor-reacts-to-shocking-horse-riding-injuries

Doctor Reacts To Shocking Horse Riding Injuries

the most unique request of injuries medical emergencies horse racing horses in general beautiful Majestic understand humans quite well but we need to diagnose some of these injuries let's get started K Hill at the second last Mar and square reach for it slightly gets the other side just in front from are they supposed to sway across all the lanes like this I feel like they should be all in their own dedicated Lane down towards the last marry and square wandering around had a look at un chip the r oh Tak a horrible fall CB Hill out in front blood force trauma causes massive bleeding internally when the area that's surrounding your heart fills with blood the heart actually can't expand and you develop a condition known as cardiac tampen where actually the rate of bleeding exerts so much pressure on your heart that you're unable to circulate the remaining blood you have in your body and that can lead to death Lewis is absolutely fine unbelievably he walked into the parade ring and was chatting away if nothing had happened okay there's too much of this that I see in sports where a major devastating injury happens and because the person's walking around they're like oh no big deal after a collision of that speed of that mechanism you're going to the ER because the chance that they have a bleed that's expanding internally is so high based on the mechanism of injury if you slip and fall a few feet that's very different than going 40 m an hour on a horse and hitting rock solid stop that type of injury is way more devastating c a wonder and 31 is amazing star hot King prawns down on the inside from stronger three wide lucky patch with cover four wide Den on Smash I don't I have no idea what the announcer is saying cuz this is so new to me then resistencia oh there's a fall coming up towards the home turn it's a really nasty fall down with amazing star Nebo attack and also Lucky Patch htson ended up having a fractured hip and a small bleed in the brain Zach Pon suffered four fractured ribs a fractured wrist and a broken nose yuchi fuka broke his collar bone honestly the most serious one of them all probably is the bleed in the brain four fractured ribs if it's just fractured non-displaced ribs you're not even really doing anything for it the only thing you're really trying to do is make sure they heal with adequate pain control cuz when someone has a broken rib sometimes hard to take a deep breath so you end up splinting which means that you're taking really shallow breaths and when you do that you don't actually air rate the bottoms uh the bases of your lungs therefore that can lead to a process known as atelectasis where essentially the lower parts of your lungs die off and you have less lung capacity as a result so you try and challenge that and at the same time encouraging breathing treatments with something called an incentive SP spirometer it's like a fun little plastic toy where you try and breathe inhale and exhale really hard against a balloon pressure gradient and we're heading down under to the Oak Bank steeple chase track nit Adelaide to witness one of the luckiest sporting escapes ever captured on on camera as jocky Simon Mills comes ACR oh no in these types of uh injuries what happens a lot of times is you get something known as a list Frank fracture pretty unique to horse racing cuz it happens in this scenario quite often his horse s Sagamore had stumbled on the previous fence throwing the 23-year-old from the saddle with his foot still well and truly stuck in the right sterup in a Liz Frank injury the bones of the midfoot that actually connect to the metatarsals can either get sprained or fully broken when the foot is in the kind of unique position where it's plantar Flex it's nothing to joke about cuz it actually is a serious injury that requires heavy heavy rehab and surgery in some cases B misses barrels and runs wild snorts and tosses her head this is turning into a vet Channel Natalie Yanks hard on the rains sending BB that much more out of control wow when the horse flips oh and the horse fully lands on herle horn cut into Natalie's head oh my God almost completely rips off her face her face literally came off it takes 400 stitches and numerous surgeries but they are able to put her face back together that's when people usually get killed on horses at Barrel races is when the horse starts dragging them and their foot's in the Stirrup because their head's on the ground and that horse's feet are coming at that head and they usually get kicked in the head and that that's how they get killed and potential infection I mean modern medical Mar here with antibiotics being able to treat these infections but you're in an area where I'm assuming there's like horse maneuver and all sorts of bacteria and you have an open wound on your face for the fact that we have antibiotic coverage is like wow and if we don't use it responsibly like we're not doing lately we're going to create resistance and we're going to be really unhappy with ourselves cuz