ER Doctor Evaluates Injuries In Red Dead Redemption 2 • Professionals Play

I am dr. Armand Dorian, the medical director of USC Verdugo Hills Hospital, also a trauma-trained emergency physician. We're here to talk about the video game Red Dead Redemption, specifically the traumatic events in the video game. We also want to break down what would happen. to the individual at the end of the 19th century, where the video game is represented versus what would happen to someone now with the technology of modern medicine, so in our first clip we see an individual throwing another person off a cliff, we have a lot information about this from a traumatic point of view.

From the point of view, there is a thing called ld50 which is a height or distance where if you fall you have a 50% chance of surviving and that's basically around 40 to 50 feet, so it's about 4 to 5 stories. , so if you fall from a 4 or 5 story building, the chances of you living after hitting the ground are about 50%, that's not taking into account the fact that you may become paralyzed and may never be able to get out of bed from that point, plus treatment for anyone who would have done so. a traumatic fall in the late 1800's would basically be a support, they basically put him on a bed and had the best hope that he wouldn't have significant internal bleeding, understanding the fact that wherever it hurts don't move him and then they would. just giving him time, obviously, they would do some supportive things, like giving him water, but there were no really significant pain medications and there were no major concepts about splinting or doing anything intraoperatively in an operating room today we would do a lot of things that we would do. we'll take him immediately to an emergency room, put him through a cat scan where I could scan his entire body, look for fractures, bleeding, and then we could address each of those issues one at a time, obviously taking the most critical first and then moving towards an environment where we can make sure we preserve your life and then also make you comfortable during the process.

In the following clip we see someone who is actually tied and thrown into a river to drown and die. In the 19th century, the drowned

dead

are the same as in the 20th century, a drowned and

dead

person in the 21st century has no way to save to this person we have a lot of information about drowning

injuries

there are actually two types of ways people drown one is called dry drowning once called wet drowning dry drowning is when your larynx actually spasms and because they are spasms that try to prevent water from entering your lungs, you actually choke to death, the second is when water actually enters your lungs and floods the area it's supposed to.

It is used as air to get oxygen with water and then you die. Both are traumatic. Both are disastrous. Both can be recovered if the person is taken to an emergency department in appropriate time. You have five minutes until you can't. it brings blood to the brain and then you are brain dead if you consider the 19th century, actually, if you consider the 21st century, if you are in the middle of nowhere in a river, tied up, thrown on the shore to drown, I can guarantee you that. You're not going to make it out alive because we're talking minutes to your survival, so consider this person dead.

The most graphic part is the way they killed you. In the next clip we see someone being thrown from the back of a train. Two important ones. The things here, one is the actual fall from a height, the second is the fact that the train is moving, if we consider both things, unfortunately today, especially in Los Angeles where I practice, you see a lot of car accidents. of people being thrown out of cars, this is what those forces are very high than you think, falling from that height won't cause much trauma, maybe a broken bone or two, but when you fall from something that is moving forces are greater and the potential for trauma within your chest and abdomen is high, causing internal bleeding and death, so let's consider the two different treatments here in the late 19th century if someone were to fall off a train like this if it didn't have internal organs. bleeding in their test or abdomen they could live they would be disabled and they would be in pain today if someone came to the hospital like that and had bleeding we could solve it if they had fractures be able to splint them and when the six weeks would take them back to where they once were, in the next clip we see someone getting shot in the leg nowadays we see many people getting shot in the leg unfortunately, it is something that happens daily in urban areas.

In emergency departments, when they get shot in the leg, there is no life-threatening injury, however, in this clip, the shot actually rips the person's leg off and it's like an amputation, even Amputations can be saved if you know what to do. The most important thing is to really tie that leg so you don't examine it, you don't lose blood. In the late 19th century there was no significant concept of this and even if there is someone who is smart enough to do it, once you're tied up, you have to fix it. that leg in the 19th century there is no one who is going to repair it today this is salvageable this is something we can take care of you and with the bioprostheses we have today this guy could walk very soon with a bioprosthesis if he has the right equipment It is You may not even know he's missing a limb.

In the next clip we see someone being shot, getting up after falling, and then slowly bleeding out. We see a pretty significant amount of blood on the ground, which is actually quite realistic. You have five liters of blood in your body and a lot of times when you get shot, the actual bullets aren't what kills you, actually most of the time, it's not that most of the time it's the fact that you lose blood, having said that sometimes the blood is in your chest. on your belly you don't see it of any kind, it's on the floor so it's a good indication of what type of bleeding you have and the potential for death when you see a lot of blood on the floor obviously the possibility of death is extremely higher, because?

Can this guy get up? It's very common when you get shot. Your heart rate increases. Your blood pressure increases. It is a fight or flight response. The body is designed to try to get away from that angry bear, so as soon as you can. You get shot, you can get up, you run away, you probably don't even feel the fact that you're being shot, but very soon after, blood starts leaking out of your body, blood doesn't go to your brain, you start to weaken. tired, you pass out, you fall, you die, so if you really see the moment this person dies, that's the key regarding treatment in the 19th century, that guy had about 30 seconds, maybe a minute to live or a chance to survive, no one is going to do that.

Being able to save them in 1800, even today, was the only chance that guy would have and I'm telling you, those are slim chances if you shoot in the emergency department, so that kind of gunshot wound is almost always the 99.9% of the time, regardless. In what century were you shot. They are going to be

doctor

s in the 19th century. They had a limited ability to do things. They had the same desire to help. They have the same heart and need to try to help people who suffered traumatic events or who were sick. But they simply didn't have the tools.

Today we have many more tools and better ways to help and save lives.