ER Doctor Breaks Down Movie Injuries | GQ

hey what’s up y’all I’m dr. Atala Brown emergency physician and this is the breakdown first up we got Scarface all right in emergency medicine we deal with blast injuries all the timers things that come from these types of mass casualty events the fact that they were that close to the blast is worrisome to me Barrow trauma to the ears or pressurized injury to the ear because it’s a tight space right and then you’ve got other things such as what’s flying through the air because of a blast so shrapnel matter from the buildings in the body actually being thrown in the air is another degree of trauma so imagine being lifted off the ground and then slammed to the ground with this tremendous force I don’t know if they would even get back up right away if not it had the ears ringing alright stop I don’t see a guy being able to continue to shoot after that specifically because where it hit him so he got hit left upper thorax area so like left chest heart you have lungs anytime you hit someone center mast they’re gonna have a very poor outcome bleeding a lot or he should be able to talk like that I mean he’s taking at least four rounds that I’ve seen the first one itself was lethal so I don’t know how he could continue to have this monologue in real life I mean this guy definitely is not standing he’s gonna pass out in any more that’s it that is it that is it it’s a wrap I mean he was talking and then all of a sudden $0.50 that’s it gets hit all over the chest but I just was thinking about like as I’m rolling this in my head if he is still on cocaine look he would have bled faster one of the side effects or the actual main effect of taking cocaine it’s a simple mimetic which is like a drug that boosts all of your your senses up so it would benefit him to have taken cocaine and to already be in this fight or flight type of scenario but if you are hitting a vital artery I don’t know if that would be a real thing to see someone go this far in the fight most shotgun wounds are Lee he gets hit one time all those other guys shot him about ninety seven times in nothing happened apparently but this one it is the one that good night see next up we have us don’t trust people who walk like that alright stop that’s real the way that she got stabbed through the back of the hand I would be concerned that after this she couldn’t make a fist very realistic injury something that I see extremely you know often in the emergency department I take my hat off to her to continue to fight after this not gonna be able to grab that that’s just what I believe my grabbing that I don’t know she’d be able to create enough force to hold it if thumb might be okay unless the blood supply is compromised but as you watching there’s like no blood dripping behind her if you’ve ever seen a hand injury it bleeds like crazy I’m talking about is consistent flow and if it’s an artery which is what I think she probably had severed that artery is going to continue to put out blood like high output she wouldn’t be able to continue this far without us seeing evidence of the injury whoa all right these wounds that go through the abdomen except for this one is at the level where I think it may have gone through part of the diaphragm and it may even go into the back so I mean let’s play a little bit longer oh yeah so it’s all the way through here I don’t have to tell you you see it but for it to go front to back it’s possibly affecting spinal nerves she’s not gonna be able to walk from or move anything from that level below I’d be more concerned about at that angle what part of the heart does she hit like I think she may have just severed her aorta maybe that diaphragm I think she pierced through so I don’t see being able to

even make the motion to breathe in in and whistle because that rod went straight through both the fixation with the handcuffs that’s pretty brutal man I got a problem with where movies that have this like sound of crunching it’s not like that easy to go through all of those structures and all of a sudden magically get two vertebrae and just I don’t know if that happens like that so I think that the crunch is more than likely from something more anterior in the front of the neck not so much posterior all right the next book we’re gonna see whiplash okay look why don’t you just tell Fletcher that I copied your mother stop there’s a lot of lessons to be learned just from this part motor vehicle accidents like one of the top the leading causes of death in young people you’re talking on the phone totally distracted driving a car and they’re setting it up just like it happened when it comes into my emergency department I’m sorry yeah I worry off the top about him being thrown and joseline in the cars if car flips you’ve got an entire different set of things that you’re worried about loss of consciousness head injury so his head struck something in the car glass broken that projectile if the car is basically bent in on the side why the driver his lower body is entrapped he’s lucky I mean he’s this is what I’m talking about this is a super common thing that we get an emergency department they will bring us someone who was in a rollover accident and they come mangled I mean seatbelts are extremely helpful and try to reduce injuries like this but that type of deceleration or quick shearing force if it wasn’t an airbag that hit him or the steering wheel that hit him then it may have been inside of the car itself like a coup contrecoup the phrase that they use which basically is like some cool French word which means that the head strikes on one side and impacts and then the the opposite side will also impact he may have struck something on one end and the force threw him in the opposite direction he struck the wallet car again I would not be getting up out of the car a lot of times what happens on the scene is some will get up and then they go down immediately because they didn’t realize that they had an intracranial bleed you think everything is cool if they go down we call that a lucid interval I would definitely not recommend standing straight up vertically walking around because I’m worried about him hasn’t bleeding that’s not visible I’m worried about his neck having an injury in a vertebral align me do not move but if you’re worried about the vehicle blowing up man crawl Lieutenant Dan it out out out the body woke up and said we were just in a car accident yes you were and that’s why I don’t think he could continue the performance he would have difficulty trying to hold the sticks that match grip wouldn’t be as easy him trying to to like keep along with things and hear things all of those senses could be compromised by pulling blood inside things next up Kill Bill Vol tooth if you’re trapped inside a coffin oxygen is going to be an immediate concern I think that you’ll only be able to survive like a matter of minutes in this situation her core temperature might be a little bit elevated trying to figure out what’s going on in this situation the cool thing about people who are this highly trained sometimes they’re able to lower their heart rate and lower their body temperature the core temperature so that’s like upper echelon type of warrior stuff she might be able to do that I still don’t see that giving her a considerable time advantage you can’t make more oxygen exist in this space the fact that your rebreathing carbon dioxide would make it a little bit less likely for you to do this type of focus that too punch train boxers or train fighters know exactly which knuckles to strike with and how to limit the likelihood of a fracture any other random person off the street who was trying to punch their way through a coffin one I don’t think they’d be able to get that far – they’re definitely gonna break a hand I’d expect them to have fractures of the ring finger and the pinky finger because they don’t know how to throw a punch properly whereas heard she probably has already had so many fractures that the bone itself that’s formed in a certain way to be strengthened so that she wouldn’t the fracture Hannity another thing that doesn’t make sense to me she’s deep underneath the ground right so dirts coming in not air just more dirt so I