once we get a bug that is resistant to all antibiotics you're in for a real problem watch out move out the way are these horses just loose oh my God why weren't they out of the way Crush injuries are really dangerous because when you have a bony Crush injury you can develop what's known as a fatty embolism where a piece of fat that was usually found in the area where the crush injury occurred can get sent into your systemic circulation and then end up getting lodged in the cardiopulmonary tract and that could be absolutely lethal there's also issues uh related to crush injuries that happen not in an acute way but you're laying under something it's Crush crushing your body you're getting this massive release of electrolytes and other factors and then once you remove the object crushing you all those substances get sent into your systemic circulation that can cause a lethal response as well I'm pretty sure it's called Crush syndrome your boy knows some  oh my God the hedges scare me the way oh trample trample injury trample inj injury oh my God I didn't see it it was too fast David burn was taken to the ambulance where he underwent back surgery over the weekend he expected to make a full recovery a Robert Walsh broke his collar bone in the fall yeah I mean these types of bony injuries are not the most dangerous part of it it's when the bone breaks in a way where it can actually impede either circulation or lead to nerve damage and nerve damage off a collar bone for example can lead to a brachial plexus injury which is the nerves that come off to cervical spine and give sensation and motor control to the arm I've seen that actually happen where it creates like a wrist drop the collar bone breaks causes injury of the nerve and then they can't literally extend their their wrist as a result would have at least eight lengths to find probably 10 jumping the third last that's the flight down the side all oh my God all the way down to your fall of there when I got the fall I lost Consciousness yeah that looks like the biggest head injury of all the ones we've watched this far I was taken to hospital with a a 3% chance of survival I never know how they make these claims who in the ambulance is sitting with this gentleman saying 3% chance that's what I'm giving him he was clinically dead for 7 seconds and had part of his skull removed and a titanium plate inserted in order to survive the full a lot of times these craniotomies where they actually remove a part of the skull happen as a result of Bleeding in the area so as the blood keeps pooling pressure builds up and pressure on the brain means the brain starts degrading and actually failing one of the ways we treat this is a craniotomy where they actually take a portion of the skull out and allow area to heal in 2015 at SEL race course Brian defied his life threatening injuries to make an incredible sporting comeback the art of Rehabilitation is truly an underappreciated art that's why you got to give a huge shout out to physical therapists occupational therapists speech language Pathologists or actually many people don't know there's a specialty in medicine called pm&amp;amp;r Physical Medicine Rehabilitation they're rock stars in the space and I feel like a lot of times they don't get adequate representation in medical media that's when jet goes berserk what happened the Colt kicks Roy with all his strength oh my goding him off the carriage oh my God I heard a shot and I didn't know what it was the strength at which a horse kicks is just so scary I would never stand in the back of a horse and I know nothing about horses when jet kicked one hoof grazed roid just below the temple then smacked him again on the way back down oh but the second more dangerous blow happens when Jet's left metal shoe punches Roy's Square in the chest oh yeah that is so dangerous especially if it happens during a very specific electr conductive moment of the heart rhythm that it could actually stop the heart this is called Kio ctis this is what most people speculate happened to Demar Hamlin that a hit came to the center of his chest causing his heart to stop this is frequently why you'll see some uh little eagers wear protection over their chest because they don't want a baseball to be line drive directly into the chest but again it has to happen in that exact exact millisecond was this quick thinking moment right [Music] here while it appears Roy is kicked off The Carriage he actually dives off just in time to avoid another brutal whack from jet and he took like an uppercut to the face just ate that steel shoe I know what that feels like but I didn't get hit by a horse I just got hit by this guy he's played the man of Steel in the Superman film Christopher re Christopher ree is in a Virginia hospital paralyzed and unable to breathe on his own he has sustained complex fractures of the first and second cervical vertebrae that have resulted in an injury to the spinal cord the extent of the damage is not know I'm really glad that doctor said that while we know the physical situation what happen we don't know the exact extent