Doctor Reacts To Grey's Anatomy Plane Crash Episode

One Time

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Transcript

00:00So Grey's Anatomy has a plane crash episode. I've been on a plane where there's been an

00:04emergency. Let's see how it compares to Grey's Anatomy. Let's get started.

00:21Post-plane crash, that's gonna happen.

00:30Oh, that is a bad place for that object to be.

00:44Oh my God, don't pull it out just like that. I don't know where they are in this plane crash,

00:48but if you're in society and there's an object that enters your skin, don't rush to pull it out.

00:54Allow first responders to get there because sometimes that object is putting pressure

00:59so much so on an artery that it actually stops blood loss. I know it's counterintuitive to leave

01:04an object inside of you, but if you're stopping bleeding, it's better than ripping it out and

01:08causing a ton more bleeding. Oh, she did it so abruptly. At least put massive pressure

01:15on that area right now. She's looking for boo. That's commitment to boo.

01:29They're like, we don't have enough drama in the hospital. Put them in midair.

01:46Is she under the plane? Well, Mr. Obvious, her heart's racing and she's short of breath? Yes,

01:55she's bleeding out and she was just involved in a plane accident.

01:58You're all out of breath and you're all tachycardic.

02:01We gotta get her out of there.

02:08Pop it back in. Pop it back in.

02:11Oh, what is he, what is he doing? Wait, wait, wait.

02:13With her shoulder? Shoulder dislocations are very, very painful, but then once

02:17they're reset, they feel better. And then if you need surgery in order to reduce it,

02:20it's called an open reduction internal fixation, meaning that usually you need

02:24hardware for a fracture and such. Oh my God, that was so dramatic.

02:30It did not need to be like that. Oh, there's my boy.

02:42Oh no. How did he survive?

02:44Knowing nothing about this plane crash, there is nothing around him to pad his fall.

02:50He just fell on his body from the sky and pieces of the plane fell on him and he's chilling.

02:57Should be played by Hugh Jackman at this point.

02:59That's a Wolverine reference for those who didn't know.

03:10Grey's Anatomy, where you go to the hospital to get your heart broken.

03:15Yeah! Again. One, two, three.

03:22Someone has not been doing his deep squat protocol.

03:27Lexi, run it down for me.

03:30My legs and my pelvis are crushed.

03:32See, crush injuries are incredibly complicated,

03:34especially when you return circulation to an area.

03:36Sometimes you can have massive inflammation response, massive electrolyte imbalance.

03:40Certain bones can create a fatty embolism,

03:42which can get into the circulation and end up in your lungs.

03:44My chest feels like it's gonna explode, so it's probably a massive hemothorax.

03:52The hemothorax is massive bleeding inside the thoracic cavity.

03:56And that's problematic because if there's massive bleeding in the hemothorax,

03:59it can interfere with the heart's ability to pump,

04:01because the heart needs to expand to fill and then pump and contract.

04:05We gotta get the oxygen from the plane.

04:07Okay, and fluids, fluids. You need water bottles.

04:09And the tubes, the oxygen tubes.

04:12We can get the fluids. We can get the fluids. Okay, go get them.

04:15I just don't know what you're doing. Like, maybe you're buying some time.

04:18Oral rehydration in a situation like this probably won't be fast enough.

04:22I always make fun of people going to IV drip spas,

04:24thinking that this is somehow gonna cure their hangover

04:27faster than just drinking water in terms of hydration.

04:29But in a situation like this where you're hypotensive and dying, big difference.

04:34I can't find him. I looked everywhere. I can't find him.

04:37Maybe he's fine. Maybe he went for help.

04:39Maybe, but I gotta keep looking.

04:41Meredith, help Lexi.

04:47You could just tell, like, he's not filling out those scrubs.

04:50Like, if he was just a little bit more into the lifting lifestyle,

04:53he was following the Dr. Mike Izzertel protocol.

04:56He would have thrown that wing like it was butter.

04:59Butter?

05:02I feel like he has, like, a little olecranon bursitis going on there,

05:05maybe from the trauma.

05:06The bursa is actually a sac that lubricates the joint,

05:08and if you have trauma there, it can get swollen.

