Next up on the medical drama review series is Chicago Med. I know that the series has multiple shows airing simultaneously like ...

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Real Doctor Reacts to CHICAGO MED | Medical Drama Review | Doctor Mike

they're chicago pd their chicago fire but i'm most concerned with you guessed it chicago med let's get started it doesn't look too bad all right you're gonna be all right good triage 45 year old male left leg amputation treatment two tree motorman gcs3 vp of 90 by pal gcs3 is the glasgow coma scale three is very bad you need to be intubated you're basically in a life or death situation at that moment and he keeps biting down i can't get the blade in look you bag him i'll do cpr if you can't um insert a tube to help someone breathe one thing you can do is you can continue bagging them that still oxygenates their airway it's obviously not as ideal as putting an endotracheal tube in but the most important thing is cpr chest compressions chest compressions chest compressions almost there it's not time yet never ideal to do chest compressions with one arm like that but i can understand if he's been doing chest compressions for 15 minutes it's really tough it's tiring to do chest compressions i've done chest compressions for a while and generally after each round you have a student or a resident standing behind you ready to jump in and start doing the chest compressions because it's all about at least getting two inches of compression to the chest which can sometimes break ribs but it's all about getting them enough time to get to the hospital uh to hopefully save their life i got it from here man nope he's mine okay who the hell is this guy says he's a docs get off the gurney doc i'm a senior resident in this er yeah well i'm your new trauma fellow it doesn't happen like that trauma fellows don't just run in this guy could be anybody you need to see some id i'm all for the show trying to set up the stage for this character but people don't just run into the hospital and say i'm the doctor now get a bp and keep giving him blood send a rainbow of tubes into type and cross get his blood gas and get him to the or type and cross again you're trying to find out the correct blood type for now giving o negative is fine but you don't want to keep wasting the o negative blood so you want to do a typing cross when he says the rainbow of tubes that's basically tubes that are sent off for a wide variety of tests wide array of tests like cbc which is a complete bud count bmp or cmp which is a metabolic panel a pt inr which shows clotting abilities and clotting times no gag reflex didn't even need sedation not good we got another problem this woman's pregnant what he's doing there with the ultrasound is called a fast scan it basically allows you to see if there's any internal bleeding going on especially in the abdomen because you can lose a lot of blood in the abdomen without even knowing that you're bleeding into the abdomen but obviously the situation he's found that this patient is pregnant which complicates the situation even more 20 year old male cystic fibrosis complaining of chilled labored breathing temps 98. jamie that you hi maggie back so soon i missed you guys cystic fibrosis is a it's a deadly illness unfortunately and basically you build up so much mucus in your airway because uh you cannot clear the mucus out of your airway as efficiently as someone who's healthy and doesn't have cystic fibrosis so you get uh very often uh lung infections obstruction in your airway and most people live somewhere into their 40s or 50s with the illness and that's pretty much a life expectancy with someone who has cystic fibrosis mr dilson i see that you're using inhaled antibiotics tobramycin albuterol you wear a vibration jacket at night and use a humidifier the vibration jacket actually helps break up some of that mucus and allows it to naturally come out when a patient coughs very commonly we use something known as chest physical therapy which is almost like clapping on the chest to help clear some of the mucus parents of young children who have cystic fibrosis are trained in giving their children this procedure baby checks out fine healthy heartbeat amniotic sac and placenta are intact gina though i'm afraid suffered a traumatic head injury and so far she's unresponsive [Music] we need to contact her family if you have any information my husband and i are pretty much her family she she's been living with us since before the embryo was implanted that's such a difficult situation i mean to have someone be a surrogate to carry your baby and then they're living with you and they're involved in this horrible accident they have a traumatic brain injury where they're being kept alive by machines that's going to be a tough decision whether or not to keep her alive using machines so that the baby can continue growing and get to at least to a stage where the baby can survive on its own following a c-section man jamie i've got your test results back i wish they were a little more encouraging your you're pan-cytopenic which means that your cell counts are low you've got a blood ph of 7.14 when your blood ph is that low that means you're trapping carbon dioxide within your body uh and you're having obstruction which comes from the cystic fibrosis that's very dangerous because when you go into an acidotic state like that your enzymes within your body can't function and you can you can die i'd like to innovate you put you to sleep get you on a ventilator you're getting fatigued this would just allow you to rest so that the antibiotics can do their job i've been individed eight times i think i'll skip it the purpose of intubating someone who has such a strong acidosis is when you put the tube in it allows the per the person to not work to breathe so heavy to expel all that carbon dioxide the machine basically does it for them and again it allows them to rest and allows the antibiotics to do their job and it improves the ph quicker