don’t know if you get a great benefit of oxygen from having more minerals dropped inside on both hand reaches through the earth yeah that’s probably the most realistic part of this whole thing is how much she wanted that oxygen when she got a hook this I know this sisters uh was struggling down there so congrats to you alright so the next movie Austin Powers The Spy Who shagged me yeah this is like a very classic injury right it usually means that the person can’t move their limbs below the level of the injury and have some sensory deficits so I’d like to see what happens as far as like how they display this clearly wait a minute okay so it wasn’t enough that she got a knife in the bed [Laughter] unfortunately I’ve never been in this situation to know exactly how this plays out but any high-powered weapon like that has the ability to make bullets go through bodies so I’d be worried that Austin or they’ve taken at least two wait a minute no injuries from the front of her body yes no no now she does the injuries to even try to talk about how realistic it is I feel foolish but she took an RPG round straight to the body and Austin’s untouched but nothing fazes my man I think the death plain we realize we know what would happen I love the fact that she’s in here still talking to him why they fall just a little char you know just a little singed mmm yeah she’s definitely gone after that fall and he might actually have an injury to that’s probably one of the most misunderstood things people think that if I fall trying to land on my feet you’ll end up with a lot of compression fractures that way bilateral ankle fractures the vertebrae itself from the axial load or the load of the force going down onto the vertebrae or come up from the ground that you land on I would probably try my best to fall on like one part of the body and try to make sure that you don’t hit your head so those are the areas that I’ve next movie we’re gonna watch I know where this is going basically someone is gonna freeze honestly two people should freeze what you’re dealing with in hypothermia is essentially like blood flow that is no longer going to areas where it needs to go to keep the tissue alive when the body goes into this mode it’s trying to conserve as much heat and as much blood flow as possible so it’ll divert it towards vital organs like the brain and the heart but the extremities they get frostbite and eventually you have complete disruption of the tissues and they may not be viable after that I’m glad he’s still talking I’d be worried about the quiet people he has uncontrolled shivering the other things that I think is a little bit unrealistic is he’s able to continue to think things through like that mentation is something that goes when you’re starting to be more hypothermic so the fact that he’s talking is a good thing I just don’t know if he’d be able to move as freely as he’s moving now if it’s that cold this is what I was talking about this face right here I’d expect that face a lot earlier on if it’s that cold the mental status is starting to wax and wane because the only thing that’s being perfused really is parts of the brain and now that’s going I would also worry about is the the