of the damage the spinal cord itself which sits inside the vertebrae which we frequently call the spine but that's just bones that protect the spinal cord inside when that has injury to it a lot of times we don't know the extent of that injury until some time goes by in some instances patients lose the ability to walk they lose sensation they feel numbness and tingling and only after a few days go by can we start understanding the situation more fully that's why when anyone after a spinal cord injury comes out and says I know exactly what's going on here's your prognosis this that unless you know something like more permanent like the spinal cord is severed you're going to be making a lot of guesses and assumptions 42-year-old actor was thrown from his horse Saturday while competing in an equestrian show jumping event in Virginia reev who was apparently wearing a riding helmet landed on his head spinal cord injuries affect areas below the region at where the injury occurred sometimes that gets a little complicated when you're in like the mid areas of the spine the thoracic areas of the spine CU depending on the level you're on you may have uh Sensations in some areas you may have motor control of some areas and others not but if you're having it that high up at C1 C2 you're not going to going to have ability to move you're not going to have sensation it's going to make life significantly different uh moving forward although Frank believes he is born to be a jockey his genetics beg to differ he weighs 142 lb much heavier than most jockeys fate steps in when the owner of a horse named sweet kiss finds himself without a jockey the owner says listen if you can lose 10 lb somehow in a day then you can ride this horse well first of all losing 10 lbs in a day is not unheard of boxers lose way more than that when they do their prein rituals that includes sauna excessive sweating limited fluid consumption fluid restriction diuretic use for people who are pushing to the extremes and they're recommending that I'm just talking about what people are doing not healthy but possible we are talking about Shadow Boxing we are talking about running fasting not drinking water losing as much weight sweating doing whatever he can to drop as much weight as possible the next day when he weighs in he actually loses 12 lb it's about 8 1/2% of his body weight this sort of rapid weight loss is really taxing on the body it's definitely taxing on the body and the biggest reason for that is electrolyte shifts in order for muscles to work you have to have a really good electrolyte balance it's not even enough just saying that there's enough of them it's having enough in the right places and the way that electrolytes are distributed in the body largely has to do with how much fluid is in your body so if you suddenly have a drastic decrease fluid that can actually Spike the amount of electrolyte you can have in a specific area if you don't have proper electrolytes people think oh well yeah you cramp but remember what also functions with the aid of a muscle your heart is a muscle your diaphragm your breathing muscles these are all also run by muscles and if the muscles aren't firing properly you could die the horse that Frank Hayes is riding sweet kiss enters as a 20 to1 Underdog the Far and Away favorite in this race is a horse named gimme who was expected to just run away with this race so is it gimme Frank is living the dream and he slumps forward at one point during the race hold on a second is this the guy that we did the thing on there you go ah run baby run he commanded as sweet kiss inched further and further ahead of the competition he crosses the Finish Line in this hunched position he has won the race Frank hay has done it he has achieved his dream of being a champion jockey but he finished the race winning the race as a dead man Frank Hayes falls off the saddle face first into the racetrack as it turns out Frank has had a heart attack he died before crossing the Finish Line This is the part of the story that I think is kind of BS if you weren't having EKG leads on him while he was riding the horse you're making that up Frank Hayes becomes the only person in horse racing history to ever ride across the finish line of a race and win as a dead man cool story I've used it before I wouldn't say it's necessarily true I think he died in the midst of a race is it before the Finish Line was it after the Finish Line hard to say technology wasn't Advanced enough to know when he had the heart attack like did we draw serial troponin the muscle enzyme that is released into the blood when there's cardiac damage did they even have an EKG in the 1920s look up when did EKG become used for heart attacks by the 1930s in 1923 it's very unlikely that they were using the EKG to be uh making the diagnosis of chest pain from a heart attack this is a mysterious death doctors can't explain if you want to see more of them including That animated story click here to check that out as always stay happy and healthy there we [Music] go

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