05:10Develop, like, a golf ball on the elbow.

05:11I love you. I've always been in love with you.

05:15I will always be in love with you.

05:18Which is why you have to stay alive.

05:21We...

05:22We're gonna get married.

05:24I don't know the love backstory here,

05:26but if he never said that until now,

05:29and he's using that as a lie,

05:30and he's really just gaslighting her into this,

05:32don't gaslight someone to stay alive.

05:36See what happens when you love bomb somebody?

05:40Keep it together anyway.

05:41Do you think Derek is dead?

05:43I've got PTSD, so you know I'm not reliable.

05:50I heard your voice.

05:51He heard screaming.

05:53I thought I was driving.

05:55Oh.

05:56Oh, you're more worried about that than him falling out of the sky?

06:06With eyewash solution too?

06:07I mean, anything to clean out the wound, I guess, is smart.

06:10That tourniquet is smart.

06:11Not just wrapping an article of clothing,

06:13but actually creating a lever on it is smart.

06:16You need that extra ratchet right there.

06:17They actually sell some supplies.

06:19You can keep it in your first aid kit,

06:20and I think that's quite valuable.

06:37I don't know if he has sensation to that arm anymore.

06:45It looks like it's mangled.

06:47Just closing it lightly like that is not gonna do much.

06:50Remember, it's about putting pressure.

06:52He has a tourniquet on there, for God's sakes.

06:54You're already cutting off massive circulation to that area.

06:56Doing that, I don't even know what's the added thing.

06:58What, are you gonna take off the tourniquet?

06:59It's gonna bleed like crazy.

07:03Sorry, I'm laughing at this gruesome scene,

07:05but I just can't.

07:06It's so ridiculous.

07:07They're putting a safety pin in hopes the safety pin

07:09will stop the bleeding.

07:10How ridiculous.

07:11Mark, we need to start a fire.

07:14Mark.

07:15Mark looks like he's stressed.

07:16Mark, get up and help Mark.

07:18Get up.

07:20He looks unwell.

07:21What if he's bleeding internally?

07:23Mark.

07:23He looks blue.

07:24He looks cyanotic.

07:25He's not getting enough oxygen.

07:29Oh, blood force trauma to the chest.

07:32Cardiac bleed.

07:34Tell me they're gonna do open heart surgery in the forest

07:36with a safety pin.

07:38It's a cardiac tamponade.

07:39Oh, yeah, I'm sure.

07:42I'm sure without your little ultrasound probe,

07:44you were able to do that.

07:45Are you sure?

07:4675%.

07:49Oh, man.

07:50That's not very sure.

07:51If you want me to be sure, get me an ultrasound.

07:53Well, at least she's honest about the ultrasound.

07:55Have a cardiac sac and relieve the pressure

07:57or his heart will stop.

07:58With what?

07:59We don't even have an 18 gauge.

08:00Okay, hold this.

08:01Keep the top off.

08:02Is that hairspray?

08:03Use the tube.

08:04Brilliant, brilliant, okay.

08:05Brilliant?

08:06Is that brilliant?

08:06I don't know what they're planning to do.

08:08This tube be long enough?

08:10I'm going in subcycloid knife.

08:12They're creating a chest tube, but this is ridiculous.

08:14The heart sits within a sac called the pericardium

08:17is the covering of the heart.

08:18If the heart is damaged in some way

08:20or the pericardium is damaged

08:21and the blood vessels start leaking blood

08:24into the pericardial sac,

08:25imagine it starts putting massive pressure on the heart

08:27and as it beats and it keeps secreting more blood,

08:30pumping more blood into the sac,

08:32the less room the heart has to function.

08:34And as a result, the person slowly starts dying.

08:36And if you put some kind of tubing into said pericardium,

08:40you could actually allow that pressure and the blood out,

08:44therefore allowing that person

08:46to potentially heal and stay alive.

08:47Oh my God, it's a helicopter.

08:59He couldn't figure out how to use the flare gun?

09:01Come on, man, you're a surgeon.

09:03Oh, they found them.

09:05Or they're dreaming about being found.

09:06My sister.

09:07Where's Lexi?

09:08Where's my husband and Christina?