heart rhythm regular when you start to drop the core body temperature to this level your heart is freaking out at 28 degrees Fahrenheit I just think that you’re gonna start to freeze a lot sooner five minutes max definitely not an hour in this water let him go let him go this is the last thing that I would do is roll into some water I just don’t see her having full action in those extremities if she was able to withstand this tundra level cold maybe she could blow the whistle but no I just don’t definitely not loud enough to get the guy to come back up next we have John wick chapter 3 he knows what’s coming oh he has to die if you watch the movie you know that he’s got like these special liners inside of his jacket it’s possible that he may be able to sustain a couple shots like that from a handgun even his reaction is we like to double over after those shots we watch a couple other movies and get fazed by being shot where is he in this movie like doubles over I think that this is realistic so can we rewind it a little bit so two three four stop man all of those different hits means that he had blunt trauma in each of those locations no the father’s breaking him his ribs wrapped on the bar at one point another part of his hip struck the dumpster and did finally head and shoulders so you’re talking about vessels still shearing because they’re stopped abruptly you’re talking about bones that have to deal with that force and they’re not made to bend and be malleable you might fracture the skull but you can also cause the brain to jostle it’s so many different injuries in this scene I don’t even think I could just start to enumerate them off the bat he’s John wick I mean at the end of the day you know he’s getting back up with a broken pelvis and spine away up next to the campaign okay so people own exotic animals and I’ve seen everything from snakebites to Gila monster attacks common location actually common mechanisms you know someone handling the snake trying to act cool and then all of a sudden snake go snake on them and that’s what happened that’s kind of realistic somebody once you get bit it’s is every curse word in the book I would be worried about the person who talks talks and then all of a sudden starts to just trail off because that means that’s the effect of the venom is starting to take off yeah becomes a neuropathic yep I love how they change to fisheye lens to basically simulate that he is altered and that’s realistic other things that would happen I mean he may fall out have a seizure if you have recently gotten bitten and you start to have this altered mental status you may run straight through a window like that I don’t think that that’s uh completely unrealistic the next movie Casino Royale he just got poisoned and because he’s James Bond the cars tricked out with a defibrillator like AED right there in the – looks like he’s trying to capture his pulse or a rhythm I mean if I’m looking for somebody’s heart activity I’m going to place leads around the heart I don’t think that this is realistic unless he’s trying to put an IV access into his governor seven stay calm and don’t interrupt because you’ll be dead within two minutes unless you do exactly what I tell you he’s starting to sweat and call the gif releases

now this is what I was talking about as far as you have to place somewhere on the body those leads in order to effectively distribute a shock tricular tachycardia did you talk so pause go back a little bit this means that his ventricles the part of the heart that’s responsible for forcing the blood around the body they’re beating more rapidly than normal this is an indication to deliver a shock or to cardiovert somebody so that’s what I think is about to happen I don’t know how realistic it is for somebody to distribute a shock to themselves I mean maybe that’s just a bad ass thing that only James Bond can do people who are in this type of tachyarrhythmia are unable to like whole things I don’t think that is realistic that someone be able to just push a button and deliver a shock to their self okay pause this is not real obviously it’s some movie magic they put some numbers on top of some stuff I would expect the arrhythmia to be a lot higher 150 160 180s most of us gets to 135 just from a brisk walk or jogging 97 I’m assuming down at the bottom is his oxygen usually through a pulse ox on a fingertip which we didn’t see him place push the red button now he passed out so I think that’s realistic a lot of times patients will have these types of reactions in the city so that’s realistic you are literally rebooting the heart from scratch like a cold boot and so when I talk to patients afterwards they feel like they died for a second I mean technically they were right because it was entirely jump-started that is a normal reaction for someone to kind of like jolt and then all of a sudden come back to next childhood favorite home alone – I can’t say that I have seen a lot of bricks – the heads any object with considerable mass that strikes you can lead to a concussion like this imagine putting like a boiled egg inside of a jar with a little bit of water that’s essentially what the brain is like inside the head and then it’s striking against walls of the skull is similar to that egg that soft part of the egg striking the glass and it can lead to nausea vomiting confusion dizziness he’s gonna have that within the next day look see see this is called diplopia right so he sees two different objects and when I have those patients come in after head injuries I’ll say do you see one of me or two of me boom you get two bricks today you basically you’re gonna stay there for 24 hours if I have anything to do with it not because you have an injury but because you shouldn’t be doing anything to get hit by two bricks like that’s what I’m worried about we’ll keep you around all right dude just stay down just a good night like Kevin is incredibly accurate in terms of his own abilities it looks like to do is get struck in the same place I’d be worried that he has like a small fracture in the front part of the tail like his frontal bone or even one of the sinuses being fractured can’t even save all right he did take a tumble but did he actually black out if he blacked out this is a guy that I want to get on the Cask ante balloons possum one it can actually be the person blacks out because of the impact a repeat fall could be because less blood flow to that portion of the brain because it’s leaking into another space these are all in the scenario of like struck by a brick I don’t know I’ve never been hit by bricks so I’m gonna keep that a streak going that was a breakdown with GQ thank y’all for watching I