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doctor-reacts-to-survivor-medical-emergencies

Doctor Reacts To Survivor Medical Emergencies

[Music] I'm a little dizzy what's happening first bit of movement from Lauren just a slight adjustment what's happening trying to keep from going numb probably she's about to pass out see anything I'm about to black out wa oh my God oh my God oh my God medal why he wait to run over she announced it oh my God what happened Lauren passed out just keep going just keep going she's got people around her Vic she's okay yes so this is probably a vasil vagel reaction or not enough circulations going to her brain she's probably going to come too real quick Lauren you just fainted yep damn it I didn't get the the golden buzzer whatever they have on this show imunity Idol yesterday a piece of sand got in my eye and I guess I scratch my eye oh corneal abrasion is so painful the corne has some of the most nerve fibers in the entire human body like concentration wise tearing visual difficulties pain pain pain pain it got swollen and I couldn't sleep at night oh that's an infection my man needs antibiotics the first thing I'm going to do is try and have a look inside your eye so the way that we do this in order to do an exam for a corneal abrasion is we put a fluorescent stain we put it's like a little thing on the edge of the eye it puts a stain in you just have to be really careful cuz it could permanently stain in contact and close and and then we either use a woods lamp to light up the eye a pen with a blue filter or a proper way to do it is a slit uh lamp exam you could see if there's any cornal abrasions there based on where the deposits of the fluorescent stain go what I need to rule out is that he hasn't got an abrasion or an abnormality on his cornea which is the clear part that covers his eye so the only way to do that is to put in an orange dye and I'm able to see things more clearly okay okay so that's a fluorescent strip basically when you put at the edge of the eye it makes the eye really orangey and yellow it actually looks like there is what I would call a divot in his cornea oh that's a problem is there something we can do out here no unfortunately not antibiotics anti-inflammatories okay oh what happened oh my God he's burnt he's burnt pretty bad he burned how did he burn himself what happened oh passed out passed out fell on fire out in the fire stay in the water stay in the water he fell into the fire I I was blowing on the fire and the smoke went right in my face and I inhaled and I passed out there must have been some toxic fumes there cuz smoke inhalation for a short period of time is rarely strong enough to cause you to pass out instantly the only way that can happen is there's some kind of chemical process going on like something burning causing a poison sensation when you're in around a fire there's a few things that can happen that could cause you to to not get enough oxygen a fire essentially Burns and eats up off that oxygen so it can cause you to asphyxiate also when you're uh burning something you naturally create carbon monoxide which when you inhale actually binds with the hemoglobin in your blood which normally carries oxygen and competes with the oxygen that you're also inhaling to bind that hemoglobin forming carboxyhemoglobin and then that circulates through your body not giving your tissues the oxygen that it needs and as a result you can die from carbon monoxide poisoning we've seen that time and time again and the way to reverse that is by giving a patient a ton of oxygen to sort of out compete that carbon monoxide that is already floating around and the blood trying to bind to the hemoglobin another thing obviously that could happen is like a chemical burn of your trachea and that's really problematic you need a breathing tube for that oh I can't decide whether I should keep trying to bend them or not okay so burning of the hands is is a very big problem I mean obviously a lot of nerve fibers on your fingers and hands in order for you to feel the world around you as a result that means it's going to hurt a ton more and then on top of it because of the way Burns heel on this area specifically you form contractures so you're usually going to need multiple surgeries or procedures to keep those contractures from forming I'll take whatever you give me I'll take the pain without I'll do whatever you guys say Bre Bre oh look that's the pen that's the pen we saw in U Bondi Beach how did they do this before we had pain control that's all I think about I'm actually worried I'm not sure but I think I got a bug in my ear a that's why we have ear wax but instead of crawling out it is getting deeper in my ear well it's not getting deeper like there's there's no real place for it to go it's not going to crawl into your ustation tube I can't sleep I can't get comfortable it's just disgusting hearing these little legs crawl around in your head oh SC you can have did it lay eggs in her ear it's coming out it's out there it is there it is that little thingy think get out of your ear I'm not going to make it work what is that little thingy it's like a little worm it's like a miniature salmonella salmonella Solomon Beauty pulls it out second place finished reward for beauty nothing for braa but an empty lonely afternoon back at Camp they look hot and dry and I point out dry specifically because if you're in a hot environment and you're not sweating that tells me that you're potentially susceptible to heat stroke Caleb water did we just predict a little something something head up move out move out move out okay so heat stroke is really dangerous especially in environments like this because you lose the ability to cool off see your natural temperature set by your brain a part of your brain called the hypothalamus and it usually sets your temperature to around 98° F 98.6 is the T typical Norm that we use but it does fluctuate a degree or two when you're in this position your temperature starts going up and not because of your hypothalamus and you lose the ability to cool yourself likely because you're dehydrated likely because you've tried to sweat and it's been inefficient so as a result your organs can start failing your brain can stop functioning you can go into a coma like heat stroke is one of the deadliest parts of being outdoors and usually it's accentuated by activity so strenuous activity like being on the show Survivor dude we got some water coming hang in there all right the first thing you'd want to do is obviously give water with water you're able to sweat and when you're sweating you can evaporate that liquid and