09:10Just lay back and relax.

09:11I have to get, all right.

09:12I have to get to my sister.

09:13All right, hold on, hold on.

09:14Hey, you can't go in there.

09:17That looks like reactive psychosis

09:19where she had like a really traumatic event happen.

09:22And then as a result, maybe some hallucinations,

09:25auditory or visual delusions.

09:27They actually call that brief psychotic disorder

09:31based on DSM-5.

09:33If they sedated them,

09:34would there be a benefit to sedating everybody

09:36once they're on the plane?

09:38If they're putting them on a coma, yeah.

09:39But otherwise I don't understand

09:40the benefit of sedating everybody.

09:42Unless they were just wild and out of control.

09:44Sedating people that don't have capacity

09:46to protect their airway actually can be quite dangerous.

09:50Oh, that's a broken hand.

09:51There was damage to the second metacarpal

09:53but the first MCP joint was completely crushed.

09:55Oh, his thumb's not gonna work.

09:57So Boise did an X-fix.

09:59I revised it to an internal fixator.

10:00Well, that's an ORIF as we talked about earlier.

10:03Your hand was badly damaged.

10:05And I think conservatively,

10:07I can get you back to 80% function.

10:09That's very hard to know

10:11in the beginning stages of an injury.

10:13You need to see how progress is going in rehab

10:15in order to make any kind of reasonable estimate.

10:17What's that line?

10:18Hold her.

10:19Get someone to straighten her out.

10:20Get somebody else to straighten her out.

10:22I got it.

10:22Oh my God, is everyone going through reactive psychosis?

10:26And why is she in a C-spine stabilizer?

10:28Wasn't she up and moving and running around?

10:29Or do they just not know who's who?

10:31The combination of extreme exhaustion,

10:33dehydration and exposure

10:35seems to have put her in a state.

10:37What do you mean?

10:37We think it's reactive psychosis.

10:39I mean, it could also be just full-on brain damage

10:41or a post-sictal state.

10:42Sometimes after a seizure,

10:44patients will behave very, very abnormally

10:46and not know that that's even happening to them.

10:48And these kinds of reactive psychosis, if you will,

10:51lasts for like one to 30 days

10:54based on the DSM-5 criteria.

10:56What the hell did they do to this guy out there?

11:07If he's got a pulse, why are we still shocking him?

11:10God, where the hell is Shepard?

11:11Avery, tell me what's going on.

11:13Torres, where you been?

11:16Pretty amazing recovery, right?

11:17Yeah, his stats are good.

11:18He's been weaned off pressers.

11:20Yeah, BP's 110 over 60.

11:21You think it's a surge?

11:23It might be.

11:24I don't know. I don't think it is.

11:26What's the surge?

11:27Oh, they're saying like terminal lucidity.

11:29That's a wild call to make

11:31and something you could easily rule out.

11:33Basically what they're saying is

11:34before like the last few hours to maybe days in some cases,

11:39some people have a resurgence of energy

11:42where their brain sparks this massive,

11:44specifically a gamma wave function

11:47where they seem more lucid than they've ever been.

11:49Patients get hope.

11:50So you have to do a lot of counseling

11:51and explain that in situations

11:53where end-of-life care is being given,

11:54that could be something to expect.

11:56However, in this case, he had a heart issue.

11:58They fixed it.

12:00Why would there be terminal lucidity?

12:02But this is not that.

12:04But in a little while, he'll do what all patients do.

12:07He'll have epiphanies.

12:08He'll tell you what really matters in life.

12:10Ask for his family.

12:11Man is telling dirty jokes.

12:12It's not a surge.

12:14If you think it's that,

12:15please scan his heart and see what it is

12:18and fix it for God's sakes.

12:20He doesn't have a terminal condition.

12:22And if he does, you should be acting on it.

12:25And no one's doing chest compressions,

12:39chest compressions, chest compressions.

12:41How typical, Grey's Anatomy.

12:43Click here to hear about a story of a woman

12:45that survived falling out of an airplane.

12:48Hard to believe, but worth watching.

12:50Click here to check that out.

12:50And as always, stay happy and healthy.

12:54Transcribed by https://otter.ai

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