Doctor Reacts To Survivor Medical Emergencies

- Who is a survivor?

They're all survivors.

We're about to look at the worst medical injuries

and emergencies that went down on the show "Survivor".

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for sponsoring this video.

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Be-woop!

- I'm a little dizzy.

- What's happening?

- First bit of movement from Lauren,

just a slight adjustment.

What's happening? - [Jeff] Trying to keep

from going numb, probably.

- She's about to pass out.

- I can't see anything.

I'm about to black out.

- Whoa!

- She dropped, medical! (contestants exclaim)

- Why do you wait to run over?

She announced it.

- [Woman] Oh my god. - [Woman] Oh my god.

- God, what happened?

- Lauren passed out, just keep going.

- Just keep going. (laughs)

- [Man] She's got people around her, Vic.

- [Woman] She's okay.

- Yeah, so this is probably a vasovagal reaction,

where not enough circulations going to her brain.

She's probably gonna come to real quick.

- [Medic] Hey Lauren, you just fainted.

- Yep. - Damn it.

(Dr. Mike laughs)

- She's like ah, I didn't get the golden buzzer.

Whatever they have on this show.

- [Sam] Immunity idol.

- Yesterday, a piece of sand got in my eye

and I guess I scratched my eye.

- Aw, corneal abrasion is so painful.

The cornea has some of the most nerve fibers

in the entire human body, 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.

- [Medic] The first thing I'm gonna 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,

it's a little thing on the edge of the eye.

It puts a stain in, you just have to be really careful

'cause it could permanently stain contact and clothes

and then we either use a woods lamp to light up the eye

or pen with a blue filter or a proper way

to do it as a slit lamp exam.

You could see if there's any corneal abrasions there

based on where the deposits of the fluorescent stain go.

- What I need to rule out is that he hasn't gotten

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 it at the edge of the eye,

it makes the eye really orange and yellow.

- It actually looks like there is

what I would call a divot in this cornea.

- Oh, that's a problem.

- Is there something we can do out here?

- No.

- Unfortunately not.

- Antibiotics, anti-inflammatories.

(man screams)

- [Woman] Water, get him

some water! - [Man] Are you okay?

(man shouts)

- Oh, what happened?

- [Woman] Oh my God.

- He burned, he's burned pretty bad.

- He burned?

How did he burn himself?

Oh.

- [Man] He passed out and fell in the fire.

- [Woman] He passed out into the fire.

- [Man] Stay in the water, stay in the water.

- He fell into the fire?

- I was blowing on the fire and the smoke was right my face

and I inhaled and I passed out.

- There must have been some toxic fumes there

'cause smoke inhalation for a short period of time

is rarely strong enough to cause you to pass out instantly.

The only way that could happen is there's some kind of

chemical process going on, like something burning,

causing a poison sensation.

When you're around a fire, there's a few things that

can happen that could cause you 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 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 to 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 in the blood

trying to bind to the hemoglobin.

Another thing obviously that could happen

is a chemical burn of your trachea

and that's really problematic.

You need a breathing tube for that.

(woman exclaims)

- Oh!

- I can't decide whether I should keep

trying to bend them or not.

- Okay, so burning of the hands 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 gonna hurt a ton more

and then on top of it, because of the way burns heal

on this area specifically, you form contractures.

So you're usually gonna need multiple surgeries

or procedures to keep those contractures from forming.

- I'll take whatever you give me,

I'll take the pain without drugs,

I'll do whatever you guys say.

Breathe? - [Medic] When you breathe...

- Oh look, that's the pen.

That's the pen we saw in 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.

- Aw, that's why we have ear wax.

- Instead of crawling out, it is getting deeper in my ear.

- Well it's not getting deeper.

There's no real place for it to go.

It's not gonna crawl into your eustachian tube.

- I can't sleep, I can't get comfortable.

It's just disgusting, hearing

these little legs crawl around in your head.

- Did it lay eggs in her ear?

- It's coming out, it's coming out.

There it is, there it is. - That little thingy?

- [Man] I think it's out of your ear, I think it worked.

- What is that little thing?

It's like a little worm.

It's like a miniature salmonella...

