• 3 months ago
HEALTHY HABITS:
Healthy habits change your life.

https://rb.gy/qm6cbt
The Ultimate Healthy Habits Ebook⚡️
"The Ultimate Healthy Habits Ebook" is your go-to guide for transforming your lifestyle. It covers nutrition, fitness, sleep, and mindfulness, offering simple, actionable tips to help you build lasting, healthy habits for a better life.

https://bitly.cx/MoRg
Keto Desserts - High Converting Keto Desserts Offer
Book (printed).
"Keto Desserts" is a high-converting printed book packed with delicious, low-carb dessert recipes that fit perfectly into a keto lifestyle. Satisfy your sweet tooth without compromising your diet!

https://bitly.cx/WrAJ
Home Doctor – BRAND NEW!
Book (printed)
"Home Doctor – BRAND NEW!" is a printed book offering practical medical advice for treating common health issues at home. It includes step-by-step guides, natural remedies, and essential tips for everyday emergencies and ailments.

https://bitly.cx/QqkC
12 Fitness Videos
Downloads.
"12 Fitness Videos" is a comprehensive video series designed to help you achieve your fitness goals. Featuring a range of workouts from beginner to advanced, these videos provide effective, easy-to-follow routines for every fitness level.

https://rb.gy/b01vbi
Lost Frontier Handbook
Book (printed).
The "Lost Frontier Handbook" is a printed guide that teaches essential survival skills and self-reliance techniques from a bygone era. Learn to thrive off the grid with practical advice on homesteading, foraging, and more.

https://rb.gy/jle6zd
Herbs For Health - Only Herbal Remedies Offer!
EBooks.
"Herbs For Health" is a unique guide focusing solely on herbal remedies. Discover natural, effective treatments for common ailments using herbs. This offer provides a wealth of knowledge on holistic healing and wellness.

https://rb.gy/ujlkti
Silence Tinnitus and Hearing Issues with Zeneara!
Supplements - Health.
"Silence Tinnitus and Hearing Issues with Zeneara!" offers a natural supplement designed to support ear health and reduce tinnitus symptoms. Experience relief with this carefully formulated blend of herbs and nutrients.

https://bitly.cx/mLHve
EMFDEFENSE™ Negative Ions Sticker
The EMFDEFENSE™ Negative Ions Sticker is designed to protect you from harmful electromagnetic frequencies (EMF) by emitting negative ions. Easy to apply on devices, it helps promote wellness and balance in everyday environments.

https://rb.gy/38zkvk
SurvivalMD
Book (printed)
"SurvivalMD" is a printed guide that provides essential medical knowledge for emergency situations when professional help isn't available. Learn practical, life-saving medical skills to manage health crises during disasters and off-grid living.
https://bitly.cx/mw6D
Old School New Body
EBooks
"Old School New Body" is an ebook program designed to help you lose weight, build muscle, and slow aging using proven, old-school fitness techniques. It features easy-to-follow workouts and nutrition tips for lasting re
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