than the person can do themselves very uncomfortable not a lot of patients like it i've never seen and again i'm not a trauma surgeon i'm not an er doctor but i haven't seen options given that frankly to patients if a ph was that low in my hospital generally we would strongly advise the patient uh to intubate them but again i'm not as super specialized in this field so i'm just going off based off my own experiences [Music] sherry dr halstead i need to blow down her co2 take her off the vent and bag her give her a dose man at all and increase her dopamine trip to 12. right away doctor gina's intracranial pressure is rising what happens after an injury to the brain is just like any part of the body there exists inflammation swelling edema and the problem with having swelling inside the cranium is that the cranium is a skull it's meant to keep things from coming in and protect you but it also crams the brain when there's edema and swelling and it actually damages the brain further and can be fatal so you try and control it with medications you try and give the patient uh something to reduce the swelling in the brain there's also some physical things you can do like elevating the head to hopefully get some of the fluid to come down but in reality if the condition gets worse you need to do the surgery to open a piece of the cranium to allow the brain to swell and not cause increased pressure within the brain intubating jamie is the only hope we have of keeping him alive what's that gonna give him a week ten days it could be six months a year more this goes to the heart of the issue of patient autonomy that they have the right to choose what happens to their body i don't know how old jamie is once you're at the age of 18 or older you have the right to turn down medical treatments you have to write and say that as long as you understand the consequences of what you're doing you can undergo or um skip any treatment that you want nobody can force treatments upon you i understand what the er doctor's doing i also understand what a psychiatrist is doing as soon as we hear something i'll let you know rachel rachel can you hear me what is wrong what's happening i can't find a pulse oh my god [Music] well the medical student is doing the exact right thing call the alert start doing chest compressions right away you're not compressing the heart sir you got to go harder but she's so small i don't want to harder do it let's go come on sarah harder hold there we go back inside it's getting bp what happened she arrested we got her back i can't get an id hey mr girl get an i o line an i o line is an interosseous line in children sometimes it's difficult to put an iv line sometimes they need extra fluids uh what we can do is we can drill a little needle right it sounds brutal but it's really not that bad uh drill a little needle directly into the shin bone and what that allows us to do is to give extra fluids and medications uh to that area i just broke a little girl's ribs [Music] reese you saved the girl's life breaking someone's ribs while doing proper cpr is part of the course and the cpr actually saved lives the ribs are an unintended consequence but they're a side effect of trying to keep the young girl alive this is jorge's yes inside i found this why would you give that to her in this moment that's so unnecessary i promise this will not happen in the hospital what happened with a little girl she had a cardiac contusion bruising caused her to arrest she's good now but it was a real scare sometimes when you have a direct injury to the heart that can cause a contusion which is just a bruise and sometimes that can mess with electrical activity of your heart and cause it to cause you to have a cardiac arrest which means that it just stops the cardiac rhythm actually this is a common scenario during baseball games if someone hits a line drive and it hits someone in the infield directly on the chest if it hits in a specific time of the electrical rhythm you can actually stop the heart jorge's brain was without oxygen for too long paso mucho tiempo we have translators in the hospital for moments like this if you're gonna have a conversation that's about life or death you need a translator there your broken spanish isn't the right way to communicate with the patient he's 20 years old without new lungs he will die [Music] your fiancee [Music] a little unethical here they're talking about the patient's condition to a non-family member it's technically breaking information protocol i don't think they're gonna get in trouble for this i think they're doing the right thing and that's why a lot of rules are open to interpretation and i think here they're looking out for the best interest of the patient and maybe telling his patient information to somebody else but in hopes to save his life so i think legally this isn't right but i think morally and ethically it's the right move going back to the hospital yeah [Music] wouldn't mind being there when he wakes up can i come sure i appreciate that the doctors want to spend their off time with the patient but you know you got to recharge your own batteries you got to get the seven to nine hours of sleep so you can make the best decisions for your patients the following day again you want to be empathetic but you don't want to burn out either because then your future patients will suffer also so it's a fine line between being a good empathetic doctor and burning yourself out [Music] this is a good show quality actors quality script good medical info showed some very unique situations that have inherent drama built into them but they were realistic based off this pilot episode i'm definitely a fan so thank you for recommending this there's another medical show you want to do drop it down below in the comment section and don't forget to subscribe and click that little bell logo to make sure you know every time i'm publishing a new video as always stay happy and healthy [Music] you

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