(laughs) salmonella, salamander.

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All right, let's get back to the show.

- Beauty pulls it out!

Second place finish reward for Beauty.

Nothing for Brawn but an empty,

lonely afternoon back at camp.

- They look hot and dry and I point out dry

specifically because if you are in a hot environment

and you're not sweating, that tells me

that you're potentially susceptible to heat stroke.

- [Woman] Whew.

Caleb, water?

- Did we just predict a little suh'n suh'n?

- [Medic] 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 is set by your brain,

apart of your brain called the hypothalamus

and it usually sets your temperature

to around 98 degrees Fahrenheit,

98.6 is the typical norm that we use

but it does fluctuate a degree or two.

When you are 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.

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".

- All right 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.

'Cause you remember, when evaporation occurs,

the surface of the skin does cool down.

- [Medic] Everybody back up.

- Oh, which is what they're doing.

- Hey buddy, you're in really good hands.

- I want someone to do some vitals on him.

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 gonna give Caleb some cold intravenous fluids

to try and bring his temperature down.

- Fluids internally that are cold

will actually speed up the cooling 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 to shiver,

which increases the temperature

and this is not a time you want that to happen.

So we would actually give a patient the muscle relaxer,

like a benzodiazepine 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.

- [Jeff] It's a doctor's call.

- Yeah, you don't wanna mess around with this

'cause permanent brain damage is not something

you want to be a contestant on "Survivor".

- Okay.

- Yeah, Mount 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 tissue.

- I mean, I'm looking to see

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?

- It's a big, nasty spot. - Abcess?

He said it's "a big, nasty spot"?

Is "big, nasty spot" a medical diagnosis these days?

Yeah, I don't know what that is and it's definitely

not life threatening in the moment but in the jungle,

I would love to know what could have caused it.

This person obviously knows way more than me

- And being close to a joint like the knee,

is that more serious? - Correct.

- Having an infection near the knee puts you

at a higher risk for septic arthritis,

which is an infection of the joint

or an osteomyelitis, which is an infection of the bone.

Both of 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 create sort of the next layer of healing.

What you wanna look for is the tissue surrounding it.

Is the redness starting to spread?

Is there streaking happening?

Some fluctuance below the wound, basically signs

of the 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 an emergency, it's really bad.

- Bruce had really horrible stomach pains.

He's had pains for about four days now

and it 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 gonna need antibiotics for that.

- [Medic] And I'm gonna assess you first before I can

start giving you any treatment.

- That's really important with abdominal pain,

that you don't give pain medicine too early

in the treatment before you examine

because you might not know what's going on.

- [Man] Don't, don't, don't.

- The areas where he's pushing

looks like it's an appendicitis.

Technically appendicitis 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 contralateral pain on the opposite side.

So 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 it's spreading through your entire abdomen?

- [Medic] I can't rule out that it's not his appendix.

- [Man] Sure. - Point is,

we're gonna take him.

- Getting transported like that with an 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?

Because the colon runs from here, across,

up and then down and then becomes the small intestine.

The bladder's down here in the pubic area.

The only thing that it could be,

a (stutters) vesiculocolinic fistula.

Where if you have 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 hands.

- Why can't she feel her hands?

- All right, you're all right, you're all right.

I'm right here with you.

- You doing all right?

- I can't tell if I'm panicking or dehydrated.

- Hey medical, Dr. Joe.

- Dr. Joe, Dr. Mike, we're all first name here.

- My arms are cramping up.

- [Medic] That's because you're breathing

a little bit quickly, all right?

- What's wrong with Hannah?

- I don't know.

- You're not gonna let me die?

- Of course not.

- (laughs) "You're not gonna let me die."

I love that, he's God.

He controls who lives and dies.

- [Medic] This is just because you're breathing

a little bit quick, Hannah.

- So if you breathe out too quickly,

you can actually create an oxygen carbon dioxide imbalance,

sort of over blow off carbon dioxide and as a result,

cause an 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 wanna be one of those people.

- Well, panic attacks can make the situation worse

because 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 bag

because then you re-inhale some of that carbon dioxide.

- [Sam] Oh, really?

That's where the bag thing is from?

- Yeah.

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