then as a result cool your body off cuz remember when evaporation occurs the surface of the skin does cool down anybody back out which is what they're doing buddy you're in really good hands I want someone to do some vitals on him like check his vitals I need to know what his pulse is what his blood pressure is I need to know if he's neurologically intact so Joe you're giving him fluids to rehydrate and what we're going to give Caleb some cold intervenous fluids trying and bring his temperature down fluids internally that are cold will actually speed up the cooling process process now something we do with patients whenever we cool them down with a solution like that or spraying them with cold water the body's natural reaction sometimes is a shiver which increases the temperature and that this is not a time you want that to happen so we would actually give a patient the muscle relaxer like a benzodiazapine to help calm them down to decrease that shiver response in order to allow us to cool them down Caleb you know there's only two ways you leave this game other than being voted out and that's quitting which you clearly are not doing and that is a doctor saying they are too worried about you to let you continue you don't want to be pulled buddy you don't have a choice yeah it's a doctor's call yeah you don't want to mess around with this cuz permanent brain damage is not something you want to be a contestant on Survivor okay yeah Mountain St Neil actually blew its lid this afternoon huge chunk of pus came out and then there's something even grosser on my back okay that doesn't look good it looks like some kind of animal bite there's some kind of necrosis happening there the black T isue I mean I'm I'm looking to see that you know what what it could potentially become and that one is in the skin but there's nothing under there I think will immediately be damaged so assessment on this is what um it's a big nasty spot he said it's a big nasty spot is that is is big nasty spot a medical diagnosis these days yeah I don't know what that is and it's definitely not lifethreatening in the moment but like in the jungle I would love to know what could have caused it like this person obviously know knows way more than me and being close to a joint like the knee is that more serious correct having the an infection near the knee puts you at a higher risk for septic arthritis which is an infection of the joint or an osteomylitis which is an infection of the bone both those are quite serious and require IV antibiotics is his wound that bad the front one doesn't look terrible it just looks like there's some tissue there that's forming to uh create sort of the next layer of healing what you want to look for is the tissue surrounding it like is the redness starting to spread is there streaking happening some fluctuance below the wound basically signs of a cellulitis is what you're looking for I didn't see that on that initial look migraine nightmare back pain from sleeping on the floor I think it's a it's really bad Bru had really horrible stomach pains he's had pains for about 4 days now and he just got really unbearable for him the worry here is appendicitis obviously that's a surgical emergency colitis would be a big problem too you're going to need antibiotics for that I'm going to assist you first before I can uh just start giving you any treatment that's really important with abdominal pain that you don't give uh pain medicine too early in the treatment before you examine because you might not know what's going on don't don't don't uh the areas where he's pushing looks like it's an appendicitis technically append itis starts on the right lower quadrant but there's been stories of patients having it in the center of their abdomen then migrating to the right lower quadrant some people having uh contralateral pain on the opposite side so like there's never a clear answer with appendicitis especially it depends on where in the course of the appendicitis that you are early stages late stages has it perforated now is spreading through your entire abdomen I can't R out that is known as appendix sure Point getting transported like that with a appendicitis would be so painful because any kind of jiggling of the abdomen of an acute abdomen is so painful that's why one of the special tests we use is we have a patient jump on their heels to see if there is a truly acute abdomen they'll tell you right away they'll scream and tell you it's terrible they ran some tests and found out that his entire digestive system his colon and his bladder were blocked nothing was coming out what are they saying he was constipated something doesn't make sense he had such bad constipation that it was also blocking his bladder cuz the colon runs from here across up and then down and then becomes the small intestine the bladder is down here in the pubic area the only thing that it could be a vesiculo vesiculo colonic fistula where if you have a a passageway in between created between the colon and the bladder where feces can actually travel into the bladder causing an infection and a blockage I can't feel my hand why can't you feel her hands all right you're all right you're all right I'm right here with you you're all right you doing all right I can't if I'm panicking or dehydrating hey medical Dr Joe Dr Joe Dr Mike we're all first name here my arms are cramping up that's because you breathing a little bit quickly all right what's wrong with Hann I don't know you're not going to let me die of course I'm not you're not going to let me die I love that he's God and he controls who lives and dies this is just because you're breathing a little bit quick H so if you breathe out too quickly you can actually create an oxygen carbon dioxide imbalance like sort of overblow off carbon dioxide and as a result caus acid base imbalance in your bloodstream I knew coming out here that panic attacks are something that I'm prone to but I just didn't want to be one of those people well panic attacks can make the situation worse because uh during a panic attack you feel tightness of the chest you start getting anxious when you're hyperventilating you release too much carbon dioxide and when you release carbon dioxide which acts as an acid in your blood you actually shift that to have your blood become a higher pH which makes it more basic that's why people say breathe into a a bag because then you reinh Hal some of that carbon dioxide oh really that's where the bag thing is from yeah here's a list of 10 foods that can actually kill you click here to check that out stay happy and healthy

Dr.

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